Protocols for Clinical Registry Extraction and Data Submission (CREDS) IG
1.0.0 - STU1 United States of America flag

This page is part of the Protocols for Clinical Registry Extraction and Data Submission (CREDS) IG (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: CathPCI_Submission_Map_detailed - Detailed Descriptions

Active as of 2021-11-01

Definitions for the ACCNCDRCathPCIDetailed logical model.

Guidance on how to interpret the contents of this table can be found here

0. ACCNCDRCathPCIDetailed
Definition

This is an example of the data that would be used for a Cath-PCI Submission. The full map is a logical model as that allows conformance to the FHIR Standard the way a custom Resource would not. Each element has the short name of the data, a full description and the paths to fetch and place the information, by data standard type, for each. A section (such as Demographics) is a BackboneElement (holds no values). All subordinate elements are strings. Each mapping includes the following:

ShortCath-PCI Detailed Submission Map
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ACCNCDRCathPCIDetailed.administration
Definition

Adminstrative Data

ShortAdminstrative Data
Control1..1
TypeBackboneElement
4. ACCNCDRCathPCIDetailed.administration.event
Definition

Code used for reason of submission

ShortEventCode
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed ValueCathPCI-Discharge
6. ACCNCDRCathPCIDetailed.administration.participantId
Definition

ACC Assigned Facilty ID

ShortFacility ID
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. ACCNCDRCathPCIDetailed.administration.vendorIdentifier
Definition

Software Vendor ID

ShortVendor Identifier
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. ACCNCDRCathPCIDetailed.administration.vendorSoftwareVersion
Definition

Vendor Software Version

ShortSoftware Version
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. ACCNCDRCathPCIDetailed.administration.status
Definition

Status of the Submission, always final

ShortSubmission Status
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed Valuefinal
14. ACCNCDRCathPCIDetailed.administration.type
Definition

Submission Type, always Episode of Care Record

ShortSubmission Type
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed Value11516-2
16. ACCNCDRCathPCIDetailed.administration.timeFrameOfDataSubmission
Definition

Time Frame of Data Submission quarter start (e.g., Q2 start date Apr 1)

ShortSubmission Period
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. ACCNCDRCathPCIDetailed.administration.registryIdentifier
Definition

Registry Identifier

ShortRegistry Identifier
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed ValueACC-NCDR-CathPCI-5.0
20. ACCNCDRCathPCIDetailed.administration.submissionType
Definition

Submission Type

ShortSubmission Type
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. ACCNCDRCathPCIDetailed.administration.date
Definition

Date and Time of the Submission

ShortSubmission DateTime
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. ACCNCDRCathPCIDetailed.administration.author
Definition

Organization Submitting the Record

ShortSubmission Organization
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. ACCNCDRCathPCIDetailed.demographics
Definition

The Patient who is the subject of this record

ShortThe Patient who is the subject of this record
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. ACCNCDRCathPCIDetailed.episodeInformation
Definition

Episode information

ShortEpisode information
Control1..1
TypeBackboneElement
30. ACCNCDRCathPCIDetailed.episodeInformation.episodeUniqueKey
Definition

Indicate the unique key associated with each patient episode record as assigned by the EMR/EHR or your software application.

ShortEpisode Unique Key
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. ACCNCDRCathPCIDetailed.episodeInformation.healthInsurancePaymentSource
Definition

Health Insurance Provider

ShortHealth Insurers
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. ACCNCDRCathPCIDetailed.episodeInformation.healthInsuranceClaimNumber
Definition

Medicare Claim Number

ShortHealth Insurance Claim Number
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. ACCNCDRCathPCIDetailed.episodeInformation.patientRestriction
Definition

patient requested for their information not to be used for any research or studies for the associated episode of care.

ShortPatient Restriction
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. ACCNCDRCathPCIDetailed.episodeInformation.admittingProvider
Definition

Admitting Provider

ShortAdmitting Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. ACCNCDRCathPCIDetailed.episodeInformation.attendingProvider
Definition

Attending Provider

ShortAttending Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. ACCNCDRCathPCIDetailed.researchStudy
Definition

ACC study the patient is currently enrolled

ShortACC Research Study
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. ACCNCDRCathPCIDetailed.historyAndRiskFactors
Definition

History and Risk Factors

ShortHistory and Risk Factors
Control1..1
TypeBackboneElement
46. ACCNCDRCathPCIDetailed.historyAndRiskFactors.familyHistoryOfPrematureCoronaryArteryDisease
Definition

Family History of Premature Coronary Artery Disease

ShortFamily History of Premature Coronary Artery Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorMyocardialInfarction
Definition

Prior MI Incidence

ShortPrior MI Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorPercutaneousCoronaryIntervention
Definition

Prior PCI Incidence

ShortPrior PCI Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorCoronaryArteryBypassGraft
Definition

Prior CABG Incidence

ShortPrior CABG Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. ACCNCDRCathPCIDetailed.historyAndRiskFactors.cerebrovascularDisease
Definition

Current Cerebrovascual Disease

ShortCurrent Cerebrovascual Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. ACCNCDRCathPCIDetailed.historyAndRiskFactors.diabetesMellitus
Definition

Current Diabetes Mellitus

ShortCurrent Diabetes Mellitus
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. ACCNCDRCathPCIDetailed.historyAndRiskFactors.currentlyOnDialysis
Definition

Patient on Dialysis

ShortPatient on Dialysis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. ACCNCDRCathPCIDetailed.historyAndRiskFactors.canadianStudyOfHealthAndAgingClinicalFrailtyScale
Definition

Frailty Scale

ShortFrailty Scale
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
62. ACCNCDRCathPCIDetailed.historyAndRiskFactors.chronicLungDisease
Definition

Current Chronic Lung Disease

ShortCurrent Chronic Lung Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. ACCNCDRCathPCIDetailed.historyAndRiskFactors.peripheralArterialDisease
Definition

Peripheral Arterial Disease Instance

ShortPeripheral Arterial Disease Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
66. ACCNCDRCathPCIDetailed.historyAndRiskFactors.hypertension
Definition

Hypertension Instance

ShortHypertension Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. ACCNCDRCathPCIDetailed.historyAndRiskFactors.dyslipidemia
Definition

Dyslipidemia Instance

ShortDyslipidemia Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
70. ACCNCDRCathPCIDetailed.historyAndRiskFactors.tobaccoUse
Definition

This is for encoding all smoking status, including quantity

ShortSmoking status and usage
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
72. ACCNCDRCathPCIDetailed.historyAndRiskFactors.height
Definition

Patient Height

ShortPatient Height
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
74. ACCNCDRCathPCIDetailed.historyAndRiskFactors.weight
Definition

Patient Weight

ShortPatient Weight
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
76. ACCNCDRCathPCIDetailed.cardiacStatus
Definition

Cardiac Status

ShortCardiac Status
Control1..1
TypeBackboneElement
78. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestOutofHealthcareFacility
Definition

Indicate if a cardiac arrest event occurred outside of any healthcare facility.

ShortCardiac Arrest Out of Healthcare Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
80. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestWitnessed
Definition

Indicate if the out-of-hospital cardiac arrest was witnessed by another person.

ShortCardiac Arrest Witnessed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
82. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestAfterArrivalofEMS
Definition

Indicate if the out-of-hospital cardiac arrest occurred after arrival of Emergency Medical Services (EMS).

ShortCardiac Arrest After Arrival of Emergency Medical Services
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
84. ACCNCDRCathPCIDetailed.cardiacStatus.firstCardiacArrestRhythm
Definition

Indicate if the out-of-hospital cardiac arrest occurred after arrival of Emergency Medical Services (EMS).

ShortFirst Cardiac Arrest Rhythm
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
86. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestatTransferringHealthcareFacility
Definition

Indicate if the patient had cardiac arrest at the transferring healthcare facility prior to arrival at the current facility.

ShortCardiac Arrest at Transferring Healthcare Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
88. ACCNCDRCathPCIDetailed.procedureInformation
Definition

CathPCI Procedure Information

ShortCathPCI Procedure Information
Control1..1
TypeBackboneElement
90. ACCNCDRCathPCIDetailed.procedureInformation.systolicBloodPressure
Definition

Blood Pressure (Systolic)

ShortBlood Pressure (Systolic)
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
92. ACCNCDRCathPCIDetailed.procedureInformation.pciPatientProcedure
Definition

Results of this query will fill the %Procedure and %procedure.period environment variables

ShortPCI Procedure
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
94. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticCoronaryAngiographyProcedure
Definition

Diagnostic Coronary Angiography

ShortDiagnostic Coronary Angiography
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
96. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticCatheterizationOperator
Definition

Diagnostic Catheterization Operator

ShortDiagnostic Catheterization Operator
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
98. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticLeftHeartCath
Definition

Instance of Left Heart Diagnostic Catheterization

ShortInstance of Left Heart Diagnostic Catheterization
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
100. ACCNCDRCathPCIDetailed.procedureInformation.lvefPercentDiagnosticLeftHeartCath
Definition

Diagnositic Left Heart Cath LVEF%

ShortDiagnositic Left Heart Cath LVEF%
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
102. ACCNCDRCathPCIDetailed.procedureInformation.concomitantProceduresPerformed
Definition

Concomitant Procedures Performed

ShortConcomitant Procedures Performed
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
104. ACCNCDRCathPCIDetailed.procedureInformation.cumulativeAirKerma
Definition

Cumulative Air Kerma

ShortCumulative Air Kerma
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
106. ACCNCDRCathPCIDetailed.procedureInformation.fluoroscopyTime
Definition

Indicate the total fluoroscopy time recorded to the nearest 0.1-minute.

ShortTotal Flouroscopy Time
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
108. ACCNCDRCathPCIDetailed.procedureInformation.doseAreaProduct
Definition

Indicate the total fluoroscopy dose to the nearest integer. The value recorded should include the total dose for the lab visit.

ShortTotal Flouroscopy Dose
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
110. ACCNCDRCathPCIDetailed.procedureInformation.arterialCrossOver
Definition

Indicate if the procedure involved a crossover to a different access site.

ShortArterial Cross Over
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
112. ACCNCDRCathPCIDetailed.procedureInformation.venousAccess
Definition

Indicate if a venous access was obtained for the purpose of the diagnostic or PCI procedure.

ShortVenous Access
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
114. ACCNCDRCathPCIDetailed.procedureInformation.cardiacArrestAtThisFacility
Definition

Indicate if a cardiac arrest event occurred at this facility PRIOR to the cath lab visit.

ShortCardiac Arrest at this Facility
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
116. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation
Definition

Pre-procedure Information

ShortPre-procedure Information
Control1..1
TypeBackboneElement
118. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.heartFailure
Definition

Indicate if the patient has been diagnosed with heart failure, diagnosis date and the Heart Failure type.

ShortHeart Failure
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
120. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.newYorkHeartAssociationClassification
Definition

Indicate the patient's latest dyspnea or functional class, coded as the New York Heart Association (NYHA) classification.

ShortNew York Heart Association Classification
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
122. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest
Definition

Pre-procedure Diagnostic Tests

ShortPre-procedure Diagnostic Tests
Control1..1
TypeBackboneElement
124. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.electrocardiacAssessment
Definition

Indicate the results of the electrocardiac assessment.

ShortElectrocardiac Assessment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
126. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.newAntiarrhythmicTherapyInitiatedPriorToCathLab
Definition

Indicate if the patient received a NEW antiarrhythmic therapy PRIOR to evaluation within the cath lab.

ShortNew Antiarrhythmic Therapy Initiated Prior to Cath Lab
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
128. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.electrocardiacAbnormalityType
Definition

Indicate the findings of the electrocardiac assessment.

ShortElectrocardiac Assessment Abnormality Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
130. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.nonSustainedVentricularTachycardiaType
Definition

Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure

ShortNon-Sustained Ventricular Tachycardia Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
132. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.lvef
Definition

Indicate the best estimate of the most recent left ventricular ejection fraction within 6 months of procedure.

ShortLVEF % (Pre-Procedure)
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
134. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.cardiacCta
Definition

Cardiac CTA

ShortCardiac CTA
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
136. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.agatstonCalciumScore
Definition

Agatston Calcium Score

ShortAgatston Calcium Score
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
138. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.priorDcapWithoutIntervention
Definition

Indicate if the patient had a prior diagnostic coronary angiography procedure without a subsequent intervention.

ShortPrior Diagnostic Coronary Angiography Procedure without intervention
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
140. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.priorDcapResults
Definition

Indicate the results of the prior diagnostic coronary angiography.

ShortPrior Diagnostic Coronary Angiography Procedure results
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
142. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.heartRate
Definition

Heart Rate

ShortHeart Rate
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
144. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest
Definition

Indicate Stress Test Performed and results

ShortIndicate Stress Test Performed and results
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
146. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest.riskOrExtentOfIschemia
Definition

Indicate the risk or extent of ischemia for the non-invasive stress test.

ShortStress Test Risk/Extent of Ischemia
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
148. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.preprocedureMedication
Definition

Indicate the assigned identification number associated with the medications the patient was prescribed or received.

ShortPreProcedure Medication
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
150. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.saQuestionnaire
Definition

Responses to the Seattle Angina Questionnaire

ShortResponses to the Seattle Angina Questionnaire
Control7..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
152. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.roseDyspneaScale
Definition

Responses to the Rose Dyspnea Scale Questionnaire

ShortResponses to the Rose Dyspnea Scale Questionnaire
Control4..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
154. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods
Definition

Method and Device used for procedure closures

ShortMethod and Device used for procedure closures
Control1..1
TypeBackboneElement
156. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.arterialAccessClosureMethod
Definition

Arterial Access Closure Method

ShortArterial Access Closure Method
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
158. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.closureMethodUdi
Definition

Arterial Access Closure Devices

ShortArterial Access Closure Devices
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
160. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs
Definition

Preprocedure Lab Results

ShortPreprocedure Lab Results
Control1..1
TypeBackboneElement
162. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.hemoglobin
Definition

Indicate the hemoglobin (Hgb) value in g/dL.

ShortHemoglobin
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
164. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.creatinine
Definition

Indicate the creatinine (Cr) level in mg/dL.

ShortCreatinine
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
166. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.troponinI
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin I
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
168. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.troponinT
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin T
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
170. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.totalCholesterol
Definition

Indicate the cholesterol level mg/dL.

ShortPreProcedure Total Cholesterol
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
172. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.highDensityLipoprotein
Definition

Indicate the cholesterol level mg/dL.

ShortPreProcedure Total Cholesterol
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
174. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs
Definition

Results of Postprocedure Labs

ShortResults of Postprocedure Labs
Control1..1
TypeBackboneElement
176. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.hemoglobin
Definition

Indicate the hemoglobin (Hgb) value in g/dL.

ShortHemoglobin
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
178. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.creatinine
Definition

Indicate the creatinine (Cr) level in mg/dL.

ShortCreatinine
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
180. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.troponinI
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin I
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
182. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.troponinT
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin T
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
184. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit
Definition

Information Regarding the Cath Lab Procedure

ShortInformation Regarding the Cath Lab Procedure
Control1..1
TypeBackboneElement
186. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.indicationsForCathLabVisit
Definition

Indicate the patient symptoms or condition prompting the cath lab visit.

ShortIndications for Cath Lab Visit
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
188. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.chestPainSymptomAssessment
Definition

Indicate the chest pain symptom assessment as diagnosed by the physician or described by the patient.

ShortChest Pain Symptom Assessment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
190. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.cardiovascularInstabilitytype
Definition

Cardiovascular instability includes, but is not limited to, persistent ischemic symptoms (such as chest pain or ST elevation), cardiogenic shock, ventricular arrhythmias, symptoms of acute heart failure, or hemodynamic instability (not cardiogenic shock).

ShortCardiovascular Instability Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
192. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.ventricularSupport
Definition

Indicate if the patient required any type of ventricular support (i.e. IV vasopressors or mechanical).

ShortVentricular Support
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
194. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.pharmacologicVasopressorSupport
Definition

Indicate if the patient required pharmacologic vasopressor support.

ShortPharmacologic Vasopressor Support
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
196. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.mechanicalVentricularSupportTiming
Definition

Indicate when the mechanical ventricular support device was placed.

ShortMechanical Ventricular Support Timing
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
198. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.evaluationForSurgeryType
Definition

Indicate the type of surgery for which the diagnostic coronary angiography is being performed.

ShortEvaluation for Surgery Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
200. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.functionalCapacity
Definition

Indicate the functional capacity of the patient as documented by the physician in the medical record.

ShortFunctional Capacity
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
202. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.surgicalRisk
Definition

Indicate the surgical risk category as documented by the physician in the medical record.

ShortSurgical Risk
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
204. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.solidOrganTransplantdonor
Definition

Instance and Type of Organ Donor

ShortInstance and Type of Organ Donor
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
206. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.valvularDiseaseStenosis
Definition

Indicate the severity and cardiac valve(s) with stenosis as diagnosed by the physician.

ShortValvular Disease Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
208. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.valvularDiseaseRegurgitation
Definition

Valvular Disease Stenosis

ShortValvular Disease Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
210. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy
Definition

Coronary Anatomy

ShortCoronary Anatomy
Control1..1
TypeBackboneElement
212. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel
Definition

Native Vessel

ShortNative Vessel
Control1..1
TypeBackboneElement
214. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.lesionSegmentNumber
Definition

Native Lesion Segment Number

ShortNative Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
216. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.coronaryVesselStenosis
Definition

Indicate the best estimate of the most severe percent stenosis in the segment of the native coronary vessel identified.

ShortCoronary Vessel Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
218. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.adjunctiveMeasurementsObtained
Definition

Indicate if an invasive diagnostic measurement was obtained of the native vessel segment.

ShortAdjunctive Measurements Obtained
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
220. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.instantaneousWaveFreeRatio
Definition

Indicate the instantaneous wave-free ratio (iFR ratio) of the native vessel segment.

ShortInstantaneous Wave-Free Ratio
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
222. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel
Definition

Graft Vessel

ShortGraft Vessel
Control1..1
TypeBackboneElement
224. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.lesionSegmentNumber
Definition

Graft Lesion Segment Number

ShortGraft Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
226. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.coronaryVesselStenosis
Definition

Indicate the best estimate of the most severe percent stenosis in the segment of the graft coronary vessel identified.

ShortCoronary Vessel Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
228. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.cabg
Definition

Indicate the vessel that was used for the coronary artery bypass graft.

ShortGraft Vessel CABG
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
230. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.adjunctiveMeasurementsObtained
Definition

Indicate if an invasive diagnostic measurement was obtained of the graft vessel intra-procedure.

ShortAdjunctive Measurements Obtained
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
232. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.instantaneousWaveFreeRatio
Definition

Indicate the instantaneous wave-free ratio (iFR ratio) of the graft vessel segment.

ShortInstantaneous Wave Free Ratio
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
234. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure
Definition

information regarding the PCI Procedure

Shortinformation regarding the PCI Procedure
Control1..1
TypeBackboneElement
236. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciStatus
Definition

Indicate the status of the PCI. The status is determined at the time the operator decides to perform a PCI.

ShortPCI Status
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
238. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.hypothermiaInduced
Definition

Indicate when hypothermia was initiated.

ShortHypothermia Induced Timing
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
240. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.decisionForPciWithSurgicalConsult
Definition

Indicate if a cardiac surgical consult was obtained prior to engaging in PCI.

ShortDecision for PCI with Surgical Consult
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
242. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.cardiovascularTreatmentDecision
Definition

Indicate the cardiovascular surgery recommendation and/or patient/family decision.

ShortCardiovascular Treatment Decision
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
244. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciForMultivesselDisease
Definition

Indicate if the PCI procedure was performed in the presence of multi-vessel disease.

ShortPCI for MultiVessel Disease
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
246. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.multiVesselProcedureType
Definition

Indicate the type of multi-vessel PCI procedure that was performed during this lab visit.

ShortMulti-vessel Procedure Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
248. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.percutaneousCoronaryInterventionIndication
Definition

Indicate the reason the percutaneous coronary intervention PCI is being performed.

ShortPercutaneous Coronary Intervention Indication
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
250. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.acuteCoronarySyndromeSymptom
Definition

Acute Coronary Syndrome Symptom

ShortAcute Coronary Syndrome Symptom
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
252. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.syntaxScore
Definition

Indicate the Syntax Score for the PCI procedure.

ShortSyntax Score
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
254. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.stemiOrStemiEquivalentFirstNoted
Definition

Indicate if a STEMI or STEMI equivalent was noted on either the first ECG or a subsequent ECG.

ShortSTEMI or STEMI Equivalent First Noted
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
256. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.subsequentEcgWithStemiOrStemiEquivalent
Definition

Indicate the Subsequent ECG date and time.

ShortSubsequent ECG with STEMI or STEMI Equivalent
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
258. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.subsequentEcgObtainedInEmergencyDepartment
Definition

Indicate if the subsequent ECG was obtained in the Emergency Department at this facility.

ShortSubsequent ECG obtained in Emergency Department
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
260. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.patientTransferredInForImmediatePciForStemi
Definition

Indicate if the patient was transferred from another facility to have a primary PCI for STEMI at this facility.

ShortPatient Transferred In for Immediate PCI for STEMI
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
262. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.emergencyDepartmentPresentationAtReferringFacility
Definition

Code the date and time of arrival to the original, transferring facility as documented in the medical record.

ShortEmergency Department Presentation at Referring Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
264. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.firstDeviceActivation
Definition

Indicate the date and time the first device was activated regardless of type of device used.

ShortFirst Device Activation
Comments

Use the earliest time from the following:

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
266. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.patientCenteredReasonForDelayInPci
Definition

Indicate the patient-centered reason for delay in performing the percutaneous coronary intervention (PCI), if needed.

ShortPatient Centered Reason for Delay in PCI
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
268. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciOperator
Definition

The operator who is performing the PCI procedure

ShortPCI Operator
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
270. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.arterialAccessSite
Definition

Indicate the location of percutaneous entry for the procedure.

ShortArterial Access Site
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
272. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.mechanicalVentilatorSupport
Definition

Indicate if the patient required mechanical ventricular support.

ShortMechanical Ventricular Support
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
274. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.mechanicalVentilatorSupportDevice
Definition

Indicate the mechanical ventricular support device used.

ShortMechanical Ventricular Support Device
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
276. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciProcedureMedicationCode
Definition

Medications administred intra-procedure

ShortPCI Procedure Medication Code
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
278. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices
Definition

Information on the Lesions treated and Devices Used

ShortInformation on the Lesions treated and Devices Used
Control1..1
TypeBackboneElement
280. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionCounter
Definition

The lesion counter is used to distinguish between multiple lesions on which a PCI is attempted or performed.

ShortLesion Counter
Comments

When specifying intracoronary devices, list all treated lesions in which the device was utilized. The software-assigned lesion counter should start at one and be incremented by one for each lesion. The lesion counter is reset back to one for each new PCI lab visit. At least one lesion must be specified for each PCI procedure.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
282. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.nativeLesionSegmentNumber
Definition

Indicate the segment that the current lesion spans.

ShortNative Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
284. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.culpritStenosis
Definition

Indicate if the stenosis is considered to be responsible for the acute coronary syndrome.

ShortCulprit Stenosis
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
286. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.stenosisImmediatelyPriorToTreatment
Definition

Indicate the percent diameter stenosis immediately prior to the treatment of this lesion.

ShortStenosis Immediately Prior to Treatment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
288. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.chronicTotalOcclusion
Definition

Indicate if the segment with 100% pre-procedure stenosis was presumed to be 100% occluded for at least 3 months previous to this procedure AND not related to a clinical event prompting (or leading to) this procedure.

ShortChronic Total Occlusion
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
290. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.timiFlowPreIntervention
Definition

Indicate the pre-intervention TIMI flow.

ShortTIMI Flow (Pre-Intervention)
Comments

If a lesion spans multiple segments with different TIMI flow, code the lowest TIMI flow within the entire lesion.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
292. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.previouslyTreatedLesion
Definition

Indicate the date the lesion has been treated in a prior episode of care.

ShortPreviously Treated Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
294. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.inStentRestenosis
Definition

Indicate if the previously treated and stented lesion is being treated for in-stent restenosis.

ShortIn-stent Restenosis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
296. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.inStentThrombosis
Definition

Indicate if the previously treated and stented lesion is being treated because of the presence of a thrombus in the stent.

ShortIn-stent Thrombosis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
298. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.stentType
Definition

Indicate the type of stent used in the previously treated lesion.

ShortStent Type
Comments

If a patient has multiple stents in the lesion code 'bioabsorbable' over either of the other two options when it is present.
If a DES and BMS are present in the lesion, code 'DES'.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
300. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionInGraft
Definition

Indicated if the lesion is in a coronary artery bypass graft.

ShortLesion In Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
302. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.typeOfCabgGraft
Definition

Indicate in which type of bypass graft the lesion is located.

ShortType of CABG Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
304. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.locationInGraft
Definition

Indicate the location of the most severe stenosis, if the lesion is in the graft.

ShortLocation in Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
306. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.navigateThroughGraftToNativeLesion
Definition

Indicate if treatment of the native artery lesion required navigating through a graft (to reach the lesion).

ShortNavigate through Graft to Native Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
308. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionComplexity
Definition

Indicate the complexity of the lesion

ShortLesion Complexity
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
310. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionLength
Definition

Indicate the length of the treated lesion in millimeters.

ShortLesion Length
Comments

If the lesion length is not available it is acceptable to code the length of the device used to treat the lesion.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
312. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.severeCalcification
Definition

Indicate if there was severe calcification of the lesion.

ShortSevere Calcification
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
314. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.guidewireAcrossLesion
Definition

Indicate if a guidewire successfully crossed the lesion.

ShortGuidewire Across Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
316. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.deviceDeployed
Definition

Indicate if a device was deployed during the procedure.

ShortDevice Deployed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
318. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.postInterventionStenosis
Definition

Indicate the post-intervention percent stenosis for the treated lesion.

ShortStenosis (Post-Intervention)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
320. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.postInterventionTimiFlow
Definition

Indicate the post-intervention TIMI flow.

ShortTIMI Flow (Post-Intervention)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
322. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices
Definition

Devices used during the PCI procedure

ShortDevices used during the PCI procedure
Control1..1
TypeBackboneElement
324. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.device
Definition

Indicate the devices utilized during the current procedure.

ShortIntracoronary Device(s) Used
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
326. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents
Definition

Events occuring Intra and post-procedure

ShortEvents occuring Intra and post-procedure
Control1..1
TypeBackboneElement
328. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.event
Definition

Indicate the event that occurred between the procedure and the next procedure or discharge.

ShortIntra/Post-Procedure Events
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
330. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.significantCoronaryArteryDissection
Definition

Indicate the post-intervention TIMI flow.

ShortSignificant Coronary Artery Dissection
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
332. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.numberOfUnitsOfPrbcsTransfused
Definition

Indicate the number of transfusion(s) of packed red blood cells.

ShortNumber of units of PRBCs transfused
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
334. ACCNCDRCathPCIDetailed.discharge
Definition

Discharge Information

ShortDischarge Information
Control1..1
TypeBackboneElement
336. ACCNCDRCathPCIDetailed.discharge.interventionsThisHospitalization
Definition

Indicate other interventions (percutaneous or surgical) that occurred during this hospitalization.

ShortInterventions This Hospitalization
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
338. ACCNCDRCathPCIDetailed.discharge.cabgStatus
Definition

Indicate the status of the coronary artery bypass graft (CABG) surgery.

ShortCABG Status
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
340. ACCNCDRCathPCIDetailed.discharge.cabgIndication
Definition

Indicate the reason coronary artery bypass graft (CABG) surgery is being performed.

ShortCABG Indication
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
342. ACCNCDRCathPCIDetailed.discharge.dischargeProvider
Definition

Provider that discharged the patient

ShortDischarge Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
344. ACCNCDRCathPCIDetailed.discharge.transferredForCabg
Definition

Indicate if the patient was transferred for the purpose of performing a coronary artery bypass graft.

ShortTransferred for CABG
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
346. ACCNCDRCathPCIDetailed.discharge.cabgPlannedAfterDischarge
Definition

Indicate if the patient has a CABG planned after discharge.

ShortCABG Planned after Discharge
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
348. ACCNCDRCathPCIDetailed.discharge.cardiacRehabilitationReferral
Definition

Indicate if there was written documentation of a referral for the patient (by the physician, nurse, or other personnel) to an outpatient cardiac rehabilitation program, or a documented medical or patient-centered reason why such a referral was not made.

ShortCardiac Rehabilitation Referral
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
350. ACCNCDRCathPCIDetailed.discharge.deathDuringTheProcedure
Definition

Indicate if the patient expired during the procedure.

ShortDeath During the Procedure
Comments

Make sure to only capture 'Death during the procedure' in the procedure appropriate registry. For example, if the patient had a CathPCI procedure and a TVT procedure in the same episode of care (hospitalization) but different cath lab visits and the death occurred during the TVT procedure. Code 'Yes' only in the TVT Registry and not the CathPCI Registry. If the CathPCI procedure and TVT procedure occurred during the same cath lab visit then code 'Yes' in both registries.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
352. ACCNCDRCathPCIDetailed.discharge.dischargeMedicationReconciliationCompleted
Definition

Indicate if the medication reconciliation was completed as recommended by the Joint Commission's National Patient Safety Goals.

ShortDischarge Medication Reconciliation Completed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
354. ACCNCDRCathPCIDetailed.discharge.dischargeMedicationsReconciled
Definition

Indicate the specific medication classes that were reconciled.

ShortDischarge Medications Reconciled
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. ACCNCDRCathPCIDetailed
Definition

This is an example of the data that would be used for a Cath-PCI Submission. The full map is a logical model as that allows conformance to the FHIR Standard the way a custom Resource would not. Each element has the short name of the data, a full description and the paths to fetch and place the information, by data standard type, for each. A section (such as Demographics) is a BackboneElement (holds no values). All subordinate elements are strings. Each mapping includes the following:

  • identity = standard used for the mapping (e.g., FHIR)
  • language = mime type that matches identity
  • map = FHIRPath expression of the path to the data
  • comment = Output mapping only Profile for inclusion in the Submission Bundle if not the Core resource

Environment Variables used: %patient (Patient resource for the subject of the procedure) %period (Encounter period i.e. Encounter.period) %procedure (Cath PCI Procedure resource) %procedure.period (CathPCI Procedure period i.e., Procedure.performedPeriod)

ShortCath-PCI Detailed Submission Map
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ACCNCDRCathPCIDetailed.administration
Definition

Adminstrative Data

ShortAdminstrative Data
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ACCNCDRCathPCIDetailed.administration.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. ACCNCDRCathPCIDetailed.administration.event
Definition

Code used for reason of submission

ShortEventCode
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed ValueCathPCI-Discharge
8. ACCNCDRCathPCIDetailed.administration.participantId
Definition

ACC Assigned Facilty ID

ShortFacility ID
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. ACCNCDRCathPCIDetailed.administration.vendorIdentifier
Definition

Software Vendor ID

ShortVendor Identifier
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. ACCNCDRCathPCIDetailed.administration.vendorSoftwareVersion
Definition

Vendor Software Version

ShortSoftware Version
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. ACCNCDRCathPCIDetailed.administration.status
Definition

Status of the Submission, always final

ShortSubmission Status
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed Valuefinal
16. ACCNCDRCathPCIDetailed.administration.type
Definition

Submission Type, always Episode of Care Record

ShortSubmission Type
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed Value11516-2
18. ACCNCDRCathPCIDetailed.administration.timeFrameOfDataSubmission
Definition

Time Frame of Data Submission quarter start (e.g., Q2 start date Apr 1)

ShortSubmission Period
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. ACCNCDRCathPCIDetailed.administration.registryIdentifier
Definition

Registry Identifier

ShortRegistry Identifier
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed ValueACC-NCDR-CathPCI-5.0
22. ACCNCDRCathPCIDetailed.administration.submissionType
Definition

Submission Type

ShortSubmission Type
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. ACCNCDRCathPCIDetailed.administration.date
Definition

Date and Time of the Submission

ShortSubmission DateTime
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. ACCNCDRCathPCIDetailed.administration.author
Definition

Organization Submitting the Record

ShortSubmission Organization
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. ACCNCDRCathPCIDetailed.demographics
Definition

The Patient who is the subject of this record

ShortThe Patient who is the subject of this record
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. ACCNCDRCathPCIDetailed.episodeInformation
Definition

Episode information

ShortEpisode information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. ACCNCDRCathPCIDetailed.episodeInformation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. ACCNCDRCathPCIDetailed.episodeInformation.episodeUniqueKey
Definition

Indicate the unique key associated with each patient episode record as assigned by the EMR/EHR or your software application.

ShortEpisode Unique Key
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. ACCNCDRCathPCIDetailed.episodeInformation.healthInsurancePaymentSource
Definition

Health Insurance Provider

ShortHealth Insurers
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. ACCNCDRCathPCIDetailed.episodeInformation.healthInsuranceClaimNumber
Definition

Medicare Claim Number

ShortHealth Insurance Claim Number
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. ACCNCDRCathPCIDetailed.episodeInformation.patientRestriction
Definition

patient requested for their information not to be used for any research or studies for the associated episode of care.

ShortPatient Restriction
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. ACCNCDRCathPCIDetailed.episodeInformation.admittingProvider
Definition

Admitting Provider

ShortAdmitting Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. ACCNCDRCathPCIDetailed.episodeInformation.attendingProvider
Definition

Attending Provider

ShortAttending Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. ACCNCDRCathPCIDetailed.researchStudy
Definition

ACC study the patient is currently enrolled

ShortACC Research Study
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. ACCNCDRCathPCIDetailed.historyAndRiskFactors
Definition

History and Risk Factors

ShortHistory and Risk Factors
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. ACCNCDRCathPCIDetailed.historyAndRiskFactors.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
52. ACCNCDRCathPCIDetailed.historyAndRiskFactors.familyHistoryOfPrematureCoronaryArteryDisease
Definition

Family History of Premature Coronary Artery Disease

ShortFamily History of Premature Coronary Artery Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorMyocardialInfarction
Definition

Prior MI Incidence

ShortPrior MI Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorPercutaneousCoronaryIntervention
Definition

Prior PCI Incidence

ShortPrior PCI Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorCoronaryArteryBypassGraft
Definition

Prior CABG Incidence

ShortPrior CABG Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. ACCNCDRCathPCIDetailed.historyAndRiskFactors.cerebrovascularDisease
Definition

Current Cerebrovascual Disease

ShortCurrent Cerebrovascual Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
62. ACCNCDRCathPCIDetailed.historyAndRiskFactors.diabetesMellitus
Definition

Current Diabetes Mellitus

ShortCurrent Diabetes Mellitus
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. ACCNCDRCathPCIDetailed.historyAndRiskFactors.currentlyOnDialysis
Definition

Patient on Dialysis

ShortPatient on Dialysis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
66. ACCNCDRCathPCIDetailed.historyAndRiskFactors.canadianStudyOfHealthAndAgingClinicalFrailtyScale
Definition

Frailty Scale

ShortFrailty Scale
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. ACCNCDRCathPCIDetailed.historyAndRiskFactors.chronicLungDisease
Definition

Current Chronic Lung Disease

ShortCurrent Chronic Lung Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
70. ACCNCDRCathPCIDetailed.historyAndRiskFactors.peripheralArterialDisease
Definition

Peripheral Arterial Disease Instance

ShortPeripheral Arterial Disease Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
72. ACCNCDRCathPCIDetailed.historyAndRiskFactors.hypertension
Definition

Hypertension Instance

ShortHypertension Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
74. ACCNCDRCathPCIDetailed.historyAndRiskFactors.dyslipidemia
Definition

Dyslipidemia Instance

ShortDyslipidemia Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
76. ACCNCDRCathPCIDetailed.historyAndRiskFactors.tobaccoUse
Definition

This is for encoding all smoking status, including quantity

ShortSmoking status and usage
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
78. ACCNCDRCathPCIDetailed.historyAndRiskFactors.height
Definition

Patient Height

ShortPatient Height
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
80. ACCNCDRCathPCIDetailed.historyAndRiskFactors.weight
Definition

Patient Weight

ShortPatient Weight
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
82. ACCNCDRCathPCIDetailed.cardiacStatus
Definition

Cardiac Status

ShortCardiac Status
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. ACCNCDRCathPCIDetailed.cardiacStatus.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
86. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestOutofHealthcareFacility
Definition

Indicate if a cardiac arrest event occurred outside of any healthcare facility.

ShortCardiac Arrest Out of Healthcare Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
88. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestWitnessed
Definition

Indicate if the out-of-hospital cardiac arrest was witnessed by another person.

ShortCardiac Arrest Witnessed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
90. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestAfterArrivalofEMS
Definition

Indicate if the out-of-hospital cardiac arrest occurred after arrival of Emergency Medical Services (EMS).

ShortCardiac Arrest After Arrival of Emergency Medical Services
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
92. ACCNCDRCathPCIDetailed.cardiacStatus.firstCardiacArrestRhythm
Definition

Indicate if the out-of-hospital cardiac arrest occurred after arrival of Emergency Medical Services (EMS).

ShortFirst Cardiac Arrest Rhythm
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
94. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestatTransferringHealthcareFacility
Definition

Indicate if the patient had cardiac arrest at the transferring healthcare facility prior to arrival at the current facility.

ShortCardiac Arrest at Transferring Healthcare Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
96. ACCNCDRCathPCIDetailed.procedureInformation
Definition

CathPCI Procedure Information

ShortCathPCI Procedure Information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. ACCNCDRCathPCIDetailed.procedureInformation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
100. ACCNCDRCathPCIDetailed.procedureInformation.systolicBloodPressure
Definition

Blood Pressure (Systolic)

ShortBlood Pressure (Systolic)
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
102. ACCNCDRCathPCIDetailed.procedureInformation.pciPatientProcedure
Definition

Results of this query will fill the %Procedure and %procedure.period environment variables

ShortPCI Procedure
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
104. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticCoronaryAngiographyProcedure
Definition

Diagnostic Coronary Angiography

ShortDiagnostic Coronary Angiography
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
106. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticCatheterizationOperator
Definition

Diagnostic Catheterization Operator

ShortDiagnostic Catheterization Operator
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
108. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticLeftHeartCath
Definition

Instance of Left Heart Diagnostic Catheterization

ShortInstance of Left Heart Diagnostic Catheterization
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
110. ACCNCDRCathPCIDetailed.procedureInformation.lvefPercentDiagnosticLeftHeartCath
Definition

Diagnositic Left Heart Cath LVEF%

ShortDiagnositic Left Heart Cath LVEF%
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
112. ACCNCDRCathPCIDetailed.procedureInformation.concomitantProceduresPerformed
Definition

Concomitant Procedures Performed

ShortConcomitant Procedures Performed
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
114. ACCNCDRCathPCIDetailed.procedureInformation.cumulativeAirKerma
Definition

Cumulative Air Kerma

ShortCumulative Air Kerma
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
116. ACCNCDRCathPCIDetailed.procedureInformation.fluoroscopyTime
Definition

Indicate the total fluoroscopy time recorded to the nearest 0.1-minute.

ShortTotal Flouroscopy Time
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
118. ACCNCDRCathPCIDetailed.procedureInformation.doseAreaProduct
Definition

Indicate the total fluoroscopy dose to the nearest integer. The value recorded should include the total dose for the lab visit.

ShortTotal Flouroscopy Dose
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
120. ACCNCDRCathPCIDetailed.procedureInformation.arterialCrossOver
Definition

Indicate if the procedure involved a crossover to a different access site.

ShortArterial Cross Over
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
122. ACCNCDRCathPCIDetailed.procedureInformation.venousAccess
Definition

Indicate if a venous access was obtained for the purpose of the diagnostic or PCI procedure.

ShortVenous Access
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
124. ACCNCDRCathPCIDetailed.procedureInformation.cardiacArrestAtThisFacility
Definition

Indicate if a cardiac arrest event occurred at this facility PRIOR to the cath lab visit.

ShortCardiac Arrest at this Facility
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
126. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation
Definition

Pre-procedure Information

ShortPre-procedure Information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
128. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
130. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.heartFailure
Definition

Indicate if the patient has been diagnosed with heart failure, diagnosis date and the Heart Failure type.

ShortHeart Failure
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
132. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.newYorkHeartAssociationClassification
Definition

Indicate the patient's latest dyspnea or functional class, coded as the New York Heart Association (NYHA) classification.

ShortNew York Heart Association Classification
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
134. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest
Definition

Pre-procedure Diagnostic Tests

ShortPre-procedure Diagnostic Tests
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
138. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.electrocardiacAssessment
Definition

Indicate the results of the electrocardiac assessment.

ShortElectrocardiac Assessment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
140. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.newAntiarrhythmicTherapyInitiatedPriorToCathLab
Definition

Indicate if the patient received a NEW antiarrhythmic therapy PRIOR to evaluation within the cath lab.

ShortNew Antiarrhythmic Therapy Initiated Prior to Cath Lab
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
142. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.electrocardiacAbnormalityType
Definition

Indicate the findings of the electrocardiac assessment.

ShortElectrocardiac Assessment Abnormality Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
144. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.nonSustainedVentricularTachycardiaType
Definition

Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure

ShortNon-Sustained Ventricular Tachycardia Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
146. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.lvef
Definition

Indicate the best estimate of the most recent left ventricular ejection fraction within 6 months of procedure.

ShortLVEF % (Pre-Procedure)
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
148. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.cardiacCta
Definition

Cardiac CTA

ShortCardiac CTA
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
150. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.agatstonCalciumScore
Definition

Agatston Calcium Score

ShortAgatston Calcium Score
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
152. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.priorDcapWithoutIntervention
Definition

Indicate if the patient had a prior diagnostic coronary angiography procedure without a subsequent intervention.

ShortPrior Diagnostic Coronary Angiography Procedure without intervention
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
154. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.priorDcapResults
Definition

Indicate the results of the prior diagnostic coronary angiography.

ShortPrior Diagnostic Coronary Angiography Procedure results
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
156. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.heartRate
Definition

Heart Rate

ShortHeart Rate
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
158. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest
Definition

Indicate Stress Test Performed and results

ShortIndicate Stress Test Performed and results
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest.riskOrExtentOfIschemia
Definition

Indicate the risk or extent of ischemia for the non-invasive stress test.

ShortStress Test Risk/Extent of Ischemia
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
162. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.preprocedureMedication
Definition

Indicate the assigned identification number associated with the medications the patient was prescribed or received.

ShortPreProcedure Medication
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
164. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.saQuestionnaire
Definition

Responses to the Seattle Angina Questionnaire

ShortResponses to the Seattle Angina Questionnaire
Control7..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
166. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.roseDyspneaScale
Definition

Responses to the Rose Dyspnea Scale Questionnaire

ShortResponses to the Rose Dyspnea Scale Questionnaire
Control4..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
168. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods
Definition

Method and Device used for procedure closures

ShortMethod and Device used for procedure closures
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
170. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
172. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.arterialAccessClosureMethod
Definition

Arterial Access Closure Method

ShortArterial Access Closure Method
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
174. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.closureMethodUdi
Definition

Arterial Access Closure Devices

ShortArterial Access Closure Devices
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
176. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs
Definition

Preprocedure Lab Results

ShortPreprocedure Lab Results
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
178. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
180. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.hemoglobin
Definition

Indicate the hemoglobin (Hgb) value in g/dL.

ShortHemoglobin
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
182. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.creatinine
Definition

Indicate the creatinine (Cr) level in mg/dL.

ShortCreatinine
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
184. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.troponinI
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin I
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
186. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.troponinT
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin T
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
188. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.totalCholesterol
Definition

Indicate the cholesterol level mg/dL.

ShortPreProcedure Total Cholesterol
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
190. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.highDensityLipoprotein
Definition

Indicate the cholesterol level mg/dL.

ShortPreProcedure Total Cholesterol
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
192. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs
Definition

Results of Postprocedure Labs

ShortResults of Postprocedure Labs
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
194. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
196. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.hemoglobin
Definition

Indicate the hemoglobin (Hgb) value in g/dL.

ShortHemoglobin
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
198. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.creatinine
Definition

Indicate the creatinine (Cr) level in mg/dL.

ShortCreatinine
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
200. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.troponinI
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin I
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
202. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.troponinT
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin T
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
204. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit
Definition

Information Regarding the Cath Lab Procedure

ShortInformation Regarding the Cath Lab Procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
206. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
208. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.indicationsForCathLabVisit
Definition

Indicate the patient symptoms or condition prompting the cath lab visit.

ShortIndications for Cath Lab Visit
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
210. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.chestPainSymptomAssessment
Definition

Indicate the chest pain symptom assessment as diagnosed by the physician or described by the patient.

ShortChest Pain Symptom Assessment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
212. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.cardiovascularInstabilitytype
Definition

Cardiovascular instability includes, but is not limited to, persistent ischemic symptoms (such as chest pain or ST elevation), cardiogenic shock, ventricular arrhythmias, symptoms of acute heart failure, or hemodynamic instability (not cardiogenic shock).

ShortCardiovascular Instability Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
214. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.ventricularSupport
Definition

Indicate if the patient required any type of ventricular support (i.e. IV vasopressors or mechanical).

ShortVentricular Support
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
216. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.pharmacologicVasopressorSupport
Definition

Indicate if the patient required pharmacologic vasopressor support.

ShortPharmacologic Vasopressor Support
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
218. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.mechanicalVentricularSupportTiming
Definition

Indicate when the mechanical ventricular support device was placed.

ShortMechanical Ventricular Support Timing
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
220. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.evaluationForSurgeryType
Definition

Indicate the type of surgery for which the diagnostic coronary angiography is being performed.

ShortEvaluation for Surgery Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
222. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.functionalCapacity
Definition

Indicate the functional capacity of the patient as documented by the physician in the medical record.

ShortFunctional Capacity
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
224. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.surgicalRisk
Definition

Indicate the surgical risk category as documented by the physician in the medical record.

ShortSurgical Risk
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
226. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.solidOrganTransplantdonor
Definition

Instance and Type of Organ Donor

ShortInstance and Type of Organ Donor
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
228. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.valvularDiseaseStenosis
Definition

Indicate the severity and cardiac valve(s) with stenosis as diagnosed by the physician.

ShortValvular Disease Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
230. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.valvularDiseaseRegurgitation
Definition

Valvular Disease Stenosis

ShortValvular Disease Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
232. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy
Definition

Coronary Anatomy

ShortCoronary Anatomy
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
234. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
236. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel
Definition

Native Vessel

ShortNative Vessel
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
238. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
240. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.lesionSegmentNumber
Definition

Native Lesion Segment Number

ShortNative Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
242. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.coronaryVesselStenosis
Definition

Indicate the best estimate of the most severe percent stenosis in the segment of the native coronary vessel identified.

ShortCoronary Vessel Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
244. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.adjunctiveMeasurementsObtained
Definition

Indicate if an invasive diagnostic measurement was obtained of the native vessel segment.

ShortAdjunctive Measurements Obtained
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
246. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.instantaneousWaveFreeRatio
Definition

Indicate the instantaneous wave-free ratio (iFR ratio) of the native vessel segment.

ShortInstantaneous Wave-Free Ratio
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
248. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel
Definition

Graft Vessel

ShortGraft Vessel
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
250. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
252. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.lesionSegmentNumber
Definition

Graft Lesion Segment Number

ShortGraft Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
254. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.coronaryVesselStenosis
Definition

Indicate the best estimate of the most severe percent stenosis in the segment of the graft coronary vessel identified.

ShortCoronary Vessel Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
256. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.cabg
Definition

Indicate the vessel that was used for the coronary artery bypass graft.

ShortGraft Vessel CABG
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
258. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.adjunctiveMeasurementsObtained
Definition

Indicate if an invasive diagnostic measurement was obtained of the graft vessel intra-procedure.

ShortAdjunctive Measurements Obtained
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
260. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.instantaneousWaveFreeRatio
Definition

Indicate the instantaneous wave-free ratio (iFR ratio) of the graft vessel segment.

ShortInstantaneous Wave Free Ratio
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
262. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure
Definition

information regarding the PCI Procedure

Shortinformation regarding the PCI Procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
264. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
266. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciStatus
Definition

Indicate the status of the PCI. The status is determined at the time the operator decides to perform a PCI.

ShortPCI Status
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
268. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.hypothermiaInduced
Definition

Indicate when hypothermia was initiated.

ShortHypothermia Induced Timing
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
270. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.decisionForPciWithSurgicalConsult
Definition

Indicate if a cardiac surgical consult was obtained prior to engaging in PCI.

ShortDecision for PCI with Surgical Consult
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
272. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.cardiovascularTreatmentDecision
Definition

Indicate the cardiovascular surgery recommendation and/or patient/family decision.

ShortCardiovascular Treatment Decision
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
274. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciForMultivesselDisease
Definition

Indicate if the PCI procedure was performed in the presence of multi-vessel disease.

ShortPCI for MultiVessel Disease
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
276. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.multiVesselProcedureType
Definition

Indicate the type of multi-vessel PCI procedure that was performed during this lab visit.

ShortMulti-vessel Procedure Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
278. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.percutaneousCoronaryInterventionIndication
Definition

Indicate the reason the percutaneous coronary intervention PCI is being performed.

ShortPercutaneous Coronary Intervention Indication
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
280. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.acuteCoronarySyndromeSymptom
Definition

Acute Coronary Syndrome Symptom

ShortAcute Coronary Syndrome Symptom
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
282. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.syntaxScore
Definition

Indicate the Syntax Score for the PCI procedure.

ShortSyntax Score
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
284. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.stemiOrStemiEquivalentFirstNoted
Definition

Indicate if a STEMI or STEMI equivalent was noted on either the first ECG or a subsequent ECG.

ShortSTEMI or STEMI Equivalent First Noted
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
286. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.subsequentEcgWithStemiOrStemiEquivalent
Definition

Indicate the Subsequent ECG date and time.

ShortSubsequent ECG with STEMI or STEMI Equivalent
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
288. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.subsequentEcgObtainedInEmergencyDepartment
Definition

Indicate if the subsequent ECG was obtained in the Emergency Department at this facility.

ShortSubsequent ECG obtained in Emergency Department
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
290. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.patientTransferredInForImmediatePciForStemi
Definition

Indicate if the patient was transferred from another facility to have a primary PCI for STEMI at this facility.

ShortPatient Transferred In for Immediate PCI for STEMI
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
292. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.emergencyDepartmentPresentationAtReferringFacility
Definition

Code the date and time of arrival to the original, transferring facility as documented in the medical record.

ShortEmergency Department Presentation at Referring Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
294. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.firstDeviceActivation
Definition

Indicate the date and time the first device was activated regardless of type of device used.

ShortFirst Device Activation
Comments

Use the earliest time from the following:

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
296. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.patientCenteredReasonForDelayInPci
Definition

Indicate the patient-centered reason for delay in performing the percutaneous coronary intervention (PCI), if needed.

ShortPatient Centered Reason for Delay in PCI
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
298. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciOperator
Definition

The operator who is performing the PCI procedure

ShortPCI Operator
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
300. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.arterialAccessSite
Definition

Indicate the location of percutaneous entry for the procedure.

ShortArterial Access Site
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
302. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.mechanicalVentilatorSupport
Definition

Indicate if the patient required mechanical ventricular support.

ShortMechanical Ventricular Support
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
304. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.mechanicalVentilatorSupportDevice
Definition

Indicate the mechanical ventricular support device used.

ShortMechanical Ventricular Support Device
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
306. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciProcedureMedicationCode
Definition

Medications administred intra-procedure

ShortPCI Procedure Medication Code
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
308. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices
Definition

Information on the Lesions treated and Devices Used

ShortInformation on the Lesions treated and Devices Used
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
310. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
312. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionCounter
Definition

The lesion counter is used to distinguish between multiple lesions on which a PCI is attempted or performed.

ShortLesion Counter
Comments

When specifying intracoronary devices, list all treated lesions in which the device was utilized. The software-assigned lesion counter should start at one and be incremented by one for each lesion. The lesion counter is reset back to one for each new PCI lab visit. At least one lesion must be specified for each PCI procedure.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
314. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.nativeLesionSegmentNumber
Definition

Indicate the segment that the current lesion spans.

ShortNative Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
316. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.culpritStenosis
Definition

Indicate if the stenosis is considered to be responsible for the acute coronary syndrome.

ShortCulprit Stenosis
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
318. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.stenosisImmediatelyPriorToTreatment
Definition

Indicate the percent diameter stenosis immediately prior to the treatment of this lesion.

ShortStenosis Immediately Prior to Treatment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
320. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.chronicTotalOcclusion
Definition

Indicate if the segment with 100% pre-procedure stenosis was presumed to be 100% occluded for at least 3 months previous to this procedure AND not related to a clinical event prompting (or leading to) this procedure.

ShortChronic Total Occlusion
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
322. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.timiFlowPreIntervention
Definition

Indicate the pre-intervention TIMI flow.

ShortTIMI Flow (Pre-Intervention)
Comments

If a lesion spans multiple segments with different TIMI flow, code the lowest TIMI flow within the entire lesion.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
324. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.previouslyTreatedLesion
Definition

Indicate the date the lesion has been treated in a prior episode of care.

ShortPreviously Treated Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
326. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.inStentRestenosis
Definition

Indicate if the previously treated and stented lesion is being treated for in-stent restenosis.

ShortIn-stent Restenosis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
328. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.inStentThrombosis
Definition

Indicate if the previously treated and stented lesion is being treated because of the presence of a thrombus in the stent.

ShortIn-stent Thrombosis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
330. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.stentType
Definition

Indicate the type of stent used in the previously treated lesion.

ShortStent Type
Comments

If a patient has multiple stents in the lesion code 'bioabsorbable' over either of the other two options when it is present.
If a DES and BMS are present in the lesion, code 'DES'.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
332. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionInGraft
Definition

Indicated if the lesion is in a coronary artery bypass graft.

ShortLesion In Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
334. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.typeOfCabgGraft
Definition

Indicate in which type of bypass graft the lesion is located.

ShortType of CABG Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
336. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.locationInGraft
Definition

Indicate the location of the most severe stenosis, if the lesion is in the graft.

ShortLocation in Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
338. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.navigateThroughGraftToNativeLesion
Definition

Indicate if treatment of the native artery lesion required navigating through a graft (to reach the lesion).

ShortNavigate through Graft to Native Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
340. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionComplexity
Definition

Indicate the complexity of the lesion

ShortLesion Complexity
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
342. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionLength
Definition

Indicate the length of the treated lesion in millimeters.

ShortLesion Length
Comments

If the lesion length is not available it is acceptable to code the length of the device used to treat the lesion.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
344. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.severeCalcification
Definition

Indicate if there was severe calcification of the lesion.

ShortSevere Calcification
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
346. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.guidewireAcrossLesion
Definition

Indicate if a guidewire successfully crossed the lesion.

ShortGuidewire Across Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
348. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.deviceDeployed
Definition

Indicate if a device was deployed during the procedure.

ShortDevice Deployed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
350. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.postInterventionStenosis
Definition

Indicate the post-intervention percent stenosis for the treated lesion.

ShortStenosis (Post-Intervention)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
352. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.postInterventionTimiFlow
Definition

Indicate the post-intervention TIMI flow.

ShortTIMI Flow (Post-Intervention)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
354. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices
Definition

Devices used during the PCI procedure

ShortDevices used during the PCI procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
356. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
358. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.device
Definition

Indicate the devices utilized during the current procedure.

ShortIntracoronary Device(s) Used
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
360. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents
Definition

Events occuring Intra and post-procedure

ShortEvents occuring Intra and post-procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
362. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
364. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.event
Definition

Indicate the event that occurred between the procedure and the next procedure or discharge.

ShortIntra/Post-Procedure Events
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
366. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.significantCoronaryArteryDissection
Definition

Indicate the post-intervention TIMI flow.

ShortSignificant Coronary Artery Dissection
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
368. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.numberOfUnitsOfPrbcsTransfused
Definition

Indicate the number of transfusion(s) of packed red blood cells.

ShortNumber of units of PRBCs transfused
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
370. ACCNCDRCathPCIDetailed.discharge
Definition

Discharge Information

ShortDischarge Information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
372. ACCNCDRCathPCIDetailed.discharge.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
374. ACCNCDRCathPCIDetailed.discharge.interventionsThisHospitalization
Definition

Indicate other interventions (percutaneous or surgical) that occurred during this hospitalization.

ShortInterventions This Hospitalization
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
376. ACCNCDRCathPCIDetailed.discharge.cabgStatus
Definition

Indicate the status of the coronary artery bypass graft (CABG) surgery.

ShortCABG Status
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
378. ACCNCDRCathPCIDetailed.discharge.cabgIndication
Definition

Indicate the reason coronary artery bypass graft (CABG) surgery is being performed.

ShortCABG Indication
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
380. ACCNCDRCathPCIDetailed.discharge.dischargeProvider
Definition

Provider that discharged the patient

ShortDischarge Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
382. ACCNCDRCathPCIDetailed.discharge.transferredForCabg
Definition

Indicate if the patient was transferred for the purpose of performing a coronary artery bypass graft.

ShortTransferred for CABG
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
384. ACCNCDRCathPCIDetailed.discharge.cabgPlannedAfterDischarge
Definition

Indicate if the patient has a CABG planned after discharge.

ShortCABG Planned after Discharge
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
386. ACCNCDRCathPCIDetailed.discharge.cardiacRehabilitationReferral
Definition

Indicate if there was written documentation of a referral for the patient (by the physician, nurse, or other personnel) to an outpatient cardiac rehabilitation program, or a documented medical or patient-centered reason why such a referral was not made.

ShortCardiac Rehabilitation Referral
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
388. ACCNCDRCathPCIDetailed.discharge.deathDuringTheProcedure
Definition

Indicate if the patient expired during the procedure.

ShortDeath During the Procedure
Comments

Make sure to only capture 'Death during the procedure' in the procedure appropriate registry. For example, if the patient had a CathPCI procedure and a TVT procedure in the same episode of care (hospitalization) but different cath lab visits and the death occurred during the TVT procedure. Code 'Yes' only in the TVT Registry and not the CathPCI Registry. If the CathPCI procedure and TVT procedure occurred during the same cath lab visit then code 'Yes' in both registries.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
390. ACCNCDRCathPCIDetailed.discharge.dischargeMedicationReconciliationCompleted
Definition

Indicate if the medication reconciliation was completed as recommended by the Joint Commission's National Patient Safety Goals.

ShortDischarge Medication Reconciliation Completed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
392. ACCNCDRCathPCIDetailed.discharge.dischargeMedicationsReconciled
Definition

Indicate the specific medication classes that were reconciled.

ShortDischarge Medications Reconciled
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. ACCNCDRCathPCIDetailed
Definition

This is an example of the data that would be used for a Cath-PCI Submission. The full map is a logical model as that allows conformance to the FHIR Standard the way a custom Resource would not. Each element has the short name of the data, a full description and the paths to fetch and place the information, by data standard type, for each. A section (such as Demographics) is a BackboneElement (holds no values). All subordinate elements are strings. Each mapping includes the following:

ShortCath-PCI Detailed Submission Map
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ACCNCDRCathPCIDetailed.administration
Definition

Adminstrative Data

ShortAdminstrative Data
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ACCNCDRCathPCIDetailed.administration.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. ACCNCDRCathPCIDetailed.administration.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.administration.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
8. ACCNCDRCathPCIDetailed.administration.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. ACCNCDRCathPCIDetailed.administration.event
Definition

Code used for reason of submission

ShortEventCode
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed ValueCathPCI-Discharge
12. ACCNCDRCathPCIDetailed.administration.participantId
Definition

ACC Assigned Facilty ID

ShortFacility ID
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. ACCNCDRCathPCIDetailed.administration.vendorIdentifier
Definition

Software Vendor ID

ShortVendor Identifier
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. ACCNCDRCathPCIDetailed.administration.vendorSoftwareVersion
Definition

Vendor Software Version

ShortSoftware Version
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. ACCNCDRCathPCIDetailed.administration.status
Definition

Status of the Submission, always final

ShortSubmission Status
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed Valuefinal
20. ACCNCDRCathPCIDetailed.administration.type
Definition

Submission Type, always Episode of Care Record

ShortSubmission Type
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed Value11516-2
22. ACCNCDRCathPCIDetailed.administration.timeFrameOfDataSubmission
Definition

Time Frame of Data Submission quarter start (e.g., Q2 start date Apr 1)

ShortSubmission Period
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. ACCNCDRCathPCIDetailed.administration.registryIdentifier
Definition

Registry Identifier

ShortRegistry Identifier
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Fixed ValueACC-NCDR-CathPCI-5.0
26. ACCNCDRCathPCIDetailed.administration.submissionType
Definition

Submission Type

ShortSubmission Type
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. ACCNCDRCathPCIDetailed.administration.date
Definition

Date and Time of the Submission

ShortSubmission DateTime
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. ACCNCDRCathPCIDetailed.administration.author
Definition

Organization Submitting the Record

ShortSubmission Organization
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. ACCNCDRCathPCIDetailed.demographics
Definition

The Patient who is the subject of this record

ShortThe Patient who is the subject of this record
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. ACCNCDRCathPCIDetailed.episodeInformation
Definition

Episode information

ShortEpisode information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. ACCNCDRCathPCIDetailed.episodeInformation.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
38. ACCNCDRCathPCIDetailed.episodeInformation.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.episodeInformation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
40. ACCNCDRCathPCIDetailed.episodeInformation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. ACCNCDRCathPCIDetailed.episodeInformation.episodeUniqueKey
Definition

Indicate the unique key associated with each patient episode record as assigned by the EMR/EHR or your software application.

ShortEpisode Unique Key
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. ACCNCDRCathPCIDetailed.episodeInformation.healthInsurancePaymentSource
Definition

Health Insurance Provider

ShortHealth Insurers
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. ACCNCDRCathPCIDetailed.episodeInformation.healthInsuranceClaimNumber
Definition

Medicare Claim Number

ShortHealth Insurance Claim Number
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. ACCNCDRCathPCIDetailed.episodeInformation.patientRestriction
Definition

patient requested for their information not to be used for any research or studies for the associated episode of care.

ShortPatient Restriction
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. ACCNCDRCathPCIDetailed.episodeInformation.admittingProvider
Definition

Admitting Provider

ShortAdmitting Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. ACCNCDRCathPCIDetailed.episodeInformation.attendingProvider
Definition

Attending Provider

ShortAttending Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. ACCNCDRCathPCIDetailed.researchStudy
Definition

ACC study the patient is currently enrolled

ShortACC Research Study
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. ACCNCDRCathPCIDetailed.historyAndRiskFactors
Definition

History and Risk Factors

ShortHistory and Risk Factors
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. ACCNCDRCathPCIDetailed.historyAndRiskFactors.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
60. ACCNCDRCathPCIDetailed.historyAndRiskFactors.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.historyAndRiskFactors.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
62. ACCNCDRCathPCIDetailed.historyAndRiskFactors.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. ACCNCDRCathPCIDetailed.historyAndRiskFactors.familyHistoryOfPrematureCoronaryArteryDisease
Definition

Family History of Premature Coronary Artery Disease

ShortFamily History of Premature Coronary Artery Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
66. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorMyocardialInfarction
Definition

Prior MI Incidence

ShortPrior MI Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorPercutaneousCoronaryIntervention
Definition

Prior PCI Incidence

ShortPrior PCI Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
70. ACCNCDRCathPCIDetailed.historyAndRiskFactors.priorCoronaryArteryBypassGraft
Definition

Prior CABG Incidence

ShortPrior CABG Incidence
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
72. ACCNCDRCathPCIDetailed.historyAndRiskFactors.cerebrovascularDisease
Definition

Current Cerebrovascual Disease

ShortCurrent Cerebrovascual Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
74. ACCNCDRCathPCIDetailed.historyAndRiskFactors.diabetesMellitus
Definition

Current Diabetes Mellitus

ShortCurrent Diabetes Mellitus
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
76. ACCNCDRCathPCIDetailed.historyAndRiskFactors.currentlyOnDialysis
Definition

Patient on Dialysis

ShortPatient on Dialysis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
78. ACCNCDRCathPCIDetailed.historyAndRiskFactors.canadianStudyOfHealthAndAgingClinicalFrailtyScale
Definition

Frailty Scale

ShortFrailty Scale
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
80. ACCNCDRCathPCIDetailed.historyAndRiskFactors.chronicLungDisease
Definition

Current Chronic Lung Disease

ShortCurrent Chronic Lung Disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
82. ACCNCDRCathPCIDetailed.historyAndRiskFactors.peripheralArterialDisease
Definition

Peripheral Arterial Disease Instance

ShortPeripheral Arterial Disease Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
84. ACCNCDRCathPCIDetailed.historyAndRiskFactors.hypertension
Definition

Hypertension Instance

ShortHypertension Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
86. ACCNCDRCathPCIDetailed.historyAndRiskFactors.dyslipidemia
Definition

Dyslipidemia Instance

ShortDyslipidemia Instance
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
88. ACCNCDRCathPCIDetailed.historyAndRiskFactors.tobaccoUse
Definition

This is for encoding all smoking status, including quantity

ShortSmoking status and usage
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
90. ACCNCDRCathPCIDetailed.historyAndRiskFactors.height
Definition

Patient Height

ShortPatient Height
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
92. ACCNCDRCathPCIDetailed.historyAndRiskFactors.weight
Definition

Patient Weight

ShortPatient Weight
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
94. ACCNCDRCathPCIDetailed.cardiacStatus
Definition

Cardiac Status

ShortCardiac Status
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. ACCNCDRCathPCIDetailed.cardiacStatus.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
98. ACCNCDRCathPCIDetailed.cardiacStatus.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.cardiacStatus.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
100. ACCNCDRCathPCIDetailed.cardiacStatus.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
102. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestOutofHealthcareFacility
Definition

Indicate if a cardiac arrest event occurred outside of any healthcare facility.

ShortCardiac Arrest Out of Healthcare Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
104. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestWitnessed
Definition

Indicate if the out-of-hospital cardiac arrest was witnessed by another person.

ShortCardiac Arrest Witnessed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
106. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestAfterArrivalofEMS
Definition

Indicate if the out-of-hospital cardiac arrest occurred after arrival of Emergency Medical Services (EMS).

ShortCardiac Arrest After Arrival of Emergency Medical Services
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
108. ACCNCDRCathPCIDetailed.cardiacStatus.firstCardiacArrestRhythm
Definition

Indicate if the out-of-hospital cardiac arrest occurred after arrival of Emergency Medical Services (EMS).

ShortFirst Cardiac Arrest Rhythm
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
110. ACCNCDRCathPCIDetailed.cardiacStatus.cardiacArrestatTransferringHealthcareFacility
Definition

Indicate if the patient had cardiac arrest at the transferring healthcare facility prior to arrival at the current facility.

ShortCardiac Arrest at Transferring Healthcare Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
112. ACCNCDRCathPCIDetailed.procedureInformation
Definition

CathPCI Procedure Information

ShortCathPCI Procedure Information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. ACCNCDRCathPCIDetailed.procedureInformation.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
116. ACCNCDRCathPCIDetailed.procedureInformation.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
118. ACCNCDRCathPCIDetailed.procedureInformation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
120. ACCNCDRCathPCIDetailed.procedureInformation.systolicBloodPressure
Definition

Blood Pressure (Systolic)

ShortBlood Pressure (Systolic)
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
122. ACCNCDRCathPCIDetailed.procedureInformation.pciPatientProcedure
Definition

Results of this query will fill the %Procedure and %procedure.period environment variables

ShortPCI Procedure
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
124. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticCoronaryAngiographyProcedure
Definition

Diagnostic Coronary Angiography

ShortDiagnostic Coronary Angiography
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
126. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticCatheterizationOperator
Definition

Diagnostic Catheterization Operator

ShortDiagnostic Catheterization Operator
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
128. ACCNCDRCathPCIDetailed.procedureInformation.diagnosticLeftHeartCath
Definition

Instance of Left Heart Diagnostic Catheterization

ShortInstance of Left Heart Diagnostic Catheterization
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
130. ACCNCDRCathPCIDetailed.procedureInformation.lvefPercentDiagnosticLeftHeartCath
Definition

Diagnositic Left Heart Cath LVEF%

ShortDiagnositic Left Heart Cath LVEF%
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
132. ACCNCDRCathPCIDetailed.procedureInformation.concomitantProceduresPerformed
Definition

Concomitant Procedures Performed

ShortConcomitant Procedures Performed
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
134. ACCNCDRCathPCIDetailed.procedureInformation.cumulativeAirKerma
Definition

Cumulative Air Kerma

ShortCumulative Air Kerma
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
136. ACCNCDRCathPCIDetailed.procedureInformation.fluoroscopyTime
Definition

Indicate the total fluoroscopy time recorded to the nearest 0.1-minute.

ShortTotal Flouroscopy Time
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
138. ACCNCDRCathPCIDetailed.procedureInformation.doseAreaProduct
Definition

Indicate the total fluoroscopy dose to the nearest integer. The value recorded should include the total dose for the lab visit.

ShortTotal Flouroscopy Dose
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
140. ACCNCDRCathPCIDetailed.procedureInformation.arterialCrossOver
Definition

Indicate if the procedure involved a crossover to a different access site.

ShortArterial Cross Over
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
142. ACCNCDRCathPCIDetailed.procedureInformation.venousAccess
Definition

Indicate if a venous access was obtained for the purpose of the diagnostic or PCI procedure.

ShortVenous Access
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
144. ACCNCDRCathPCIDetailed.procedureInformation.cardiacArrestAtThisFacility
Definition

Indicate if a cardiac arrest event occurred at this facility PRIOR to the cath lab visit.

ShortCardiac Arrest at this Facility
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
146. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation
Definition

Pre-procedure Information

ShortPre-procedure Information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
148. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
150. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
152. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
154. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.heartFailure
Definition

Indicate if the patient has been diagnosed with heart failure, diagnosis date and the Heart Failure type.

ShortHeart Failure
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
156. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.newYorkHeartAssociationClassification
Definition

Indicate the patient's latest dyspnea or functional class, coded as the New York Heart Association (NYHA) classification.

ShortNew York Heart Association Classification
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
158. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest
Definition

Pre-procedure Diagnostic Tests

ShortPre-procedure Diagnostic Tests
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
162. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
164. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
166. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.electrocardiacAssessment
Definition

Indicate the results of the electrocardiac assessment.

ShortElectrocardiac Assessment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
168. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.newAntiarrhythmicTherapyInitiatedPriorToCathLab
Definition

Indicate if the patient received a NEW antiarrhythmic therapy PRIOR to evaluation within the cath lab.

ShortNew Antiarrhythmic Therapy Initiated Prior to Cath Lab
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
170. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.electrocardiacAbnormalityType
Definition

Indicate the findings of the electrocardiac assessment.

ShortElectrocardiac Assessment Abnormality Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
172. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.nonSustainedVentricularTachycardiaType
Definition

Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure

ShortNon-Sustained Ventricular Tachycardia Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
174. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.lvef
Definition

Indicate the best estimate of the most recent left ventricular ejection fraction within 6 months of procedure.

ShortLVEF % (Pre-Procedure)
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
176. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.cardiacCta
Definition

Cardiac CTA

ShortCardiac CTA
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
178. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.agatstonCalciumScore
Definition

Agatston Calcium Score

ShortAgatston Calcium Score
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
180. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.priorDcapWithoutIntervention
Definition

Indicate if the patient had a prior diagnostic coronary angiography procedure without a subsequent intervention.

ShortPrior Diagnostic Coronary Angiography Procedure without intervention
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
182. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.priorDcapResults
Definition

Indicate the results of the prior diagnostic coronary angiography.

ShortPrior Diagnostic Coronary Angiography Procedure results
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
184. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.heartRate
Definition

Heart Rate

ShortHeart Rate
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
186. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest
Definition

Indicate Stress Test Performed and results

ShortIndicate Stress Test Performed and results
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
188. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest.id
Definition

unique id for the element within a resource (for internal references)

Shortxml:id (or equivalent in JSON)
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
190. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
192. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest.value
Definition

The actual value

ShortPrimitive value for string
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
Max Length1048576
194. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.diagnosticTest.stressTest.riskOrExtentOfIschemia
Definition

Indicate the risk or extent of ischemia for the non-invasive stress test.

ShortStress Test Risk/Extent of Ischemia
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
196. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.preprocedureMedication
Definition

Indicate the assigned identification number associated with the medications the patient was prescribed or received.

ShortPreProcedure Medication
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
198. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.saQuestionnaire
Definition

Responses to the Seattle Angina Questionnaire

ShortResponses to the Seattle Angina Questionnaire
Control7..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
200. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureInformation.roseDyspneaScale
Definition

Responses to the Rose Dyspnea Scale Questionnaire

ShortResponses to the Rose Dyspnea Scale Questionnaire
Control4..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
202. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods
Definition

Method and Device used for procedure closures

ShortMethod and Device used for procedure closures
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
204. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
206. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
208. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
210. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.arterialAccessClosureMethod
Definition

Arterial Access Closure Method

ShortArterial Access Closure Method
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
212. ACCNCDRCathPCIDetailed.procedureInformation.closureMethods.closureMethodUdi
Definition

Arterial Access Closure Devices

ShortArterial Access Closure Devices
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
214. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs
Definition

Preprocedure Lab Results

ShortPreprocedure Lab Results
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
216. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
218. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
220. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
222. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.hemoglobin
Definition

Indicate the hemoglobin (Hgb) value in g/dL.

ShortHemoglobin
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
224. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.creatinine
Definition

Indicate the creatinine (Cr) level in mg/dL.

ShortCreatinine
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
226. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.troponinI
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin I
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
228. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.troponinT
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin T
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
230. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.totalCholesterol
Definition

Indicate the cholesterol level mg/dL.

ShortPreProcedure Total Cholesterol
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
232. ACCNCDRCathPCIDetailed.procedureInformation.preprocedureLabs.highDensityLipoprotein
Definition

Indicate the cholesterol level mg/dL.

ShortPreProcedure Total Cholesterol
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
234. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs
Definition

Results of Postprocedure Labs

ShortResults of Postprocedure Labs
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
236. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
238. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
240. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
242. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.hemoglobin
Definition

Indicate the hemoglobin (Hgb) value in g/dL.

ShortHemoglobin
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
244. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.creatinine
Definition

Indicate the creatinine (Cr) level in mg/dL.

ShortCreatinine
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
246. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.troponinI
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin I
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
248. ACCNCDRCathPCIDetailed.procedureInformation.postprocedureLabs.troponinT
Definition

Indicate the Troponin I result in ng/mL.

ShortPreProcedure Troponin T
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
250. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit
Definition

Information Regarding the Cath Lab Procedure

ShortInformation Regarding the Cath Lab Procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
252. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
254. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
256. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
258. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.indicationsForCathLabVisit
Definition

Indicate the patient symptoms or condition prompting the cath lab visit.

ShortIndications for Cath Lab Visit
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
260. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.chestPainSymptomAssessment
Definition

Indicate the chest pain symptom assessment as diagnosed by the physician or described by the patient.

ShortChest Pain Symptom Assessment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
262. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.cardiovascularInstabilitytype
Definition

Cardiovascular instability includes, but is not limited to, persistent ischemic symptoms (such as chest pain or ST elevation), cardiogenic shock, ventricular arrhythmias, symptoms of acute heart failure, or hemodynamic instability (not cardiogenic shock).

ShortCardiovascular Instability Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
264. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.ventricularSupport
Definition

Indicate if the patient required any type of ventricular support (i.e. IV vasopressors or mechanical).

ShortVentricular Support
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
266. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.pharmacologicVasopressorSupport
Definition

Indicate if the patient required pharmacologic vasopressor support.

ShortPharmacologic Vasopressor Support
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
268. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.mechanicalVentricularSupportTiming
Definition

Indicate when the mechanical ventricular support device was placed.

ShortMechanical Ventricular Support Timing
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
270. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.evaluationForSurgeryType
Definition

Indicate the type of surgery for which the diagnostic coronary angiography is being performed.

ShortEvaluation for Surgery Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
272. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.functionalCapacity
Definition

Indicate the functional capacity of the patient as documented by the physician in the medical record.

ShortFunctional Capacity
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
274. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.surgicalRisk
Definition

Indicate the surgical risk category as documented by the physician in the medical record.

ShortSurgical Risk
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
276. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.solidOrganTransplantdonor
Definition

Instance and Type of Organ Donor

ShortInstance and Type of Organ Donor
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
278. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.valvularDiseaseStenosis
Definition

Indicate the severity and cardiac valve(s) with stenosis as diagnosed by the physician.

ShortValvular Disease Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
280. ACCNCDRCathPCIDetailed.procedureInformation.cathLabVisit.valvularDiseaseRegurgitation
Definition

Valvular Disease Stenosis

ShortValvular Disease Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
282. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy
Definition

Coronary Anatomy

ShortCoronary Anatomy
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
284. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
286. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
288. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
290. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel
Definition

Native Vessel

ShortNative Vessel
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
292. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
294. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
296. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
298. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.lesionSegmentNumber
Definition

Native Lesion Segment Number

ShortNative Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
300. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.coronaryVesselStenosis
Definition

Indicate the best estimate of the most severe percent stenosis in the segment of the native coronary vessel identified.

ShortCoronary Vessel Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
302. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.adjunctiveMeasurementsObtained
Definition

Indicate if an invasive diagnostic measurement was obtained of the native vessel segment.

ShortAdjunctive Measurements Obtained
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
304. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.nativeVessel.instantaneousWaveFreeRatio
Definition

Indicate the instantaneous wave-free ratio (iFR ratio) of the native vessel segment.

ShortInstantaneous Wave-Free Ratio
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
306. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel
Definition

Graft Vessel

ShortGraft Vessel
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
308. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
310. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
312. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
314. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.lesionSegmentNumber
Definition

Graft Lesion Segment Number

ShortGraft Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
316. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.coronaryVesselStenosis
Definition

Indicate the best estimate of the most severe percent stenosis in the segment of the graft coronary vessel identified.

ShortCoronary Vessel Stenosis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
318. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.cabg
Definition

Indicate the vessel that was used for the coronary artery bypass graft.

ShortGraft Vessel CABG
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
320. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.adjunctiveMeasurementsObtained
Definition

Indicate if an invasive diagnostic measurement was obtained of the graft vessel intra-procedure.

ShortAdjunctive Measurements Obtained
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
322. ACCNCDRCathPCIDetailed.procedureInformation.coronaryAnatomy.graftVessel.instantaneousWaveFreeRatio
Definition

Indicate the instantaneous wave-free ratio (iFR ratio) of the graft vessel segment.

ShortInstantaneous Wave Free Ratio
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
324. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure
Definition

information regarding the PCI Procedure

Shortinformation regarding the PCI Procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
326. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
328. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
330. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
332. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciStatus
Definition

Indicate the status of the PCI. The status is determined at the time the operator decides to perform a PCI.

ShortPCI Status
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
334. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.hypothermiaInduced
Definition

Indicate when hypothermia was initiated.

ShortHypothermia Induced Timing
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
336. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.decisionForPciWithSurgicalConsult
Definition

Indicate if a cardiac surgical consult was obtained prior to engaging in PCI.

ShortDecision for PCI with Surgical Consult
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
338. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.cardiovascularTreatmentDecision
Definition

Indicate the cardiovascular surgery recommendation and/or patient/family decision.

ShortCardiovascular Treatment Decision
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
340. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciForMultivesselDisease
Definition

Indicate if the PCI procedure was performed in the presence of multi-vessel disease.

ShortPCI for MultiVessel Disease
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
342. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.multiVesselProcedureType
Definition

Indicate the type of multi-vessel PCI procedure that was performed during this lab visit.

ShortMulti-vessel Procedure Type
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
344. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.percutaneousCoronaryInterventionIndication
Definition

Indicate the reason the percutaneous coronary intervention PCI is being performed.

ShortPercutaneous Coronary Intervention Indication
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
346. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.acuteCoronarySyndromeSymptom
Definition

Acute Coronary Syndrome Symptom

ShortAcute Coronary Syndrome Symptom
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
348. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.syntaxScore
Definition

Indicate the Syntax Score for the PCI procedure.

ShortSyntax Score
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
350. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.stemiOrStemiEquivalentFirstNoted
Definition

Indicate if a STEMI or STEMI equivalent was noted on either the first ECG or a subsequent ECG.

ShortSTEMI or STEMI Equivalent First Noted
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
352. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.subsequentEcgWithStemiOrStemiEquivalent
Definition

Indicate the Subsequent ECG date and time.

ShortSubsequent ECG with STEMI or STEMI Equivalent
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
354. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.subsequentEcgObtainedInEmergencyDepartment
Definition

Indicate if the subsequent ECG was obtained in the Emergency Department at this facility.

ShortSubsequent ECG obtained in Emergency Department
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
356. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.patientTransferredInForImmediatePciForStemi
Definition

Indicate if the patient was transferred from another facility to have a primary PCI for STEMI at this facility.

ShortPatient Transferred In for Immediate PCI for STEMI
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
358. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.emergencyDepartmentPresentationAtReferringFacility
Definition

Code the date and time of arrival to the original, transferring facility as documented in the medical record.

ShortEmergency Department Presentation at Referring Facility
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
360. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.firstDeviceActivation
Definition

Indicate the date and time the first device was activated regardless of type of device used.

ShortFirst Device Activation
Comments

Use the earliest time from the following:

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
362. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.patientCenteredReasonForDelayInPci
Definition

Indicate the patient-centered reason for delay in performing the percutaneous coronary intervention (PCI), if needed.

ShortPatient Centered Reason for Delay in PCI
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
364. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciOperator
Definition

The operator who is performing the PCI procedure

ShortPCI Operator
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
366. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.arterialAccessSite
Definition

Indicate the location of percutaneous entry for the procedure.

ShortArterial Access Site
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
368. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.mechanicalVentilatorSupport
Definition

Indicate if the patient required mechanical ventricular support.

ShortMechanical Ventricular Support
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
370. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.mechanicalVentilatorSupportDevice
Definition

Indicate the mechanical ventricular support device used.

ShortMechanical Ventricular Support Device
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
372. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.pciProcedureMedicationCode
Definition

Medications administred intra-procedure

ShortPCI Procedure Medication Code
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
374. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices
Definition

Information on the Lesions treated and Devices Used

ShortInformation on the Lesions treated and Devices Used
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
376. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
378. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
380. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
382. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionCounter
Definition

The lesion counter is used to distinguish between multiple lesions on which a PCI is attempted or performed.

ShortLesion Counter
Comments

When specifying intracoronary devices, list all treated lesions in which the device was utilized. The software-assigned lesion counter should start at one and be incremented by one for each lesion. The lesion counter is reset back to one for each new PCI lab visit. At least one lesion must be specified for each PCI procedure.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
384. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.nativeLesionSegmentNumber
Definition

Indicate the segment that the current lesion spans.

ShortNative Lesion Segment Number
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
386. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.culpritStenosis
Definition

Indicate if the stenosis is considered to be responsible for the acute coronary syndrome.

ShortCulprit Stenosis
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
388. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.stenosisImmediatelyPriorToTreatment
Definition

Indicate the percent diameter stenosis immediately prior to the treatment of this lesion.

ShortStenosis Immediately Prior to Treatment
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
390. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.chronicTotalOcclusion
Definition

Indicate if the segment with 100% pre-procedure stenosis was presumed to be 100% occluded for at least 3 months previous to this procedure AND not related to a clinical event prompting (or leading to) this procedure.

ShortChronic Total Occlusion
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
392. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.timiFlowPreIntervention
Definition

Indicate the pre-intervention TIMI flow.

ShortTIMI Flow (Pre-Intervention)
Comments

If a lesion spans multiple segments with different TIMI flow, code the lowest TIMI flow within the entire lesion.

Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
394. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.previouslyTreatedLesion
Definition

Indicate the date the lesion has been treated in a prior episode of care.

ShortPreviously Treated Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
396. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.inStentRestenosis
Definition

Indicate if the previously treated and stented lesion is being treated for in-stent restenosis.

ShortIn-stent Restenosis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
398. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.inStentThrombosis
Definition

Indicate if the previously treated and stented lesion is being treated because of the presence of a thrombus in the stent.

ShortIn-stent Thrombosis
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
400. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.stentType
Definition

Indicate the type of stent used in the previously treated lesion.

ShortStent Type
Comments

If a patient has multiple stents in the lesion code 'bioabsorbable' over either of the other two options when it is present.
If a DES and BMS are present in the lesion, code 'DES'.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
402. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionInGraft
Definition

Indicated if the lesion is in a coronary artery bypass graft.

ShortLesion In Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
404. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.typeOfCabgGraft
Definition

Indicate in which type of bypass graft the lesion is located.

ShortType of CABG Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
406. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.locationInGraft
Definition

Indicate the location of the most severe stenosis, if the lesion is in the graft.

ShortLocation in Graft
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
408. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.navigateThroughGraftToNativeLesion
Definition

Indicate if treatment of the native artery lesion required navigating through a graft (to reach the lesion).

ShortNavigate through Graft to Native Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
410. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionComplexity
Definition

Indicate the complexity of the lesion

ShortLesion Complexity
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
412. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.lesionLength
Definition

Indicate the length of the treated lesion in millimeters.

ShortLesion Length
Comments

If the lesion length is not available it is acceptable to code the length of the device used to treat the lesion.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
414. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.severeCalcification
Definition

Indicate if there was severe calcification of the lesion.

ShortSevere Calcification
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
416. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.guidewireAcrossLesion
Definition

Indicate if a guidewire successfully crossed the lesion.

ShortGuidewire Across Lesion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
418. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.deviceDeployed
Definition

Indicate if a device was deployed during the procedure.

ShortDevice Deployed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
420. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.postInterventionStenosis
Definition

Indicate the post-intervention percent stenosis for the treated lesion.

ShortStenosis (Post-Intervention)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
422. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.lesionsAndDevices.postInterventionTimiFlow
Definition

Indicate the post-intervention TIMI flow.

ShortTIMI Flow (Post-Intervention)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
424. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices
Definition

Devices used during the PCI procedure

ShortDevices used during the PCI procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
426. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
428. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
430. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
432. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intracoronaryDevices.device
Definition

Indicate the devices utilized during the current procedure.

ShortIntracoronary Device(s) Used
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
434. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents
Definition

Events occuring Intra and post-procedure

ShortEvents occuring Intra and post-procedure
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
436. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
438. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
440. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
442. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.event
Definition

Indicate the event that occurred between the procedure and the next procedure or discharge.

ShortIntra/Post-Procedure Events
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
444. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.significantCoronaryArteryDissection
Definition

Indicate the post-intervention TIMI flow.

ShortSignificant Coronary Artery Dissection
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
446. ACCNCDRCathPCIDetailed.procedureInformation.pciProcedure.intraAndPostProcedureEvents.numberOfUnitsOfPrbcsTransfused
Definition

Indicate the number of transfusion(s) of packed red blood cells.

ShortNumber of units of PRBCs transfused
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
448. ACCNCDRCathPCIDetailed.discharge
Definition

Discharge Information

ShortDischarge Information
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
450. ACCNCDRCathPCIDetailed.discharge.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
452. ACCNCDRCathPCIDetailed.discharge.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ACCNCDRCathPCIDetailed.discharge.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
454. ACCNCDRCathPCIDetailed.discharge.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
456. ACCNCDRCathPCIDetailed.discharge.interventionsThisHospitalization
Definition

Indicate other interventions (percutaneous or surgical) that occurred during this hospitalization.

ShortInterventions This Hospitalization
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
458. ACCNCDRCathPCIDetailed.discharge.cabgStatus
Definition

Indicate the status of the coronary artery bypass graft (CABG) surgery.

ShortCABG Status
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
460. ACCNCDRCathPCIDetailed.discharge.cabgIndication
Definition

Indicate the reason coronary artery bypass graft (CABG) surgery is being performed.

ShortCABG Indication
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
462. ACCNCDRCathPCIDetailed.discharge.dischargeProvider
Definition

Provider that discharged the patient

ShortDischarge Provider
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
464. ACCNCDRCathPCIDetailed.discharge.transferredForCabg
Definition

Indicate if the patient was transferred for the purpose of performing a coronary artery bypass graft.

ShortTransferred for CABG
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
466. ACCNCDRCathPCIDetailed.discharge.cabgPlannedAfterDischarge
Definition

Indicate if the patient has a CABG planned after discharge.

ShortCABG Planned after Discharge
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
468. ACCNCDRCathPCIDetailed.discharge.cardiacRehabilitationReferral
Definition

Indicate if there was written documentation of a referral for the patient (by the physician, nurse, or other personnel) to an outpatient cardiac rehabilitation program, or a documented medical or patient-centered reason why such a referral was not made.

ShortCardiac Rehabilitation Referral
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
470. ACCNCDRCathPCIDetailed.discharge.deathDuringTheProcedure
Definition

Indicate if the patient expired during the procedure.

ShortDeath During the Procedure
Comments

Make sure to only capture 'Death during the procedure' in the procedure appropriate registry. For example, if the patient had a CathPCI procedure and a TVT procedure in the same episode of care (hospitalization) but different cath lab visits and the death occurred during the TVT procedure. Code 'Yes' only in the TVT Registry and not the CathPCI Registry. If the CathPCI procedure and TVT procedure occurred during the same cath lab visit then code 'Yes' in both registries.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
472. ACCNCDRCathPCIDetailed.discharge.dischargeMedicationReconciliationCompleted
Definition

Indicate if the medication reconciliation was completed as recommended by the Joint Commission's National Patient Safety Goals.

ShortDischarge Medication Reconciliation Completed
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
474. ACCNCDRCathPCIDetailed.discharge.dischargeMedicationsReconciled
Definition

Indicate the specific medication classes that were reconciled.

ShortDischarge Medications Reconciled
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension