IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________1.3.6.1.4.1.19376.1.5.3.1.4.4 R2 External References Entry (PCC-TF-2)1.3.6.1.4.1.19376.1.5.3.1.4.13 R2 Simple Observation (PCC-TF-2)785790Procedure Entries SHOULD use codes for cardiac related imaging procedures from Value Set1.3.6.1.4.1.19376.1.4.1.5.2 Cardiac Imaging Procedures in the procedure/code element. Theentry MAY include an actRelationship to an ExternalDocument act that is the report of theprocedure.The Procedure Entry of a study used for comparison (see Assessment and Plan (Cardiac)Section) SHALL include an ID attribute as a target for cross-reference.The External References Entry allows reference to other documents, not necessarily linked to aspecific identified procedure in a Procedure Entry.Simple Observation Entries MAY use codes for cardiac related lab results from Value Set1.3.6.1.4.1.19376.1.4.1.5.13 Cardiac Lab Results in the observation/code element. However, notethat depending on the method used for the lab test, a different LOINC code may be applicable,even though the test name is identical.6.2.2.7 Cardiac Risk Assessment SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.7Parent TemplateGeneral DescriptionX-CARDRISKLOINC CodenoneThe Cardiac Risk Assessment Section records risk calculations made prior to theprocedure.Descriptionassessment for risk of cardiovascular diseaseEntries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.13 R Simple Observation (PCC TF-2)795The section SHALL contain a Simple Observation Entry for each cardiac risk estimate or scorereported. Example risk assesment codes are listed in value set TBD.Note: the list of various risk assesment scores has been submitted to LOINC for assignment ofcodes, and will be included in the Trial Implementation version.8006.2.2.8 Procedure Indications (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.8Parent Template 2.16.840.1.113883.10.20.18.2.1The Procedure Indications section records details about the reason for the procedure.General Description This section may include the pre-procedure diagnosis or diagnoses as well as one ormore symptoms that contribute to the reason the procedure is being performed.LOINC Code59768-2 PROCEDURE INDICATIONSDescription__________________________________________________________________________32Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________Entries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.13 C Simple Observation (PCC TF-2) (For use, see requirements below)805The Procedure Indications (Cardiac) Section SHALL include one or more Simple ObservationEntries describing the indications for the procedure in accordance with Table 6.2.2.8-1. For eachrow in Table 6.2.2.8-1, one or more entries SHALL (R), SHOULD (R2), or MAY (O) be presentin accordance with the condition (column 1). For CD data types, a value from the specified valueset (column 5) SHOULD be used.Table 6.2.2.8-1 Procedure Indications (Cardiac) ObservationsCondition observation/code DataTypeUnit ofMeasureValue SetR – Stress testO - otherR – Cath432678004 SNOMED-CTIndication for Procedure432678004 SNOMED-CTIndication for ProcedureCD n/a 1.2.840.10008.6.1.756DICOM CID 3201 –Indications for Stress TestCD n/a 1.2.840.10008.6.1.227DICOM CID 3727 -Indications forCatheterization810The following is the list of concepts from KDECI, which needs to be reconciled with the DICOMvalue sets prior to Trial Implementation. Note: need to clarify procedure indication fromprocedure intent.Detection of CADRisk assessment of CADR-413C5 Pre-operative assessmentR-00357 Post-revascularization assessmentDetermination of viability—candidacy for revascularizationCongenital heart diseasePericardial diseasePulmonary vein assessmentCardiac morphology (including cardiac mass)Assessment of ventricular functionEvaluation for cardiomyopathyEvaluation for valvular heart diseaseEvaluation for great vesselsSymptom/signs evaluation not related to above categories__________________________________________________________________________33Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
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