IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________880The Assessment And Plan (Cardiac) Section SHOULD include Simple Observation Entriesdependent on the type of procedure performed. For each row in Table 6.2.2.12-1, an entry shallor may 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.Table 6.2.2.12-1 Assessment And Plan (Cardiac) ObservationsCondition observation/code DataTypeR - cathischemic heart diseaseassessmentR - CCTA, cath, stressSPECT, stress echoischemiaUnit ofMeasureValue Set1.3.6.1.4.1.19376.1.4.1.5.24Imaging Findings● Yes● No● Equivocal 408379005● N/AR2250907009, SNOMED CT,left ventricular function1.3.6.1.4.1.19376.1.4.1.5.24Imaging Findings885The Assessment and Plan (Cardiac) Section MAY include a subsection Comparison to PriorStudy (Cardiac).6.2.2.13 Comparison to Prior Study (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.13Parent Template noneGeneral DescriptionDICOM CodeDescription111424 (note this is a DICOM code,not LOINC)Comparison to Previous ExamsEntries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.13 O Simple Observation (PCC TF-2)890The Comparison to Prior Study (Cardiac) Section SHALL reference a prior study identified inthe Prior Results (Cardiac) Section using the ID attribute in a element.The Comparison to Prior Study Section SHOULD include Simple Observation Entriescomparing the current with a prior study. For each row in Table 6.2.2.13-1, an entry shall ormay be present in accordance with the condition (column 1), using the specified__________________________________________________________________________48Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________895observation/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.Note: Concept “Significant changes from prior study” needs to be modeled prior to TrialImplementationTable 6.2.2.13-1 Comparison to Prior Study (Cardiac) ObservationsROCondition observation/code DataTypeSignificant changes fromprior study248243004, SNOMED CT,“Exercise tolerance”Unit ofMeasureValue SetCD n/a ● Yes—Describe changes fromprior study● No● N/ACD n/a CID (3236) ToleranceComparison FindingsOO251053005, SNOMED CT,“Myocardial Perfusion”250909007, SNOMED CT,“LV Wall motion”CD n/a CID (3235) PerfusionComparison FindingsCD n/a CID (3237) Wall MotionComparison Findings9006.2.2.14 Key Images SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.14Parent TemplateGeneral DescriptionLOINC CodeCDTDIR 3.1.1 (no Template OID)55113-5 KEY IMAGESThe Key Images section contains narrative description of and references to DICOMImage Information Objects that illustrate the findings of the procedure reported.DescriptionEntries Opt Description2.16.840.1.113883.10.20.6.2.8 O SOP Instance Observation (defined in CDTDIR)905The Key Images section text SHALL contain image references using linkHtml elements,where @href is a valid Web Access to DICOM Persistent Object (WADO) URL and the textcontent of linkHtml is the either visible text of the hyperlink or a descriptor or identifier of theimage.The Key Images section MAY contain Entries corresponding to the image references, inaccordance with the CDTDIR SOP Instance Observation Template (OID =2.16.840.1.113883.10.20.6.2.8).__________________________________________________________________________49Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
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IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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