The Impressions or Findings Template allows the recording of unconfirmed (provisional) impressions or findings noted during the procedure. It is not intended to convey the Cath Lab Clinical Report (the formal report from the performing physician), although it may be used (like any Procedure Log entry) for the subsequent construction of the Cath Lab Clinical Report.
A finding that is supported by a specific image frame may reference that image in the INFERRED FROM / IMAGE row of the included TID 3010 “Log Entry Qualifiers” template.
Extensible
Significant
Table TID 3110. Impressions or Findings
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Type |
Condition |
Value Set Constraint |
|
|---|---|---|---|---|---|---|---|---|
|
1 |
CODE |
1 |
U |
|||||
|
2 |
> |
HAS PROPERTIES |
CODE |
EV (G-C197, SRT, "Severity") |
1 |
U |
||
|
3 |
> |
HAS PROPERTIES |
CODE |
EV (G-C0E3, SRT, "Finding Site") |
1 |
U |
||
|
4 |
>> |
HAS CONCEPT MOD |
CODE |
EV (G-A1F8, SRT, "Topographical modifier") |
1 |
U |
||
|
5 |
> |
INCLUDE |
1 |
U |
||||
|
6 |
TEXT |
1 |
U |
|||||
|
7 |
> |
INCLUDE |
1 |
U |
Content Item Descriptions
|
Row 3 |
Finding Site has no Baseline Context ID specified. Typically terms would be drawn from coronary segments, other arterial segments, myocardial segments, etc. |