Surgery
Class CardiacSurgeryEvaluation

Contains information collected to measure quality as defined by NSQIP/CICSP (National Surgical Quality Improvement Program / Continuous Improvement in Cardiac Surgery Program). A designated nurse is responsible to retrospectively collect and populate these fields at 30 days postop.

Attributes
«CS» Code absentPeripheralPulse absentPeripheralPulse

Indicates whether the patient has been diagnosed on the physical examination to have absent femoral, popliteal, or pedal pulses. If he or she has had a previous amputation, record pulses as present or absent in the remaining limb. Possible values include: Yes; No; No study. [FileMan 130,331]

«CS» Code alcoholUse alcoholUse

Indicates whether the patient admits to having greater than two drinks (two ounces of hard liquor or two 12 oz. cans of beer or two 6 oz. glasses of wine) per day within the two weeks prior to admission. If the patient is a "binge drinker" divide out the numbers of drinks during the binge by seven days, and then apply the definition. Possible values include: Yes; No; No study. [FileMan 130,246]

«CS» Code anginaSeverity anginaSeverity

Indicates whether the patient has angina, defined as pain or discomfort between the diaphragm and mandible resulting from myocardial ischemia, usually precipitated by exertion or emotion and relieved by rest or nitroglycerin. The Canadian Cardiovascular Society (CCS) classification is used to record the most severe angina in the 30 days prior to surgery:
* None: No angina
* Class I: Ordinary physical activity, such as walking or climbing stairs does not cause angina. Angina may occur with strenuous or rapid or prolonged exertion at work or recreation.
* Class II: There is slight limitation of ordinary activity. Angina may occur with walking or climbing stairs rapidly, walking uphill, walking or stair climbing after meals or in the cold, in the wind, or under emotional stress, or walking more than two blocks on the level, or climbing more than one flight of stairs under normal conditions at a normal pace.
* Class III: There is marked limitation of ordinary physical activity. Angina may occur after walking one or two blocks on the level or climbing one flight of stairs under normal conditions at a normal pace.
* Class IV: There is inability to carry on any physical activitywithout discomfort. Angina may be present at rest.
* Unknown: Unknown
[FileMan 130,267]

String aorticSystolicPressure aorticSystolicPressure

Indicates the patient's aortic systolic pressure measured prior to left ventricular angiography at the catheterization most recent prior to surgery. This should be a number (in millimeters of mercury) but is a string to accomodate No Study or Unknown. [FileMan 130,358]

Boolean cardiomegaly cardiomegaly

Indicates whether the patient has generalized cardiac enlargement of any or all of the cardiac chambers by standard or portable chest x-ray within 30 days preceding surgery. [FileMan 130,209]

String circumflexCoronaryArteryStenosis circumflexCoronaryArteryStenosis

Indicates the most severe percent stenosis in the circumflex coronary artery, including marginal branches and ramus intermedius considered to be of adequate size for bypass grafting. The true circumflex lies in the groove separating the left atrium from the left ventricle (A-V groove) for a variable distance following its origination from the left main coronary artery. Typically, it gives-off one or more branches that leave the A-V groove to supply the posterior-lateral free wall of the left ventricle. These are known as marginal branches. A few patients have a branch to the posterior-lateral free wall of the left ventricle arising exactly at the bifurcation of the left main coronary artery into the left anterior descending coronary artery and the circumflex coronary artery. Strictly speaking, this vessel is neither a diagonal branch of the left anterior descending coronary artery nor a marginal branch of the circumflex coronary artery. This is often called the "ramus intermedius" or "trifurcation branch". This should be a number between 0 and 100, zero meaning no obstruction of the coronary arteries, but is a string to accomodate No Study or Unknown. [FileMan 130,362.3]

«CS» Code coma coma

Indicates whether the patient is unconscious, postures to painful stimuli, or is unresponsive to all stimuli entering surgery. This does not include drug-induced coma. Possible values include: Yes; No; No study. [FileMan 130,333]

«CS» Code comaPostOp comaPostOp

Indicates if either postoperatively or within 30 days of surgery there was a significantly decreased level of consciousness (exclude transient disorientation or psychosis) for greater than or equal to 24 hours as evidenced by lack of response to deep, painful stimuli. Do not include drug-induced coma (e.g. Propofol drips, etc.). Possible values include: Yes; No; No study. [FileMan 130,410]

«CS» Code convertToBypassNeeded convertToBypassNeeded

Indicates whether patient was converted from off cardiopulmonary bypass assistance to on cardiopulmonary bypass during the cardiac surgical procedure. [FileMan 130,469]. Possible values include:
* No: there was no conversion that occurred for the off-pump case performed (i.e., the off-pump case remained off-pump throughout the operation)
* Yes, planned: the procedure was begun as an off-pump procedure but changed to on-pump for any length of time - the change was planned due to decision made prior to operation to perform some vessels off-pump and some on-pump in order to minimize total CPB time
* Yes, unplanned: the procedure was begun as an off-pump procedure but changed to on-pump for any length of time - the change was unplanned and determined in the operating room due to inability to safely perform revascularization)
* Yes, unknown if planned
* N/A: the procedure was NOT an off-pump case (i.e., procedure began on-pump and remained on- pump throughout the case)
* No Study or Unknown - the documentation is not sufficient to answer

«CS» Code coronariesWithStenosis coronariesWithStenosis

Categorizes the number of major coronaries with stenosis greater than or equal to 50%. Possible values include:
0 (no stenosis in any coronary artery greater than or equal to 50%, excluding diagonals);
1 (one or more stenoses greater than or equal to 50% in the left anterior descending (does not include diagonals) or, circumflex (circumflex includes the marginal branches and ramus intermedius), or the right (right includes the posterior descending even if a branch of the circumflex));
2 (stenoses greater than or equal to 50% in the left main coronary artery, or the left anterior descending (does not include diagonals) and the right (right includes the posterior descending even if a branch of the circumflex), or the left anterior descending (does not include diagonals) and circumflex (circumflex includes the marginals and ramus intermedius), or the circumflex (circumflex includes the marginals and ramus intermedius) and the right (right includes the posterior descending even if a branch of the circumflex));
3 (stenoses greater than or equal to 50% in the left anterior descending (does not include diagonals) and the circumflex (circumflex includes the marginals and ramus intermedius) and right (right includes the posterior descending even if a branch of the circumflex) or left main and right (right includes the posterior descending even if a branch of the circumflex)).
[FileMan 130,362]

«TS» PointInTime dateTimeExtubated dateTimeExtubated

The date that the endotracheal tube is pulled for the first time after surgery. If a tracheostomy is performed to replace an oral intubation tube, intubation is considered continuous so the patient has not been extubated as long as the patient continues to require ventilator support. If the patient dies while intubated, indicate the date of death for this data element. [FileMan 130,470]

«CS» Code deepIncisionalSSI deepIncisionalSSI

Indicates whether the patient had a deep incisional Surgical Site Infection (SSI). Deep Incisional SSI is an infection that occurs within 30 days after the operation and the infection appears to be related to the operation and infection involved deep soft tissues (e.g., fascial and muscle layers) of the incision and at least one of the following:
* Purulent drainage from the deep incision but not from the organ/space component of the surgical site.
* A deep incision spontaneously dehisces or is deliberately opened by a surgeon when the patient has at least one of the following signs or symptoms: fever (greater than 38 C), localized pain, or tenderness, unless site is culture-negative.
* An abscess or other evidence of infection involving the deep incision is found on direct examination, during reoperation, or by histopathologic or radiologic examination.
* Diagnosis of a deep incision SSI by a surgeon or attending physician.
Possible values include: Yes; No; No study. [FileMan 130,249]

«CS» Code disseminatedCancer disseminatedCancer

Indicates whether the patient had cancer known to be present prior to the start of surgery that: (1) Has spread to one or more sites in addition to the primary site AND (2) In whom the presence of multiple metastases indicates the cancer is widespread, fulminant, or near terminal. Other terms describing disseminated cancer include "diffuse," "widely metastatic," "widespread," or "carcinomatosis", or AJCC "Stage IV" cancer. Possible values include: Yes; No; No study. [FileMan 130,338]

«CS» Code diureticUse diureticUse

Indicates whether the patient has used any diuretic preparation within the two weeks prior to surgery. Possible values include: Yes; No. [FileMan 130,353]

«CS» Code doNotResuscitateStatus doNotResuscitateStatus

Indicates whether the patient had a Do-Not-Resuscitate (DNR) order written in the physician's order sheet of the patient's chart and it has been signed or co-signed by an attending physician or if the DNR order was rescinded immediately prior to surgery in order to operate on the patient. If DNR discussions are documented in the progress note, but no official DNR order has been written in the physician order sheet or if the attending physician has not signed the official order, this property would be No. Possible values include: Yes; No; No study. [FileMan 130,238]

«CS» Code dyspnea dyspnea

Indicates whether the patient described difficult, painful, or labored breathing at the time the patient was being considered as a candidate for surgery (which should be no longer than 30 days prior to surgery). Dyspnea may be symptomatic of numerous disorders that interfere with adequate ventilation or perfusion of the blood with oxygen. The dyspneic patient is subjectively aware of difficulty with breathing. If the patient's dyspnea status worsened prior to surgery, the most severe status is used. Possible values include: No dyspnea; Dyspnea upon moderate exertion (e.g., is unable to climb one flight of stairs without shortness of breath); Dyspnea at rest (e.g., cannot complete a sentence without needing to take a breath); No study. [FileMan 130,325]

«PQ» TimeQuantity estimateOfMortality estimateOfMortality

The physician's (cardiologist or cardiac surgeon) subjective estimate of operative mortality based on the assessment of the total clinical picture. (To avoid bias introduced by knowledge of outcome, this must be completed preoperatively. [FileMan 130,364]

«TS» PointInTime estimateOfMortalityDate estimateOfMortalityDate

The date and time that the estimate of mortality information was collected. [FileMan 130,364.1]

String forcedExpiratoryVolume forcedExpiratoryVolume

The forced expiratory volume (in liters) in one second from the most recent pulmonary function test prior to surgery. Identify only a FEV1 value that is pre-bronochodilator treatment. This should be a number from 0 to 9.9, or No Study if there has been no pulmonary function tests in the preceding year. [FileMan 130,367]

«CS» Code functionalHealthStatus functionalHealthStatus

Categorizes the patient's abilities to perform Activities of Daily Living (ADLs) in the 30 days prior to surgery. ADLs are defined as the activities usually performed in the course of a normal day in a person's life. ADLs include: bathing, feeding, dressing, toileting, and mobility. Report the corresponding level of self-care for ADLs demonstrated by this patient at the time the patient is being considered as a candidate for surgery (which should be no longer than 30 days prior to surgery). Possible values include: Independent; Partially dependent; Totally dependent; Unknown. [FileMan 130,240]

«CS» Code hepatomegaly hepatomegaly

Indicates whether the patient has the presence of hepatomegaly. Hepatomegaly is defined as enlargement of the liver indicated usually by palpation of the lower border of the liver below the right costal margin or a liver span greater than 10 cm. Hepatomegaly may be noted in acute hepatitis, fatty infiltration, passive congestion, and early biliary obstruction. Possible values include: Yes; No; No study. [FileMan 130,268]

«CS» Code ileusOrBBowelObstruction ileusOrBBowelObstruction

Indicates whether the patient has prolonged ileus or bowel obstruction. Ileus is obstruction of the intestines from a variety of causes including mechanical obstruction, peritonitis, adhesions, or post surgically as a result of functional dysmotility by the bowel. Bowel obstruction is any hindrance to the passage of the intestinal contents. Prolonged ileus or obstruction is defined as persisting longer than 5 days postoperatively. Possible values include: Yes; No; No study. [FileMan 130,345]

«CS» Code impairedSensorium impairedSensorium

Indicates whether the patient is acutely confused and/or delirious and responds to verbal and/or mild tactile stimulation. Patients should be noted to have developed an impaired sensorium if they have mental status changes, and/or delirium in the context of the current illness. Patients with chronic or long-standing mental status changes secondary to chronic mental illness (e.g., schizophrenia) or chronic dementing illnesses (e.g., multi-infarct dementia, senile dementia of the Alzheimer's type) should not be included. Answer Yes if the criteria for this definition applies at any time within 48 hours preop. If the patient develops impaired sensorium, then progresses to a coma, and remains in a coma entering surgery, report just coma. Possible values include: Yes; No; No study. [FileMan 130,332]

«CS» Code incisionType incisionType

Categorizes the incision used for cardiac access, according to the operative report. (Do not include incisions for port access.) [FileMan 130,468]. Possible values include:
* Full Sternotomy: the incision cuts through the entire length of the sternum;
* Full Thoracotomy: a larger surgical incision running across the chest wall, but not along the sternum. This may be a left submammary incision, which requires the resection of the fourth costal cartilage and/or deflation of the left lung;
* Limited Parasternal Approach: the incision cuts beside a small portion (less than 0.5 of the length) of the sternum, on a line midway between the sternal margin and an imaginary line passing through the nipple;
* Limited Sternotomy: the incision cuts through a small portion (less than half of the length) of the sternum;
* Limited Thoracotomy: a small surgical incision through a portion of the chest wall, but not along the sternum. For example, an anterolateral thoracotomy approach may be used in LIMA to LAD grafting.;
* Other Limited Surg Approach: an incision or incision set used to visualize the operating field that is not listed above;
* No Study/Unknown;

«CS» Code intraAorticBalloonPumpUse intraAorticBalloonPumpUse

Indicates whether there was any use of an intra-aortic balloon pump (IABP) within the two weeks prior to surgery. Possible values include: Yes; No. [FileMan 130,356]

String ladcaStenosis ladcaStenosis

Indicates the most severe percent stenosis in the left anterior descending coronary artery. Synonyms for this artery include: LAD, AD, and anterior descending (but does not include the diagonals). This should be a number between 0 and 100, zero meaning no obstruction of the LAD, but is a string to accomodate No Study or Unknown. [FileMan 130,362.1]

String leftMainStenosis leftMainStenosis

Indicates the most severe percent diameter reduction of the left main coronary artery, including its most distal portion. If there is no obstruction of the left main coronary artery, indicate zero. This should be a number between 0 and 100, but is a string to accomodate No Study or Unknown. [FileMan 130,361]

«CS» Code leftVentricularContraction leftVentricularContraction

Categorizes the left ventricular contraction, where the function is assessed from the preoperative contrast ventriculogram, radionuclide angiogram, or 2-D echocardiogram. If ejection fractionis available, indicate the corresponding grade; otherwise, indicate the grade that qualitatively reflects left ventricular function. Possible values include:
I - Ejection fraction >= 0.55 or narrative reports indicating normal left ventricular function.
II - Ejection fraction range from 0.45 to 0.54 or narrative report indicating mild left ventricular dysfunction.
IIIa - Ejection fraction range from 0.40 to 0.44 or narrative report indicating moderate left ventricular dysfunction. If "moderate" is the only rating available, select this category.
IIIb - Ejection fraction range from 0.35 to 0.39 or narrative report indicating moderately severe left ventricular dysfunction.
IV - Ejection fraction range from 0.25 to 0.34 or narrative report indicating severe left ventricular dysfunction.
V - Ejection fraction < 0.25 or narrative report indicating very severe left ventricular dysfunction.
No Study - Unable to make an assessment of the patient's left ventricular contraction grade or no study was performed
[FileMan 130,363]

String leftVentricularEndDiastolicPressure leftVentricularEndDiastolicPressure

Indicates the patient's left ventricular end-diastolic pressure (LVEDP) measured following the a-wave (if present) at the cardiac catheterization most recent prior to surgery. This should be a number (in millimeters of mercury) but is a string to accomodate No Study or Unknown. [FileMan 130,357]

«CS» Code lowCardiacOutput lowCardiacOutput

Indicates whether the patient has had a postoperative cardiac index of less than 2.0 L/min/M2 and/or peripheral manifestations (e.g. oliguria) of low cardiac output present for 6 or more hours following surgery requiring inotropic and/or intra-aortic balloon pump support. Possible values include: Yes; No. [FileMan 130,387]

«CS» Code mitralRegurgitation mitralRegurgitation

Indicates the severity of any mitral regurgitation documented for the patient. This question should be answered using either the left ventricular angiogram or the cardiac ultrasound examination. Possible values include: None; Mild; Moderate; Severe; No Study. [FileMan 130,415]
Diagnosis by angiogram:
* None (or trivial): There is no visible systolic regurgitation across the mitral valve. Trace or trivial notations of mitral regurgitation should be listed as none.
* Mild: Definite contrast can be seen in the left atrium following left ventricular injection, but the left atrium never fills to the same opacity as the left ventricle.
* Moderate: The left atrium fills to the same opacity as the left ventricle over two or more systoles.
* Severe: The left atrium fills to the same opacity as the left ventricle over a single systole.
Diagnosis by cardiac ultrasound:
* None (or trivial): No regurgitant jet is seen on the Doppler study. Trace or trivial notations of mitral regurgitation should be listed as none.
* Mild: The area of the regurgitant jet is 0 - 4 cm2.
* Moderate: The area of the regurgitant jet is greater than 4 - 8 cm2.
* Severe: The area of the regurgitant jet is greater than 8 cm2 or greater than one third of the total left atrial area.

«CS» Code neuroDegenerativeDisease neuroDegenerativeDisease

Indicates whether the patient has neuromuscular degenerative disease, defined as any of a number of congenital, hereditary, or acquired diseases resulting in chronic neurological deficits. Common examples of these diseases include muscular dystrophy, amyotrophic lateral sclerosis (ALS or Lou Gerhig's Disease), multiple sclerosis, and poliomyelitis. Possible values include: Yes; No; No study. [FileMan 130,337]

«CS» Code nitroglycerinIvUse nitroglycerinIvUse

Indicates whether the patient was administered nitroglycerin intravenously within 48 hours prior to surgery. Possible values include: Yes; No. [FileMan 130,355]

«CS» Code openWound openWound

Indicates whether the patient exhibted evidence of an open wound that communicates to the air by direct exposure, with or without cellulitis or purulent exudate. This does not include osteomyelitis or localized abscesses. Possible values include: Yes; No; No study. [FileMan 130,218]

«CS» Code operativeDeath operativeDeath

Indicates whether the patient died within the 30 days after surgery in or out of the hospital regardless of cause; or within the index hospitalization regardless of cause; or patient died greater than 30 days as a direct result of a perioperative occurrence of the surgery (e.g., mediastinitis). Possible values include: Yes; No. [FileMan 130,384]

«CS» Code peripheralNerveDamage peripheralNerveDamage

Indicates whether the patient has major peripheral neurological injuries. Peripheral nerve damage may result from damage to the nerve fibers, cell body, or myelin sheath during surgery. Peripheral nerve injuries which result in motor deficits only to the cervical plexus, brachial plexus, ulnar plexus, lumbar-sacral plexus (sciatic nerve), peroneal nerve, and/or the femoral nerve should be included. Possible values include: Yes; No; No study. [FileMan 130,287]

«CS» Code preopCirculatoryDevice preopCirculatoryDevice

Indicates whether there was any use of any device to assist ventricular function at the time the patient presents for surgery (or placed in the OR before anesthesia induction). [FileMan 130,474]. Possible values include:
* None - No New Mechanical Circulatory Device was placed.
* IABP - An intra-aortic balloon pump was placed to assist ventricular function.
* VAD - A ventricular assist device (e.g., LVAD, BIVAD) was placed to assist ventricular function.
* Artificial Heart - An artificial heart was placed to assist ventricular function.
* Other - An other type of Mechanical Circulatory Device was placed.

String preOpRiskFactor preOpRiskFactor

Any preoperative patient risk factors not documented elsewhere in this assessment that may contribute to this patient's risk of operative mortality. FileMan 130,430]

«CS» Code procedureType procedureType

Indicates which test was used for the cardiac catheterization and/or angiographic data. [FileMan 130,476]. Possible values include:
* Cath - A diagnostic procedure in which a catheter is introduced into a large vein, usually of an arm or leg, and threaded through the circulatory system to the heart to determine blood pressure and the rate of flow in the vessels and chambers of the heart and the identification of abnormal anatomy
* IVUS - Intravascular Ultrasound may be used either alone or in combination with results from the cardiac catheterization. If used alone, indicate IVUS as the only test from which procedure results are calculated.
* Both / Combination - If both IVUS and Cath are available and both tests were analyzed for the results, indicate Both/Combination.
* No Study / Unknown - no cath study is available

String pulmonaryArterySystolicPressure pulmonaryArterySystolicPressure

For patients having a right heart catheterization, indicate the patient's pulmonary artery (PA) systolic pressure at the catheterization most recent prior to surgery. PA pressures obtained in the operating room prior to surgery are acceptable if they are obtained prior to anesthesia induction. This should be a number (in millimeters of mercury) but is a string to accomodate No Study or Unknown. [FileMan 130,359]

String pulmonaryArteryWedgeMeanPressure pulmonaryArteryWedgeMeanPressure

For patients having a right heart catheterization, indicate the patient's mean pulmonary artery wedge (PAW) [also called pulmonary capillary] pressure or left atrial pressure measured at the catheterization most recent prior to surgery. PAW pressures obtained in the operating room prior to surgery are acceptable if they are obtained prior to anesthesia induction. This should be a number (in millimeters of mercury) between -15 and 80, but is a string to accomodate No Study or Unknown. [FileMan 130,360]

«CS» Code reoperationForBleeding reoperationForBleeding

Indicates whether there was any re-exploration of the thorax for suspected bleeding after the patient left the operating room and within 30 days of surgery. Possible values include: Yes; No. [FileMan 130,389]

«CS» Code restPainOrGangrene restPainOrGangrene

Indicates whether the patient suffers from rest pain or gangrene during the 30 days prior to surgery. Rest pain is a more severe form of ischemic pain due to occlusive disease, which occurs at rest and is manifested as a severe, unrelenting pain aggravated by elevation and often preventing sleep. Gangrene is a marked skin discoloration and disruption indicative of death and decay of tissues in the extremities due to severe and prolonged ischemia. Include patients with ischemic ulceration and/or tissue loss related to peripheral vascular disease. Does not include Fournier's gangrene. Possible values include: Yes; No; No study. [FileMan 130,330]

String rightCoronaryArteryStenosis rightCoronaryArteryStenosis

Indicates the most severe percent stenosis in the right coronary artery. Include the proximal third of the posterior descending coronary artery. The right coronary artery initially runs in the groove between the right ventricle and right atrium; it usually gives off branches to both the right and left ventricles and the right atrium. The branches to the right atrium (sinus node artery) and right ventricle (conus branch and acute marginal branches) are commonly ignored when describing coronary artery disease. However, the right coronary artery is the most common source for the posterior descending coronary artery and often gives-off branches to the posterior-lateral free wall of the left ventricle. These are often known as left ventricular extension branches and are considered branches of the circumflex for the coding of severity of coronary disease. This should be a number between 0 and 100, zero meaning no obstruction of the coronary arteries, but is a string to accomodate No Study or Unknown. [FileMan 130,362.2]

«CS» Code sepsis sepsis

Categorizes whether any systemic response to infection occured within the 48 hours before the surgery. Possible values include: Yes; No; SIRS; Sepsis; Septic shock; No study. [FileMan 130,218.1]

«CS» Code severeHeadTrauma severeHeadTrauma

Indicates whether the patient has sustained open or closed trauma to the head from external force, violence, or accident with resulting impairment in neurological function as manifested by motor, sensory, or cognitive impairments. Possible values include: Yes; No; No study. [FileMan 130,397]

«CS» Code steroidUse steroidUse

Indicates whether the patient has required the regular administration of oral or parenteral corticosteroid medications in the 30 days prior to admission for a chronic medical condition (e.g., COPD, asthma, rheumatologic disease, rheumatoid arthritis, inflammatory bowel disease). Does not include topical corticosteroids applied to the skin or corticosteroids administered by inhalation or rectally. Does not include patients who only receive short course steroids (duration 10 days or less) in the 30 days prior to surgery. Possible values include: Yes; No; No study. [FileMan 130,339]

«CS» Code superficialIncisionalSSI superficialIncisionalSSI

Indicates whether the patient had a superficial incisional Surgical Site Infection (SSI). Superficial incisional SSI is an infection that occurs within 30 days after the operation and infection involves only skin or subcutaneous tissue of the incision and at least one of the following:
* Purulent drainage, with or without laboratory confirmation, from the superficial incision.
* Organisms isolated from an aseptically obtained culture of fluid or tissue from the superficial incision.
* At least one of the following signs or symptoms of infection: pain or tenderness, localized swelling, redness, or heat and superficial incision is deliberately opened by the surgeon, unless incision is culture-negative.
* Diagnosis of superficial incisional SSI by the surgeon or attending physician.
Note that the following conditions are not considered an SSI:
* Stitch abscess (minimal inflammation and discharge confined to the points of suture penetration).
* Infected burn wound.
* Incisional SSI that extends into the fascial and muscle layers (see deep incisional SSI).
Possible values include: Yes; No; No study. [FileMan 130,248]

«CS» Code surgicalPriority surgicalPriority

The surgical priority that most accurately reflects the acuity of patient's cardiovascular condition at the time of transport to the operating room. Possible values include: Elective (patient placed on elective schedule with surgery usually performed 72 hours or more following catheterization); Urgent (clinical condition mandates prompt surgery usually within 12 to 72 hours of catheterization (patients clinically stable on a circulatory support system should be included in this category)); Emergent-ongoing ischemia (clinical condition mandates immediate surgery usually on day of catheterization because of ischemia despite medical therapy, such as intravenous nitroglycerine. Ischemia should be manifested as chest pain and/or ST-segment depression); Emergent-hemodynamic compromise (persistent hypotension (arterial systolic pressure less than 80 mm Hg) and/or low cardiac output (cardiac index less than 2.0 L/min/MxM) despite iontropic and/or mechanical circulatory support mandates immediate surgery within hours of the cardiac catheterization; Emergent-arrest with CPR (patient is taken to the operating room in full cardiac arrest with the circulation supported by cardiopulmonary resuscitation (excludes patients being adequately perfused by a cardiopulmonary support system). [FileMan 130,414]

«TS» PointInTime surgicalPriorityDate surgicalPriorityDate

The date and time that the cardiac surgical priority information was collected. [FileMan 130,414.1]

«CS» Code systemicSepsis systemicSepsis

Categorizes whether the patient has been diagnosed as having postoperative systemic sepsis. Possible values include: Yes; No; No study. [FileMan 130,250]

«REAL» Decimal totaIIschemicTime totaIIschemicTime

The duration of time (in minutes) during which the ascending aorta was totally cross-clamped. Does not include the duration of partial aorta cross-clamp used for sewing the proximal anastomoses. [FileMan 130,450]

«REAL» Decimal totalBypassTime totalBypassTime

The duration of time (in minutes) of cardiopulmonary bypass. This includes the total duration of full and partial cardiopulmonary bypass from all episodes of cardiopulmonary bypass. This information can generally be found on the perfusionist record and/or the anesthesia record. [FileMan 130,451]

Boolean wasMechCircSpptNeeded wasMechCircSpptNeeded

Indicates whether the patient left the operating room suite with or required post-op placement of a new IABP, ECMO, or VAD for circulatory support within 30 days post-operatively. [FileMan 130,467]

Boolean wasMinimallyInvasive wasMinimallyInvasive

Indicates whether a minimally invasive procedure technique used? FileMan 130,441]

«CS» Code weightLoss weightLoss

Indicates whether the patient experienced a greater-than ten percent decrease in body weight in the six month interval immediately preceding surgery as manifested by serial weights in the chart, as reported by the patient, or as evidenced by change in clothing size or severe cachexia. Excludes patients who have intentionally lost weight as part of a weight reduction program. Possible values include: Yes; No; No study. [FileMan 130,215]


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameCardiacSurgeryEvaluation
Name Expression
NamespaceSurgery
Owned Template Signature
OwnerSurgery
Owning Template Parameter
PackageSurgery
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 absentPeripheralPulse
Public «CS» Code absentPeripheralPulse

Indicates whether the patient has been diagnosed on the physical examination to have absent femoral, popliteal, or pedal pulses. If he or she has had a previous amputation, record pulses as present or absent in the remaining limb. Possible values include: Yes; No; No study. [FileMan 130,331]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameabsentPeripheralPulse
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::absentPeripheralPulse
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 alcoholUse
Public «CS» Code alcoholUse

Indicates whether the patient admits to having greater than two drinks (two ounces of hard liquor or two 12 oz. cans of beer or two 6 oz. glasses of wine) per day within the two weeks prior to admission. If the patient is a "binge drinker" divide out the numbers of drinks during the binge by seven days, and then apply the definition. Possible values include: Yes; No; No study. [FileMan 130,246]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamealcoholUse
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::alcoholUse
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 anginaSeverity
Public «CS» Code anginaSeverity

Indicates whether the patient has angina, defined as pain or discomfort between the diaphragm and mandible resulting from myocardial ischemia, usually precipitated by exertion or emotion and relieved by rest or nitroglycerin. The Canadian Cardiovascular Society (CCS) classification is used to record the most severe angina in the 30 days prior to surgery:
* None: No angina
* Class I: Ordinary physical activity, such as walking or climbing stairs does not cause angina. Angina may occur with strenuous or rapid or prolonged exertion at work or recreation.
* Class II: There is slight limitation of ordinary activity. Angina may occur with walking or climbing stairs rapidly, walking uphill, walking or stair climbing after meals or in the cold, in the wind, or under emotional stress, or walking more than two blocks on the level, or climbing more than one flight of stairs under normal conditions at a normal pace.
* Class III: There is marked limitation of ordinary physical activity. Angina may occur after walking one or two blocks on the level or climbing one flight of stairs under normal conditions at a normal pace.
* Class IV: There is inability to carry on any physical activitywithout discomfort. Angina may be present at rest.
* Unknown: Unknown
[FileMan 130,267]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameanginaSeverity
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::anginaSeverity
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 aorticSystolicPressure
Public String aorticSystolicPressure

Indicates the patient's aortic systolic pressure measured prior to left ventricular angiography at the catheterization most recent prior to surgery. This should be a number (in millimeters of mercury) but is a string to accomodate No Study or Unknown. [FileMan 130,358]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameaorticSystolicPressure
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::aorticSystolicPressure
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 cardiomegaly
Public Boolean cardiomegaly

Indicates whether the patient has generalized cardiac enlargement of any or all of the cardiac chambers by standard or portable chest x-ray within 30 days preceding surgery. [FileMan 130,209]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namecardiomegaly
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::cardiomegaly
Stereotype
Template Parameter
TypeBoolean
Upper1
Upper Value(1)
VisibilityPublic


 circumflexCoronaryArteryStenosis
Public String circumflexCoronaryArteryStenosis

Indicates the most severe percent stenosis in the circumflex coronary artery, including marginal branches and ramus intermedius considered to be of adequate size for bypass grafting. The true circumflex lies in the groove separating the left atrium from the left ventricle (A-V groove) for a variable distance following its origination from the left main coronary artery. Typically, it gives-off one or more branches that leave the A-V groove to supply the posterior-lateral free wall of the left ventricle. These are known as marginal branches. A few patients have a branch to the posterior-lateral free wall of the left ventricle arising exactly at the bifurcation of the left main coronary artery into the left anterior descending coronary artery and the circumflex coronary artery. Strictly speaking, this vessel is neither a diagonal branch of the left anterior descending coronary artery nor a marginal branch of the circumflex coronary artery. This is often called the "ramus intermedius" or "trifurcation branch". This should be a number between 0 and 100, zero meaning no obstruction of the coronary arteries, but is a string to accomodate No Study or Unknown. [FileMan 130,362.3]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamecircumflexCoronaryArteryStenosis
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::circumflexCoronaryArteryStenosis
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 coma
Public «CS» Code coma

Indicates whether the patient is unconscious, postures to painful stimuli, or is unresponsive to all stimuli entering surgery. This does not include drug-induced coma. Possible values include: Yes; No; No study. [FileMan 130,333]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namecoma
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::coma
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 comaPostOp
Public «CS» Code comaPostOp

Indicates if either postoperatively or within 30 days of surgery there was a significantly decreased level of consciousness (exclude transient disorientation or psychosis) for greater than or equal to 24 hours as evidenced by lack of response to deep, painful stimuli. Do not include drug-induced coma (e.g. Propofol drips, etc.). Possible values include: Yes; No; No study. [FileMan 130,410]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamecomaPostOp
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::comaPostOp
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 convertToBypassNeeded
Public «CS» Code convertToBypassNeeded

Indicates whether patient was converted from off cardiopulmonary bypass assistance to on cardiopulmonary bypass during the cardiac surgical procedure. [FileMan 130,469]. Possible values include:
* No: there was no conversion that occurred for the off-pump case performed (i.e., the off-pump case remained off-pump throughout the operation)
* Yes, planned: the procedure was begun as an off-pump procedure but changed to on-pump for any length of time - the change was planned due to decision made prior to operation to perform some vessels off-pump and some on-pump in order to minimize total CPB time
* Yes, unplanned: the procedure was begun as an off-pump procedure but changed to on-pump for any length of time - the change was unplanned and determined in the operating room due to inability to safely perform revascularization)
* Yes, unknown if planned
* N/A: the procedure was NOT an off-pump case (i.e., procedure began on-pump and remained on- pump throughout the case)
* No Study or Unknown - the documentation is not sufficient to answer

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameconvertToBypassNeeded
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::convertToBypassNeeded
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 coronariesWithStenosis
Public «CS» Code coronariesWithStenosis

Categorizes the number of major coronaries with stenosis greater than or equal to 50%. Possible values include:
0 (no stenosis in any coronary artery greater than or equal to 50%, excluding diagonals);
1 (one or more stenoses greater than or equal to 50% in the left anterior descending (does not include diagonals) or, circumflex (circumflex includes the marginal branches and ramus intermedius), or the right (right includes the posterior descending even if a branch of the circumflex));
2 (stenoses greater than or equal to 50% in the left main coronary artery, or the left anterior descending (does not include diagonals) and the right (right includes the posterior descending even if a branch of the circumflex), or the left anterior descending (does not include diagonals) and circumflex (circumflex includes the marginals and ramus intermedius), or the circumflex (circumflex includes the marginals and ramus intermedius) and the right (right includes the posterior descending even if a branch of the circumflex));
3 (stenoses greater than or equal to 50% in the left anterior descending (does not include diagonals) and the circumflex (circumflex includes the marginals and ramus intermedius) and right (right includes the posterior descending even if a branch of the circumflex) or left main and right (right includes the posterior descending even if a branch of the circumflex)).
[FileMan 130,362]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamecoronariesWithStenosis
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::coronariesWithStenosis
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 dateTimeExtubated
Public «TS» PointInTime dateTimeExtubated

The date that the endotracheal tube is pulled for the first time after surgery. If a tracheostomy is performed to replace an oral intubation tube, intubation is considered continuous so the patient has not been extubated as long as the patient continues to require ventilator support. If the patient dies while intubated, indicate the date of death for this data element. [FileMan 130,470]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamedateTimeExtubated
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::dateTimeExtubated
Stereotype
Template Parameter
Type«TS» PointInTime
Upper1
Upper Value(1)
VisibilityPublic


 deepIncisionalSSI
Public «CS» Code deepIncisionalSSI

Indicates whether the patient had a deep incisional Surgical Site Infection (SSI). Deep Incisional SSI is an infection that occurs within 30 days after the operation and the infection appears to be related to the operation and infection involved deep soft tissues (e.g., fascial and muscle layers) of the incision and at least one of the following:
* Purulent drainage from the deep incision but not from the organ/space component of the surgical site.
* A deep incision spontaneously dehisces or is deliberately opened by a surgeon when the patient has at least one of the following signs or symptoms: fever (greater than 38 C), localized pain, or tenderness, unless site is culture-negative.
* An abscess or other evidence of infection involving the deep incision is found on direct examination, during reoperation, or by histopathologic or radiologic examination.
* Diagnosis of a deep incision SSI by a surgeon or attending physician.
Possible values include: Yes; No; No study. [FileMan 130,249]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamedeepIncisionalSSI
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::deepIncisionalSSI
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 disseminatedCancer
Public «CS» Code disseminatedCancer

Indicates whether the patient had cancer known to be present prior to the start of surgery that: (1) Has spread to one or more sites in addition to the primary site AND (2) In whom the presence of multiple metastases indicates the cancer is widespread, fulminant, or near terminal. Other terms describing disseminated cancer include "diffuse," "widely metastatic," "widespread," or "carcinomatosis", or AJCC "Stage IV" cancer. Possible values include: Yes; No; No study. [FileMan 130,338]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamedisseminatedCancer
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::disseminatedCancer
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 diureticUse
Public «CS» Code diureticUse

Indicates whether the patient has used any diuretic preparation within the two weeks prior to surgery. Possible values include: Yes; No. [FileMan 130,353]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamediureticUse
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::diureticUse
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 doNotResuscitateStatus
Public «CS» Code doNotResuscitateStatus

Indicates whether the patient had a Do-Not-Resuscitate (DNR) order written in the physician's order sheet of the patient's chart and it has been signed or co-signed by an attending physician or if the DNR order was rescinded immediately prior to surgery in order to operate on the patient. If DNR discussions are documented in the progress note, but no official DNR order has been written in the physician order sheet or if the attending physician has not signed the official order, this property would be No. Possible values include: Yes; No; No study. [FileMan 130,238]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamedoNotResuscitateStatus
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::doNotResuscitateStatus
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 dyspnea
Public «CS» Code dyspnea

Indicates whether the patient described difficult, painful, or labored breathing at the time the patient was being considered as a candidate for surgery (which should be no longer than 30 days prior to surgery). Dyspnea may be symptomatic of numerous disorders that interfere with adequate ventilation or perfusion of the blood with oxygen. The dyspneic patient is subjectively aware of difficulty with breathing. If the patient's dyspnea status worsened prior to surgery, the most severe status is used. Possible values include: No dyspnea; Dyspnea upon moderate exertion (e.g., is unable to climb one flight of stairs without shortness of breath); Dyspnea at rest (e.g., cannot complete a sentence without needing to take a breath); No study. [FileMan 130,325]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namedyspnea
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::dyspnea
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 estimateOfMortality
Public «PQ» TimeQuantity estimateOfMortality

The physician's (cardiologist or cardiac surgeon) subjective estimate of operative mortality based on the assessment of the total clinical picture. (To avoid bias introduced by knowledge of outcome, this must be completed preoperatively. [FileMan 130,364]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameestimateOfMortality
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::estimateOfMortality
Stereotype
Template Parameter
Type«PQ» TimeQuantity
Upper1
Upper Value(1)
VisibilityPublic


 estimateOfMortalityDate
Public «TS» PointInTime estimateOfMortalityDate

The date and time that the estimate of mortality information was collected. [FileMan 130,364.1]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameestimateOfMortalityDate
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::estimateOfMortalityDate
Stereotype
Template Parameter
Type«TS» PointInTime
Upper1
Upper Value(1)
VisibilityPublic


 forcedExpiratoryVolume
Public String forcedExpiratoryVolume

The forced expiratory volume (in liters) in one second from the most recent pulmonary function test prior to surgery. Identify only a FEV1 value that is pre-bronochodilator treatment. This should be a number from 0 to 9.9, or No Study if there has been no pulmonary function tests in the preceding year. [FileMan 130,367]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameforcedExpiratoryVolume
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::forcedExpiratoryVolume
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 functionalHealthStatus
Public «CS» Code functionalHealthStatus

Categorizes the patient's abilities to perform Activities of Daily Living (ADLs) in the 30 days prior to surgery. ADLs are defined as the activities usually performed in the course of a normal day in a person's life. ADLs include: bathing, feeding, dressing, toileting, and mobility. Report the corresponding level of self-care for ADLs demonstrated by this patient at the time the patient is being considered as a candidate for surgery (which should be no longer than 30 days prior to surgery). Possible values include: Independent; Partially dependent; Totally dependent; Unknown. [FileMan 130,240]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamefunctionalHealthStatus
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::functionalHealthStatus
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 hepatomegaly
Public «CS» Code hepatomegaly

Indicates whether the patient has the presence of hepatomegaly. Hepatomegaly is defined as enlargement of the liver indicated usually by palpation of the lower border of the liver below the right costal margin or a liver span greater than 10 cm. Hepatomegaly may be noted in acute hepatitis, fatty infiltration, passive congestion, and early biliary obstruction. Possible values include: Yes; No; No study. [FileMan 130,268]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namehepatomegaly
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::hepatomegaly
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 ileusOrBBowelObstruction
Public «CS» Code ileusOrBBowelObstruction

Indicates whether the patient has prolonged ileus or bowel obstruction. Ileus is obstruction of the intestines from a variety of causes including mechanical obstruction, peritonitis, adhesions, or post surgically as a result of functional dysmotility by the bowel. Bowel obstruction is any hindrance to the passage of the intestinal contents. Prolonged ileus or obstruction is defined as persisting longer than 5 days postoperatively. Possible values include: Yes; No; No study. [FileMan 130,345]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameileusOrBBowelObstruction
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::ileusOrBBowelObstruction
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 impairedSensorium
Public «CS» Code impairedSensorium

Indicates whether the patient is acutely confused and/or delirious and responds to verbal and/or mild tactile stimulation. Patients should be noted to have developed an impaired sensorium if they have mental status changes, and/or delirium in the context of the current illness. Patients with chronic or long-standing mental status changes secondary to chronic mental illness (e.g., schizophrenia) or chronic dementing illnesses (e.g., multi-infarct dementia, senile dementia of the Alzheimer's type) should not be included. Answer Yes if the criteria for this definition applies at any time within 48 hours preop. If the patient develops impaired sensorium, then progresses to a coma, and remains in a coma entering surgery, report just coma. Possible values include: Yes; No; No study. [FileMan 130,332]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameimpairedSensorium
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::impairedSensorium
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 incisionType
Public «CS» Code incisionType

Categorizes the incision used for cardiac access, according to the operative report. (Do not include incisions for port access.) [FileMan 130,468]. Possible values include:
* Full Sternotomy: the incision cuts through the entire length of the sternum;
* Full Thoracotomy: a larger surgical incision running across the chest wall, but not along the sternum. This may be a left submammary incision, which requires the resection of the fourth costal cartilage and/or deflation of the left lung;
* Limited Parasternal Approach: the incision cuts beside a small portion (less than 0.5 of the length) of the sternum, on a line midway between the sternal margin and an imaginary line passing through the nipple;
* Limited Sternotomy: the incision cuts through a small portion (less than half of the length) of the sternum;
* Limited Thoracotomy: a small surgical incision through a portion of the chest wall, but not along the sternum. For example, an anterolateral thoracotomy approach may be used in LIMA to LAD grafting.;
* Other Limited Surg Approach: an incision or incision set used to visualize the operating field that is not listed above;
* No Study/Unknown;

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameincisionType
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::incisionType
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 intraAorticBalloonPumpUse
Public «CS» Code intraAorticBalloonPumpUse

Indicates whether there was any use of an intra-aortic balloon pump (IABP) within the two weeks prior to surgery. Possible values include: Yes; No. [FileMan 130,356]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameintraAorticBalloonPumpUse
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::intraAorticBalloonPumpUse
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 ladcaStenosis
Public String ladcaStenosis

Indicates the most severe percent stenosis in the left anterior descending coronary artery. Synonyms for this artery include: LAD, AD, and anterior descending (but does not include the diagonals). This should be a number between 0 and 100, zero meaning no obstruction of the LAD, but is a string to accomodate No Study or Unknown. [FileMan 130,362.1]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameladcaStenosis
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::ladcaStenosis
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 leftMainStenosis
Public String leftMainStenosis

Indicates the most severe percent diameter reduction of the left main coronary artery, including its most distal portion. If there is no obstruction of the left main coronary artery, indicate zero. This should be a number between 0 and 100, but is a string to accomodate No Study or Unknown. [FileMan 130,361]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameleftMainStenosis
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::leftMainStenosis
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 leftVentricularContraction
Public «CS» Code leftVentricularContraction

Categorizes the left ventricular contraction, where the function is assessed from the preoperative contrast ventriculogram, radionuclide angiogram, or 2-D echocardiogram. If ejection fractionis available, indicate the corresponding grade; otherwise, indicate the grade that qualitatively reflects left ventricular function. Possible values include:
I - Ejection fraction >= 0.55 or narrative reports indicating normal left ventricular function.
II - Ejection fraction range from 0.45 to 0.54 or narrative report indicating mild left ventricular dysfunction.
IIIa - Ejection fraction range from 0.40 to 0.44 or narrative report indicating moderate left ventricular dysfunction. If "moderate" is the only rating available, select this category.
IIIb - Ejection fraction range from 0.35 to 0.39 or narrative report indicating moderately severe left ventricular dysfunction.
IV - Ejection fraction range from 0.25 to 0.34 or narrative report indicating severe left ventricular dysfunction.
V - Ejection fraction < 0.25 or narrative report indicating very severe left ventricular dysfunction.
No Study - Unable to make an assessment of the patient's left ventricular contraction grade or no study was performed
[FileMan 130,363]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameleftVentricularContraction
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::leftVentricularContraction
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 leftVentricularEndDiastolicPressure
Public String leftVentricularEndDiastolicPressure

Indicates the patient's left ventricular end-diastolic pressure (LVEDP) measured following the a-wave (if present) at the cardiac catheterization most recent prior to surgery. This should be a number (in millimeters of mercury) but is a string to accomodate No Study or Unknown. [FileMan 130,357]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameleftVentricularEndDiastolicPressure
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::leftVentricularEndDiastolicPressure
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 lowCardiacOutput
Public «CS» Code lowCardiacOutput

Indicates whether the patient has had a postoperative cardiac index of less than 2.0 L/min/M2 and/or peripheral manifestations (e.g. oliguria) of low cardiac output present for 6 or more hours following surgery requiring inotropic and/or intra-aortic balloon pump support. Possible values include: Yes; No. [FileMan 130,387]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamelowCardiacOutput
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::lowCardiacOutput
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 mitralRegurgitation
Public «CS» Code mitralRegurgitation

Indicates the severity of any mitral regurgitation documented for the patient. This question should be answered using either the left ventricular angiogram or the cardiac ultrasound examination. Possible values include: None; Mild; Moderate; Severe; No Study. [FileMan 130,415]
Diagnosis by angiogram:
* None (or trivial): There is no visible systolic regurgitation across the mitral valve. Trace or trivial notations of mitral regurgitation should be listed as none.
* Mild: Definite contrast can be seen in the left atrium following left ventricular injection, but the left atrium never fills to the same opacity as the left ventricle.
* Moderate: The left atrium fills to the same opacity as the left ventricle over two or more systoles.
* Severe: The left atrium fills to the same opacity as the left ventricle over a single systole.
Diagnosis by cardiac ultrasound:
* None (or trivial): No regurgitant jet is seen on the Doppler study. Trace or trivial notations of mitral regurgitation should be listed as none.
* Mild: The area of the regurgitant jet is 0 - 4 cm2.
* Moderate: The area of the regurgitant jet is greater than 4 - 8 cm2.
* Severe: The area of the regurgitant jet is greater than 8 cm2 or greater than one third of the total left atrial area.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamemitralRegurgitation
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::mitralRegurgitation
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 neuroDegenerativeDisease
Public «CS» Code neuroDegenerativeDisease

Indicates whether the patient has neuromuscular degenerative disease, defined as any of a number of congenital, hereditary, or acquired diseases resulting in chronic neurological deficits. Common examples of these diseases include muscular dystrophy, amyotrophic lateral sclerosis (ALS or Lou Gerhig's Disease), multiple sclerosis, and poliomyelitis. Possible values include: Yes; No; No study. [FileMan 130,337]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameneuroDegenerativeDisease
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::neuroDegenerativeDisease
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 nitroglycerinIvUse
Public «CS» Code nitroglycerinIvUse

Indicates whether the patient was administered nitroglycerin intravenously within 48 hours prior to surgery. Possible values include: Yes; No. [FileMan 130,355]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamenitroglycerinIvUse
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::nitroglycerinIvUse
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 openWound
Public «CS» Code openWound

Indicates whether the patient exhibted evidence of an open wound that communicates to the air by direct exposure, with or without cellulitis or purulent exudate. This does not include osteomyelitis or localized abscesses. Possible values include: Yes; No; No study. [FileMan 130,218]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameopenWound
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::openWound
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 operativeDeath
Public «CS» Code operativeDeath

Indicates whether the patient died within the 30 days after surgery in or out of the hospital regardless of cause; or within the index hospitalization regardless of cause; or patient died greater than 30 days as a direct result of a perioperative occurrence of the surgery (e.g., mediastinitis). Possible values include: Yes; No. [FileMan 130,384]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameoperativeDeath
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::operativeDeath
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 peripheralNerveDamage
Public «CS» Code peripheralNerveDamage

Indicates whether the patient has major peripheral neurological injuries. Peripheral nerve damage may result from damage to the nerve fibers, cell body, or myelin sheath during surgery. Peripheral nerve injuries which result in motor deficits only to the cervical plexus, brachial plexus, ulnar plexus, lumbar-sacral plexus (sciatic nerve), peroneal nerve, and/or the femoral nerve should be included. Possible values include: Yes; No; No study. [FileMan 130,287]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameperipheralNerveDamage
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::peripheralNerveDamage
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 preopCirculatoryDevice
Public «CS» Code preopCirculatoryDevice

Indicates whether there was any use of any device to assist ventricular function at the time the patient presents for surgery (or placed in the OR before anesthesia induction). [FileMan 130,474]. Possible values include:
* None - No New Mechanical Circulatory Device was placed.
* IABP - An intra-aortic balloon pump was placed to assist ventricular function.
* VAD - A ventricular assist device (e.g., LVAD, BIVAD) was placed to assist ventricular function.
* Artificial Heart - An artificial heart was placed to assist ventricular function.
* Other - An other type of Mechanical Circulatory Device was placed.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamepreopCirculatoryDevice
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::preopCirculatoryDevice
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 preOpRiskFactor
Public String preOpRiskFactor

Any preoperative patient risk factors not documented elsewhere in this assessment that may contribute to this patient's risk of operative mortality. FileMan 130,430]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamepreOpRiskFactor
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::preOpRiskFactor
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 procedureType
Public «CS» Code procedureType

Indicates which test was used for the cardiac catheterization and/or angiographic data. [FileMan 130,476]. Possible values include:
* Cath - A diagnostic procedure in which a catheter is introduced into a large vein, usually of an arm or leg, and threaded through the circulatory system to the heart to determine blood pressure and the rate of flow in the vessels and chambers of the heart and the identification of abnormal anatomy
* IVUS - Intravascular Ultrasound may be used either alone or in combination with results from the cardiac catheterization. If used alone, indicate IVUS as the only test from which procedure results are calculated.
* Both / Combination - If both IVUS and Cath are available and both tests were analyzed for the results, indicate Both/Combination.
* No Study / Unknown - no cath study is available

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameprocedureType
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::procedureType
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 pulmonaryArterySystolicPressure
Public String pulmonaryArterySystolicPressure

For patients having a right heart catheterization, indicate the patient's pulmonary artery (PA) systolic pressure at the catheterization most recent prior to surgery. PA pressures obtained in the operating room prior to surgery are acceptable if they are obtained prior to anesthesia induction. This should be a number (in millimeters of mercury) but is a string to accomodate No Study or Unknown. [FileMan 130,359]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamepulmonaryArterySystolicPressure
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::pulmonaryArterySystolicPressure
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 pulmonaryArteryWedgeMeanPressure
Public String pulmonaryArteryWedgeMeanPressure

For patients having a right heart catheterization, indicate the patient's mean pulmonary artery wedge (PAW) [also called pulmonary capillary] pressure or left atrial pressure measured at the catheterization most recent prior to surgery. PAW pressures obtained in the operating room prior to surgery are acceptable if they are obtained prior to anesthesia induction. This should be a number (in millimeters of mercury) between -15 and 80, but is a string to accomodate No Study or Unknown. [FileMan 130,360]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamepulmonaryArteryWedgeMeanPressure
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::pulmonaryArteryWedgeMeanPressure
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 reoperationForBleeding
Public «CS» Code reoperationForBleeding

Indicates whether there was any re-exploration of the thorax for suspected bleeding after the patient left the operating room and within 30 days of surgery. Possible values include: Yes; No. [FileMan 130,389]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamereoperationForBleeding
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::reoperationForBleeding
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 restPainOrGangrene
Public «CS» Code restPainOrGangrene

Indicates whether the patient suffers from rest pain or gangrene during the 30 days prior to surgery. Rest pain is a more severe form of ischemic pain due to occlusive disease, which occurs at rest and is manifested as a severe, unrelenting pain aggravated by elevation and often preventing sleep. Gangrene is a marked skin discoloration and disruption indicative of death and decay of tissues in the extremities due to severe and prolonged ischemia. Include patients with ischemic ulceration and/or tissue loss related to peripheral vascular disease. Does not include Fournier's gangrene. Possible values include: Yes; No; No study. [FileMan 130,330]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamerestPainOrGangrene
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::restPainOrGangrene
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 rightCoronaryArteryStenosis
Public String rightCoronaryArteryStenosis

Indicates the most severe percent stenosis in the right coronary artery. Include the proximal third of the posterior descending coronary artery. The right coronary artery initially runs in the groove between the right ventricle and right atrium; it usually gives off branches to both the right and left ventricles and the right atrium. The branches to the right atrium (sinus node artery) and right ventricle (conus branch and acute marginal branches) are commonly ignored when describing coronary artery disease. However, the right coronary artery is the most common source for the posterior descending coronary artery and often gives-off branches to the posterior-lateral free wall of the left ventricle. These are often known as left ventricular extension branches and are considered branches of the circumflex for the coding of severity of coronary disease. This should be a number between 0 and 100, zero meaning no obstruction of the coronary arteries, but is a string to accomodate No Study or Unknown. [FileMan 130,362.2]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamerightCoronaryArteryStenosis
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::rightCoronaryArteryStenosis
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 sepsis
Public «CS» Code sepsis

Categorizes whether any systemic response to infection occured within the 48 hours before the surgery. Possible values include: Yes; No; SIRS; Sepsis; Septic shock; No study. [FileMan 130,218.1]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namesepsis
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::sepsis
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 severeHeadTrauma
Public «CS» Code severeHeadTrauma

Indicates whether the patient has sustained open or closed trauma to the head from external force, violence, or accident with resulting impairment in neurological function as manifested by motor, sensory, or cognitive impairments. Possible values include: Yes; No; No study. [FileMan 130,397]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesevereHeadTrauma
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::severeHeadTrauma
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 steroidUse
Public «CS» Code steroidUse

Indicates whether the patient has required the regular administration of oral or parenteral corticosteroid medications in the 30 days prior to admission for a chronic medical condition (e.g., COPD, asthma, rheumatologic disease, rheumatoid arthritis, inflammatory bowel disease). Does not include topical corticosteroids applied to the skin or corticosteroids administered by inhalation or rectally. Does not include patients who only receive short course steroids (duration 10 days or less) in the 30 days prior to surgery. Possible values include: Yes; No; No study. [FileMan 130,339]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesteroidUse
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::steroidUse
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 superficialIncisionalSSI
Public «CS» Code superficialIncisionalSSI

Indicates whether the patient had a superficial incisional Surgical Site Infection (SSI). Superficial incisional SSI is an infection that occurs within 30 days after the operation and infection involves only skin or subcutaneous tissue of the incision and at least one of the following:
* Purulent drainage, with or without laboratory confirmation, from the superficial incision.
* Organisms isolated from an aseptically obtained culture of fluid or tissue from the superficial incision.
* At least one of the following signs or symptoms of infection: pain or tenderness, localized swelling, redness, or heat and superficial incision is deliberately opened by the surgeon, unless incision is culture-negative.
* Diagnosis of superficial incisional SSI by the surgeon or attending physician.
Note that the following conditions are not considered an SSI:
* Stitch abscess (minimal inflammation and discharge confined to the points of suture penetration).
* Infected burn wound.
* Incisional SSI that extends into the fascial and muscle layers (see deep incisional SSI).
Possible values include: Yes; No; No study. [FileMan 130,248]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesuperficialIncisionalSSI
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::superficialIncisionalSSI
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 surgicalPriority
Public «CS» Code surgicalPriority

The surgical priority that most accurately reflects the acuity of patient's cardiovascular condition at the time of transport to the operating room. Possible values include: Elective (patient placed on elective schedule with surgery usually performed 72 hours or more following catheterization); Urgent (clinical condition mandates prompt surgery usually within 12 to 72 hours of catheterization (patients clinically stable on a circulatory support system should be included in this category)); Emergent-ongoing ischemia (clinical condition mandates immediate surgery usually on day of catheterization because of ischemia despite medical therapy, such as intravenous nitroglycerine. Ischemia should be manifested as chest pain and/or ST-segment depression); Emergent-hemodynamic compromise (persistent hypotension (arterial systolic pressure less than 80 mm Hg) and/or low cardiac output (cardiac index less than 2.0 L/min/MxM) despite iontropic and/or mechanical circulatory support mandates immediate surgery within hours of the cardiac catheterization; Emergent-arrest with CPR (patient is taken to the operating room in full cardiac arrest with the circulation supported by cardiopulmonary resuscitation (excludes patients being adequately perfused by a cardiopulmonary support system). [FileMan 130,414]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesurgicalPriority
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::surgicalPriority
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 surgicalPriorityDate
Public «TS» PointInTime surgicalPriorityDate

The date and time that the cardiac surgical priority information was collected. [FileMan 130,414.1]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesurgicalPriorityDate
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::surgicalPriorityDate
Stereotype
Template Parameter
Type«TS» PointInTime
Upper1
Upper Value(1)
VisibilityPublic


 systemicSepsis
Public «CS» Code systemicSepsis

Categorizes whether the patient has been diagnosed as having postoperative systemic sepsis. Possible values include: Yes; No; No study. [FileMan 130,250]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesystemicSepsis
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::systemicSepsis
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 totaIIschemicTime
Public «REAL» Decimal totaIIschemicTime

The duration of time (in minutes) during which the ascending aorta was totally cross-clamped. Does not include the duration of partial aorta cross-clamp used for sewing the proximal anastomoses. [FileMan 130,450]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NametotaIIschemicTime
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::totaIIschemicTime
Stereotype
Template Parameter
Type«REAL» Decimal
Upper1
Upper Value(1)
VisibilityPublic


 totalBypassTime
Public «REAL» Decimal totalBypassTime

The duration of time (in minutes) of cardiopulmonary bypass. This includes the total duration of full and partial cardiopulmonary bypass from all episodes of cardiopulmonary bypass. This information can generally be found on the perfusionist record and/or the anesthesia record. [FileMan 130,451]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NametotalBypassTime
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::totalBypassTime
Stereotype
Template Parameter
Type«REAL» Decimal
Upper1
Upper Value(1)
VisibilityPublic


 wasMechCircSpptNeeded
Public Boolean wasMechCircSpptNeeded

Indicates whether the patient left the operating room suite with or required post-op placement of a new IABP, ECMO, or VAD for circulatory support within 30 days post-operatively. [FileMan 130,467]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamewasMechCircSpptNeeded
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::wasMechCircSpptNeeded
Stereotype
Template Parameter
TypeBoolean
Upper1
Upper Value(1)
VisibilityPublic


 wasMinimallyInvasive
Public Boolean wasMinimallyInvasive

Indicates whether a minimally invasive procedure technique used? FileMan 130,441]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamewasMinimallyInvasive
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::wasMinimallyInvasive
Stereotype
Template Parameter
TypeBoolean
Upper1
Upper Value(1)
VisibilityPublic


 weightLoss
Public «CS» Code weightLoss

Indicates whether the patient experienced a greater-than ten percent decrease in body weight in the six month interval immediately preceding surgery as manifested by serial weights in the chart, as reported by the patient, or as evidenced by change in clothing size or severe cachexia. Excludes patients who have intentionally lost weight as part of a weight reduction program. Possible values include: Yes; No; No study. [FileMan 130,215]

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassCardiacSurgeryEvaluation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameweightLoss
Name Expression
NamespaceCardiacSurgeryEvaluation
Opposite
OwnerCardiacSurgeryEvaluation
Owning Association
Owning Template Parameter
Qualified NameFHIM::Surgery::CardiacSurgeryEvaluation::weightLoss
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic