Welcome to Lesson 3 of this learning activity titled Getting Acquainted with the V5 Dataset. The content in this lesson was developed by Cornelia Anderson and myself. I am Kate Malish and I will be narrating this lesson. The objectives for Lesson 3 of Getting Acquainted with the V5 Dataset include Discuss V5 Dataset Rationale and Purpose, Locate Coding Resources, Identify Parameters for Coding. Although the data collection form is lengthy, it may be simplified depending on the procedure you are capturing. Four whole pages are optional, along with elements only captured for PCI procedures. You will also notice many parent-child data elements. When the parent field is coded Yes, you will then be prompted to code more specific information related to that sequence. However, when No is coded in the parent field, you will not be prompted to code the child fields, further reducing your workload. From the results of several studies conducted by the CATH PCI Registry, we have found it takes participants an average of 30 to 45 minutes to complete one episode of care. The Demographics section is kept in alignment across all NCDR registries. You will notice several patient identifiers may be left blank or coded as Not Applicable. Pacific Asian, Native Hawaiian, Pacific Islander, and Hispanic or Latino ethnicities are included as child fields to pinpoint the exact demographic of your patient. Sequence 3020, Patient Enrolled in a Research Study, is specific to current, ongoing, ACC NCDR research studies and those specific to this registry. Sequence 3036 meets the HIPAA requirement that a patient be able to withhold their information from being used in any research or study. The intent is not for sites to screen patients, but to be sensitive to if and when patients have strong feelings concerning their data. For your knowledge, if and when registry data is used to support research or studies, only de-identified patient data is provided. A patient consent is not required based on the registry's IRB, which includes a waiver of consent. The History and Risk Factors section captures conditions and procedures the patient had prior to the current episode of care. This is indicated by the data element's target value of Between Birth and Arrival at this facility. When the date of a prior MI, prior PCI, or prior CABG is not specifically documented but the year is known, it may be coded as 0101, four digits of the year. The registry captures the patient's current tobacco use, tobacco type, and amount. The use of e-cigarettes, vaping, or marijuana is not captured as these are not tobacco products. You will notice that cardiac arrest is captured multiple times throughout the dataset, which we will examine on the next slide. These data elements will allow for documenting when cardiac arrest occurs prior to arrival, when cardiac arrest occurs at a transferring facility or prior to the procedure at this facility, and lastly, when cardiac arrest occurs at any time during or after the procedure. The Clinical Frailty Scale allows the registry to understand the patient's condition more accurately. This data element is coded with the patient condition prior to the start of the first cath lab procedure. This means a patient who is normally very fit may be coded as moderately frail, for example, if suffering a myocardial infarction. Thorough definitions are provided in the data dictionary, and while physician documentation of a specific scale is helpful, the data element may be coded by the abstractor based on documentation to meet the data definitions. This infographic is available for download on ncdr.com, Cath PCI Registry. To locate once on the Cath PCI Registry page, go to Resources, Documents, User Guide Documents, Infographic CSHA Clinical Frailty Scale. You may also email us to receive a poster which may be displayed in your facility for assistance in coding. An elaborate ECG section is dedicated to capturing the last electrocardiac assessment and whether it was normal or abnormal. When abnormal, participants are prompted to code all abnormalities documented on electrocardiac assessments within 30 days of procedure. This is an example of parent-child fields. When normal is coded in sequence 5032 results, you are then finished with this section of the data collection form. Documenting the occurrence of pre-procedure stress testing is mainly focused on capturing the date of the test, whereas CTA results are focused on the severity of disease. It is understood that capturing the data of events is labor-intensive. Working with your clinical team to ensure the medical record includes these important occurrences will simplify your process. A history of a diagnostic coronary angiogram without subsequent intervention is captured. Pre-procedure tests such as this help inform the rationale for PCI if and when it occurs. Pre-procedure medications include new medications received by the patient as well as those already prescribed prior to patient arrival. This concludes Lesson 3 of Getting Acquainted with the CATH PCI Registry V5 Dataset. Thank you for your participation. www.cdc.gov

V5 Dataset

PCI procedures

CATH PCI Registry

patient consent

Clinical Frailty Scale