Difference between revisions of "Cardiac Imaging Report Content"

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==Summary==
 
==Summary==
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This profile provides an HL7 CDA Implementation Guide for a Cardiac Imaging Report. The content is based on the roughly 100 Key Data Elements defined by the ACC/AHA Key Data Elements for Cardiac Imaging (JACC Vol. 53, No. 1, 2009).
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This profile provides an HL7 CDA Implementation Guide for a Cardiac Imaging Report, derived from the Procedure Note specifications. The content is based on the roughly 100 Key Data Elements defined by the ACC/AHA Key Data Elements for Cardiac Imaging (JACC Vol. 53, No. 1, 2009).
  
 
==Benefits==
 
==Benefits==
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==Systems Affected==
 
==Systems Affected==
 
The CIRC profile is a content profile, which defines the content of a Cardiac Imaging Report. The means of interchanging the report is not detailed in this profile but addressed in other profiles like IEO, DRPT, XDS or PDI. In general two types of systems would be relevant:
 
The CIRC profile is a content profile, which defines the content of a Cardiac Imaging Report. The means of interchanging the report is not detailed in this profile but addressed in other profiles like IEO, DRPT, XDS or PDI. In general two types of systems would be relevant:
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A reporting workstation, which creates a report and distributes it via one of the mechanism mentioned above.
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A reporting workstation, Cardiovascular Information System or an Image Analysis workstation which creates a report and distributes it via one of the mechanism mentioned above.
 
A workstation or system which is receiving and displaying the report. This could be an EMR System or any type of reporting workstation
 
A workstation or system which is receiving and displaying the report. This could be an EMR System or any type of reporting workstation
  
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==Specification==
 
==Specification==
  
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'''Profile Status:''' [[Comments| Final Text]] 
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'''Profile Status:''' Trial Implementation
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''<Replace "Final Text" with "Trial Implementation" or "Public Comment" as appropriate.>''
 
  
 
'''Documents:'''  
 
'''Documents:'''  
  
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''<Provide direct links to the specific volumes or supplements, and list the volume sections relevant to this profile. This is a simple inventory of official normative and informative text. If you would like to provide a reading guide or walkthrough of what is in each of the different sections for implementers or users, do that in the Profile FAQ or the Profile Implementation Page linked below.  If the profile uses transactions from multiple Tech. Frameworks, repeat the structure below.>''
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:* [http://www.ihe.net/Technical_Framework/upload/IHE_CARD_Suppl_CIRC_Rev1-1_TI-2011-07-01.pdf CIRC Supplement]
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:* [http://content.onlinejacc.org/cgi/content/full/53/1/91 ACC/AHA/ACR/ASE/ASNC/HRS/NASCI/RSNA/SAIP/SCAI/SCCT/SCMR/SIR 2008 Key Data Elements and Definitions for Cardiac Imaging. JACC Vol. 53, No. 1, 2009.]
  
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[http://www.ihe.net/Technical_Framework/index.cfm#radiology IHE Radiology Technical Framework:]
 
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8.pdf Vol. 1] - Section 5 (SWF Profile)
 
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-2.pdf Vol. 2] - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23
 
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:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-3.pdf Vol. 3] - Appendix E
 
  
 
'''Underlying Standards:'''
 
'''Underlying Standards:'''
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''<list all the standards on which the profile is based; if possible with links to sources>''
 
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:* [http://dicom.nema.org DICOM]
 
 
:* [http://www.hl7.org HL7]
 
:* [http://www.hl7.org HL7]
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:* ...
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:* HL7 CDA Release 2.0
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:* HL7 Implementation Guide for CDA Release 2: Procedure Note
  
 
==See Also==
 
==See Also==
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''<The following sections can be left out if there is nothing to point to.  This is just to show where such information can go.>''
 
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'''Related Profiles'''
 
'''Related Profiles'''
  
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''<List profiles this one depends on, profiles that depend on this one, profiles that are synergistic with this one.  Start with the name of the other profile as a link and then explain the relationship.>''
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As a content integration profile CIRC provides the payload for any of the exchange mechanisms of the following profiles
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* [[Displayable Reports | Displayable Reports (DRPT)]] for the creation, exchange and management of cardiac imaging reports within an enterprise
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* ''[[Reporting Workflow]] [RWF] may use Evidence Documents as inputs to the reporting process.''
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* [[Image-Enabled Office Workflow | Image Enabled Office (IEO)]] for the creation, exchange and management of cardiac imaging reports within an ambulatory cardiology office
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* ''[[Simple Image & Numeric Reports]] [SINR] may include data copied from Evidence Documents.''
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* [[Portable Data for Imaging | Portable Data for Imaging (PDI)]] for storage and exchange of cardiac imaging Reports on exchangeable media
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* ''[[Cross-enterprise Document Sharing for Imaging]] [XDS-I] can be used to share Evidence Documents between sites over a network.''
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* [[Cross Enterprise Document Sharing | Cross Enterprise Document Sharing (XDS)]] for storage and retrieval of cardiac imaging reports in a cross enterprise setting
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* ''[[Portable Data for Imaging]] [PDI] can store Evidence Documents on media such as CDs.''
 
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* ''[[Import Reconciliation Workflow]] [IRWF] can fix patient ids, etc. of Evidence Documents when importing.''
 
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'''Consumer Information'''
 
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The [[Profile FAQ Template]] answers typical questions about what the Profile does.  ''<Replace the link with a link to the actual FAQ page for the Profile>''
 
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The [[Profile Purchasing Template]] describes considerations when purchasing equipment to deploy this Profile.  ''<Replace the link with a link to the actual Purchasing page for the Profile>''
 
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'''Implementer Information'''
 
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The [[Profile Implementation Template]] provides additional information about implementing this Profile in software.  ''<Replace the link with a link to the actual Implementation page for the Profile>''
 
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'''Reference Articles'''
 
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''<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis).  Go ahead, Google: IHE <Profile Name> abstract  or Google: IHE <Profile Name> and under the "more" select "Scholar".  You might be surprised. >''
 
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[[Category:Profiles]]
 
[[Category:Profiles]]
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[[Category:Cardiac Profile]]
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[[Category:DocShare]]
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[[Category:CDA]]

Latest revision as of 14:30, 4 November 2019

Summary

This profile provides an HL7 CDA Implementation Guide for a Cardiac Imaging Report, derived from the Procedure Note specifications. The content is based on the roughly 100 Key Data Elements defined by the ACC/AHA Key Data Elements for Cardiac Imaging (JACC Vol. 53, No. 1, 2009).

Benefits

Clinically-relevant cardiac imaging data is the key value proposition of this profile. The approach is to:

  1. reuse the distribution and structuring work from the XDS ( ITI domain), Medical summaries (PCC domain), and exchangable procedure notes (HL7)
  2. extend it through adding and codifying the Key Data Elements for Cardiac Imaging content identified by the American College of Cardiology (ACC) / American Heart Association (AHA) task-force on clinical data standards

Aligned with draft 2014 Meaningful Use requirements for care coordination

Details

The Cardiac Imaging Report Content (CIRC) Profile specifies the content structure for a clinical report of a cardiology imaging exam, recorded in a DICOM Study. Such exams include:

  • Echocardiography (transthoracic - TTE, transesophageal - TEE, and TTE stress)
  • Cardiac computed tomography (angiography - CCTA, and coronary artery calcium scoring - CACS)
  • Cardiac magnetic resonance (angiography - MRA, and MR stress)
  • Cardiovascular nuclear medicine (SPECT myocardial perfusion, positron emission tomography - PET)
  • Diagnostic coronary catheter based fluoroscopy (interventional coronary angiography - ICA, and left ventriculography - LVG)

The CIRC Profile specifies the use of an HL7 Clinical Document Architecture (CDA) format for the report. Not included in the scope of this profile are non-imaging studies (e.g., ECG), electrophysiology procedures, and non-cardiology procedures (e.g., peripheral angiography). Such use cases may be supported by other similar content profiles.

Cardiac Imaging Report Content (CIRC) is a content profile – it is agnostic with respect to the workflow or data exchange mechanism in which the data is produced and handled.

The CIRC content is intended to be deployed, for example, in the Image Enabled Office (IEO) workflow profile for ambulatory care environments, the Displayable Reports (DRPT) workflow profile for in-patient environments, or the Cross-Enterprise Document Sharing (XDS) profile to propagate the content across organizational boundaries. It is important to note that that key report-generation/distribution workflow aspects such as physician identification, insurance preauthorization, report routing and acknowledgement, and patient consent, are out of scope for this Content Profile.

The aim is to enable collection and distribution of the most clinically-relevant discrete data on the diagnostic imaging procedures common in cardiology. The usage of the discrete data is two-fold:

  1. to enable individual test data to be more easily shared and used between care givers and systems
  2. to enable population-based outcomes-based research on test effectiveness

Systems Affected

The CIRC profile is a content profile, which defines the content of a Cardiac Imaging Report. The means of interchanging the report is not detailed in this profile but addressed in other profiles like IEO, DRPT, XDS or PDI. In general two types of systems would be relevant: A reporting workstation, Cardiovascular Information System or an Image Analysis workstation which creates a report and distributes it via one of the mechanism mentioned above. A workstation or system which is receiving and displaying the report. This could be an EMR System or any type of reporting workstation

Actors & Transactions:

CIRC ACT Trans.jpg

Specification

Profile Status: Trial Implementation

Documents:


Underlying Standards:

  • HL7
  • HL7 CDA Release 2.0
  • HL7 Implementation Guide for CDA Release 2: Procedure Note

See Also

Related Profiles

As a content integration profile CIRC provides the payload for any of the exchange mechanisms of the following profiles


This page is based on the Profile Overview Template

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