RCS-C
Administrator
Abderrazek Boufahja
Moore Steve
The History and Risk Factor Observation Entry captures relevant clinical findings drawn from the patient’s medical history and risk factors for coronary artery disease. Observations include the recording of diseases and other indications within particular time periods. The History and Risk Factor Observation value set defines the set of expected observation
types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32020).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32021).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32247).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.14" (CONF:RCS-32254).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32362).
SHALL contain exactly one [1..1] code (CONF:RCS-31989).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-31990).
SHALL contain exactly one [1..1] value (CONF:RCS-31991).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33126).
The Registry Report Document contains information related to the treatment provided to a single patient within a reference time period. The document header includes information needed for 1) the clinical document, 2) the associated patient, 3) the software processing the registry information - the document author, and 4) the facility that manages and is
responsible for the contents of the document: the document custodian. The recordTarget patientRole of the header contains the most recent patient information for the referenced time period; excluding race and ethnicity, which is collected in Patient Demographic Section. Patient related information that could be different for different encounters, i.e., postal zip code is associated
with the encounter. The OID for the Registry Content Submission document type and the OID for the Registry Content Submission document header template are the same. The single OID identifies both the document type and the template that serves as the header for the document.
SHALL contain exactly one [1..1] @classCode="DOCCLIN" (CONF:RCS-1).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-2).
SHALL contain exactly one [1..1] templateId (CONF:RCS-4).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.1.1" (CONF:RCS-32265).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32583).
SHALL contain exactly one [1..1] id (CONF:RCS-5).
This id SHALL contain exactly one [1..1] @root (CONF:RCS-33600).
SHALL contain exactly one [1..1] code (CONF:RCS-6).
SHALL contain exactly one [1..1] title="Registry Content Submission-CathPCI" (CONF:RCS-32678).
SHALL contain exactly one [1..1] effectiveTime (CONF:RCS-7).
SHALL contain exactly one [1..1] confidentialityCode="N" Normal (CodeSystem: ConfidentialityCode 2.16.840.1.113883.5.25) (CONF:RCS-32422).
MAY contain zero or one [0..1] languageCode (CONF:RCS-32423).
The languageCode, if present, SHALL contain exactly one [1..1] @code="EN" (CONF:RCS-32734).
The languageCode, if present, SHALL contain exactly one [1..1] @codeSystem (CodeSystem: ISO 639-1 Language Code 1.0.639.1) (CONF:RCS-32735).
SHALL contain exactly one [1..1] recordTarget (CONF:RCS-32161).
This recordTarget SHALL contain exactly one [1..1] @typeCode="RCT" (CONF:RCS-32162).
This recordTarget SHALL contain exactly one [1..1] @contextControlCode="OP" (CONF:RCS-32561).
This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:RCS-32163).
This patientRole SHALL contain exactly one [1..1] @classCode="PAT" (CONF:RCS-32164).
This patientRole SHALL contain exactly one [1..1] id (CONF:RCS-32175).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.842" (CONF:RCS-33014).
This id SHALL contain exactly one [1..1] @extension (CONF:RCS-32178).
This patientRole SHALL contain exactly one [1..1] id (CONF:RCS-33015).
This id MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33016).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.1" (CONF:RCS-33017).
This id MAY contain zero or one [0..1] @extension (CONF:RCS-33018).
This patientRole MAY contain zero or one [0..1] id (CONF:RCS-33368).
The id, if present, MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33369).
The id, if present, SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.843" (CONF:RCS-33370).
The id, if present, SHALL contain exactly one [1..1] @extension (CONF:RCS-33408).
This patientRole SHALL contain exactly one [1..1] patient (CONF:RCS-32165).
This patient SHALL contain exactly one [1..1] @classCode="PSN" (CONF:RCS-32355).
This patient SHALL contain exactly one [1..1] @determinerCode="INSTANCE" (CONF:RCS-32356).
This patient SHALL contain exactly one [1..1] name (CONF:RCS-32166).
This name MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33020).
This name SHOULD contain zero or one [0..1] family (CONF:RCS-32167).
This name SHOULD contain [0..2] given (CONF:RCS-32168).
The given, if present, MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32674).
This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Person Sex 1.3.6.1.4.1.19376.1.4.1.6.5.10078 (CONF:RCS-32170).
This administrativeGenderCode MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33019).
This patient SHALL contain exactly one [1..1] birthTime (CONF:RCS-32171).
SHALL contain exactly one [1..1] author (CONF:RCS-32380).
This author SHALL contain exactly one [1..1] @typeCode="AUT" (CONF:RCS-32431).
This author SHALL contain exactly one [1..1] @contextControlCode="OP" (CONF:RCS-32432).
This author SHALL contain exactly one [1..1] assignedAuthor (CONF:RCS-32381).
This assignedAuthor SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:RCS-33372).
This assignedAuthor SHALL contain exactly one [1..1] id (CONF:RCS-32448).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.847" (CONF:RCS-32449).
This id SHALL contain exactly one [1..1] @extension (CONF:RCS-32450).
This assignedAuthor SHALL contain exactly one [1..1] representedOrganization (CONF:RCS-32386).
This representedOrganization SHALL contain exactly one [1..1] @classCode="ORG" (CONF:RCS-33393).
This representedOrganization SHALL contain exactly one [1..1] @determinerCode="INSTANCE" (CONF:RCS-33394).
This representedOrganization SHALL contain exactly one [1..1] id (CONF:RCS-32451).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.840" (CONF:RCS-32452).
This id SHALL contain exactly one [1..1] @extension (CONF:RCS-32453).
SHALL contain exactly one [1..1] custodian (CONF:RCS-32388).
This custodian SHALL contain exactly one [1..1] @typeCode="CST" (CONF:RCS-32562).
This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:RCS-32389).
This assignedCustodian SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:RCS-32563).
This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:RCS-32390).
This representedCustodianOrganization SHALL contain exactly one [1..1] @classCode="ORG" (CONF:RCS-33373).
This representedCustodianOrganization SHALL contain exactly one [1..1] @determinerCode="INSTANCE" (CONF:RCS-33374).
This representedCustodianOrganization SHALL contain exactly one [1..1] id (CONF:RCS-32391).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.836" (CONF:RCS-32676).
This id SHALL contain exactly one [1..1] @extension (CONF:RCS-32677).
This representedCustodianOrganization MAY contain zero or one [0..1] id (CONF:RCS-33378).
The id, if present, SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" (CONF:RCS-33379).
The id, if present, SHALL contain exactly one [1..1] @extension (CONF:RCS-33380).
This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:RCS-32392).
SHALL contain exactly one [1..1] informationRecipient (CONF:RCS-32393).
This informationRecipient SHALL contain exactly one [1..1] @typeCode="PRCP" (CONF:RCS-32564).
This informationRecipient SHALL contain exactly one [1..1] intendedRecipient (CONF:RCS-32394).
This intendedRecipient SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:RCS-32565).
This intendedRecipient SHALL contain exactly one [1..1] id (CONF:RCS-32438).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.841" (CONF:RCS-32439).
This id SHALL contain exactly one [1..1] @extension="CathPCIV4.4" (CONF:RCS-32440).
SHALL contain exactly one [1..1] documentationOf (CONF:RCS-32454).
This documentationOf SHALL contain exactly one [1..1] @typeCode="DOC" (CONF:RCS-32455).
This documentationOf SHALL contain exactly one [1..1] serviceEvent (CONF:RCS-32456).
This serviceEvent SHALL contain zero or one [0..1] @classCode="PCPR" (CONF:RCS-32457).
This serviceEvent SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32458).
This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:RCS-32459).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:RCS-33021).
This effectiveTime SHALL contain exactly one [1..1] high (CONF:RCS-33022).
This component SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-31889).
This component SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32433).
The Patient Demographic Observation Entry records demographic information about the patient which is not supported within the document header. The Patient Demographic Observation value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32416).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32417).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32418).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.34" (CONF:RCS-32568).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32574).
SHALL contain exactly one [1..1] code (CONF:RCS-32407).
SHALL contain exactly one [1..1] value (CONF:RCS-32408).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32537).
The Encounter Administrative Entry is used to record administrative information related to the encounter such as admission source, insurance payor,patient postal zip code etc. The Encounter Administrative value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33492).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33493).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33491).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.61" (CONF:RCS-33497).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33498).
SHALL contain exactly one [1..1] code (CONF:RCS-33489).
SHALL contain exactly one [1..1] value (CONF:RCS-33490).
This value MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33496).
The Discharge Section includes information that is associated with the patient’s discharge or departure from the healthcare facility.
SHALL contain exactly one [1..1] @classCode="DOCSECT" (CONF:RCS-32679).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32680).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32681).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.2.44" (CONF:RCS-32682).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33155).
SHALL contain exactly one [1..1] code (CONF:RCS-33006).
SHALL contain exactly one [1..1] text="Refer to Section entries." (CONF:RCS-32683).
The entry, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32856).
The entry, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32857).
The entry, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32871).
The entry, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32872).
The Procedure Observation Entry collects observations that are associated with, or are the result of, a particular procedure. The Procedure Observation value set defines the set of expected observation types. The template is listed as conditionally present because observations are only collected for certain procedures performed during the procedure session. In
particular, there are several clinical findings that are required when either PCI or diagnostic catheterization are performed.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32714).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32715).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32713).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.42" (CONF:RCS-32719).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32777).
SHALL contain exactly one [1..1] code (CONF:RCS-32711).
SHOULD contain zero or one [0..1] effectiveTime (CONF:RCS-33148).
SHALL contain exactly one [1..1] value (CONF:RCS-32712).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32718).
The History and Risk Factor Procedure Entry indicates whether or not the procedure has been performed within a patient's medical history, including a past history of a PCI or coronary artery bypass graft surgery.
SHALL contain exactly one [1..1] @classCode="PROC" (CONF:RCS-32493).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32494).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-32498).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32492).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.35" (CONF:RCS-32497).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32575).
SHALL contain exactly one [1..1] code (CONF:RCS-32491).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-32496).
The Vital Sign Entry captures relevant vital signs during the encounter, specifically height and weight. The Vital Signs value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33463).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33464).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33458).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.62" (CONF:RCS-33465).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33466).
SHALL contain exactly one [1..1] code (CONF:RCS-33456).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-33461).
SHALL contain exactly one [1..1] value (CONF:RCS-33457).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33462).
The Pre-procedure Medication Entry provides information on any medications taken by the patient prior to the procedure; a timeframe determined by the NCDR specification. The Pre-procedure Medication value set defines the set of possible medication types, specifically, anti-anginal medications.
SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:RCS-32093).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32094).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-32534).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32255).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.23" (CONF:RCS-32954).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32572).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-32095).
SHALL contain exactly one [1..1] consumable (CONF:RCS-32139).
This consumable SHALL contain exactly one [1..1] @typeCode="CSM" (CONF:RCS-32140).
This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:RCS-32141).
This manufacturedProduct SHALL contain exactly one [1..1] @classCode="MANU" (CONF:RCS-32142).
This manufacturedProduct SHALL contain exactly one [1..1] manufacturedMaterial (CONF:RCS-32143).
This manufacturedMaterial SHALL contain exactly one [1..1] @classCode="MMAT" (CONF:RCS-32144).
This manufacturedMaterial SHALL contain exactly one [1..1] @determinerCode="KIND" (CONF:RCS-32145).
This manufacturedMaterial SHALL contain exactly one [1..1] code (CONF:RCS-32146).
The Procedure Session Observation Entry captures clinical findings that are related to a procedure and typically occur during a procedure but may or may not include an intervention. Procedure Session Observation value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32880).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32881).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32876).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.50" (CONF:RCS-32882).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32883).
SHALL contain exactly one [1..1] code (CONF:RCS-32874).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-32879).
SHALL contain exactly one [1..1] value (CONF:RCS-32875).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32361).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-32884).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32885).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32886).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-32887).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32888).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32889).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-32890).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-32893).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32894).
The Pre-Procedure Procedure Entry contains procedures that take place prior to the diagnostic cath or PCI, specifically, Thrombolytics and a Pre-operative exam.
SHALL contain exactly one [1..1] @classCode="PROC" (CONF:RCS-32053).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32054).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-32436).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32256).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.36" (CONF:RCS-32314).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32571).
SHALL contain exactly one [1..1] code (CONF:RCS-32055).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-32056).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-32540).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32541).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32542).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-32704).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32705).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32706).
This observation SHALL contain exactly one [1..1] code (ValueSet: Pre-procedure Procedure Modifier 1.3.6.1.4.1.19376.1.4.1.6.5.10105) (CONF:RCS-32707).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-32709).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32710).
The Procedure Session Event Entry captures clinical events collected during or after the procedure session. Included in this template are events that occur during or after the procedure, e.g. cardiac arrest, heart failure or stroke. The Procedure Session Event value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33512).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33513).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33501).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.63" (CONF:RCS-33509).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33510).
SHALL contain exactly one [1..1] code (CONF:RCS-33499).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-33511).
SHALL contain exactly one [1..1] value (CONF:RCS-33500).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33508).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33502).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33514).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33515).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-33503).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33516).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33517).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-33504).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-33505).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33520).
The Pre-Intervention Lesion Observation Entry includes those observations recorded prior to the PCI intervention. The Pre-Intervention Lesion Observation value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33241).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33242).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33199).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.56" (CONF:RCS-33223).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33224).
SHALL contain exactly one [1..1] code (CONF:RCS-33198).
SHALL contain exactly one [1..1] value (CONF:RCS-33334).
This value MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33335).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33200).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33237).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33238).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-33201).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33228).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33229).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-33202).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-33203).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33227).
The Contrast Administration Entry includes information on the contrast substance administered during the procedure session, specifically, the fluoroscopy dose of contrast.
SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:RCS-33168).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33169).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-33181).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33166).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.24" (CONF:RCS-33177).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33178).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-33170).
SHOULD contain zero or one [0..1] doseQuantity (CONF:RCS-33182).
SHALL contain exactly one [1..1] consumable (CONF:RCS-33162).
This consumable SHALL contain exactly one [1..1] @typeCode="CSM" (CONF:RCS-33171).
This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:RCS-33163).
This manufacturedProduct SHALL contain exactly one [1..1] @classCode="MANU" (CONF:RCS-33172).
This manufacturedProduct SHALL contain exactly one [1..1] manufacturedMaterial (CONF:RCS-33164).
This manufacturedMaterial SHALL contain exactly one [1..1] @classCode="MMAT" (CONF:RCS-33173).
This manufacturedMaterial SHALL contain exactly one [1..1] @determinerCode="KIND" (CONF:RCS-33174).
This manufacturedMaterial SHALL contain exactly one [1..1] code (CONF:RCS-33165).
The Lesion Entry captures relevant observations and procedures recorded for a particular lesion treated during a PCI procedure. Examples of data elements included are the lesion location, pre and post stenosis, pre and post timi flow. The reader should note: a) multiple target sites may be collected for a lesion to address the location of a lesion that spans
multiple coronary segments. There may also be multiple lesions recorded at a given target site. b) the devices used on each lesion are also recorded. Each lesion treated by a particular device is recorded as part of the device information. The template is listed as conditionally present because lesion information must be collected if a PCI procedure is performed. It is not
collected for other procedures.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33074).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33075).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33063).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.37" (CONF:RCS-33072).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33073).
SHALL contain exactly one [1..1] id (CONF:RCS-33094).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.846" (CONF:RCS-33095).
This id SHALL contain exactly one [1..1] @extension (CONF:RCS-33406).
SHALL contain exactly one [1..1] code (CONF:RCS-33061).
SHALL contain at least one [1..*] targetSiteCode (CONF:RCS-33068).
Such targetSiteCodes SHALL contain exactly one [1..1] @code (ValueSet: Coronary Segment 1.3.6.1.4.1.19376.1.4.1.6.5.10034) (CONF:RCS-33081).
Such targetSiteCodes SHALL contain exactly one [1..1] @codeSystem (CONF:RCS-33082).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33076).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33077).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33184).
The entryRelationship, if present, MAY contain zero or one [0..1] @contextConductionInd="true" (CONF:RCS-33185).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33336).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33337).
The entryRelationship, if present, SHALL NOT contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33338).
The entryRelationship, if present, SHALL contain exactly one [1..1] procedure (CONF:RCS-33339).
This procedure SHALL contain exactly one [1..1] @classCode="PROC" (CONF:RCS-33340).
This procedure SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33384).
This procedure SHALL contain exactly one [1..1] @negationInd (CONF:RCS-33341).
This procedure SHALL contain exactly one [1..1] code (CONF:RCS-33342).
This procedure SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33345).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33346).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33347).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-33348).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33349).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33350).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-33351).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-33354).
This value MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33355).
The Post-procedure Laboratory Result Entry captures relevant clinical laboratory test results such as CKMB, Troponin etc. which were taken post procedure. The Post-procedure Laboratory Result value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33480).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33481).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33469).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.64" (CONF:RCS-33477).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33478).
SHALL contain exactly one [1..1] code (CONF:RCS-33467).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-33479).
SHALL contain exactly one [1..1] value (CONF:RCS-33468).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33476).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33470).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33482).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33483).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-33471).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33484).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33485).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-33472).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-33473).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33488).
The Pre-procedure Indication Entry captures relevant observations collected prior to the procedure session as a component of the clinical evaluation. The Pre-procedure Indication value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32993).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32994).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32982).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.52" (CONF:RCS-32990).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32991).
SHALL contain exactly one [1..1] code (CONF:RCS-32980).
SHOULD contain zero or one [0..1] effectiveTime (CONF:RCS-32992).
The effectiveTime, if present, MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33146).
SHALL contain exactly one [1..1] value (CONF:RCS-32981).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32989).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-32983).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32995).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32996).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-32984).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32997).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32998).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-32985).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-32986).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33001).
The Procedure Medication Administration Entry contains information on medications adminstered or within 24 hours of the procedure.
SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:RCS-32736).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32737).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-32738).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32974).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.45" (CONF:RCS-32975).
This templateId SHALL contain exactly one [1..1] @extension (CONF:RCS-32976).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-33149).
SHALL contain exactly one [1..1] consumable (CONF:RCS-32742).
This consumable SHALL contain exactly one [1..1] @typeCode="CSM" (CONF:RCS-32743).
This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:RCS-32744).
This manufacturedProduct SHALL contain exactly one [1..1] manufacturedMaterial (CONF:RCS-32745).
This manufacturedMaterial SHALL contain exactly one [1..1] @classCode="MMAT" (CONF:RCS-33391).
This manufacturedMaterial SHALL contain exactly one [1..1] @determinerCode="KIND" (CONF:RCS-33392).
This manufacturedMaterial SHALL contain exactly one [1..1] code (CONF:RCS-32746).
SHALL contain exactly one [1..1] entryRelationship (CONF:RCS-32749).
This entryRelationship SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32750).
This entryRelationship SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32751).
This entryRelationship SHALL contain exactly one [1..1] observation (CONF:RCS-32752).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32753).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32754).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-32755).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-32758).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33141).
The Pre-Procedure Laboratory Result Entry captures relevant laboratory tests collected prior to a procedure. The Pre-procedure Laboratory Result value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33431).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33432).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33412).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.65" (CONF:RCS-33421).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33422).
SHALL contain exactly one [1..1] code (CONF:RCS-33410).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-33417).
The effectiveTime, if present, MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33430).
SHALL contain exactly one [1..1] value (CONF:RCS-33411).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33420).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33413).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33428).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33429).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-33414).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33426).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33427).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-33415).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-33416).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33425).
The Post-intervention Lesion Observation Entry captures relevant observations recorded for a lesion treated during a cardiac procedure. The entry includes clinical findings recorded after the PCI intervention. The Post-Intervention Lesion Observation value set defines the set of expected observation types. This includes the post intervention stenosis.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33308).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33309).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33266).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.58" (CONF:RCS-33290).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33291).
SHALL contain exactly one [1..1] code (CONF:RCS-33265).
SHALL contain exactly one [1..1] value (CONF:RCS-33332).
This value MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33333).
The Structured Body contains the elements generated for the registry report. There may be multiple encounters within the body of the transmission if the patient is admitted to the facility multiple times during the quarter.
SHALL contain exactly one [1..1] @classCode="DOCBODY" (CONF:RCS-33565).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33566).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33567).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.3.69" (CONF:RCS-33568).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33569).
Such components SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33576).
Such components SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33577).
This component SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33578).
This component SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33579).
The Encounter Procedure Entry is used to record procedures that are directly associated with the patient encounter and not linked to a procedure session or to an individual procedure. The Encounter Procedure value set defines the set of expected procedure types.
SHALL contain exactly one [1..1] @classCode="PROC" (CONF:RCS-33029).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33030).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-33032).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33024).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.53" (CONF:RCS-33027).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33028).
SHALL contain exactly one [1..1] code (CONF:RCS-33023).
SHOULD contain zero or one [0..1] effectiveTime (CONF:RCS-33031).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33033).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33034).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33035).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-33036).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33037).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33038).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-33039).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-33042).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33043).
The Procedure Entry contains the two procedures pertinent to the CathPCI Registry: the diagnostic cardiac catheterization and the percutaneous intervention. In addition, it includes other procedures that may be performed in conjunction with the two primary procedures, such as left heart catheterization, fluoroscopy and mechanical support devices.
SHALL contain exactly one [1..1] @classCode="PROC" (CONF:RCS-32594).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32595).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-33009).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32593).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.39" (CONF:RCS-32598).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32629).
SHALL contain exactly one [1..1] code (CONF:RCS-32592).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-33398).
The effectiveTime, if present, MAY contain exactly one [1..1] low (CONF:RCS-33400).
The effectiveTime, if present, MAY contain zero or one [0..1] width (CONF:RCS-33401).
The effectiveTime, if present, MAY contain zero or one [0..1] high (CONF:RCS-33402).
SHOULD contain zero or one [0..1] performer (CONF:RCS-32130).
The performer, if present, MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33147).
The performer, if present, SHALL contain exactly one [1..1] @typeCode="PRF" (CONF:RCS-32131).
The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:RCS-32132).
This assignedEntity SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:RCS-32133).
This assignedEntity SHALL contain exactly one [1..1] id (CONF:RCS-32134).
This id MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33083).
This id SHALL contain exactly one [1..1] @root (CONF:RCS-32632).
This id SHALL contain exactly one [1..1] @extension (CONF:RCS-32633).
This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:RCS-32135).
This assignedPerson SHALL contain exactly one [1..1] @classCode="PSN" (CONF:RCS-32136).
This assignedPerson SHALL contain exactly one [1..1] @determinerCode="INSTANCE" (CONF:RCS-32137).
This assignedPerson SHALL contain exactly one [1..1] name (CONF:RCS-32138).
This name MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33084).
This name SHALL contain exactly one [1..1] family (CONF:RCS-32316).
This name SHALL contain at least one and not more than 2 given (CONF:RCS-32317).
MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32945).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32731).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32732).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32813).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32814).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32817).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33145).
The entryRelationship, if present, SHALL contain exactly one [1..1] sequenceNumber (CONF:RCS-33397).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33011).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33012).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33085).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33086).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33087).
The entryRelationship, if present, SHALL contain exactly one [1..1] procedure (CONF:RCS-33088).
This procedure SHALL contain exactly one [1..1] @classCode="PROC" (CONF:RCS-33127).
This procedure SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33128).
This procedure SHALL contain exactly one [1..1] @negationInd (CONF:RCS-33399).
This procedure SHALL contain exactly one [1..1] code (CONF:RCS-33129).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33132).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33133).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33134).
The entryRelationship, if present, SHALL contain exactly one [1..1] procedure (CONF:RCS-33135).
This procedure SHALL contain exactly one [1..1] @classCode="PROC" (CONF:RCS-33136).
This procedure SHALL contain exactly one [1..1] @moodCode="PRP" (CONF:RCS-33137).
This procedure MAY contain zero or one [0..1] @negationInd (CONF:RCS-33395).
This procedure SHALL contain exactly one [1..1] code (CONF:RCS-33138).
The Pre-procedure Test Result Entry captures relevant test results, such as stress Tests and cardiac tests, which are collected prior to the procedure. The Pre-Procedure Test Result value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33454).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33455).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33435).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.66" (CONF:RCS-33444).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33445).
SHALL contain exactly one [1..1] code (CONF:RCS-33433).
SHOULD contain zero or one [0..1] effectiveTime (CONF:RCS-33440).
The effectiveTime, if present, MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33453).
SHALL contain exactly one [1..1] value (CONF:RCS-33434).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33443).
SHOULD contain zero or more [0..*] entryRelationship (CONF:RCS-33436).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33451).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33452).
The entryRelationship, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-33437).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33449).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33450).
This observation SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Pre-procedure Test Result Modifier 1.3.6.1.4.1.19376.1.4.1.6.5.11535 (CONF:RCS-33438).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-33439).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-33448).
The Encounter Section captures an “episode of care” (encounter) for the patient. The episode may include an inpatient stay or an outpatient visit – in some cases a diagnostic catheterization is performed during an outpatient visit. Each episode is initiated by admission or registration of the patient to the facility and is ended by a discharge from the facility.
(Note, for outpatient visits, the “discharge” date is the same as the date of arrival.) Since the RCS-C covers the treatment a patient receives during a defined time period,such as quarter 1 or quarter 2, there may be multiple encounter sections within a document. All encounters whose discharge date falls within a submission period are to be included within the clinical document.
Each encounter that is included within a submission represents a single episode of care during which the patient has one or more visits to the catheterization lab where an eligible procedure was performed. A lab visit will involve one or more procedures. The Encounter Section includes an encounter entry that contains the admission/discharge information and other summary level
information about the encounter. This section also includes component sections that will capture information about patient history and risk factors, procedure sessions in which one or more relevant procedures are performed, and patient discharge information.
SHALL contain exactly one [1..1] @classCode="DOCSECT" (CONF:RCS-32009).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32010).
SHALL contain exactly one [1..1] templateId (CONF:RCS-31861).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.2.2" (CONF:RCS-31862).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32581).
SHALL contain exactly one [1..1] code (CONF:RCS-32182).
SHALL contain exactly one [1..1] text="Refer to Section entries." (CONF:RCS-33361).
This entry SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32005).
This entry SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32506).
This component SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32952).
This component SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32441).
Such components SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32953).
Such components SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32442).
This component SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32685).
This component SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32686).
The Procedure Device Organizer contains information about the devices that are used within a procedure. The template captures information for the device, and for the lesion or lesions which it was used to treat. The identifier of each lesion treated with the device is also recorded. The template is listed as conditionally present because device information is
only collected if lesions are being treated, i.e., if a PCI procedure is performed.
SHALL contain exactly one [1..1] @classCode="CLUSTER" (CONF:RCS-32790).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32791).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32977).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.47" (CONF:RCS-32978).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32979).
SHALL contain exactly one [1..1] statusCode (CONF:RCS-33150).
This statusCode SHALL contain exactly one [1..1] @nullFlavor="NI" (CONF:RCS-33151).
SHALL contain exactly one [1..1] participant (CONF:RCS-32792).
This participant SHALL contain exactly one [1..1] @typeCode="DEV" (CONF:RCS-32793).
This participant SHALL contain exactly one [1..1] participantRole (CONF:RCS-32794).
This participantRole SHALL contain exactly one [1..1] @classCode="ROL" (CONF:RCS-33089).
This participantRole SHALL contain exactly one [1..1] playingDevice (CONF:RCS-32795).
This playingDevice SHALL contain exactly one [1..1] @classCode="DEV" (CONF:RCS-32796).
This playingDevice SHALL contain exactly one [1..1] @determinerCode="INSTANCE" (CONF:RCS-32797).
This playingDevice SHALL contain exactly one [1..1] code (CONF:RCS-32798).
This code MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-33403).
SHOULD contain zero or more [0..*] component (CONF:RCS-32799).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32800).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32801).
The component, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-32802).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-33389).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33390).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-32803).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-32804).
This value MAY contain zero or one [0..1] @nullFlavor="NAV" (CONF:RCS-32805).
SHOULD contain zero or more [0..*] component (CONF:RCS-32806).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33092).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33093).
The component, if present, SHALL contain exactly one [1..1] act (CONF:RCS-32807).
This act SHALL contain exactly one [1..1] @classCode="ACT" (CONF:RCS-32808).
This act SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32809).
This act SHALL contain exactly one [1..1] id (CONF:RCS-32810).
This id SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.3478.4.846" (CONF:RCS-32811).
This id SHALL contain exactly one [1..1] @extension (CONF:RCS-33407).
This act SHALL contain exactly one [1..1] code (CONF:RCS-33152).
The Pre-procedure Activity Organizer encompasses all elements of care that occur during a defined time period prior to the procedure. Included in the organizer are the pre-procedure indications, procedures, lab results, test results and medications that occur prior to the procedure session. The procedure data and time is included in the organizer.
SHALL contain exactly one [1..1] @classCode="CLUSTER" (CONF:RCS-33552).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33553).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33554).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.67" (CONF:RCS-33555).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33571).
SHALL contain exactly one [1..1] statusCode (CONF:RCS-33601).
This statusCode SHALL contain exactly one [1..1] @nullFlavor="NI" (CONF:RCS-33602).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33582).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33583).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33584).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33585).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33586).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33587).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33588).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33589).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33590).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33591).
The History and Risk Factor Section includes an observation entry, a procedure entry and a vital sign entry. The observation entry contains specific data elements related to the patient’s past medical history and risk factors for coronary artery disease. Specific data elements include the presence or absence of prior history of a myocardial infarction, peripheral
artery disease, diabetes mellitus, chronic lung disease and a history of dialysis and cerebral vascular accidents. The Procedure Entry contains past procedures, e.g. PCI, CABG or vascular surgery. The Vital Sign Entry has two data elements: height and weight.
SHALL contain exactly one [1..1] @classCode="DOCSECT" (CONF:RCS-32011).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32012).
SHALL contain exactly one [1..1] templateId (CONF:RCS-39).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.2.3" (CONF:RCS-40).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32580).
SHALL contain exactly one [1..1] code (CONF:RCS-32183).
SHALL contain exactly one [1..1] text="Refer to Section entries" (CONF:RCS-33365).
The entry, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32360).
The entry, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32443).
The entry, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32509).
The entry, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32510).
The Discharge Observation Entry includes observations associated with the patient’s discharge or departure from the healthcare facility.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32866).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32867).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32861).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.48" (CONF:RCS-32868).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32869).
SHALL contain exactly one [1..1] code (CONF:RCS-32859).
SHALL contain exactly one [1..1] value (CONF:RCS-32860).
This value MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-32865).
The Encounter Entry includes information associated with the patient encounter during which the cardiac catheterization or PCI procedure occurred. Included in this section is the arrival to the healthcare facility date and time and the discharge date.
SHALL contain exactly one [1..1] @classCode="ENC" (CONF:RCS-32119).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32120).
SHALL contain exactly one [1..1] templateId (CONF:RCS-31867).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.12" (CONF:RCS-31868).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32577).
SHALL contain exactly one [1..1] effectiveTime (CONF:RCS-32424).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:RCS-32425).
This effectiveTime SHALL contain exactly one [1..1] high (CONF:RCS-32426).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32152).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32513).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33045).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33046).
The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33580).
The entryRelationship, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33581).
The Procedure Session Organizer associates the procedure session with an organizer that groups information associated directly with the procedure session, i.e. cathlab visit, but is not linked to a specific procedure. This includes post-procedure laboratory results, contrast administration and events during and after the procedure.
SHALL contain exactly one [1..1] @classCode="CLUSTER" (CONF:RCS-33556).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-33557).
SHALL contain exactly one [1..1] templateId (CONF:RCS-33558).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.68" (CONF:RCS-33559).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-33570).
SHALL contain exactly one [1..1] statusCode (CONF:RCS-33603).
This statusCode MAY contain zero or one [0..1] @nullFlavor="NI" (CONF:RCS-33604).
SHALL contain exactly one [1..1] effectiveTime (CONF:RCS-33560).
This effectiveTime SHALL contain exactly one [1..1] low (CONF:RCS-33561).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33592).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33593).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33594).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33595).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33596).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33597).
The component, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-33598).
The component, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-33599).
The Procedure Session Section focuses on the relevant information for patients who undergo a diagnostic catheterization or percutaneous coronary intervention. The information that is collected includes data elements that are directly related to the procedure and includes the location, indications and operator for the procedure. The Procedure Session Section
captures information from a single session within the catheterization laboratory during which either a diagnostic cath, an intervention, or both are performed. A patient may have multiple procedure sessions within a single encounter.
SHALL contain exactly one [1..1] @classCode="DOCSECT" (CONF:RCS-32022).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32023).
SHALL contain exactly one [1..1] templateId (CONF:RCS-31878).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.2.4" (CONF:RCS-31879).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32578).
SHALL contain exactly one [1..1] code (CONF:RCS-32185).
SHALL contain exactly one [1..1] text="Refer to Section entries" (CONF:RCS-33363).
The entry, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32896).
The entry, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32897).
The entry, if present, SHALL contain exactly one [1..1] observation (CONF:RCS-32898).
The entry, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32922).
The entry, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32923).
The Discharge Medication Entry contains information on medications the patient was prescribed upon discharge.
SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:RCS-32832).
SHALL contain exactly one [1..1] @moodCode="RQO" (CONF:RCS-32833).
SHALL contain exactly one [1..1] @negationInd (CONF:RCS-32854).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32824).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.49" (CONF:RCS-32309).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32841).
MAY contain zero or one [0..1] effectiveTime (CONF:RCS-32834).
SHALL contain exactly one [1..1] consumable (CONF:RCS-32820).
This consumable SHALL contain exactly one [1..1] @typeCode="CSM" (CONF:RCS-32835).
This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:RCS-32821).
This manufacturedProduct SHALL contain exactly one [1..1] @classCode="MANU" (CONF:RCS-32836).
This manufacturedProduct SHALL contain exactly one [1..1] manufacturedMaterial (CONF:RCS-32822).
This manufacturedMaterial SHALL contain exactly one [1..1] @classCode="MMAT" (CONF:RCS-32837).
This manufacturedMaterial SHALL contain exactly one [1..1] @determinerCode="KIND" (CONF:RCS-32838).
This manufacturedMaterial SHALL contain exactly one [1..1] code (CONF:RCS-32823).
SHALL contain exactly one [1..1] entryRelationship (CONF:RCS-32964).
This entryRelationship SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32965).
This entryRelationship SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32966).
This entryRelationship SHALL contain exactly one [1..1] observation (CONF:RCS-32967).
This observation SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32968).
This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32969).
This observation SHALL contain exactly one [1..1] code (CONF:RCS-32970).
This observation SHALL contain exactly one [1..1] value (CONF:RCS-32973).
The Encounter Observation Entry is used to record observations that are directly associated with the patient encounter, and not linked to a procedure session or to an individual procedure. The Encounter Observation value set defines the set of expected observation types.
SHALL contain exactly one [1..1] @classCode="OBS" (CONF:RCS-32001).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32002).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32249).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.13" (CONF:RCS-32321).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32570).
SHALL contain exactly one [1..1] code (CONF:RCS-32003).
SHALL contain exactly one [1..1] value (CONF:RCS-32004).
This value MAY contain zero or one [0..1] @nullFlavor (CONF:RCS-32673).
The Patient Demographic Section is used to record patient information that is not fully supported, i.e. does not allow for multiple values of ethnicity,within the document header. The section contains ethnicity and multiple values for races. These data elements should be consistent for a patient within a document, however, may change depending on how the
information is reported by the patient.
SHALL contain exactly one [1..1] @classCode="DOCSECT" (CONF:RCS-32413).
SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:RCS-32414).
SHALL contain exactly one [1..1] templateId (CONF:RCS-32415).
This templateId SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.4.1.6.4.33" (CONF:RCS-32536).
This templateId MAY contain zero or one [0..1] @extension (CONF:RCS-32579).
SHALL contain exactly one [1..1] code (CONF:RCS-32404).
SHALL contain exactly one [1..1] text="Refer to Section entries." (CONF:RCS-33364).
The entry, if present, SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:RCS-32469).
The entry, if present, SHALL contain exactly one [1..1] @contextConductionInd="true" (CONF:RCS-32470).