<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!   If your modality supports the "Stress Echo" option, you should submit at least one sample study of this type.</p> </p> <H3>Description</H3> <p>All Acquisition Modalities and Evidence Creators participating in the Cardiology profiles must store images of all SOP classes it is capable of generating 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><p>Acquisition Modalities in the ECHO profile must support the ECHOCARDIOGRAPHY option, requiring them to support multi-frame image storage.</p><p>If the <b>STRESS ECHO option</b> is supported, View and Stage information must be encoded according to the requirements in CARD TF-2:4.2.3.</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>If the Modality  supports <strong>STRESS ECHO</strong> option, the Connectathon  Monitor will access a sample study for the Modality on the CENTRAL_ARCHIVE.   View the DICOM header and  verify:</p> <ul> <li>The following  attributes are required to have valid values:   </li> </ul><div align="center"> <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> </div><p> <em>Notes:1.  Extra-protocol images (i.e., images not associated with the stress echo  exam protocol) shall have the View Number empty or omitted.</em> <br>      <em>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.</em> </p> <ul> <li>Performed Protocol  Code Sequence (0040,0260) contain codes taken from:<br> </li> </ul><div align="center"> <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">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> </div><ul> <li>Stage Code Sequence  (0040,000A) contains codes taken from:<br>        <br> </li> </ul><div align="center"> <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">P5-01201</p> </td>       <td width="306" valign="top"> <p>Image acquisition at baseline</p> </td>      </tr>      <tr>        <td width="122" valign="top"> <p align="center">SRT</p> </td>       <td width="122" valign="top"> <p align="center">P5-01202</p> </td>       <td width="306" valign="top"> <p>Pre-stress image acquisition</p> </td>      </tr>      <tr>        <td width="122" valign="top"> <p align="center">SRT</p> </td>       <td width="122" valign="top"> <p align="center">P5-01203</p> </td>       <td width="306" valign="top"> <p>Mid-stress image acquisition</p> </td>      </tr>      <tr>        <td width="122" valign="top"> <p align="center">SRT</p> </td>       <td width="122" valign="top"> <p align="center">P5-01204</p> </td>       <td width="306" valign="top"> <p>Peak-stress image acquisition</p> </td>      </tr>      <tr>        <td width="122" valign="top"> <p align="center">SRT</p> </td>       <td width="122" valign="top"> <p align="center">P5-01205</p> </td>       <td width="306" valign="top"> <p>Image acquisition during recovery</p> </td>      </tr> </table> </div><ul> <li>View Code Sequence  (0054,0220) contains codes taken from:<br>        <br> </li> </ul><div align="center"> <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<br>        </p> </td>       <td width="337" valign="top"> <p>Code Meaning <br>        </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> </div>