The Stress Testing Report template is the root structure for the representation of measurements and findings of a stress testing procedure.
Extensible
Significant
Yes
Table TID 3300. Stress Testing Report
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
Root node |
||||
|
2 |
> |
HAS CONCEPT MOD |
CODE |
1 |
M |
|||
|
3 |
> |
HAS CONCEPT MOD |
INCLUDE |
1 |
M |
|||
|
4 |
> |
HAS OBS CONTEXT |
INCLUDE |
1-n |
M |
|||
|
5 |
> |
CONTAINS |
CONTAINER |
1 |
U |
|||
|
6 |
>> |
CONTAINS |
CODE |
1-n |
U |
|||
|
7 |
>> |
CONTAINS |
TEXT |
1 |
U |
|||
|
8 |
> |
CONTAINS |
INCLUDE |
1 |
M |
|||
|
9 |
> |
CONTAINS |
INCLUDE |
1 |
U |
|||
|
10 |
> |
CONTAINS |
INCLUDE |
1 |
M |
|||
|
11 |
> |
CONTAINS |
INCLUDE |
1-n |
M |
|||
|
12 |
> |
CONTAINS |
INCLUDE |
1 |
U |
|||
|
13 |
> |
CONTAINS |
INCLUDE |
1 |
U |
|||
|
14 |
> |
CONTAINS |
INCLUDE |
1 |
U |
Extensible
Significant
Table TID 3301. Stress Test Procedure Description
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
|||||
|
2 |
> |
CONTAINS |
CODE |
1 |
U |
|||
|
3 |
> |
CONTAINS |
TEXT |
1 |
U |
|||
|
4 |
> |
CONTAINS |
CODE |
DT (10:11345, MDC, "Lead System") |
1 |
U |
||
|
5 |
> |
CONTAINS |
CODE |
DT (A-17200, SRT, "Exerciser Device") |
1 |
U |
||
|
6 |
> |
CONTAINS |
CODE |
DT (G-C11C, SRT, "Pharmacological Stress Agent") |
1 |
MC |
IFF Pharmacological Stress used |
|
|
7 |
> |
CONTAINS |
CONTAINER |
1 |
MC |
IFF Pharmacological Stress used |
||
|
8 |
>> |
CONTAINS |
CODE |
1-n |
U |
|||
|
9 |
> |
CONTAINS |
CODE |
DT (P0-0099A, SRT, "Imaging procedure") |
1 |
MC |
IFF imaging used in procedure |
|
|
10 |
> |
CONTAINS |
CODE |
1 |
UC |
IFF Nuclear imaging |
||
|
11 |
> |
CONTAINS |
CODE |
1 |
UC |
IFF PET imaging |
||
|
12 |
> |
CONTAINS |
TEXT |
1 |
UC |
IFF Nuclear or PET imaging |
STATIC, DYNAMIC, or GATED. See note. |
|
|
13 |
> |
CONTAINS |
CODE |
DT (RID11248, RADLEX, "Cardiac Gating") |
1 |
U |
||
|
14 |
> |
CONTAINS |
CODE |
1 |
UC |
IFF Contrast echocardiography |
DT (P5-B3008, SRT, "Contrast echocardiography") |
|
|
15 |
> |
CONTAINS |
CODE |
1 |
U |
|||
|
16 |
>> |
HAS CONCEPT MOD |
CODE |
1 |
U |
|||
|
17 |
> |
CONTAINS |
TEXT |
1 |
U |
|||
|
18 |
> |
CONTAINS |
DATETIME |
1 |
U |
See note. |
Content Item Descriptions
|
Row 12 |
Image Type may be copied from the NM Image SOP Instance attribute Image Type (0008,0008) value 3, or from the PET Image SOP Instance attribute Series Type (0054,1000). |
|
Row 18 |
The Procedure Time Base is the time from which elapsed times are measured. The Study Time (0008,0030) may include the patient prep period, while this Procedure Time Base is typically established when baseline data collection begins. |
The Stress Test Phase Data template provides a structure for measurements acquired during a single procedure phase.
Extensible
Significant
Table TID 3303. Stress Test Phase Data
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
See note. |
||||
|
2 |
> |
HAS ACQ CONTEXT |
CODE |
EV (G-7292, SRT, "Procedure phase") |
1 |
MC |
XOR row 3 |
|
|
3 |
> |
HAS ACQ CONTEXT |
CODE |
EV (G-7292, SRT, "Procedure phase") |
1 |
MC |
IFF Nuclear Imaging; XOR row 2 |
|
|
4 |
> |
HAS ACQ CONTEXT |
TEXT |
EV (G-7292, SRT, "Procedure phase") |
1 |
U |
||
|
5 |
> |
CONTAINS |
INCLUDE |
1 |
MC |
IFF protocol changed from initial specification |
||
|
6 |
> |
HAS ACQ CONTEXT |
NUM |
1 |
U |
UNITS = DT ({stage}, UCUM, "stage") |
||
|
7 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
|||
|
8 |
> |
CONTAINS |
INCLUDE |
1 |
MC |
IFF Nuclear or PET Imaging |
||
|
9 |
> |
CONTAINS |
INCLUDE |
1 |
UC |
IFF Echocardiography Imaging |
Content Item Descriptions
|
Row 1 |
The Container shall have a specific Content Item Observation DateTime (0040,A032) attribute to indicate the time at which the phase began. |
Each instance of the Stress Test Measurement Group represents a group of data elements acquired at approximately the same instant, and conventionally rendered as row in a tabular presentation. It is typically generated during the Stress exam whenever a time interval elapses (for example, every minute of the phase), when a technician observes data worth capturing, or when measurements exceed a given range.
Extensible
Significant
Table TID 3304. Stress Test Measurement Group
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
See note. |
||||
|
2 |
> |
CONTAINS |
NUM |
DT (F-031F9, SRT, "Time since start of exam") |
1 |
M |
UNITS = DT (min, UCUM, "min") |
|
|
3 |
> |
CONTAINS |
NUM |
1 |
M |
UNITS = DT (min, UCUM, "min") |
||
|
4 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = DCID 3212 “Treadmill Speed” |
||
|
5 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = EV (%, UCUM, "%") |
||
|
6 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = EV (W, UCUM, "Watts") |
||
|
7 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = DT ([MET], UCUM, "METS") |
||
|
8 |
> |
CONTAINS |
INCLUDE |
1 |
U |
$Measurement = DT (122706, DCM, "Rating of Perceived Exertion") $Method = BCID 3239 “Perceived Exertion Scales” |
||
|
9 |
> |
CONTAINS |
NUM |
1 |
MC |
IFF Pharmacological Stress used |
UNITS = EV (ug/kg/min, UCUM, "ug/kg/min") |
|
|
10 |
> |
CONTAINS |
INCLUDE |
1 |
U |
See note. |
||
|
11 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = EV ({H.B.}/min, UCUM, "BPM") |
||
|
12 |
> |
CONTAINS |
NUM |
EV (F-008EC, SRT, "Systolic Blood Pressure") |
1 |
U |
UNITS = DCID 3500 “Pressure Units” |
|
|
13 |
> |
CONTAINS |
NUM |
EV (F-008ED, SRT, "Diastolic Blood Pressure") |
1 |
U |
UNITS = DCID 3500 “Pressure Units” |
|
|
14 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = EV ({beats}, UCUM, "beats") |
||
|
15 |
>> |
HAS PROPERTIES |
NUM |
DT (R-40861, SRT, "Period of collection") |
1 |
M |
UNITS = DT (min, UCUM, "min") |
|
|
16 |
>> |
HAS PROPERTIES |
CODE |
EV (G-C504, SRT, "Associated Morphology") |
1-n |
U |
||
|
17 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DT (F-03204, SRT, "ST Elevation") $Units = DT (mV, UCUM, "mV") $TargetSite = DCID 3001 “ECG Leads” |
||
|
18 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DT (F-38279, SRT, "ST Depression") $Units = DT (mV, UCUM, "mV") $TargetSite = DCID 3001 “ECG Leads” |
||
|
19 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DCID 3228 “ECG Timing Measurements” $Units = DT (ms, UCUM, "ms") $TargetSite = DCID 3001 “ECG Leads” See note. |
||
|
20 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DCID 3227 “QTc Measurements” $Units = DT (ms, UCUM, "ms") $TargetSite = DCID 3001 “ECG Leads” $Equation = DCID 3678 “Qt Correction Algorithms” See note. |
||
|
21 |
>> |
INFERRED FROM |
NUM |
DT (2:16000, MDC, "RR Interval for QTc") |
1 |
U |
UNITS = DT (ms, UCUM, "ms") See note. |
|
|
22 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DCID 3229 “ECG Axis Measurements” $Units = DT (deg, UCUM, "deg") See note. |
||
|
23 |
> |
CONTAINS |
INCLUDE |
1 |
U |
$Measurement = DCID 3526 “Blood Gas Saturation” $Units = EV (%, UCUM, "%") |
||
|
24 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = DT (mm[Hg].{H.B.}/min, UCUM, "mmHg.BPM") |
||
|
25 |
> |
CONTAINS |
CODE |
1-n |
U |
|||
|
26 |
> |
CONTAINS |
CODE |
EV (F-00033, SRT, "ECG Finding") |
1-n |
U |
||
|
27 |
> |
CONTAINS |
TEXT |
1 |
U |
Content Item Descriptions
|
Row 1 |
The Container shall have a specific Content Item Observation DateTime (0040,A032) attribute to indicate the time at which the measurements were made. |
|
Row 10 |
Included TID 3106 “Drugs/Contrast Administered” allows the recording of test medications other than the Pharmacological Stress Agent identified in TID 3301 “Stress Test Procedure Description”. |
|
Rows 17, 18 |
ECG ST elevation/depression is measured in units of mV, but is conventionally reported in units of mm, based on strip recordings with scaling of 100 uV/mm. The display application should render these measurements in units meaningful to the user. |
|
Row 19 |
Note that the MDC codes for "per lead" measurements specified in CID 3228 “ECG Timing Measurements” are base codes for post-coordination with lead identifiers conveyed in the Target Site modifier in TID 300 “Measurement”. MDC also defines pre-coordinated codes that include both the measurement and the lead, which may be used in this row. |
|
Row 20 |
Note that the MDC code for "QTc interval per lead" specified in CID 3227 “QTc Measurements” is a base code for post-coordination with lead identifiers conveyed in the Target Site modifier in TID 300 “Measurement”. MDC also defines pre-coordinated codes that include both the measurement and the lead, which may be used in this row. Note that TID 300 “Measurement” enables the encoding of a non-standard correction algorithm, either as a local code, or as a TEXT Method Citation (see TID 300 “Measurement” row 12). |
|
Row 21 |
R-R interval used for QT correction algorithm |
|
Row 22 |
Recommended range for ECG axis measurements is -90° to +270° |
Extensible
Significant
Table TID 3307. NM/PET Perfusion Measurement Group
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
|||||
|
2 |
> |
HAS CONCEPT MOD |
CODE |
1 |
M |
|||
|
3 |
> |
CONTAINS |
CODE |
EV (F-61FDB, SRT, "Radiopharmaceutical agent") |
1 |
M |
||
|
4 |
> |
CONTAINS |
NUM |
1 |
M |
|||
|
5 |
> |
CONTAINS |
DATETIME |
1 |
M |
|||
|
6 |
> |
CONTAINS |
NUM |
DT (122711, DCM, "Exercise duration after stress agent injection") |
1 |
U |
UNITS = DT (min, UCUM, "min") |
|
|
7 |
> |
CONTAINS |
DATETIME |
1 |
M |
|||
|
8 |
> |
CONTAINS |
CODE |
1 |
U |
|||
|
9 |
>> |
HAS PROPERTIES |
CODE |
1 |
U |
|||
|
10 |
> |
CONTAINS |
CODE |
1-n |
U |
|||
|
11 |
>> |
HAS PROPERTIES |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1 |
M |
||
|
12 |
>> |
HAS PROPERTIES |
CODE |
1 |
M |
|||
|
13 |
>> |
HAS PROPERTIES |
CODE |
EV (G-C197, SRT, "Severity") |
1 |
M |
||
|
14 |
> |
CONTAINS |
CODE |
EV (F-02220, SRT, "Left Ventricular Function") |
1 |
U |
||
|
15 |
>> |
HAS PROPERTIES |
CODE |
EV (G-C197, SRT, "Severity") |
1 |
U |
||
|
16 |
> |
CONTAINS |
INCLUDE |
1 |
U |
$Measurement = EV (10230-1, LN, "LV Ejection Fraction") $Units = EV (%, UCUM, "%") $Derivation = DT (R-41D2D, SRT, "Calculated") |
||
|
17 |
> |
CONTAINS |
CODE |
EV (F-02236, SRT, "Left Ventricular Size") |
1 |
U |
||
|
18 |
> |
CONTAINS |
INCLUDE |
1 |
U |
$Measurement = EV (8821-1, LN, "Left Ventricular ED Volume") $Units = EV (ml, UCUM, "ml") |
||
|
19 |
> |
CONTAINS |
INCLUDE |
1 |
U |
$Measurement = EV (8823-7, LN, "Left Ventricular ES Volume") $Units = EV (ml, UCUM, "ml") |
||
|
20 |
> |
CONTAINS |
INCLUDE |
1 |
U |
$Procedure = DCID 3108 “NM/PET Procedures” |
Extensible
Significant
Table TID 3309. Stress Echo Measurement Group
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
|||||
|
2 |
> |
HAS CONCEPT MOD |
CODE |
1 |
M |
DT (P5-B3000, SRT, "Echocardiography") |
||
|
3 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DCID 12200 “Echocardiography Left Ventricle” |
||
|
4 |
>> |
HAS CONCEPT MOD |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1 |
MC |
IF Row 3 measurement concept is in CID 12222 “Orifice Flow Properties” |
EV (T-32600, SRT, "Left Ventricle") |
|
5 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DCID 12211 “Echocardiography Aortic Valve” |
||
|
6 |
>> |
HAS CONCEPT MOD |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1 |
MC |
IF Row 5 measurement concept is in CID 12222 “Orifice Flow Properties” |
EV (T-35400, SRT, "Aortic Valve") |
|
7 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DCID 12207 “Echocardiography Mitral Valve” |
||
|
8 |
>> |
HAS CONCEPT MOD |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1 |
MC |
IF Row 7 measurement concept is in CID 12222 “Orifice Flow Properties” |
EV (T-35300, SRT, "Mitral Valve") |
|
9 |
> |
CONTAINS |
INCLUDE |
1-n |
U |
$Measurement = DCID 12208 “Echocardiography Tricuspid Valve” |
||
|
10 |
>> |
HAS CONCEPT MOD |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1 |
MC |
IF Row 9 measurement concept is in CID 12222 “Orifice Flow Properties” |
EV (T-35100, SRT, "Tricuspid Valve") |
|
11 |
> |
CONTAINS |
INCLUDE |
1 |
U |
$Procedure = DT (P5-B3121, SRT, "Echocardiography for Determining Ventricular Contraction") |
Content Item Descriptions
|
Rows 3-10 |
These invocations of TID 5203 “Echo Measurement” do not include an inherited Findings Site concept, for example as in the invocations of TID 5203 “Echo Measurement” from TID 5202 “Echo Section”. Echo measurements that do not have the associated Finding Site pre-coordinated in the measurement concept (i.e., the orifice flow measurements of CID 12222 “Orifice Flow Properties”), shall have the Finding Site explicitly post-coordinated with a Concept Modifier (Rows 4, 6, 8, and 10). This template does not include the concept of an Image Library, for example as used in TID 5200 “Echocardiography Procedure Report”. Image Content Items in the Echo Measurement template shall be included with by-value relationships, not with by-reference relationships. |
Extensible
Significant
Table TID 3311. Stress Test Summary
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
|||||
|
2 |
> |
CONTAINS |
TEXT |
1 |
U |
|||
|
3 |
> |
CONTAINS |
INCLUDE |
1 |
U |
|||
|
4 |
> |
CONTAINS |
INCLUDE |
1 |
U |
|||
|
5 |
> |
CONTAINS |
INCLUDE |
1 |
U |
|||
|
6 |
> |
CONTAINS |
CODE |
1 |
U |
EV (D3-13025, SRT, "Exercise-induced angina") See note. |
||
|
7 |
>> |
INCLUDE |
1 |
M |
||||
|
8 |
> |
CONTAINS |
CODE |
1-n |
U |
|||
|
9 |
> |
CONTAINS |
TEXT |
1 |
U |
|||
|
10 |
> |
CONTAINS |
CODE |
DT (G-0180, SRT, "Reason for stopping test") |
1 |
U |
||
|
11 |
> |
CONTAINS |
NUM |
1 |
U |
DT (mg/kg, UCUM, "mg/kg") |
Content Item Descriptions
|
Rows 6-7 |
These rows allow an explicit finding of presence or absence of exercise-induced angina through the TID 1350 “Negation Modifier, Presence of Finding” Concept Modifier "Presence of property" |
Extensible
Significant
Table TID 3312. Physiological Summary
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
NUM |
1 |
M |
UNITS = DT ({H.B.}/min, UCUM, "BPM") |
||||
|
2 |
NUM |
EV (F-008EC, SRT, "Systolic Blood Pressure") |
1 |
M |
UNITS = DCID 3500 “Pressure Units” |
|||
|
3 |
> |
HAS CONCEPT MOD |
CODE |
1 |
M |
DT (F-01604, SRT, "Resting State") |
||
|
4 |
NUM |
EV (F-008ED, SRT, "Diastolic Blood Pressure") |
1 |
M |
UNITS = DCID 3500 “Pressure Units” |
|||
|
5 |
> |
HAS CONCEPT MOD |
CODE |
1 |
M |
DT (F-01604, SRT, "Resting State") |
||
|
6 |
NUM |
DT (F-04F92, SRT, "Target HR") |
1 |
M |
UNITS = DT ({H.B.}/min, UCUM, "BPM") |
|||
|
7 |
NUM |
DT (F-04FA6, SRT, "Maximum HR Achieved") |
1 |
M |
UNITS = DT ({H.B.}/min, UCUM, "BPM") |
|||
|
8 |
NUM |
DT (F-04FA6, SRT, "Maximum HR Achieved") |
1 |
M |
UNITS = EV (%, UCUM, "%") |
|||
|
9 |
> |
HAS CONCEPT MOD |
CODE |
1 |
M |
DT (F-04F92, SRT, "Target HR") |
||
|
10 |
NUM |
1 |
U |
UNITS = DT (W, UCUM, "Watts") |
||||
|
11 |
NUM |
1 |
U |
UNITS = DT ([MET], UCUM, "METS") |
||||
|
12 |
CODE |
DT (F-04F9F, SRT, "HR Response") |
1 |
U |
||||
|
13 |
NUM |
DT (F-00E11, SRT, "Maximum systolic blood pressure") |
1 |
U |
UNITS = DCID 3500 “Pressure Units” |
|||
|
14 |
NUM |
DT (F-00E21, SRT, "Maximum diastolic blood pressure") |
1 |
U |
UNITS = DCID 3500 “Pressure Units” |
|||
|
15 |
CODE |
DT (F-04F74, SRT, "BP Response") |
1 |
U |
||||
|
16 |
NUM |
1 |
U |
UNITS = DT (mm[Hg].{H.B.}/min, UCUM, "mmHg.BPM") |
||||
|
17 |
NUM |
DT (F-031F8, SRT, "Total Exercise duration") |
1 |
U |
UNITS = DT (min, UCUM, "min") |
|||
|
18 |
NUM |
DT (F-031F7, SRT, "Total test duration") |
1 |
U |
UNITS = DT (min, UCUM, "min") |
|||
|
19 |
INCLUDE |
1 |
U |
$Measurement = DT (F-04FCC, SRT, "Functional capacity") See note. |
||||
|
20 |
TEXT |
DT (F-04FCC, SRT, "Functional capacity") |
1 |
U |
||||
|
21 |
INCLUDE |
1-n |
U |
$Measurement = EV (122760, DCM, "Stress test score") $Method = BCID 3238 “Stress Scoring Scales” |
||||
|
22 |
NUM |
DT (F-04FCA, SRT, "Heart rate recovery time") |
1 |
U |
UNITS = DT (s, UCUM, "s") |
|||
|
23 |
CODE |
1-n |
U |
|||||
|
24 |
CODE |
EV (F-00F4E, SRT, "Cardiovascular event risk") |
1 |
U |
Content Item Descriptions
|
Row 22 |
Numerical scoring of a patient's functional capacity shall include the range of the scoring system in the Units of Measurement (see Section 7.2.2), and may include a coded identifier for the scoring system in the Method concept modifier of TID 300 “Measurement”. |
Extensible
Significant
Table TID 3313. Stress ECG Summary
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
TEXT |
EV (F-00033, SRT, "ECG Finding") |
1 |
U |
Device Generated Test Summary |
|||
|
2 |
> |
HAS OBS CONTEXT |
CODE |
1 |
M |
|||
|
3 |
> |
HAS OBS CONTEXT |
INCLUDE |
1 |
M |
|||
|
4 |
INCLUDE |
1-n |
U |
$Measurement = EV (F-03204, SRT, "ST Elevation") $Units = DT (mV, UCUM, "mV") $Derivation = EV (G-A437, SRT, "Maximum") $TargetSite = DCID 3001 “ECG Leads” |
||||
|
5 |
INCLUDE |
1-n |
U |
$Measurement = EV (F-38279, SRT, "ST Depression") $Units = DT (mV, UCUM, "mV") $Derivation = EV (G-A437, SRT, "Maximum") $TargetSite = DCID 3001 “ECG Leads” |
||||
|
6 |
INCLUDE |
1-n |
U |
$Measurement = EV (F-38287, SRT, "T wave alternans") $Units = DT (uV, UCUM, "uV") $Derivation = EV (G-A437, SRT, "Maximum") $TargetSite = DCID 3001 “ECG Leads” |
||||
|
7 |
CODE |
EV (F-38035, SRT, "ST Segment Finding") |
1 |
U |
||||
|
8 |
> |
HAS PROPERTIES |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1-n |
U |
||
|
9 |
> |
HAS PROPERTIES |
CODE |
EV (G-C504, SRT, "Associated Morphology") |
1 |
U |
||
|
10 |
NUM |
1 |
U |
UNITS = EV ({beats}, UCUM, "beats") |
||||
|
11 |
> |
HAS PROPERTIES |
CODE |
EV (G-C504, SRT, "Associated Morphology") |
1-n |
U |
||
|
12 |
CODE |
1-2 |
U |
See note. |
||||
|
13 |
> |
HAS CONCEPT MOD |
CODE |
1 |
M |
|||
|
14 |
CODE |
EV (F-00033, SRT, "ECG Finding") |
1-n |
U |
||||
|
15 |
> |
HAS CONCEPT MOD |
CODE |
1 |
U |
Content Item Descriptions
|
Rows 4-14 |
Each observation (measurement or finding) may have a specific Content Item Observation DateTime attribute to indicate the time in the procedure at which the observation was made (e.g., time of maximum heart rate, or time of occurrence of an arrhythmia). |
|
Row 12-13 |
This Concept and the associated Concept Modifier may be instantiated twice, once for resting state measurements, once for stress. |
Extensible
Significant
Table TID 3317. Stress Imaging Summary
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CODE |
1 |
M |
|||||
|
2 |
CODE |
1 |
U |
|||||
|
3 |
CODE |
1 |
U |
|||||
|
4 |
INCLUDE |
1-2 |
U |
$Measurement = DT (F-04F76, SRT, "Perfusion defect extent") $ModType = EV (109054, DCM, "Patient State") $ModValue = DCID 3102 “Rest-Stress” $Units = EV (%, UCUM, "%") See note. |
||||
|
5 |
INCLUDE |
1 |
U |
$Measurement = DT (F-04FCD, SRT, "Stress ischemia extent") $Units = EV (%, UCUM, "%") |
||||
|
6 |
INCLUDE |
1 |
U |
$Measurement = DT (122762, DCM, "Number of diseased vessel territories") $Units = EV ({territories}, UCUM, "territories") |
||||
|
7 |
CODE |
1 |
U |
EV (D3-13040, SRT, "Coronary artery disease") |
||||
|
8 |
> |
HAS PROPERTIES |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1-n |
M |
||
|
9 |
CODE |
EV (F-0238D, SRT, "Myocardial perfusion") |
1-2 |
U |
||||
|
10 |
> |
HAS CONCEPT MOD |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1 |
M |
||
|
11 |
> |
HAS PROPERTIES |
CODE |
EV (G-C504, SRT, "Associated Morphology") |
1 |
U |
||
|
12 |
CODE |
1 |
U |
DT (D4-31124, SRT, "Transient cavitary dilatation") |
||||
|
13 |
> |
INCLUDE |
1 |
U |
||||
|
14 |
INCLUDE |
1 |
U |
$Measurement = DT (F-04FB4, SRT, "Transient cavitary dilatation ratio") $Units = EV ({ratio}, UCUM, "ratio") |
||||
|
15 |
INCLUDE |
1-2 |
U |
$Measurement = EV (10230-1, LN, "LV Ejection Fraction") $ModType = EV (109054, DCM, "Patient State") $ModValue = DCID 3102 “Rest-Stress” $Units = EV (%, UCUM, "%") See note. |
Content Item Descriptions
|
Row 4 |
This row may be instantiated twice, once for resting state measurements, once for stress. |
|
Row 15 |
The LVEF code specified in this row is defined in LOINC with method "imaging". LVEF measurement by ultrasound may also be encoded elsewhere in the Content Tree (e.g., in TID 3309 “Stress Echo Measurement Group”) with LOINC code 18043-0, which has method "ultrasound". It is recommended that such findings from the per-phase measurements be summarized here with the generic "LVEF by Imaging" concept code. |
This template describes changes in findings from a prior stress exam. Comparison is to only one prior exam, even though the generic concept name for the template uses the plural "exams".
Extensible
Significant
Table TID 3318. Comparison to Prior Stress Exam
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
M |
|||||
|
2 |
> |
CONTAINS |
CODE |
1 |
U |
|||
|
3 |
>> |
HAS PROPERTIES |
DATETIME |
1 |
U |
|||
|
4 |
>> |
HAS PROPERTIES |
UIDREF |
1 |
U |
|||
|
5 |
>> |
HAS PROPERTIES |
COMPOSITE |
1-n |
U |
|||
|
6 |
> |
CONTAINS |
CODE |
DT (F-03D1D, SRT, "Exercise tolerance") |
1 |
U |
||
|
7 |
> |
CONTAINS |
CODE |
DT (F-0238D, SRT, "Myocardial Perfusion") |
1 |
U |
||
|
8 |
>> |
HAS CONCEPT MOD |
CODE |
EV (G-C036, SRT, "Measurement Method") |
1-n |
U |
||
|
9 |
> |
CONTAINS |
CODE |
DT (F-02225, SRT, "LV Wall motion") |
1-n |
U |
||
|
10 |
>> |
HAS CONCEPT MOD |
CODE |
1 |
M |
|||
|
11 |
> |
CONTAINS |
CODE |
1 |
U |
|||
|
12 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = EV (%, UCUM, "%") |
||
|
13 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = EV (ml, UCUM, "ml") |
||
|
14 |
> |
CONTAINS |
NUM |
1 |
U |
UNITS = EV (ml/m2, UCUM, "ml/m2") |
||
|
15 |
>> |
HAS CONCEPT MOD |
CODE |
1 |
M |
Extensible
Non-Significant
Table TID 3320. Conclusions and Recommendations
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CONTAINER |
1 |
MC |
IF Completion Flag (0040,A491) = COMPLETE |
||||
|
2 |
> |
CONTAINS |
TEXT |
1 |
U |
|||
|
3 |
> |
CONTAINS |
CODE |
EV (F-00033, SRT, "ECG Finding") |
1 |
M |
||
|
4 |
> |
CONTAINS |
CODE |
EV (F-01969, SRT, "Imaging Finding") |
1 |
M |
||
|
5 |
CONTAINER |
1 |
U |
|||||
|
6 |
> |
CONTAINS |
TEXT |
1 |
U |