IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________General DescriptionThe medications section shall contain a description of the relevant medications for thepatient, including specifically identification of cardiac relevant medications.LOINC CodeDescription10160-0 HISTORY OF MEDICATION USEEntries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.7 R Medications (PCC TF-2)Medication Entries SHOULD use the cardiac relevant medications identified in Value Set1.3.6.1.4.1.19376.1.4.1.5.14 Cardiac Drug Classes.7606.2.2.3 Allergies and Other Adverse Reactions (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.3Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.13The adverse and other adverse reactions section shall contain a narrative description ofGeneral Description the substance intolerances and the associated adverse reactions suffered by the patient,including specifically identification of reaction to imaging agent classes.LOINC CodeDescription48765-2 Allergies, adverse reactions, alertsEntries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.5.3 R Allergies and Intolerances Concern (PCC-TF-2)Allergies and Intolerances Concern Entries SHOULD use the imaging agent classes identified inValue Set 1.3.6.1.4.1.19376.1.4.1.5.10 Contrast Agents Classes for Adverse Reactions.6.2.2.4 Social History (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.4Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.16General DescriptionThe Social History (Cardiac) section shall contain a narrative description of the person’sbeliefs, home life, community life, work life, hobbies, and risky habits.LOINC CodeDescription29762-2 SOCIAL HISTORYEntries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.13 R Simple Observations (PCC TF-2) (For use, see requirements below)765The Social History (Cardiac) Section SHALL include Simple Observation Entries in accordancewith Table 6.2.2.4-1. For each row in Table 6.2.2.4-1, an entry SHALL (R), SHOULD (R2), orMAY (O) be present in accordance with the condition (column 1), using the specifiedobservation/code (column 2), data type (column 3), and Unit of Measure code (column 4). ForCD data types, a value from the specified value set (column 5) SHOULD be used.__________________________________________________________________________30Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________770Additional observation Entries MAY be present.ROR2Table 6.2.2.4-1 Social History (Cardiac) ObservationsCondition observation/code DataType229819007 SNOMED-CT Tobaccouse and exposure230056004 SNOMED-CT cigaretteconsumption363908000 SNOMED-CT Details ofdrug misuse behaviorUnit ofMeasureValue SetCD n/a 1.2.840.10008.6.1.225(DICOM CID 3784)PQ {pack}/d n/aCD n/a 78267003 SNOMED-CTcocaine abuse6.2.2.5 Family History (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.5Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.14General DescriptionThe Family History - Cardiac section shall include narrative and entries for familyhistory of cardiac diseases.LOINC CodeDescription10157-6 HISTORY OF FAMILY MEMBER DISEASESEntries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.13 O Simple Observations(PCC TF-2) (For use, see requirements below)775The Family History (Cardiac) section MAY contain a Simple Observation Entry for each of theconditions listed in value set 1.2.840.10008.6.1.253 (DICOM CID 3758 Cardiovascular FamilyHistory).Note:These observations are organized by disease, not by family member; hence, this section template is not a child ofCoded Family Medical History Section 1.3.6.1.4.1.19376.1.5.3.1.3.15, which requires a person-based history7806.2.2.6 Prior Results (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.6Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.28General DescriptionLOINC Code__________________________________________________________________________31Rev. 1.0 – 2011-04-22The results section shall contain a narrative description of the relevant diagnosticprocedures the patient received in the past, including procedures (studies) used forcomparison. It shall include entries for procedures and references to procedure reportswhen known as described in the Entry Content Modules.Description30954-2 RELEVANT DIAGNOSTIC TESTS AND/OR LABORATORY DATAEntries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.19 R2 Procedure Entry (PCC-TF-2)Copyright © 2011: IHE International, Inc.
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IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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