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