IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________@extensionReferral physicianspecialty(Recommended)Indicate the primary specialty of thephysician referring the patient.● Cardiologist● Family practice● Internal medicine● OB/GYN● Hospitalist● Surgeon● Physician extender● Anesthesiologist● Radiologist● Emergency department physician● OtherClinicalDocument /documentationOf /encompassingEncounter /encounterParticipant@typeCode=REF (referrer) /assignedEntity / codeHeight (cm)(Recommended)Weight (kg)(Recommended)Indicate the patient’s first recordedheight in centimeters at the time of thestudy. If not in cm, list units. To beconverted from English units if needed.Indicate the patient’s first recordedweight in kilograms at the time of thestudy. If not in kg, list units. To beconverted from English units if needed.section “vital signs”1.3.6.1.4.1.19376.1.5.3.1.3.252.16.840.1.113883.10.20.1.16section “vital signs”1.3.6.1.4.1.19376.1.5.3.1.3.252.16.840.1.113883.10.20.1.16Estimated ability toexercise (prior to test),described in METS(Recommended—stressSPECT, stress TTE,stress CMR, stress PET)Indicate the ability of the patient to meetestimated energy requirements forvarious activities expressed as a numberof metabolic equivalents.Choose 1 of the following:● Less than 4 METS—defined as ability todo 1 or more of the following activities(can take care of oneself, eat, dress, oruse the toilet, walk indoors around thehouse, or walk a block or 2 on levelground at 2 to 3 mph or 3.2 to 4.8 km/h)● 4 METS or greater—defined as theability to do 1 or more of the followingactivities (climb a flight of stairs or walkuphill, walk on level ground at 4 mph or6.4 km/h, run a short distance, do heavywork around the house such as scrubbing__________________________________________________________________________4Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________floors or lifting or moving heavyfurniture, participate in moderaterecreational activities like golf, bowling,dancing, doubles tennis, or throwing abaseball or football, or participate instrenuous sports like swimming, singlestennis, football, basketball or skiing)Hypertension(Recommended)Systolic blood pressure(Recommended)Diastolic blood pressure(Recommended)Dyslipidemia(Recommended)Indicate if the patient has a currentdiagnosis of hypertension defined by any1 of the following:● History of hypertension diagnosed andtreated with medication, diet, and/orexercise● Prior documentation of blood pressuregreater than 140 mm Hg systolic and/or90 mm Hg diastolic for patients withoutdiabetes or chronic kidney disease, orprior documentation of blood pressuregreater than 130 mm Hg systolic or 80mm Hg diastolic on at least 2 occasionsfor patients with diabetes or chronickidney disease● Currently on pharmacological therapyfor the treatment of hypertension.Choose 1 of the following:● Yes● No● UnknownIndicate most recent systolic bloodpressure (mm Hg) reading during visit forthe imaging study.Indicate most recent diastolic bloodpressure (mm Hg) reading during visit forthe imaging study.Indicate if the patient has a history ofdyslipidemia diagnosed and/or treatedby a physician. National CholesterolEducation Program (12) criteria includedocumentation of the following:● Total cholesterol greater than 200mg/dl (5.18 mmol/l)Active Problems Section1.3.6.1.4.1.19376.1.5.3.1.3.6Parent Template CCD 3.5(2.16.840.1.113883.10.20.1.11)161501007 SNOMED history ofhypertensionor38341003 SNOMEDhypertensionsection “vital signs”1.3.6.1.4.1.19376.1.5.3.1.3.252.16.840.1.113883.10.20.1.16section “vital signs”1.3.6.1.4.1.19376.1.5.3.1.3.252.16.840.1.113883.10.20.1.16Active Problems Section1.3.6.1.4.1.19376.1.5.3.1.3.6Parent Template CCD 3.5(2.16.840.1.113883.10.20.1.11)414416008 History ofhypercholesterolemia__________________________________________________________________________5Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
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Page 76 and 77: ACC Key Data ElementsThe following
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IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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