ID

44782

Description

ACCF/AHA key data elements and definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes and coronary artery disease. (http://www.ncbi.nlm.nih.gov/pubmed/23357718)

Link

http://www.ncbi.nlm.nih.gov/pubmed/23357718

Keywords

  1. 11/19/15 11/19/15 -
  2. 4/10/21 4/10/21 - Ahmed Rafee, MD
  3. 4/10/21 4/10/21 - Ahmed Rafee, MD
  4. 9/20/21 9/20/21 -
  5. 11/18/21 11/18/21 -
Copyright Holder

2013 American Heart Association, Inc.

Uploaded on

November 18, 2021

DOI

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License

Creative Commons BY-NC 4.0

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2013 ACCF/AHA Key Data Elements and Definitions for Measuring the Clinical Management and Outcomes of Patients With Acute Coronary Syndromes and Coronary Artery Disease

ACCF/AHA key data elements for ACS

Demographic and Admission Data Elements and Definitions
Description

Demographic and Admission Data Elements and Definitions

Alias
UMLS CUI-1
C0011298
patient id
Description

Patient ID is a unique number that permanently identifies each patient. Once assigned to a patient, this numbercan never be changed or reassigned to a different patient. Each time a patient returns to the site, the patient MUST receive the same unique patient identifier.

Data type

integer

Alias
UMLS CUI-1
C2348585
Patient's sex
Description

Indicate the patient's sex at birth as either male or female.

Data type

text

Alias
UMLS CUI-1
C0079399
Date of Birth
Description

Indicate the patients date of birth.

Data type

date

Alias
UMLS CUI-1
C0421451
Race
Description

Indicate the patient’s race as determined by the patient or family.

Data type

text

Alias
UMLS CUI-1
C0034510
Ethnicity
Description

Indicate if the patient is of Hispanic or Latino ethnicity as determined by the patient or family. Hispanic ethnicity includes patient reports of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Data type

boolean

Alias
UMLS CUI-1
C0015031
Postal code
Description

Indicate the postal code for the patient’s residence. For US ZIP codes, the hyphen is implied. If the patient is determined to not have a permanent residence, then the patient is considered homeless.

Data type

text

Alias
UMLS CUI-1
C0421454
Admission/encounter date
Description

Indicate the date the patient was admitted as an inpatient to the facility for the current episode of care. For outpatients, note the date (month/day/year) of the encounter (eg, physician visit, nurse visit, consultation, procedures).

Data type

date

Alias
UMLS CUI-1
C1302393
Admission source
Description

Indicate the source of the patients admission as an inpatient to your facility.

Data type

text

Alias
UMLS CUI-1
C0553514
Insurance Payer
Description

Indicate the patient’s primary insurance payer for this admission.

Data type

text

Alias
UMLS CUI-1
C0021672
Presentation (to healthcare facility) date/time
Description

Date and time the patient first presented to the hospital

Data type

datetime

Alias
UMLS CUI-1
C0439629
Location of first evaluation in ED
Description

Indicate if the patient was first evaluated in your facilitys ED. This includes traditional ED locations, as well as ED-based chest pain units, clinics, and short-stay CCUs housed in the ED.

Data type

boolean

Alias
UMLS CUI [1,1]
C0450429
UMLS CUI [1,2]
C0220825
UMLS CUI [1,3]
C3840745
Transfer out of ED date/time
Description

If the patient was first evaluated in your facilitys ED, enter the date and time the patient was moved out of the ED, either to another location within your facility or to another acute care center.

Data type

datetime

Alias
UMLS CUI [1,1]
C3495034
UMLS CUI [1,2]
C0011008
Type of admission
Description

Elective or Urgent

Data type

text

Alias
UMLS CUI-1
C1550330
Admission location
Description

The categories of location of a patient at the time of admission to the hospital or observation unit

Data type

text

Alias
UMLS CUI [1,1]
C0184666
UMLS CUI [1,2]
C0450429
Means of transport of nontransfer patient
Description

Indicate the means by which a nontransfer patient was transported to your facility

Data type

text

Alias
UMLS CUI-1
C3258270
Prearrival first medical contact date/time
Description

Indicate the date and time of prearrival first medical contact, when the patient was first evaluated by either. Note: Enter the date and time of first medical contact only for patients who were transported by ambulance (ground or air) or mobile ICU. EMS or another healthcare professional before arrival at your facility. This is not the date and time of arrival at your facility.

Data type

datetime

Alias
UMLS CUI [1]
C1320531
Transfer patient
Description

Indicate if the patient was transferred directly to your facility from another ED or hospital unit and indicate which.

Data type

text

Alias
UMLS CUI-1
C1546432
Means of transport of transfer patient
Description

Indicate the means by which the transfer patient was transported to your facility.

Data type

text

Alias
UMLS CUI-1
C0449375
Arrival at outside hospital date/time
Description

Indicate the date and time the patient arrived at the outside hospital. If unknown, leave blank.

Data type

datetime

Alias
UMLS CUI-1
C1320532
Transfer from outside hospital date/time
Description

Indicate the date and time the patient left the outside facility

Data type

datetime

Alias
UMLS CUI [1,1]
C1546432
UMLS CUI [1,2]
C0011008
Time points for STEMI patients
Description

Time points for STEMI patients

Alias
UMLS CUI [1,1]
C1536220
UMLS CUI [1,2]
C1705821
Symptom-onset date/time
Description

Symptom-onset date/time

Data type

datetime

Alias
UMLS CUI-1
C1320528
EMS dispatch date/time
Description

If ground or air ambulance, indicate EMS first medical contact date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C3261085
UMLS CUI [1,2]
C1264639
Non-EMS first medical contact date/time
Description

Non-EMS first medical contact date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C1518384
UMLS CUI [1,2]
C1279901
UMLS CUI [1,3]
C1521801
UMLS CUI [1,4]
C0011008
EMS leaving scene date/time
Description

EMS leaving scene date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C3261085
UMLS CUI [1,2]
C1264639
Hospital arrival date/time
Description

Hospital arrival date/time

Data type

datetime

Alias
UMLS CUI-1
C1320532
First ECG date/time
Description

First ECG date/time

Data type

datetime

Alias
UMLS CUI-1
C2826846
Catheterization lab activation date/time
Description

Catheterization lab activation date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0018795
UMLS CUI [1,2]
C1879547
UMLS CUI [1,3]
C0011008
History and Risk Factor Data Elements and Definitions
Description

History and Risk Factor Data Elements and Definitions

Alias
UMLS CUI-1
C0035648
Prior angina
Description

History of angina before the current admission. “Angina� refers to evidence or knowledge of symptoms before this acute event described as chest pain or pressure, jaw pain, arm pain, or other equivalent discomfort suggestive of cardiac ischemia. Indicate if angina existed >2 wk before admission and/or within 2 wk before admission.

Data type

text

Alias
UMLS CUI [1]
C0455530
Average number of episodes of angina in the prior week
Description

Average number of distinct episodes of anginal pain that occurred in the last week before hospital admission or this visit

Data type

integer

Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C4086638
UMLS CUI [1,3]
C0332185
Number of angina episodes in the prior 6 weeks
Description

Total number of distinct episodes of anginal pain that occurred in the last 6 wk before hospital admission or visit should be recorded. Duration of each episode and requirement for sublingual nitroglycerin are also documented.

Data type

text

Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C4086638
UMLS CUI [1,3]
C0332185
Intermittent claudication
Description

History of claudication that typically presents as exertional fatigue, cramping, or aching in the muscles of the legs that is reproducible and resolves promptly with rest.

Data type

boolean

Alias
UMLS CUI-1
C0021775
Prior MI
Description

Indicate if the patient has had at least 1 documented previous myocardial infarction. Any occurrence between birth and arrival at first facility. The term acute MI 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: � Detection of the rise and/or fall of cardiac biomarkers (preferably cTn) with at least 1 value above the 99th percentile and with at least 1 of the following: — Symptoms of ischemia — New or presumed new significant ST-T changes or new LBBB — Development of pathological Q waves on the ECG — Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality — Identification of an intracoronary thrombus by angiography or autopsy � Cardiac death with symptoms suggestive of myocardial ischemia and presumed new ischemic electrocardiographic changes or new LBBB, but death occurred before cardiac biomarkers were obtained or before cardiac biomarker values would be increased. � PCI-related MI is arbitrarily defined by elevation of cTn values (>5 times the 99th percentile URL) in patients with normal baseline values (≤99th percentile URL) or a rise in cTn values ≥20% if baseline values are elevated and stable or falling; in addition, either symptoms suggestive of myocardial ischemia or new ischemic electrocardiographic changes or angiographic findings consistent with a procedural complication or imaging demonstration of new loss of viable myocardium or new regional wall motion abnormality � Stent thrombosis associated with MI when detected by coronary angiography or autopsy in the setting of myocardial ischemia and with a rise and/or fall of cardiac biomarker values with at least 1 value >99th percentile URL. � CABG-related MI is arbitrarily defined by elevation of cardiac biomarker values (>10 times the 99th percentile URL) in patients with normal baseline cTn values (≤99th percentile URL) plus either new pathological Q waves or new LBBB, or angiographically documented new graft or new native coronary artery occlusion, or imaging evidence of new loss of viable myocardium. � The 99th percentile is observed after the procedure in conjunction with symptoms suggestive of myocardial ischemia or new ischemic electrocardiographic changes or angiographic findings consistent with a procedural complication or imaging demonstration of new loss of viable myocardium or in patients with a preprocedure elevated biomarker that is stable or falling, a rise of biomarker values ≥20% in conjunction with the PCI-related criteria stated above. A prior MI can also be documented if the patient has any 1 of the following criteria that meets the diagnosis for prior MI: � Pathological Q waves with or without symptoms in the absence of nonischemic causes � Imaging evidence of a region of loss of viable myocardium that is thinned and fails to contract, in the absence of a nonischemic cause � Pathological findings of a prior MI

Data type

boolean

Alias
UMLS CUI-1
C1275835
Previous history of heart failure
Description

Indicate if there is a previous history of heart failure before this care encounter. A previous hospital admission with the principal diagnosis of heart failure is considered evidence of a history of heart failure. Heart failure is defined as physician documentation or report of any of the following clinical symptoms of heart failure described as unusual dyspnea on light exertion, recurrent dyspnea occurring in the supine position, fluid retention, or the description of rales, jugular venous distention, pulmonary edema on physical examination, or pulmonary edema on chest x-ray. A low ejection fraction without clinical evidence of heart failure does not qualify as heart failure.

Data type

boolean

Alias
UMLS CUI-1
C0455531
NYHA functional class
Description

If heart failure is present, indicate the NYHA functional class. Choose 1 of the following: â—� Class I: patients with cardiac disease but without resulting limitations of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea. â—� Class II: patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, or dyspnea. â—� Class III: patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea. â—� Class IV: patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms are present even at rest or minimal exertion. If any physical activity is undertaken, discomfort is increased.

Data type

text

Alias
UMLS CUI-1
C1275491
Prior PCI
Description

Indicate if the patient had a previous PCI (even if unsuccessful) of any type (balloon angioplasty, stent, or other), performed before the current admission.

Data type

text

Alias
UMLS CUI-1
C1320647
Date of prior PCI
Description

If the patient had a previous PCI of any type (balloon angioplasty, stent, or other) performed before the current admission, indicate the date of the most recent PCI. If month or day is unknown, year is sufficient.

Data type

date

Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C1264639
Prior CABG
Description

Indicate whether the patient had a previous CABG (Coronary Artery Bypass Grafting) surgery before the current admission.

Data type

boolean

Alias
UMLS CUI-1
C1275842
Date of prior CABG
Description

If the patient had a previous CABG (Coronary Artery Bypass Grafting) before the current admission, indicate the date of the most recent CABG. If month or day is unknown, year is sufficient.

Data type

date

Alias
UMLS CUI-1
C2164190
Prior catheterization with stenosis ≥50%
Description

The patient has documented CAD at coronary angiography at any time before the current admission, with at least a 50% stenosis in the diameter of a major coronary artery. If the patient had a cardiac catheterization before the index event that demonstrated a stenosis of 90% that was successfully stented to a 0% residual, this should be coded as “yes,� because a stenosis ≥50% diameter was documented.

Data type

boolean

Alias
UMLS CUI [1]
C3494526
Cerebral artery disease
Description

Current or previous history of any of the following: � Ischemic stroke: an acute episode of focal, cerebral, spinal, or retinal dysfunction caused by infarction of the central nervous system tissue � TIA: transient episode of neurological dysfunction caused by focal or global brain, spinal cord, or retinal ischemia without acute infarction � Noninvasive or invasive arterial imaging test demonstrating ≥50% stenosis of any of the major extracranial or intracranial vessels to the brain � Previous cervical or cerebral artery revascularization surgery or percutaneous intervention This does not include chronic (nonvascular) neurological diseases or other acute neurological insults such as metabolic and anoxic ischemic encephalopathy.

Data type

boolean

Alias
UMLS CUI-1
C0585890
Prior stroke
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.

Data type

text

Alias
UMLS CUI-1
C0559159
Most likely etiology of ischemic stroke
Description

If the patient has a history of ischemic stroke, indicate the most likely etiology

Data type

text

Alias
UMLS CUI [1]
C3897486
PAD (Peripheral artery disease)
Description

Current or previous history of PAD (includes lower extremity from iliac to tibials and upper extremity with subclavian and brachials. Excludes renal, coronary, cerebral, and mesenteric vessels and aneurysms). This can include: � Claudication on exertion that is relieved by rest � Amputation for severe arterial vascular insufficiency � Vascular reconstruction, bypass surgery, or percutaneous revascularization in the arteries of the lower and upper extremities � Positive noninvasive test (eg, ankle brachial index ≤0.9, ultrasound, MR imaging or CT scanning of >50% diameter stenosis in any peripheral artery [ie, subclavian, femoral, iliac]) or angiographic imaging

Data type

boolean

Alias
UMLS CUI [1]
C1881056
Aorta disease
Description

Current or previous history of disease of the thoracic, thoracoabdominal, or abdominal aorta (typically aneurysm)

Data type

boolean

Alias
UMLS CUI-1
C0003493
Renal artery disease
Description

Current or previous history of disease of the main renal arteries or extrarenal branches

Data type

boolean

Alias
UMLS CUI-1
C3640053
History of alcohol consumption
Description

Specify alcohol consumption history. Choose from the following categories:

Data type

text

Alias
UMLS CUI-1
C0552479
Erectile dysfunction
Description

Indicate if the patient has a history of erectile dysfunction. Choose 1 of the following:

Data type

text

Alias
UMLS CUI-1
C0242350
Depression
Description

Current or previous diagnosis of depression or documentation of a depressed mood or affect

Data type

boolean

Alias
UMLS CUI-1
C0455503
Diabetes
Description

History of diabetes diagnosed and/or treated by a healthcare provider. The American Diabetes Association criteria include documentation of the following: 1. Hemoglobin A1c ≥6.5%; or 2. Fasting plasma glucose ≥126 mg/dL (7.0 mmol/L); or 3. 2-h Plasma glucose ≥200 mg/dL (11.1 mmol/L) during an oral glucose tolerance test; or 4. 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.

Data type

boolean

Alias
UMLS CUI-1
C0011849
Diabetes control
Description

Indicate the patients diabetes control method as presented on admission. Patients placed on a preprocedure diabetic pathway of insulin drip at admission but whose diabetes was controlled by diet or oral methods are not coded as being treated with insulin. Choose the most aggressive therapy from the order below:

Data type

text

Alias
UMLS CUI-1
C3274787
Hypertension
Description

Indicate if the patient has a current diagnosis of hypertension defined by any 1 of the following: � History of hypertension diagnosed and treated with medication, diet, and/or exercise � Prior documentation of blood pressure ≥140 mm Hg systolic and/or 90 mm Hg diastolic for patients without diabetes or chronic kidney disease, or prior documentation of blood pressure ≥130 mm Hg systolic or 80 mm Hg diastolic on at least 2 occasions for patients with diabetes or chronic kidney disease � Currently undergoing pharmacological therapy for treatment of hypertension

Data type

boolean

Alias
UMLS CUI [1]
C0455527
Tobacco use
Description

Current or previous use of any tobacco product, including cigarettes, cigars, pipes, and chewing tobacco, captured as smoking status:

Data type

text

Alias
UMLS CUI-1
C0543414
Illicit drug use
Description

Documented 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
Dyslipidemia
Description

Indicate if the patient has a history of dyslipidemia that was diagnosed and/or treated by a physician. NCEP criteria include documentation of the following: � Total cholesterol >200 mg/dL (5.18 mmol/L); or � 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; � Currently receiving antilipidemic treatment

Data type

boolean

Alias
UMLS CUI-1
C0242339
Family history of premature CAD
Description

Indicate if the patient has any direct blood relatives (parents, siblings, children) who have had any of the following at age <55 y for male relatives or <65 y for female relatives: Angina Acute MI Sudden cardiac death without obvious cause CABG surgery PC

Data type

boolean

Alias
UMLS CUI-1
C0455404
Previous implantation of a pacemaker or ICD
Description

Indicate if the patient had a pacemaker or ICD implanted before the current encounter. Information about the type of device (pacemaker, biventricular/resynchronization/CRT, ICD, combination), cardiac chamber(s) involved, and year of implantation may be helpful.

Data type

text

Alias
UMLS CUI [1]
C0455666
Prior atrial fibrillation or flutter
Description

Indicate whether atrial fibrillation or flutter is present within 2 wk before admission.

Data type

boolean

Alias
UMLS CUI [1]
C0004238
UMLS CUI [2]
C0004239
History of influenza immunization
Description

Indicate if the patient has a history of influenza immunization. The month and year of the most recent immunization should be noted.

Data type

boolean

Alias
UMLS CUI-1
C0586139
History of pneumococcal immunization
Description

Indicate if the patient has a history of pneumococcal immunization. The month and year of the most recent immunization should be noted.

Data type

boolean

Alias
UMLS CUI-1
C0588096
Current dialysis
Description

Indicate if the patient currently requires dialysis treatment, including hemodialysis or peritoneal dialysis.

Data type

boolean

Alias
UMLS CUI-1
C0011946
Angina grade
Description

Indicate grade symptoms or signs in patients with suspected or presumed stable angina (or anginal equivalent) according to the CCS grading scale:

Data type

text

Alias
UMLS CUI-1
C1277207
Amount of sublingual nitroglycerin consumed
Description

Record the number of sublingual nitroglycerin tablets or spray used each week for symptomatic episodes. Record prophylactic usage also. Average the total number of sublingual uses over the 6-wk interval and record the weekly range

Data type

integer

Alias
UMLS CUI [1]
C1827134
Clinical Presentation Data Elements and Definitions
Description

Clinical Presentation Data Elements and Definitions

Alias
UMLS CUI [1]
C2708283
Symptom onset date/time
Description

Indicate the date and time the patient first noted ischemic symptoms lasting ≥10 min. If the patient had intermittent ischemic symptoms, record the date and time of the most recent ischemic symptoms before hospital presentation. Symptoms may include jaw pain, arm pain, shortness of breath, nausea, vomiting, fatigue/malaise, or other equivalent discomfort suggestive of an MI. In the event of stuttering symptoms, ACS symptom onset is the time at which symptoms became constant in quality or intensity.

Data type

datetime

Alias
UMLS CUI-1
C1320528
Heart failure on first medical contact
Description

Indicate if there is physician documentation or a report of heart failure on the first medical contact. Heart failure is defined as physician documentation or report of any of the following clinical symptoms of heart failure described as unusual dyspnea on light exertion, recurrent dyspnea occurring in the supine position, fluid retention; or the description of rales, jugular venous distention, pulmonary edema on physical examination, or pulmonary edema on chest x-ray. A low ejection fraction without clinical evidence of heart failure does not qualify as heart failure.

Data type

boolean

Alias
UMLS CUI [1]
C0018801
Killip class
Description

Indicate the patient’s Killip class at the time of hospital admission

Data type

text

Alias
UMLS CUI-1
C1881332
Heart rate
Description

Indicate the first measurement or earliest record of heart rate (in beats per minute) for this episode of care. Measurement from the transferring facility is acceptable.

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI-1
C0018810
bpm
Systolic blood pressure on first medical contact
Description

Indicate the first measurement or earliest record of systolic blood pressure (in millimeters of mercury) for this episode of care. Measurement from the transferring facility is acceptable.

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI-1
C0871470
mmHg
Angina type
Description

Indicate the category of the patients type of angina if present. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1]
C0002962
Number of episodes of angina in the past 24 h
Description

Indicate the number of distinct episodes of anginal pain that occurred in the past 24 h before hospital admission.

Data type

integer

Alias
UMLS CUI [1,1]
C0002962
UMLS CUI [1,2]
C4086638
UMLS CUI [1,3]
C0332185
Secondary cause of angina (yes/no)
Description

Note whether angina was precipitated by a secondary factor such as fever, anemia, hypoxemia, tachycardia, thyrotoxicosis, or severe valvular disease as defined by Braunwald

Data type

boolean

Alias
UMLS CUI [1,1]
C1549996
UMLS CUI [1,2]
C0002962
Cardiac arrest at first medical contact
Description

Indicate if the patient has had an episode of cardiac arrest evaluated by EMS or ED personnel and either 1) received external defibrillation attempts (by lay responders or emergency personnel) or chest compressions by organized EMS or ED personnel or 2) were pulseless but did not receive defibrillation attempts or CPR by EMS personnel. Choose 1 of the following: â—� Yes â—� No Note: [Sudden] cardiac arrest is the sudden cessation of cardiac activity. 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 death should not be used to describe events that are not fatal.

Data type

boolean

Alias
UMLS CUI-1
C0018790
Height
Description

Indicate the patient’s first recorded height in centimeters on admission/encounter to your facility

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI-1
C0005890
cm
Weight
Description

Indicate the patient’s weight in kilograms closest to the date of admission/encounter.

Data type

integer

Measurement units
  • kg
Alias
UMLS CUI-1
C0005910
kg
Waist circumference
Description

Indicate waist circumference based on the average of 2 measurements made while the patient is standing. Take 1 measurement after inspiration and another after expiration. Measurements should be taken at the midpoint between the lowest rib and the iliac crest. Indicate in centimeters.

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI-1
C0455829
cm
Diagnostic Procedure Data Elements and Definitions
Description

Diagnostic Procedure Data Elements and Definitions

Alias
UMLS CUI-1
C0430022
Rhythm
Description

The categories of rhythm are:

Data type

text

Alias
UMLS CUI-1
C0232187
Site where first ECG obtained
Description

Indicate where the first ECG was obtained. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1,1]
C2825164
UMLS CUI [1,2]
C1623258
First ECG date/time
Description

Indicate the date and time of the first ECG.

Data type

datetime

Alias
UMLS CUI [1]
C2826640
STEMI or STEMI equivalent
Description

Indicate if there was either new or presumed new ST-segment elevation, new LBBB, or isolated inferobasal MI before any procedures and not more than 24 h after the initial presentation

Data type

boolean

Alias
UMLS CUI-1
C3538872
ECG evidence for STEMI or STEMI equivalent
Description

Indicate if there was either new or presumed new ST-segment elevation, new LBBB, or isolated inferobasal (posterior) MI noted on the ECG before any procedures and not more than 24 h after the initial presentation. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1]
C3538872
STEMI or STEMI equivalent noted
Description

Indicate if a STEMI or STEMI equivalent was noted on either the first or a subsequent ECG. The subsequent ECG must be performed within 24 h of initial presentation, either to your facility or the transferring facility if a transfer patient.

Data type

text

Alias
UMLS CUI [1]
C3538872
STEMI or STEMI equivalent date/time
Description

Indicate the date and time of the earliest subsequent ECG with ST-segment elevation, LBBB, or isolated inferobasal MI.

Data type

datetime

Alias
UMLS CUI [1,1]
C3538872
UMLS CUI [1,2]
C0011008
Other ischemic ECG findings
Description

Other ischemic ECG findings

Data type

text

Alias
UMLS CUI-1
C1141959
Location of ECG changes
Description

The location of each type of electrocardiographic change listed below can be divided into 4 categories: Consideration can be given to recording posterior ST changes, the maximal amount of ST (if applicable), and/ or the number of leads with ST.

Data type

text

Alias
UMLS CUI [1,1]
C0855329
UMLS CUI [1,2]
C0450429
BBB and type
Description

The presence of left or right BBB should be noted, as well as whether it is new, old, or of uncertain timing.

Data type

text

Alias
UMLS CUI-1
C0006384
Follow-up ECG: new Q waves
Description

If a follow-up ECG is performed (at least 6 h after the initial ECG), the presence or absence of new Q waves that are ≥0.03 s in width, in at least 2 contiguous leads, and ≥1 mm (0.1 mV) in depth not seen on the initial ECG should be noted, as well as the location described above.

Data type

boolean

Alias
UMLS CUI [1]
C1305738
LDL value
Description

Indicate the value of the LDL cholesterol. If the value is reported using a “>� symbol (eg, >300), record the number only (eg, 300). Lipids obtained within the first 24 h of this admission should take precedence. If >24 h after admission, then enter prior values.

Data type

float

Alias
UMLS CUI-1
C0428474
HDL value
Description

Indicate the HDL-cholesterol value. If the value is reported using a “>� symbol (eg, >300), record the number only (eg, 300). Lipids obtained within the first 24 h of this admission should take precedence. If >24 h after admission, then enter prior values.

Data type

float

Alias
UMLS CUI-1
C0428472
Triglycerides value
Description

Indicate the value of triglycerides. If the value is reported using a “>� (eg, >300), record the number only (eg, 300). Lipids obtained within the first 24 h of this admission should take precedence. If >24 h of admission, then enter prior values.

Data type

float

Alias
UMLS CUI-1
C0202236
Date of lipids
Description

Indicate the date the sample was collected (not the date and time results reported) OR check either Performed before hospitalization or Unknown. Lipids obtained within the first 24 h of this admission should take precedence. If >24 h after admission, then enter prior values.

Data type

datetime

Alias
UMLS CUI [1,1]
C0596192
UMLS CUI [1,2]
C0011008
When lipids were measured: other
Description

Indicate the date and time the sample was collected (not the date and time results reported) OR check either "Performed before hospitalization" or "Unknown". Lipids obtained within the first 24 h of this admission should take precedence. If >24 h after admission, then enter prior values

Data type

text

Alias
UMLS CUI [1,1]
C0596192
UMLS CUI [1,2]
C2348792
BNP/NT-proBNP value
Description

Indicate the results from first BNP or first NT-proBNP performed during this admission. If done, enter the numerical value and specify which assay type was done.

Data type

float

Alias
UMLS CUI [1]
C1095989
UMLS CUI [2]
C1319570
hs-CRP
Description

Indicate the value of the first serum hs-CRP level and units.

Data type

float

Alias
UMLS CUI-1
C0201657
Glucose
Description

Indicate the first glucose value taken. Indicate if fasting or not.

Data type

float

Alias
UMLS CUI-1
C0202042
Creatinine
Description

Indicate the creatinine value taken at the time of admission and at the time of discharge

Data type

float

Alias
UMLS CUI-1
C0201975
Hemoglobin
Description

Indicate the value and units for the first hemoglobin collected during this admission. Date and time of collection should also be indicated.

Data type

float

Alias
UMLS CUI-1
C0518015
Hemoglobin A1c value
Description

Indicate the percentage value for the first hemoglobin A1c collected during this admission. Date and time of collection should also be indicated.

Data type

float

Alias
UMLS CUI-1
C0202054
INR
Description

Indicate the numerical value of INR on admission. Date and time of collection should also be indicated.

Data type

integer

Alias
UMLS CUI-1
C0525032
Initial CK value
Description

Indicate the results of the first CK sample obtained within the first 24 h of care, either from a transferring hospital or your hospital. If the patient was transferred into your hospital, data available from the transferring facility should take precedence.

Data type

float

Alias
UMLS CUI-1
C0201973
Peak CK value
Description

Indicate the results of the peak CK sample obtained during this admission.

Data type

float

Alias
UMLS CUI [1,1]
C0201973
UMLS CUI [1,2]
C0444505
CK ULN
Description

Indicate the total CK ULN as defined by individual hospital laboratory standards. The units of CK and type of units (eg, IU, ng/dL, kCat/L) should be noted.

Data type

float

Alias
UMLS CUI [1,1]
C0201973
UMLS CUI [1,2]
C1519815
Initial CK-MB value
Description

Indicate the initial CK-MB value. The initial sample value refers to the first sample obtained within the first 24 h of care, either from a transferring hospital or your hospital. If the patient was transferred, data available from the transferring facility should take precedence.

Data type

float

Alias
UMLS CUI-1
C0523584
CK-MB ULN
Description

Indicate the initial CK-MB sample ULN for the test. If a range is given, record the highest number in the range. Examples: 1. Reference range given as 05: Record ULN as 5 2. ULN given as <5: Record ULN as 5 The initial sample value refers to the first sample obtained within the first 24 h of care, either from a transferring hospital or your hospital. If the patient was transferred, data available from the transferring facility should take precedence.

Data type

float

Alias
UMLS CUI [1,1]
C0523584
UMLS CUI [1,2]
C1519815
Peak CK-MB value
Description

Indicate the results of the highest sample obtained during this admission. Note: Enter the value. If the value is reported using a < symbol (eg, <0.02), record the number only (eg, 0.02).

Data type

float

Alias
UMLS CUI [1,1]
C0523584
UMLS CUI [1,2]
C0444505
Initial troponin value
Description

Indicate the results of the first sample obtained within the first 24 h of care, either from a transferring hospital or your hospital. If the patient was transferred, data available from the transferring facility should take precedence. Note: Enter the value. If the value is reported using a “<� symbol (eg, “<0.02�), record the number only (eg, “0.02�).

Data type

float

Alias
UMLS CUI-1
C0523952
Troponin type
Description

Indicate which type:

Data type

text

Alias
UMLS CUI [1,1]
C0523952
UMLS CUI [1,2]
C0332307
Peak troponin value
Description

Indicate the results of the highest sample obtained during this admission. Note: Enter the value. If the value is reported using a < symbol (eg, <0.02), record the number only (eg, 0.02).

Data type

float

Alias
UMLS CUI [1,1]
C0523952
UMLS CUI [1,2]
C0444505
Invasive Therapeutic Intervention Data Elements and Definitions
Description

Invasive Therapeutic Intervention Data Elements and Definitions

Alias
UMLS CUI-1
C0808232
Pacemaker implantation
Description

If a pacemaker was placed during this admission, indicate what type of device

Data type

text

Alias
UMLS CUI [1]
C0189842
Temporary pacemaker ICD
Description

Temporary pacemaker placed during this admission An ICD may be placed for: • VF • Symptomatic VT • Asymptomatic VT • Other (specify) • Inducible VT/VF at electrophysiological study • Syncope • Primary prevention for patients in high-risk heart failure group The brand, model number, and serial number of the device may be recorded.

Data type

boolean

Alias
UMLS CUI [1]
C0162589
Noninvasive stress testing
Description

Indicate if the patient underwent exercise or pharmacological stress testing with or without echocardiographic or radionuclide imaging.

Data type

boolean

Alias
UMLS CUI-1
C3272313
Date of noninvasive stress testing
Description

Indicate the date of exercise or pharmacological stress testing with or without echocardiographic or radionuclide imaging

Data type

datetime

Alias
UMLS CUI [1,1]
C3272313
UMLS CUI [1,2]
C0011008
Noninvasive angiogram
Description

Indicate if the patient underwent 1 of the following: MR angiogram Multislice CT scan

Data type

boolean

Alias
UMLS CUI [1]
C0085532
Maximum stenosis by vessel (LAD, LCx, RCA, LM, graft)
Description

Stenosis represents the percentage occlusion, from 0% to 100%, associated with the identified vessel systems. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the normal vessel proximal to the lesion. For the denominator, take the maximum internal lumen diameter proximal and distal to the lesion. In instances where multiple lesions are present, enter the highest percentage stenosis noted. The systems of interest are as follows and should include major branch vessels of >2 mm diameter: Greatest stenosis assessed in the LAD or any major branch vessel Greatest stenosis assessed in the LCx or any major branch vessel Greatest stenosis assessed in the RCA or any major branch vessel Greatest stenosis assessed in the LM Greatest stenosis assessed in bypass graft

Data type

text

Alias
UMLS CUI [1]
C0242231
Maximal or submaximal stress test
Description

Maximal stress test (symptom limited) or submaximal test (eg, modified Bruce protocol ending with stage 1 or stage 2)

Data type

text

Alias
UMLS CUI [1]
C1384495
Ischemia result (positive, negative, equivocal, nondiagnostic test)
Description

Ischemia result (positive, negative, equivocal, nondiagnostic test)

Data type

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C1384495
LVEF assessed
Description

Indicate whether the patient had LVEF assessed via invasive (ie, LV gram) or noninvasive (ie, echo, MR, CT or nuclear) testing before or during the admission

Data type

boolean

Alias
UMLS CUI-1
C2114363
Resting LV systolic function:global function ejection fraction
Description

Indicate the ejection fraction category. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1]
C0428772
Diagnostic coronary angiography
Description

Indicate if the patient had diagnostic coronary angiography. This is defined as the passage of a catheter into the aortic root or other great vessels for angiography of the native coronary arteries or bypass grafts supplying native coronary arteries. This element would NOT include noninvasive CT angiography.

Data type

boolean

Alias
UMLS CUI-1
C0085532
Diagnostic coronary angiography date/time
Description

Indicate the date and time the patient had diagnostic coronary angiography, defined as the passage of a catheter into the aortic root or other great vessels.

Data type

datetime

Alias
UMLS CUI [1,1]
C0085532
UMLS CUI [1,2]
C0011008
Culprit artery
Description

This is the vessel considered to be responsible for the ACS. The investigator should use his or her judgment in choosing the primary vessel. In cases in which this is difficult to determine (despite correlation of electrocardiographic changes and angiographic data), the vessel supplying the largest territory of myocardium should be selected:

Data type

text

Alias
UMLS CUI [1]
C1299364
Culprit artery TIMI flow
Description

TIMI grade flow in the culprit artery is defined as follows:

Data type

text

Alias
UMLS CUI [1]
C3272266
LM stenosis percent
Description

The best estimate of the most severe percent stenosis in the LM coronary artery. This does not include collaterals. Indicate the following: • Percent stenosis of the LM coronary artery. • If no stenosis, then enter 0%. • If data are not available, indicate “not available.� Stenosis: Stenosis represents the percent diameter reduction, from 0 to 100, associated with the identified vessel systems. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the “normal� reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted. Note: If the patient only has a PCI (without a diagnostic catheterization at the same sitting), it is acceptable to use prior and recent catheterization lab visit information, even if at another institution.

Data type

integer

Alias
UMLS CUI-1
C2825221
Proximal LAD and first diagonal branches percent stenosis
Description

Indicate the best estimate of the most severe percent stenosis in the proximal LAD and first diagonal coronary artery branches of ≥2.0 mm in diameter as determined by angiography. This does not include collateral circulation. Indicate the following: • Percent stenosis of the proximal LAD and first diagonal branches. • If no stenosis, then enter 0%. • If data are not available, indicate “not available.� Stenosis: Stenosis represents the percent diameter reduction, from 0 to 100, associated with the identified vessel systems. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the “normal� reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted. Note: If the patient only has a PCI (without a diagnostic catheterization at the same sitting), it is acceptable to use prior and recent catheterization lab visit information, even if at another institution.

Data type

integer

Alias
UMLS CUI-1
C2825222
Mid or distal LAD, D2, and D3 percent stenosis
Description

Indicate the best estimate of the most severe percent stenosis in the mid or distal LAD and diagonal coronary artery branches after the first diagonal of 2.0 mm in diameter as determined by angiography. This does not include collateral circulation. Indicate the following: Percent stenosis of the mid or distal LAD, D2, and D3. If no stenosis, then enter 0 percent. If data are not available, indicate not available. Stenosis: Stenosis represents the percent diameter reduction, from 0 to 100, associated with the identified vessel systems. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the normal reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted. If the patient only has a PCI (without a diagnostic catheterization at the same sitting), it is acceptable to use prior and recent catheterization lab visit information, even if at another institution.

Data type

integer

Alias
UMLS CUI [1,1]
C0242231
UMLS CUI [1,2]
C0439165
Circ, OMs, LPDA, and LPL branches percent stenosis
Description

Indicate the best estimate of the most severe percent stenosis in the Circ, OMs, LPDA, and LPL coronary artery branches of 2.0 mm in diameter as determined by angiography. This does not include collaterals. Indicate the following: Percent stenosis of the Circ, OMs, LPDA, and LPL branches. If no stenosis, then enter 0 percent. If data are not available, indicate not available. Stenosis: Stenosis represents the percent diameter reduction, from 0 to 100, associated with the identified vessel systems. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the normal reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted. If the patient only has a PCI (without a diagnostic catheterization at the same sitting), it is acceptable to use prior and recent catheterization lab visit information, even if at another institution.

Data type

integer

Alias
UMLS CUI [1,1]
C0242231
UMLS CUI [1,2]
C0439165
RCA, PDA, RPL, and AM branches percent stenosis
Description

Indicate the best estimate of the most severe percent stenosis in the RCA, PDA, RPL, and AM branches of ≥2.0 mm in diameter as determined by angiography. This does not include collaterals. Indicate the following: • Percent stenosis of the RCA, PDA, RPL, and AM branches. • If no stenosis, then enter 0%. • If data are not available, indicate “not available.� Stenosis: Stenosis represents the percent diameter reduction, from 0 to 100, associated with the identified vessel systems. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the “normal� reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted. If the patient only has a PCI (without a diagnostic catheterization at the same sitting), it is acceptable to use prior and recent catheterization lab visit information, even if at another institution.

Data type

integer

Alias
UMLS CUI [1,1]
C3267166
UMLS CUI [1,2]
C0439165
Ramus percent stenosis
Description

Indicate the best estimate of the most severe percent stenosis in the ramus artery (if present) of 2.0 mm in diameter as determined by angiography. This does not include collaterals. Indicate the following: Percent stenosis of the ramus. If no stenosis, then enter 0%. If data are not available, indicate not available. Stenosis: Stenosis represents the percent diameter reduction, from 0 to 100, associated with the identified vessel systems. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the normal reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted. If the patient only has a PCI (without a diagnostic catheterization at the same sitting), it is acceptable to use prior and recent catheterization lab visit information, even if at another institution.

Data type

integer

Alias
UMLS CUI [1,1]
C0242231
UMLS CUI [1,2]
C0439165
Catheterization contraindication
Description

Indicate if catheterization was not performed. Contraindications may include patient refusal, advanced age, patient not a candidate for revascularization, DNR order, active bleeding, and clinical contraindications/severe comorbidities.

Data type

boolean

Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C0522473
Reperfusion therapy: reperfusion candidate
Description

Indicate if the patient is a candidate for reperfusion therapy for treatment of STEMI. Reperfusion therapy includes thrombolysis and primary PCI

Data type

boolean

Alias
UMLS CUI-1
C0035124
Reperfusion therapy: type of reperfusion
Description

the patient received reperfusion therapy, indicate the type of reperfusion. Choose all that apply:

Data type

text

Alias
UMLS CUI [1]
C1320534
PCI
Description

Indicate if the patient underwent PCI, placement of an angioplasty guidewire, balloon, or other device (eg, stent, atherectomy, brachytherapy, or thrombectomy catheter) into a native coronary artery or CABG for the purpose of mechanical coronary revascularization.

Data type

boolean

Alias
UMLS CUI-1
C1532338
Catheterization lab arrival date/time
Description

Indicate the date and time the patient arrived at the catheterization lab where the PCI was being performed as documented in the medical record.

Data type

datetime

Alias
UMLS CUI-1
C3838354
First device activation date/time
Description

Indicate the date and time the first device was activated regardless of the type of device used. Use the earliest time from the following: • Time of first balloon inflation • Time of first stent deployment • Time of first treatment of lesion (thrombectomy/aspiration device, laser, rotational atherectomy) • If the lesion cannot be crossed with a guidewire or device (and thus none of the above apply), use the time of guidewire introduction. Please note that this is a process measure about the timeliness of treatment. It is NOT a clinical outcomes measure based on TIMI flow or clinical reperfusion. It does not matter whether the baseline angiogram showed TIMI 3 flow or if the final post-PCI angiogram showed TIMI 0 flow. What is being measured is the time of the first mechanical treatment of the culprit lesion, not the time when TIMI 3 flow was (or was not) restored.

Data type

datetime

Alias
UMLS CUI [1,1]
C0025080
UMLS CUI [1,2]
C1879547
UMLS CUI [1,3]
C0011008
PCI indication
Description

Indicate the primary reason PCI was performed or attempted. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C0392360
Nonsystem reason for delay in PCI
Description

Indicate if there is documentation of a reason for a delay in doing the first PCI after hospital arrival by a physician/advanced practice nurse/physician assistant. System reasons for delay are NOT acceptable.

Data type

text

Alias
UMLS CUI [1]
C3640267
Stent placed
Description

Indicate if a stent was placed in the affected coronary artery.

Data type

boolean

Alias
UMLS CUI-1
C3272316
Stent type
Description

Indicate the type of stent if a stent was placed in the affected coronary artery. Choose all that apply:

Data type

text

Alias
UMLS CUI [1,1]
C0687568
UMLS CUI [1,2]
C0332307
Number of stents placed
Description

Number of stents placed. The exact type of stent should be collected

Data type

integer

Alias
UMLS CUI-1
C2024081
Thrombolytics type
Description

If the patient received reperfusion therapy with thrombolytics, indicate the type of thrombolytics used. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1]
C0040044
Thrombolytics dose
Description

If the patient received reperfusion therapy with thrombolytics, indicate the strength of dose of the thrombolytics. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1,1]
C0178602
UMLS CUI [1,2]
C0040044
Thrombolytics start date/time
Description

If the patient received reperfusion therapy with thrombolytics, indicate the time of either the first bolus or the beginning of the infusion. Note: If the facility receives a transfer patient with ongoing infusion, record the time that the infusion was started at the transferring facility

Data type

datetime

Alias
UMLS CUI [1,1]
C0040044
UMLS CUI [1,2]
C1301880
Nonsystem reason for delay of thrombolytics
Description

Indicate if there is documentation of a nonsystem reason for delay in initiating thrombolytic therapy >30 min from the time of first facility arrival (including an ambulance capable of administering thrombolytic therapy). Note: A patient being transferred into a facility is not considered a nonsystem reason for delay.

Data type

boolean

Alias
UMLS CUI [1]
C3640267
Contraindication to PCI
Description

Indicate why PCI was not performed as reperfusion therapy. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1,1]
C0522473
UMLS CUI [1,2]
C1532338
Contraindication to thrombolytics
Description

Indicate why thrombolytics were not administered as reperfusion therapy. Choose 1 of the following:

Data type

text

Alias
UMLS CUI-1
C3260558
CABG surgery
Description

Indicate if the patient underwent CABG surgery during this admission

Data type

boolean

Alias
UMLS CUI-1
C0010055
CABG surgery date/time
Description

Indicate the date and time the patient entered the operating room suite or the first time surgery was documented on the operating room report.

Data type

datetime

Alias
UMLS CUI [1,1]
C0010055
UMLS CUI [1,2]
C0011008
IABP
Description

Indicate if IABP was used during this admission

Data type

boolean

Alias
UMLS CUI-1
C0021860
Circulatory support
Description

Indicate if circulatory support was provided during this admission and which type:

Data type

text

Alias
UMLS CUI [1]
C0457617
Pulmonary artery catheter
Description

Indicate if a pulmonary artery (Swan Ganz) catheter was used during this admission

Data type

boolean

Alias
UMLS CUI [1]
C0190658
Ventilator
Description

Indicate the need for intubation and respiratory support on a ventilator. Include the date and time the patient was put on and taken off the ventilator.

Data type

text

Alias
UMLS CUI [1]
C0087153
GP IIb/IIIa blocker
Description

Indicate if a GP IIb/IIIa inhibitor was administered during the hospital stay. If yes, indicate which of the following:

Data type

text

Alias
UMLS CUI [1]
C3640054
GP IIb/IIIa blocker dosage
Description

Indicate the GP IIb/IIIa blocker dose given.

Data type

integer

Alias
UMLS CUI [1,1]
C3640054
UMLS CUI [1,2]
C0178602
GP IIb/IIIa inhibitor administered start date/time
Description

Indicate the date and time a GP IIb/IIIa inhibitor infusion was initiated during the hospital stay.

Data type

datetime

Alias
UMLS CUI [1,1]
C1301880
UMLS CUI [1,2]
C3640054
GP IIb/IIIa inhibitor administered stop date/time
Description

Indicate the date and time the GP IIb/IIIa inhibitor infusion was permanently discontinued during the hospital stay.

Data type

datetime

Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C3640054
GP IIb/IIIa inhibitor contraindicated
Description

Indicate if a GP IIb/IIIa inhibitor was contraindicated during the hospital stay.

Data type

boolean

Alias
UMLS CUI [1,1]
C3640054
UMLS CUI [1,2]
C0522473
Anticoagulant (parenteral)
Description

Indicate if an anticoagulant was administered during the hospital stay. If yes, indicate which of the following:

Data type

text

Alias
UMLS CUI [1]
C0354565
Anticoagulant dose
Description

Indicate the anticoagulant dose given.

Data type

integer

Alias
UMLS CUI [1,1]
C0354565
UMLS CUI [1,2]
C0178602
Anticoagulant start date/time
Description

Indicate the date and time an anticoagulant infusion was initiated during the hospital stay.

Data type

datetime

Alias
UMLS CUI [1,1]
C0354565
UMLS CUI [1,2]
C1301880
Anticoagulant stop date/time
Description

Indicate the date and time an anticoagulant infusion was permanently discontinued during the hospital stay.

Data type

datetime

Alias
UMLS CUI [1,1]
C0354565
UMLS CUI [1,2]
C1522314
Anticoagulant contraindicated
Description

Indicate if an anticoagulant agent was contraindicated during the hospital stay.

Data type

boolean

Alias
UMLS CUI-1
C1531588
IV nitrate
Description

Nitroglycerin was administered intravenously.

Data type

boolean

Alias
UMLS CUI-1
C0017887
Oral or topical nitrates
Description

Oral or topical nitroglycerin was administered. Commonly prescribed agents include isosorbide dinitrate, isosorbide mononitrate, transdermal infusion system, or nitroglycerin paste. Sublingual nitroglycerin or nitroglycerin spray used on an as-needed basis only should not be noted in this category.

Data type

boolean

Alias
UMLS CUI-1
C3214208
IV beta blockers
Description

Indicate if IV beta blockers were administered. Some forms of IV beta blockers include atenolol, metoprolol, propranolol, timolol, esmolol, and labetalol.

Data type

boolean

Alias
UMLS CUI-1
C0304516
Beta blocker before admission
Description

Indicate if the patient has been taking a beta blocker routinely at home before this hospitalization. If yes, indicate which type.

Data type

text

Alias
UMLS CUI [1]
C0304516
Beta blocker in first 24 h
Description

Indicate if the beta blocker was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). If yes, indicate which type. Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

text

Alias
UMLS CUI [1]
C0304516
Beta-blocker contraindications
Description

Indicate if a beta blocker was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI-1
C1278474
Beta blocker (discharge)
Description

Indicate if a beta blocker was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed.

Data type

text

Alias
UMLS CUI [1]
C0304516
Beta blocker (discharge) contraindicated
Description

Indicate if a beta blocker was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

text

Alias
UMLS CUI [1]
C1278474
Calcium channel blocker
Description

Indicate if calcium channel blockers were administered. If yes, indicate which type. Some generic forms of calcium channel blockers are verapamil, nifedipine, diltiazem, nicardipine, nimodipine, nisoldipine, felodipine, and amlodipine.

Data type

text

Alias
UMLS CUI-1
C0006684
Ranolazine before admission
Description

Indicate if the patient has been taking ranolazine routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C0073633
Ranolazine in first 24 h
Description

Indicate if ranolazine was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C0073633
Ranolazine (discharge)
Description

Indicate if ranolazine was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed.

Data type

boolean

Alias
UMLS CUI [1]
C0073633
Aspirin before admission
Description

Indicate if the patient has been taking aspirin routinely at home before this hospitalization:

Data type

text

Alias
UMLS CUI [1]
C0004057
Aspirin in first 24 h
Description

Indicate if aspirin was administered in the first 24 h before or after hospital arrival, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C1964151
Aspirin dose
Description

Indicate dose of aspirin given for the first 24 h.

Data type

integer

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0178602
Aspirin contraindications
Description

Indicate if aspirin was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI-1
C0729798
Aspirin (discharge)
Description

Indicate if aspirin was continued or prescribed at hospital discharge.

Data type

boolean

Alias
UMLS CUI [1]
C3871333
Aspirin (discharge) dose
Description

Indicate the daily dose prescribed.

Data type

text

Alias
UMLS CUI [1,1]
C0004057
UMLS CUI [1,2]
C0178602
Aspirin (discharge) contraindicated
Description

Indicate if aspirin was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C0729798
Other oral anticoagulants before admission
Description

Indicate if the patient has been taking other oral anticoagulants (oral direct antithrombin inhibitor, eg, dabigatran or oral direct factor Xa inhibitor, eg, rivaroxaban, apixaban) routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI [1]
C0354604
Other oral anticoagulant
Description

Indicate if other oral anticoagulant was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). If yes, indicate which type. Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C0354604
Other oral anticoagulant (discharge)
Description

Indicate if other oral anticoagulant was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed.

Data type

boolean

Alias
UMLS CUI [1]
C0354604
Warfarin before admission
Description

Indicate if the patient has been taking warfarin routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI [1,1]
C0043031
UMLS CUI [1,2]
C1302393
UMLS CUI [1,3]
C0332152
Warfarin
Description

Indicate if warfarin was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). If yes, indicate which type. Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

text

Alias
UMLS CUI-1
C0043031
Warfarin (discharge)
Description

Indicate if warfarin was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed.

Data type

text

Alias
UMLS CUI [1,1]
C0043031
UMLS CUI [1,2]
C0030685
Warfarin or other oral anticoagulant (discharge contraindication)
Description

Indicate if warfarin was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0043031
UMLS CUI [1,2]
C0522473
Clopidogrel before admission
Description

Indicate if the patient has been taking clopidogrel routinely at home before this hospitalization

Data type

boolean

Alias
UMLS CUI [1]
C0070166
Clopidogrel in first 24 h
Description

Indicate if clopidogrel was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI-1
C0070166
Clopidogrel loading dose
Description

Indicate the amount of the initial dose:

Data type

text

Alias
UMLS CUI [1,1]
C0070166
UMLS CUI [1,2]
C0178602
Clopidogrel start date/time
Description

Indicate the date and time the initial dose was given.

Data type

datetime

Alias
UMLS CUI [1,1]
C0070166
UMLS CUI [1,2]
C1301880
Clopidogrel contraindicated
Description

Indicate if clopidogrel was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI-1
C1319916
Clopidogrel (discharge)
Description

Indicate if clopidogrel was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed.

Data type

text

Alias
UMLS CUI [1]
C1301880
Clopidogrel (discharge) contraindicated
Description

Indicate if clopidogrel was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C1319916
Prasugrel before admission
Description

Indicate if the patient has been taking prasugrel routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C1620287
Prasugrel in first 24 h
Description

Indicate if prasugrel was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C1620287
Prasugrel start date/time
Description

Indicate the date and time the initial dose was given.

Data type

datetime

Alias
UMLS CUI [1,1]
C1620287
UMLS CUI [1,2]
C1301880
Prasugrel contraindicated
Description

Indicate if prasugrel was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C1620287
UMLS CUI [1,2]
C0522473
Prasugrel (discharge) contraindicated
Description

Indicate if prasugrel was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C1620287
UMLS CUI [1,2]
C0522473
Ticagrelor before admission
Description

Indicate if the patient has been taking ticagrelor routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C1999375
Ticagrelor in first 24 h
Description

Indicate if ticagrelor was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C1999375
Ticagrelor start date/time
Description

Indicate the date and time the initial dose was given.

Data type

datetime

Alias
UMLS CUI [1,1]
C1999375
UMLS CUI [1,2]
C1301880
Ticagrelor (discharge)
Description

Indicate if ticagrelor was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed. DO NOT record discharge medication if the patient was transferred to another acute care facility from your hospital.

Data type

boolean

Alias
UMLS CUI [1]
C1999375
Ticagrelor (discharge) contraindicated
Description

Indicate if ticagrelor was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C1999375
UMLS CUI [1,2]
C0522473
Other oral antiplatelet medications before admission
Description

Indicate if the patient has been taking other oral antiplatelet medications routinely at home before this hospitalization. These may include ticlopidine, dipyridamole, or cilostazol.

Data type

boolean

Alias
UMLS CUI [1,1]
C0085826
UMLS CUI [1,2]
C0175795
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C1302393
Other oral antiplatelet medications in first 24 h
Description

Indicate if other oral antiplatelets were administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Indicate which type and the dose administered. Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

text

Alias
UMLS CUI [1,1]
C0085826
UMLS CUI [1,2]
C0175795
Other oral antiplatelet medications (discharge)
Description

Indicate if other oral antiplatelet medications were continued or prescribed at hospital discharge. Indicate which type and the dose prescribed. DO NOT record discharge medication if the patient was transferred to another acute care facility from your hospital.

Data type

text

Alias
UMLS CUI [1,1]
C0085826
UMLS CUI [1,2]
C0175795
UMLS CUI [1,3]
C2361123
Other oral antiplatelet medications (discharge) contraindicated
Description

Indicate if other oral antiplatelet medications were discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0085826
UMLS CUI [1,2]
C0175795
UMLS CUI [1,3]
C0522473
UMLS CUI [1,4]
C2361123
ACE inhibitor before admission
Description

Indicate if the patient has been taking an ACE inhibitor routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C0003015
ACE inhibitor in first 24 h
Description

Indicate if an ACE inhibitor was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C0003015
ACE inhibitor contraindicated
Description

Indicate if an ACE inhibitor was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0003015
UMLS CUI [1,2]
C0522473
ACE inhibitor (discharge)
Description

Indicate if an ACE inhibitor was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed. DO NOT record discharge medication if the patient was transferred to another acute care facility from your hospital.

Data type

text

Alias
UMLS CUI [1]
C0003015
ACE inhibitor (discharge) contraindicated
Description

Indicate if an ACE inhibitor was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed. DO NOT record discharge medication if the patient was transferred to another acute care facility from your hospital.

Data type

text

Alias
UMLS CUI [1,1]
C0003015
UMLS CUI [1,2]
C0522473
ARB before admission
Description

Indicate if the patient has been taking an ARB routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C0521942
ARB in first 24 h
Description

Indicate if an ARB was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C0521942
ARB contraindicated
Description

Indicate if an ARB was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0521942
UMLS CUI [1,2]
C0522473
ARB (discharge)
Description

Indicate if an ARB was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed.

Data type

boolean

Alias
UMLS CUI [1]
C0521942
ARB (discharge) contraindicated
Description

Indicate if an ARB was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0521942
UMLS CUI [1,2]
C0522473
Diuretic
Description

Indicate if a diuretic was continued or prescribed at hospital discharge. Aldosterone inhibitor is listed separately.

Data type

boolean

Alias
UMLS CUI-1
C0012798
Aldosterone blocking agent (home)
Description

Indicate if the patient has been taking an aldosterone blocking agent routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C0002007
Aldosterone blocking agent in first 24 h
Description

Indicate if an aldosterone blocking agent was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Indicate which type and the dose administered. Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C0002007
Aldosterone blocking agent dose
Description

Indicate the aldosterone blocking agent dose given.

Data type

integer

Alias
UMLS CUI [1,1]
C0002007
UMLS CUI [1,2]
C0178602
Aldosterone blocking agent (24 h) contraindicated
Description

Indicate if an aldosterone blocking agent was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0002007
UMLS CUI [1,2]
C0522473
Aldosterone blocking agent (discharge)
Description

Indicate if an aldosterone blocking agent was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed. DO NOT record discharge medication if the patient was transferred to another acute care facility from your hospital.

Data type

boolean

Alias
UMLS CUI [1]
C0002007
Aldosterone blocking agent (discharge) contraindicated
Description

Indicate if an aldosterone blocking agent was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0002007
UMLS CUI [1,2]
C0522473
Statin before admission
Description

Indicate if the patient has been taking a statin routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C2585159
Statin in first 24 h
Description

Indicate if a statin was administered in the first 24 h of care provided, regardless of location of care (eg, transferring facility or EMS). Indicate which type of statin was administered. Medications taken at home before hospital arrival and therefore not readministered until the next day of the hospitalization should be noted.

Data type

boolean

Alias
UMLS CUI-1
C0360714
Statin dose
Description

Indicate the following: • Specific statin agent • Statin dose given

Data type

text

Alias
UMLS CUI [1,1]
C0360714
UMLS CUI [1,2]
C0178602
Statin contraindicated
Description

Indicate if statin was not administered during the first 24 h of care because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI-1
C1277178
Statin (discharge)
Description

Indicate if a statin was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed. DO NOT record discharge medication if the patient was transferred to another acute care facility from your hospital.

Data type

text

Alias
UMLS CUI [1]
C0360714
Statin (discharge) contraindicated
Description

Indicate if statin medication was discontinued or not prescribed because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1]
C1277178
Other lipid-lowering agent (home)
Description

Indicate if the patient has been taking another lipid-lowering agent routinely at home before this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C0086440
Other lipid-lowering agent (discharge)
Description

Indicate if another lipid-lowering agent was continued or prescribed at hospital discharge. Indicate which type and the dose prescribed.

Data type

text

Alias
UMLS CUI-1
C2729227
Other lipid-lowering agent (discharge) contraindicated
Description

Indicate if another lipid-lowering agent was discontinued or not prescribed at discharge because of a contraindication. A contraindication that is not documented explicitly by the healthcare provider but is evidenced clearly within the medical record should be noted.

Data type

boolean

Alias
UMLS CUI [1,1]
C0086440
UMLS CUI [1,2]
C0522473
Omega-3 fatty acid (discharge)
Description

Indicate if a preparation of omega-3 fatty acid supplement/medication was taken at discharge.

Data type

boolean

Alias
UMLS CUI-1
C0561929
Antiarrhythmic (discharge)
Description

Indicate if an antiarrhythmic was administered.

Data type

boolean

Alias
UMLS CUI-1
C0003195
Antidepressants
Description

Indicate if the patient has been prescribed an antidepressant.

Data type

boolean

Alias
UMLS CUI-1
C0003289
Female hormone replacement therapy
Description

Indicate if female hormone replacement therapy was administered.3

Data type

boolean

Alias
UMLS CUI-1
C0282402
Nicotine replacement and/or suppression therapy
Description

Indicate if nicotine replacement and/or suppression agents were administered (eg, bupropion, varenicline).

Data type

boolean

Alias
UMLS CUI-1
C1278444
NSAIDs
Description

Indicate if the patient has been prescribed an NSAID. Indicate the type:

Data type

text

Alias
UMLS CUI-1
C0003211
Insulin
Description

Indicate if the patient has been prescribed insulin.

Data type

boolean

Alias
UMLS CUI-1
C0021641
Oral hypoglycemic agent
Description

Indicate if the patient has been prescribed an oral hypoglycemic agent for treatment of diabetes. Specify the agent:

Data type

text

Alias
UMLS CUI-1
C0359086
Subcutaneous hypoglycemic agent
Description

Indicate if the patient has been prescribed a subcutaneous hypoglycemic agent for treatment of diabetes.

Data type

boolean

Alias
UMLS CUI-1
C3532679
Influenza immunization
Description

Indicate if the patient has received immunization for influenza or received one in the past 12 mo.

Data type

boolean

Alias
UMLS CUI-1
C0042200
Pneumococcal immunization
Description

Indicate if the patient has been immunized for pneumococcal pneumonia or received one in the past 12 mo.

Data type

boolean

Alias
UMLS CUI-1
C2082604
Death
Description

The patient died during this hospitalization.

Data type

boolean

Alias
UMLS CUI-1
C1306577
Date and time of death
Description

Indicate the patient’s date and time of death.

Data type

datetime

Alias
UMLS CUI-1
C1301931
Acute MI
Description

The term acute MI 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: • Detection of the rise and/or fall of cardiac biomarkers (preferably cTn) with at least 1 value above the 99th percentile and with at least 1 of the following: – Symptoms of ischemia – New or presumed new significant ST-T changes or new LBBB – Development of pathological Q waves on the ECG – Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality – Identification of an intracoronary thrombus by angiography or autopsy • Cardiac death with symptoms suggestive of myocardial ischemia and presumed new ischemic electrocardiographic changes or new LBBB, but death occurred before cardiac biomarkers were obtained or before cardiac biomarker values would be increased. • PCI-related MI is arbitrarily defined by elevation of cTn values (>5 times the 99th percentile URL) in patients with normal baseline values (≤99th percentile URL) or a rise in cTn values ≥20% if baseline values are elevated and stable or falling; in addition, either symptoms suggestive of myocardial ischemia or new ischemic electrocardiographic changes or angiographic findings consistent with a procedural complication or imaging demonstration of new loss of viable myocardium or new regional wall motion abnormality • Stent thrombosis associated with MI when detected by coronary angiography or autopsy in the setting of myocardial ischemia and with a rise and/or fall of cardiac biomarker values with at least 1 value >99th percentile URL. • CABG-related MI is arbitrarily defined by elevation of cardiac biomarker values (>10 times the 99th percentile URL) in patients with normal baseline cTn values (≤99th percentile URL) plus either new pathological Q waves or new LBBB, or angiographically documented new graft or new native coronary artery occlusion, or imaging evidence of new loss of viable myocardium. • The 99th percentile is observed after the procedure in conjunction with symptoms suggestive of myocardial ischemia or new ischemic electrocardiographic changes or angiographic findings consistent with a procedural complication or imaging demonstration of new loss of viable myocardium or in patients with a preprocedure elevated biomarker that is stable or falling, a rise of biomarker values ≥20% in conjunction with the PCI-related criteria stated above.

Data type

boolean

Alias
UMLS CUI-1
C0155626
Recurrent MI
Description

Reinfarction occurs when there are clinical signs and symptoms of ischemia that are distinct from the presenting ischemic event and meeting at least 1 of the following criteria: 1. Spontaneous (before or without revascularization, >48 h after PCI, and/or after CABG) A. New, significant Q waves in at least 2 contiguous leads of an ECG that were not present with the presenting ischemic event B. Patients whose most recent cardiac markers drawn before reinfarction, which were normal, require an increase in CK-MB or troponin above the 99th percentile ULN, which is at least ≥20% above the most recent value. 2. Within 48 h after PCI: A. Patients with normal biomarker values (preprocedure) who then develop an increase in biomarker values >5 times the 99th percentile URL or if the baseline values are elevated and are stable or falling, a rise of cTn values ≥20%. In addition, symptoms suggestive of myocardial ischemia or new ischemic electrocardiographic changes or angiographic findings consistent with a procedural complication or imaging demonstration of new loss of viable myocardium are required. Note: Some patients presenting with ACS will not have biomarker elevations before the PCI. Elevated biomarkers after PCI in these cases do not necessarily mean a reinfarction occurred. B. Stent thrombosis associated with MI when detected by coronary angiography or autopsy in the setting of myocardial ischemia and with a rise and/or fall of cardiac biomarker values with at least 1 value above the 99th percentile URL C. For patients with elevated baseline (preprocedure) cardiac biomarkers, there are 2 possible scenarios. In these scenarios, electrocardiographic changes or symptoms are not required to qualify. i. Patients with cardiac markers above the ULN (preprocedure) assumed to be in the midst of an acute MI i i. Patients with elevated biomarkers with a characteristic rise and fall in biomarker levels preprocedure most likely have completed their presenting infarct. Further rises in cardiac markers must be ≥20% above the most recent value to be coded as reinfarction. D. Patients with new, significant Q waves in at least 2 contiguous leads of an ECG that were not present with the presenting ischemic event 3. Within 48 h after CABG: A CABG-related MI is defined by elevation of cardiac biomarker values >10 times the 99th percentile URL in patients with normal baseline cTn values (≤99th percentile URL) plus either new pathological Q waves or new LBBB or angiographically documented new graft or new native coronary artery occlusion or imaging evidence of new loss of viable myocardium or new regional wall motion abnormality. Note: Patients with cardiac biomarkers above the ULN before CABG require the increase in biomarkers to be ≥20% above the most recent value associated with symptoms/signs of myocardial ischemia.

Data type

boolean

Alias
UMLS CUI-1
C2882123
Reinfarction date
Description

Indicate the date when the clinical signs and symptoms of the reinfarction first occurred.

Data type

datetime

Alias
UMLS CUI [1,1]
C0948369
UMLS CUI [1,2]
C0011008
Recurrent rest angina with electrocardiographic changes
Description

Recurrent ischemic pain occurring at rest (and believed to be cardiac in origin) with associated electrocardiographic changes.

Data type

boolean

Alias
UMLS CUI [1,1]
C0002965
UMLS CUI [1,2]
C0277556
UMLS CUI [1,3]
C0855329
Recurrent rest angina without electrocardiographic changes
Description

Recurrent ischemic pain occurring at rest (and believed to be cardiac in origin) without associated electrocardiographic changes

Data type

boolean

Alias
UMLS CUI [1,1]
C0002965
UMLS CUI [1,2]
C0277556
UMLS CUI [1,3]
C0855329
UMLS CUI [1,4]
C0332288
Unstable angina requiring hospitalization
Description

Unstable angina requiring hospitalization is defined as: 1. Ischemic discomfort (angina or symptoms thought to be equivalent) 10 min in duration occurring at rest, or in an accelerating pattern with frequent episodes associated with progressively decreased exercise capacity 2. Prompting an unscheduled hospitalization within 24 h of the most recent symptoms. Hospitalization is defined as an admission to an inpatient unit or a visit to an emergency department that results in at least a 24 h stay (or a change in calendar date if the hospital admission or discharge times are not available) 3. At least one of the following: a. New or worsening ST or T wave changes on resting ECG (in the absence of confounders, such as LBBB or LVH) Transient ST elevation (duration <20 min) New ST elevation at the J point in 2 contiguous leads with the cut-points: 0.1 mV in all leads other than leads V2 through V3 where the following cutpoints apply: 0.2 mV in men 40 y (0.25 mV in men <40 y) or 0.14 mV in women ST depression and T-wave changes New horizontal or downsloping ST depression 0.05 mV in two contiguous leads and/or new T inversion 0.3 mV in 2 contiguous leads with prominent R wave or R/S ratio >1. b. Definite evidence of inducible myocardial ischemia as demonstrated by: an early positive exercise stress test, defined as ST elevation or 2 mm ST depression prior to 5 METS, or stress echocardiography (reversible wall motion abnormality), or myocardial scintigraphy (reversible perfusion defect), or MRI (myocardial perfusion deficit under pharmacologic stress) and believed to be responsible for the myocardial ischemic symptoms/signs. c. Angiographic evidence of new or worse 70% lesion and/or thrombus in an epicardial coronary artery that is believed to be responsible for the myocardial ischemic symptoms/signs. d. Need for coronary revascularization procedure (PCI or CABG) for the presumed culprit lesion(s). This criterion would be fulfilled if revascularization was undertaken during the unscheduled hospitalization, or subsequent transfer to another institution without interceding home discharge. 4. Negative cardiac biomarkers.

Data type

boolean

Alias
UMLS CUI [1]
C0002965
Heart failure
Description

Indicate if there is physician documentation or report of either new-onset or acute reoccurrence of heart failure. Heart failure is defined as physician documentation or report of any of the following clinical symptoms of heart failure described as unusual dyspnea on light exertion, recurrent dyspnea occurring in the supine position, fluid retention; or the description of rales, jugular venous distention, or pulmonary edema on physical examination. A low ejection fraction without clinical presentation does not qualify as heart failure. *Note: Killip class 2 is defined as rales over ≤50% of the lung fields or the presence of an S3. Killip class 3 is defined as rales over >50% of the lung fields. Either class would qualify as a “yes.�

Data type

boolean

Alias
UMLS CUI-1
C0018801
Heart failure date
Description

Indicate the date of the acute reoccurrence of heart failure.

Data type

datetime

Alias
UMLS CUI-1
C2984177
Cardiogenic shock
Description

(>30 min) episode of systolic blood pressure <90 mm Hg and/or cardiac index <2.2 L/min per square meter determined to be secondary to cardiac dysfunction and/or the requirement for parenteral inotropic or vasopressor agents or mechanical support (eg, IABP, extracorporeal circulation, VADs) 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 min.3

Data type

boolean

Alias
UMLS CUI-1
C0036980
Cardiogenic shock date
Description

Indicate the date when a diagnosis for cardiogenic shock was made.

Data type

date

Alias
UMLS CUI [1,1]
C0036980
UMLS CUI [1,2]
C0011008
Stroke
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 stroke type: • Ischemic stroke • Intracerebral hemorrhage • Subarachnoid hemorrhage • Unknown type 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

boolean

Alias
UMLS CUI-1
C0038454
Stroke date
Description

Indicate the date of onset of stroke symptoms.

Data type

date

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0011008
Type of stroke
Description

Indicate if the patient experienced a hemorrhagic or ischemic stroke with documentation on imaging (eg, CT scan or MRI of hemorrhage in the cerebral parenchyma or a subdural or subarachnoid hemorrhage). Evidence of hemorrhagic stroke obtained from lumbar puncture, neurosurgery, or autopsy can also confirm the diagnosis. Note: If stroke occurs during sleep, last awake time may be used.

Data type

text

Alias
UMLS CUI [1]
C3897486
Bleeding (TIMI major,TIMI minor, or none)
Description

An episode of bleeding is defined by the TIMI criteria as • Major: overt clinical bleeding (or documented intracranial or retroperitoneal hemorrhage) associated with a drop in hemoglobin of ≥5 g/dL (0.5 g/L) or in hematocrit of ≥15% (absolute) Note: A patient who experiences an intracranial hemorrhage should be considered to have a major hemorrhage. • Minor: overt clinical bleeding associated with a fall in hemoglobin of 3 to <5 g/dL or in hematocrit of 9% to ≤15% (absolute) • None: no bleeding event that meets the major or minor definition Note: In calculating the fall in hemoglobin or hematocrit, a transfusion of whole blood or packed RBCs is counted as 1 g/dL hemoglobin or 3% absolute in hematocrit. This would be in addition to the actual fall in hemoglobin or hematocrit.

Data type

boolean

Alias
UMLS CUI-1
C0019080
GUSTO bleeding classification
Description

Indicate the GUSTO bleeding classification:

Data type

text

Alias
UMLS CUI [1,1]
C0019080
UMLS CUI [1,2]
C0008902
Bleeding event
Description

Indicate if there was a bleeding event observed and documented in the medical record that was associated with a hematocrit drop of 10% and/or a hemoglobin drop of 3 g/dL or that required transfusion or surgical intervention.

Data type

boolean

Alias
UMLS CUI-1
C0019080
Location of bleeding
Description

Indicate the location thought to be responsible for the bleeding event. Choose all that apply:

Data type

text

Alias
UMLS CUI [1,1]
C0019080
UMLS CUI [1,2]
C0450429
Bleeding event date
Description

Indicate the date of the suspected bleeding event.

Data type

date

Alias
UMLS CUI [1,1]
C0019080
UMLS CUI [1,2]
C0011008
Surgical or procedural intervention
Description

Indicate if the suspected bleeding event required a surgical or procedural intervention. Interventions may include surgery, protamine (heparin reversal agent), fibrin injection, transfusion of blood products, angioplasty,or stenting. Prolonged pressure does not qualify as an intervention, but ultrasonic guided compression after making a diagnosis of pseudoaneurysm does qualify.

Data type

boolean

Alias
UMLS CUI [1]
C0543467
Transfusion
Description

Indicate if there was a nonautologous transfusion(s) of either whole blood or packed RBCs.

Data type

boolean

Alias
UMLS CUI-1
C1879316
Units of blood given
Description

Indicate the units of blood given.

Data type

integer

Alias
UMLS CUI-1
C0439184
Date of first RBC transfusion
Description

Indicate the date of the first RBC transfusion.

Data type

date

Alias
UMLS CUI-1
C0808300
RBC transfusion related to CABG
Description

Indicate if any RBC/whole blood transfusion was related to CABG. If any units were given for reasons not related to CABG, check No. Check Yes only if all transfusions given were related to CABG.

Data type

boolean

Alias
UMLS CUI [1,1]
C0086252
UMLS CUI [1,2]
C0010055
Thrombocytopenia
Description

Platelet count dropped to either <50 000/mm3 or between 50 000 and <100 000/mm3; the level should be noted. This platelet count should be confirmed as not being pseudothrombocytopenia (ie, platelet clumping in citrated blood).

Data type

boolean

Alias
UMLS CUI-1
C0040034
Cardiac rupture/ventricular septal defect
Description

Rupture of the ventricular myocardium as documented by cardiac echocardiography, ventriculography, pericardiocentesis, cardiac surgery, and/or autopsy. Rupture could be of the free wall or the ventricular septum. Included in this category is frank papillary muscle rupture.

Data type

boolean

Alias
UMLS CUI [1]
C0018813
UMLS CUI [2]
C0018818
Atrial arrhythmia
Description

A new episode or acute recurrence of atrial fibrillation/flutter.

Data type

boolean

Alias
UMLS CUI-1
C0085611
Supraventricular tachycardia
Description

A new episode or acute recurrence of supraventricular tachycardia requiring treatment (supraventricular tachycardia that requires cardioversion or drug therapy, or is sustained for >1 min).

Data type

boolean

Alias
UMLS CUI-1
C0039240
Ventricular arrhythmia
Description

VT or VF requiring cardioversion and/or IV antiarrhythmics.

Data type

boolean

Alias
UMLS CUI [1]
C0085612
High-degree AV block
Description

High-level AV block defined as third-degree AV block or second-degree AV block with bradycardia requiring pacing.

Data type

boolean

Alias
UMLS CUI [1]
C0004245
Date of discharge
Description

Indicate the month, day, and year the patient was discharged from acute care, left against medical advice, or died during this stay.

Data type

date

Alias
UMLS CUI-1
C2361123
Discharge destination
Description

Indicate the patients destination after discharge. Choose 1 of the following:

Data type

text

Alias
UMLS CUI [1]
C1550391
Discharge status
Description

Discharge status: the place or setting to which the patient was discharged:

Data type

text

Alias
UMLS CUI [1]
C0586514
Discharge status (alive versus dead)
Description

Indicate whether the patient was alive or dead at discharge from hospitalization during which the procedure occurred.

Data type

text

Alias
UMLS CUI [1]
C0586514
Primary cause of death
Description

Indicate the primary cause of death:

Data type

text

Alias
UMLS CUI-1
C0007465
Acute care transfer
Description

Indicate if the patient was transferred to another acute care center (hospital) for further management.

Data type

boolean

Alias
UMLS CUI-1
C3846725
Date/time of transfer
Description

Indicate the date and time the patient was transferred to another acute care center (hospital) for further management.

Data type

datetime

Alias
UMLS CUI [1,1]
C3846725
UMLS CUI [1,2]
C0011008
Days in ICU
Description

Total number of days the patient spent in an intensive care bed at the index hospital only, either consecutively or intermittently. To count days: • Find the ICU/CCU admit date/time and the date/time patient was transferred to another unit (telemetry or unmonitored bed) • For every 24-h period, count 1 d • For any partial day remaining, round up if ≥12 h and round down if <12 h In the case of an in-hospital infarct in which the patient is already in an ICU bed, record the number of days spent in ICU/CCU after the diagnosis of MI was made.

Data type

integer

Alias
UMLS CUI [1,1]
C0023303
UMLS CUI [1,2]
C0021708
Final diagnosis of the admission event
Description

• STEMI is defined as an ACS in which there is cardiac marker evidence of myocardial necrosis (eg, positive cTn or CK-MB) and new (or presumably new if no prior ECG is available) ST-segment elevation or LBBB on the admission ECG. (For a complete definition, please see “MI� in the “Outcomes� section.) • NSTEMI is defined as an ACS in which there is cardiac marker evidence of myocardial necrosis (eg, positive cTn or CK-MB) without new ST-segment elevation. (For a complete definition, please see “MI� in the “Outcomes� section.) • BBB/uncertain type: For a complete definition, please see “MI� in the “Outcomes� section. • UA is defined as angina pectoris (or equivalent type of ischemic discomfort) with any 1 of the 3 following features: 1. Angina occurring at rest and prolonged, usually ≥10 min 2. New-onset angina of at least CCS classification III severity 3. Recent acceleration of angina reflected by an increase in severity of at least 1 CCS class to at least CCS class III The patient must also not have any biochemical evidence of necrosis. Definite/probable UA: Patients with clinical history consistent with the diagnosis of UA as described above, in whom ischemia has been confirmed by the presence of ST changes on the initial ECG or in association with recurrent rest pain, by a positive stress test, negative cardiac biomarkers, and no evidence of acute MI. Possible UA is present when an acute ischemic process has not been excluded as a possible cause of the presenting symptoms or the clinical history is consistent with UA, but no diagnostic test (noted above) was performed to confirm the diagnosis. • Stable CAD: The patient has a clinical diagnosis or prior history of CAD, but after evaluation in the hospital, the episode of discomfort was not thought to have represented UA. • Noncardiac chest pain: Pain in the chest, neck, arms, or abdomen (or other clinical manifestation) not clearly exertional or not otherwise consistent with pain or discomfort of myocardial ischemic origin. Examples: 1. If a patient was admitted with rest pain but had negative cardiac markers and then on day 3 developed recurrent pain, and if it was determined that an MI had occurred, the event prompting admission should be coded as “unstable angina� here. The MI on day 3 should be recorded in the “Outcomes� section as a postadmission MI. 2. If a patient was admitted with rest pain and the initial cardiac markers were negative but the enzymes drawn over the subsequent 24 h became positive, this is most consistent with an NSTEMI as the admission event.

Data type

text

Alias
UMLS CUI-1
C0332144
Comfort measures only
Description

Indicate if there was physician/nurse practitioner/physician assistant documentation that the patient was receiving comfort measures only. • Comfort measures only are commonly referred to as “palliative care� in the medical community and “comfort care� by the general public. Palliative care includes attention to the psychological and spiritual needs of the patient and support for the dying patient and the patient’s family. Usual interventions are not received because a medical decision was made to limit care to comfort measures only. • Comfort measures only are not equivalent to a DNR order, living will, no code, or no heroic measure.

Data type

boolean

Alias
UMLS CUI-1
C0150521
Primary inpatient service
Description

Indicate the specialty of the attending physician who primarily cared for the patient according to the most frequent and consistent notations in the medical record. Choose 1 of the following:

Data type

text

Alias
UMLS CUI-1
C1508823
Clinical trial
Description

Indicate if the patient signed an informed consent to participate in a clinical trial during his or her hospitalization, even if the investigational medication, device, or procedure was never initiated.

Data type

boolean

Alias
UMLS CUI-1
C0422726
Smoking cessation counseling
Description

Indicate if there was documentation in the medical record that smoking cessation advice or counseling was given during this hospital stay.

Data type

boolean

Alias
UMLS CUI-1
C1273715
Weight management counseling
Description

Advice is given or counseling conducted by a physician or nurse for patients who are >120% of ideal weight for height. Particular emphasis on weight loss may be given for patients with hypertension, elevated triglycerides, or elevated glucose levels.

Data type

boolean

Alias
UMLS CUI-1
C1444340
Diet counseling
Description

Advice is given or a discussion conducted by a physician, nurse, or registered dietitian encouraging diet counseling. This can include consumption of low-cholesterol foods; moderate restriction of sodium intake; emphasis on consumption of fruits, vegetables, and low-fat dairy products; and increased consumption of omega-3 fatty acids.

Data type

boolean

Alias
UMLS CUI-1
C1828150
Exercise counseling
Description

Indicate if advice was given or discussion conducted by a physician, nurse, or exercise specialist or nurse encouraging patients to engage in a minimum of 30 to 60 min of physical activity daily or at least 3 to 4 times weekly.

Data type

boolean

Alias
UMLS CUI-1
C1629016
Cardiac rehabilitation
Description

Indicate if advice was given or discussion conducted with the patient (by physician, nurse, or other personnel) about the importance of joining a cardiac rehabilitation program or an appointment made.

Data type

boolean

Alias
UMLS CUI-1
C0700431
Readmission
Description

Readmission to a hospital

Data type

boolean

Alias
UMLS CUI [1]
C0600290
Readmission date
Description

Date the patient was readmitted

Data type

date

Alias
UMLS CUI [1,1]
C0600290
UMLS CUI [1,2]
C0011008
Readmission reason
Description

Reasons for admission (include all that apply):

Data type

text

Alias
UMLS CUI [1,1]
C0600290
UMLS CUI [1,2]
C0392360
BNP or NT-proBNP
Description

Indicate the results of BNP or first NT-proBNP. If done, enter the numerical value and specify which assay type was done.

Data type

integer

Alias
UMLS CUI [1]
C1095989
UMLS CUI [2]
C1319570
LDL
Description

Indicate the value of LDL cholesterol. If the value is reported using a “>� symbol (eg, “>300�), record the number only (eg, “300�).

Data type

float

Alias
UMLS CUI-1
C0428474
HDL
Description

Indicate the value of HDL cholesterol. If the value is reported using a “>� symbol (eg, “>300�), record the number only (eg, “300�).

Data type

float

Alias
UMLS CUI-1
C0428472
Hemoglobin A1c
Description

Indicate value and date performed.

Data type

text

Alias
UMLS CUI-1
C0202054
MI
Description

Documented evidence of an MI. For a complete definition, please see “MI� in the “Outcomes� section.

Data type

boolean

Alias
UMLS CUI-1
C0027051
Cardiac catheterization
Description

Cardiac catheterization (with or without revascularization) procedure performed since the previous visit/contact.

Data type

boolean

Alias
UMLS CUI-1
C0018795
PCI
Description

PCI performed since the previous visit/contact

Data type

boolean

Alias
UMLS CUI-1
C1532338
CABG
Description

CABG performed since the previous visit/contact

Data type

boolean

Alias
UMLS CUI-1
C0010055
Angina status
Description

CCS classes of angina:

Data type

text

Alias
UMLS CUI-1
C1879987
NYHA functional class
Description

If heart failure is present, indicate NYHA class. Choose 1 of the following:

Data type

text

Alias
UMLS CUI-1
C1275491
Death
Description

The patient has died since the previous visit/contact. This category includes all deaths regardless of cause of death.

Data type

boolean

Alias
UMLS CUI-1
C1306577
Date of death
Description

Indicate the date of death.

Data type

date

Alias
UMLS CUI-1
C1148348
Primary cause of death
Description

Primary cause of death

Data type

text

Alias
UMLS CUI-1
C0007465
Medication use
Description

A complete listing of cardiac medications could also be collected.

Data type

text

Alias
UMLS CUI [1]
C0746470

Similar models

ACCF/AHA key data elements for ACS

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demographic and Admission Data Elements and Definitions
C0011298 (UMLS CUI-1)
patient id
Item
patient id
integer
C2348585 (UMLS CUI-1)
Item
Patient's sex
text
C0079399 (UMLS CUI-1)
Code List
Patient's sex
CL Item
male (1)
CL Item
female (2)
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI-1)
Item
Race
text
C0034510 (UMLS CUI-1)
Code List
Race
CL Item
White (1)
CL Item
Black or African American (2)
CL Item
Asian Indian (3)
CL Item
Chinese (4)
CL Item
Filipino (5)
CL Item
Japanese (6)
CL Item
Korean (7)
CL Item
Vietnamese (8)
CL Item
Other Asian (9)
CL Item
American Indian or Alaska Native (10)
CL Item
Native Hawaiian (11)
CL Item
Guamanian or Chamorro (12)
CL Item
Samoan (13)
CL Item
Other Pacific Islander (14)
Ethnicity
Item
Ethnicity
boolean
C0015031 (UMLS CUI-1)
Postal code
Item
Postal code
text
C0421454 (UMLS CUI-1)
Admission/encounter date
Item
Admission/encounter date
date
C1302393 (UMLS CUI-1)
Item
Admission source
text
C0553514 (UMLS CUI-1)
Code List
Admission source
CL Item
Physician referral (1)
CL Item
Clinic referral (2)
CL Item
HMO referral (3)
CL Item
Transfer from a hospital (different facility) (4)
CL Item
Transfer from SNF (5)
CL Item
Transfer from another healthcare facility (6)
CL Item
ED (7)
CL Item
Court/law enforcement (8)
CL Item
Information not available (9)
Item
Insurance Payer
text
C0021672 (UMLS CUI-1)
Code List
Insurance Payer
CL Item
Government (1)
CL Item
Commercial (2)
CL Item
HMO (3)
CL Item
None (4)
Presentation (to healthcare facility) date/time
Item
Presentation (to healthcare facility) date/time
datetime
C0439629 (UMLS CUI-1)
Location of first evaluation in ED
Item
Location of first evaluation in ED
boolean
C0450429 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C3840745 (UMLS CUI [1,3])
Transfer out of ED date/time
Item
Transfer out of ED date/time
datetime
C3495034 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Type of admission
text
C1550330 (UMLS CUI-1)
Code List
Type of admission
CL Item
Elective (1)
CL Item
Urgent (2)
Item
Admission location
text
C0184666 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Code List
Admission location
CL Item
CCU/ICU (1)
CL Item
Step-down unit/monitored bed/cardiac ward (2)
CL Item
Unmonitored hospital floor (3)
CL Item
Observation unit/ED chest pain unit (4)
Item
Means of transport of nontransfer patient
text
C3258270 (UMLS CUI-1)
Code List
Means of transport of nontransfer patient
CL Item
Self/family (1)
CL Item
Ground-transport ambulance (includes 911 provider, private provider, or hospital based) (2)
CL Item
Air ambulance (helicopter or fixed wing) (3)
CL Item
Mobile ICU (4)
CL Item
Unknown (5)
Prearrival first medical contact date/time
Item
Prearrival first medical contact date/time
datetime
C1320531 (UMLS CUI [1])
Transfer patient
Item
Transfer patient
text
C1546432 (UMLS CUI-1)
Item
Means of transport of transfer patient
text
C0449375 (UMLS CUI-1)
Code List
Means of transport of transfer patient
CL Item
Mobile ICU (1)
CL Item
Air ambulance (helicopter or fixed wing) transfer from another facility (2)
CL Item
Ground-transport ambulance transfer from another acute care facility (3)
Arrival at outside hospital date/time
Item
Arrival at outside hospital date/time
datetime
C1320532 (UMLS CUI-1)
Transfer from outside hospital date/time
Item
Transfer from outside hospital date/time
datetime
C1546432 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Time points for STEMI patients
C1536220 (UMLS CUI [1,1])
C1705821 (UMLS CUI [1,2])
Symptom-onset date/time
Item
Symptom-onset date/time
datetime
C1320528 (UMLS CUI-1)
EMS dispatch date/time
Item
EMS dispatch date/time
datetime
C3261085 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Non-EMS first medical contact date/time
Item
Non-EMS first medical contact date/time
datetime
C1518384 (UMLS CUI [1,1])
C1279901 (UMLS CUI [1,2])
C1521801 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
EMS leaving scene date/time
Item
EMS leaving scene date/time
datetime
C3261085 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Hospital arrival date/time
Item
Hospital arrival date/time
datetime
C1320532 (UMLS CUI-1)
First ECG date/time
Item
First ECG date/time
datetime
C2826846 (UMLS CUI-1)
Catheterization lab activation date/time
Item
Catheterization lab activation date/time
datetime
C0018795 (UMLS CUI [1,1])
C1879547 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item Group
History and Risk Factor Data Elements and Definitions
C0035648 (UMLS CUI-1)
Prior angina
Item
Prior angina
text
C0455530 (UMLS CUI [1])
Average number of episodes of angina in the prior week
Item
Average number of episodes of angina in the prior week
integer
C0002962 (UMLS CUI [1,1])
C4086638 (UMLS CUI [1,2])
C0332185 (UMLS CUI [1,3])
Number of angina episodes in the prior 6 wk
Item
Number of angina episodes in the prior 6 weeks
text
C0002962 (UMLS CUI [1,1])
C4086638 (UMLS CUI [1,2])
C0332185 (UMLS CUI [1,3])
Intermittent claudication
Item
Intermittent claudication
boolean
C0021775 (UMLS CUI-1)
Prior MI
Item
Prior MI
boolean
C1275835 (UMLS CUI-1)
Previous history of heart failure
Item
Previous history of heart failure
boolean
C0455531 (UMLS CUI-1)
Item
NYHA functional class
text
C1275491 (UMLS CUI-1)
Code List
NYHA functional class
CL Item
NYHA I (1)
CL Item
NYHA II (2)
CL Item
NYHA III (3)
CL Item
NYHA IV (4)
Item
Prior PCI
text
C1320647 (UMLS CUI-1)
Code List
Prior PCI
CL Item
None (1)
CL Item
Balloon angioplasty (2)
CL Item
Bare metal stent (3)
CL Item
Drug-eluting stent (4)
CL Item
Other (5)
Date of prior PCI
Item
Date of prior PCI
date
C1532338 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Prior CABG
Item
Prior CABG
boolean
C1275842 (UMLS CUI-1)
Date of prior CABG
Item
Date of prior CABG
date
C2164190 (UMLS CUI-1)
Prior catheterization
Item
Prior catheterization with stenosis ≥50%
boolean
C3494526 (UMLS CUI [1])
Cerebral artery disease
Item
Cerebral artery disease
boolean
C0585890 (UMLS CUI-1)
Item
Prior stroke
text
C0559159 (UMLS CUI-1)
Code List
Prior stroke
CL Item
Ischemic stroke (1)
CL Item
Intracerebral hemorrhage (2)
CL Item
Subarachnoid hemorrhage (3)
CL Item
Unknown type (4)
Item
Most likely etiology of ischemic stroke
text
C3897486 (UMLS CUI [1])
Code List
Most likely etiology of ischemic stroke
CL Item
Large artery atherosclerosis of the extracranial vessels (eg, carotid) (1)
CL Item
Large artery atherosclerosis of the intracranial vessels (eg, middle cerebral artery stenosis) (2)
CL Item
Cardioembolism (3)
CL Item
Small vessel occlusion (lacunar) (4)
CL Item
Ischemic stroke of other determined etiology (eg, arterial dissection) (5)
CL Item
Ischemic stroke of undetermined etiology (6)
PAD
Item
PAD (Peripheral artery disease)
boolean
C1881056 (UMLS CUI [1])
Aorta disease
Item
Aorta disease
boolean
C0003493 (UMLS CUI-1)
Renal artery disease
Item
Renal artery disease
boolean
C3640053 (UMLS CUI-1)
Item
History of alcohol consumption
text
C0552479 (UMLS CUI-1)
Code List
History of alcohol consumption
CL Item
None (1)
CL Item
>1 alcoholic drink per week (2)
CL Item
>7 alcoholic drinks per week (3)
CL Item
>8 alcoholic drinks per week (4)
Item
Erectile dysfunction
text
C0242350 (UMLS CUI-1)
Code List
Erectile dysfunction
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
CL Item
N/A (4)
Depression
Item
Depression
boolean
C0455503 (UMLS CUI-1)
Diabetes
Item
Diabetes
boolean
C0011849 (UMLS CUI-1)
Item
Diabetes control
text
C3274787 (UMLS CUI-1)
Code List
Diabetes control
CL Item
Insulin: insulin treatment (includes any combination with insulin) (1)
CL Item
Other subcutaneous medications (eg, GLP-1 agonist) (2)
CL Item
Oral: treatment with oral agent (includes oral agent with or without diet treatment) (3)
CL Item
Diet only: Treatment with diet only (4)
CL Item
None: no treatment for diabetes (5)
CL Item
Other: other adjunctive treatment, non-oral/insulin/diet (6)
Hypertension
Item
Hypertension
boolean
C0455527 (UMLS CUI [1])
Item
Tobacco use
text
C0543414 (UMLS CUI-1)
Code List
Tobacco use
CL Item
Current every day smoker (1)
CL Item
Current some day smoker (2)
CL Item
Former smoker (3)
CL Item
Never smoker (4)
CL Item
Smoker, current status unknown (5)
Illicit drug use
Item
Illicit drug use
boolean
C2239127 (UMLS CUI-1)
Dyslipidemia
Item
Dyslipidemia
boolean
C0242339 (UMLS CUI-1)
Family history of premature CAD
Item
Family history of premature CAD
boolean
C0455404 (UMLS CUI-1)
Previous implantation of a pacemaker or ICD
Item
Previous implantation of a pacemaker or ICD
text
C0455666 (UMLS CUI [1])
Prior atrial fibrillation or flutter
Item
Prior atrial fibrillation or flutter
boolean
C0004238 (UMLS CUI [1])
C0004239 (UMLS CUI [2])
History of influenza immunization
Item
History of influenza immunization
boolean
C0586139 (UMLS CUI-1)
History of pneumococcal immunization
Item
History of pneumococcal immunization
boolean
C0588096 (UMLS CUI-1)
Current dialysis
Item
Current dialysis
boolean
C0011946 (UMLS CUI-1)
Item
Angina grade
text
C1277207 (UMLS CUI-1)
Code List
Angina grade
CL Item
Class I: ordinary physical activity, such as walking or climbing stairs, does not cause angina. Angina occurs with strenuous, rapid, or prolonged exertion at work or recreation. (1)
CL Item
Class II: slight limitation of ordinary activity. Angina occurs on walking or climbing stairs rapidly, walking uphill, walking or climbing stairs after meals, or in cold, in wind, or under emotional stress, or only during the few hours after awakening. Angina occurs on walking >2 blocks on the level and climbing >1 flight of ordinary stairs at a normal pace and in normal conditions. (2)
CL Item
Class III: marked limitation of ordinary physical activity. Angina occurs on walking 1 to 2 blocks on the level and climbing 1 flight of stairs in normal conditions and at a normal pace. (3)
CL Item
Class IV: inability to perform any physical activity without discomfort—angina symptoms may be present at rest. (4)
Sublingual nitroglycerin consumed
Item
Amount of sublingual nitroglycerin consumed
integer
C1827134 (UMLS CUI [1])
Item Group
Clinical Presentation Data Elements and Definitions
C2708283 (UMLS CUI [1])
Symptom onset date/time
Item
Symptom onset date/time
datetime
C1320528 (UMLS CUI-1)
Heart failure
Item
Heart failure on first medical contact
boolean
C0018801 (UMLS CUI [1])
Item
Killip class
text
C1881332 (UMLS CUI-1)
Code List
Killip class
CL Item
Class 1: absence of rales over the lung fields and absence of S3 (1)
CL Item
Class 2: rales over ≤50% of the lung fields or the presence of an S3 (2)
CL Item
Class 3: rales over >50% of the lung fields (3)
CL Item
Class 4: shock (4)
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI-1)
Systolic blood pressure
Item
Systolic blood pressure on first medical contact
integer
C0871470 (UMLS CUI-1)
Item
Angina type
text
C0002962 (UMLS CUI [1])
Code List
Angina type
CL Item
I. Atypical chest pain: pain, pressure, or discomfort in the chest, neck, or arms not clearly exertional or not otherwise consistent with pain or discomfort of myocardial ischemic origin. (1)
CL Item
II. Stable angina: angina without a change in frequency or pattern for the 6 wk before this procedure. Angina is controlled by rest and/or sublingual/oral/transcutaneous medications. (2)
CL Item
III. ACS (3)
Number of episodes of angina in the past 24 h
Item
Number of episodes of angina in the past 24 h
integer
C0002962 (UMLS CUI [1,1])
C4086638 (UMLS CUI [1,2])
C0332185 (UMLS CUI [1,3])
Secondary cause of angina
Item
Secondary cause of angina (yes/no)
boolean
C1549996 (UMLS CUI [1,1])
C0002962 (UMLS CUI [1,2])
Cardiac arrest at first medical contact
Item
Cardiac arrest at first medical contact
boolean
C0018790 (UMLS CUI-1)
Height
Item
Height
integer
C0005890 (UMLS CUI-1)
Weight
Item
Weight
integer
C0005910 (UMLS CUI-1)
Waist circumference
Item
Waist circumference
integer
C0455829 (UMLS CUI-1)
Item Group
Diagnostic Procedure Data Elements and Definitions
C0430022 (UMLS CUI-1)
Item
Rhythm
text
C0232187 (UMLS CUI-1)
Code List
Rhythm
CL Item
Sinus rhythm (1)
CL Item
Atrial fibrillation (or flutter) (2)
CL Item
Paced (3)
CL Item
Other rhythm (eg, VT, supraventricular tachycardia) (4)
Item
Site where first ECG obtained
text
C2825164 (UMLS CUI [1,1])
C1623258 (UMLS CUI [1,2])
Code List
Site where first ECG obtained
CL Item
Prehospital (ie, in ambulance): Check if the first ECG was obtained before arrival at your hospital, either during ground transport by EMS, air ambulance, or other method of critical care transport. (1)
CL Item
On arrival to the first hospital where the patient presented: Check if the first ECG performed after the most recent ischemic episode before hospital presentation was obtained on arrival at the first hospital where the patient presented. (2)
CL Item
Private physician office or outpatient clinic (3)
CL Item
Hospital inpatient unit (4)
ECG date
Item
First ECG date/time
datetime
C2826640 (UMLS CUI [1])
STEMI or STEMI equivalent
Item
STEMI or STEMI equivalent
boolean
C3538872 (UMLS CUI-1)
Item
ECG evidence for STEMI or STEMI equivalent
text
C3538872 (UMLS CUI [1])
Code List
ECG evidence for STEMI or STEMI equivalent
CL Item
New ST-segment elevation at the J point in 2 contiguous leads with the cutpoints 0.1 mV in all leads other than leads V2 through V3, where the following cutpoints apply: 0.2 mV in men age 40 y, 0.25 mV in men age <40 y, or 0.15 mV in women  (1)
C0520886 (UMLS CUI-1)
CL Item
New isolated ST-segment depression 0.1 mV in at least 2 contiguous leads of V1 through V3 with upright T waves (2)
C0520887 (UMLS CUI-1)
CL Item
New ST-segment elevation 0.05 mV in leads V7 through V9 or 0.1 mV in men age <40 y (inferobasal [posterior] infarction) (3)
C0520886 (UMLS CUI-1)
CL Item
New ST-segment elevation 0.05 mV (0.1 mV in men age <30 y) in leads V3R, V4R (right ventricular infarction) (4)
C0520886 (UMLS CUI-1)
CL Item
New ST-segment elevation 0.1 mV in lead aVR with concomitant ST-segment depression 0.05 mV in at least 2 contiguous leads (5)
C0520886 (UMLS CUI-1)
Item
STEMI or STEMI equivalent noted
text
C3538872 (UMLS CUI [1])
Code List
STEMI or STEMI equivalent noted
CL Item
First ECG (1)
CL Item
Subsequent ECG (2)
STEMI or STEMI equivalent date/time
Item
STEMI or STEMI equivalent date/time
datetime
C3538872 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Other ischemic ECG findings
Item
Other ischemic ECG findings
text
C1141959 (UMLS CUI-1)
Item
Location of ECG changes
text
C0855329 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Code List
Location of ECG changes
CL Item
Inferior leads: II, III, aVF (1)
C0441099 (UMLS CUI-1)
(Comment:en)
CL Item
Anterior leads: V1 through V6 (2)
C0441097 (UMLS CUI-1)
(Comment:en)
CL Item
Lateral leads: I, aVL (3)
C0449212 (UMLS CUI-1)
C0449216 (UMLS CUI-2)
(Comment:en)
CL Item
True posterior (inferobasal): (relevant only for tall wide R waves >40 ms in leads V1 and V2 (4)
C0438154 (UMLS CUI-1)
C0205095 (UMLS CUI-2)
(Comment:en)
BBB and type
Item
BBB and type
text
C0006384 (UMLS CUI-1)
Q waves
Item
Follow-up ECG: new Q waves
boolean
C1305738 (UMLS CUI [1])
LDL value
Item
LDL value
float
C0428474 (UMLS CUI-1)
HDL value
Item
HDL value
float
C0428472 (UMLS CUI-1)
Triglycerides value
Item
Triglycerides value
float
C0202236 (UMLS CUI-1)
Date of lipids
Item
Date of lipids
datetime
C0596192 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
When lipids were measured: other
text
C0596192 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Code List
When lipids were measured: other
CL Item
Performed before hospitalization (Performed before hospitalization)
CL Item
Unknown (Unknown)
BNP/NT-proBNP value
Item
BNP/NT-proBNP value
float
C1095989 (UMLS CUI [1])
C1319570 (UMLS CUI [2])
hs-CRP
Item
hs-CRP
float
C0201657 (UMLS CUI-1)
Glucose
Item
Glucose
float
C0202042 (UMLS CUI-1)
Creatinine
Item
Creatinine
float
C0201975 (UMLS CUI-1)
Hemoglobin
Item
Hemoglobin
float
C0518015 (UMLS CUI-1)
Hemoglobin A1c value
Item
Hemoglobin A1c value
float
C0202054 (UMLS CUI-1)
INR
Item
INR
integer
C0525032 (UMLS CUI-1)
Initial CK value
Item
Initial CK value
float
C0201973 (UMLS CUI-1)
Peak CK value
Item
Peak CK value
float
C0201973 (UMLS CUI [1,1])
C0444505 (UMLS CUI [1,2])
CK ULN
Item
CK ULN
float
C0201973 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
Initial CK-MB value
Item
Initial CK-MB value
float
C0523584 (UMLS CUI-1)
CK-MB ULN
Item
CK-MB ULN
float
C0523584 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
Peak CK-MB value
Item
Peak CK-MB value
float
C0523584 (UMLS CUI [1,1])
C0444505 (UMLS CUI [1,2])
Initial troponin value
Item
Initial troponin value
float
C0523952 (UMLS CUI-1)
Item
Troponin type
text
C0523952 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Troponin type
CL Item
Type T (1)
C1141947 (UMLS CUI-1)
CL Item
Type I (2)
C0920210 (UMLS CUI-1)
Peak troponin value
Item
Peak troponin value
float
C0523952 (UMLS CUI [1,1])
C0444505 (UMLS CUI [1,2])
Item Group
Invasive Therapeutic Intervention Data Elements and Definitions
C0808232 (UMLS CUI-1)
Item
Pacemaker implantation
text
C0189842 (UMLS CUI [1])
Code List
Pacemaker implantation
CL Item
Single chamber (1)
CL Item
Dual chamber (2)
CL Item
CRT (3)
CL Item
CRT-D (4)
CL Item
CRT-P (5)
CL Item
Biventricular (6)
CL Item
Pacer (7)
ICD
Item
Temporary pacemaker ICD
boolean
C0162589 (UMLS CUI [1])
Noninvasive stress testing
Item
Noninvasive stress testing
boolean
C3272313 (UMLS CUI-1)
Date of noninvasive stress testing
Item
Date of noninvasive stress testing
datetime
C3272313 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Cardiac angiogram
Item
Noninvasive angiogram
boolean
C0085532 (UMLS CUI [1])
Coronary stenosis
Item
Maximum stenosis by vessel (LAD, LCx, RCA, LM, graft)
text
C0242231 (UMLS CUI [1])
Maximal or submaximal stress test
Item
Maximal or submaximal stress test
text
C1384495 (UMLS CUI [1])
Item
Ischemia result (positive, negative, equivocal, nondiagnostic test)
text
C1274040 (UMLS CUI [1,1])
C1384495 (UMLS CUI [1,2])
Code List
Ischemia result (positive, negative, equivocal, nondiagnostic test)
CL Item
Positive: new exercise-induced ischemic horizontal or downsloping ST-segment depression 0.10 mV or new ST-segment elevation 0.10 mV in a noninfarct territory, as compared with the baseline tracing (in the absence of electrocardiographic confounding such as LV hypertrophy, digoxin-induced changes, or LBBB) (1)
CL Item
Negative: normal exercise test. No significant exercise-induced ST shift or chest pain suggestive of angina and a normal hemodynamic response to exercise with adequate workload to test cardiac reserve. (2)
CL Item
Equivocal: exercise-induced chest pain considered to be angina in the absence of significant ischemic ST change. (3)
CL Item
Nondiagnostic test: negative as defined above, but level of exercise insufficient to adequately test cardiac reserve (eg, <85% of age-predicted maximum heart rate achieved) or exercise-induced electrocardiographic changes in the presence of LBBB, LVH, or other known confounders. (4)
LVEF assessed
Item
LVEF assessed
boolean
C2114363 (UMLS CUI-1)
Item
Resting LV systolic function:global function ejection fraction
text
C0428772 (UMLS CUI [1])
Code List
Resting LV systolic function:global function ejection fraction
CL Item
Hyperdynamic: >70% (1)
CL Item
Normal: 50%-70% (midpoint 60%) (2)
CL Item
Mild dysfunction: 40%-49% (midpoint 45%) (3)
CL Item
Moderate dysfunction: 30%-39% (midpoint 35%) (4)
CL Item
Severe dysfunction: <30% (5)
Diagnostic coronary angiography
Item
Diagnostic coronary angiography
boolean
C0085532 (UMLS CUI-1)
Diagnostic coronary angiography date/time
Item
Diagnostic coronary angiography date/time
datetime
C0085532 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Culprit artery
text
C1299364 (UMLS CUI [1])
Code List
Culprit artery
CL Item
LAD (1)
CL Item
LCx (2)
CL Item
RCA (3)
CL Item
LM (4)
CL Item
Graft (5)
CL Item
Unknown (6)
Item
Culprit artery TIMI flow
text
C3272266 (UMLS CUI [1])
Code List
Culprit artery TIMI flow
CL Item
Grade 0 (no perfusion): There is no antegrade flow beyond the point of occlusion. (1)
CL Item
Grade 1 (penetration without perfusion): The contrast material passes beyond the area of obstruction but “hangs upâ€� and fails to opacify the entire coronary bed distal to the obstruction for the duration of the cineangiographic filming sequence. (2)
CL Item
Grade 2 (partial perfusion): The contrast material passes across the obstruction and opacifies the coronary bed distal to the obstruction. However, the rate of entry of contrast material into the vessel distal to the obstruction or its rate of clearance from the distal bed (or both) is perceptibly slower than its entry into or clearance from comparable areas not perfused by the previously occluded vessel (eg, the opposite coronary artery or the coronary bed proximal to the obstruction). (3)
CL Item
Grade 3 (complete perfusion): Antegrade flow into the bed distal to the obstruction occurs as promptly as antegrade flow into the bed from the involved bed and is as rapid as clearance from an uninvolved bed in the same vessel or the opposite artery. (4)
LM stenosis percent
Item
LM stenosis percent
integer
C2825221 (UMLS CUI-1)
Proximal LAD and first diagonal branches percent stenosis
Item
Proximal LAD and first diagonal branches percent stenosis
integer
C2825222 (UMLS CUI-1)
Mid/distal LAD, D2, and D3 percent stenosis
Item
Mid or distal LAD, D2, and D3 percent stenosis
integer
C0242231 (UMLS CUI [1,1])
C0439165 (UMLS CUI [1,2])
Circ, OMs, LPDA, and LPL branches percent stenosis
Item
Circ, OMs, LPDA, and LPL branches percent stenosis
integer
C0242231 (UMLS CUI [1,1])
C0439165 (UMLS CUI [1,2])
RCA, PDA, RPL, and AM branches percent stenosis
Item
RCA, PDA, RPL, and AM branches percent stenosis
integer
C3267166 (UMLS CUI [1,1])
C0439165 (UMLS CUI [1,2])
Ramus percent stenosis
Item
Ramus percent stenosis
integer
C0242231 (UMLS CUI [1,1])
C0439165 (UMLS CUI [1,2])
Catheterization contraindication
Item
Catheterization contraindication
boolean
C1532338 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Reperfusion therapy: reperfusion candidate
Item
Reperfusion therapy: reperfusion candidate
boolean
C0035124 (UMLS CUI-1)
Item
Reperfusion therapy: type of reperfusion
text
C1320534 (UMLS CUI [1])
Code List
Reperfusion therapy: type of reperfusion
CL Item
Primary PCI (1)
CL Item
Thrombolytic therapy (2)
PCI
Item
PCI
boolean
C1532338 (UMLS CUI-1)
Catheterization lab arrival date/time
Item
Catheterization lab arrival date/time
datetime
C3838354 (UMLS CUI-1)
First device activation date/time
Item
First device activation date/time
datetime
C0025080 (UMLS CUI [1,1])
C1879547 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
PCI indication
text
C1532338 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Code List
PCI indication
CL Item
Immediate, primary PCI for STEMI (1)
CL Item
Stable following successful reperfusion or completed infarction after STEMI (2)
CL Item
Rescue PCI (after failed full-dose lytics for STEMI) (3)
CL Item
PCI for NSTEMI (4)
CL Item
Other (5)
Item
Nonsystem reason for delay in PCI
text
C3640267 (UMLS CUI [1])
Code List
Nonsystem reason for delay in PCI
CL Item
Difficult vascular access (1)
CL Item
Cardiac arrest and/or need for intubation before PCI (2)
CL Item
Patient delay in providing consent for procedure (3)
CL Item
Difficulty crossing the culprit lesion during PCI procedure (4)
CL Item
Other (5)
CL Item
None (6)
Stent placed
Item
Stent placed
boolean
C3272316 (UMLS CUI-1)
Item
Stent type
text
C0687568 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Stent type
CL Item
Drug-eluting stent (1)
CL Item
Bare metal stent (2)
CL Item
Other stent (3)
Number of stents placed
Item
Number of stents placed
integer
C2024081 (UMLS CUI-1)
Item
Thrombolytics type
text
C0040044 (UMLS CUI [1])
Code List
Thrombolytics type
CL Item
Alteplase (1)
CL Item
Reteplase (2)
CL Item
Streptokinase (3)
CL Item
Tenecteplase (4)
CL Item
Other (5)
Item
Thrombolytics dose
text
C0178602 (UMLS CUI [1,1])
C0040044 (UMLS CUI [1,2])
Code List
Thrombolytics dose
CL Item
Full dose (1)
CL Item
Reduced dose (2)
Thrombolytics start date/time
Item
Thrombolytics start date/time
datetime
C0040044 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Nonsystem reason for delay of thrombolytics
Item
Nonsystem reason for delay of thrombolytics
boolean
C3640267 (UMLS CUI [1])
Item
Contraindication to PCI
text
C0522473 (UMLS CUI [1,1])
C1532338 (UMLS CUI [1,2])
Code List
Contraindication to PCI
CL Item
Noncompressible vascular puncture(s) (1)
CL Item
Active bleeding on arrival or within 24 h (2)
CL Item
Quality-of-life decision (3)
CL Item
Anatomy not suitable for primary PCI (4)
CL Item
Spontaneous reperfusion (documented by catheterization only) (5)
CL Item
Patient/family refusal (6)
CL Item
DNR order in place at time of treatment decision (7)
CL Item
Prior allergic reaction to IV contrast (8)
CL Item
Facility is not a PCI center (9)
CL Item
Other (10)
Item
Contraindication to thrombolytics
text
C3260558 (UMLS CUI-1)
Code List
Contraindication to thrombolytics
CL Item
Known bleeding diathesis (1)
CL Item
Recent bleeding within 4 wk (2)
CL Item
Recent surgery/trauma (3)
CL Item
Intracranial neoplasm, AV malformation, or aneurysm (4)
CL Item
Severe uncontrolled hypertension (5)
CL Item
Suspected aortic dissection (6)
CL Item
Significant close head or facial trauma within previous 3 mo (7)
CL Item
Active peptic ulcer (8)
CL Item
Traumatic CPR that precludes thrombolytics (9)
CL Item
Ischemic stroke within 3 mo except acute ischemic stroke within 3 h (10)
CL Item
Any prior intracranial hemorrhage (11)
CL Item
Pregnancy (12)
CL Item
Prior allergic reaction to thrombolytics (13)
CL Item
DNR order in place at time of treatment decision (14)
CL Item
Patient/family refusal (15)
CL Item
Other (16)
CABG surgery
Item
CABG surgery
boolean
C0010055 (UMLS CUI-1)
CABG surgery date/time
Item
CABG surgery date/time
datetime
C0010055 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
IABP
Item
IABP
boolean
C0021860 (UMLS CUI-1)
Item
Circulatory support
text
C0457617 (UMLS CUI [1])
Code List
Circulatory support
CL Item
IABP (1)
CL Item
Tandem Heart (2)
CL Item
Impella (3)
CL Item
ECMO (4)
CL Item
LVAD (5)
CL Item
BiVAD (6)
CL Item
Other (7)
Pulmonary artery catheter
Item
Pulmonary artery catheter
boolean
C0190658 (UMLS CUI [1])
Ventilator
Item
Ventilator
text
C0087153 (UMLS CUI [1])
Item
GP IIb/IIIa blocker
text
C3640054 (UMLS CUI [1])
Code List
GP IIb/IIIa blocker
CL Item
Eptifibatide (1)
CL Item
Tirofiban (2)
CL Item
Abciximab (3)
GP IIb/IIIa blocker dosage
Item
GP IIb/IIIa blocker dosage
integer
C3640054 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
GP IIb/IIIa inhibitor administered start date/time
Item
GP IIb/IIIa inhibitor administered start date/time
datetime
C1301880 (UMLS CUI [1,1])
C3640054 (UMLS CUI [1,2])
GP IIb/IIIa inhibitor administered stop date/time
Item
GP IIb/IIIa inhibitor administered stop date/time
datetime
C1522314 (UMLS CUI [1,1])
C3640054 (UMLS CUI [1,2])
GP IIb/IIIa inhibitor contraindicated
Item
GP IIb/IIIa inhibitor contraindicated
boolean
C3640054 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Item
Anticoagulant (parenteral)
text
C0354565 (UMLS CUI [1])
Code List
Anticoagulant (parenteral)
CL Item
IV unfractionated (1)
CL Item
Low molecular weight (2)
CL Item
Bivalirudin (3)
CL Item
Fondaparinux (4)
CL Item
Other (5)
Anticoagulant dose
Item
Anticoagulant dose
integer
C0354565 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Anticoagulant start date/time
Item
Anticoagulant start date/time
datetime
C0354565 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Anticoagulant stop date/time
Item
Anticoagulant stop date/time
datetime
C0354565 (UMLS CUI [1,1])
C1522314 (UMLS CUI [1,2])
Anticoagulant contraindicated
Item
Anticoagulant contraindicated
boolean
C1531588 (UMLS CUI-1)
IV nitrate
Item
IV nitrate
boolean
C0017887 (UMLS CUI-1)
Oral or topical nitrates
Item
Oral or topical nitrates
boolean
C3214208 (UMLS CUI-1)
beta blockers
Item
IV beta blockers
boolean
C0304516 (UMLS CUI-1)
Beta blocker before admission
Item
Beta blocker before admission
text
C0304516 (UMLS CUI [1])
Beta blocker in first 24 h
Item
Beta blocker in first 24 h
text
C0304516 (UMLS CUI [1])
Beta-blocker contraindications
Item
Beta-blocker contraindications
boolean
C1278474 (UMLS CUI-1)
Beta blocker (discharge)
Item
Beta blocker (discharge)
text
C0304516 (UMLS CUI [1])
Beta blocker contraindicated
Item
Beta blocker (discharge) contraindicated
text
C1278474 (UMLS CUI [1])
Calcium channel blocker
Item
Calcium channel blocker
text
C0006684 (UMLS CUI-1)
Ranolazine before admission
Item
Ranolazine before admission
boolean
C0073633 (UMLS CUI-1)
Ranolazine in first 24 h
Item
Ranolazine in first 24 h
boolean
C0073633 (UMLS CUI [1])
Ranolazine (discharge)
Item
Ranolazine (discharge)
boolean
C0073633 (UMLS CUI [1])
Item
Aspirin before admission
text
C0004057 (UMLS CUI [1])
Code List
Aspirin before admission
CL Item
81 mg (1)
CL Item
162 mg (2)
CL Item
325 mg (3)
CL Item
>325 mg (4)
CL Item
Other (5)
Aspirin in first 24 h
Item
Aspirin in first 24 h
boolean
C1964151 (UMLS CUI [1])
Aspirin dose
Item
Aspirin dose
integer
C0004057 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Aspirin contraindications
Item
Aspirin contraindications
boolean
C0729798 (UMLS CUI-1)
Aspirin (discharge)
Item
Aspirin (discharge)
boolean
C3871333 (UMLS CUI [1])
Item
Aspirin (discharge) dose
text
C0004057 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Code List
Aspirin (discharge) dose
CL Item
81 mg (1)
CL Item
162 mg (2)
CL Item
325 mg (3)
CL Item
>325 mg (4)
CL Item
Other (5)
Aspirin (discharge) contraindicated
Item
Aspirin (discharge) contraindicated
boolean
C0729798 (UMLS CUI [1])
Other oral anticoagulants before admission
Item
Other oral anticoagulants before admission
boolean
C0354604 (UMLS CUI [1])
Other oral anticoagulant
Item
Other oral anticoagulant
boolean
C0354604 (UMLS CUI [1])
Other oral anticoagulant (discharge)
Item
Other oral anticoagulant (discharge)
boolean
C0354604 (UMLS CUI [1])
Warfarin before admission
Item
Warfarin before admission
boolean
C0043031 (UMLS CUI [1,1])
C1302393 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
Warfarin
Item
Warfarin
text
C0043031 (UMLS CUI-1)
Warfarin (discharge)
Item
Warfarin (discharge)
text
C0043031 (UMLS CUI [1,1])
C0030685 (UMLS CUI [1,2])
Warfarin contraindication
Item
Warfarin or other oral anticoagulant (discharge contraindication)
boolean
C0043031 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Clopidogrel before admission
Item
Clopidogrel before admission
boolean
C0070166 (UMLS CUI [1])
Clopidogrel in first 24 h
Item
Clopidogrel in first 24 h
boolean
C0070166 (UMLS CUI-1)
Item
Clopidogrel loading dose
text
C0070166 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Code List
Clopidogrel loading dose
CL Item
75 mg (1)
CL Item
150 mg (2)
CL Item
300 mg (3)
CL Item
600 mg (4)
CL Item
Other (5)
Clopidogrel start date/time
Item
Clopidogrel start date/time
datetime
C0070166 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Clopidogrel contraindicated
Item
Clopidogrel contraindicated
boolean
C1319916 (UMLS CUI-1)
Clopidogrel (discharge)
Item
Clopidogrel (discharge)
text
C1301880 (UMLS CUI [1])
Clopidogrel (discharge) contraindicated
Item
Clopidogrel (discharge) contraindicated
boolean
C1319916 (UMLS CUI [1])
Prasugrel before admission
Item
Prasugrel before admission
boolean
C1620287 (UMLS CUI-1)
Prasugrel in first 24 h
Item
Prasugrel in first 24 h
boolean
C1620287 (UMLS CUI [1])
Prasugrel start date/time
Item
Prasugrel start date/time
datetime
C1620287 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Prasugrel contraindicated
Item
Prasugrel contraindicated
boolean
C1620287 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Prasugrel (discharge) contraindicated
Item
Prasugrel (discharge) contraindicated
boolean
C1620287 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Ticagrelor before admission
Item
Ticagrelor before admission
boolean
C1999375 (UMLS CUI-1)
Ticagrelor in first 24 h
Item
Ticagrelor in first 24 h
boolean
C1999375 (UMLS CUI [1])
Ticagrelor start date/time
Item
Ticagrelor start date/time
datetime
C1999375 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Ticagrelor (discharge)
Item
Ticagrelor (discharge)
boolean
C1999375 (UMLS CUI [1])
Ticagrelor (discharge) contraindicated
Item
Ticagrelor (discharge) contraindicated
boolean
C1999375 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Other oral antiplatelet medications before admission
Item
Other oral antiplatelet medications before admission
boolean
C0085826 (UMLS CUI [1,1])
C0175795 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C1302393 (UMLS CUI [1,4])
Other oral antiplatelet medications in first 24 h
Item
Other oral antiplatelet medications in first 24 h
text
C0085826 (UMLS CUI [1,1])
C0175795 (UMLS CUI [1,2])
Other oral antiplatelet medications (discharge)
Item
Other oral antiplatelet medications (discharge)
text
C0085826 (UMLS CUI [1,1])
C0175795 (UMLS CUI [1,2])
C2361123 (UMLS CUI [1,3])
Other oral antiplatelet medications (discharge) contraindicated
Item
Other oral antiplatelet medications (discharge) contraindicated
boolean
C0085826 (UMLS CUI [1,1])
C0175795 (UMLS CUI [1,2])
C0522473 (UMLS CUI [1,3])
C2361123 (UMLS CUI [1,4])
ACE inhibitor before admission
Item
ACE inhibitor before admission
boolean
C0003015 (UMLS CUI-1)
ACE inhibitor in first 24 h
Item
ACE inhibitor in first 24 h
boolean
C0003015 (UMLS CUI [1])
ACE inhibitor contraindicated
Item
ACE inhibitor contraindicated
boolean
C0003015 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
ACE inhibitor (discharge)
Item
ACE inhibitor (discharge)
text
C0003015 (UMLS CUI [1])
ACE inhibitor (discharge) contraindicated
Item
ACE inhibitor (discharge) contraindicated
text
C0003015 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
ARB before admission
Item
ARB before admission
boolean
C0521942 (UMLS CUI-1)
ARB in first 24 h
Item
ARB in first 24 h
boolean
C0521942 (UMLS CUI [1])
ARB contraindicated
Item
ARB contraindicated
boolean
C0521942 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
ARB (discharge)
Item
ARB (discharge)
boolean
C0521942 (UMLS CUI [1])
ARB (discharge) contraindicated
Item
ARB (discharge) contraindicated
boolean
C0521942 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Diuretic
Item
Diuretic
boolean
C0012798 (UMLS CUI-1)
Aldosterone blocking agent (home)
Item
Aldosterone blocking agent (home)
boolean
C0002007 (UMLS CUI-1)
Aldosterone blocking agent in first 24 h
Item
Aldosterone blocking agent in first 24 h
boolean
C0002007 (UMLS CUI [1])
Aldosterone blocking agent dose
Item
Aldosterone blocking agent dose
integer
C0002007 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Aldosterone blocking agent (24 h) contraindicated
Item
Aldosterone blocking agent (24 h) contraindicated
boolean
C0002007 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Aldosterone blocking agent (discharge)
Item
Aldosterone blocking agent (discharge)
boolean
C0002007 (UMLS CUI [1])
Aldosterone blocking agent (discharge) contraindicated
Item
Aldosterone blocking agent (discharge) contraindicated
boolean
C0002007 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Statin before admission
Item
Statin before admission
boolean
C2585159 (UMLS CUI-1)
Statin in first 24 h
Item
Statin in first 24 h
boolean
C0360714 (UMLS CUI-1)
Statin dose
Item
Statin dose
text
C0360714 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Statin contraindicated
Item
Statin contraindicated
boolean
C1277178 (UMLS CUI-1)
Statin (discharge)
Item
Statin (discharge)
text
C0360714 (UMLS CUI [1])
Statin (discharge) contraindicated
Item
Statin (discharge) contraindicated
boolean
C1277178 (UMLS CUI [1])
Other lipid-lowering agent (home)
Item
Other lipid-lowering agent (home)
boolean
C0086440 (UMLS CUI-1)
Other lipid-lowering agent (discharge)
Item
Other lipid-lowering agent (discharge)
text
C2729227 (UMLS CUI-1)
Other lipid-lowering agent (discharge) contraindicated
Item
Other lipid-lowering agent (discharge) contraindicated
boolean
C0086440 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
Omega-3 fatty acid (discharge)
Item
Omega-3 fatty acid (discharge)
boolean
C0561929 (UMLS CUI-1)
Antiarrhythmic
Item
Antiarrhythmic (discharge)
boolean
C0003195 (UMLS CUI-1)
Antidepressants
Item
Antidepressants
boolean
C0003289 (UMLS CUI-1)
Female hormone replacement therapy
Item
Female hormone replacement therapy
boolean
C0282402 (UMLS CUI-1)
Nicotine replacement therapy
Item
Nicotine replacement and/or suppression therapy
boolean
C1278444 (UMLS CUI-1)
Item
NSAIDs
text
C0003211 (UMLS CUI-1)
Code List
NSAIDs
CL Item
Nonselective (1)
CL Item
Cox-2 selective (2)
Insulin
Item
Insulin
boolean
C0021641 (UMLS CUI-1)
Item
Oral hypoglycemic agent
text
C0359086 (UMLS CUI-1)
Code List
Oral hypoglycemic agent
CL Item
Sulfonylureas (eg, tolbutamide, glipizide) (1)
CL Item
Biguanides (eg, metformin, buformin) (2)
CL Item
Meglitinides (eg, repaglinide, nateglinide) (3)
CL Item
Thiazolidinediones (eg, rosiglitazone, pioglitazone) (4)
CL Item
Peptide analogs (5)
CL Item
DPP-4 inhibitors (eg, vildagliptin, sitagliptin) (6)
CL Item
Alpha-glucosidase inhibitors (eg, miglitol, acarbose) (7)
CL Item
Experimental agents (8)
Subcutaneous hypoglycemic agent
Item
Subcutaneous hypoglycemic agent
boolean
C3532679 (UMLS CUI-1)
Influenza immunization
Item
Influenza immunization
boolean
C0042200 (UMLS CUI-1)
Pneumococcal immunization
Item
Pneumococcal immunization
boolean
C2082604 (UMLS CUI-1)
Death
Item
Death
boolean
C1306577 (UMLS CUI-1)
Date and time of death
Item
Date and time of death
datetime
C1301931 (UMLS CUI-1)
Acute MI
Item
Acute MI
boolean
C0155626 (UMLS CUI-1)
Recurrent MI
Item
Recurrent MI
boolean
C2882123 (UMLS CUI-1)
Reinfarction date
Item
Reinfarction date
datetime
C0948369 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Recurrent rest angina with electrocardiographic changes
Item
Recurrent rest angina with electrocardiographic changes
boolean
C0002965 (UMLS CUI [1,1])
C0277556 (UMLS CUI [1,2])
C0855329 (UMLS CUI [1,3])
Recurrent rest angina without electrocardiographic changes
Item
Recurrent rest angina without electrocardiographic changes
boolean
C0002965 (UMLS CUI [1,1])
C0277556 (UMLS CUI [1,2])
C0855329 (UMLS CUI [1,3])
C0332288 (UMLS CUI [1,4])
Unstable angina
Item
Unstable angina requiring hospitalization
boolean
C0002965 (UMLS CUI [1])
Heart failure
Item
Heart failure
boolean
C0018801 (UMLS CUI-1)
Heart failure date
Item
Heart failure date
datetime
C2984177 (UMLS CUI-1)
Cardiogenic shock
Item
Cardiogenic shock
boolean
C0036980 (UMLS CUI-1)
Cardiogenic shock date
Item
Cardiogenic shock date
date
C0036980 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Stroke
Item
Stroke
boolean
C0038454 (UMLS CUI-1)
Stroke date
Item
Stroke date
date
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Type of stroke
Item
Type of stroke
text
C3897486 (UMLS CUI [1])
Bleeding
Item
Bleeding (TIMI major,TIMI minor, or none)
boolean
C0019080 (UMLS CUI-1)
Item
GUSTO bleeding classification
text
C0019080 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
Code List
GUSTO bleeding classification
CL Item
Severe: either intracranial hemorrhage or bleeding that causes hemodynamic compromise and requires intervention (1)
CL Item
Moderate: bleeding that requires blood transfusion but does not result in hemodynamic compromise (2)
CL Item
Mild: bleeding that does not meet the criteria for either severe or moderate bleeding (3)
Bleeding event
Item
Bleeding event
boolean
C0019080 (UMLS CUI-1)
Item
Location of bleeding
text
C0019080 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Code List
Location of bleeding
CL Item
Access site (1)
CL Item
Retroperitoneal (2)
CL Item
GI (3)
CL Item
GU (4)
CL Item
Other (5)
Bleeding event date
Item
Bleeding event date
date
C0019080 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Surgery
Item
Surgical or procedural intervention
boolean
C0543467 (UMLS CUI [1])
Transfusion
Item
Transfusion
boolean
C1879316 (UMLS CUI-1)
Units of blood given
Item
Units of blood given
integer
C0439184 (UMLS CUI-1)
Date of first RBC transfusion
Item
Date of first RBC transfusion
date
C0808300 (UMLS CUI-1)
RBC transfusion related to CABG
Item
RBC transfusion related to CABG
boolean
C0086252 (UMLS CUI [1,1])
C0010055 (UMLS CUI [1,2])
Thrombocytopenia
Item
Thrombocytopenia
boolean
C0040034 (UMLS CUI-1)
Cardiac rupture/ventricular septal defect
Item
Cardiac rupture/ventricular septal defect
boolean
C0018813 (UMLS CUI [1])
C0018818 (UMLS CUI [2])
Atrial arrhythmia
Item
Atrial arrhythmia
boolean
C0085611 (UMLS CUI-1)
Supraventricular tachycardia
Item
Supraventricular tachycardia
boolean
C0039240 (UMLS CUI-1)
Ventricular arrhythmia
Item
Ventricular arrhythmia
boolean
C0085612 (UMLS CUI [1])
AV block
Item
High-degree AV block
boolean
C0004245 (UMLS CUI [1])
Date of discharge
Item
Date of discharge
date
C2361123 (UMLS CUI-1)
Item
Discharge destination
text
C1550391 (UMLS CUI [1])
Code List
Discharge destination
CL Item
Home (1)
CL Item
Extended care/transitional care unit (2)
CL Item
Other hospital (3)
CL Item
Nursing home (4)
CL Item
Hospice (5)
CL Item
Other (6)
Item
Discharge status
text
C0586514 (UMLS CUI [1])
Code List
Discharge status
CL Item
Discharged to home care or self-care (routine discharge) (1)
CL Item
Discharged/transferred to a short-term general hospital for inpatient care (2)
CL Item
Discharged/transferred to SNF with Medicare certification in anticipation of covered skilled care (3)
CL Item
Discharged/transferred to an ICF (4)
CL Item
Discharged/transferred to another type of institution not defined elsewhere in this code list (5)
CL Item
Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care (6)
CL Item
Left against medical advice or discontinued care (7)
CL Item
Died (8)
CL Item
Died in a medical facility (eg, hospital, SNF, ICF, or freestanding hospice) (9)
CL Item
Discharged/transferred to a federal healthcare facility (10)
CL Item
Hospice: home (11)
CL Item
Hospice: medical facility (12)
CL Item
Discharged/transferred to hospital-based, Medicare-approved swing bed (13)
CL Item
Discharged/transferred to an IRF, including rehabilitation distinct part units of a hospital (14)
CL Item
Discharged/transferred to a Medicare-certified LTCH (15)
CL Item
Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare (16)
CL Item
Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital (17)
CL Item
Discharged/transferred to a CAH (18)
Item
Discharge status (alive versus dead)
text
C0586514 (UMLS CUI [1])
Code List
Discharge status (alive versus dead)
CL Item
Alive (1)
CL Item
Dead (2)
Primary cause of death
Item
Primary cause of death
text
C0007465 (UMLS CUI-1)
Acute care transfer
Item
Acute care transfer
boolean
C3846725 (UMLS CUI-1)
Date/time of transfer
Item
Date/time of transfer
datetime
C3846725 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Days in ICU
Item
Days in ICU
integer
C0023303 (UMLS CUI [1,1])
C0021708 (UMLS CUI [1,2])
Final diagnosis of the admission event
Item
Final diagnosis of the admission event
text
C0332144 (UMLS CUI-1)
Comfort measures only
Item
Comfort measures only
boolean
C0150521 (UMLS CUI-1)
Item
Primary inpatient service
text
C1508823 (UMLS CUI-1)
Code List
Primary inpatient service
CL Item
Cardiology (1)
CL Item
Internal medicine (2)
CL Item
Family practice (3)
CL Item
Hospital medicine (primary professional focus on general medical care of hospitalized patients) (4)
CL Item
Other (5)
Clinical trial
Item
Clinical trial
boolean
C0422726 (UMLS CUI-1)
Smoking cessation counseling
Item
Smoking cessation counseling
boolean
C1273715 (UMLS CUI-1)
Weight management counseling
Item
Weight management counseling
boolean
C1444340 (UMLS CUI-1)
Diet counseling
Item
Diet counseling
boolean
C1828150 (UMLS CUI-1)
Exercise counseling
Item
Exercise counseling
boolean
C1629016 (UMLS CUI-1)
Cardiac rehabilitation
Item
Cardiac rehabilitation
boolean
C0700431 (UMLS CUI-1)
Readmission
Item
Readmission
boolean
C0600290 (UMLS CUI [1])
Readmission date
Item
Readmission date
date
C0600290 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Readmission reason
text
C0600290 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Code List
Readmission reason
CL Item
MI (documented) (1)
CL Item
UA (2)
CL Item
Angina (without MI) (3)
CL Item
PCI (4)
CL Item
CABG (5)
CL Item
CHF (without MI) (6)
CL Item
Arrhythmia or conduction disturbance (without MI) (7)
CL Item
Sudden cardiac arrest (8)
CL Item
Chest pain ultimately found to be noncardiac in nature (9)
CL Item
Stroke/other cardiovascular problem (10)
CL Item
Noncardiovascular problem (11)
BNP or NT-proBNP
Item
BNP or NT-proBNP
integer
C1095989 (UMLS CUI [1])
C1319570 (UMLS CUI [2])
LDL
Item
LDL
float
C0428474 (UMLS CUI-1)
HDL
Item
HDL
float
C0428472 (UMLS CUI-1)
Hemoglobin A1c
Item
Hemoglobin A1c
text
C0202054 (UMLS CUI-1)
MI
Item
MI
boolean
C0027051 (UMLS CUI-1)
Cardiac catheterization
Item
Cardiac catheterization
boolean
C0018795 (UMLS CUI-1)
PCI
Item
PCI
boolean
C1532338 (UMLS CUI-1)
CABG
Item
CABG
boolean
C0010055 (UMLS CUI-1)
Item
Angina status
text
C1879987 (UMLS CUI-1)
Code List
Angina status
CL Item
Class 0: none (1)
CL Item
Class I: ordinary physical activity, such as walking or climbing stairs, does not cause angina. Angina occurs with strenuous, rapid, or prolonged exertion at work or recreation. (2)
CL Item
Class II: slight limitation of ordinary activity. Angina occurs on walking or climbing stairs rapidly, walking uphill, walking or climbing stairs after meals, or in cold, in wind, or under emotional stress, or only during the few hours after awakening. Angina occurs on walking >2 blocks on the level and climbing >1 flight of ordinary stairs at a normal pace and in normal conditions. (3)
CL Item
Class III: marked limitation of ordinary physical activity. Angina occurs on walking 1 to 2 blocks on the level and climbing 1 flight of stairs in normal conditions and at a normal pace. (4)
CL Item
Class IV: inability to perform any physical activity without discomfort—anginal symptoms may be present at rest. (5)
Item
NYHA functional class
text
C1275491 (UMLS CUI-1)
Code List
NYHA functional class
CL Item
Class I: patients with cardiac disease but without resulting limitations of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea. (1)
CL Item
Class II: patients with cardiac disease resulting in a slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, or dyspnea. (2)
CL Item
Class III: patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea. (3)
CL Item
Class IV: patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms are present even at rest or minimal exertion. (4)
Death
Item
Death
boolean
C1306577 (UMLS CUI-1)
Date of death
Item
Date of death
date
C1148348 (UMLS CUI-1)
Primary cause of death
Item
Primary cause of death
text
C0007465 (UMLS CUI-1)
Item
Medication use
text
C0746470 (UMLS CUI [1])
Code List
Medication use
CL Item
Acetylsalicylic acid/antiplatelet: aspirin, clopidogrel, or ticlopidine; other (eg, dipyridamole) (1)
CL Item
ACE inhibitors: Some common generic forms are captopril, enalapril, lisinopril, and ramipril. (2)
CL Item
Beta blocker: Some forms of IV beta blockers are atenolol, metoprolol, propranolol, timolol, esmolol, and labetalol. Some generic forms of oral beta blockers include atenolol, metoprolol, nadolol, pindolol, propranolol, timolol, acebutolol, bucindolol, bisoprolol, labetalol, and carvedilol.  (3)
CL Item
Lipid lowering: Types of agents include statins (HMG Co-A reductase inhibitors), fibrates, nicotinic acid,and resin drugs (cholestyramine). Frequently prescribed drugs are cholestyramine, colestipol, probucol,gemfibrozil, lovastatin, atorvastatin, simvastatin, fluvastatin, pravastatin, and other Class Iindicated cardiovascular medicationARB and aldosterone antagonists. (4)

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