IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________6.2.2.9 Cardiac Procedure Description SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.9Parent Template 2.16.840.1.113883.10.20.18.2.2General DescriptionLOINC CodeThe Cardiac Procedure Description section shall include narrative and entries identifyingthe procedure performed and the details of the procedure such as contrast agent(s) used,imaging procedure protocol used, characteristics of the imaging equipment used, .29554-3 PROCEDURE DESCRIPTIONDescriptionSubsections Opt DescriptionOConstituent procedure (for combined procedure, see requirement below)2.16.840.1.113883.10.20.18.2.8 O Medications administered (CDTPN) (May be separate top level section)Entries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.19 R2.16.840.1.113883.10.20.1.24 R22.16.840.1.113883.10.20.1.24 CProcedures Entry (PCC TF-2. (For allowed values, see requirementbelow)Medication activity (medications administered) (PCC TF-2) (Forallowed values, see requirement below)Medication activity (contrast/imaging agents) (PCC TF-2) (For allowedvalues, see requirement below).1.3.6.1.4.1.19376.1.5.3.1.4.13 C Simple Observations (PCC TF-2) (For use, see requirements below)815820825830For combined procedures (e.g., CACS and CCTA), each constituent procedure MAY bedescribed in a subsection of Procedure Description. The section/title of each subsectionSHOULD identify the constituent procedure; the section/code MAY be absent. The narrative andentries of the subsection SHALL describe the parameters of the constituent procedure.The allowed codes for the procedure/code element of the Procedures Entry template(1.3.6.1.4.1.19376.1.5.3.1.4.19) SHALL be taken from the value set 1.3.6.1.4.1.19376.1.4.1.5.2(Cardiac imaging procedures).If medications other than contrast were administered, and a Medications Administered section isnot present, Medication Activity Entry SHOULD use the values of Value Set1.3.6.1.4.1.19376.1.4.1.5.15 (Drug Classes Used in Cardiac Procedure).If contrast/imaging agents were used, a Medication Activity Entry SHALL be present, andSHOULD use the values of Value Set 1.3.6.1.4.1.19376.1.4.1.5.11 Contrast Agents. Inaccordance with the Medication Activity Entry template, administered contrast agent volume ordose SHOULD be included in the entry in substanceAdministration /doseQuantity.The Procedure Description Section SHALL include Simple Observation Entries dependent onthe type of procedure performed. For each row in Table 6.2.2.9-1, one entry SHALL (R),SHOULD (R2), or MAY (O) be present in accordance with the condition (column 1), using thespecified observation/code (column 2), data type (column 3), and Unit of Measure code (column4). For CD data types, a value from the specified value set (column 5) SHOULD be used.__________________________________________________________________________34Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________835The following is the list of concepts from KDECI, some of which need observation codes to bedetermined prior to Trial Implementation.Table 6.2.2.9-1 Cardiac Procedure Description ObservationsCondition observation/code DataTypeUnit ofMeasureValue SetR - Cardiac CTO - othersR - nuclear cardiology,cardiac CT, or cardiac MRR - nuclear cardiologyR - EchocardiographyR - Cardiac MRR - Cardiac CT8867-4, LOINC, Heart Rate PQ {HB}/min n/aCardiac SynchronizationTechnique122713, DCM, “Attenuationcorrection”125203, DCM, “AcquisitionProtocol”125203, DCM, “AcquisitionProtocol”Number of concurrently acquiredslicesR - Cardiac CT Gantry rotation speed PQ msR - Cardiac CTR – XA FluoroscopyR – XA FluoroscopyR – stress CMR, stressTTE, stress SPECT, stressPETR – stress CMR, stressTTE, stress SPECT, stressPETR – stress CMR, stressTTE, stress SPECT, stressPETR – stress CMR, stressTTE, stress SPECT, stressPET113813, DCM, “CT Dose LengthProduct Total”113722, DCM, “Dose AreaProduct Total”113730, DCM, “Total FluoroTime”121058, DCM, “Procedurereported”CD n/a TbdCD n/a 1.2.840.10008.6.1.744DICOM CID 3112 -Attenuation CorrectionCD n/a 1.2.840.10008.6.1.616DICOM CID 12224 -Ultrasound Image ModesCD n/a1.3.6.1.4.1.19376.1.4.1.5.12Cardiac MR AcquisitionModes● Morphology and function● Delayed enhancement● Flow/velocityquantification● MR angiography● Perfusion● OtherPQPQPQPQ{slices}mGy.cmGy.m2sCD 1.2.840.10008.6.1.755DICOM CID 3200 - StressTest Procedure109056, DCM, “Stress Protocol” CD 1.2.840.10008.6.1.57DICOM CID 3261 - StressProtocols252130009, SNOMED-CT, “TotalExercise duration”246489000, SNOMED-CT,“Pharmacological Stress Agent”PQminCD 1.2.840.10008.6.1.759DICOM CID 3204 - StressAgents__________________________________________________________________________35Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
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