Hospitalization Due to Heart Failure
Item
patients hospitalized at any of the six medical centers who are being actively treated for heart failure.
boolean
C3898876 (UMLS CUI [1])
Transplantation Previous | Evaluation Transplantation | On transplant waiting list
Item
patients who have previously received a transplant, are being evaluated for a transplant, or who are on the wait list for a transplant,
boolean
C0040732 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
C1261322 (UMLS CUI [2,1])
C0040732 (UMLS CUI [2,2])
C3484394 (UMLS CUI [3])
Enrollment Hospice | Cessation of life Post Discharge Expected
Item
patients who are enrolled or enrolling in hospice, or are expected to expire shortly after discharge,
boolean
C1516879 (UMLS CUI [1,1])
C0019947 (UMLS CUI [1,2])
C0011065 (UMLS CUI [2,1])
C0687676 (UMLS CUI [2,2])
C0030685 (UMLS CUI [2,3])
C1517001 (UMLS CUI [2,4])
Dementia
Item
patients with dementia,
boolean
C0497327 (UMLS CUI [1])
Admitted from Skilled nursing facility | Discharge Skilled nursing facility Long-term
Item
patients who are admitted from a skilled nursing facility (snf), or who we anticipate will be discharged to a long term stay in a snf,
boolean
C2599640 (UMLS CUI [1,1])
C4489278 (UMLS CUI [1,2])
C0030685 (UMLS CUI [2,1])
C4489278 (UMLS CUI [2,2])
C0443252 (UMLS CUI [2,3])
Working Telephone Lacking
Item
patients who do not have a working land line phone or reliable cell service,
boolean
C0043227 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
C0332268 (UMLS CUI [1,3])
Dialysis chronic
Item
patients on chronic dialysis,
boolean
C0743165 (UMLS CUI [1])
Health care provider Lacking
Item
patients who cannot identify a usual source of care (free clinic is acceptable) and who will not be assigned a provider upon discharge,
boolean
C0018724 (UMLS CUI [1,1])
C0332268 (UMLS CUI [1,2])
Cardiovascular problem | Valvular disorder Requirement Surgical intervention | Exception Valvular disorder Incidental | Myocardial Infarction | Exception Demand myocardial ischemia | Percutaneous Coronary Intervention
Item
patients with the following cardiovascular conditions: patients with valvular disorders requiring surgical intervention (except for those with incidental valvular disease, who will be included), acute myocardial infarction (except for those with demand ischemia, who will be included), percutaneous coronary intervention
boolean
C0850760 (UMLS CUI [1])
C1399222 (UMLS CUI [2,1])
C1514873 (UMLS CUI [2,2])
C0549433 (UMLS CUI [2,3])
C1705847 (UMLS CUI [3,1])
C1399222 (UMLS CUI [3,2])
C0444507 (UMLS CUI [3,3])
C0027051 (UMLS CUI [4])
C1705847 (UMLS CUI [5,1])
C2957453 (UMLS CUI [5,2])
C1532338 (UMLS CUI [6])
Enrollment Hospice Expected | Cessation of life Post Discharge Expected
Item
patients expected to enroll in hospice or expire after discharge,
boolean
C1516879 (UMLS CUI [1,1])
C0019947 (UMLS CUI [1,2])
C1517001 (UMLS CUI [1,3])
C0011065 (UMLS CUI [2,1])
C0687676 (UMLS CUI [2,2])
C0030685 (UMLS CUI [2,3])
C1517001 (UMLS CUI [2,4])
Use of Intervention Equipment Unable | Compliance behavior Lacking Intervention
Item
patients who are unable to use the intervention equipment (e.g., unable to stand on the weight scale), or who are otherwise unable to comply with the intervention
boolean
C1524063 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0014672 (UMLS CUI [1,3])
C1299582 (UMLS CUI [1,4])
C1321605 (UMLS CUI [2,1])
C0332268 (UMLS CUI [2,2])
C0184661 (UMLS CUI [2,3])