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Offlisting and Procedural Information

In document Published: April 9, 2021 (Page 103-138)

Section: Offlisting and Procedural Information

Name: Removal Date ID: 112

Definition: The date the patient was removed from the wait list.

Applicable to: All entries.

Valid Values: Must be a valid date (YYYY-MM-DD).

Instructions: None

CorHealth DCIS Data Dictionary

104 of 138 Section: Offlisting and Procedural Information

Name: Removal Reason ID: 113

Definition: Reason the patient was removed from the active wait list.

Applicable to: All entries.

Valid Values: Description Code Definition

Procedure Started PS The procedure has started, defined as proceeding to first puncture/incision.

No Procedure NP The procedure will not be performed.

Patient Died Prior to Procedure

PD The patient has died prior to the date of procedure.

Data Entry Error ER The entry was created by mistake.

Instructions: For the value No Procedure:

• This includes the decision to not proceed with the procedure, which may be a patient decision, a physician decision, or rereferral.

Section: Offlisting and Procedural Information

Name: Treating Health Care Professional ID: 157

Definition: The name and number of the physician who performed the procedure.

Applicable to: All entries.

Valid Values: Must be a valid physician name and number according to the College of Physicians and Surgeons of Ontario (CPSO).

Instructions: None

CorHealth DCIS Data Dictionary

105 of 138 Section: Offlisting and Procedural Information

Name: Second Treating Health Care Professional ID: 158

Definition: The name and number of the additional physician who performed the procedure.

Applicable to: Transcatheter Aortic Valve Implantation | Transcatheter Mitral Valve Implantation Valid Values: Must be a valid physician name and number according to the College of Physicians and

Surgeons of Ontario (CPSO).

Instructions: None

CorHealth DCIS Data Dictionary

106 of 138 Section: Offlisting and Procedural Information

Name: Procedure ID: 114

Definition: An activity directed at or performed on an individual with the objective of improving health, treating disease or injury, or making a diagnosis.

Applicable to: All entries.

Valid Values: Description Code Definition

Aneurysmectomy Surgery ANES An open surgical resection, repair, or exclusion of aneurysm.

Aortic Surgery AORS An open surgical procedure involving the ascending aorta and/or aortic arch.

Aortic Valve Surgery AVS An open surgical procedure to replace or repair a diseased aortic valve.

Aortogram AORC A catheter-based procedure that involves the injection of contrast media into the aorta in order to visualize its structure.

Arrhythmia Surgery ARRS An open surgical procedure to treat the irritable foci of arrhythmia.

Atrial Septal Defect Closure

ASDC A catheter-based procedure to repair a defect in the septum between the atria.

Atrial Septal Defect Closure Surgery

ASDS An open surgical repair of an atrial septal defect with any type of suture, patch, or closure device.

Cardiac

Resynchronization Therapy Implantable Cardioverter Defibrillator

CRTICD A surgical procedure to implant a cardiac resynchronization therapy (CRT) device with leads in both the right and left ventricles and may also include a lead to the right atrium for the treatment of dysrhythmia and to improve cardiac function.

Cardiac

Resynchronization Therapy Pacemaker

CRTP A surgical procedure to implant a CRT device with leads in both the right and left ventricles and may also include a lead to the right atrium for the treatment of dysrhythmia and to improve cardiac function.

Cardiac Tumour Surgery CTUS An open surgical excision, and/or biopsy, of a known or suspected cardiac tumour.

Complex Ablation CPXABL An intervention to treat the irritable foci of arrhythmia.

Coronary Angiogram CORANG A catheter-based selective injection of contrast media into one or more coronary arteries or coronary bypass grafts to visualize the lumen.

CorHealth DCIS Data Dictionary

107 of 138 Coronary Artery Bypass

Graft Surgery

CABG An open surgical procedure in which one or more anastomoses are constructed between a conduit vessel and a coronary artery to restore the blood supply to the heart muscle.

Dual Chamber

Implantable Cardioverter Defibrillator

DCICD A surgical procedure to implant an ICD device with leads in both the right atrium and right ventricle for the treatment of dysrhythmia.

Electrophysiology Study EPSTDY A diagnostic procedure to determine the presence, nature, or cause of a dysrhythmia.

Fractional Flow Reserve FFR A catheter-based procedure that measures the pressure differences across lesions to

determine the severity of stenosis or the likelihood that the stenosis impedes myocardial oxygen supply.

Intravascular Ultrasound IVUS A catheter-based ultrasound imaging technique to acquire images of the interior of vessels to determine plaque volume and severity of stenosis.

Late Percutaneous Coronary Intervention

LPCI A catheter-based procedure to treat narrowing of one or more blocked coronary arteries with or without stent implantation, that is done immediately following the diagnostic coronary angiogram and in which the patient does not leave the catheterization lab table between the two procedures. The use of PCI as the initial mode of reperfusion with STEMI greater than 24 hours.

Lead Extraction With Laser

LEL A surgical removal of an existing lead with the use of laser technology.

Left Atrial Appendage Occlusion

LAAO A catheter-based procedure to implant a device to occlude the left atrial appendage.

Mitral Valve Clip MVCLIP A catheter-based procedure to implant a device in the mitral valve position for the treatment of mitral regurgitation.

Mitral Valve Surgery MVS An open surgical procedure to replace or repair a diseased mitral valve.

Myectomy Surgery MYES An open surgical excision of a portion of ventricular myocardium.

Optical Coherence Tomography

OCT A catheter-based imaging technique that utilizes near-infrared light to create high resolution images of the interior of coronary artery.

CorHealth DCIS Data Dictionary

108 of 138 Patent Foramen Ovale

Closure

PFOC A catheter-based procedure to repair a small interatrial communication (or potential communication) confined to the region of the oval fossa (fossa ovalis) characterized by no deficiency of the primary atrial septum (septum primum) and a normal limbus with no

deficiency of the septum secundum (superior interatrial fold).

Pericardiectomy Surgery PERS An open surgical excision of a portion or all of the pericardium.

Pharmacoinvasive Percutaneous Coronary Intervention

PHPCI A catheter-based procedure to treat narrowing of one or more blocked coronary arteries with or without stent implantation, that is done immediately following the diagnostic coronary angiogram and in which the patient does not leave the catheterization lab table between the two procedures. The administration of

fibrinolytic therapy either in the prehospital setting or at a non-PCI hospital, followed by immediate transfer to a treating hospital for coronary angiography and PCI between 3 to 24 hours post fibrinolysis.

Primary Percutaneous Coronary Intervention

PPCI A catheter-based procedure to treat narrowing of one or more blocked coronary arteries with or without stent implantation, that is done immediately following the diagnostic coronary angiogram and in which the patient does not leave the catheterization lab table between the two procedures. The initial mode of

reperfusion for STEMI up to 24 hours from symptom onset.

Pulmonary Valve Surgery PVS An open surgical procedure to replace or repair a diseased pulmonary valve.

CorHealth DCIS Data Dictionary

109 of 138 Rescue Percutaneous

Coronary Intervention

RPCI A catheter-based procedure to treat narrowing of one or more blocked coronary arteries with or without stent implantation, that is done immediately following the diagnostic coronary angiogram and in which the patient does not leave the catheterization lab table between the two procedures. The immediate transfer post fibrinolytic administration for PCI as a mode of reperfusion after known fibrinolysis failure at the time of referral and ongoing signs and symptoms of STEMI infarction on arrival at treating hospital.

Right Heart Catheterization

RHC A catheter-based procedure that involves the insertion of a specialized catheter into a large vein threaded to the vena cava, right atrium, right ventricle, and/or pulmonary artery to obtain pressures in different chambers and/or collect samples for investigation.

Same-Sitting

Percutaneous Coronary Intervention

SSPCI A catheter-based procedure to treat narrowing of one or more blocked coronary arteries with or without stent implantation, that is done immediately following the diagnostic coronary angiogram and in which the patient does not leave the catheterization lab table between the two procedures.

Scheduled Percutaneous Coronary Intervention

SCHPCI A catheter-based procedure to treat narrowing of one or more blocked coronary arteries with or without stent implantation, that is planned and scheduled as a follow-up to a recently performed diagnostic coronary angiogram procedure.

Single Chamber

Implantable Cardioverter Defibrillator

SCICD A surgical procedure to implant an implantable cardioverter-defibrillator (ICD) device with one lead in the right ventricle for the treatment of dysrhythmia.

Staged Percutaneous Coronary Intervention

STGPCI A catheter-based procedure to treat narrowing of one or more blocked coronary arteries with or without stent implantation, that is planned and scheduled as a follow-up to a recently performed percutaneous coronary intervention (PCI) procedure.

Standard Ablation STDABL An intervention to treat the irritable foci of arrhythmia.

CorHealth DCIS Data Dictionary

110 of 138 Transcatheter Aortic Valve

Implantation

TAVI A catheter-based procedure to implant a prosthetic valve in the aortic position for the treatment of aortic stenosis.

Transcatheter Mitral Valve Implantation

TMVI A catheter-based procedure to implant a prosthetic valve in the mitral position for the treatment of mitral stenosis.

Tricuspid Valve Clip TVCLIP A catheter-based procedure to implant a device in the tricuspid valve position for the treatment of tricuspid regurgitation.

Tricuspid Valve Surgery TVS An open surgical procedure to replace or repair a diseased tricuspid valve.

Ventricular Septal Defect Closure Surgery

VSDS An open surgical repair of a ventricular septal defect with any type of a suture, patch, or closure device.

CorHealth DCIS Data Dictionary

111 of 138 Instructions: For entries where multiple procedures occurred, indicate each procedure individually.

For the value Coronary Angiogram:

• It is not appropriate to indicate this procedure if one or more coronaries is visualized to locate lesion(s) during a scheduled or staged PCI.

For the value Fractional Flow Reserve:

• FFR includes instantaneous wave-free ratio (iFR) and resting full-cycle ratio (RFR).

For the value Aortogram:

• It is not appropriate to indicate this procedure if the aorta is visualized for the purpose of locating grafts during a coronary angiogram.

For the value Late PCI, this includes:

1. Symptom onset to hospital contact >24 hours; OR 2. Hospital contact to catheterization lab >24 hours; OR

3. Post-fibrinolysis administration to catheterization lab >24 hours.

For the value Atrial Septal Defect Closure:

• This value excludes patent foramen ovale (PFO) repair.

For the value Tricuspid Valve Clip:

• This value would include the use of a MitraClip®, mitral valve clip device in the tricuspid position.

For the value Transcatheter Mitral Valve Implantation:

• This value would include valve-in-valve procedures.

• The device utilized in a Mitral valve-in-valve procedure may be the same device used in a transcatheter aortic valve implant (TAVI) procedure.

For the value Standard Ablation, indications include:

1. Atrioventricular nodal re-entrant tachycardia (AVNRT) 2. Wolff-Parkinson-White syndrome (WPW)

3. Atrial flutter

4. Prior failed standard ablation(s) where a 3-D mapping system is not required to enhance procedural success

Citation: International Dictionary of Medicine and Biology, Page 2297. ISBN 0-471-01849-X

For the value Complex Ablation, indications include:

1. Paroxysmal or persistent atrial fibrillation 2. Atrial tachycardia

3. Atypical atrial flutter

CorHealth DCIS Data Dictionary

112 of 138 4. Ventricular tachycardia

5. Ventricular fibrillation

6. Arrhythmias associated with congenital heart disease

7. Prior failed ablation(s) where the use of a 3-D mapping system is now required to enhance procedural success

8. Procedures that exceed four hours of ablation and/or mapping time

Citation: International Dictionary of Medicine and Biology, Page 2297. ISBN 0-471-01849-X

For the value Arrhythmia Surgery:

• This includes Maze procedure for atrial fibrillation.

For the value Valve Repair/Replacement:

• If the procedure indicated is a Ross Procedure, select two Valve

Repair/Replacements, one for the aortic valve replacement and one for the pulmonic valve replacement.

• If the procedure indicated is a Bentall Procedure, select Valve Repair/Replacement and Aortic Surgery

For the value Aortic Surgery:

• If the procedure indicated is a Bentall Procedure, select Valve Repair/Replacement and Aortic Surgery

CorHealth DCIS Data Dictionary

113 of 138 Section: Offlisting and Procedural Information

Name: Procedure Status ID: 115

Definition: Completion status for the procedure.

Applicable to: All entries.

Valid Values: Description Code Definition

Completed C Indicated procedure has proceeded to completion.

Not Completed N Indicated procedure has not proceeded to completion.

Instructions: For the value Not Completed, this includes:

• Failure to obtain vascular access

• Aborted

• Abandoned

For data quality purposes, if this value is indicated, only Procedure (Data Element ID:

114), Treating Health Care Professional (Data Element ID: 157) and, if applicable, Second Treating Health Care Professional (Data Element ID: 157) are required to be entered.

CorHealth DCIS Data Dictionary

114 of 138 Section: Offlisting and Procedural Information

Name: Access Site ID: 116

Definition: Portal of entry into the patient’s circulation which allowed for successful progression of the procedure.

Applicable to: Aortogram | Atrial Septal Defect Closure | Coronary Angiogram | Fractional Flow Reserve | Intravascular Ultrasound | Late Percutaneous Coronary Intervention | Left Atrial Appendage Occlusion | Mitral Valve Clip | Optical Coherence Tomography | Patent Foramen Ovale Closure | Pharmacoinvasive Percutaneous Coronary

Intervention | Primary Percutaneous Coronary Intervention | Rescue Percutaneous Coronary Intervention | Right Heart Catheterization | Same-Sitting Percutaneous Coronary Intervention | Scheduled Percutaneous Coronary Intervention | Staged Percutaneous Coronary Intervention | Transcatheter Aortic Valve Implantation | Transcatheter Mitral Valve Implantation | Tricuspid Valve Clip

Valid Values: Description Code Definition

Femoral F Access through femoral artery or vein.

Radial R Access through radial artery or vein.

Brachial B Access through brachial artery or vein.

Ulnar U Access through ulnar artery or vein.

Jugular J Access through the jugular vein.

Axillary (Subclavian) A Access through the subclavian artery or vein.

Transapical T Access through the left ventricle at the apex of the heart.

Transaortic O Access through the ascending aorta via a mini-sternotomy or right thoracotomy.

Transcarotid C Access through the carotid artery.

Transcaval V Access through the femoral vein which is then crossed to the arterial system via an aortocaval fistula.

No Access Obtained N Unable to gain vascular access for the procedure.

Instructions: The values: Jugular and Axillary (Subclavian) only apply to the procedures Right Heart Catheterization, Transcatheter Aortic Valve Implantation Procedures and Transcatheter Mitral Valve Implantations.

The values: Transapical, Transaortic, Transcarotid, and Transcaval only apply to the procedures Transcatheter Aortic Valve Implantation Procedures and Transcatheter Mitral Valve Implantations.

For data quality purposes, if Not Completed is indicated in Procedure Status (Data Element ID: 115), this data element cannot be entered and will be disabled and not visible.

CorHealth DCIS Data Dictionary

115 of 138 Section: Offlisting and Procedural Information

Name: Intra-Aortic Balloon Pump ID: 117

Definition: Intra-aortic balloon pump (IABP) present in-situ or inserted during procedure.

Applicable to: Aneurysmectomy Surgery | Aortic Surgery | Aortic Valve Surgery | Arrhythmia Surgery | Atrial Septal Defect Closure Surgery | Cardiac Tumour Surgery | Coronary Angiogram | Coronary Artery Bypass Graft Surgery | Late Percutaneous Coronary Intervention | Mitral Valve Surgery | Myectomy Surgery | Pericardiectomy Surgery | Pharmacoinvasive Percutaneous Coronary Intervention | Primary Percutaneous

Coronary Intervention | Pulmonary Valve Surgery | Rescue Percutaneous Coronary Intervention | Same-Sitting Percutaneous Coronary Intervention | Scheduled

Percutaneous Coronary Intervention | Staged Percutaneous Coronary Intervention | Tricuspid Valve Surgery | Ventricular Septal Defect Closure Surgery

Valid Values: Description Code Definition

Yes Y IABP is documented in the current procedure.

No N IABP is not documented in the current procedure.

Instructions: For data quality purposes, if Not Completed is indicated in Procedure Status (Data Element ID: 115), this data element cannot be entered and will be disabled and not visible.

CorHealth DCIS Data Dictionary

116 of 138 Section: Offlisting and Procedural Information

Name: Presence of Coronary Stenosis ID: 118

Definition: Documented coronary artery anatomy and/or disease.

Applicable to: Coronary Angiogram

Valid Values: Description Code Definition

No Stenosis N No flow-limiting stenosis of native arteries confirmed in current coronary angiogram.

Non-Significant Stenosis L Only non-significant flow-limiting stenosis of native arteries confirmed in current coronary angiogram (i.e., <50% blockage in the left main and <70%

blockage in all other coronary arteries).

Significant Stenosis G Significant flow-limiting stenosis of one or more native arteries confirmed in current coronary angiogram (i.e., ≥50% blockage in the left main or

≥70% blockage in any other coronary artery).

Unknown U Significant stenosis of all coronary arteries could not be confirmed from incomplete documentation or results of the current coronary angiogram are not available.

Instructions: For data quality purposes, if Not Completed is indicated in Procedure Status (Data Element ID: 115), this data element cannot be entered and will be disabled and not visible.

CorHealth DCIS Data Dictionary

117 of 138 Section: Offlisting and Procedural Information

Name: Stenosis of the Left Main Artery ID: 119

Definition: Stenosis of the left main artery based on current coronary angiogram. Applies to native circulation only.

Applicable to: Coronary Angiogram

Valid Values: Description Code Definition

50% to 99% G Significant flow-limiting stenosis (≥50% occlusion) of the native left main artery is documented in the current coronary angiogram.

100% without Chronic Total Occlusion

W 100% stenosis of the native left main artery with thrombolysis in myocardial infarction (TIMI) antegrade flow grade 0 is documented in the current coronary angiogram.

100% with Chronic Total Occlusion

C 100% stenosis of the native left main artery with TIMI antegrade flow grade 0, with angiographically proven or estimated duration ≥3 months based on perfusion scanning or symptoms is documented in the current coronary angiogram.

100% Chronic Total Occlusion Unknown

Z 100% stenosis of the native left main artery with TIMI antegrade flow grade 0 of unknown duration is documented in the current coronary angiogram.

<50% L Non-significant flow-limiting stenosis (<50% occlusion) or no stenosis of the native left main artery is documented in the current coronary angiogram.

Unknown U Stenosis of the native left main artery could not be confirmed from incomplete documentation or results of the current coronary angiogram are not available.

Instructions: For data quality purposes, if Not Completed is indicated in Procedure Status (Data Element ID: 115), this data element cannot be entered and will be disabled and not visible.

CorHealth DCIS Data Dictionary

118 of 138 Section: Offlisting and Procedural Information

Name: Stenosis of the Proximal Left Anterior Descending Artery ID: 120 Definition: Stenosis of the proximal left anterior descending (LAD) artery, the segment before any

diagonal branch of the LAD, based on current coronary angiogram. Applies to native circulation only.

Applicable to: Coronary Angiogram

Valid Values: Description Code Definition

70% to 99% G Significant flow-limiting stenosis (≥70% occlusion) of the native proximal LAD artery is documented in the current coronary angiogram.

100% without Chronic Total Occlusion

W 100% stenosis of the native proximal LAD artery with thrombolysis in myocardial infarction (TIMI) antegrade flow grade 0 is documented in the current coronary angiogram.

100% with Chronic Total Occlusion

C 100% stenosis of the native proximal LAD artery with TIMI antegrade flow grade 0, with angiographically proven or estimated duration ≥3 months based on perfusion scanning or symptoms is documented in the current coronary angiogram.

100% Chronic Total Occlusion Unknown

Z 100% stenosis of the native proximal LAD artery with TIMI antegrade flow grade 0 of unknown duration is documented in the current coronary angiogram.

<70% L Non-significant flow-limiting stenosis (<70% occlusion) or no stenosis of the native proximal LAD artery is

documented in the current coronary angiogram.

Unknown U Stenosis of the native proximal LAD artery could not be confirmed from incomplete documentation or results of the current coronary angiogram are not available.

Instructions: For data quality purposes, if Not Completed is indicated in Procedure Status (Data Element ID: 115), this data element cannot be entered and will be disabled and not visible.

CorHealth DCIS Data Dictionary

119 of 138 Section: Offlisting and Procedural Information

119 of 138 Section: Offlisting and Procedural Information

In document Published: April 9, 2021 (Page 103-138)

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