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Stress Testing SR (v0.04)

Stress Testing SR (v0.04). WG1 Discussion 20 December 2006. Stress Testing SR Object. Patient. Study. Equipment. Synchronization. Series. Document General. Completion status Verification Author Request/order Evidence cited. Document Content. Stress Report.

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Stress Testing SR (v0.04)

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  1. Stress Testing SR (v0.04) WG1 Discussion 20 December 2006

  2. Stress Testing SR Object Patient Study Equipment Synchronization Series Document General Completion status Verification Author Request/order Evidence cited Document Content Stress Report Defined in Structured Report Information Object Definition (DICOM Part 3)

  3. Stress ReportTop Level Template (3300) Stress Report Stress Test Procedure Description Indications Findings (by test phase) Findings (by test phase) Findings (by test phase) Patient Characteristics Summary Age, sex Pt size Vitals Patient Presentation Comparison to Prior Exams CCS NYHA Conclusions Patient History ECG overall Imaging overall Recommendations

  4. CV Patient History (3802) Patient History Problem List Diabetes Hypertension Hyperlipidemia Arrhythmia MI CHF Renal Failure Chronic Lung Cerebrovascular PVD Problem Started Resolved Status Severity Therapy Problem Started Resolved Status Severity Therapy Problem Started Resolved Status Severity Therapy Problem Started Resolved Status Severity Therapy Medications Med type Dosage Ongoing Med type Dosage Ongoing Med type Dosage Ongoing Social History Smoking Diagnostic Tests Exercise Tolerance Perfusion Imaging Echo Stress Echo Cath MR CT Procedure Date Report Ref Procedure Date Report Ref Procedure Date Report Ref Surgical History PCI CABG Valve Ablation Pacemaker/ICD Procedure Date Report Ref Procedure Date Report Ref Procedure Date Report Ref Family History Finding Relationship Diabetes MI CVD Finding Relationship Finding Relationship

  5. Stress Procedure Description (3301) Protocol Lead Placement Exerciser Device Pharmacological Stress Agent Indications for Pharmacological Stress Stress imaging procedure Patient position Stress Test Procedure Description

  6. Findings by phase (3303) Findings (by test phase) Phase, Stage, Patient State Stress Test Procedure Description Measurements (at time point within phase) Measurements (at time point within phase) Measurements (at time point within phase) Elapsed time Exercise device parameters (speed, grade…) Pharmacological stressor parameters Test medications administered Vital signs Exercise output ECG findings (ST elevation, intervals, axes…) Perfusion Measurements (1 set per phase)

  7. Perfusion Measurement Group (3307) Radiopharmaceutical parameters Imaging parameters Perfusion defects (reversible, fixed, partially reversible) by myocardial segment LV function LV measurements (EF, EDV, ESV) Wall motion scoring Perfusion Measurements

  8. Summary (3311) Summary Heart rate (target, % achieved) Exercise output (target, % achieved) Maximums (HR, Exercise, BP…) Test duration Score (Duke …) Physiological Summary Device findings ST elevation/depression (by lead) ST findings (by lead) TWA ECG Summary Rhythm IV Conduction ECG Arrhythmias ECG Repolarization findings Rest / Stress Comparison Study quality Perfusion summary Imaging Summary Findings (chest pain, stress symptoms) Reason for stopping test

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