IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

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IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________# Open Issue Descriptiona. Missing code for pharma echo Stress tests (just exercise stress)b. Missing codes for some Echo and Cardiac MR procedure acquisitiontypesc. Missing codes for a couple of contrast agentsd. Missing codes for LVEF Assessment conceptse. Missing codes for Cardiac Risk Assessment scores (e.g., Framinghamrisk assessment score). List of concepts has been submitted for inclusionin LOINC.3 How should non-DICOM "images" (such as Bull’s eye diagrams and coronary treediagrams) be included in the Cardiac Imaging Report?5 The current profile supplement does not describe how to identify profile conformance,especially as the template evolves. Is this something that should be covered in thisContent Profile, and if so, how should that be done?6 The supplement currently does not describe how to reference the prior study referencedin the observation(s) within Comparison section. Assuming this referencing should berequired if a comparison section exists, should that reference be done based on someDICOM identifier (e.g., study UID), or some human identifiable item (e.g., study date)?7 Does this supplement need to describe how the content data gets mapped into XDSmeta-data (to see a similar situation, refer to medical summary)? Examples are formatcodes/code-lists that differentiate medical summary from cardiac report. It is believedthat this is "covered" by the reference made to the PCC TF specification for XDSmetadata mapping (specific reference is to XDS-MS). The Cardiology TechnicalCommittee solicits feedback from the PCC Technical Committee on this approach.8 There are some missing details for describing Cardiac Findings in section 6.2.2.11.These gaps in detailed data modeling need to be resolved prior to this profile beingpublished for Trial Implementation. Such missing information is highlighted in yellow.9 A local extension has been specified to allow physician orfacility accreditation to be described. It there a more standard way to handle this?240Closed Issues# Closed Issue Description/ Resolutoin9 Should this Cardiac Imaging Report Template inherit its defintion from both theProcedure Report Implementation Guide and the Basic Diagnostic Imaging ReportImplementation Guide?Answer: This document is not a specialization of the HL7 Basic Diagnostic Imaging__________________________________________________________________________8Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________# Closed Issue Description/ ResolutoinReport template due to conflicts with two Procedure Note requirements (format ofserviceEvent/effeciveTime, and title on DICOM Catalogue section). When and if theseare resolved, an instance may also comply to the Diagnostic Imaging Report.8 The supplement does not aim to be comprehensive for all downstream uses of discretedata - from next-level analysis, discrete data warehousing of clinical record, to registrysubmission.Answer: The Cardiology Technical Committee believes this is acceptable for thefollowing reasons:a. The intent of this content profile is to capture structure and codify the keydiscrete data that is today conveyed in cardiology imaging reports.b. There is no widely accepted standard for report composition across the broadrange of imaging procedures in cardiology.c. Furthermore, registry-submission and clinical records have broader data scopethan individual cardiac procedure reports. The work here is an initial attempt tosupport the communication of discrete cardiac data throughout and betweenenterprises, it will require extension and extensive collaboration in futureupdates to the IHE-TF.4 There are currently no specific requirements for Content Consumers with respect tohaving to handle multiple coding schemes. Should there be?Answer: The use of specific coding schemes to codify the wide variety of conceptincluded in the CIRC Content Profile is frequently a national, regional or even localdecision based on regulation or legislation. Thus the Cardiology Technical Committeedocumented the most common, internationally applicable codes in the value sets defined,but stopped short of mandating specific coding scheme in this specificatin.__________________________________________________________________________9Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
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ACC Key Data ElementsThe following
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