ID

40522

Beschrijving

CORONARY ARTERY DISEASE DATA COLLECTION Version 2.0.3 Revised: April 5th, 2017 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Notice: This work was conducted using resources from ICHOM, the International Consortium for Health Outcomes Measurement (www.ICHOM.org). The content is solely the responsibility of the authors and does not necessarily represent the official views of ICHOM. Conditions: Asymptomatic Coronary Artery Disease | Stable Angina | Acute Coronary Syndrome (Includes AMI) Treatment Approaches: Lifestyle Modification | Drug Therapy | Percutaneous Coronary Intervention (PCI) | Coronary Artery Bypass Grafting (CABG) This form contains peri-interventional clinical items. The items cover a timespan from prior to the intervention (e.g. PCI or CABG) until 30 days after it. They should be assessed at the entry event and at any new index event (e.g. new revascularization procedure or new diagnosis of ACS). Questionnaires used in this standard set: Rose Dyspnea Scale: The Rose Dyspnea Scale is free for all health care organizations, and a license is not needed. More information may be found at http://www.ahjonline.com/article/S0002-8703(09)00266-X/abstract Patient Health Questionnaire (PHQ-2): The PHQ-2 is free for all health care organizations, and a license is not needed. Copyright Pfizer, more Information on http://www.phqscreeners.com/ Seattle Angina Questionnaire (SAQ-7): Due to the need for a license for use of the SAQ-7 the actual questions of SAQ-7 will not be part of this version of the standard set. Publication: McNamara RL, Spatz ES, Kelley TA, et al. Standardized Outcome Measurement for Patients With Coronary Artery Disease: Consensus From the International Consortium for Health Outcomes Measurement (ICHOM). J Am Heart Assoc. 2015;4(5):e001767. Published 2015 May 19. doi:10.1161/JAHA.115.001767 For this version of the standard set, semantic annotation with UMLS CUIs has been added.

Link

http://www.ichom.org/

Trefwoorden

  1. 22-11-18 22-11-18 - Sarah Riepenhausen
  2. 30-04-20 30-04-20 - Sarah Riepenhausen
Houder van rechten

ICHOM

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30 april 2020

DOI

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Licentie

Creative Commons BY-NC 4.0

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ICHOM Coronary Artery Disease

Peri-Inverventional Clinical Form

Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Indicate the patient's medical record number
Beschrijving

This number will not be shared with ICHOM. In the case patient-level data is submitted to ICHOM for benchmarking or research purposes, a separate ICHOM Patient Identifier will be created and cross-linking between the ICHOM Patient Identifier and the medical record number will only be known at the treating institution INCLUSION CRITERIA: All patients TIMING: On all forms REPORTING SOURCE: Administrative or clinical RESPONSE OPTIONS: According to institution

Datatype

integer

Alias
UMLS CUI [1]
C1269815
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
Beschrijving

This Item does not exist in the original standard set, instead it is asked to do the following: Please timestamp all variables. Some Standard Set variables are collected at multiple timepoints, and we will ask you to submit these variables in a concatenated VARIABLEID_TIMESTAMP form for future analyses. For example, VARIABLEID_BASE (baseline); VARIABLEID_6MO (6 month follow-up); VARIABLEID_1YR (1 year follow-up), etc.

Datatype

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Demographic Factors
Beschrijving

Demographic Factors

Alias
UMLS CUI-1
C1704791
What is your date of birth?
Beschrijving

INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C0001779
UMLS CUI [2]
C0421451
DD/MM/YYYY
Please indicate your sex at birth
Beschrijving

INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C0079399
Baseline health status
Beschrijving

Baseline health status

Alias
UMLS CUI-1
C1442488
UMLS CUI-2
C0449440
Indicate the patient's height
Beschrijving

Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of height in centimeters or inches

Datatype

float

Alias
UMLS CUI [1]
C0005890
Indicate units of height
Beschrijving

INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0005890
UMLS CUI [1,2]
C1519795
Indicate the patient's weight
Beschrijving

Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of weight in kilograms or pounds

Datatype

float

Alias
UMLS CUI [1]
C0005910
Indicate units of weight
Beschrijving

INCLUSION CRITERIA: All patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0005910
UMLS CUI [1,2]
C1519795
Indicate whether troponin T or I
Beschrijving

INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1]
C0523952
Indicate the peak level reached
Beschrijving

INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of peak level

Datatype

float

Alias
UMLS CUI [1,1]
C0523952
UMLS CUI [1,2]
C0444505
Give the lab’s upper limit of normal
Beschrijving

INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of upper limit of normal

Datatype

float

Alias
UMLS CUI [1,1]
C0523952
UMLS CUI [1,2]
C1519815
Indicate the first measurement or earliest record of heart rate (in beats per minute) for this episode of care
Beschrijving

Measurement from the transferring facility is acceptable INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of heart rate in beats per minute

Datatype

integer

Maateenheden
  • beats/min
Alias
UMLS CUI [1]
C0018810
beats/min
Indicate the first measurement or earliest record of systolic blood pressure (mm Hg) for this episode of care
Beschrijving

Measurement from the transferring facility is acceptable INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Numerical value of systolic blood pressure in mm Hg

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Indicate whether the patient has a documented discharge diagnosis of NSTEMI or STEMI
Beschrijving

INCLUSION CRITERIA: ACS patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1]
C1555319
Indicate whether the patient has had an episode of cardiogenic shock at first medical contact
Beschrijving

Cardiogenic shock is defined as a sustained (>30 minutes) episode of systolic blood pressure <90 mm Hg, and/or cardiac index, 2.2 L/min/m2 determined to be secondary to cardiac dysfunction, and/or the requirement for parenteral inotropic or vasopressor agents or mechanical support (e.g., IABP, extracorporeal circulation, ventricular assist devices) to maintain blood pressure and cardiac index above those specified levels. Note: Transient episodes of hypotension reversed with IV fluid or atropine do not constitute cardiogenic shock. The hemodynamic compromise (with or without extraordinary supportive therapy) must persist for at least 30 minutes INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1]
C0036980
Indicate if the patient has had an episode of cardiac arrest evaluated by pre- hospital emergency services or emergency department personnel
Beschrijving

Cardiac arrest means the patient either 1. received attempts at external defibrillation (by lay responders or emergency personnel) or chest compressions by organized pre-hospital emergency services or emergency department personnel or 2. was pulseless but did not receive attempts to defibrillate or cardiopulmonary resuscitation (CPR) by emergency personnel. ‘Sudden’ cardiac arrest is the sudden cessation of cardiac activity so that the victim becomes unresponsive, with no normal breathing and no signs of circulation. If corrective measures are not taken rapidly, this condition progresses to sudden death. Cardiac arrest should be used to signify an event as described above that is reversed, usually by CPR, and/or defibrillation or cardioversion, or cardiac pacing. Sudden cardiac arrest is not the same as sudden cardiac death. Sudden cardiac death describes a fatal event INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1]
C0018790
Indicate the clinical status of the patient prior to entering the operating room
Beschrijving

Elective: The patient’s cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome Urgent: Procedure required during same hospitalization in order to minimize chance of further clinical deterioration. Examples include but are not limited to: Worsening chest pain, sudden chest pain, CHF, acute myocardial infarction (AMI), anatomy, IABP, unstable angina (USA) with intravenous (IV) nitroglycerin (NTG) or rest angina Emergent: Patients requiring emergency operations will have ongoing, refractory (difficult, complicated, and/or unmanageable) unrelenting cardiac compromise, with or without hemodynamic instability, and not responsive to any form of therapy except cardiac surgery. An emergency operation is one in which there should be no delay in providing operative intervention Emergent Salvage: The patient is undergoing CPR en route to the operating room or prior to anesthesia induction or has ongoing ECMO to maintain life INCLUSION CRITERIA: CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1]
C0010055
Indicate the clinical status of the patient prior to entering the operating room
Beschrijving

Elective: The patient’s cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome Not elective: Urgent, emergent, or emergent salvage (see above) INCLUSION CRITERIA: PCI patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1]
C1320647
Indicate whether the patient has Left Main Coronary Disease
Beschrijving

Elective: The patient’s cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome Not elective: Urgent, emergent, or emergent salvage (see above) INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1]
C1299433
Indicate the number of diseased major native coronary vessel systems: LAD system, Circumflex system, and/or Right system with ≥50 percent narrowing of any vessel preoperatively
Beschrijving

Left main disease (≥50 percent) is counted as TWO vessels (LAD and Circumflex, which may include a Ramus Intermedius). For example, left main and RCA would count as three total INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical RESPONSE OPTIONS: Numerical value of diseased vessels

Datatype

integer

Alias
UMLS CUI [1]
C3275120
Indicate the patient’s pre-procedural creatinine level
Beschrijving

INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Absolute numerical value of pre-procedural creatinine level in mg/dl

Datatype

float

Alias
UMLS CUI [1,1]
C0201976
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C0087111
Indicate the patient’s pre-procedural creatinine level unit
Beschrijving

INCLUSION CRITERIA: PCI and CABG patients only TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single Answer (Original version has the same question and Response Option as item PROCREAT)

Datatype

integer

Alias
UMLS CUI [1,1]
C0201976
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C0087111
UMLS CUI [1,4]
C1519795
Prior Treatments
Beschrijving

Prior Treatments

Alias
UMLS CUI-1
C1514463
Indicate if the patient has had a previous CABG
Beschrijving

Includes CABG + other heart surgery e.g. CABG + Valve INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0010055
Indicate date of CABG
Beschrijving

INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C0010055
UMLS CUI [1,2]
C0011008
DD/MM/YYYY
Indicate if the patient had a previous percutaneous coronary intervention (PCI) of any type (balloon angioplasty, stent or other)
Beschrijving

A percutaneous coronary intervention (PCI) is the placement of an angioplasty guide wire, balloon, or other device (e.g. stent, atherectomy, brachytherapy, or thrombectomy catheter) into a native coronary artery or coronary artery bypass graft for the purpose of mechanical coronary revascularization INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C1320647
Indicate date of PCI
Beschrijving

INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: Index hospitalization REPORTING SOURCE: Clinical TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C0011008
DD/MM/YYYY
TREATMENT VARIABLES
Beschrijving

TREATMENT VARIABLES

Alias
UMLS CUI-1
C0087111
Indicate the PCI procedure type
Beschrijving

PCI + other includes but is not limited to: right heart caths, EtOH ablations, septal closures, and other angiograms and/or endovascular interventions INCLUSION CRITERIA: Patients receiving percutaneous coronary interventions TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C0332307
Indicate the cardiac surgery procedure type
Beschrijving

CABG + other includes but is not limited to: placement of ventricular assist devices, non-cardiac procedures INCLUSION CRITERIA: Patients receiving cardiac surgery TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0018821
UMLS CUI [1,2]
C0332307
Indicate the episode type
Beschrijving

INCLUSION CRITERIA: All patients undergoing interventional treatment for coronary disease TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C0741923
Acute complications of treatment
Beschrijving

Acute complications of treatment

Alias
UMLS CUI-1
C0679861
Indicate if the patient has died, regardless of cause
Beschrijving

Any death, regardless of cause occurring (1) within 30 days after surgery in or out of the hospital, and (2) after 30 days during the same hospitalization subsequent to the operation INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C0011065
Indicate the date the patient was declared dead
Beschrijving

INCLUSION CRITERIA: PCI and CABG patients If answered 'yes' that patient has died (DEATH) TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C1148348
DD/MM/YYYY
Indicate where the patient died
Beschrijving

INCLUSION CRITERIA: PCI and CABG patients, If answered 'yes' that patient has died (DEATH) TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C2924451
Indicate whether the patient had a stroke
Beschrijving

Stroke is defined as any confirmed neurological deficit of abrupt onset caused by a disturbance in blood supply to the brain that did not resolve within 24 hours INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C0038454
Indicate type of stroke if documented on imaging, or via lumbar puncture, neurosurgery, or autopsy
Beschrijving

INCLUSION CRITERIA: PCI and CABG patients, If answered 'yes' that patient had a stroke (STROKE) TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C3897486
Indicate whether the patient has a diagnosis of acute renal failure
Beschrijving

Acute renal failure is the documented history of AKI and/or Increase in serum creatinine by ≥ 0.3 mg/dl (≥ 26.5 l mol/l) within 48 hours; and/or increase in serum creatinine to ≥ 1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; and/or urine volume < 0.5 ml/kg/h for 6 hours; and/or new requirement for dialysis INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C0022660
Indicate the date the patient first arrived
Beschrijving

Date used to calculate total length of stay and post-procedure length of stay INCLUSION CRITERIA: PCI and CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical or administrative data TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C1302393
DD/MM/YYYY
Indicate the date the patient was discharged
Beschrijving

Date used to calculate total length of stay INCLUSION CRITERIA: PCI and CABG patients TIMING: Within index hospitalization REPORTING SOURCE: Administrative data TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C2361123
DD/MM/YYYY
Indicate the date of intervention
Beschrijving

Date used to calculate post-procedure length of stay INCLUSION CRITERIA: PCI and CABG patients TIMING: Within index hospitalization REPORTING SOURCE: Administrative data TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1]
C2584899
DD/MM/YYYY
Major surgery complications
Beschrijving

Major surgery complications

Alias
UMLS CUI-1
C0032787
UMLS CUI-2
C0205164
Indicate whether the patient had prolonged pulmonary ventilator >24 hours after CABG
Beschrijving

Includes (but not limited to) causes such as ARDS, pulmonary edema, and/or any patient requiring mechanical ventilation > 24 hours postoperatively INCLUSION CRITERIA: CABG patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0199470
UMLS CUI [1,2]
C0439590
Indicate whether the patient had a deep sternal infection involving muscle, bone, and/or mediastinum REQUIRING OPERATIVE INTERVENTION
Beschrijving

Must have ALL of the following conditions: 1. Wound opened with excision of tissue (I&D) or re-exploration of mediastinum 2. Positive culture unless patient on antibiotics at time of culture or no culture obtained 3. Treatment with antibiotics beyond perioperative prophylaxis INCLUSION CRITERIA: CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0043241
UMLS CUI [1,2]
C1411231
Indicate if the patient required a return to the operating room for bleeding with or without tamponade, graft occlusion, valve dysfunction, or other cardiac reason
Beschrijving

INCLUSION CRITERIA: CABG patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C0558347
Major interventional cardiology complications
Beschrijving

Major interventional cardiology complications

Alias
UMLS CUI-1
C0205164
UMLS CUI-2
C0679861
UMLS CUI-3
C0184661
UMLS CUI-4
C0007189
Indicate if a significant dissection was observed at the time of PCI
Beschrijving

Typically, dissections described as type A or B are not considered significant dissections because there is no impairment of flow. Significant dissections are grade C dissections in the presence of ischemia, or grade D-F dissections, all of which are further described as: Type C: persisting contrast medium extravasations; Type D: spital filling defect with delayed but complete distal flow; Type E: persistent filling defect with delayed antegrade flow; Type F: filling defect with impaired flow and total occlusion INCLUSION CRITERIA: PCI patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C0012737
Indicate if angiographic or clinical evidence of perforation was observed at the time of the PCI procedure
Beschrijving

A coronary artery perforation occurs when there is angiographic or clinical evidence of a dissection or intimal tear that extends through the full thickness of the arterial wall INCLUSION CRITERIA: PCI patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C0340664
Indicate the occurrence of any emergency cardiothoracic surgical procedure (whether or not this actually involves the placing of bypass grafts)
Beschrijving

The surgery should be: a. Cardio-thoracic (rather than for peripheral vascular complications at access sites) b. Prompted and indicated by a need to - Perform emergency revascularization to a coronary distribution that has been the subject of a PCI or attempted PCI and/or - To correct as an emergency a complication of PCI such as abrupt vessel closure, cardiac or vessel perforation, dissection of a thoracic great vessel etc. INCLUSION CRITERIA: PCI patients TIMING: Within index hospitalization REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0010055
UMLS CUI [1,2]
C0184893
Indicate if the patient experienced any non-cardiac vascular complications (excluding external bleeding or hematomas) at the percutaneous entry site that required treatment or intervention
Beschrijving

Vascular complications can include, but are not limited to, access site occlusions, peripheral embolizations, dissections, pseudoaneurysms and/or AV fistulas. Any noted vascular complication must have had an intervention such as a fibrin injection, angioplasty, or surgical repair to qualify. Prolonged pressure does not qualify as an intervention, but ultrasonic guided compression after making a diagnosis of pseudoaneurysm does qualify. A retroperitoneal bleed or hematoma requiring transfusion is not a vascular complication under this data element. To qualify, this adverse outcome should be attributable to this procedure and not related to a previous or subsequent procedure INCLUSION CRITERIA: PCI patients TIMING: Within 30 days of procedure REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1,1]
C1393529
UMLS CUI [1,2]
C1514873
UMLS CUI [1,3]
C0184661
Indicate if the patient experienced a suspected or confirmed bleeding event
Beschrijving

A bleeding event is 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) INCLUSION CRITERIA: PCI patients TIMING: Within 72 hours of procedure REPORTING SOURCE: Clinical TYPE: Single answer

Datatype

integer

Alias
UMLS CUI [1]
C0019080

Similar models

Peri-Inverventional Clinical Form

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number
integer
C1269815 (UMLS CUI [1])
Time Relative to Baseline
Item
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Demographic Factors
C1704791 (UMLS CUI-1)
Age
Item
What is your date of birth?
date
C0001779 (UMLS CUI [1])
C0421451 (UMLS CUI [2])
Item
Please indicate your sex at birth
integer
C0079399 (UMLS CUI [1])
Code List
Please indicate your sex at birth
CL Item
Male (1)
C0086582 (UMLS CUI-1)
(Comment:en)
CL Item
Female (2)
C0086287 (UMLS CUI-1)
(Comment:en)
Item Group
Baseline health status
C1442488 (UMLS CUI-1)
C0449440 (UMLS CUI-2)
Height
Item
Indicate the patient's height
float
C0005890 (UMLS CUI [1])
Item
Indicate units of height
integer
C0005890 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Code List
Indicate units of height
CL Item
centimeters (1)
C0475210 (UMLS CUI-1)
(Comment:en)
CL Item
inches (2)
C0439204 (UMLS CUI-1)
(Comment:en)
Weight
Item
Indicate the patient's weight
float
C0005910 (UMLS CUI [1])
Item
Indicate units of weight
integer
C0005910 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Code List
Indicate units of weight
CL Item
kilograms (1)
C0439209 (UMLS CUI-1)
(Comment:en)
CL Item
pounds (2)
C0439219 (UMLS CUI-1)
(Comment:en)
Item
Indicate whether troponin T or I
integer
C0523952 (UMLS CUI [1])
Code List
Indicate whether troponin T or I
CL Item
Troponin T (1)
C0585642 (UMLS CUI-1)
(Comment:en)
CL Item
Troponin I (2)
C0920210 (UMLS CUI-1)
(Comment:en)
Question 2 of peak troponin elevation (Absolute value)
Item
Indicate the peak level reached
float
C0523952 (UMLS CUI [1,1])
C0444505 (UMLS CUI [1,2])
Question 3 of peak troponin elevation (Lab's upper limit of normal)
Item
Give the lab’s upper limit of normal
float
C0523952 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
Physiologic variables at first medical contact: Heart rate
Item
Indicate the first measurement or earliest record of heart rate (in beats per minute) for this episode of care
integer
C0018810 (UMLS CUI [1])
Physiologic variables at first medical contact: Systolic blood pressure
Item
Indicate the first measurement or earliest record of systolic blood pressure (mm Hg) for this episode of care
integer
C0871470 (UMLS CUI [1])
Item
Indicate whether the patient has a documented discharge diagnosis of NSTEMI or STEMI
integer
C1555319 (UMLS CUI [1])
Code List
Indicate whether the patient has a documented discharge diagnosis of NSTEMI or STEMI
CL Item
NSTEMI (1)
C3537184 (UMLS CUI-1)
(Comment:en)
CL Item
STEMI (2)
C1536220 (UMLS CUI-1)
(Comment:en)
Item
Indicate whether the patient has had an episode of cardiogenic shock at first medical contact
integer
C0036980 (UMLS CUI [1])
Code List
Indicate whether the patient has had an episode of cardiogenic shock at first medical contact
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient has had an episode of cardiac arrest evaluated by pre- hospital emergency services or emergency department personnel
integer
C0018790 (UMLS CUI [1])
Code List
Indicate if the patient has had an episode of cardiac arrest evaluated by pre- hospital emergency services or emergency department personnel
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate the clinical status of the patient prior to entering the operating room
integer
C0010055 (UMLS CUI [1])
Code List
Indicate the clinical status of the patient prior to entering the operating room
CL Item
Elective (1)
C0206058 (UMLS CUI-1)
(Comment:en)
CL Item
Urgent (2)
C3272275 (UMLS CUI-1)
(Comment:en)
CL Item
Emergent (3)
C0184893 (UMLS CUI-1)
(Comment:en)
CL Item
Emergent Salvage (4)
C0184893 (UMLS CUI-1)
C0085405 (UMLS CUI-2)
(Comment:en)
Item
Indicate the clinical status of the patient prior to entering the operating room
integer
C1320647 (UMLS CUI [1])
Code List
Indicate the clinical status of the patient prior to entering the operating room
CL Item
Elective (1)
C0814500 (UMLS CUI-1)
(Comment:en)
CL Item
Not elective (2)
C0814500 (UMLS CUI-1)
C1298908 (UMLS CUI-2)
(Comment:en)
Item
Indicate whether the patient has Left Main Coronary Disease
integer
C1299433 (UMLS CUI [1])
Code List
Indicate whether the patient has Left Main Coronary Disease
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Number of major diseased vessels
Item
Indicate the number of diseased major native coronary vessel systems: LAD system, Circumflex system, and/or Right system with ≥50 percent narrowing of any vessel preoperatively
integer
C3275120 (UMLS CUI [1])
Laboratory values: Pre-procedural creatinine
Item
Indicate the patient’s pre-procedural creatinine level
float
C0201976 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
Item
Indicate the patient’s pre-procedural creatinine level unit
integer
C0201976 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,3])
C1519795 (UMLS CUI [1,4])
Code List
Indicate the patient’s pre-procedural creatinine level unit
CL Item
µmol/l (1)
C0439300 (UMLS CUI-1)
(Comment:en)
CL Item
mg/dl (2)
C0439271 (UMLS CUI-1)
(Comment:en)
Item Group
Prior Treatments
C1514463 (UMLS CUI-1)
Item
Indicate if the patient has had a previous CABG
integer
C0262926 (UMLS CUI [1,1])
C0010055 (UMLS CUI [1,2])
Code List
Indicate if the patient has had a previous CABG
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Date of previous CABG
Item
Indicate date of CABG
date
C0010055 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Indicate if the patient had a previous percutaneous coronary intervention (PCI) of any type (balloon angioplasty, stent or other)
integer
C1320647 (UMLS CUI [1])
Code List
Indicate if the patient had a previous percutaneous coronary intervention (PCI) of any type (balloon angioplasty, stent or other)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Date of previous PCI
Item
Indicate date of PCI
date
C1532338 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
TREATMENT VARIABLES
C0087111 (UMLS CUI-1)
Item
Indicate the PCI procedure type
integer
C1532338 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Indicate the PCI procedure type
CL Item
PCI only (1)
C1532338 (UMLS CUI-1)
(Comment:en)
CL Item
PCI + other (2)
C1532338 (UMLS CUI-1)
C0205195 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
(Comment:en)
Item
Indicate the cardiac surgery procedure type
integer
C0018821 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Indicate the cardiac surgery procedure type
CL Item
CABG only (1)
C0010055 (UMLS CUI-1)
(Comment:en)
CL Item
CABG + valve (2)
C0010055 (UMLS CUI-1)
C1292963 (UMLS CUI-2)
C0205195 (UMLS CUI-3)
(Comment:en)
CL Item
CABG + other (3)
C0010055 (UMLS CUI-1)
C0205195 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
(Comment:en)
Item
Indicate the episode type
integer
C0741923 (UMLS CUI [1])
Code List
Indicate the episode type
CL Item
Acute myocardial infarction, without PCI or CABG (1)
C0155626 (UMLS CUI-1)
C1532338 (UMLS CUI-2)
C1298908 (UMLS CUI-3)
C0010055 (UMLS CUI-4)
C1298908 (UMLS CUI-5)
(Comment:en)
CL Item
PCI, with or without acute myocardial infarction (2)
C1532338 (UMLS CUI-1)
C0155626 (UMLS CUI-2)
C1532338 (UMLS CUI-3)
C0155626 (UMLS CUI-4)
C1298908 (UMLS CUI-5)
(Comment:en)
CL Item
CABG, with or without acute myocardial infarction (3)
C0010055 (UMLS CUI-1)
C0155626 (UMLS CUI-2)
C0010055 (UMLS CUI-3)
C0155626 (UMLS CUI-4)
C1298908 (UMLS CUI-5)
(Comment:en)
Item Group
Acute complications of treatment
C0679861 (UMLS CUI-1)
Item
Indicate if the patient has died, regardless of cause
integer
C0011065 (UMLS CUI [1])
Code List
Indicate if the patient has died, regardless of cause
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, during index hospitalization (1)
C4542723 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 30 days of procedure (2)
C4542724 (UMLS CUI-1)
(Comment:en)
Date of death
Item
Indicate the date the patient was declared dead
date
C1148348 (UMLS CUI [1])
Item
Indicate where the patient died
integer
C2924451 (UMLS CUI [1])
Code List
Indicate where the patient died
CL Item
Home (1)
C0442519 (UMLS CUI-1)
(Comment:en)
CL Item
Acute care hospital or rehab (2)
C3661916 (UMLS CUI-1)
C0034991 (UMLS CUI-2)
(Comment:en)
CL Item
Nursing home or hospice (3)
C0028688 (UMLS CUI-1)
C0085555 (UMLS CUI-2)
(Comment:en)
CL Item
Other (888)
C0205394 (UMLS CUI-1)
(Comment:en)
Item
Indicate whether the patient had a stroke
integer
C0038454 (UMLS CUI [1])
Code List
Indicate whether the patient had a stroke
CL Item
Yes, during index hospitalization (1)
C4696991 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 30 days of procedure (2)
C0687676 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
C3710411 (UMLS CUI-3)
(Comment:en)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
Indicate type of stroke if documented on imaging, or via lumbar puncture, neurosurgery, or autopsy
integer
C3897486 (UMLS CUI [1])
Code List
Indicate type of stroke if documented on imaging, or via lumbar puncture, neurosurgery, or autopsy
CL Item
Ischemic (1)
C0948008 (UMLS CUI-1)
(Comment:en)
CL Item
Hemorrhagic (2)
C0333275 (UMLS CUI-1)
C0553692 (UMLS CUI-2)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Indicate whether the patient has a diagnosis of acute renal failure
integer
C0022660 (UMLS CUI [1])
Code List
Indicate whether the patient has a diagnosis of acute renal failure
CL Item
Yes, during index hospitalization (1)
C4696991 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 30 days of procedure (2)
C0687676 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
C3710411 (UMLS CUI-3)
(Comment:en)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
Date of arrival
Item
Indicate the date the patient first arrived
date
C1302393 (UMLS CUI [1])
Date of discharge
Item
Indicate the date the patient was discharged
date
C2361123 (UMLS CUI [1])
Date of procedure
Item
Indicate the date of intervention
date
C2584899 (UMLS CUI [1])
Item Group
Major surgery complications
C0032787 (UMLS CUI-1)
C0205164 (UMLS CUI-2)
Item
Indicate whether the patient had prolonged pulmonary ventilator >24 hours after CABG
integer
C0199470 (UMLS CUI [1,1])
C0439590 (UMLS CUI [1,2])
Code List
Indicate whether the patient had prolonged pulmonary ventilator >24 hours after CABG
CL Item
Yes, during index hospitalization (1)
C4696991 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 30 days of procedure (2)
C0687676 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
C3710411 (UMLS CUI-3)
(Comment:en)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
Indicate whether the patient had a deep sternal infection involving muscle, bone, and/or mediastinum REQUIRING OPERATIVE INTERVENTION
integer
C0043241 (UMLS CUI [1,1])
C1411231 (UMLS CUI [1,2])
Code List
Indicate whether the patient had a deep sternal infection involving muscle, bone, and/or mediastinum REQUIRING OPERATIVE INTERVENTION
CL Item
Yes, during index hospitalization (1)
C4696991 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 30 days of procedure (2)
C0687676 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
C3710411 (UMLS CUI-3)
(Comment:en)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient required a return to the operating room for bleeding with or without tamponade, graft occlusion, valve dysfunction, or other cardiac reason
integer
C0558347 (UMLS CUI [1])
Code List
Indicate if the patient required a return to the operating room for bleeding with or without tamponade, graft occlusion, valve dysfunction, or other cardiac reason
CL Item
Yes, during index hospitalization (1)
C4696991 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 30 days of procedure (2)
C0687676 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
C3710411 (UMLS CUI-3)
(Comment:en)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
Item Group
Major interventional cardiology complications
C0205164 (UMLS CUI-1)
C0679861 (UMLS CUI-2)
C0184661 (UMLS CUI-3)
C0007189 (UMLS CUI-4)
Item
Indicate if a significant dissection was observed at the time of PCI
integer
C1532338 (UMLS CUI [1,1])
C0012737 (UMLS CUI [1,2])
Code List
Indicate if a significant dissection was observed at the time of PCI
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate if angiographic or clinical evidence of perforation was observed at the time of the PCI procedure
integer
C1532338 (UMLS CUI [1,1])
C0340664 (UMLS CUI [1,2])
Code List
Indicate if angiographic or clinical evidence of perforation was observed at the time of the PCI procedure
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate the occurrence of any emergency cardiothoracic surgical procedure (whether or not this actually involves the placing of bypass grafts)
integer
C0010055 (UMLS CUI [1,1])
C0184893 (UMLS CUI [1,2])
Code List
Indicate the occurrence of any emergency cardiothoracic surgical procedure (whether or not this actually involves the placing of bypass grafts)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient experienced any non-cardiac vascular complications (excluding external bleeding or hematomas) at the percutaneous entry site that required treatment or intervention
integer
C1393529 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0184661 (UMLS CUI [1,3])
Code List
Indicate if the patient experienced any non-cardiac vascular complications (excluding external bleeding or hematomas) at the percutaneous entry site that required treatment or intervention
CL Item
Yes, during index hospitalization (1)
C4696991 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 30 days of procedure (2)
C0687676 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
C3710411 (UMLS CUI-3)
(Comment:en)
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient experienced a suspected or confirmed bleeding event
integer
C0019080 (UMLS CUI [1])
Code List
Indicate if the patient experienced a suspected or confirmed bleeding event
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, during index hospitalization (1)
C4696991 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, after discharge but within 72 hours of procedure (2)
C0687676 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
C1442459 (UMLS CUI-3)
C0580203 (UMLS CUI-4)
(Comment:en)

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