Global: ^MCAR(694.5

FileMan FileNo	FileMan Filename	Package
694.5	CARDIAC SURGERY RISK ASSESSMENT	Medicine

Package	Total	Routines
Medicine	13	DIAGNOSIS MCARBSA MCAROS MCAROS0 MCAROS1 MCAROS2 MCAROS3 MCARSRE MCARSRP MCARSRR MCPOS01C ^MCAR(694.5 OTHER PROCEDURE(S)

Package	Total	Routines
Medicine	3	MCARSRE MCARSRP MCARSRR

Package	Total	FileMan Files
Medicine	2	MEDICAL PATIENT(#690)[1] DIAG/THERAP INTERVENT(#699.6)[#694.586(.01)]
Kernel	1	INSTITUTION(#4)[2]

Fields, Total: 91

Field #	Name	Loc	Type	Details
.01	DATE OF PHYSICIAN'S ESTIMATE	0;1	DATE	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S %DT="ETX" D ^%DT S X=Y K:Y<1 X` HELP-PROMPT: `Enter the date of completion of physician's estimate of operative mortality` DESCRIPTION: `The Date of Completion of Physician's Estimate of Operative Mortality` CROSS-REFERENCE: `694.5^B` `1)= S ^MCAR(694.5,"B",$E(X,1,30),DA)=""` `2)= K ^MCAR(694.5,"B",$E(X,1,30),DA)`
1	PATIENT	0;2	POINTER TO MEDICAL PATIENT FILE (#690)	**********************REQUIRED FIELD********************** MEDICAL PATIENT(#690) LAST EDITED: `AUG 16, 1989` HELP-PROMPT: `Enter the patient's name` DESCRIPTION: `This field identifies the patient's name.` CROSS-REFERENCE: `694.5^C` `1)= S ^MCAR(694.5,"C",$E(X,1,30),DA)=""` `2)= K ^MCAR(694.5,"C",$E(X,1,30),DA)` `This cross-reference allow looks-up by Patient.`
2	HOSPITAL OF SURGERY	0;3	POINTER TO INSTITUTION FILE (#4)	INSTITUTION(#4) HELP-PROMPT: `Enter the Hospital where Surgery is to be performed.` DESCRIPTION: `This field identifies the Hospital where Surgery is to be performed.`
3	AGE	0;4	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<15)!(X?.E1"."1N.N) X` LAST EDITED: `JUN 21, 1990` HELP-PROMPT: `Type a Number between 15 and 99, 0 Decimal Digits` DESCRIPTION: `This field identifies the patient's age, between 15 and 99.`
4	HT (IN)	0;5	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>86)!(X<48)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 16, 1989` HELP-PROMPT: `Enter the Height of the Patient in inches, 48-86` DESCRIPTION: `HEIGHT OF THE PATIENT IN INCHES` CROSS-REFERENCE: `694.5^AD^MUMPS` `1)= D RISK^MCARBSA` `2)= S:$P(^MCAR(694.5,DA,0),U,6)="" $P(^MCAR(694.5,DA,0),U,9)=""` `This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).`
5	HT (CM)	0;6	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>218)!(X<122)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 16, 1989` HELP-PROMPT: `Enter the height of the patient in centimeters,122-218` DESCRIPTION: `Height of the patient in centimeters.` CROSS-REFERENCE: `694.5^AC^MUMPS` `1)= D RISK^MCARBSA` `2)= S:$P(^MCAR(694.5,DA,0),U,5)="" $P(^MCAR(694.5,DA,0),U,9)=""` `This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).`
6	WT (LBS)	0;7	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>400)!(X<40)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 16, 1989` HELP-PROMPT: `Enter the Weight of the Patient in Lbs,40-400` DESCRIPTION: `This field identifies the Patient in pounds.` CROSS-REFERENCE: `694.5^AE^MUMPS` `1)= D RISK^MCARBSA` `2)= S:$P(^MCAR(694.5,DA,0),U,8)="" $P(^MCAR(694.5,DA,0),U,9)=""` `This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).`
7	WT (KG)	0;8	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>240)!(X<24)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 16, 1989` HELP-PROMPT: `Type a Number between 24 and 240, 0 Decimal Digits` DESCRIPTION: `This field identifies the weight of the Patient in kilograms.` CROSS-REFERENCE: `694.5^AF^MUMPS` `1)= D RISK^MCARBSA` `2)= S:$P(^MCAR(694.5,DA,0),U,7)="" $P(^MCAR(694.5,DA,0),U,9)=""` `This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).`
8	BODY SURFACE AREA	0;9	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<0)!(X?.E1"."3N.N) X` LAST EDITED: `AUG 16, 1989` HELP-PROMPT: `In Square Meters--This is computed automatically from Weight and Height` DESCRIPTION: `Body surface area in square meters, computed from weight and height.` `UNEDITABLE`
20	DIABETES	1;1	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'Yes' indicates Glucose Intolerance Requiring Treatment With Oral Hypoglycemic Agents or Insulin Within 30 Days Preceding Heart Surgery` DESCRIPTION: `A 'Yes' indicates Glucose Intolerance Requiring Treatment with Oral Hypoglycemic Agents or Insulin within 30 days Preceding Heart Surgery`
21	COPD	1;2	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'Yes' indicates Chronic Obstructive Pulmonary Disease Resulting in Functional Disability, and/or Hospitalization, and/or Requiring Bronchodilator Therapy, and/or FEV1>75% of Predicted` DESCRIPTION: `A 'Yes' indicates Chronic Obstructive Pulmonary Disease Resulting in Functional Disability, and/or Hospitalization, and/or Requiring Bronchodilator Therapy, and/or FEV1>75% of Predicted.`
22	CIGARETTE SMOKING (PACK YEARS)	1;3	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>500)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `In Pack-Years, average number of packs per day times years smoked. (Do not include Pipe,Cigar Smoking, or Chewing Tobacco)` DESCRIPTION: `In Pack-Years, average number of packs per day times year smoked. (Do not include Pipe, Cigar Smoking, or Chewing Tobacco).`
23	CURRENT SMOKER	1;4	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates the Patient is a Current Smoker` DESCRIPTION: `'Yes' indicates the patient is a current smoker.`
24	ACTIVE ENDOCARDITIS	1;5	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' if 2 or More Positive Blood Cultures,or New Vegetations, or Acute Valve Dysfunction of Infectious Cause, or On Antibiotic RX for Endocarditis within 2 weeks preceeding Surgery` DESCRIPTION: `'Yes' if 2 or More positive blood cultures, or new vegetations, or acute valve dysfunction of infectious cause, or on antibiotic RX for endocarditis within 2 weeks preceding surgery.`
25	I.V. NTG PREOPERATIVELY	1;6	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates I.V. Nitroglycerine Administered within 48 Hours Preceding Surgery` DESCRIPTION: `'Yes' indicates I.V. Nitroglycerine administered within 48 hours preceding surgery.`
26	ANGIOPLASTY	1;7	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates Percutaneous Transluminal Coronary Angioplasty Performed or Attempted Within the 24 Hours Preceding Surgery.` DESCRIPTION: `'Yes' indicates Percutaneous Transluminal Coronary Angioplasty performed or attempted within the 24 hours preceding surgery.`
27	PRIOR HEART SURGERY	1;8	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates any form or Prior Heart Surgery Performed through a Thoracotomy During Separate, Preceding Hospitalization` DESCRIPTION: `'Yes' indicates any form of Prior Heart Surgery performed through a Thoracotomy during separate, preceding hospitalization.`
28	HISTORY OF CHF	1;9	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates Symptoms of Pulmonary Congestion or Low Cardiac Output Requiring Therapy with Digitalis, and/or Diuretic, and/or an ACE Inhibitor` DESCRIPTION: `'Yes' indicates symptoms of Pulmonary Congestion or Low Cardiac Output Requiring Therapy with Digitalis, and/or Diuretic, and/or an ACE Inhibitor`
29	CURRENT DIGITALIS USE	1;10	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates Use of any Digitalis Preparation (Digoxin, Lanoxin,Digitoxin,etc.) within 2 weeks preceding surgery` DESCRIPTION: `'Yes' indicates use of any Digitalis preparation (Digoxin, Lanoxin, Digitoxin, etc.) within 2 weeks preceding surgery.`
30	CURRENT DIURETIC USE	1;11	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates Use of any Diuretic agent with 2 weeks preceding surgery` DESCRIPTION: `'Yes' indicates use of any Diuretic agent within 2 weeks preceding surgery.`
31	PERIPHERAL VASCULAR DISEASE	1;12	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates Obstruction of Arteries to Legs Resulting in Symptoms, and/or Surgery, and/or Angiographically Demonstrated Stenosis => 50%` DESCRIPTION: `'Yes' indicates obstruction of Arteries to Legs resulting in Symptoms, and/or Surgery, and/or Angiographically demonstrated Stenosis=>50%.`
32	CEREBRAL VASCULAR DISEASE	1;13	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates History of TIA, nonembolic stroke, or angiographic evidence of cerebral arterial obstruction => 50%, or Ulcerated plaque` DESCRIPTION: `'Yes' indicates history of TIA, nonembolic stroke, or angiographic evidence of cerebral arterial obstruction => 50%, or Ulcerated plaque.`
33	PRIOR MYOCARDIAL INFARCTION	1;14	SET	'1' FOR OCCURED WITHIN 24 HRS OF SURGERY; '2' FOR OCCURED BETWEEN 24 HRS AND 7 DAYS OF SURGERY; '3' FOR OCCURED BETWEEN 7 DAYS AND NOT MORE THAN 30 DAYS OF SURGERY; '4' FOR OCCURED GREATER THAN 30 DAYS OF SURGERY; HELP-PROMPT: `Enter 1-4 if two of the following occured: 1)Typical Pain,2) Enzyme Rise and Fall, and 3) New Q-waves on the electrocardiogram` DESCRIPTION: `Enter 1-4 if two of the following occurred: 1)Typical Pain, 2)Enzyme Rise and Fall, and 3) New Q-waves on the electrocardiogram.`
33.5	PRIOR MI	4;13	SET	'1' FOR None; '2' FOR < or equal to 7 days of surg.; '3' FOR > 7 days of surg.; LAST EDITED: `MAY 16, 1990` HELP-PROMPT: `Enter a code from 1-3, or ?? for further HELP.` DESCRIPTION: `Enter 1 did not occur:` `2 occured within a week before surgery:` `3 occured more than a week before surgery` `if two of the following occurred: a) Typical Pain, b) Enzyme Rise and Fall, and c) New Q-waves on the electrocardiogram.`
34	PREOPERATIVE IABP	1;15	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates intraaortic balloon pump (IABP) in use at sometime during the 48 hours preceding surgery` DESCRIPTION: `'Yes' indicates intra-aortic balloon pump (IABP) in use at some time during the 48 hours preceding surgery.`
35	UNSTABLE ANGINA	1;16	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `MAY 15, 1990` HELP-PROMPT: `'YES' Indicates angina occuring at rest or prolonged angina unresponsive to nitroglycerine` DESCRIPTION: `'Yes' indicates angina occurring at rest or prolonged angina unresponsive to nitroglycerine.`
36	NYHA FUNCTIONAL CLASS	1;17	SET	'1' FOR NO SYMPTOMS AT ANY LEVEL OF ACTIVITY; '2' FOR SYMPTOMS ON MORE THAN ORDINARY ACTIVITY; '3' FOR SYMPTOMS ON ACTIVITIES OF DAILY LIVING; '4' FOR SYMPTOMS AT REST; LAST EDITED: `MAY 16, 1990` HELP-PROMPT: `Enter the one response that most closely reflects the patient's limitation from heart disease in 2 weeks preceding surgery` DESCRIPTION: `The following functional classes are defined :` `I - heart disease with no symptoms limiting activity` `II - slight limitation of physical activity by fatigue, dyspnea,` `or angina` `III - marked limitation of physical activity by fatigue, dyspnea,` `or angina, but no symptoms at rest` `IV - symptoms at rest and/or inability to carry out any physical` `activity without symptoms of dyspnea, fatigue, or angina`
37	HYPERTENSION	1;18	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates any history of hypertension requiring therapy, and/or 2 or more blood pressures > 140/95` DESCRIPTION: `'Yes' indicates any history of hypertension requiring therapy, and/or 2 or more blood pressures > 140/95.`
38	PULMONARY RALES	1;19	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates rales heard at lung base(s) not clearing with cough and not due to pneumonic process within 2 weeks of surgery` DESCRIPTION: `'Yes' indicates rales heard at lung base(s) not clearing with cough and not due to pneumonic process within 2 weeks of surgery.`
39	RESTING ST-SEGMENT DEPRESSION	1;20	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates horizontal or downsloping ST-segment depression on the resting electrocardiogram => 0.5 mm within 2 weeks of surgery` DESCRIPTION: `'Yes' indicates horizontal or downsloping ST-segment depression on the resting electrocardiogram => 0.5 mm within 2 weeks of surgery.`
40	CARDIOMEGALY BY CHEST X-RAY	1;21	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates overall cardiac enlargement, and/or cardiothoracic ration => 0.5 on chest x-ray within the 30 days preceding surgery` DESCRIPTION: `'Yes' indicates overall cardiac enlargement, and/or cardiothoracic ration => 0.5 on chest x-ray within the 30 days preceding surgery.`
41	PLEURAL EFFUSION	1;22	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' Indicates pleural effusion on any chest x-ray in the month preceding surgery` DESCRIPTION: `'Yes' indicates pleural effusion on any chest x-ray in the month preceding surgery.`
42	SERUM CREATININE (MG/DL)	1;23	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>20)!(X<0)!(X?.E1"."2N.N) X` LAST EDITED: `JUN 21, 1990` HELP-PROMPT: `Type a Number between 0 and 20, 1 Decimal Digit` DESCRIPTION: `This field identifies a number between 0 and 20, 1 decimal digit.`
43	ROOM AIR PaO2	1;24	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>105)!(X<20)!(X?.E1"."1N.N) X` HELP-PROMPT: `Enter the partial pressure of oxygen (in mm Hg) of oxygen in arterial blood while breathing room air for => 15 minutes (20-105)` DESCRIPTION: `This field identifies the partial pressure of oxygen (in mm Hg) of oxygen in arterial blood while breathing room air for => 15 minutes (20-105).`
44	FEV1	1;25	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<10)!(X?.E1"."1N.N) X` HELP-PROMPT: `Enter the forced expired volume in 1 second (FEV1) expressed as % of predicted normal value measured within the 6 months preceding surgery (10-100)` DESCRIPTION: `This field identifies the forced expired volume in 1 second (FEV1) expressed as % of predicted normal value measured within the 6 months preceding surgery (10-100).`
45	LV SYSTOLIC PRESSURE (mm Hg)	2;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>240)!(X<40)!(X?.E1"."1N.N) X` HELP-PROMPT: `Enter the Left Ventricular Systolic pressure measured at the catherization most closely preceding surgery. Use the 1 most closely reflecting basal conditions (40-240)` DESCRIPTION: `This field identifies the Left Ventricular Systolic pressure measured at the catheterization most closely preceding surgery. Use the 1 most closely reflecting basal conditions (40-240).`
46	AORTIC SYSTOLIC PRESSURE	2;2	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>300)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `JUN 21, 1990` HELP-PROMPT: `Type a Number between 0 and 300, 0 Decimal Digits` DESCRIPTION: `This field identifies a number between 0 and 300, 0 decimal digits.`
47	PA SYSTOLIC PRESSURE (MM HG)	2;3	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>150)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `JUN 21, 1990` HELP-PROMPT: `Type a Number between 0 and 150, 0 Decimal Digits` DESCRIPTION: `This field identifies a number between 0 and 150, 0 decimal digits.`
48	MEAN PA WEDGE PRESSURE (MM HG)	2;4	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `JUN 21, 1990` HELP-PROMPT: `Type a Number between 0 and 99, 0 Decimal Digits` DESCRIPTION: `This field identifies a number between 0 and 99, 0 decimal digits.`
49	MEAN RA PRESSURE (mm Hg)	2;5	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>40)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Average right atrial pressure measured at the catherization most closely preceding surgery. Use the 1 most closely reflecting basal conditions (0-40)` DESCRIPTION: `This field identifies the average right atrial pressure measured at the catheterization most closely preceding surgery. Use the 1 most closely reflecting basal conditions (0-40).`
50	LV END-DIASTOLIC PRESSURE	2;6	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `JUN 21, 1990` HELP-PROMPT: `Type a Number between 0 and 99, 0 Decimal Digits` DESCRIPTION: `This field identifies a number between 0 and 99, 0 decimal digits.`
60	LV EJECTION FRACTION	3;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>.99)!(X<.02)!(X?.E1"."3N.N) X` HELP-PROMPT: `Left Ventricular ejection fraction measured by catherization,jradionuclide angiogram (MUGA), or echo within 6 months preceding surgery (.02-.99)` DESCRIPTION: `This field identifies the left ventricular ejection fraction measures by catheterization, radionuclide angiogram (MUGA), or echo within 6 months preceding surgery (.02 - .99).`
61	PROXIMAL ANTERIOR SEGMENT	3;2	SET	'1' FOR NORMAL MOTION; '2' FOR MILD HYPOKINESIS; '3' FOR SEVERE HYPOKINESIS; '4' FOR AKINESIS; '5' FOR DYSKINESIS; '6' FOR FRANK ANEURYSM; HELP-PROMPT: `Score right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6` DESCRIPTION: `This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6.`
62	MIDANTERIOR SEGMENT	3;3	SET	'1' FOR NORMAL MOTION; '2' FOR MILD HYPOKINESIS; '3' FOR SEVERE HYPOKINESIS; '4' FOR AKINESIS; '5' FOR DYSKINESIS; '6' FOR FRANK ANEURYSM; HELP-PROMPT: `Score right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6` DESCRIPTION: `This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6.`
63	APEX	3;4	SET	'1' FOR NORMAL MOTION; '2' FOR MILD HYPOKINESIS; '3' FOR SEVERE HYPOKINESIS; '4' FOR AKINESIS; '5' FOR DYSKINESIS; '6' FOR FRANK ANEURYSM; HELP-PROMPT: `Score right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6` DESCRIPTION: `This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6.`
64	MIDINFERIOR SEGMENT	3;5	SET	'1' FOR NORMAL MOTION; '2' FOR MILD HYPOKINESIS; '3' FOR SEVERE HYPOKINESIS; '4' FOR AKINESIS; '5' FOR DYSKINESIS; '6' FOR FRANK ANEURYSM; HELP-PROMPT: `Score right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6` DESCRIPTION: `This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6.`
65	PROXIMAL INFERIOR SEGMENT	3;6	SET	'1' FOR NORMAL MOTION; '2' FOR MILD HYPOKINESIS; '3' FOR SEVERE HYPOKINESIS; '4' FOR AKINESIS; '5' FOR DYSKINESIS; '6' FOR FRANK ANEURYSM; HELP-PROMPT: `Score right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6` DESCRIPTION: `This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6.`
66	LEFT MAIN CORONARY STENOSIS	4;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Give % reduction in luminal diameter of most severe stenosis (0-100)` DESCRIPTION: `This gives % reduction in luminal diameter of most severe stenosis (0-100)`
66.5	NUMBER OF MAJOR CORONARIES	4;14	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>3)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `MAY 23, 1994` HELP-PROMPT: `Type a Number between 0 and 3, 0 Decimal Digits` DESCRIPTION: `This gives number of major coronary arteries (LAD), right with PDA.`
67	LEFT ANT. DESC. STENOSIS	4;2	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Give % reduction in luminal diameter of most severe stenosis (0-100)` DESCRIPTION: `This gives % reduction in luminal diameter of most severe stenosis (0-100)`
68	LEFT ANT. DESC. DISTAL DISEASE	4;3	SET	'0' FOR NO SIGNIFICANT DISTAL DISEASE (< 20% DIAMETER REDUCTION); '2' FOR MODERATE DISTAL DISEASE (20-50 % DIAMETER REDUCTION); '3' FOR SEVERE DISTAL DISEASE (GREATER THAN OR EQUAL TO 50% DIAMETER REDUCTION); LAST EDITED: `AUG 17, 1989` HELP-PROMPT: `Score Distal Vessel Disease as 0,2, or 3` DESCRIPTION: `Score Distal Vessel Disease as 0, 2, or 3.`
69	RIGHT CORONARY STENOSIS	4;4	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Give % reduction in luminal diameter of most severe stenosis (0-100). Include posterior descending regardless of origin.` DESCRIPTION: `Gives % reduction in luminal diameter of most severe stenosis (0-100). Include posterior descending regardless or origin.`
70	R. COR. DISTAL VES. DISEASE	4;5	SET	'0' FOR NO SIGNIFICANT DISTAL DISEASE (< 20% DIAMETER REDUCTION); '2' FOR MODERATE DISTAL DISEASE (20-50 % DIAMETER REDUCTION); '3' FOR SEVERE DISTAL DISEASE (GREATER THAN OR EQUAL TO 50% DIAMETER REDUCTION); LAST EDITED: `AUG 17, 1989` HELP-PROMPT: `Score Distal Vessel Disease as 0,2, or 3` DESCRIPTION: `This field identifies the Distal Vessel Disease as 0, 2, or 3.`
71	CIRCUMFLEX CORONARY STENOSIS	4;6	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Give % reduction in luminal diameter of most severe stenosis; include all significant marginals (0-100)` DESCRIPTION: `Gives % reduction in luminal diameter of most severe stenosis; include all significant marginals (0-100).`
72	CIRC. COR. DISTAL VES. DISEASE	4;7	SET	'0' FOR NO SIGNIFICANT DISTAL DISEASE (< 20% DIAMETER REDUCTION); '2' FOR MODERATE DISTAL DISEASE (20-50 % DIAMETER REDUCTION); '3' FOR SEVERE DISTAL DISEASE (GREATER THAN OR EQUAL TO 50% DIAMETER REDUCTION); LAST EDITED: `AUG 17, 1989` HELP-PROMPT: `Score Distal Vessel Disease as 0,2, or 3` DESCRIPTION: `Scores Distal Vessel Disease as 0, 2, or 3.`
73	GENERAL MEDICAL CONDITION	4;8	SET	'0' FOR GOOD; '1' FOR FAIR; '2' FOR POOR; LAST EDITED: `MAY 23, 1994` HELP-PROMPT: `Grade according to general nutrition, concomitant non-cardiac diseases, mental status, debility ,etc. (0-2)` DESCRIPTION: `Grades according to general nutrition, concomitant non-cardiac diseases, mental status, debility, etc. (0-2).`
74	PRIORITY OF SURGERY	4;9	SET	'1' FOR ELECTIVE; '2' FOR URGENT; '3' FOR EMERGENT; LAST EDITED: `AUG 17, 1989` HELP-PROMPT: `Elective indicates No Alteration in Surgical Schedule,Urgent indicates Surgery must be performed within 24-72 hrs,Emergent indicates surgery must be performed within 24 hours of diagnosis.` DESCRIPTION: `This elective indicates No Alteration in Surgical Schedule, Urgent indicates Surgery must be performed within 24-72 hours, Emergent indicates surgery must be performed with 24 hours of diagnosis.`
75	ESTIMATE OF MORTALITY	4;10	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."2N.N) X` LAST EDITED: `JUN 21, 1990` HELP-PROMPT: `Type a Number between 0 and 100, 1 Decimal Digit` DESCRIPTION: `This field identifies a number between 0 and 100.`
75.5	INTENDED OPERATIVE PROCEDURE	4;11	SET	'1' FOR Coronary Artery Bypass Graft(s) and/or LV Aneurysectomy; '2' FOR Aortic Valve Replacement-with or without CABG; '3' FOR Mitral Valve Replacement-with or without CABG; '4' FOR Great Vessel Repair; '5' FOR Any Other Procedure; LAST EDITED: `AUG 25, 1989` HELP-PROMPT: `Enter a code from 1-5.` DESCRIPTION: `This allows the user to choose the intended operative procedure.`
76	DATE/TIME SURGERY BEGAN	10;1	DATE	INPUT TRANSFORM: `S %DT="ETXR" D ^%DT S X=Y K:Y<1 X` HELP-PROMPT: `Enter the date/time surgery began. If this time and date precedes time and date that physician's estimate of mortality was entered, no estimated risk will be calculated` DESCRIPTION: `This field identifies the date/time the surgery began. If this time and date precedes time and date that physician's estimate or mortality was entered, no estimated risk will be calculated.`
77	BYPASS GRAFTS WITH VEIN	10;2	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>9)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Enter the number of distal anastomoses constructed with vein grafts (0-9)` DESCRIPTION: `This field identifies the number of distal anastomoses constructed with vein grafts (0-9).`
78	BYPASS GRAFTS WITH ARTERY	10;3	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>4)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Enter the number of distal anastomoses constructed with an internal mammary artery (0-4).` DESCRIPTION: `This field identifies the number of distal anastomoses constructed with an internal mammary artery (0-4).`
79	GREAT VESSEL REPAIR W BYPASS	10;4	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates primary procedure was repair of aorta or other great vessels requiring left heart bypass with or without aortic valve replacement or CABG.` DESCRIPTION: `'Yes' indicates primary procedure was repair of aorta or other great vessels requiring left heart bypass with or without aortic valve replacement or CABG.`
80	CARDIAC TRANSPLANT	10;5	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates orthotopic or heterotopic transplant. Heart-Lung transplant should be listed under 'Other'` DESCRIPTION: `'Yes' indicates orthotopic or heterotopic transplant. Heart-lung transplant should be listed under 'Other'.`
81	MITRAL VALVE REPLACEMENT	10;6	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates mitral valve replacement was performed with or without additional procedure(s)` DESCRIPTION: `'Yes' indicates mitral valve replacement was performed with or without additional procedure(s).`
82	AORTIC VALVE REPLACEMENT	10;7	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates aortic valve replacement was performed with or without additional procedure(s)` DESCRIPTION: `'Yes' indicates aortic valve replacement was performed with or without additional procedure(s).`
83	TRICUSPID VALVE REPLACEMENT	10;8	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates tricuspid valve replacement was performed with or without additional procedure(s)` DESCRIPTION: `'Yes' indicates tricuspid valve replacement was performed with cardiopulmonary bypass with or without additional procedure(s).`
84	VALVE REPAIR	10;9	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates repair of any cardiac valve was performed with cardiopulmonary bypass with or without additional procedure(s)` DESCRIPTION: `'Yes' indicates repair of any cardiac valve was performed with cardiopulmonary bypass with or without additional procedure(s).`
85	LV ANEURYSECTOMY OR PLICATION	10;10	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates resection or plication of left ventricular aneurysm with or without additional procedure(s)` DESCRIPTION: `'Yes' indicates resection or plication of left ventricular aneurysm with or without additional procedure(s).`
86	OTHER PROCEDURE(S)	11;0	POINTER Multiple #694.586	694.586 DESCRIPTION: `This allows the user to enter information about other procedures.`
87	TOTAL CROSS CLAMP TIME	13;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>600)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Enter the total duration of aortic cross clamp time in minutes (0-600)` DESCRIPTION: `This enters the total duration of aortic cross clamp time in minutes (0-600)`
88	TOTAL CIRCULATORY ARREST	13;2	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `Answer 'YES' or 'NO'` DESCRIPTION: `Should answer with 'Yes' or 'No'.`
89	INTEROPERATIVE USE OF BALLOON	13;3	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates use of intraaortic balloon regardless of whether placed pre- or intra-operatively` DESCRIPTION: `'Yes' indicates use of intra-aortic balloon regardless of whether placed pre- or intra-operatively.`
90	OPERATIVE DEATH	13;4	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates death from any cause within 30 days of surgery in or out of the hospital, or after 30 days if a direct result of a surgical complication` DESCRIPTION: `'Yes' indicates death from any cause within 30 days of surgery in or out of the hospital, or after 30 days if a direct result of a surgical complication.`
91	DATE OF OPERATIVE DEATH	13;5	DATE	INPUT TRANSFORM: `S %DT="ETX" D ^%DT S X=Y K:Y<1 X` HELP-PROMPT: `Enter the date of operative death` DESCRIPTION: `This field identifies the date of operative death.`
92	POSTOPERATIVE IABP	13;6	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates an Intraaortic balloon pump was used at any time during the postoperative hospitilization, regardless of whether it had been placed earlier` DESCRIPTION: `'Yes' indicates an Intra-aortic balloon pump was used at any time during the post operative hospitalization, regardless of whether it had been placed earlier.`
93	PERIOPERATIVE MYOCAR. INFARC.	13;7	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates appearance of new or significantly widened Q-waves on postoperative electrocardiogram` DESCRIPTION: `'Yes' indicates appearance of new or significantly widened Q-waves on postoperative electrocardiogram.`
94	ENDOCARDITIS	13;8	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' incidates new onset of endocarditis diagnosed within the 30 days following surgery` DESCRIPTION: `'Yes' indicates new onset of endocarditis diagnosed within the 30 days following surgery.`
95	RENAL FAILURE	13;9	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates development of exacerbation of renal failure requiring initiation of dialysis during the postoperative hospitalization.` DESCRIPTION: `'Yes' indicates development of exacerbation of renal failure requiring initiation of dialysis during the postoperative hospitalization.`
96	LOW CARDIAC OUTPUT	13;10	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `AUG 25, 1989` HELP-PROMPT: `'YES' indicates cardiac index < 2.0 L/min/M2 for => 6 hours postoperatively or evidence of poor peripheral perfusion (e.g. IABPor sustained use of positive inotropic agents)` DESCRIPTION: `'Yes' indicates cardiac index < 2.0 L/min/M2 for => 6 hours postoperative or evidence of poor peripheral perfusion (e.g. IABP or sustained use of positive inotropic agents).`
97	MEDIASTINITIS	13;11	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates any infection below sternum during postoperative hospitalization or appearing within the 30 days following surgery` DESCRIPTION: `'Yes' indicates any infection below sternum during postoperative hospitalization or appearing within the 30 days following surgery.`
98	REOPERATION FOR BLEEDING	13;12	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' if any reexploration of thorax for excessive bleeding during postoperative hospitalization` DESCRIPTION: `'Yes' if any re-exploration of thorax for excessive bleeding during postoperative hospitalization.`
99	REPEAT CARDIOPULMONARY BYPASS	13;13	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates any surgical procedure requiring cardio pulmonary bypass during post-operative hospitalization or within 30 days of initial operation.` DESCRIPTION: `'Yes' indicates any surgical procedure requiring cardiopulmonary bypass during post-operative hospitalization or within 30 days of initial operation.`
100	ON VENTILATOR (48 HRS OR MORE)	13;14	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates total duration of ventilator-assisted respiration during postoperative hospitalization was => 48 hours.` DESCRIPTION: `'Yes' indicates total duration of ventilator-assisted respiration during postoperative hospitalization was => 48 hours.`
101	COMA (24 HRS OR MORE)	13;15	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates significantly impaired level of consciousness (exclude transient disorientation or psychosis) for => 48 hours during postoperative hospilitization` DESCRIPTION: `'Yes' indicates significantly impaired level of consciousness (exclude transient disorientation or psychosis) for => 48 hours during postoperative hospitalization.`
102	STROKE	13;16	SET	'Y' FOR YES; 'N' FOR NO; HELP-PROMPT: `'YES' indicates objective neurologic deficit lasting => 30 minutes with onset intra- or post-operatively` DESCRIPTION: `'Yes' indicates objective neurologic deficit lasting => 30 minutes with onset intra- or post-operatively.`
103	PTCA	4;12	SET	'1' FOR none recent; '2' FOR 12 - 72 hr; '3' FOR <12 hr; LAST EDITED: `MAY 15, 1990` HELP-PROMPT: `Percutaneous transluminal coronary artery angioplasty.` DESCRIPTION: `This field identifies percutaneous transluminal coronary artery angioplasty.`
104	LV CONTRACTION SCORE	4;15	SET	'1' FOR I > 0.54 Normal; '2' FOR II 0.45-0.54 Mild dysfunction; '3' FOR III 0.35-0.44 Moderate dysfunction; '4' FOR IV 0.25-0.34 Severe dysfunction; '5' FOR V <0.25 Very severe dysfunction; '0' FOR ? unknown No LV study; LAST EDITED: `MAY 16, 1990` HELP-PROMPT: `Enter a code from 0-5 indicating the patient's LV Contraction range.` DESCRIPTION: `This field identifies the LV Contraction score.`
105	ELECTROPHYSIOLOGIC PROCEDURE	4;16	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `MAY 16, 1990` HELP-PROMPT: `Enter (Y)es or (N)o.` DESCRIPTION: `This field identifies the electrophysiologic procedure.`
106	PHYSICIAN ESTIMATE DATE	4;17	DATE	INPUT TRANSFORM: `S %DT="ESTX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUN 07, 1990` HELP-PROMPT: `Enter a date (and time, if desired).` DESCRIPTION: `This field identifies the physician's estimate date.`
107	PHYSICIAN'S ESTIMATE	4;18	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."3N.N) X` LAST EDITED: `JUN 08, 1990` HELP-PROMPT: `Type a Number between 0 and 100, 2 Decimal Digits` DESCRIPTION: `This field identifies a number between 0 and 100, 2 decimal digits and is the estimate survival rate of the patient.` CROSS-REFERENCE: `694.5^AG^MUMPS` `1)= S $P(^MCAR(694.5,DA,4),U,17)=DT` `2)= S $P(^MCAR(694.5,DA,4),U,18)=""` `This cross-reference updates the fields PHYSICIAN'S ESTIMATE (#107) and PHYSICIAN'S ESTIMATE DATE (#106).`

Name	Field # of Occurrence
^%DT	.01+1, 76+1, 91+1, 106+1
Y^DIQ	ID1+1
RISK^MCARBSA	4(XREF 1S), 5(XREF 1S), 6(XREF 1S), 7(XREF 1S)

Name	Line Occurrences (* Changed, ! Killed)
^DD(690	ID1+1
^MCAR(690 - [#690]	ID1+1
^MCAR(694.5 - [#694.5]	.01(XREF 1S), .01(XREF 1K), 1(XREF 1S), 1(XREF 1K), 4(XREF 1K), 5(XREF 1K), 6(XREF 1K), 7(XREF 1K), 107(XREF 1S), 107(XREF 1K)

Name	Field # of Occurrence
^(0	ID1+1
^(10	ID76+1

>>	Not killed explicitly
*	Changed
!	Killed
~	Newed

Name	Field # of Occurrence
>> %DT	.01+1, 76+1, 91+1, 106+1
%I	ID1+1*!
>> C	ID1+1*
>> DA	.01(XREF 1S), .01(XREF 1K), 1(XREF 1S), 1(XREF 1K), 4(XREF 1K), 5(XREF 1K), 6(XREF 1K), 7(XREF 1K), 107(XREF 1S), 107(XREF 1K)
>> DIC	ID1+1
DT	107(XREF 1S)
U	ID1+1, ID76+1, 4(XREF 1K), 5(XREF 1K), 6(XREF 1K), 7(XREF 1K), 107(XREF 1S), 107(XREF 1K)
X	.01+1!, .01(XREF 1S), .01(XREF 1K), 1(XREF 1S), 1(XREF 1K), 3+1!, 4+1!, 5+1!, 6+1!, 7+1! , 8+1!, 22+1!, 42+1!, 43+1!, 44+1!, 45+1!, 46+1!, 47+1!, 48+1!, 49+1! , 50+1!, 60+1!, 66+1!, 66.5+1!, 67+1!, 69+1!, 71+1!, 75+1!, 76+1!, 77+1! , 78+1!, 87+1!, 91+1!, 106+1!, 107+1!
>> Y	ID1+1*, .01+1, 76+1, 91+1, 106+1

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Package: Medicine

Global: ^MCAR(694.5

Information

Description

Directly Accessed By Routines, Total: 13

Accessed By FileMan Db Calls, Total: 3

Pointer To FileMan Files, Total: 3

Fields, Total: 91

External References

Global Variables Directly Accessed

Naked Globals

Local Variables

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