IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________climbing after meals, in cold, in wind,under emotional stress, or only duringthe few hours after awakening; walkingmore than 2 blocks on the level orclimbing more than 1 flight of ordinarystairs at a normal pace; and in normalconditions)● 3. Marked limitation of ordinaryactivity (e.g., angina occurs with walking1 or 2 blocks on the level or climbing 1flight of stairs in normal conditions and ata normal pace)● 4. Inability to perform any physicalactivity without discomfort; anginasyndrome may be present at rest● 5. N/AChest pain symptoms orsuspected anginaequivalent(Recommended—stressTTE, stress SPECT,stress PET, CCTA, stressCMR)Stability of chest painsymptoms(Recommended—stressTTE, stress SPECT,stress PET, CCTA, stressCMR)Characteristics of chestpain/discomfort orsuspected anginaequivalent(Recommended—stressTTE, stress SPECT,stress PET, CCTA, stressCMR)Indicate whether chest pain ordiscomfort, dyspnea/shortness of breathsuspected to be anginal equivalent, orother suspected anginal equivalent hasbeen documented within the pastmonth.Choose 1 of the following:● Yes● No● UnknownIndicate the patient’s angina type:● Atypical chest pain● Stable angina● Unstable angina● Myocardial infarctionIf chest pain or discomfort has beendocumented, indicate all characteristicsof the chest pain or discomfort.Choose 1 or more of the following:● Substernal chest pain or discomfort● Provoked by exertion 427341007 oremotional distress● Relieved by rest 427935006 and/ornitroglycerinhistory of present illness?__________________________________________________________________________12Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________Angina type(Derived from previouselement)Pre-test probability ofcoronary artery disease(Derived)ECG interpretable forischemia(Recommended—stressTTE, stress SPECT,stress PET, CCTA, stressCMR)Previous diagnostic testand dateIndicate the angina type based on thecharacteristics of chest pain/discomfortor suspected angina equivalent.● Typical angina (definite)—the chestpain or discomfort has all threecharacteristics recorded in the previouselement.● Atypical angina (probable)—the chestpain or discomfort recorded in theprevious element lacks one of the threecharacteristics.● Nonanginal chest pain—the chest painor discomfort recorded in the previouselement meets one or none of the typicalangina characteristics.● N/A due to absence of chest painIf chest pain or discomfort has beendocumented, calculate the pre-testprobability of obstructive CAD. Choose 1of the following:● Low (less than 10%)● Intermediate (10% to 90%)● High (greater than 90%)● Known CAD● N/A, no chest pain or anginalequivalentIndicate whether the ECG is interpretablefor ischemia if used as part of a stresstest.Choose 1 of the following:● Yes● No [resting ST-segment depression(greater than or equal to .10 mV),complete left bundle-branch block(LBBB), pre-excitation (Wolf-Parkinson-White Syndrome), left ventricularhypertrophy, digoxin use, or pacedrhythm]● Equivocal● N/AIndicate diagnostic imaging test withinthe last 24 months.__________________________________________________________________________13Rev. 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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