DICOM PS3.16 2019d - Content Mapping Resource

Cath Lab Clinical Report Templates 

The Templates that comprise the Cardiac Catheterization Report are interconnected as shown in Figure A-7.

Cardiac Catheterization Report Template Hierarchy

Figure A-7. Cardiac Catheterization Report Template Hierarchy


Note

Figure A-7 shows the relationship of Templates; it does not show the structural hierarchy of Content Items in the IOD.

TID 3800 Cardiac Catheterization Report Root

The Cardiac Cath Report provides the overall clinical results of the catheterization procedure and interventions. In many cases, more detailed information is optionally available in other reports (Hemodynamic Measurements, Procedure Log, etc.). That information is collected and summarized here (and referenced when available).

When a Discharge Summary section (row 12) is included, this report Template covers the full set of information required for submission to the ACC NCDR™ (version 2.0) registry.

Note

  1. The information required for such a submission must sometimes be reformatted from a single concept in these Templates to two data elements for the registry, or vice versa.

  2. This Template is expected to be used with the Basic Text SR or Enhanced SR IOD.3. This Cardiac Cath Report Template is a baseline Template within these SOP Classes that may be replaced; it is therefore in no sense binding for exchange of this type of report. It is solely an example of a possible encoding of the Cardiac Cath Report.

Type:

Extensible

Order:

Significant

Root:

Yes

Table TID 3800. Cardiac Catheterization Report Root

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (18745-0, LN, "Cardiac Catheterization Report")

1

M

Root node

2

>

HAS CONCEPT MOD

CODE

EV (121058, DCM, "Procedure reported")

1

M

BCID 3739 “Cath Procedure Type”

3

>

HAS CONCEPT MOD

INCLUDE

DTID 1204 “Language of Content Item and Descendants”

1

M

4

>

INCLUDE

DTID 3601 “Procedure Context”

1

M

5

>

CONTAINS

INCLUDE

DTID 3802 “Cardiovascular Patient History”

1

U

6

>

CONTAINS

INCLUDE

DTID 3803 “Patient Presentation, Cath”

1

M

7

>

CONTAINS

INCLUDE

DTID 3806 “Cath Procedure”

1

M

8

>

CONTAINS

INCLUDE

DTID 3810 “Cardiac Catheterization Findings”

1

M

9

>

CONTAINS

INCLUDE

DTID 3807 “Percutaneous Coronary Intervention Procedure”

1

U

10

>

CONTAINS

INCLUDE

DTID 3809 “Other Interventional Procedures”

1-n

U

11

>

CONTAINS

INCLUDE

DTID 3820 “Adverse Outcomes, Cath”

1

M

12

>

CONTAINS

INCLUDE

DTID 3824 “Summary, Cath”

1

M

13

>

CONTAINS

INCLUDE

DTID 3828 “Discharge Summary, Cath”

1

U


DICOM PS3.16 2019d - Content Mapping Resource