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IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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<strong>IHE</strong> <strong>Cardiology</strong> <strong>Technical</strong> <strong>Framework</strong> <strong>Supplement</strong> – <strong>Cardiac</strong> <strong>Imaging</strong> Report Content (CIRC)______________________________________________________________________________<strong>Imaging</strong> facility:telephone(Recommended)Source(s) ofinformation(Recommended)Priority of study(Recommended)Accreditation status(Recommended)Accreditation entity(Recommended)Insurance payer(Recommended)Indicate the number that uniquely identifiesa telecommunications connection of thefacility.May select more than 1:● Patient● Referring clinician● Laboratory● Medical record● OtherDesignate the study as 1 of the following:● Routine● STATFor each imaging service provided by thesite, indicate the accreditation status of thesite performing the study.Choose 1 of the following for each imagingservice:● Yes● Application submitted, pending approval● NoIf the site is accredited, indicate the entityproviding the accreditation for each imagingmodality.Choose any of the following:● American College of Radiology● ICAEL● ICANL● ICACTL● ICAMRL● Other● N/AIndicate the appropriate description of thepatient’s insurance carrier(s) for thisadmission. If the patient has more than 1,choose all that apply:● Medicare—A federal health care plan thatreimburses hospitals and physicians formedical care provided to qualifying peopleage 65 years or older, people under age 65ClinicalDocument /documentationOf /encompassingEncounter /location / HealthCareFacility /telecomMapping not determinedClinicalDocument /inFulfillmentOf /Order /priorityCodeSection “Site”Section “Site”Payers Section1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7Parent Template CCD 3.1(2.16.840.1.113883.10.20.1.9)__________________________________________________________________________1Rev. 1.0 – 2011-04-22Copyright © 2011: <strong>IHE</strong> International, Inc.

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