Published: April 9, 2021
CorHealth DCIS Data Dictionary
2 of 138 Copyright © 2021 CorHealth Ontario
No part of this document may be used or reproduced, other than for personal use or use within your facility, in any form, including photocopying or transmitting electronically to any computer, or distributed,
transmitted, or mirrored, without the prior written consent of CorHealth Ontario.
The information contained in this document is proprietary to CorHealth Ontario and may not be used or disclosed except as expressly authorized in writing by CorHealth Ontario.
Other product names mentioned in this document may be trademarks or registered trademarks of their respective companies and are hereby acknowledged.
CorHealth DCIS Data Dictionary
3 of 138
1 Change Log ... 4
2 About this Document ... 6
2.1 Purpose ... 6
2.2 Audience ... 6
2.3 Document Information ... 6
3 Cardiac Data Elements ... 8
3.1 Patient Demographics ... 8
3.2 Service Information ... 25
3.3 Entry Information ... 35
3.4 Referral Information ... 39
3.5 Diagnostic Information ... 52
3.6 Acceptance Information ... 98
3.7 Offlisting and Procedural Information ... 103
4 Support... 138
CorHealth DCIS Data Dictionary
4 of 138 Change
Number
Date Change Affected Data Element(s)
1 4/9/2021 Added Valid Values • Wait Location
• Access Site 2 4/9/2021 Updated Valid Values • Authority Issuing
• Address Type
• Phone Number Type
• Country
• Province/State 3 4/9/2021 Removed Data Element • Version Code
4 4/9/2021 Updated Description • Data Elements section description 5 4/9/2021 Updated Data Collection
Instructions
• Wait Location
• Primary Reason for Referral Type
• Canadian Cardiovascular Society Classification
• Acute Coronary Syndrome Classification
• Left Ventricular Ejection Fraction
• Left Ventricular Ejection Fraction Grade
• Patient Presentation
• Non-Percutaneous Coronary Intervention Capable Hospital
• Fibrinolysis Administered
• First Contact with Paramedics Date
• First Contact with Paramedics Time
• Ambulance Electrocardiogram Date
• Ambulance Electrocardiogram Time
• Registration Date
• Registration Time
• First Hospital Electrocardiogram Date
• First Hospital Electrocardiogram Time
• Fibrinolysis Given Date
• Fibrinolysis Given Time
• Procedure Status
• Access Site
• Intra-Aortic Balloon Pump
• Presence of Coronary Stenosis
• Stenosis of the Left Main Artery
CorHealth DCIS Data Dictionary
5 of 138
• Stenosis of the Proximal Left Anterior Descending Artery
• Stenosis of the Mid/Distal Left Anterior Descending Artery
• Stenosis of the Circumflex Artery
• Stenosis of the Right Coronary Artery
• Stenosis of the Left Anterior Descending Artery Graft
• Stenosis of the Circumflex Artery Graft
• Stenosis of the Right Coronary Artery Graft
• Stent Deployment Location
• Lesion Type
• Stent Type
• Stent Size
• Stent Length
• Extracorporeal Cardiopulmonary Bypass
• Valve Surgery Type
• Atrial Fibrillation Ablation Type
• Atrial Fibrillation Ablation Instance
• Clinically Relevant Pericardial Effusion
• Device Embolization
• Major Bleeding
• Number of Valve Clips
• Post-Operative Mitral Regurgitation
• Post-Operative Mitral Valve Gradient
• Persistent Inter-Atrial Shunt Post- Procedure
• Technical Success
• Vascular Complication
CorHealth DCIS Data Dictionary
6 of 138
2.1 Purpose
This document is a reference tool to assist hospitals in understanding the cardiac dataset collected by CorHealth Ontario (CorHealth) within the CorHealth Data Collection & Information System (DCIS). It consists of detailed information on each data element including data element names, definitions, valid values, and valid value definitions.
2.2 Audience
The intended audience for this document is Hospital Administrators (HAs), Regional Cardiac Care
Coordinators (RCCCs), Data Clerks (DCs), and Project Managers (PMs) from each hospital submitting cardiac data to the CorHealth DCIS.
2.3 Document Information
This document is structured to provide details on each data element within the CorHealth DCIS by identifying the section in which it is located within the system and the associated data elements.
2.3.1 Sections
Each section corresponds to a page, or portion of a page, used for data entry within the CorHealth DCIS.
Sections group the data elements based on the type of information collected or approximate to when the information is collected.
Section Definition
Patient Demographics Details relating to the identification of an individual patient.
Service Information Details relating to the service a patient was referred for.
Entry Information Details relating to metrics and identifiers associated with an entry.
Referral Information Details relating to referral information.
Diagnostic Information Details relating to the patient and/or patient history.
Acceptance Information Details relating to the decision to proceed to procedure, acceptance, and scheduling.
Offlisting and Procedural Information
Details relating to the removal of a patient from the waitlist and, if applicable, the procedure(s) performed.
CorHealth DCIS Data Dictionary
7 of 138
2.3.2 Data Elements
Elements define, describe, and provide additional information for each data element within the CorHealth DCIS, and should aid in understanding the details of each data element. If a data element has no
corresponding information for an element, it has been left blank, or is indicated as ‘None’, ‘Not Applicable’, or
‘Not Available’.
Element Use
Section Identifies the page or section of the data entry page in which the data element is located.
Name Name of the data element.
ID Unique number that identifies the data element within the data dictionary.
Definition Statement of the exact meaning of the data element.
Applicable to Identifies whether the data element is required for a patient, all entries, specific service(s) a patient can be referred for, or procedure(s) performed. In addition, it identifies data elements that are applicable only to ST-Segment Elevation Myocardial Infarction (STEMI) patients that have the service indicated as Coronary Angiogram.
Valid Values Acceptable values for the data element, if applicable or available. Includes a description and definition for each Valid Value.
Instructions Additional clarification or instructions for the data element or valid value, if applicable.
CorHealth DCIS Data Dictionary
8 of 138
3.1 Patient Demographics
Section: Patient Demographics
Name: Health Card Number ID: 1
Definition: The numeric portion of the patient’s most recent health card number.
Applicable to: All patients.
Valid Values: Must be a valid health card number associated with the indicated issuing authority.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
9 of 138 Section: Patient Demographics
Name: Authority Issuing ID: 3
Definition: The name of the province or agency that issued the patient's most recent health card.
Applicable to: All patients.
Valid Values: Description Code Definition
Alberta Not applicable.
British Columbia Not applicable.
Manitoba Not applicable.
New Brunswick Not applicable.
Newfoundland and Labrador Not applicable.
Northwest Territories Not applicable.
Nova Scotia Not applicable.
Nunavut Not applicable.
Ontario Not applicable.
Prince Edward Island Not applicable.
Québec Not applicable.
Saskatchewan Not applicable.
Yukon Not applicable.
Australia, Department of Veterans Affairs Not applicable.
Australia, Health Insurance Commission Not applicable.
NL, Ministerie van Volksgezondheid Not applicable.
Otherwise Not Defined Not applicable.
US, Center for Disease Control Not applicable.
US, Healthcare Finance Authority Not applicable.
US, Social Security Number Not applicable.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
10 of 138 Section: Patient Demographics
Name: Last Name ID: 4
Definition: The patient’s surname.
Applicable to: All patients.
Valid Values: Not available.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
Section: Patient Demographics
Name: First Name ID: 5
Definition: The patient’s given name.
Applicable to: All patients.
Valid Values: Not available.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
Section: Patient Demographics
Name: Middle Name ID: 6
Definition: The patient’s middle name or further given names.
Applicable to: All patients.
Valid Values: Not available.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
11 of 138 Section: Patient Demographics
Name: Sex ID: 7
Definition: The sex the patient is considered to have for administration and record keeping purposes.
Applicable to: All patients.
Valid Values: Description Code Definition
Male male Male.
Female female Female.
Unknown unknown Not known, not observed, not recorded, or refused.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
Section: Patient Demographics
Name: Date of Birth ID: 8
Definition: The patient’s date of birth.
Applicable to: All patients.
Valid Values: Must be a valid date (YYYY-MM-DD).
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
12 of 138 Section: Patient Demographics
Name: Address Type ID: 9
Definition: The type of address provided.
Applicable to: All patients.
Valid Values: Description Code Definition
Home home Current residence or address on the patient's health card or government issued identification.
Mailing mailing Alternate address for mailing materials to the patient.
Temporary temp Non-permanent address in which the patient resides.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
Section: Patient Demographics
Name: Address - Line 1 ID: 10
Definition: The street address associated with a given address type.
Applicable to: All patients.
Valid Values: Not available.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
Section: Patient Demographics
Name: Address - Line 2 ID: 11
Definition: The additional address details associated with a given address type.
Applicable to: All patients.
Valid Values: Not available.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
13 of 138 Section: Patient Demographics
Name: City ID: 12
Definition: The city associated with a given address type.
Applicable to: All patients.
Valid Values: Not available.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
14 of 138 Section: Patient Demographics
Name: Country ID: 13
Definition: The country associated with a given address type.
Applicable to: All patients.
Valid Values: Description Code Definition
Afghanistan AFG Not applicable.
Åland Islands ALA Not applicable.
Albania ALB Not applicable.
Algeria DZA Not applicable.
American Samoa ASM Not applicable.
Andorra AND Not applicable.
Angola AGO Not applicable.
Anguilla AIA Not applicable.
Antarctica ATA Not applicable.
Antigua and Barbuda ATG Not applicable.
Argentina ARG Not applicable.
Armenia ARM Not applicable.
Aruba ABW Not applicable.
Australia AUS Not applicable.
Austria AUT Not applicable.
Azerbaijan AZE Not applicable.
Bahamas BHS Not applicable.
Bahrain BHR Not applicable.
Bangladesh BGD Not applicable.
Barbados BRB Not applicable.
Belarus BLR Not applicable.
Belgium BEL Not applicable.
Belize BLZ Not applicable.
Benin BEN Not applicable.
Bermuda BMU Not applicable.
Bhutan BTN Not applicable.
Bolivia, Plurinational State of BOL Not applicable.
Bonaire, Sint Eustatius and Saba BES Not applicable.
Bosnia and Herzegovina BIH Not applicable.
Botswana BWA Not applicable.
Bouvet Island BVT Not applicable.
Brazil BRA Not applicable.
British Indian Ocean Territory IOT Not applicable.
Brunei Darussalam BRN Not applicable.
CorHealth DCIS Data Dictionary
15 of 138
Bulgaria BGR Not applicable.
Burkina Faso BFA Not applicable.
Burundi BDI Not applicable.
Cambodia CPV Not applicable.
Cameroon KHM Not applicable.
Canada CMR Not applicable.
Cabo Verde CAN Not applicable.
Cayman Islands CYM Not applicable.
Central African Republic CAF Not applicable.
Chad TCD Not applicable.
Chile CHL Not applicable.
China CHN Not applicable.
Christmas Island CXR Not applicable.
Cocos (Keeling) Islands CCK Not applicable.
Colombia COL Not applicable.
Comoros COM Not applicable.
Congo COG Not applicable.
Congo, the Democratic Republic of the COD Not applicable.
Cook Islands COK Not applicable.
Costa Rica CRI Not applicable.
Côte d'Ivoire CIV Not applicable.
Croatia HRV Not applicable.
Cuba CUB Not applicable.
Curaçao CUW Not applicable.
Cyprus CYP Not applicable.
Czechia CZE Not applicable.
Denmark DNK Not applicable.
Djibouti DJI Not applicable.
Dominica DMA Not applicable.
Dominican Republic DOM Not applicable.
Ecuador ECU Not applicable.
Egypt EGY Not applicable.
El Salvador SLV Not applicable.
Equatorial Guinea GNQ Not applicable.
Eritrea ERI Not applicable.
Estonia EST Not applicable.
Ethiopia ETH Not applicable.
Falkland Islands (Malvinas) FLK Not applicable.
Faroe Islands FRO Not applicable.
Fiji FJI Not applicable.
Finland FIN Not applicable.
France FRA Not applicable.
CorHealth DCIS Data Dictionary
16 of 138
French Guiana GUF Not applicable.
French Polynesia PYF Not applicable.
French Southern Territories ATF Not applicable.
Gabon GAB Not applicable.
Gambia GMB Not applicable.
Georgia GEO Not applicable.
Germany DEU Not applicable.
Ghana GHA Not applicable.
Gibraltar GIB Not applicable.
Greece GRC Not applicable.
Greenland GRL Not applicable.
Grenada GRD Not applicable.
Guadeloupe GLP Not applicable.
Guam GUM Not applicable.
Guatemala GTM Not applicable.
Guernsey GGY Not applicable.
Guinea GIN Not applicable.
Guinea-Bissau GNB Not applicable.
Guyana GUY Not applicable.
Haiti HTI Not applicable.
Heard Island and McDonald Islands HMD Not applicable.
Holy See (Vatican City State) VAT Not applicable.
Honduras HND Not applicable.
Hong Kong HKG Not applicable.
Hungary HUN Not applicable.
Iceland ISL Not applicable.
India IND Not applicable.
Indonesia IDN Not applicable.
Iran, Islamic Republic of IRN Not applicable.
Iraq IRQ Not applicable.
Ireland IRL Not applicable.
Isle of Man IMN Not applicable.
Israel ISR Not applicable.
Italy ITA Not applicable.
Jamaica JAM Not applicable.
Japan JPN Not applicable.
Jersey JEY Not applicable.
Jordan JOR Not applicable.
Kazakhstan KAZ Not applicable.
Kenya KEN Not applicable.
Kiribati KIR Not applicable.
Korea, Democratic People's Republic of PRK Not applicable.
CorHealth DCIS Data Dictionary
17 of 138
Korea, Republic of KOR Not applicable.
Kuwait KWT Not applicable.
Kyrgyzstan KGZ Not applicable.
Lao People's Democratic Republic LAO Not applicable.
Latvia LVA Not applicable.
Lebanon LBN Not applicable.
Lesotho LSO Not applicable.
Liberia LBR Not applicable.
Libya LBY Not applicable.
Liechtenstein LIE Not applicable.
Lithuania LTU Not applicable.
Luxembourg LUX Not applicable.
Macao MAC Not applicable.
Macedonia, the former Yugoslav Republic of MKD Not applicable.
Madagascar MDG Not applicable.
Malawi MWI Not applicable.
Malaysia MYS Not applicable.
Maldives MDV Not applicable.
Mali MLI Not applicable.
Malta MLT Not applicable.
Marshall Islands MHL Not applicable.
Martinique MTQ Not applicable.
Mauritania MRT Not applicable.
Mauritius MUS Not applicable.
Mayotte MYT Not applicable.
Mexico MEX Not applicable.
Micronesia, Federated States of FSM Not applicable.
Moldova, Republic of MDA Not applicable.
Monaco MCO Not applicable.
Mongolia MNG Not applicable.
Montenegro MNE Not applicable.
Montserrat MSR Not applicable.
Morocco MAR Not applicable.
Mozambique MOZ Not applicable.
Myanmar MMR Not applicable.
Namibia NAM Not applicable.
Nauru NRU Not applicable.
Nepal NPL Not applicable.
Netherlands NLD Not applicable.
New Caledonia NCL Not applicable.
New Zealand NZL Not applicable.
Nicaragua NIC Not applicable.
CorHealth DCIS Data Dictionary
18 of 138
Niger NER Not applicable.
Nigeria NGA Not applicable.
Niue NIU Not applicable.
Norfolk Island NFK Not applicable.
Northern Mariana Islands MNP Not applicable.
Norway NOR Not applicable.
Oman OMN Not applicable.
Pakistan PAK Not applicable.
Palau PLW Not applicable.
Palestine, State of PSE Not applicable.
Panama PAN Not applicable.
Papua New Guinea PNG Not applicable.
Paraguay PRY Not applicable.
Peru PER Not applicable.
Philippines PHL Not applicable.
Pitcairn PCN Not applicable.
Poland POL Not applicable.
Portugal PRT Not applicable.
Puerto Rico PRI Not applicable.
Qatar QAT Not applicable.
Réunion REU Not applicable.
Romania ROU Not applicable.
Russian Federation RUS Not applicable.
Rwanda RWA Not applicable.
Saint Barthélemy BLM Not applicable.
Saint Helena, Ascension and Tristan da Cunha SHN Not applicable.
Saint Kitts and Nevis KNA Not applicable.
Saint Lucia LCA Not applicable.
Saint Martin (French part) MAF Not applicable.
Saint Pierre and Miquelon SPM Not applicable.
Saint Vincent and the Grenadines VCT Not applicable.
Samoa WSM Not applicable.
San Marino SMR Not applicable.
Sao Tome and Principe STP Not applicable.
Saudi Arabia SAU Not applicable.
Senegal SEN Not applicable.
Serbia SRB Not applicable.
Seychelles SYC Not applicable.
Sierra Leone SLE Not applicable.
Singapore SGP Not applicable.
Sint Maarten (Dutch part) SXM Not applicable.
Slovakia SVK Not applicable.
CorHealth DCIS Data Dictionary
19 of 138
Slovenia SVN Not applicable.
Solomon Islands SLB Not applicable.
Somalia SOM Not applicable.
South Africa ZAF Not applicable.
South Georgia and the South Sandwich Islands SGS Not applicable.
South Sudan SSD Not applicable.
Spain ESP Not applicable.
Sri Lanka LKA Not applicable.
Sudan SDN Not applicable.
Suriname SUR Not applicable.
Svalbard and Jan Mayen SJM Not applicable.
Swaziland SWZ Not applicable.
Sweden SWE Not applicable.
Switzerland CHE Not applicable.
Syrian Arab Republic SYR Not applicable.
Taiwan, Province of China TWN Not applicable.
Tajikistan TJK Not applicable.
Tanzania, United Republic of TZA Not applicable.
Thailand THA Not applicable.
Timor-Leste TLS Not applicable.
Togo TGO Not applicable.
Tokelau TKL Not applicable.
Tonga TON Not applicable.
Trinidad and Tobago TTO Not applicable.
Tunisia TUN Not applicable.
Turkey TUR Not applicable.
Turkmenistan TKM Not applicable.
Turks and Caicos Islands TCA Not applicable.
Tuvalu TUV Not applicable.
Uganda UGA Not applicable.
Ukraine UKR Not applicable.
United Arab Emirates ARE Not applicable.
United Kingdom GBR Not applicable.
United States UMI Not applicable.
United States Minor Outlying Islands USA Not applicable.
Uruguay URY Not applicable.
Uzbekistan UZB Not applicable.
Vanuatu VUT Not applicable.
Venezuela, Bolivarian Republic of VEN Not applicable.
Viet Nam VNM Not applicable.
Virgin Islands, British VGB Not applicable.
Virgin Islands, U.S. VIR Not applicable.
CorHealth DCIS Data Dictionary
20 of 138
Wallis and Futuna WLF Not applicable.
Western Sahara ESH Not applicable.
Yemen YEM Not applicable.
Zambia ZMB Not applicable.
Zimbabwe ZWE Not applicable.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
21 of 138 Section: Patient Demographics
Name: Province/State ID: 14
Definition: The province or state associated with a given address type.
Applicable to: All patients.
Valid Values: Description Code Definition
Alberta AB Not applicable.
British Columbia BC Not applicable.
Manitoba MB Not applicable.
New Brunswick NB Not applicable.
Newfoundland and Labrador NL Not applicable.
Northwest Territories NT Not applicable.
Nova Scotia NS Not applicable.
Nunavut NU Not applicable.
Ontario ON Not applicable.
Prince Edward Island PE Not applicable.
Quebec QC Not applicable.
Saskatchewan SK Not applicable.
Yukon Territory YT Not applicable.
Alaska AK Not applicable.
Alabama AL Not applicable.
American Samoa AS Not applicable.
Arizona AZ Not applicable.
Arkansas AR Not applicable.
California CA Not applicable.
Colorado CO Not applicable.
Connecticut CT Not applicable.
Delaware DE Not applicable.
District of Columbia DC Not applicable.
Florida FL Not applicable.
Georgia GA Not applicable.
Guam GU Not applicable.
Hawaii HI Not applicable.
Idaho ID Not applicable.
Illinois IL Not applicable.
Indiana IN Not applicable.
Iowa IA Not applicable.
Kansas KS Not applicable.
Kentucky KY Not applicable.
Louisiana LA Not applicable.
CorHealth DCIS Data Dictionary
22 of 138
Maine ME Not applicable.
Maryland MD Not applicable.
Massachusetts MA Not applicable.
Michigan MI Not applicable.
Minnesota MN Not applicable.
Mississippi MS Not applicable.
Missouri MO Not applicable.
Montana MT Not applicable.
Nebraska NE Not applicable.
Nevada NV Not applicable.
New Hampshire NH Not applicable.
New Jersey NJ Not applicable.
New Mexico NM Not applicable.
New York NY Not applicable.
North Carolina NC Not applicable.
North Dakota ND Not applicable.
Northern Mariana Islands MP Not applicable.
Ohio OH Not applicable.
Oklahoma OK Not applicable.
Oregon OR Not applicable.
Pennsylvania PA Not applicable.
Puerto Rico PR Not applicable.
Rhode Island RI Not applicable.
South Carolina SC Not applicable.
South Dakota SD Not applicable.
Tennessee TN Not applicable.
Texas TX Not applicable.
United States Minor Outlying Islands UM Not applicable.
Utah UT Not applicable.
Vermont VT Not applicable.
Virgin Islands VI Not applicable.
Virginia VA Not applicable.
Washington WA Not applicable.
West Virginia WV Not applicable.
Wisconsin WI Not applicable.
Wyoming WY Not applicable.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
23 of 138 Section: Patient Demographics
Name: Postal Code/Zip Code ID: 15
Definition: The postal or zip code associated with a given address type. A postal or zip code is a series of letters and/or digits appended to a postal address for the purpose of sorting mail.
Applicable to: All patients.
Valid Values: Must be a valid postal code or zip code associated with the indicated province or state.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
Section: Patient Demographics
Name: Phone Number Type ID: 16
Definition: The type of phone number provided.
Applicable to: All patients.
Valid Values: Description Code Definition
Home home Phone number of the patient's current residence.
Mobile mobile Phone number of the patient's mobile device.
Work work Phone number of the patient's current place of work.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
24 of 138 Section: Patient Demographics
Name: Phone Number ID: 17
Definition: The phone number associated with a given phone type.
Applicable to: All patients.
Valid Values: Must be a valid 10-digit phone number.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
Section: Patient Demographics
Name: Medical Record Number ID: 18
Definition: The medical record number (MRN) used to uniquely identify a patient at the site where the service will be performed.
Applicable to: All patients.
Valid Values: Not available.
Instructions: Obtained from Ontario Health's Provincial Client Registry (PCR).
CorHealth DCIS Data Dictionary
25 of 138
3.2 Service Information
Section: Service Information
Name: Entry Category ID: 20
Definition: The type of entry being created for a patient.
Applicable to: All entries.
Valid Values: Description Code Definition
Waitlist Entry W An entry for waitlist management and related activities.
Instructions: None
CorHealth DCIS Data Dictionary
26 of 138 Section: Service Information
Name: Service Area ID: 21
Definition: The broadest categorization of procedures or services associated with an entry category.
Applicable to: All entries.
Valid Values: Description Code Definition Catheter-Based
Diagnostic Procedure
CATHD Referral for a catheter-based cardiac diagnostic procedure.
Catheter-Based
Interventional Procedure
CATHI Referral for a catheter-based cardiac interventional procedure.
Electrophysiology Procedure
EP Referral for a catheter-based EP procedure or device procedure.
Open Heart Surgery SURG Referral for an open surgical cardiac procedure.
Instructions: For the value Catheter-Based Diagnostic Procedures:
• Excludes electrophysiology (EP) diagnostic procedures. EP diagnostic procedures are submitted using the Electrophysiology Procedures value.
• Same-sitting percutaneous coronary interventions (SSPCI) (including primary, pharmacoinvasive, rescue, or late PCI) entries are submitted with this value. PCI details are provided in the Offlisting and Procedural Information section.
For the value Catheter-Based Interventional Procedures:
• Excludes same-sitting percutaneous coronary interventions (SSPCI) (including primary, pharmacoinvasive, rescue, or late PCI). SSPCI procedures are submitted using the Catheter-Based Diagnostic Procedures value.
For the value Electrophysiology Procedures:
• Electrophysiology (EP) diagnostic procedures entries are submitted with this value.
CorHealth DCIS Data Dictionary
27 of 138 Section: Service Information
Name: Service Detail 1 ID: 22
Definition: A grouping of procedures or services associated with a service area.
Applicable to: All entries.
Valid Values: Description Code Definition
Ablation ABL Referral for a cardiac dysrhythmia intervention to treat the irritable foci of arrhythmia.
Aortic Surgery AOR Referral for an open surgical procedure to treat aortic disease or dysfunction.
Concomitant Surgery CON Referral for an open surgical procedure to treat more than one anatomical type of disease and/or dysfunction.
Congenital/Structural Intervention
CSI Referral for a catheter-based procedure to treat a cardiac congenital/structural abnormality or disorder.
Congenital/Structural Surgery
CSS Referral for an open surgical procedure to treat congenital or structural cardiac disease or dysfunction.
Coronary Diagnostic CORD Referral for a catheter-based diagnostic procedure to assess the coronary anatomy.
Coronary Surgery CORS Referral for an open surgical procedure to treat coronary artery disease or dysfunction.
Device DEV Referral for a surgical implant or explant of a cardiac device designed to regulate
dysrhythmia.
Diagnostic Study DIA Referral for an electrophysiology diagnostic study to determine the presence, nature, or cause of a dysrhythmia.
Other Diagnostic OTH Referral for a catheter-based diagnostic procedure to assess the anatomy or pressures in structure(s) other than the coronaries.
Percutaneous Coronary Intervention
PCI Referral for a catheter-based procedure to increase the lumen of the blocked coronary artery with or without stent implantation.
Valve Intervention VI Referral for a catheter-based intervention on a cardiac valve.
Valve Surgery VS Referral for an open surgical procedure to treat cardiac valve disease or dysfunction.
CorHealth DCIS Data Dictionary
28 of 138 Instructions: For the value Coronary Diagnostics:
• Same-sitting percutaneous coronary interventions (PCI) (including primary, pharmacoinvasive, rescue, or late PCI) entries are submitted with this value. PCI details are provided in the Offlisting and Procedural Information section.
For the value Percutaneous Coronary Intervention (PCI):
• Excludes same-sitting percutaneous coronary interventions (SSPCI) (including primary, pharmacoinvasive, rescue, or late PCI). SSPCI procedures are submitted using the Coronary Diagnostics value.
CorHealth DCIS Data Dictionary
29 of 138 Section: Service Information
Name: Service Detail 2 ID: 23
Definition: The procedure or service an entry is being created for.
Applicable to: All entries.
Valid Values: Description Code Definition
Aortic Surgery AORS Referral for an aortic surgery, which is an open surgical procedure involving the ascending aorta and/or aortic arch to replace or repair the diseased vessel.
Aortogram AORC Referral for an aortogram, which is a catheter- based procedure that involves the injection of contrast media into the aorta in order to visualize its structure.
Atrial Septal Defect Closure
ASDC Referral for an atrial septal defect (ASD) closure, which is a catheter-based procedure to repair a defect in the septum between the atria.
Atrial Septal Defect Closure Surgery
ASDS Referral for an atrial septal defect (ASD) closure, which is 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 Referral for a cardiac resynchronization therapy ICD (CRT-ICD), which is 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 heart function.
Cardiac
Resynchronization Therapy Pacemaker
CRTP Referral for a CRT pacemaker (CRT-P), which is 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 heart function.
Complex Ablation CPXABL Referral for a complex ablation, which is an intervention to treat the irritable foci of arrhythmia.
Coronary Angiogram CORANG Referral for a coronary angiogram, which is 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
30 of 138 Coronary Artery Bypass
Graft and Valve Repair/Replacement Surgery
CABGV Referral for a CABG and valve
replacement/repair procedure, which is an open surgical procedure in which one or more
anastomoses are constructed between a conduit vessel and a coronary artery in combination with an open surgical procedure to restore the blood supply to the heart muscle and replace or repair a diseased valve.
Coronary Artery Bypass Graft Surgery
CABG Referral for a coronary artery bypass graft (CABG) procedure, which is 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 Referral for a dual chamber ICD, which is 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 Referral for a diagnostic electrophysiology study, which is a diagnostic procedure to determine the presence, nature, or cause of a dysrhythmia.
Fractional Flow Reserve FFR Referral for a fractional flow reserve (FFR) procedure, which is a catheter-based procedure which 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 Referral for an intravascular ultrasound (IVUS) procedure, which is a catheter-based imaging technique to acquire images of the interior of vessels to determine plaque volume and severity of stenosis.
Lead Extraction With Laser
LEL Referral for a lead extraction with laser, which is removal of an existing lead with the use of laser technology.
Left Atrial Appendage Occlusion
LAAO Referral for a left atrial appendage (LAA) occlusion procedure, which is a catheter-based procedure to implant a device to occlude the left atrial appendage.
Mitral Valve Clip MVCLIP Referral for a mitral valve clip, which is a
catheter-based procedure to implant a device in the mitral valve position for the treatment of mitral regurgitation.
CorHealth DCIS Data Dictionary
31 of 138 Optical Coherence
Tomography
OCT Referral for an optical coherence tomography (OCT) procedure, which is a catheter-based imaging technique that utilizes near-infrared light to create high resolution images of the interior of coronary artery.
Patent Foramen Ovale Closure
PFOC Referral for a PFO closure, which is 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).
Right Heart Catheterization
RHC Referral for a right heart catheterization, which is 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.
Scheduled Percutaneous Coronary Intervention
SCHPCI Referral for a percutaneous coronary intervention (PCI), which is a catheter-based procedure to treat the 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 Referral for a single chamber implantable cardioverter-defibrillator (ICD), which is a
surgical procedure to implant an ICD device with one lead in the right ventricle for the treatment of dysrhythmia.
Staged Percutaneous Coronary Intervention
STGPCI Referral for a PCI, which is a catheter-based procedure to treat the narrowing of one or more of blocked coronary arteries with or without stent implantation, that is planned and scheduled as a follow-up to a recently performed PCI procedure.
Standard Ablation STDABL Referral for a standard ablation, which is an intervention to treat the irritable foci of arrhythmia.
CorHealth DCIS Data Dictionary
32 of 138 Transcatheter Aortic Valve
Implantation
TAVI Referral for a transcatheter aortic valve implantation (TAVI), which is a catheter-based procedure to implant a prosthetic valve in the aortic position for the treatment of aortic stenosis.
Transcatheter Mitral Valve Implantation
TMVI Referral for a transcatheter mitral valve implantation (TMVI), which is a catheter-based procedure to implant a prosthetic valve in the mitral position for the treatment of mitral stenosis.
Tricuspid Valve Clip TVCLIP Referral for a tricuspid valve clip, which is a catheter-based procedure to implant a device in the tricuspid valve position for the treatment of tricuspid regurgitation.
Valve Repair/Replacement Surgery
VRR Referral for a valve repair/replacement
procedure, which is an open surgical procedure to replace or repair a diseased valve.
Ventricular Septal Defect Closure Surgery
VSDS Referral for a ventricular septal defect (VSD) closure, which is an open surgical repair of a ventricular septal defect with any type of a suture, patch, or closure device.
CorHealth DCIS Data Dictionary
33 of 138 Instructions: If a service is not included in this list, it is not required to be submitted.
For the value Coronary Angiogram:
• Same-sitting percutaneous coronary interventions (PCI) (including primary, pharmacoinvasive, rescue, or late PCI) entries are submitted with this value. PCI details are provided in the Offlisting and Procedural Information section.
• If the referral is for coronary angiogram in combination with any other diagnostic service included in the Service Detail 2 values (FFR, IVUS, OCT, right heart
catheterization, or aortogram) select coronary angiogram as the onlisted service.
For the value Fractional Flow Reserve:
• If the referral is for FFR in combination with coronary angiogram select coronary angiogram as the onlisted service. FFR details are provided in the Offlisting and Procedural Information section.
• FFR includes instantaneous wave-free ratio (iFR) and resting full-cycle ratio (RFR).
For the value Intravascular Ultrasound:
• If the referral is for IVUS in combination with coronary angiogram select coronary angiogram as the onlisted service. IVUS details are provided in the Offlisting and Procedural Information section.
For the value Optical Coherence Tomography:
• If the referral is for OCT in combination with coronary angiogram select coronary angiogram as the onlisted service. OCT details are provided in the Offlisting and Procedural Information section.
For the value Right Heart Catheterization:
• If the referral is for right heart catheterization in combination with coronary angiogram select coronary angiogram as the onlisted service. Right heart catheterization details are provided in the Offlisting and Procedural Information section.
For the value Aortogram:
• If the referral is for aortogram in combination with coronary angiogram select coronary angiogram as the onlisted service. Aortogram details are provided in the Offlisting and Procedural Information section.
For the value Atrial Septal Defect Closure:
• This value excludes patent foramen ovale (PFO) repair.
For the value Electrophysiology Study:
CorHealth DCIS Data Dictionary
34 of 138
• This value is for use when the type of arrhythmia treated is not apparent, and therefore the procedure cannot be categorized as standard or complex.
For the value Standard Ablation, Indications include:
1. Atrioventricular nodal re-entrant tachycardia (AVNRT) 2. Wolff-Parkinson-White syndrome (WPW)
3. Typical Atrial flutter
4. Prior failed standard ablation(s) where a 3-D mapping system is not required to enhance procedural success.
For the value for Complex Ablation, Indications include:
1. Paroxysmal or persistent atrial fibrillation 2. Atrial tachycardia
3. Atypical atrial flutter 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.
For the value Coronary Artery Bypass Graft:
• If the referral is for coronary artery bypass graft in combination with any other surgical service select Coronary Artery Bypass Graft as the onlisted service unless the additional surgery is a valve repair/replacement, in which case select
Coronary Artery Bypass Graft and Valve Repair/Replacement.
For the value Valve Repair/Replacement:
• If the referral is for valve repair/replacement in combination with any other surgical service (e.g., Ross Procedure and Bentall Procedure) select Valve Repair/Replacement as the onlisted service unless the additional surgery is a coronary artery bypass graft, in which case select Coronary Artery Bypass Graft and Valve Repair/Replacement.
For the value Coronary Artery Bypass Graft and Valve Repair/Replacement:
• If the referral is for coronary artery bypass graft and valve repair/replacement in combination with any other surgical service, select Coronary Artery Bypass Graft and Valve Repair/Replacement as the onlisted service.
CorHealth DCIS Data Dictionary
35 of 138 Section: Service Information
Name: Service Location ID: 154
Definition: The name and number of the site where the service will be performed.
Applicable to: All entries.
Valid Values: Must be a valid site name and number according to the Ministry of Health’s Master Number System.
Instructions: Site name and number are aligned with the Ministry of Health's master numbering system.
3.3 Entry Information
Section: Entry Information
Name: Entry ID ID: 26
Definition: A unique record number generated by the CorHealth system when an entry is created for a patient.
Applicable to: All entries.
Valid Values: Not available.
Instructions: System generated/calculated.
CorHealth DCIS Data Dictionary
36 of 138 Section: Entry Information
Name: Entry Status ID: 27
Definition: The status of an entry.
Applicable to: All entries.
Valid Values: Description Code Definition
Open O Entry is not complete.
Closed C Entry is complete.
Instructions: System generated/calculated.
Section: Entry Information
Name: Recommended Maximum Wait Time ID: 28
Definition: Recommended Maximum Wait Time (RMWT) is a calculated estimate, of the maximum time the patient can expect to wait to have a procedure completed based on the patient’s clinical factors.
Applicable to: All entries.
Valid Values: 0 - 180
Instructions: System generated/calculated.
CorHealth DCIS Data Dictionary
37 of 138 Section: Entry Information
Name: Wait Time 1 ID: 29
Definition: The total number of days the patient has been waiting to be accepted for the procedure from the Referral Date to the Acceptance Date minus any Dates Affecting Readiness to Treat (DART).
Applicable to: All entries.
Valid Values: ≥ 0
Instructions: System generated/calculated.
Section: Entry Information
Name: Wait Time 2 ID: 30
Definition: The total number of days the patient has been waiting for the procedure from the Acceptance Date to the Removal Date minus any Dates Affecting Readiness to Treat (DART).
Applicable to: All entries.
Valid Values: ≥ 0
Instructions: System generated/calculated.
CorHealth DCIS Data Dictionary
38 of 138 Section: Entry Information
Name: Priority Level ID: 31
Definition: The level of urgency, as defined by the Ontario Wait Time Strategy.
Applicable to: All entries.
Valid Values: Description Code Definition
Urgent 1 An urgent or emergent case is one that requires immediate hospitalization and a procedure to treat or diagnose be performed within that hospitalization.
Urgent 2 An urgent case is one that requires a procedure be performed because the patient is experiencing severe, difficult to manage symptoms which are likely getting worse.
Semi-Urgent 3 A semi-urgent case is one that requires a procedure be performed because the patient is experiencing some pain or other symptoms but does not require an immediate procedure.
Elective 4 An elective case is one that is scheduled in advance and which does not involve medical urgency or emergency.
Instructions: System generated/calculated.
Section: Entry Information
Name: Urgency Rating Score ID: 32
Definition: Urgency rating score (URS) is a numeric score quantifying the severity of a patient’s illness.
Applicable to: All entries.
Valid Values: 1 - 7
Instructions: System generated/calculated.
CorHealth DCIS Data Dictionary
39 of 138
3.4 Referral Information
Section: Referral Information
Name: Referral Date ID: 33
Definition: The date the patient referral was received at the service location.
Applicable to: All entries.
Valid Values: Must be a valid date (YYYY-MM-DD).
Instructions: Regardless of the form of communication of a referral, this is intended to represent the date the referral is received at the service location not the date the referral is assessed by the service location. In the case of a fax this is the date stamped by the fax machine.
In the case of an email this is the date on the email.
Section: Referral Information
Name: Referring Physician ID: 155
Definition: The name and number of the physician who referred the patient for a 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
40 of 138 Section: Referral Information
Name: Wait Location ID: 160
Definition: The name and number of the site or location where the patient waited for their procedure.
Applicable to: All entries.
Valid Values: Description Code Definition
Home 99998 The place where a patient resides, either
permanently or temporary, which includes long-term care facilities.
Medical Facility Outside of Country
99993 A facility providing medical services outside of Canada.
Medical Facility Outside of Ontario
99994 A facility providing medical services outside of Ontario and inside of Canada.
MNS Site Name MNS Site
Number
Must be a valid site name and number according to the Ministry of Health’s Master Number System (MNS).
Rehabilitation Facility 99992 A facility that may provide extensive and specialized inpatient rehabilitation services, commonly a freestanding facility or a specialized unit within a hospital.
Ref: Ontario Trauma Registry CIHI 2014 Instructions: If the wait location changes throughout the patient's wait (e.g., at referral or acceptance),
the wait location should be updated to reflect this change.
If the patient is admitted to the service location as an intended admission for the waitlisted service, this field should not be updated.
If the patient is admitted to any hospital (including the service location) prior to the intended admission for the waitlisted service, this field should be updated.
CorHealth DCIS Data Dictionary
41 of 138 Section: Referral Information
Name: Primary Reason for Referral ID: 38
Definition: The primary clinical condition for the procedure referral.
Applicable to: All entries.
Valid Values: Description Code Definition
Coronary Disease CD A condition caused by atherosclerosis that reduces blood flow through the coronary arteries of the heart and typically results in chest pain or heart damage.
Arrhythmia AR A condition in which the heart beats with an irregular or abnormal rhythm.
Valve Disease VD A condition characterized by damage to, or a defect of, one or more of the four valves of the heart.
Heart Transplant HT Assessment of a heart transplant.
Heart Failure HF A complex clinical syndrome in which abnormal heart function results in, or increases the subsequent risk of, clinical symptoms and signs of reduced cardiac output and/or pulmonary or systemic congestion at rest or with stress.
Cardiomyopathy CM A condition of the heart muscle in which it is structurally and functionally abnormal in the absence of coronary artery disease, hypertension, valvular disease, and congenital heart disease sufficient to explain the observed myocardial abnormality.
Congenital/Structural CS A defect in the structure of the heart or great vessels either developed or present at birth.
Other OT Other reasons.
CorHealth DCIS Data Dictionary
42 of 138 Instructions: For Coronary Angiogram waitlist entries, if the intention of the referral is to investigate
the presence and treatment of coronary disease, select Coronary Disease.
For Coronary Angiogram waitlist entries, if the intention of the referral is to ensure the coronary anatomy is normal in order to safely proceed to another service, do not select Coronary Disease, select the primary reason reflecting the condition being investigated or treated.
For CABG and Valve Repair/Replacement waitlist entries, if treatment of coronary disease is the primary driver of procedure, choose Coronary Disease, if treatment of valve
disease is the primary driver of procedure, choose Valve Disease, if both are equal, choose Coronary Disease.
For the value Coronary Disease:
• This is also referred to as coronary artery disease (CAD).
CorHealth DCIS Data Dictionary
43 of 138 Section: Referral Information
Name: Primary Reason for Referral Type ID: 39
Definition: The description of the clinical condition as it relates to the primary reason for referral.
Applicable to: All entries.
Valid Values: Description Code Definition
Aortic Regurgitation AR A condition in which the aortic valve is malfunctioning causing a leakage backward from the aorta into the left ventricle.
Aortic Stenosis AS A condition in which the aortic valve is malfunctioning causing the obstruction of blood flow through it.
Atrial Flutter AF An abnormal heart rhythm originating in the upper chambers (atria) of the heart which results in atrial muscle contractions that are faster then and out of synchronization with the lower chambers (ventricles).
Atrial Tachycardia AT An abnormal heart rhythm originating in the upper chambers (atria) of the heart and outside of the sinus node.
Atrioventricular Nodal Re-entrant Tachycardia
AN A type of abnormal fast heart rhythm which originates from a location within the heart above the bundle of His.
Atypical Atrial Flutter AA An abnormal heart rhythm originating in the upper chambers (atria) of the heart including a wide range of macroreentrant tachycardias whereby the wave front does not travel around the tricuspid annulus.
Donor DO Assessment of suitability for transplantation of a donor heart.
Heart Disease of Other Etiology
OT Other heart disease not previously described or listed.
Non-ST-Segment Elevation Myocardial Infarction
NS Angina pectoris (or anginal equivalent) symptoms associated with positive biomarkers for myocardial necrosis but without ST elevation on electrocardiogram (ECG).
Other Valvular OV Other valvular disease or disorder excluding aortic stenosis and aortic regurgitation.
Paroxysmal Atrial Fibrillation
PA An episode of atrial fibrillation that terminates spontaneously or with intervention in less than seven days.
Persistent Atrial Fibrillation
PE An episode of atrial fibrillation that is not self- terminating within seven days or is terminated electrically or pharmacologically.
CorHealth DCIS Data Dictionary
44 of 138 Protocol (Research or
Employment)
PR Required for a research/study or employment.
Recipient RE Surveillance of a previously transplanted heart.
Stable Angina SA Angina pectoris (or anginal equivalent) without a recent change in frequency or pattern. Angina is relieved by rest and/or sublingual/transdermal medications.
ST-Segment Elevation Myocardial Infarction
ST Angina characterized by the presence of both criteria:
1. ECG evidence of STEMI: New or presumed new ST segment elevation or new left bundle branch block not documented to be resolved within 20 minutes. ST segment elevation is defined by new or presumed new sustained ST segment elevation at the J-point in two contiguous ECG leads with the cut-off points: ≥0.2 mV in men or ≥0.15 mV in women in leads V2-V3 and/or ≥ 0.1 mV in other leads and lasting ≥20 minutes. If no exact ST elevation measurement is recorded in the medical chart, physician's written documentation of ST elevation or Q waves is acceptable. If only one ECG is performed, then the assumption that the ST elevation persisted at least the required 20 minutes is acceptable. Left bundle branch block (LBBB) refers to new or presumed new LBBB on the initial ECG.
2. Cardiac biomarkers (creatinine kinase-myocardial band, Troponin T or I) exceed the upper limit of normal according to the individual hospital's laboratory
parameters a clinical presentation which is consistent or suggestive of ischemia.
Syncope SY A condition which is characterized as a transient loss (syncope) or imminent loss (presyncope) of
consciousness as a result of insufficient blood flow to the brain.
Unstable Angina UA Angina pectoris (or anginal equivalent) with any of the following features:
1. Symptoms at rest and prolonged, usually greater than 20 minutes
2. New-onset symptoms of Canadian Cardiovascular Society (CCS) class III or class IV severity
3. Recent acceleration of symptoms with an increase in severity of at least one CCS class to CCS class III or class IV severity
Ventricular Fibrillation
VF An abnormal heart rhythm originating in the lower chambers (ventricles) of the heart which results in ineffective heart muscle contraction and subsequent cardiac arrest.
CorHealth DCIS Data Dictionary
45 of 138 Ventricular
Tachycardia
VT An abnormal heart rhythm originating in the lower chambers (ventricles) of the heart which is characterized as fast (over 100 beats per minute) and lasting more than three beats in duration.
Wolff-Parkinson- White Syndrome
WP A syndrome in which there is an extra electrical pathway in the heart which can lead to periods of fast heart rhythm.
Instructions: For the value ST-Elevation MI (STEMI):
• Select this value if ST elevation in the posterior chest leads (V7 through V9), or ST depression that is maximal in V1-3, without ST segment elevation in other leads, demonstrating posterobasal myocardial infarction.
For the value Paroxysmal Atrial Fibrillation:
• This value is also referred to as intermittent atrial fibrillation.
For the value Atrioventricular Nodal Re-entrant Tachycardia:
• This value is also referred to as supraventricular tachycardia.
For the value Protocol (Research or Employment):
• If the follow-up protocol is related to a heart transplant, use the Heart Transplant reason and Recipient types.
For the value ST-Elevation MI (STEMI):
• Coronary Angiogram must be indicated in Service Detail 2 in order to indicate STEMI.
CorHealth DCIS Data Dictionary
46 of 138 Section: Referral Information
Name: Secondary Reason for Referral ID: 40
Definition: The secondary clinical condition for the procedure referral.
Applicable to: All entries.
Valid Values: Description Code Definition
Coronary Disease CD A condition caused by atherosclerosis that reduces blood flow through the coronary arteries of the heart and typically results in chest pain or heart damage.
Arrhythmia AR A condition in which the heart beats with an irregular or abnormal rhythm.
Valve Disease VD A condition characterized by damage to, or a defect of, one or more of the four valves of the heart.
Heart Transplant HT Assessment of a heart transplant.
Heart Failure HF A complex clinical syndrome in which abnormal heart function results in, or increases the subsequent risk of, clinical symptoms and signs of reduced cardiac output and/or pulmonary or systemic congestion at rest or with stress.
Cardiomyopathy CM A condition of the heart muscle in which it is structurally and functionally abnormal in the absence of coronary artery disease, hypertension, valvular disease, and congenital heart disease sufficient to explain the observed myocardial abnormality.
Congenital/Structural CS A defect in the structure of the heart or great vessels either developed or present at birth.
Other OT Other reasons.
Not Applicable X Secondary reason for referral is not applicable.
Instructions: For CABG and Valve Repair/Replacement waitlist entries, if treatment of coronary disease is the primary driver of procedure, choose Valve Disease, if treatment of valve disease is the primary driver of procedure, choose Coronary Disease, if both are equal, choose Valve Disease.
For the value Coronary Disease:
• This is also referred to as coronary artery disease (CAD).
CorHealth DCIS Data Dictionary
47 of 138 Section: Referral Information
Name: Secondary Reason for Referral Type ID: 41
Definition: The description of the clinical condition as it relates to the secondary reason for referral.
Applicable to: All entries.
Valid Values: Description Code Definition
Aortic Regurgitation AR A condition in which the aortic valve is malfunctioning causing a leakage backward from the aorta into the left ventricle.
Aortic Stenosis AS A condition in which the aortic valve is malfunctioning causing the obstruction of blood flow through it.
Atrial Flutter AF An abnormal heart rhythm originating in the upper chambers (atria) of the heart which results in atrial muscle contractions that are faster then and out of synchronization with the lower chambers (ventricles).
Atrial Tachycardia AT An abnormal heart rhythm originating in the upper chambers (atria) of the heart and outside of the sinus node.
Atrioventricular Nodal Re-entrant Tachycardia
AN A type of abnormal fast heart rhythm which originates from a location within the heart above the bundle of His.
Atypical Atrial Flutter AA An abnormal heart rhythm originating in the upper chambers (atria) of the heart which is characterized as a macro entrant tachycardia whereby the wave front does not travel around the tricuspid annulus.
Donor DO Assessment of suitability for transplantation of a donor heart.
Heart Disease of Other Etiology
OT Other heart disease not previously described or listed.
Non-ST-Segment Elevation Myocardial Infarction
NS Angina pectoris (or anginal equivalent) symptoms associated with positive biomarkers for myocardial necrosis but without ST elevation on electrocardiogram (ECG).
Other Valvular OV Other valvular disease or disorder excluding aortic stenosis and aortic regurgitation.
Paroxysmal Atrial Fibrillation
PA An episode of atrial fibrillation that terminates spontaneously or with intervention in less than seven days.
Persistent Atrial Fibrillation
PE An episode of atrial fibrillation that is not self- terminating within seven days or is terminated electrically or pharmacologically.
CorHealth DCIS Data Dictionary
48 of 138 Protocol (Research or
Employment)
PR Required for a research/study or employment.
Recipient RE Surveillance of a previously transplanted heart.
Stable Angina SA Angina pectoris (or anginal equivalent) without a recent change in frequency or pattern. Angina is relieved by rest and/or sublingual/transdermal medications.
ST-Segment Elevation Myocardial Infarction
ST Angina characterized by the presence of both criteria:
1. ECG evidence of STEMI: New or presumed new ST segment elevation or new left bundle branch block not documented to be resolved within 20 minutes. ST segment elevation is defined by new or presumed new sustained ST segment elevation at the J-point in two contiguous ECG leads with the cut-off points: ≥0.2 mV in men or ≥0.15 mV in women in leads V2-V3 and/or ≥ 0.1 mV in other leads and lasting ≥20 minutes. If no exact ST elevation measurement is recorded in the medical chart, physician's written documentation of ST elevation or Q waves is acceptable. If only one ECG is performed, then the assumption that the ST elevation persisted at least the required 20 minutes is acceptable. Left bundle branch block (LBBB) refers to new or presumed new LBBB on the initial ECG.
2. Cardiac biomarkers (creatinine kinase-myocardial band, Troponin T or I) exceed the upper limit of normal according to the individual hospital's laboratory
parameters a clinical presentation which is consistent or suggestive of ischemia.
Syncope SY A condition which is characterized as a transient loss (syncope) or imminent loss (presyncope) of
consciousness as a result of insufficient blood flow to the brain.
Unstable Angina UA Angina pectoris (or anginal equivalent) with any of the following features:
1. Symptoms at rest and prolonged, usually greater than 20 minutes
2. New-onset symptoms of Canadian Cardiovascular Society (CCS) class III or class IV severity
3. Recent acceleration of symptoms with an increase in severity of at least one CCS class to CCS class III or class IV severity
Ventricular Fibrillation
VF An abnormal heart rhythm originating in the lower chambers (ventricles) of the heart which results in ineffective heart muscle contraction and subsequent cardiac arrest.
CorHealth DCIS Data Dictionary
49 of 138 Ventricular
Tachycardia
VT An abnormal heart rhythm originating in the lower chambers (ventricles) of the heart which is characterized as fast (over 100 beats per minute) and lasting greater than three beats in duration.
Wolff-Parkinson- White Syndrome
WP A syndrome in which there is an extra electrical pathway in the heart which can lead to periods of fast heart rhythm.
Instructions: For the value Paroxysmal Atrial Fibrillation:
• This value is also referred to as intermittent atrial fibrillation.
For the value Atrioventricular Nodal Re-entrant Tachycardia:
• This value is also referred to as supraventricular tachycardia.
For the value Protocol (Research or Employment):
• If the follow-up protocol is related to a heart transplant, use the Heart Transplant reason and Recipient types.
CorHealth DCIS Data Dictionary
50 of 138 Section: Referral Information
Name: Race ID: 153
Definition: Race is a term used to classify people into groups based principally on physical traits (phenotypes) such as skin colour. Racial categories are not based on science or biology but on differences that society has created (i.e., “socially constructed”), with significant consequences for people’s lives. Racial categories may vary over time and place and can overlap with ethnic, cultural, or religious groupings.
Citation: Data Standards for the Identification and Monitoring of Systemic Racism, Page 72. URL https://files.ontario.ca/solgen_data-standards-en.pdf
Applicable to: All entries.
Valid Values: Description Code Definition
Black B
East/Southeast Asian A Indigenous (First Nations,
Métis, Inuk/Inuit)
I
Latino L
Middle Eastern M
South Asian S
White W
Other O Other race not previously described or listed.
Unknown U Race is not available or is incomplete.
Prefer Not to Answer P The question of Race was asked, and the respondent chose not to answer.
Not Collected N The question of Race was not asked.
