Admission
Indicate the means of transportation to the facility where the patient first received treatment
text
Indicate the date when the patient was first evaluated by emergency medical services (EMS) prior to arrival at your facility. Indicate the date of first medical contact only for patients who were transported by ambulance or air. This is NOT the date of arrival to your facility.
datetime
Indicate the date and time the responding unit was notified by dispatch.
datetime
Indicate the date when the patient was first evaluated by a healthcare professional prior to arrival at your facility. This is NOT the time of arrival to your facility. Indicate the date of first medical contact with a medical professional, prior to arrival at your hospital.
datetime
Indicate the date and time the responding unit left the scene with a patient (started moving).
datetime
Indicate the emergency medical services agency number.
integer
Indicate the emergency medical services run number.
integer
Indicate the date and time the Cath Lab was activated.
datetime
Transferred from Outside Facility
boolean
Means of Transfer from outside facility
text
Indicate the date and time the patient arrived at the outside facility.
datetime
Transfer from Outside Facility Date/Time
datetime
Name of Transferring Facility/AHA Number
text
Indicate the date and time the patient arrived at your facility.
datetime
Indicate the date the patient was admitted as an inpatient to your facility for the current episode of care.
date
Indicate the location the patient was first evaluated at your facility.
text
Indicate the date the patient was moved out of the emergency department, either to another location within your facility or to another acute care center.
datetime
Insurance Payors
text
Indicate the admitting primary provider's last name.
text
Indicate the primary providers National Provider Identifier. NPIs, assigned by the Center for Medicare and Medicaid Services (CMS), are used to uniquely identify physicians for Medicare billing purposes.
text
Indicate the patient's Health Insurance Claim (HIC) number.
integer
Cardiac status on first medical contact
Indicate the date the patient first noted ischemic symptoms lasting greater than or equal to 10 minutes. If the patient had intermittent ischemic symptoms, record the date and time of the most recent ischemic symptoms prior to hospital presentation. Symptoms may include jaw pain, arm pain, shortness of breath, nausea, vomiting, fatigue/malaise, or other equivalent discomfort suggestive of a myocardial infarction. In the event of stuttering symptoms, Acute Coronary Syndrome (ACS) symptom onset is the time at which symptoms became constant in quality or intensity.
datetime
Symptom Onset Time Estimated
boolean
Indicate if the symptom onset time was not available.
boolean
Indicate when the first 12-lead electrocardiogram (ECG) was obtained.
text
Indicate the date and time of the first 12-lead electrocardiogram (ECG).
datetime
Indicate if there is a non system reason for the delay in the first ECG.
boolean
Indicate if the ECG findings demonstrated a STEMI or STEMI equivalent. STEMI or STEMI equivalent must be noted prior to any procedures and not more than 24 hours after arrival at first facility. Arrival at first facility refers to either the time of arrival at your facility or the time of arrival at the transferring facility.
boolean
Indicate if the ECG findings demonstrated either new or presumed new ST-segment elevation, new left bundle branch block, or isolated posterior myocardial infarction prior to any procedures and not more than 24 hours after arrival at first facility.
text
STEMI or STEMI Equivalent First Noted
text
Subsequent ECG with STEMI or STEMI Equivalent Date/Time
datetime
Indicate if other findings from the electrocardiogram were demonstrated within 24 hours of arrival at first facility. If more than one present, code the findings on which treatment was based.
text
Indicate if there is physician documentation or report of heart failure on first medical contact.
boolean
Indicate if the patient was in a state of cardiogenic shock on first medical contact.
boolean
Indicate the first measurement or earliest record of heart rate (in beats per minute).
integer
Systolic BP
integer
Indicate if the patient was in cardiac arrest when first evaluated by EMS or ED personnel.
boolean
Indicate if the patient's cardiac arrest was prior to arrival at the outside facility and/or occurred during transfer from the outside facility to this facility.
boolean
Indicate if the patient's cardiac arrest occurred during the hospitalization at the first facility.
boolean
History and Risk Factors
Indicate the patient's height in centimeters.
integer
Indicate the patient's weight in kilograms.
float
Current/Recent Smoker (w/in 1 year)
boolean
Indicate if the patient has been diagnosed previously with hypertension.
boolean
Indicate if the patient has a history of dyslipidemia diagnosed and/or treated by a physician.
boolean
Indicate if the patient is currently undergoing either hemodialysis or peritoneal dialysis on an ongoing basis as a result of renal failure.
boolean
Indicate if the patient has a history of diabetes mellitus, regardless of duration of disease or need for antidiabetic agents.
boolean
Indicate the therapy method the patient presented with. Choose the most aggressive therapy.
text
Indicate if the patient has had at least one documented previous myocardial infarction.
boolean
Indicate if the patient has a history of cancer.
boolean
Indicate the type of cancer if the patient has a history of cancer.
text
Indicate if there is a previous history of heart failure.
boolean
Indicate if the patient had a previous percutaneous coronary intervention (PCI) of any type (balloon angioplasty, stent or other).
boolean
Most Recent PCI Date
date
Indicate whether the patient had a coronary artery bypass graft (CABG).
boolean
If the patient had a previous coronary artery bypass graft (CABG), indicate the date.
date
Atrial Fibrillation or Flutter
boolean
Indicate if the patient has a history of cerebrovascular disease.
boolean
Indicate if the patient has had a stroke.
boolean
Indicate if the patient has a history of TIAs.
boolean
Indicate the level of assistance the patient required with ambulation.
text
Indicate the patients level of cognition.
text
Indicate the level of assistance the patient required with acitivities of daily living.
text
Medications
Aspirin
text
Aspirin contraindicated
boolean
Clopidogrel
text
Clopidogrel dose
float
Clopidogrel contraindicated
boolean
Ticlopidine
text
Ticlodipine dose
float
Ticlopidine contraindicated
boolean
Prasugrel
text
Prasugrel Dose
float
Prasugrel contraindicated
boolean
Ticagrelor
text
Ticagrelor Contraindicated
boolean
Warfarin
text
Warfarin contraindicated
boolean
Dabigatran
text
Dabigatran contraindicated
boolean
Rivaroxaban
text
Rivaroxaban contraindicated
boolean
Apixiban
text
Apixiban Contraindicated
boolean
Beta Blocker
text
Beta Blocker Contraindicated
boolean
ACE Inhibitor
text
ACE inhibitor contraindicated
boolean
Angiotensin Receptor Blocker
text
Angiotensin Receptor Blocker contraindiacted
boolean
Aldosterone Blocking Agent
text
Aldosterone blocking agent contraindicated
boolean
Statin
text
Statin dose
text
Statin contraindicated
boolean
Non-Statin Lipid-Lowering Agent
text
Indicate if a GP IIb/IIIa inhibitor was administered.
text
Indicate the dose of GP IIb/IIIa administered.
text
GP IIb/IIIa inhibitor start date/time
datetime
Indicate if an anticoagulant was administered.
boolean
Anticoagulant contraindicated
boolean
Indicate if unfractionated heparin was administered.
boolean
Indicate if an initial bolus of unfractionated heparin was administered.
integer
Unfractionated Heparin Start Date/Time
datetime
Enoxaparin (LMWH)
boolean
LMWH Start Date/Time
datetime
LMWH injection frequency
text
LMWH dose
float
Indicate if bivalirudin (Angiomax) was administered.
boolean
Bivalirudin Start Date/Time
datetime
Indicate if an anticoagulant was given that is not listed.
boolean
Procedures and Tests
Indicate if the patient underwent exercise or pharmacologic stress testing with or without echocardiographic or nuclear imaging.
boolean
Indicate the date of exercise or pharmacologic stress testing with or without echocardiographic or nuclear imaging.
datetime
Code the best estimate of the current left ventricular ejection fraction closest to discharge.
float
Indicate whether the left ventricular ejection fraction was assessed.
boolean
Indicate if the LVEF assessment is planned for after discharge.
boolean
Indicate if the patient had a diagnostic coronary angiography procedure.
boolean
Indicate the date the patient had diagnostic coronary angiography
date
Indicate the number of diseased vessels found during the diagnostic catheterization.
text
Indicate whether or not the left main coronary artery is 50 percent or more stenotic.
boolean
Indicate if a graft is present when the left main stenosis is greater than or equal to 50 percent.
text
Indicate if the left anterior descending coronary artery is greater than or equal to 70 percent stenotic.
boolean
Indicate if a graft is present when the proximal LAD is greater than or equal to 70 percent stenotic.
text
Indicate if a catheterization was not performed because it was contraindicated.
boolean
Indicate if the patient had a percutaneous coronary intervention (PCI).
boolean
Indicate the date and time the patient arrived to the cath lab where the PCI was being performed, as documented in the medical record.
datetime
Indicate the date and time the first device was activated regardless of type of device used.
datetime
Indicate the primary location of percutaneous entry. Code the site used to perform the majority of the procedure if more than one site was used.
text
Indicate if a stent or stents were placed in the affected coronary artery.
boolean
Stent Type(s)
text
Indicate the primary reason PCI was performed or attempted.
text
Indicate if there is documentation of a non-system reason for a delay in doing the first percutaneous coronary intervention (PCI) after hospital arrival by a physician/advanced practice nurse/physician assistant (physician/APN/PA).
text
Indicate if the patient had a CABG (coronary artery bypass graft surgery).
boolean
Indicate the date of the coronary artery bypass graft (CABG) surgery.
datetime
Indicate if an in-hospital hypothermia protocol was initiated.
boolean
Indicate the location where the hypothermia protocol was initiated.
text
Reperfusion Strategy
Indicate if the STEMI patient is a reperfusion candidate for primary PCI or Thrombolytic therapy.
boolean
Indicate the one primary reason, documented in the medical record, that reperfusion therapy (thrombolytic therapy or primary PCI) was not indicated.
text
Indicate if the patient received primary PCI as an urgent treatment for STEMI.
boolean
Indicate if the patient received thrombolytic therapy as an urgent treatment for STEMI.
boolean
Indicate the strength of dose of the thrombolytic.
text
Indicate the type of thrombolytic first administered.
text
Thrombolytic Therapy Start Date/Time
datetime
Indicate if there is documentation of a non-system reason for delay in initiating thrombolytic therapy greater than 30 minutes from the time of first facility arrival (including an ambulance capable of administering thrombolytic therapy).
boolean
Indicate if the patient was Lytic ineligible and required prolonged transfer time for primary PCI.
boolean
Indicate the one primary reason, documented in the medical record, that primary PCI was not performed as reperfusion therapy.
text
Indicate the one primary reason, documented in the medical record, that thrombolytics were not administered as reperfusion therapy.
text
In-Hospital clinical events
Indicate if there are clinical signs and symptoms of a new infarction or repeat infarction.
boolean
Indicate the date when the clinical signs and symptoms of the new myocardial infarction first occurred.
date
Indicate if the patient had a new onset or acute recurrence of cardiogenic shock in your facility.
boolean
Indicate the date when a diagnosis of cardiogenic shock was made.
date
Indicate if there is physician documentation or report of either new onset or acute reoccurrence of heart failure.
boolean
Indicate the date of the new onset or acute reoccurrence of heart failure.
date
Indicate if the patient experienced a stroke or cerebrovascular accident (CVA) in your facility.
boolean
Indicate the date of onset of stroke or cerebrovascular accident (CVA) symptoms. If a stroke occurs during sleep, last awake time may be used.
date
Indicate if the patient experienced a hemorrhagic stroke with documentation on imaging.
boolean
Indicate if the patient experienced atrial fibrillation during the current admission.
boolean
Indicate the date the patient experienced episode of atrial fibrillation.
date
Indicate if the patient experienced VTach and/or VFib during the current admission.
boolean
Indicate the date the patient experienced VTach and/or VFib.
date
Indicate if the patient experienced an episode of cardiac arrest in your facility.
boolean
Indicate the date of the cardiac arrest.
date
Indicate if there was a suspected or confirmed bleeding event observed and documented in the medical record that was associated with any of the following: 1. Hemoglobin drop of >=3 g/dL; 2. Transfusion of whole blood or packed red blood cells; 3. Procedural intervention/surgery at the bleeding site to reverse/stop or correct the bleeding (such as surgical closures/exploration of the arteriotomy site, balloon angioplasty to seal an arterial tear, endoscopy with cautery of a GI bleed).
boolean
Indicate the date of the suspected bleeding event.
date
Suspected Bleeding Event Location
text
Indicate if the suspected bleeding event observed required procedural intervention or surgery at the bleeding site to reverse, stop or correct the bleeding (e.g. surgical closures, exploration of the arteriotomy site, balloon angioplasty to seal an arterial tear, or endoscopy with cautery of a GI bleed).
boolean
Indicate if there was a transfusion of either whole blood or packed red blood cells.
boolean
Indicate the date of the first whole blood or red blood cell transfusion.
date
Indicate if any red blood cell/whole blood transfusion was related to CABG.
boolean
Indicate if the patient experienced acute or worsening renal failure necessitating renal dialysis.
boolean
Indicate the date of acute or worsening renal failure leading to a new requirement for dialysis.
date
Indicate if the patient required the use of other mechanical ventricular support. This includes use of cardiopulmonary bypass, left ventricular assist device (LVAD) and/or extracorporeal membrane oxygenation (ECMO).
text