example.ipynb

{
 "cells": [
  {
   "cell_type": "code",
   "execution_count": 1,
   "metadata": {},
   "outputs": [],
   "source": [
    "%load_ext autoreload\n",
    "%autoreload 2"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 2,
   "metadata": {},
   "outputs": [],
   "source": [
    "from datetime import datetime\n",
    "import pydicom\n",
    "from pydicom.valuerep import DT\n",
    "from pydicom.sr.codedict import codes\n",
    "import highdicom as hd\n",
    "import structured_reports as sr"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 3,
   "metadata": {},
   "outputs": [],
   "source": [
    "ecg = pydicom.dcmread('example_ecg.dcm')"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 4,
   "metadata": {},
   "outputs": [],
   "source": [
    "procedure_datetime = DT(datetime.now().strftime(\"%Y%m%d%H%M%S.%f\"))\n",
    "ecg_concept_name = hd.sr.CodedConcept(\n",
    "    value='C0018799', \n",
    "    scheme_designator='SCT', \n",
    "    meaning='Electrocardiogram'\n",
    ")\n",
    "\n",
    "referenced_sop_class_uid = hd.UID('1.2.840.10008.5.1.4.1.1.9.1.1')  # Example: Waveform Storage SOP Class\n",
    "referenced_sop_instance_uid = ecg.SOPInstanceUID\n",
    "\n",
    "# https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_TID_3708.html\n",
    "source_of_measurement = sr.WaveformContentItem(\n",
    "    name=ecg_concept_name,\n",
    "    referenced_sop_class_uid=referenced_sop_class_uid, \n",
    "    referenced_sop_instance_uid=referenced_sop_instance_uid, \n",
    "    referenced_waveform_channels=None, \n",
    "    relationship_type=hd.sr.RelationshipTypeValues.CONTAINS\n",
    ")\n",
    "\n",
    "# https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_3263.html\n",
    "lead_system = hd.sr.coding.CodedConcept(\n",
    "    value='10:11265',\n",
    "    scheme_designator='MDC',\n",
    "    meaning='Standard 12-lead positions, electrodes placed individually'\n",
    ")\n",
    "\n",
    "ecg_waveform_information = sr.ECGWaveFormInformation(\n",
    "    procedure_datetime=procedure_datetime,\n",
    "    source_of_measurement=source_of_measurement,\n",
    "    lead_system=lead_system,\n",
    "    acquisition_device_type='Electrocardiographic monitor and recorder',\n",
    "    equipment_identification=ecg.Manufacturer,\n",
    ")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 5,
   "metadata": {},
   "outputs": [],
   "source": [
    "language = hd.sr.CodedConcept(\n",
    "    value='de-DE',\n",
    "    scheme_designator='RFC5646',\n",
    "    meaning='German (Germany)'\n",
    ")\n",
    "\n",
    "observer_person_context = hd.sr.ObserverContext(\n",
    "    observer_type=codes.DCM.Person,\n",
    "    observer_identifying_attributes=hd.sr.PersonObserverIdentifyingAttributes(\n",
    "        name=ecg.PatientName\n",
    "    )\n",
    ")\n",
    "observer_device_context = hd.sr.ObserverContext(\n",
    "    observer_type=codes.DCM.Device,\n",
    "    observer_identifying_attributes=hd.sr.DeviceObserverIdentifyingAttributes(\n",
    "        uid=hd.UID()\n",
    "    )\n",
    ")\n",
    "\n",
    "ecg_global_measurements = sr.ECGGlobalMeasurements(\n",
    "    ventricular_heart_rate= 75.0,\n",
    "    qt_interval_global=400.0,\n",
    "    pr_interval_global=140.0,\n",
    "    qrs_duration_global=100.0,\n",
    "    rr_interval_global=800.0,\n",
    ")\n",
    "\n",
    "quantitatitative_analysis = sr.QuantitativeAnalysis(\n",
    "    ecg_global_measurements=ecg_global_measurements\n",
    ")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 6,
   "metadata": {},
   "outputs": [],
   "source": [
    "patient_characteristics_for_ecg = sr.PatientCharacteristicsForECG(\n",
    "    subject_age=sr.AgeUnit(year=int(ecg.PatientAge[:-1])), # format: e.g. 060Y\n",
    "    subject_sex=ecg.PatientSex,\n",
    "    systolic_blood_pressure=sr.PressureUnit(mmHg=160.0),\n",
    "    diastolic_blood_pressure=sr.PressureUnit(mmHg=100.0),\n",
    "    patient_state=hd.sr.CodedConcept(\n",
    "        value='128975004',\n",
    "        scheme_designator='SCT',\n",
    "        meaning='Resting state'\n",
    "    ),\n",
    "    pacemaker_in_situ=hd.sr.CodedConcept(\n",
    "        value='D',\n",
    "        scheme_designator='NBG',\n",
    "        meaning='Dual (A+V)'\n",
    "    )\n",
    ")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 7,
   "metadata": {},
   "outputs": [],
   "source": [
    "history_of_myocaridal_infarction = sr.ProblemProperties(\n",
    "    concern_type=hd.sr.CodeContentItem(\n",
    "        name=hd.sr.CodedConcept(\n",
    "            value='418799008',\n",
    "            scheme_designator='SCT',\n",
    "            meaning='Finding reported by patient/informant'\n",
    "        ),\n",
    "        value=hd.sr.CodedConcept(\n",
    "            value='399211009',\n",
    "            scheme_designator='SCT',\n",
    "            meaning='History of myocardidal infarction'\n",
    "        ),\n",
    "        relationship_type=hd.sr.RelationshipTypeValues.CONTAINS\n",
    "    ),\n",
    "    datetime_concern_noted=DT(datetime.now().strftime(\"%Y%m%d%H%M%S.%f\")),\n",
    "    therapies=[\n",
    "        sr.Therapy(\n",
    "            name=hd.sr.CodedConcept(\n",
    "                value='232717009',\n",
    "                scheme_designator='SCT',\n",
    "                meaning='Coronary artery bypass graft'\n",
    "            )\n",
    "        )\n",
    "    ]\n",
    ")\n",
    "\n",
    "cardiac_patient_risk_factors = [\n",
    "    sr.ProblemProperties(\n",
    "        concern_type=hd.sr.CodeContentItem(\n",
    "            name=hd.sr.CodedConcept(\n",
    "                value='418799008',\n",
    "                scheme_designator='SCT',\n",
    "                meaning='Finding reported by patient/informant'\n",
    "            ),\n",
    "            value=hd.sr.CodedConcept(\n",
    "                value='400047006',\n",
    "                scheme_designator='SCT',\n",
    "                meaning='Peripheral vascular disease'\n",
    "            ),\n",
    "            relationship_type=hd.sr.RelationshipTypeValues.CONTAINS\n",
    "        ),\n",
    "        datetime_concern_noted=DT(datetime.now().strftime(\"%Y%m%d%H%M%S.%f\"))\n",
    "    )\n",
    "]\n",
    "\n",
    "problem_list = sr.ProblemList(\n",
    "    cardiac_patient_risk_factors=cardiac_patient_risk_factors,\n",
    "    history_of_myocardial_infarction=history_of_myocaridal_infarction\n",
    ")\n",
    "\n",
    "social_history = sr.SocialHistory(\n",
    "    tobacco_smoking_behavior=hd.sr.CodedConcept(\n",
    "        value='77176002',\n",
    "        scheme_designator='SCT',\n",
    "        meaning='Current Smoker'\n",
    "    )\n",
    ")\n",
    "\n",
    "past_surgical_history = sr.PastSurgicalHistory(\n",
    "    procedure_properties=[\n",
    "        sr.ProcedureProperties(\n",
    "            name=hd.sr.CodedConcept(\n",
    "                value='387713003', \n",
    "                scheme_designator='SCT',\n",
    "                meaning='Surgical Procedure'\n",
    "            ),\n",
    "            value=hd.sr.CodedConcept(\n",
    "                value='232717009',\n",
    "                scheme_designator='SCT',\n",
    "                meaning='Coronary artery bypass graft'\n",
    "            )\n",
    "        ),\n",
    "        sr.ProcedureProperties(\n",
    "            name=hd.sr.CodedConcept(\n",
    "                value='387713003', \n",
    "                scheme_designator='SCT',\n",
    "                meaning='Surgical Procedure'\n",
    "            ),\n",
    "            value=hd.sr.CodedConcept(\n",
    "                value='307280005',\n",
    "                scheme_designator='SCT',\n",
    "                meaning='Implantation of cardiac pacemaker'\n",
    "            )\n",
    "        )\n",
    "    ]\n",
    ")\n",
    "\n",
    "relevant_diagnostic_tests_and_or_laboratory_data = sr.RelevantDiagnosticTestsAndOrLaboratoryData(\n",
    "    cholesterol_in_HDL=75.0,\n",
    "    cholesterol_in_LDL=160.0\n",
    ")\n",
    "\n",
    "cardiovascular_patient_history = sr.CardiovascularPatientHistory(\n",
    "    problem_list=problem_list,\n",
    "    social_history=social_history,\n",
    "    past_surgical_history=past_surgical_history,\n",
    "    relevant_diagnostic_tests_and_or_laboratory_data=relevant_diagnostic_tests_and_or_laboratory_data,\n",
    ")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 8,
   "metadata": {},
   "outputs": [],
   "source": [
    "ecg_report = sr.ECGReport(\n",
    "    language_of_content_item_and_descendants=hd.sr.LanguageOfContentItemAndDescendants(language),\n",
    "    observer_contexts=[observer_person_context, observer_device_context],\n",
    "    ecg_waveform_information=ecg_waveform_information,\n",
    "    quantitative_analysis=quantitatitative_analysis,\n",
    "    cardiovascular_patient_history=cardiovascular_patient_history,\n",
    "    patient_characteristics_for_ecg=patient_characteristics_for_ecg,\n",
    ")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 9,
   "metadata": {},
   "outputs": [
    {
     "data": {
      "text/plain": [
       "Dataset.file_meta -------------------------------\n",
       "(0002, 0000) File Meta Information Group Length  UL: 226\n",
       "(0002, 0001) File Meta Information Version       OB: b'\\x00\\x01'\n",
       "(0002, 0002) Media Storage SOP Class UID         UI: Comprehensive SR Storage\n",
       "(0002, 0003) Media Storage SOP Instance UID      UI: 1.2.826.0.1.3680043.10.511.3.56431750657457273228940717842343408\n",
       "(0002, 0010) Transfer Syntax UID                 UI: Explicit VR Little Endian\n",
       "(0002, 0012) Implementation Class UID            UI: 1.2.826.0.1.3680043.9.7433.1.1\n",
       "(0002, 0013) Implementation Version Name         SH: 'highdicom0.21.1'\n",
       "-------------------------------------------------\n",
       "(0008, 0016) SOP Class UID                       UI: Comprehensive SR Storage\n",
       "(0008, 0018) SOP Instance UID                    UI: 1.2.826.0.1.3680043.10.511.3.56431750657457273228940717842343408\n",
       "(0008, 0020) Study Date                          DA: '20240101'\n",
       "(0008, 0023) Content Date                        DA: \"20240902\"\n",
       "(0008, 0030) Study Time                          TM: '113730'\n",
       "(0008, 0033) Content Time                        TM: \"164439.683942\"\n",
       "(0008, 0050) Accession Number                    SH: '1'\n",
       "(0008, 0060) Modality                            CS: 'SR'\n",
       "(0008, 0070) Manufacturer                        LO: None\n",
       "(0008, 0090) Referring Physician's Name          PN: ''\n",
       "(0008, 1030) Study Description                   LO: 'Resting 12-lead ECG'\n",
       "(0008, 1060) Name of Physician(s) Reading Study  PN: ''\n",
       "(0008, 1111)  Referenced Performed Procedure Step Sequence  0 item(s) ---- \n",
       "(0010, 0010) Patient's Name                      PN: 'Mustermann^Max'\n",
       "(0010, 0020) Patient ID                          LO: '0123456789'\n",
       "(0010, 0030) Patient's Birth Date                DA: '19640101'\n",
       "(0010, 0040) Patient's Sex                       CS: 'M'\n",
       "(0010, 1010) Patient's Age                       AS: '060Y'\n",
       "(0010, 1020) Patient's Size                      DS: None\n",
       "(0010, 1030) Patient's Weight                    DS: None\n",
       "(0010, 2160) Ethnic Group                        SH: ''\n",
       "(0020, 000d) Study Instance UID                  UI: 1.2.826.0.1.3680043.8.498.12864580824097706834393059849272204080\n",
       "(0020, 000e) Series Instance UID                 UI: 1.2.826.0.1.3680043.10.511.3.10981877544674571710873141369813120\n",
       "(0020, 0010) Study ID                            SH: '123456789'\n",
       "(0020, 0011) Series Number                       IS: '1'\n",
       "(0020, 0013) Instance Number                     IS: '1'\n",
       "(0038, 0010) Admission ID                        LO: ''\n",
       "(0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "(0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "   (0008, 0100) Code Value                          SH: '11524-0'\n",
       "   (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "   (0008, 0104) Code Meaning                        LO: 'ECG Report'\n",
       "   ---------\n",
       "(0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "(0040, a372)  Performed Procedure Code Sequence  0 item(s) ---- \n",
       "(0040, a385)  Pertinent Other Evidence Sequence  1 item(s) ---- \n",
       "   (0008, 1115)  Referenced Series Sequence  1 item(s) ---- \n",
       "      (0008, 1199)  Referenced SOP Sequence  1 item(s) ---- \n",
       "         (0008, 1150) Referenced SOP Class UID            UI: 12-lead ECG Waveform Storage\n",
       "         (0008, 1155) Referenced SOP Instance UID         UI: 1.2.826.0.1.3680043.8.498.89623170437663723329382978340499119689\n",
       "         ---------\n",
       "      (0020, 000e) Series Instance UID                 UI: 1.2.826.0.1.3680043.8.498.21257606409783556160725868414407030543\n",
       "      ---------\n",
       "   (0020, 000d) Study Instance UID                  UI: 1.2.826.0.1.3680043.8.498.12864580824097706834393059849272204080\n",
       "   ---------\n",
       "(0040, a491) Completion Flag                     CS: 'PARTIAL'\n",
       "(0040, a493) Verification Flag                   CS: 'UNVERIFIED'\n",
       "(0040, a496) Preliminary Flag                    CS: 'PRELIMINARY'\n",
       "(0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "   (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "   (0040, db00) Template Identifier                 CS: '3700'\n",
       "   ---------\n",
       "(0040, a730)  Content Sequence  9 item(s) ---- \n",
       "   (0040, a010) Relationship Type                   CS: 'HAS CONCEPT MOD'\n",
       "   (0040, a040) Value Type                          CS: 'CODE'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121049'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Language of Content Item and Descendants'\n",
       "      ---------\n",
       "   (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: 'de-DE'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'RFC5646'\n",
       "      (0008, 0104) Code Meaning                        LO: 'German (Germany)'\n",
       "      ---------\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'HAS OBS CONTEXT'\n",
       "   (0040, a040) Value Type                          CS: 'CODE'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121005'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Observer Type'\n",
       "      ---------\n",
       "   (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121006'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Person'\n",
       "      ---------\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'HAS OBS CONTEXT'\n",
       "   (0040, a040) Value Type                          CS: 'PNAME'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121008'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Person Observer Name'\n",
       "      ---------\n",
       "   (0040, a123) Person Name                         PN: 'Mustermann^Max'\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'HAS OBS CONTEXT'\n",
       "   (0040, a040) Value Type                          CS: 'CODE'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121005'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Observer Type'\n",
       "      ---------\n",
       "   (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121007'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Device'\n",
       "      ---------\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'HAS OBS CONTEXT'\n",
       "   (0040, a040) Value Type                          CS: 'UIDREF'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121012'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Device Observer UID'\n",
       "      ---------\n",
       "   (0040, a124) UID                                 UI: 1.2.826.0.1.3680043.10.511.3.45142667692843894368719330329688917\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "   (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '55111-9'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Current Procedure Descriptions'\n",
       "      ---------\n",
       "   (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "   (0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "      (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "      (0040, db00) Template Identifier                 CS: '3708'\n",
       "      ---------\n",
       "   (0040, a730)  Content Sequence  5 item(s) ---- \n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'DATETIME'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '122146'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Procedure DateTime'\n",
       "         ---------\n",
       "      (0040, a120) DateTime                            DT: \"20240902164439.548779\"\n",
       "      ---------\n",
       "      (0008, 1199)  Referenced SOP Sequence  1 item(s) ---- \n",
       "         (0008, 1150) Referenced SOP Class UID            UI: 12-lead ECG Waveform Storage\n",
       "         (0008, 1155) Referenced SOP Instance UID         UI: 1.2.826.0.1.3680043.8.498.89623170437663723329382978340499119689\n",
       "         ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'WAVEFORM'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: 'C0018799'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Electrocardiogram'\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CODE'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '10:11345'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'MDC'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Lead System'\n",
       "         ---------\n",
       "      (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '10:11265'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'MDC'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Standard 12-lead positions, electrodes placed individually'\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'TEXT'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '122142'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Acquisition Device Type'\n",
       "         ---------\n",
       "      (0040, a160) Text Value                          UT: Array of 41 elements\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'TEXT'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '121122'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Equipment Identification'\n",
       "         ---------\n",
       "      (0040, a160) Text Value                          UT: Array of 24 elements\n",
       "      ---------\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "   (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '55111-9'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Current Procedure Descriptions'\n",
       "      ---------\n",
       "   (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "   (0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "      (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "      (0040, db00) Template Identifier                 CS: '3708'\n",
       "      ---------\n",
       "   (0040, a730)  Content Sequence  1 item(s) ---- \n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '122158'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "         (0008, 0104) Code Meaning                        LO: 'ECG Global Measurements'\n",
       "         ---------\n",
       "      (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "      (0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "         (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "         (0040, db00) Template Identifier                 CS: '3713'\n",
       "         ---------\n",
       "      (0040, a730)  Content Sequence  5 item(s) ---- \n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'NUM'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '2:16016'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'MDC'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Ventricular Heart Rate'\n",
       "            ---------\n",
       "         (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "            (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '1'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'UCUM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'no units'\n",
       "               ---------\n",
       "            (0040, a161) Floating Point Value                FD: 75.0\n",
       "            (0040, a30a) Numeric Value                       DS: '75.0'\n",
       "            ---------\n",
       "         ---------\n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'NUM'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '2:16160'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'MDC'\n",
       "            (0008, 0104) Code Meaning                        LO: 'QT interval global'\n",
       "            ---------\n",
       "         (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "            (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: 'ms'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'UCUM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'millisecond'\n",
       "               ---------\n",
       "            (0040, a161) Floating Point Value                FD: 400.0\n",
       "            (0040, a30a) Numeric Value                       DS: '400.0'\n",
       "            ---------\n",
       "         ---------\n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'NUM'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '2:15872'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'MDC'\n",
       "            (0008, 0104) Code Meaning                        LO: 'PR interval global'\n",
       "            ---------\n",
       "         (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "            (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: 'ms'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'UCUM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'millisecond'\n",
       "               ---------\n",
       "            (0040, a161) Floating Point Value                FD: 140.0\n",
       "            (0040, a30a) Numeric Value                       DS: '140.0'\n",
       "            ---------\n",
       "         ---------\n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'NUM'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '2:16156'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'MDC'\n",
       "            (0008, 0104) Code Meaning                        LO: 'QRS duration global'\n",
       "            ---------\n",
       "         (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "            (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: 'ms'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'UCUM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'millisecond'\n",
       "               ---------\n",
       "            (0040, a161) Floating Point Value                FD: 100.0\n",
       "            (0040, a30a) Numeric Value                       DS: '100.0'\n",
       "            ---------\n",
       "         ---------\n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'NUM'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '2:16168'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'MDC'\n",
       "            (0008, 0104) Code Meaning                        LO: 'RR interval global'\n",
       "            ---------\n",
       "         (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "            (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: 'ms'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'UCUM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'millisecond'\n",
       "               ---------\n",
       "            (0040, a161) Floating Point Value                FD: 800.0\n",
       "            (0040, a30a) Numeric Value                       DS: '800.0'\n",
       "            ---------\n",
       "         ---------\n",
       "      ---------\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "   (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '11329-0'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "      (0008, 0104) Code Meaning                        LO: 'History'\n",
       "      ---------\n",
       "   (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "   (0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "      (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "      (0040, db00) Template Identifier                 CS: '3802'\n",
       "      ---------\n",
       "   (0040, a730)  Content Sequence  4 item(s) ---- \n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '11450-4'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Problem List'\n",
       "         ---------\n",
       "      (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "      (0040, a730)  Content Sequence  2 item(s) ---- \n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '121430'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Concern'\n",
       "            ---------\n",
       "         (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "         (0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "            (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "            (0040, db00) Template Identifier                 CS: '3829'\n",
       "            ---------\n",
       "         (0040, a730)  Content Sequence  2 item(s) ---- \n",
       "            (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "            (0040, a040) Value Type                          CS: 'CODE'\n",
       "            (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '418799008'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "               (0008, 0104) Code Meaning                        LO: 'Finding reported by patient/informant'\n",
       "               ---------\n",
       "            (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '400047006'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "               (0008, 0104) Code Meaning                        LO: 'Peripheral vascular disease'\n",
       "               ---------\n",
       "            ---------\n",
       "            (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "            (0040, a040) Value Type                          CS: 'DATETIME'\n",
       "            (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '121431'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'DateTime Concern Noted'\n",
       "               ---------\n",
       "            (0040, a120) DateTime                            DT: \"20240902164439.583187\"\n",
       "            ---------\n",
       "         ---------\n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '121430'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Concern'\n",
       "            ---------\n",
       "         (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "         (0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "            (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "            (0040, db00) Template Identifier                 CS: '3829'\n",
       "            ---------\n",
       "         (0040, a730)  Content Sequence  3 item(s) ---- \n",
       "            (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "            (0040, a040) Value Type                          CS: 'CODE'\n",
       "            (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '418799008'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "               (0008, 0104) Code Meaning                        LO: 'Finding reported by patient/informant'\n",
       "               ---------\n",
       "            (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '399211009'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "               (0008, 0104) Code Meaning                        LO: 'History of myocardidal infarction'\n",
       "               ---------\n",
       "            ---------\n",
       "            (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "            (0040, a040) Value Type                          CS: 'DATETIME'\n",
       "            (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '121431'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'DateTime Concern Noted'\n",
       "               ---------\n",
       "            (0040, a120) DateTime                            DT: \"20240902164439.582513\"\n",
       "            ---------\n",
       "            (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "            (0040, a040) Value Type                          CS: 'CODE'\n",
       "            (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '277132007'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "               (0008, 0104) Code Meaning                        LO: 'Therapy'\n",
       "               ---------\n",
       "            (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '232717009'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "               (0008, 0104) Code Meaning                        LO: 'Coronary artery bypass graft'\n",
       "               ---------\n",
       "            ---------\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '29762-2'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Social History'\n",
       "         ---------\n",
       "      (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "      (0040, a730)  Content Sequence  1 item(s) ---- \n",
       "         (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "         (0040, a040) Value Type                          CS: 'CODE'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '365981007'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Tobacco Smoking Behavior'\n",
       "            ---------\n",
       "         (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '77176002'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Current Smoker'\n",
       "            ---------\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '10167-5'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Past Surgical History'\n",
       "         ---------\n",
       "      (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "      (0040, a730)  Content Sequence  2 item(s) ---- \n",
       "         (0040, a010) Relationship Type                   CS: 'HAS CONCEPT MOD'\n",
       "         (0040, a040) Value Type                          CS: 'CODE'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '387713003'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Surgical Procedure'\n",
       "            ---------\n",
       "         (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '232717009'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Coronary artery bypass graft'\n",
       "            ---------\n",
       "         ---------\n",
       "         (0040, a010) Relationship Type                   CS: 'HAS CONCEPT MOD'\n",
       "         (0040, a040) Value Type                          CS: 'CODE'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '387713003'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Surgical Procedure'\n",
       "            ---------\n",
       "         (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '307280005'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Implantation of cardiac pacemaker'\n",
       "            ---------\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '30954-2'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Relevant Diagnostic Tests and/or Laboratory Data'\n",
       "         ---------\n",
       "      (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "      (0040, a730)  Content Sequence  2 item(s) ---- \n",
       "         (0040, a010) Relationship Type                   CS: 'HAS PROPERTIES'\n",
       "         (0040, a040) Value Type                          CS: 'NUM'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '2086-7'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Cholesterol in HDL'\n",
       "            ---------\n",
       "         (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "            (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '1'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'UCUM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'no units'\n",
       "               ---------\n",
       "            (0040, a161) Floating Point Value                FD: 75.0\n",
       "            (0040, a30a) Numeric Value                       DS: '75.0'\n",
       "            ---------\n",
       "         ---------\n",
       "         (0040, a010) Relationship Type                   CS: 'HAS PROPERTIES'\n",
       "         (0040, a040) Value Type                          CS: 'NUM'\n",
       "         (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '2089-1'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'LN'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Cholesterol in LDL'\n",
       "            ---------\n",
       "         (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "            (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "               (0008, 0100) Code Value                          SH: '1'\n",
       "               (0008, 0102) Coding Scheme Designator            SH: 'UCUM'\n",
       "               (0008, 0104) Code Meaning                        LO: 'no units'\n",
       "               ---------\n",
       "            (0040, a161) Floating Point Value                FD: 160.0\n",
       "            (0040, a30a) Numeric Value                       DS: '160.0'\n",
       "            ---------\n",
       "         ---------\n",
       "      ---------\n",
       "   ---------\n",
       "   (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "   (0040, a040) Value Type                          CS: 'CONTAINER'\n",
       "   (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "      (0008, 0100) Code Value                          SH: '121118'\n",
       "      (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "      (0008, 0104) Code Meaning                        LO: 'Patient Characteristics'\n",
       "      ---------\n",
       "   (0040, a050) Continuity Of Content               CS: 'CONTINUOUS'\n",
       "   (0040, a504)  Content Template Sequence  1 item(s) ---- \n",
       "      (0008, 0105) Mapping Resource                    CS: 'DCMR'\n",
       "      (0040, db00) Template Identifier                 CS: '3704'\n",
       "      ---------\n",
       "   (0040, a730)  Content Sequence  6 item(s) ---- \n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'NUM'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '121033'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Subject Age'\n",
       "         ---------\n",
       "      (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "         (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '7456'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'CID'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Age Unit'\n",
       "            ---------\n",
       "         (0040, a30a) Numeric Value                       DS: '60.0'\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'TEXT'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '121032'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Subject Sex'\n",
       "         ---------\n",
       "      (0040, a160) Text Value                          UT: 'M'\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'NUM'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '271649006'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Systolic blood pressure (observable entity)'\n",
       "         ---------\n",
       "      (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "         (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '3500'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'CID'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Pressure Unit'\n",
       "            ---------\n",
       "         (0040, a161) Floating Point Value                FD: 160.0\n",
       "         (0040, a30a) Numeric Value                       DS: '160.0'\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'NUM'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '271650006'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Diastolic blood pressure (observable entity)'\n",
       "         ---------\n",
       "      (0040, a300)  Measured Value Sequence  1 item(s) ---- \n",
       "         (0040, 08ea)  Measurement Units Code Sequence  1 item(s) ---- \n",
       "            (0008, 0100) Code Value                          SH: '3500'\n",
       "            (0008, 0102) Coding Scheme Designator            SH: 'CID'\n",
       "            (0008, 0104) Code Meaning                        LO: 'Pressure Unit'\n",
       "            ---------\n",
       "         (0040, a161) Floating Point Value                FD: 100.0\n",
       "         (0040, a30a) Numeric Value                       DS: '100.0'\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CODE'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '109054'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'DCM'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Patient State'\n",
       "         ---------\n",
       "      (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '128975004'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Resting state'\n",
       "         ---------\n",
       "      ---------\n",
       "      (0040, a010) Relationship Type                   CS: 'CONTAINS'\n",
       "      (0040, a040) Value Type                          CS: 'CODE'\n",
       "      (0040, a043)  Concept Name Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: '441509002'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'SCT'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Pacemaker in situ'\n",
       "         ---------\n",
       "      (0040, a168)  Concept Code Sequence  1 item(s) ---- \n",
       "         (0008, 0100) Code Value                          SH: 'D'\n",
       "         (0008, 0102) Coding Scheme Designator            SH: 'NBG'\n",
       "         (0008, 0104) Code Meaning                        LO: 'Dual (A+V)'\n",
       "         ---------\n",
       "      ---------\n",
       "   ---------"
      ]
     },
     "execution_count": 9,
     "metadata": {},
     "output_type": "execute_result"
    }
   ],
   "source": [
    "ecg_sr = hd.sr.ComprehensiveSR(\n",
    "    evidence=[ecg],\n",
    "    content=ecg_report,\n",
    "    series_number=1,\n",
    "    series_instance_uid=hd.UID(),\n",
    "    sop_instance_uid=hd.UID(),\n",
    "    instance_number=1\n",
    ")\n",
    "ecg_sr"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 10,
   "metadata": {},
   "outputs": [],
   "source": [
    "ecg_sr.save_as('example_ecg_sr.dcm')"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": null,
   "metadata": {},
   "outputs": [],
   "source": []
  }
 ],
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