<H3>Special Instructions</H3><p> <p>Evidence Creator and Acquisition Modality actors perform ONE instance of this test.  <strong>This should be done on the first day of the Connectathon.</strong> </p> <p>The Modality system should arrive at the Connectathon with images for this test PRE-OBTAINED and PRE-LOADED or you will waste a great deal of time!</p> </p> <H3>Description</H3> <p>All Acquisition Modalities and Evidence Creators participating in the Cardiology profiles must store images of <strong>all SOP classes it is capable of generating</strong> to the Connectathon CENTRAL_ARCHIVE. This will enable Image Manager and Image Display actors to access these objects for their testing.</p> <p>You must enter a description of your study in the <em><a href=system_con_object.php?selected=create_object>Objects Information</a></em>.  Please upload there a screen capture of the object so that we can use it for comparison when your peers will render your images.</p> <p>Modalities and Evidence Creators could also find time to test directly sending their images and evidence objects to Image Manager actors. </p>  <H3>Evaluation</H3> <p>In order to validate the test, the connectathon monitor will check:</p> <ul> <li>that the objects are stored on the Central Archive,</li> <li>that there is a corresponding entry in the <em><a href=system_con_object.php?selected=create_object>Objects Information</a></em>  section of the kudu webtool, and </li> <li>that there is a screen capture of the objects uploaded in the <em><a href=system_con_object.php?selected=create_object>Objects Information</a></em> section of the kudu webtool, and</li> <li>that the printed output adequately describes the displayed image.</li> </ul> <p>Note that samples stored to the Central Archive are checked by a DICOM validator.</p> <p>For ECG Modalities, the <b>STRESS ECG option</b> is required; the Connectathon Monitor should access a sample study for the Modality on the CENTRAL_ARCHIVE.</p> <p>View the DICOM header and verify:</p> <ul> <li>The following attributes are required to have valid values:</li> </ul><title>Untitled Document</title><table border="1" cellspacing="0" cellpadding="0">      <tr>        <td width="277" valign="top"> <p> <strong>Attribute Name</strong> </p> </td>       <td width="96" valign="top"> <p align="center"> <strong>Tag</strong> </p> </td>       <td width="102" valign="top"> <p align="center"> <strong>Requirement</strong> </p> </td>      </tr>      <tr>        <td width="277" valign="top"> <p>Performed Procedure Step Description</p> </td>       <td width="96" valign="top"> <p align="center">(0040,0254)</p> </td>       <td width="102" valign="top"> <p align="center">R+</p> </td>      </tr>      <tr>        <td width="277" valign="top"> <p>Protocol Name</p> </td>       <td width="96" valign="top"> <p align="center">(0018,1030)</p> </td>       <td width="102" valign="top"> <p align="center">R+</p> </td>      </tr>      <tr>        <td width="277" valign="top"> <p>Performed Protocol Code Sequence</p> </td>       <td width="96" valign="top"> <p align="center">(0040,0260)</p> </td>       <td width="102" valign="top"> <p align="center">R+</p> </td>      </tr>      <tr>        <td width="277" valign="top"> <p>Acquisition Context Sequence</p> </td>       <td width="96" valign="top"> <p align="center">(0040,0555)</p> </td>       <td width="102" valign="top"> <p align="center">R+</p> </td>      </tr> </table><ul> <li>Performed Protocol Code Sequence (0040,0260) contain codes taken from:</li> </ul><table border="1" cellspacing="0" cellpadding="0"> <tr>      <td width="122" valign="top"> <p>Coding Scheme Designator<br>       (0008,0102) </p> </td>     <td width="122" valign="top"> <p>Code Value<br>       (0008,0100) </p> </td>     <td width="306" valign="top"> <p>Code Meaning <br>       (0008,0104) </p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT </p> </td>     <td width="122" valign="top"> <p align="center">P2-7131C</p> </td>     <td width="306" valign="top"> <p>Balke protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-7131A</p> </td>     <td width="306" valign="top"> <p>Bruce protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-7131D</p> </td>     <td width="306" valign="top"> <p>Ellestad    protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-7131B</p> </td>     <td width="306" valign="top"> <p>Modified Bruce    protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-713A1</p> </td>     <td width="306" valign="top"> <p>Modified    Naughton protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-713A0</p> </td>     <td width="306" valign="top"> <p>Naughton    protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-7131F</p> </td>     <td width="306" valign="top"> <p>Pepper protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-7131E</p> </td>     <td width="306" valign="top"> <p>Ramp protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P2-31102</p> </td>     <td width="306" valign="top"> <p>Bicycle    Ergometer Stress Test protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">99IHE</p> </td>     <td width="122" valign="top"> <p align="center">PHARMSTRESS</p> </td>     <td width="306" valign="top"> <p>Pharmacologic    Stress protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">99IHE</p> </td>     <td width="122" valign="top"> <p align="center">PERSANTINE</p> </td>     <td width="306" valign="top"> <p>Persantine    Stress protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">99IHE</p> </td>     <td width="122" valign="top"> <p align="center">ADENOSINE</p> </td>     <td width="306" valign="top"> <p>Adenosine    Stress protocol</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">99IHE</p> </td>     <td width="122" valign="top"> <p align="center">DOBUTAMINE</p> </td>     <td width="306" valign="top"> <p>Dobutamine    Stress protocol</p> </td> </tr> </table><ul> <li>Acquisition Context Sequence (0040,0555) contains at least these 2 content items:</li> </ul><table border="0" cellspacing="0" cellpadding="0"> <tr>      <td width="55" valign="top"> <p> <strong>Value Type</strong> </p> </td>     <td width="212" valign="top"> <p> <strong>Concept Code</strong> </p> </td>     <td width="238" valign="top"> <p> <strong>Value</strong> </p> </td> </tr> <tr>      <td width="55" valign="top"> <p>CODE</p> </td>     <td width="212" valign="top"> <p>(109054, DCM, Patient State)</p> </td>     <td width="238" valign="top"> <p>See Table    4.2-14</p> </td> </tr> <tr>      <td width="55" valign="top"> <p>NUM</p> </td>     <td width="212" valign="top"> <p>(109055, DCM,    Protocol Stage)</p> </td>     <td width="238" valign="top"> <p>Numeric Value,    Units of Measurement is ({stage}, UCUM, stage)</p> </td> </tr> </table><ul> <li>Codes in the Acquisition Context Sequence (0040,0555) are taken from: </li> </ul><table border="1" cellspacing="0" cellpadding="0"> <tr>      <td width="122" valign="top"> <p>Coding Scheme Designator       (0008,0102) </p> </td>     <td width="122" valign="top"> <p>Code Value       (0008,0100) </p> </td>     <td width="306" valign="top"> <p>Code Meaning       (0008,0104) </p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">F-01604</p> </td>     <td width="306" valign="top"> <p>Resting state</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">F-01602</p> </td>     <td width="306" valign="top"> <p>Baseline state</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">F-01606</p> </td>     <td width="306" valign="top"> <p>Exercise state</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">F-01608</p> </td>     <td width="306" valign="top"> <p>Post-exercise    state</p> </td> </tr> </table><p>For Echo Modalities, the <b>STRESS ECHO option</b> is required; the Connectathon Monitor should access a sample study for the Modality on the CENTRAL_ARCHIVE.</p> <p>View the DICOM header and verify:</p><ul> <li>The following attributes are required to have valid values:</li> </ul> <table border="1" cellspacing="0" cellpadding="0"> <tr>      <td width="277" valign="top"> <p> <strong>Attribute Name</strong> </p> </td>     <td width="96" valign="top"> <p align="center"> <strong>Tag</strong> </p> </td>     <td width="102" valign="top"> <p align="center"> <strong>Requirement</strong> </p> </td> </tr> <tr>      <td width="277" valign="top"> <p>Performed Procedure Step Description</p> </td>     <td width="96" valign="top"> <p align="center">(0040,0254)</p> </td>     <td width="102" valign="top"> <p align="center">R+</p> </td> </tr> <tr>      <td width="277" valign="top"> <p>Protocol Name</p> </td>     <td width="96" valign="top"> <p align="center">(0018,1030)</p> </td>     <td width="102" valign="top"> <p align="center">R+</p> </td> </tr> <tr>      <td width="277" valign="top"> <p>Performed Protocol Code Sequence</p> </td>     <td width="96" valign="top"> <p align="center">(0040,0260)</p> </td>     <td width="102" valign="top"> <p align="center">R+</p> </td> </tr> <tr>      <td width="277" valign="top"> <p>Number of Stages</p> </td>     <td width="96" valign="top"> <p align="center">(0008,2124)</p> </td>     <td width="102" valign="top"> <p align="center">R+</p> </td> </tr> <tr>      <td width="277" valign="top"> <p>Number of Views in Stage</p> </td>     <td width="96" valign="top"> <p align="center">(0008,212A)</p> </td>     <td width="102" valign="top"> <p align="center">R+</p> </td> </tr> <tr>      <td width="277" valign="top"> <p>Stage Code Sequence</p> </td>     <td width="96" valign="top"> <p align="center">(0040,000A)</p> </td>     <td width="102" valign="top"> <p align="center">R+ <em>(note 2)</em> </p> </td> </tr> <tr>      <td width="277" valign="top"> <p>Stage Number</p> </td>     <td width="96" valign="top"> <p align="center">(0008,2122)</p> </td>     <td width="102" valign="top"> <p align="center">R+</p> </td> </tr> <tr>      <td width="277" valign="top"> <p>View Number</p> </td>     <td width="96" valign="top"> <p align="center">(0008,2128)</p> </td>     <td width="102" valign="top"> <p align="center">R+ <em>(note 1)</em> </p> </td> </tr> <tr>      <td width="277" valign="top"> <p>View Code Sequence</p> </td>     <td width="96" valign="top"> <p align="center">(0054,0220)</p> </td>     <td width="102" valign="top"> <p align="center">R+ <em>(note 2)</em> </p> </td> </tr> </table><p> Notes:  </p><ul> <ul> <li>Note 1: Extra-protocol images (i.e., images not associated with the stress echo exam protocol) shall have the View Number empty or omitted.</li> <li>Note 2: View Code Sequence uses a pre-coordinated code as specified in DICOM change proposal CP 476; this change proposal was formally adopted in January 2005.</li> </ul> </ul><ul> <li>Performed Protocol Code Sequence (0040,0260) contain codes taken from:</li> </ul><table border="1" cellspacing="0" cellpadding="0"> <tr>      <td width="122" valign="top"> <p>Coding Scheme Designator       (0008,0102) </p> </td>     <td width="122" valign="top"> <p>Code Value       (0008,0100) </p> </td>     <td width="306" valign="top"> <p>Code Meaning       (0008,0104) </p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT </p> </td>     <td width="122" valign="top"> <p align="center">P5-B3050 </p> </td>     <td width="306" valign="top"> <p>Exercise stress    echocardiography </p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3051</p> </td>     <td width="306" valign="top"> <p>Maximal stress    echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3052</p> </td>     <td width="306" valign="top"> <p>Submaximal    stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3053</p> </td>     <td width="306" valign="top"> <p>Treadmill    exercise stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3054</p> </td>     <td width="306" valign="top"> <p>Bruce treadmill    stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3055</p> </td>     <td width="306" valign="top"> <p>Modified Bruce    treadmill stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3056</p> </td>     <td width="306" valign="top"> <p>Naughton    treadmill stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3058</p> </td>     <td width="306" valign="top"> <p>Bicycle    exercise stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3060</p> </td>     <td width="306" valign="top"> <p>Echocardiography    with administered drug stress</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3061</p> </td>     <td width="306" valign="top"> <p>Dobutamine    stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3062</p> </td>     <td width="306" valign="top"> <p>High dose    dobutamine stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3063</p> </td>     <td width="306" valign="top"> <p>Low dose    dobutamine stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3065</p> </td>     <td width="306" valign="top"> <p>Arbutamine    stress echocardiography</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="122" valign="top"> <p align="center">P5-B3066</p> </td>     <td width="306" valign="top"> <p>Dipyridamole    stress echocardiography</p> </td> </tr> </table><ul> <li> Stage Code Sequence (0040,000A) contains codes taken from:</li> </ul><table border="1" cellspacing="0" cellpadding="0"> <tr>      <td width="122" valign="top"> <p>Coding Scheme Designator </p> </td>     <td width="98" valign="top"> <p>Code Value</p>     </td>     <td width="337" valign="top"> <p>Code Meaning      </p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-A19B</p> </td>     <td width="337" valign="top"> <p>Apical two chamber</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-A19C</p> </td>     <td width="337" valign="top"> <p>Apical    four chamber</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0395</p> </td>     <td width="337" valign="top"> <p>Apical    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0396</p> </td>     <td width="337" valign="top"> <p>Parasternal    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0397</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0398</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the aortic valve level</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0399</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the level of the mitral chords</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039A</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the Mitral Valve level</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039B</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the Papillary Muscle level</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039C</p> </td>     <td width="337" valign="top"> <p>Right    Ventricular Inflow Tract View</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039D</p> </td>     <td width="337" valign="top"> <p>Right    Ventricular Outflow Tract View</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039E</p> </td>     <td width="337" valign="top"> <p>Subcostal    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039F</p> </td>     <td width="337" valign="top"> <p>Subcostal    short axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-03A0</p> </td>     <td width="337" valign="top"> <p>Suprasternal    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-03A1</p> </td>     <td width="337" valign="top"> <p>Suprasternal    short axis</p> </td> </tr> </table><ul> <li>View Code Sequence (0054,0220) contains codes taken from:</li> </ul><table border="1" cellspacing="0" cellpadding="0"> <tr>      <td width="122" valign="top"> <p>Coding Scheme Designator </p> </td>     <td width="98" valign="top"> <p>Code Value     </p> </td>     <td width="337" valign="top"> <p>Code Meaning     </p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-A19B</p> </td>     <td width="337" valign="top"> <p>Apical two chamber</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-A19C</p> </td>     <td width="337" valign="top"> <p>Apical    four chamber</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0395</p> </td>     <td width="337" valign="top"> <p>Apical    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0396</p> </td>     <td width="337" valign="top"> <p>Parasternal    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0397</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0398</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the aortic valve level</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-0399</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the level of the mitral chords</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039A</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the Mitral Valve level</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039B</p> </td>     <td width="337" valign="top"> <p>Parasternal    short axis at the Papillary Muscle level</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039C</p> </td>     <td width="337" valign="top"> <p>Right    Ventricular Inflow Tract View</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039D</p> </td>     <td width="337" valign="top"> <p>Right    Ventricular Outflow Tract View</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039E</p> </td>     <td width="337" valign="top"> <p>Subcostal    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-039F</p> </td>     <td width="337" valign="top"> <p>Subcostal    short axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-03A0</p> </td>     <td width="337" valign="top"> <p>Suprasternal    long axis</p> </td> </tr> <tr>      <td width="122" valign="top"> <p align="center">SRT</p> </td>     <td width="98" valign="top"> <p align="center">G-03A1</p> </td>     <td width="337" valign="top"> <p>Suprasternal    short axis</p> </td> </tr> </table> 