ID
43279
Description
2012 ACCF / AHA Data Standard Peripheral Atherosclerotic Disease (PAD) General data elements see http://www.ncbi.nlm.nih.gov/pubmed/22144570
Link
http://www.ncbi.nlm.nih.gov/pubmed/22144570
Keywords
Versions (4)
- 11/1/14 11/1/14 - Martin Dugas
- 6/6/15 6/6/15 - Martin Dugas
- 8/19/15 8/19/15 - Martin Dugas
- 9/20/21 9/20/21 -
Uploaded on
September 20, 2021
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Peripheral Atherosclerotic Vascular Disease EHR key data elements
Peripheral Atherosclerotic Disease (PAD) - General data elements
- StudyEvent: ODM-Test
Description
Patient history
Alias
- UMLS CUI-1
- C0679831
Description
Indicate if the patient has a current or previous diagnosis of hypertension as defined by any of the following: - History of hypertension diagnosed and treated with medication, diet, and/or exercise - On at least 2 occasions, documented blood pressure >140 mm Hg systolic and/or 90 mm Hg diastolic in patients without diabetes or chronic kidney disease; >130 mm Hg systolic or 80 mm Hg diastolic in patients with diabetes or chronic kidney disease - Currently on pharmacological therapy for treatment of hypertension More than 1 of the above may apply. The year of onset (first diagnosis) may be helpful.
Data type
text
Alias
- UMLS CUI-1
- C0455527
Description
History of diabetes diagnosed and/or treated by a physician. The American Diabetes Association criteria include documentation of the following - Hemoglobin A1c >6.5%; or - Fasting plasma glucose >126 mg/dL (7.0 mmol/L); or - Two-hour plasma glucose >200 mg/dL (11.1 mmol/L) during an oral glucose tolerance test; or - In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose >200 mg/dL (11.1 mmol/L). This does not include gestational diabetes. Indicate the following: 1. Type 1 or type 2 diabetes 2. Year of onset (if known)
Data type
text
Alias
- UMLS CUI-1
- C0455488
Description
Current or previous diagnosis of dyslipidemia per the National Cholesterol Education Program criteria, defined as any 1 of the following: - Total cholesterol >200 mg/dL (5.18 mmol/L) - LDL >=130 mg/dL (3.37 mmol/L) - HDL <40 mg/dL (1.04 mmol/L) in men and <50 mg/dL (1.30 mmol/L) in women Treatment is also initiated if LDL is >100 mg/dL (2.59 mmol/L) in patients with known coronary artery disease or CHD equivalent, and this would qualify as hypercholesterolemia.
Data type
text
Alias
- UMLS CUI-1
- C0242339
- UMLS CUI-2
- C0332119
Description
History confirming cigarette smoking in the past.
Data type
integer
Alias
- UMLS CUI-1
- C1519384
Description
Specify the patient’s history of alcohol consumption. Choose from the following categories: - None - <=1 alcoholic drinks/wk - 2–7 alcoholic drinks/wk - 8–13 alcoholic drinks/wk - 14–20 alcoholic drinks/wk - >=21 alcoholic drinks/wk Specify alcohol-dependency history. Choose all that apply: Documented alcohol dependency Medical sequelae of alcohol consumption (alcoholic hepatitis, cirrhosis, alcohol neuropathy, Wernicke-Korsakoff syndrome) Treatment for alcohol dependency For patients with alcohol dependency, note treatment for dependency, cessation of use, or continued use.
Data type
text
Alias
- UMLS CUI-1
- C0552479
Description
Indicate history of current, recent, or remote abuse of any illicit drug (eg, cocaine, methamphetamine, marijuana) or controlled substance.
Data type
boolean
Alias
- UMLS CUI-1
- C2239127
Description
The term myocardial infarction should be used when there is evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia. Under these conditions, any 1 of the following criteria meets the diagnosis for MI: 1) Detection of rise and/or fall of cardiac biomarkers (preferably troponin) with at least 1 value above the 99th percentile of URL together with evidence of myocardial ischemia with at least 1 of the following: — Symptoms of ischemia — Electrocardiographic changes indicative of new ischemia (new ST-T changes or new LBBB) — Development of pathological Q waves in the ECG — Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality 2) Sudden unexpected cardiac death, involving cardiac arrest, often with symptoms suggestive of myocardial ischemia, and accompanied by presumably new ST elevation or new LBBB and/or evidence of fresh thrombus by coronary angiography a time before the appearance of cardiac biomarkers in the blood. 3) For PCI in patients with normal baseline indicative of periprocedural myocardial necrosis. By convention, increases of biomarkers >3x99th percentile URL have been designated as PCI-related MI. A subtype related to a documented stent thrombosis is recognized. 4) For CABG in patients with normal baseline troponin values, elevations of cardiac biomarkers above the 99th percentile URL are indicative of periprocedural myocardial necrosis. By convention, increases of biomarkers >5x99th percentile URL plus either new pathological Q waves or new or imaging evidence of new loss of viable myocardium have been designated as defining CABG-related MI. 5) Pathological findings of an acute MI.
Data type
text
Alias
- UMLS CUI-1
- C1275835
Description
Indicate if the patient had an MI within 6 wk prior to the index procedure as evidenced by the following: 1.) Acute MI (<=7 d) manifested as a rise and fall of cardiac biomarkers (preferably troponin) with at least 1 value above the range of normal for your laboratory (above the 99th percentile of the URL) together with evidence of myocardial ischemia with at least 1 of the following: a. Ischemic symptoms b. Electrocardiographic changes indicative of new ischemia (new ST-T and/or T-wave changes or new LBBB) c. Development of pathological Q waves on the ECG d. Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality 2.) Recent MI (>7 d) manifested by a. An MI meeting the criteria for an acute MI as documented in the medical record, or b. By any 1 of the following: 1. Development of new pathological Q waves with or without symptoms 2. Imaging evidence of a region of loss of viable myocardium that is thinned and fails to contract 3. In the absence of a nonischemic cause
Data type
boolean
Description
History of angina - Stable angina (CCS class, date of onset) - Unstable angina (date of onset) - Prior angina (currently asymptomatic)
Data type
text
Alias
- UMLS CUI-1
- C0455530
Description
Indicate history of prior Coronary Artery Bypass Graft (CABG) surgery, including the date or year of surgery. The total number of CABG procedures and the year of the most recent procedure may be helpful.
Data type
text
Alias
- UMLS CUI-1
- C1842251
Description
Prior PCI of any type (balloon angioplasty, atherectomy, stent, or other). Total number of PCI procedures and dates (years)
Data type
text
Alias
- UMLS CUI-1
- C1320647
Description
Indicate if the patient has a history of lower extremity PAD (from iliac to tibials). Excludes renal, coronary, cerebral, and mesenteric vessels and aneurysm. Major symptoms can include - Asymptomatic (confirmed by noninvasive diagnostic test) - Claudication relieved by rest - Ischemic rest pain - Tissue loss (including ischemic ulcer and/or gangrene) - Amputation for critical limb ischemia - Vascular reconstruction, bypass surgery, or percutaneous revascularization in the arteries of the lower extremities - Positive noninvasive test (eg, ABI <=0.90, ultrasound, MR or CT imaging demonstrating >50% diameter stenosis in any peripheral artery, ie, aorta, iliac, femoral, popliteal, tibial, peroneal)
Data type
boolean
Alias
- UMLS CUI-1
- C1881056
Description
Indicate if the patient has a history of aortic aneurysm. This can include - Thoracic aneurysm - Thoracoabdominal aneurysm - AAA Confirmed by ultrasound, CT, and/or MR imaging.
Data type
boolean
Alias
- UMLS CUI-1
- C0459854
Description
Indicate if the patient has a history of renal or mesenteric artery disease. This can include an abnormal imaging study such as duplex ultrasonography, MRA, CTA, or catheter-based contrast angiography demonstrating >50% diameter stenosis in the renal artery, celiac trunk, SMA, or IMA.
Data type
boolean
Description
Indicate if the patient has a documented history of TIA consisting of a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia without acute infarction. Note the following: - Right retinal - Right hemispheric - Left retinal - Left hemispheric - Vertebrobasilar - Unknown distribution
Data type
text
Alias
- UMLS CUI-1
- C0455536
Description
Indicate whether the patient has a history of stroke, which is defined as an acute episode of neurological dysfunction caused by focal or global brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction. If present, record the type of stroke: - Ischemic - Intracerebral hemorrhage - Subarachnoid hemorrhage - Unknown If ischemic, list the most likely etiologies: - Large-artery atherosclerosis of the extracranial vessels (eg, carotid) - Large-artery atherosclerosis of the intracranial vessels (eg, middle cerebral artery stenosis) - Cardioembolism - Small-vessel occlusion (lacunar) - Ischemic stroke of other determined etiology (eg, arterial dissection) - Ischemic stroke of undetermined etiology
Data type
text
Alias
- UMLS CUI-1
- C0559159
Description
Indicate if the patient has a previous history of Congestive Heart Failure (CHF). This includes a previous hospital admission with a principal diagnosis of CHF. CHF is defined as documentation or report of any 2 of the following Framingham major criteria of heart failure: orthopnea/paroxysmal nocturnal dyspnea; or the description of rales, jugular venous distention, hepatojugular reflux, S3 gallop, or pulmonary edema on chest x-ray; or 1 of the major criteria plus 2 Framingham minor criteria, including dyspnea on exertion, nocturnal cough, ankle edema, pleural effusion, or tachycardia. A low ejection fraction without clinical evidence of heart failure does not qualify as heart failure. Include the year of onset if known.
Data type
text
Alias
- UMLS CUI-1
- C0455531
Description
NYHA classification scale
Data type
text
Alias
- UMLS CUI-1
- C1275491
Description
Indicate if the patient has a history of pulmonary insufficiency. Pulmonary insufficiency is defined as PaO2 of <60 mm Hg while breathing air or PaCO2 of >50 mm Hg.
Data type
boolean
Alias
- UMLS CUI-1
- C0340398
- UMLS CUI-2
- C0332119
Description
Current or previous history of chronic kidney disease. Chronic kidney disease is defined as either kidney damage or GFR <60 mL/min/1.73 m2 for >=3 mo. Kidney damage is defined as pathologic abnormalities or markers of damage, including abnormalities in blood or urine tests or imaging studies. Indicate the patient’s stage of disease: - Stage 0: No known kidney disease - Stage 1: Kidney damage with normal or high GFR >=90 mL/min/1.73 m2 - Stage 2: Kidney damage with mildly decreased GFR—60–89 mL/min/1.73 m2 - Stage 3: Moderately decreased GFR—30–59 mL/min/1.73 m2 - Stage 4: Severely decreased GFR—15–29 mL/min/1.73 m2 - Stage 5: Kidney failure—GFR <15 mL/min/1.73 m2 or on dialysis Year of onset (first diagnosis) may be helpful.
Data type
text
Alias
- UMLS CUI-1
- C3532472
Description
Patient Assessment: Physical evaluation
Alias
- UMLS CUI-1
- C0031809
Description
Height
Data type
float
Measurement units
- cm
Alias
- UMLS CUI [1]
- C0005890
Description
Body weight
Data type
float
Measurement units
- kg
Alias
- UMLS CUI [1]
- C0005910
Description
Body Mass Index
Data type
float
Measurement units
- kg/m2
Alias
- UMLS CUI [1]
- C1305855
Description
Systolic
Data type
integer
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0871470
Description
Diastolic
Data type
integer
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0428883
Description
Heart rate
Data type
integer
Measurement units
- bpm
Alias
- UMLS CUI [1]
- C0018810
Description
Cardiac rhythm
Data type
integer
Alias
- UMLS CUI-1
- C0232187
Description
Complete vascular examination: Carotid, upper, lower extremity pulses, auscultation of the neck for carotid bruits, auscultation of the abdomen and femoral arteries for bruits, palpation of the abdomen and popliteal fossa for aneurysms
Data type
text
Alias
- UMLS CUI-1
- C2053830
Description
Complete cardiac examination: Palpation and auscultation of the heart, assessing rate, rhythm, presence of murmur, presence of gallop (eg, S3 suggesting left ventricular dysfunction; S4 suggesting noncompliant left ventricle), notation of location of point of maximal intensity
Data type
text
Description
Limb edema. Note the presence/absence of lower extremity (less commonly, upper extremity) edema, including location, extent, and pitting versus nonpitting.
Data type
text
Alias
- UMLS CUI-1
- C0085649
Description
Laboratory Testing
Alias
- UMLS CUI-1
- C0022885
Description
Include RBC, WBC, and platelet counts: 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
text
Alias
- UMLS CUI-1
- C0009555
Description
Hemoglobin
Data type
float
Measurement units
- g/dL
Alias
- UMLS CUI [1]
- C0019046
Description
Hematocrit
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1]
- C0518014
Description
Glucose
Data type
float
Measurement units
- mg/dl
Alias
- UMLS CUI [1]
- C0202042
Description
BUN
Data type
float
Measurement units
- mg/dL
Alias
- UMLS CUI [1]
- C0005845
Description
Creatinine
Data type
float
Measurement units
- mg/dL
Alias
- UMLS CUI [1]
- C0201976
Description
Indicate estimated or actual GFR in milliliters per minute per 1.73 meters squared.
Data type
float
Measurement units
- ml/(min*1,73m2)
Alias
- UMLS CUI-1
- C0017654
Description
Sodium
Data type
float
Measurement units
- mmol/L
Alias
- UMLS CUI [1]
- C0337443
Description
Potassium
Data type
float
Measurement units
- mmol/l
Alias
- UMLS CUI [1]
- C0202194
Description
Hemogloblin A1C
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1]
- C0019018
Description
Prothrombin time Measured in seconds. Report INR as ratio.
Data type
float
Measurement units
- s
Alias
- UMLS CUI-1
- C0033707
Description
Partial thromboplastin time Indicate whether activators used (aPTT) or not (PTT). Measured in seconds.
Data type
float
Measurement units
- s
Alias
- UMLS CUI-1
- C0030605
Description
Total cholesterol 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Measurement units
- mg/dL
Alias
- UMLS CUI [1]
- C1445957
Description
LDL
Data type
float
Measurement units
- mg/dL
Alias
- UMLS CUI [1]
- C0428474
Description
HDL
Data type
float
Measurement units
- mg/dL
Alias
- UMLS CUI [1]
- C0428472
Description
Triglycerides
Data type
float
Measurement units
- mg/dL
Alias
- UMLS CUI [1]
- C0202236
Description
hs-CRP 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0201657
Description
ESR 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C1176468
Description
Calcium
Data type
float
Measurement units
- mmol/l
Alias
- UMLS CUI [1]
- C0201925
Description
Phosphorus 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper and lower limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0523826
Description
Magnesium 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper and lower limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0373675
Description
TSH 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0202230
Description
BNP or N-terminal BNP 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C1095989
Description
AST (SGOT)
Data type
float
Measurement units
- U/L
Alias
- UMLS CUI [1]
- C0201899
Description
ALT (SGPT)
Data type
float
Measurement units
- U/L
Alias
- UMLS CUI [1]
- C0201836
Description
The upper limit of normal of total CK as defined by individual hospital laboratory standards. Units of CK and type of units should be noted (eg, IU, ng/dL, kCat/L). All CK values during hospitalization should be noted; include units, date, and time.
Data type
float
Alias
- UMLS CUI-1
- C0201973
Description
Indicate the upper limit of normal (usually the 99th percentile of a normal population) and units (eg, ng/dL). All troponin T values during hospitalization should be noted; include units, date, and time.
Data type
float
Alias
- UMLS CUI-1
- C1141947
Description
Indicate the upper limit of normal (usually the 99th percentile of a normal population) and units (eg, ng/dL). All troponin I values during hospitalization should be noted; include units, date, and time.
Data type
float
Alias
- UMLS CUI-1
- C0920210
Description
Homocysteine 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C2242817
Description
Vitamin B12 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0202252
Description
Folate 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0523631
Description
Prothrombin 20210 gene mutation 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C1273306
Description
Protein C activity 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C1255234
Description
Protein S activity 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0919678
Description
Antithrombin III 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0200416
Description
Anticardiolipin antibody 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C0201535
Description
Lupus anticoagulant 1) value, 2) unit of measurement, 3) date, and 4) normal range (upper limit of normal when appropriate)
Data type
float
Alias
- UMLS CUI-1
- C1142517
Description
Current Pharmacologic Therapy to Manage Cardiovascular Disease
Description
Aspirin. Note specific dose.
Data type
integer
Alias
- UMLS CUI-1
- C0004057
Description
Clopidogrel. Note specific dose.
Data type
integer
Alias
- UMLS CUI-1
- C0070166
Description
Prasugrel. Note specific dose.
Data type
integer
Alias
- UMLS CUI-1
- C1620287
Description
Other P2Y12 antagonists (Purinergic P2Y12 Receptor Antagonists). Note specific drug and dose.
Data type
integer
Alias
- UMLS CUI-1
- C2936585
Description
Dipyridamole. Note specific dose.
Data type
integer
Alias
- UMLS CUI-1
- C0012582
Description
Other antiplatelet drugs. Note specific drug and dose.
Data type
text
Description
Unfractionated heparin. Note specific dose.
Data type
integer
Alias
- UMLS CUI-1
- C2825026
Description
Low–molecular-weight heparin. Note specific drug and dose.
Data type
integer
Alias
- UMLS CUI-1
- C0019139
Description
Fondaparinux. Note specific dose.
Data type
integer
Alias
- UMLS CUI-1
- C1098510
Description
Other factor Xa inhibitor. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C2825027
Description
Direct thrombin inhibitor. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C3536847
Description
Warfarin. Indicate whether this drug has been prescribed; note INR.
Data type
text
Alias
- UMLS CUI-1
- C0043031
Description
Other anticoagulant drug. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C0003280
Description
Antihypertensive drugs. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C0003364
Description
Statins and lipid-control agents. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C0360714
Description
Drugs for diabetes. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C3653344
Description
Drugs to aid in smoking cessation. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C1095963
Description
Antiarrhythmic drugs. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C0003195
Description
Heart failure medications. Note specific drug and dose.
Data type
text
Alias
- UMLS CUI-1
- C0018801
- UMLS CUI-2
- C0013227
Description
Drugs for symptoms of PAD. Note specific drug and dose.
Data type
text
Description
Noncardiovascular medications. Note the specific drug and dose.
Data type
text
Description
Medication allergy. Specify the medication and type of reaction
Data type
text
Alias
- UMLS CUI-1
- C0013182
Description
Medication side effect. Describe the side effect and whether the medication was stopped.
Data type
text
Alias
- UMLS CUI-1
- C0041755
Similar models
Peripheral Atherosclerotic Disease (PAD) - General data elements
- StudyEvent: ODM-Test
C0332119 (UMLS CUI-2)
C0332119 (UMLS CUI-2)
C0013227 (UMLS CUI-2)