IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________● Yes● NoParent Template CCD 3.5(2.16.840.1.113883.10.20.1.11)New York HeartAssociation (NYHA)functional class(Optional)CanadianCardiovascular AnginaClass(Optional)If heart failure, indicate NYHA functionalclass (15)Choose 1 of the following:● Class I: patients with cardiac diseasebut without resulting limitations ofphysical activity. Ordinary physicalactivity does not cause undue fatigue,palpitation, or dyspnea.● Class II: patients with cardiac diseaseresulting in slight limitation of physicalactivity. They are comfortable at rest.Ordinary physical activity results infatigue, palpitation, or dyspnea.● Class III: patients with cardiac diseaseresulting in marked limitation of physicalactivity. They are comfortable at rest.Less than ordinary activity causes fatigue,palpitation, or dyspnea.● Class IV: patients with cardiac diseaseresulting in inability to carry on anyphysical activity without discomfort.Symptoms are present even at rest orminimal exertion).If angina, indicate the CanadianCardiovascular Angina class.Choose 1 of the following:● 0. Asymptomatic. No angina.● 1. Ordinary physical activity (e.g.,walking or climbing stairs) does not causeangina; angina occurs with strenuous orrapid or prolonged exertion at work orrecreation● 2. Slight limitation of ordinary activity(e.g., angina occurs walking or stairorHistory of Past Illness Section1.3.6.1.4.1.19376.1.5.3.1.3.884114007 History of heart failurefunctional status section2.16.840.1.113883.10.20.1.5Coded Functional StatusAssessment Section1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1functional status section2.16.840.1.113883.10.20.1.5Coded Functional StatusAssessment Section1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1__________________________________________________________________________11Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.