TID 3520 Hemodynamic Clinical Context

The Clinical Context template allows the recording of information about the patient's clinical state that may affect interpretation of the hemodynamic measurements. This Template includes several coded conditions (e.g., complications, drugs, physiological challenges, etc.), each of which may have a Concept Modifier of “Relative Time”. This Modifier indicates the temporal relationship of the hemodynamic measurements to the conditions recorded in this template. E.g., the Content Item structure:

[CONTAINER] “Findings” HAS ACQ CONTEXT “Cath Procedure Phase” “Post-intervention phase” HAS ACQ CONTEXT [CONTAINER] “Clinical Context” CONTAINS [CODE] “Complication” “Arrhythmia” HAS CONCEPT MOD [CODE] “Relative Time” “After” CONTAINS [CONTAINER] “Arterial Measurements” …

conveys the semantics that this group of measurements for the post-intervention phase of a cath procedure was made after an occurrence of arrhythmia in the patient.

In the absence of a Relative Time modifier, the acquisition context is during the identified event or state.

TID 3520Hemodynamic Clinical ContextType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (122127, DCM, "Clinical Context") 1 M
2 > CONTAINS CODE EV (109054, DCM, ”Patient State”) 1-n U BCID (3602) Hemodynamic Patient State
3 > CONTAINS TEXT EV (109054, DCM, ”Patient State”) 1 U
4 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (DD-60002, SRT, “Complication of Procedure”) $ConditionValue = DCID (3413) Adverse Outcomes
5 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (122086, DCM, "Contrast administered") $ConditionValue = BCID (12) Radiographic Contrast Agent
6 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (122083, DCM, "Drug administered") $ConditionValue = BCID (10) Interventional Drug
7 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (109059, DCM, ”Physiological challenges”) $ConditionValue = BCID (3271) Hemodynamic Physiological Challenges
8 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (122138, DCM, "Circulatory Support") $ConditionValue = DCID (3553) Circulatory Support
9 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (P2-2200A, SRT, "Ventilatory assistance") $ConditionValue = DCID (3554) Ventilation
10 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (P2-35000, SRT, "Cardiac Pacing") $ConditionValue = BCID (3555) Pacing
11 > CONTAINS INCLUDE DTID (3521) Relative Time 1-n U $ConditionName = EV (P0-0000, SRT, "Procedure") $ConditionValue = BCID (3405) Procedure Action Values