Top Things to Know: 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic
Published: June 06, 2011
- Establishment of a consistent, interoperable, and universal clinical vocabulary is a foundation for both clinical care and clinical research.
- It is hoped that promotion of widespread use of EHRs will facilitate the exchange of data across systems through harmonized elements.
- These elements and definitions could facilitate further development of clinical registries, quality- and performance-improvement programs.
- Clinical definitions are repeated verbatim, where possible, from existing registries and quality improvement programs, including AHA’s Get With The Guidelines®.
- These 99 definitions could help improve outcomes evaluations and clinical research, including the comparison of results within and across initiatives.
- The section on History and Physical Examination includes 37 data fields and related definitions.
- There are 11 laboratory results elements, including data fields and definitions.
- Diagnostic and Therapeutic Procedures contains 29 data fields and related definitions.
- There are 20 data elements for pharmacological therapy.
- The table on outcomes includes 2 data elements related to mortality.
Citation
Weintraub WS, Karlsberg et al. ACCF/AHA 2011 key data elements and definitions of a base cardiovascular vocabulary for electronic health records: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards. Circulation. 2011, published online before print June 6, 2011, 10.1161/CIR.0b013e31821ccf71.