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IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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<strong>IHE</strong> <strong>Cardiology</strong> <strong>Technical</strong> <strong>Framework</strong> <strong>Supplement</strong> – <strong>Cardiac</strong> <strong>Imaging</strong> Report Content (CIRC)______________________________________________________________________________(Recommended—stress echo, stressSPECT)BP response:Baseline diastolicblood pressure(Recommended—stress echo, stressSPECT)BP response: Maxsystolic bloodpressure(Recommended—stress TTE, stressSPECT)BP response: Maxdiastolic bloodpressure(Optional)BP and HR response:Double product(Derived)Stress testing: Chestpain during exercise(Recommended—exercise SPECT,exercise TTE, stressPET)Sufficient heart ratefor exercise testing(Derived)mm Hg) for this episode of care.If stress testing was performed during thestudy, indicate the baseline diastolic bloodpressure (in mm Hg).If stress testing was performed during thestudy, indicate the maximum systolicpressure (in mm Hg).If stress testing was performed during thestudy, indicate the maximum diastolicpressure (in mm Hg).If stress testing was performed during thestudy, indicate the double product (heartrate systolic blood pressure).If exercise stress testing was performedduring the study, indicate the type of chestpain.Choose 1 of the following:● Limiting chest pain● Nonlimiting chest pain● Anginal equivalent● NoneIf exercise stress testing was performedduring the study, indicate whether thepatient is able to achieve 85% or greater ofmaximum predicted heart rate [(220 agein years) 0.85].Choose 1 of the following:● Yes● No● N/AFindings section2.16.840.1.113883.10.20.18.2.15(ProcNote)Findings section2.16.840.1.113883.10.20.18.2.15(ProcNote)Findings section2.16.840.1.113883.10.20.18.2.15(ProcNote)Findings section2.16.840.1.113883.10.20.18.2.15(ProcNote)Findings section2.16.840.1.113883.10.20.18.2.15(ProcNote)Findings section2.16.840.1.113883.10.20.18.2.15(ProcNote)__________________________________________________________________________26Rev. 1.0 – 2011-04-22Copyright © 2011: <strong>IHE</strong> International, Inc.

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