Finally, the authors discuss that they have 30 cases in which the computer read the ECG as normal, yet the patients had confirmed OMI. They also mention that emergency physicians are much better positioned than cardiology to detect ECG changes associated with hyperkalemia. This matters, because patients without true STEMI criteria, yet with OMI, have similar infarct size and need emergent reperfusion. The letter authors argue the gold standard must be a final diagnosis of OMI based on coronary angiography, with a culprit lesion – not cardiology interpretation. The problem is, computer interpretation is 35% sensitive for OMI, and cardiology interpretation is just 49% sensitive for OMI. The authors in the original study compared the computer interpretation with the gold standard of cardiologist interpretation. Yet, these are life-threatening presentations, often with subtle ECG findings. The authors argue that OMI is common, and 30-50% don’t meet classic STEMI criteria. This was a letter in response to the article mentioned above. We recently covered an article that indicated that the computer interpretation of an ECG as “normal” could be accepted, thus avoiding the need for emergency physician overread and reducing cognitive load.
Cardiac catheterization interpretation of findings full#
See /license for the full LOINC copyright and license.ECG changes from STEMI-negative occlusion myocardial infarction (OMI) can be subtle, yet lethal, and are easily missed by computerized ECG interpretation. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2022, Regenstrief Institute, Inc. LOINC FHIR ® API Example - CodeSystem Request Get Info $lookup?system= LOINC CopyrightĬopyright © 2022 Regenstrief Institute, Inc. Language Variants Get Info zh-CNChinese (China) 心脏导管插入术检查: 发现: 时间点: 心脏: 文档型: 心导管插入术 it-ITItalian (Italy) Cateterizzazione cardiaca, studio: Osservazione: Pt: Cuore: Doc: Cateterizzazione cardiaca pt-BRPortuguese (Brazil) Relatório: Achado: Pt: Coração: Doc: Cateterização cardíaca es-ARSpanish (Argentina) informe del estudio: hallazgo: punto en el tiempo: corazón: Documento: cateterismo cardíaco es-MXSpanish (Mexico) Informe de estudio: Tipo: Punto temporal: Corazón: Documento: Cardiac catheterization Related Names Observation Both HL7 Attachment Structure Implementation guide exists Member of these Panels LOINCĬlinical reports.non lab claims attachment Procedure note - recommended C-CDA R1.1 sectionsīasic Attributes Class CARD.PROC Type Clinical First Released Version 1.0l Last Updated Version 2.72 Change Reason Release 2.72: COMPONENT: updated to reflect naming convention Order vs.
This panel contains the recommended sections for procedure notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1. Procedure indications NarrativeĬhief complaint+Reason for visit Narrative Procedure note - recommended C-CDA R2.0 and R2.1 sections This panel contains the recommended sections for procedure notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1. Version 2.73 18745-0 Cardiac catheterization study Active Fully-Specified Name Component Cardiac catheterization study Property Find Time Pt System Heart Scale Doc Method Cardiac catheterization Additional Names Short Name Cardiac catheterization study Associated Observations
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