IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________CONF-PN-37: For all performers, serviceEvent/performer/assignedEntity/codeSHALL be present.112511301135114011451150CONF-PN-38: The value for serviceEvent/performer/assignedEntity/codeSHOULD be selected from a localized assignedEntity coding system for a given countryand MAY be selected from code system 2.16.840.1.113883.11.19465 Healthcare ProviderTaxonomy Code (NUCC).CONF-PN-39: Any assistants SHALL be identified and SHALL be identified as secondaryperformers (SPRF).The value for serviceEvent code MAY be drawn from value set 1.3.6.1.4.1.19376.1.4.1.5.1.The set of serviceEvent id values SHALL include the Study Instance UID used in theDICOM imaging data, with the UID value in the root attribute.If the performer is a physician, assignedEntity id SHALL be present with the Performer’sNational Provider Identifier (root OID = 2.16.840.1.113883.4.6) (in the US) or the equivalent.assignedEntity MAY include an accreditation element from the urn:ihe:cardnamespace to provide physician accreditation status.The accreditation element SHALL use the character string (ST) data type.The accreditation element SHALL appear after the defined elements of the Role class, andbefore any scoper or player entity elements.performer nameFigure 6.2.3.4-1 Performer115511606.2.3.5 Legal AuthenticatorThe CDA Header SHALL include a Legal Authenticator participation, identifying the personsigning the report.assignedEntity id SHALL be present with the Legal Authenticator’s National ProviderIdentifier (root OID = 2.16.840.1.113883.4.6) (in the US) or the equivalent.assignedEntity code SHOULD be present with the Legal Authenticator’s specialty, withvalues from coding system NUCC Health Care Provider Taxonomy (OID =2.16.840.1.113883.6.101) (in the US) or the equivalent.__________________________________________________________________________56Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________6.2.4 Entry Content Modules116511706.2.4.1 Diabetes Problem ConcernThis is a specialization of the Problem Concern entry template (OID =1.3.6.1.4.1.19376.1.5.3.1.4.5.2), where the specific problem is Diabetes (SNOMED CT =73211009). Conformance to this specialization shall be identified by templateID OID =1.3.6.1.4.1.19376.1.4.1.4.1.The Problem SHALL include a component actRelationship to an act representing treatmenttherapy, with therapy codes drawn from value set 1.3.6.1.4.1.19376.1.4.1.5.6.117511801185119011956.2.4.2 Angina Problem ConcernThis is a specialization of the Problem Concern entry template (OID =1.3.6.1.4.1.19376.1.5.3.1.4.5.2), where the specific problem is Angina (SNOMED CT =194828000). Conformance to this specialization shall be identified by templateID OID =1.3.6.1.4.1.19376.1.4.1.4.2.The negationInd attribute SHALL be used to specifies that the problem indicated was observedto not have occurred.Note the following concepts still need to be modeled before Trial ImplementationPresence of angina (Y/N/U)Stability drawn from value set 1.3.6.1.4.1.19376.1.4.1.5.7Angina type with supporting descriptive characteristics6.2.4.3 17-Segment Wall AnalysisThe 17-Segment Wall Analysis Entry SHALL consist of an Organizer Act, subsidiaryObservations, and optionally a subsidiary ObservationMedia. Conformance to this specificationshall be identified by templateID OID = 1.3.6.1.4.1.19376.1.4.1.4.3 in the Organizer Act.The Organizer Act/code shall be BATTERY. The Organizer Act/statusCode shall be tbdThere SHALL be one or two ActRelationships with typeCode COMP with a target of anobservation for each of the values in Value Set 1.2.840.10008.6.1.218 DICOM CID 3717Myocardial Wall Segments. The value from the Value Set shall be encoded inobservation/targetSiteCode.The observation/value shall be a morphological assessment from Value Set x and/or a wallmotion categorical assessment from Value Set y, or a null flavor.If the observation/value is a morphological assessment or a null flavor, the observation/codeshall be (72724002, SNOMED CT, “morphology findings”). If the observation/value is a__________________________________________________________________________57Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
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