Indicate the patient's medical record number

Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)

What is your date of birth?

Please indicate your sex at birth

Indicate the patient's height

Indicate units of height

Indicate the patient's weight

Indicate units of weight

Indicate whether troponin T or I

Indicate the peak level reached

Give the lab’s upper limit of normal

Indicate the first measurement or earliest record of heart rate (in beats per minute) for this episode of care

Indicate the first measurement or earliest record of systolic blood pressure (mm Hg) for this episode of care

Indicate whether the patient has a documented discharge diagnosis of NSTEMI or STEMI

Indicate whether the patient has had an episode of cardiogenic shock at first medical contact

Indicate if the patient has had an episode of cardiac arrest evaluated by pre- hospital emergency services or emergency department personnel

Indicate the clinical status of the patient prior to entering the operating room

Indicate the clinical status of the patient prior to entering the operating room

Indicate whether the patient has Left Main Coronary Disease

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

Indicate the patient’s pre-procedural creatinine level

Indicate the patient’s pre-procedural creatinine level unit

Indicate if the patient has had a previous CABG

Indicate date of CABG

Indicate if the patient had a previous percutaneous coronary intervention (PCI) of any type (balloon angioplasty, stent or other)

Indicate date of PCI

Indicate the PCI procedure type

Indicate the cardiac surgery procedure type

Indicate the episode type

Indicate if the patient has died, regardless of cause

Indicate the date the patient was declared dead

Indicate where the patient died

Indicate whether the patient had a stroke

Indicate type of stroke if documented on imaging, or via lumbar puncture, neurosurgery, or autopsy

Indicate whether the patient has a diagnosis of acute renal failure

Indicate the date the patient first arrived

Indicate the date the patient was discharged

Indicate the date of intervention

Indicate whether the patient had prolonged pulmonary ventilator >24 hours after CABG

Indicate whether the patient had a deep sternal infection involving muscle, bone, and/or mediastinum REQUIRING OPERATIVE INTERVENTION

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

Indicate if a significant dissection was observed at the time of PCI

Indicate if angiographic or clinical evidence of perforation was observed at the time of the PCI procedure

Indicate the occurrence of any emergency cardiothoracic surgical procedure (whether or not this actually involves the placing of bypass grafts)

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

Indicate if the patient experienced a suspected or confirmed bleeding event