Card Tech Minutes 2010.05.24.25

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Attendees

  • Barry Brown - Mortara
  • Nick Gawrit - HeartBase
  • Bryan Jennings - Medical Micrographics
  • Dr. Alan Katz - ACC
  • Dan Roman - ACC
  • Antje Schroeder - Siemens
  • Paul Seifert - Agfa
  • Harry Solomon - GE

Minutes

  • Cardiology Imaging Report Conent (CIRC)
    • Decided to use the following notation for optionality/cardinality:
      • R[]: Required - matches a 'SHOULD'(section/entry shall be included if cardinality is greater or equal zero, otherwise include appropriate Null value)
      • M[]: Mandatory - matches a 'SHALL' (section/entry allways has to be there, if there is no information available a reason needs to be indicated, Cardinality needs to be greater than zero)
      • O[]: Optional - matches a 'MAY' (optional data elemenent)
      • Paul to provide text for section 6.1.1. Conventions
    • Impact of Consolidation Project. Some template IDs may change but until then the existing ones are valid. We continue as planned. Impacts may occur before releasing to Final Text.
      • Add an open issue to give heads up on consolidation project
    • Key Data Elements mix procedure intent and indications. Treat Key Data Elements as intent and use indications from DICOM Stress indication.
      • Procedure intent will not be coded
    • Header elements:
      • Encompassing Encounter - mandatory. Contains specialisations for Healthcare Facility, Referring Provider, Physician of Record and Responsible party
      • Order
      • Patient Demographics
      • Service Event and Performer
      • Legal Authenticator: AssignedEntityID is mandatory, the value should be the legal authenticator national provider id
    • Sections
      • Medical History Cardiac: uses problem concern entry and a simple observation to record that there are no concerns for a specific problem
      • Family History Cardiac: Added code for family history unknown, no family history of diabetes, no history of cardiovascular disease
      • No new templates for Medications, Allergies and other adverse reactions, and coded social history. Re-use of PCC templates. Add text for cardiac constraints
      • Prior Results Cardiac
      • Cardiac Risk Assesment
      • Procedure Indications and planned procedure
        • includes a subsections for planned procedure, problem entry and Planned Procedure Activity
        • Shall require a problem entry.
        • Specialisation of relevant cardiac indications as a combination of stress and cath indications with some additions from key data elements
      • Cardiac Procedure Description - removed consitutent procedure
      • Payor - no changes from PCC
      • DICOM Object catalogue - conditional. It has no parent template but is mainly the same as in DIR. May include human readable content to indicate its link to DICOM IODs.
      • Medications adminstered: Use cardiology specific value sets
      • Key Images
      • Comparison to prior study
        • As subsection of Assesment and plan
        • Code for significant changes from prior study = DICOM code 111424. Use DICOM Value set CID 3217
      • Complications and Adverse Events - no changes from procedure note
      • Procedure findings - to be discussed in separate meeting
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