<?xml version="1.0" encoding="UTF-8"?>
<dataDictionary version="5.0" releaseDate="2010-10-09" registryID="ACC-NCDR-CathPCI-5.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
	<sectionContainment>
		<section code="DEMOGRAPHICS" displayName="A. Demographics">
			<containerClass>patientContainer</containerClass>
			<parentSection>Root</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[1..1]]></cardinality>F
		</section>
		<section code="EPISODEOFCARE" displayName="B. Episode of Care">
			<containerClass>episodeContainer</containerClass>
			<parentSection>Root</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[1..1]]></cardinality>
		</section>
		<section code="EOCINFO" displayName="Episode Information">
			<containerClass>episodeContainer</containerClass>
			<parentSection>B. Episode of Care</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[1..1]]></cardinality>
		</section>
		<section code="ATTPROVIDERS" displayName="Attending Providers">
			<containerClass>episodeContainer</containerClass>
			<parentSection>Episode Information</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="RSTUDY" displayName="Research Study">
			<containerClass>episodeContainer</containerClass>
			<parentSection>B. Episode of Care</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="HXANDRISKFACTORS" displayName="C. History and Risk Factors">
			<containerClass>episodeContainer</containerClass>
			<parentSection>Root</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="PROCINFO" displayName="E. Procedure Information">
			<containerClass>episodeContainer</containerClass>
			<parentSection>Root</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[1..n]]></cardinality>
		</section>
		<section code="PREPROCINFO" displayName="D. Pre-Procedure Information">
			<containerClass>episodeContainer</containerClass>
			<parentSection>E. Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="DIAGNOSTICTEST" displayName="Diagnostic Test">
			<containerClass>episodeContainer</containerClass>
			<parentSection>D. Pre-Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="STRESSTEST" displayName="Stress Test">
			<containerClass>episodeContainer</containerClass>
			<parentSection>Diagnostic Test</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="PREPROCMED" displayName="Pre-Procedure Medications">
			<containerClass>episodeContainer</containerClass>
			<parentSection>D. Pre-Procedure Information</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="SAQ" displayName="SA Questionnaire">
			<containerClass>episodeContainer</containerClass>
			<parentSection>D. Pre-Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="ROSE" displayName="Rose Dyspnea Scale">
			<containerClass>episodeContainer</containerClass>
			<parentSection>D. Pre-Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="CLMETHOD" displayName="Closure Methods">
			<containerClass>episodeContainer</containerClass>
			<parentSection>E. Procedure Information</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="LABS" displayName="F. Labs">
			<containerClass>episodeContainer</containerClass>
			<parentSection>E. Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="PREPROCLABS" displayName="Pre-Procedure Labs">
			<containerClass>episodeContainer</containerClass>
			<parentSection>F. Labs</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="POSTPROCLABS" displayName="Post-Procedure Labs">
			<containerClass>episodeContainer</containerClass>
			<parentSection>F. Labs</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="LABVISIT" displayName="G. Cath Lab Visit">
			<containerClass>episodeContainer</containerClass>
			<parentSection>E. Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="VALVULARDZSTEN" displayName="Valvular Disease Stenosis">
			<containerClass>episodeContainer</containerClass>
			<parentSection>G. Cath Lab Visit</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="VALVULARDZREGURG" displayName="Valvular Disease Regurgitation">
			<containerClass>episodeContainer</containerClass>
			<parentSection>G. Cath Lab Visit</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="CORANATOMY" displayName="H. Coronary Anatomy">
			<containerClass>episodeContainer</containerClass>
			<parentSection>E. Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="NVESSEL" displayName="Native Vessel">
			<containerClass>episodeContainer</containerClass>
			<parentSection>H. Coronary Anatomy</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="GVESSEL" displayName="Graft Vessel">
			<containerClass>episodeContainer</containerClass>
			<parentSection>H. Coronary Anatomy</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="PCIPROC" displayName="I. PCI Procedure">
			<containerClass>episodeContainer</containerClass>
			<parentSection>E. Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="PROCMED" displayName="Procedure Medications">
			<containerClass>episodeContainer</containerClass>
			<parentSection>I. PCI Procedure</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="LESIONDEV" displayName="J. Lesions and Devices">
			<containerClass>episodeContainer</containerClass>
			<parentSection>I. PCI Procedure</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[1..n]]></cardinality>
		</section>
		<section code="DEVICES" displayName="Devices">
			<containerClass>episodeContainer</containerClass>
			<parentSection>I. PCI Procedure</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="INTPOSTEVENT" displayName="K. Intra and Post-Procedure Events">
			<containerClass>episodeContainer</containerClass>
			<parentSection>E. Procedure Information</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="IPPEVENTS" displayName="Intra and Post-Procedure Events">
			<containerClass>episodeContainer</containerClass>
			<parentSection>K. Intra and Post-Procedure Events</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="DISCHARGE" displayName="L. Discharge">
			<containerClass>episodeContainer</containerClass>
			<parentSection>Root</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[1..1]]></cardinality>
		</section>
		<section code="DISCHMED" displayName="Discharge Medications">
			<containerClass>episodeContainer</containerClass>
			<parentSection>L. Discharge</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="FUP" displayName="M. Follow-Up">
			<containerClass>followupContainer</containerClass>
			<parentSection>Root</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[1..1]]></cardinality>
		</section>
		<section code="FUP-RSTUDY" displayName="Follow-Up Research Study">
			<containerClass>followupContainer</containerClass>
			<parentSection>M. Follow-Up</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="FUP-EVENT" displayName="Follow-Up Events">
			<containerClass>followupContainer</containerClass>
			<parentSection>M. Follow-Up</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="FUP-MEDPRES" displayName="Follow-Up Medications">
			<containerClass>followupContainer</containerClass>
			<parentSection>M. Follow-Up</parentSection>
			<sectionType>Repeater Section</sectionType>
			<cardinality><![CDATA[0..n]]></cardinality>
		</section>
		<section code="FUP-SAQ" displayName="Follow-Up SA Questionnaire">
			<containerClass>followupContainer</containerClass>
			<parentSection>M. Follow-Up</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="FUP-ROSE" displayName="Follow-Up Rose Dyspnea Scale">
			<containerClass>followupContainer</containerClass>
			<parentSection>M. Follow-Up</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[0..1]]></cardinality>
		</section>
		<section code="ADMIN" displayName="Z. Administration">
			<containerClass>submissionInfoContainer</containerClass>
			<parentSection>Root</parentSection>
			<sectionType>Section</sectionType>
			<cardinality><![CDATA[1..1]]></cardinality>
		</section>
	</sectionContainment>
	<elements>
		<element reference="2000" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142463">
			<name>Last Name</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's last name. Hyphenated names should be recorded with a hyphen.]]></codingInstruction>
			<technicalSpecification>
				<shortName>LastName</shortName>
				<dataType>LN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2010" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142463">
			<name>First Name</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's first name.]]></codingInstruction>
			<technicalSpecification>
				<shortName>FirstName</shortName>
				<dataType>FN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2020" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142463">
			<name>Middle Name</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's middle name.

Note(s):
It is acceptable to specify the middle initial.

If there is no middle name given, leave field blank.

If there are multiple middle names, enter all of the middle names sequentially.

If the name exceeds 50 characters, enter the first 50 letters only.]]></codingInstruction>
			<technicalSpecification>
				<shortName>MidName</shortName>
				<dataType>MN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2030" codeSystem="2.16.840.1.113883.4.1" codeSystemName="United States Social Security Number (SSN)" code="2.16.840.1.113883.4.1">
			<name>SSN</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's United States Social Security Number (SSN).

Note(s):
If the patient does not have a US Social Security Number (SSN), leave blank and check 'SSN NA'.]]></codingInstruction>
			<technicalSpecification>
				<shortName>SSN</shortName>
				<dataType>ST</dataType>
				<precision>9</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2031</parentElementReference>
						<parentElementName>SSN N/A</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2031" codeSystem="2.16.840.1.113883.4.1" codeSystemName="United States Social Security Number (SSN)" code="2.16.840.1.113883.4.1">
			<name>SSN N/A</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient does not have a United States Social Security Number (SSN).]]></codingInstruction>
			<technicalSpecification>
				<shortName>SSNNA</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2040" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.842">
			<name>Patient ID</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the number created and automatically inserted by the software that uniquely identifies this patient.

Note(s):
Once assigned to a patient at the participating facility, this number will never be changed or reassigned to a different patient. If the patient returns to the same participating facility or for follow up, they will receive this same unique patient identifier.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NCDRPatientID</shortName>
				<dataType>NUM</dataType>
				<precision>9</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>Yes</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin/>
						<usualRangeMax/>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>999999999</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="2045" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.843">
			<name>Other ID</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate an optional patient identifier, such as medical record number, that can be associated with the patient.]]></codingInstruction>
			<technicalSpecification>
				<shortName>OtherID</shortName>
				<dataType>ST</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>No Action</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2050" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142447">
			<name>Birth Date</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's date of birth.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DOB</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Date of Birth(2050) is greater than 01/01/1850 (DOB > 1/1/1850)
Date Rule 2: Date of Birth(2050) is less than Arrival Date and Time(3001) (DOB < ArrivalDateTime)
Date Rule 3: Patient must be 18 years or older to be include in registry (ArrivalDateTime - DOB >= 18 years)]]></vendorInstruction>
			</technicalSpecification>
		</element>
		<element reference="2060" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142448">
			<name>Sex</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's sex at birth.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 Administrative Gender" code="M">
					<selectionName><![CDATA[Male]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 Administrative Gender" code="F">
					<selectionName><![CDATA[Female]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>Sex</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2065" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142449">
			<name>Patient Zip Code</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's United States Postal Service zip code of their primary residence.

Note(s):
If the patient does not have a U.S. residence, or is homeless, leave blank and check 'Zip Code NA'.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ZipCode</shortName>
				<dataType>ST</dataType>
				<precision>5</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2066</parentElementReference>
						<parentElementName>Zip Code N/A</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2066" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142449">
			<name>Zip Code N/A</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient does not have a United States Postal Service zip code.

Note(s):
This includes patients who do not have a U.S. residence or are homeless.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ZipCodeNA</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2070" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2106-3">
			<name>Race - White</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is White as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>White (race)</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Europe, the Middle East, or North Africa.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceWhite</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2071" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2054-5">
			<name>Race - Black/African American</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Black or African American as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Black/African American (race)</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the black racial groups of Africa. Terms such as "Haitian" or "Negro" can be used in addition to "Black or African American."]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceBlack</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2073" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="1002-5">
			<name>Race - American Indian/Alaskan Native</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is American Indian or Alaskan Native as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>American Indian or Alaskan Native (race)</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceAmIndian</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2072" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2028-9">
			<name>Race - Asian</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Asian as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian (race)</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceAsian</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2080" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2029-7">
			<name>Race - Asian Indian</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Asian Indian as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian Indian</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of India.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceAsianIndian</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2072</parentElementReference>
						<parentElementName>Race - Asian</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2081" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2034-7">
			<name>Race - Chinese</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Chinese as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian - Chinese</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of China.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceChinese</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2072</parentElementReference>
						<parentElementName>Race - Asian</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2082" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2036-2">
			<name>Race - Filipino</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Filipino as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian - Filipino</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of the Philippines.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceFilipino</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2072</parentElementReference>
						<parentElementName>Race - Asian</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2083" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2039-6">
			<name>Race - Japanese</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Japanese as determined by the patient/family.  

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian - Japanese</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Japan.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceJapanese</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2072</parentElementReference>
						<parentElementName>Race - Asian</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2084" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2040-4">
			<name>Race - Korean</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Korean as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian - Korean </title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity ]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Korea.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceKorean</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2072</parentElementReference>
						<parentElementName>Race - Asian</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2085" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2047-9">
			<name>Race - Vietnamese</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Vietnamese as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian - Vietnamese</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Viet Nam.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceVietnamese</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2072</parentElementReference>
						<parentElementName>Race - Asian</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2086" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001130">
			<name>Race - Other Asian</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is of Other Asian descent as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Asian - Other Asian</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples elsewhere in Asia.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceAsianOther</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2072</parentElementReference>
						<parentElementName>Race - Asian</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2074" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2076-8">
			<name>Race - Native Hawaiian/Pacific Islander</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Native Hawaiian or Pacific Islander as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Race - Native Hawaiian/Pacific Islander - Native Hawaiian</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceNatHaw</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2090" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2079-2">
			<name>Race - Native Hawaiian</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Native Hawaiian or Pacific Islander as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Native Hawaiian</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity ]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of the islands of Hawaii.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceNativeHawaii</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2074</parentElementReference>
						<parentElementName>Race - Native Hawaiian/Pacific Islander</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2091" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2086-7">
			<name>Race - Guamanian or Chamorro</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Guamanian or Chamorro as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Native Hawaiian/Pacific Islander - Guamanian or Chamorro</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of the Mariana Islands or the island of Guam.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceGuamChamorro</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2074</parentElementReference>
						<parentElementName>Race - Native Hawaiian/Pacific Islander</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2092" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2080-0">
			<name>Race - Samoan</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Samoan as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Native Hawaiian/Pacific Islander - Samoan</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of the island of the Samoa.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RaceSamoan</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2074</parentElementReference>
						<parentElementName>Race - Native Hawaiian/Pacific Islander</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2093" codeSystem="2.16.840.1.113883.5.104" codeSystemName="HL7 Race" code="2500-7">
			<name>Race - Other Pacific Islander</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Other Pacific Islander as determined by the patient/family.

Note(s):
If the patient has multiple race origins, specify them using the other race selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Native Hawaiian/Pacific Islander - Other Pacific Island</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of any other island in the Pacific. ]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>RacePacificIslandOther</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2074</parentElementReference>
						<parentElementName>Race - Native Hawaiian/Pacific Islander</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2076" codeSystem="2.16.840.1.113883.5.50" codeSystemName="HL7 Ethnicity" code="2135-2">
			<name>Hispanic or Latino Ethnicity</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is of Hispanic or Latino ethnicity as determined by the patient/family. 

Note(s):
If the patient has multiple hispanic or latin ethnicity, specify them using the other ethnicity selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hispanic or Latino Ethnicity</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[A person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino." ]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HispOrig</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="2100" codeSystem="2.16.840.1.113883.5.50" codeSystemName="HL7 Ethnicity" code="2148-5">
			<name>Hispanic Ethnicity Type - Mexican, Mexican-American, Chicano</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Mexican, Mexican - American, or Chicano as determined by the patient/family.

Note(s):
If the patient has multiple hispanic or latin ethnicity, specify them using the other ethnicity selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hispanic Ethnicity - Mexican/Mexican American/Chicano</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Mexico.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HispEthnicityMexican</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2076</parentElementReference>
						<parentElementName>Hispanic or Latino Ethnicity</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2101" codeSystem="2.16.840.1.113883.5.50" codeSystemName="HL7 Ethnicity" code="2180-8">
			<name>Hispanic Ethnicity Type - Puerto Rican</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Puerto Rican as determined by the patient/family. 

Note(s):
If the patient has multiple hispanic or latin ethnicity, specify them using the other ethnicity selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hispanic Ethnicity - Puerto Rican</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Puerto Rico.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HispEthnicityPuertoRico</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2076</parentElementReference>
						<parentElementName>Hispanic or Latino Ethnicity</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2102" codeSystem="2.16.840.1.113883.5.50" codeSystemName="HL7 Ethnicity" code="2182-4">
			<name>Hispanic Ethnicity Type - Cuban</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is Cuban as determined by the patient/family.

Note(s):
If the patient has multiple hispanic or latin ethnicity, specify them using the other ethnicity selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hispanic Ethnicity - Cuban</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the original peoples of Cuba.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HispEthnicityCuban</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2076</parentElementReference>
						<parentElementName>Hispanic or Latino Ethnicity</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2103" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001131">
			<name>Hispanic Ethnicity Type - Other Hispanic, Latino or Spanish Origin</name>
			<sectionDisplayName>A. Demographics</sectionDisplayName>
			<sectionCode>DEMOGRAPHICS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is another Hispanic, Latino, or Spanish origin as determined by the patient/family.

Note(s):
If the patient has multiple hispanic or latin ethnicity, specify them using the other ethnicity selections in addition to this one.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hispanic Ethnicity - Other Hispanic/Latino/Spanish Origin</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[U.S. Office of Management and Budget. Classification of Federal Data on Race and Ethnicity]]></source>
					<definition><![CDATA[Having origins in any of the originals peoples in other Hispanic, Latino or Spanish territories.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HispEthnicityOtherOrigin</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>2076</parentElementReference>
						<parentElementName>Hispanic or Latino Ethnicity</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="2999" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.855">
			<name>Episode Unique Key</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the unique key associated with each patient episode record as assigned by the EMR/EHR or your software application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>EpisodeKey</shortName>
				<dataType>ST</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>Yes</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3001" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142450">
			<name>Arrival Date and Time</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time the patient arrived at your facility.

Note(s):
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).]]></codingInstruction>
			<technicalSpecification>
				<shortName>ArrivalDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Arrival Date and Time(3001) is less than Discharge Date and Time(10101) (ArrivalDateTime < DCDateTime)
Date Rule 2: Arrival Date and Time(3001) is less than Procedure Start Date and Time(7000) (ArrivalDateTime < ProcedureStartDateTime)]]></vendorInstruction>
			</technicalSpecification>
		</element>
		<element reference="3050" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142451">
			<name>Admitting Provider's Last Name</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the last name of the admitting provider.

Note(s):
If the name exceeds 50 characters, enter the first 50 characters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AdmLName</shortName>
				<dataType>LN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3051" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142451">
			<name>Admitting Provider's First Name</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the first name of the admitting provider.

Note(s):
If the name exceeds 50 characters, enter the first 50 characters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AdmFName</shortName>
				<dataType>FN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3052" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142451">
			<name>Admitting Provider's Middle Name</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the middle name of the admitting provider.

Note(s):
It is acceptable to specify the middle initial.

If there is no middle name given, leave field blank.

If there are multiple middle names, enter all of the middle names sequentially.

If the name exceeds 50 characters, enter the first 50 letters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AdmMName</shortName>
				<dataType>MN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3053" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142451">
			<name>Admitting Provider's NPI</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the National Provider Identifier (NPI) of the provider that admitted the patient. NPI's, assigned by the Centers for Medicare and Medicaid Services (CMS), are used to uniquely identify physicians for Medicare billing purposes.

Note(s): 
The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AdmNPI</shortName>
				<dataType>NUM</dataType>
				<precision>10</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3005" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="63513-6">
			<name>Health Insurance</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has health insurance.]]></codingInstruction>
			<technicalSpecification>
				<shortName>HealthIns</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3010" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001072">
			<name>Health Insurance Payment Source</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's health insurance payment type.

Note(s):
If the patient has multiple insurance payors, select all payors.

If there is uncertainty regarding how to identify a specific health insurance plan, please discuss with your billing department to understand how it should be identified in the registry.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="PHDSC" code="5">
					<selectionName><![CDATA[Private Health Insurance]]></selectionName>
					<selectionDefinition><![CDATA[Private health insurance is coverage by a health plan provided through an employer or union or purchased by an individual from a private health insurance company. A health maintenance organization (HMO) is considered private health insurance.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="PHDSC" code="1">
					<selectionName><![CDATA[Medicare  ]]></selectionName>
					<selectionDefinition><![CDATA[Medicare is the Federal program which helps pay health care costs for people 65 and older and for certain people under 65 with long-term disabilities.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="PHDSC" code="2">
					<selectionName><![CDATA[Medicaid]]></selectionName>
					<selectionDefinition><![CDATA[Medicaid is a program administered at the state level, which provides medical assistance to the needy. Families with dependent children, the aged, blind, and disabled who are in financial need are eligible for Medicaid. It may be known by different names.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="PHDSC" code="31">
					<selectionName><![CDATA[Military Health Care]]></selectionName>
					<selectionDefinition><![CDATA[Military Health care - Military health care includes TRICARE/CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) and CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs), as well as care provided by the Department of Veterans Affairs (VA).]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="PHDSC" code="36">
					<selectionName><![CDATA[State-Specific Plan (non-Medicaid)]]></selectionName>
					<selectionDefinition><![CDATA[State Specific Plans - Some states have their own health insurance programs for low-income uninsured individuals. These health plans may be known by different names in different states.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="PHDSC" code="33">
					<selectionName><![CDATA[Indian Health Service]]></selectionName>
					<selectionDefinition><![CDATA[Indian Health Service (IHS) is a health care program through which the Department of Health and Human Services provides medical assistance to eligible American Indians at IHS facilities. In addition, the IHS helps pay the cost of selected health care services provided at non-HIS facilities.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000812">
					<selectionName><![CDATA[Non-US Insurance]]></selectionName>
					<selectionDefinition><![CDATA[Non-US insurance refers to individuals with a payor that does not originate in the United States.]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>HIPS</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>3005</parentElementReference>
						<parentElementName>Health Insurance</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="3015" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000517">
			<name>Health Insurance Claim Number (HIC)</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's Health Insurance Claim (HIC) number.

Note(s):
Enter the Health Insurance Claim (HIC) number for those patients covered by Medicare. Patients with other insurances will not have a HIC number.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Health Insurance Claim Number</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Centers for Medicare and Medicaid Services]]></source>
					<definition><![CDATA[The Health Insurance Claim (HIC) number is the unique identifier issued to all Medicare eligible beneficiaries by either the Social Security Administration (SSA) or the Centers for Medicare & Medicaid Services.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HIC</shortName>
				<dataType>ST</dataType>
				<precision>20</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3020" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001095">
			<name>Patient Enrolled in Research Study</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>Any occurrence between arrival at this facility and discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is enrolled in an ongoing ACC - NCDR research study related to this registry.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Patient Enrolled in Research Study</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Clinicaltrials.gov Glossary of Common Site Terms retrieved from http://clinicaltrials.gov/ct2/about-studies/glossary#interventional-study]]></source>
					<definition><![CDATA[A clinical or research study is one in which participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes. The assignments are determined by the study protocol. Participants may receive diagnostic, therapeutic, or other types of interventions.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>EnrolledStudy</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3036" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000922">
			<name>Patient Restriction</name>
			<sectionDisplayName>Episode Information</sectionDisplayName>
			<sectionCode>EOCINFO</sectionCode>
			<targetValue>Last value between arrival and discharge from facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient requested for their information not to be used for any research or studies for the associated episode of care.

Note(s):
Documentation must be found in the patient record to support the request of removal of their information.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PtRestriction2</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3055" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142452">
			<name>Attending Provider's Last Name</name>
			<sectionDisplayName>Attending Providers</sectionDisplayName>
			<sectionCode>ATTPROVIDERS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the last name of the attending provider.

Note(s):
If the name exceeds 50 characters, enter the first 50 characters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AttLName</shortName>
				<dataType>LN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3056" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142452">
			<name>Attending Provider's First Name</name>
			<sectionDisplayName>Attending Providers</sectionDisplayName>
			<sectionCode>ATTPROVIDERS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the first name of the attending provider.

Note(s):
If the name exceeds 50 characters, enter the first 50 characters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AttFName</shortName>
				<dataType>FN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3057" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142452">
			<name>Attending Provider's Middle Name</name>
			<sectionDisplayName>Attending Providers</sectionDisplayName>
			<sectionCode>ATTPROVIDERS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the middle name of the admitting provider.

Note(s):
It is acceptable to specify the middle initial.

If there is no middle name given, leave field blank.

If there are multiple middle names, enter all of the middle names sequentially.

If the name exceeds 50 characters, enter the first 50 letters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AttMName</shortName>
				<dataType>MN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3058" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142452">
			<name>Attending Provider's NPI</name>
			<sectionDisplayName>Attending Providers</sectionDisplayName>
			<sectionCode>ATTPROVIDERS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the National Provider Identifier (NPI) of the provider that will be listed as the physician of record during the hospitalization. NPI's, assigned by the Centers for Medicare and Medicaid Services (CMS), are used to uniquely identify physicians for Medicare billing purposes.

Note(s): 
The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AttNPI</shortName>
				<dataType>NUM</dataType>
				<precision>10</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="3025" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001096">
			<name>Research Study Name</name>
			<sectionDisplayName>Research Study</sectionDisplayName>
			<sectionCode>RSTUDY</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the research study name as provided by the research study protocol.

Note(s):
If the patient is in more than one research study, list each separately.]]></codingInstruction>
			<technicalSpecification>
				<shortName>StudyName</shortName>
				<dataType>ST</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>3020</parentElementReference>
						<parentElementName>Patient Enrolled in Research Study</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="3030" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.852">
			<name>Research Study Patient ID</name>
			<sectionDisplayName>Research Study</sectionDisplayName>
			<sectionCode>RSTUDY</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the research study patient identification number as assigned by the research protocol.

Note(s):
If the patient is in more than one research study, list each separately.]]></codingInstruction>
			<technicalSpecification>
				<shortName>StudyPtID</shortName>
				<dataType>ST</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>3020</parentElementReference>
						<parentElementName>Patient Enrolled in Research Study</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4615" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="38341003">
			<name>Hypertension</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has a current diagnosis of hypertension.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hypertension</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Acute Coronary Syndromes Data Standards (JACC 2001 38: 2114 - 30), The Society of Thoracic Surgeons]]></source>
					<definition><![CDATA[Hypertension is defined by any one of the following:

1.  History of hypertension diagnosed and treated with medication, diet and/or exercise

2.  Prior documentation of blood pressure greater than 140 mm Hg systolic and/or 90 mm Hg diastolic for patients without diabetes or chronic kidney disease, or prior documentation of blood pressure greater than 130 mm Hg systolic and/or 80 mm Hg diastolic on at least two occasions for patients with diabetes or chronic kidney disease

3.  Currently on pharmacologic therapy for treatment of hypertension.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>Hypertension</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4620" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="370992007">
			<name>Dyslipidemia</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has a history of dyslipidemia diagnosed and/or treated by a physician.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Dyslipidemia</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[National Heart, Lung and Blood Institute, National Cholesterol Education Program]]></source>
					<definition><![CDATA[National Cholesterol Education Program criteria include documentation of the following:
1. Total cholesterol greater than 200 mg/dL (5.18 mmol/l); or

2. Low-density lipoprotein (LDL) greater than or equal to 130 mg/dL (3.37 mmol/l); or,

3. High-density lipoprotein (HDL) less than 40 mg/dL (1.04 mmol/l).

For patients with known coronary artery disease, treatment is initiated if LDL is greater than 100 mg/dL (2.59 mmol/l), and this would qualify as hypercholesterolemia]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>Dyslipidemia</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4291" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="22298006">
			<name>Prior Myocardial Infarction</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has had at least one documented previous myocardial infarction.

Note(s): 
Code 'No' if the patient's only MI occurred at the transferring facility.

 Code 'Yes' if the patient's only MI occurred at the transferring facility but it was treated with PCI or CABG prior to arrival at this facility]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Myocardial Infarction/Prior MI</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Thygesen K, Alpert JS, Jaffe AS, et al. Third Universal Definition of Myocardial Infarction. J Am Coll Cardiol. 2012;60(16):1581-1598. doi:10.1016/j.jacc.2012.08.001.]]></source>
					<definition><![CDATA[Criteria for acute myocardial infarction: 
The term acute myocardial infarction (MI) should be used when there is evidence of myocardial necrosis in a clinical setting consistent with acute myocardial ischemia. Under these conditions any one of the following criteria meets the diagnosis for MI:
- Detection of a rise and/or fall of cardiac biomarker values [preferably cardiac troponin (cTn) with at least one value above the 99th percentile upper reference limit (URL) and with at least one of the following:

Symptoms of ischemia.
New or presumed new significant ST-segment-T wave (ST-T) changes or new left bundle branch block (LBBB). Development of pathological Q waves in the ECG.
Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality. Identification of an intracoronary thrombus by angiography or autopsy.

- Cardiac death with symptoms suggestive of myocardial ischemia and presumed new ischemic ECG changes or new LBBB, but death occurred before cardiac biomarkers were obtained, or before cardiac biomarker values would be increased.

- Percutaneous coronary intervention (PCI) related MI is arbitrarily defined by elevation of cTn values (>5 x 99th percentile URL) in patients with normal baseline values (99th percentile URL) or a rise of cTn values >20% if the baseline values are elevated and are stable or falling. In addition, either (i) symptoms suggestive of myocardial ischemia or (ii) new ischemic ECG changes or (iii) angiographic findings consistent with a procedural complication or (iv) imaging demonstration of new loss of viable myocardium or new regional wall motion abnormality are required.

- Stent thrombosis associated with MI when detected by coronary angiography or autopsy in the setting of myocardial ischemia and with a rise and/or fall of cardiac biomarker values with at least one value above the 99th percentile URL.

- Coronary artery bypass grafting (CABG) related MI is arbitrarily defined by elevation of cardiac biomarker values (>10 x 99th percentile URL) in patients with normal baseline cTn values (99th percentile URL). In addition, either (i) new pathological Q waves or new LBBB, or (ii) angiographic documented new graft or new native coronary artery occlusion, or (iii) imaging evidence of new loss of viable myocardium or new regional wall motion abnormality.

Any one of the following criteria meets the diagnosis for prior MI:
- Pathological Q waves with or without symptoms in the absence of non-ischemic causes.
- Imaging evidence of a region of loss of viable myocardium that is thinned and fails to contract, in the absence of a non-ischemic cause.
- Pathological findings of a prior MI.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HxMI</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4296" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="22298006">
			<name>Most Recent MI Date</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The last value between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the date of the most recent myocardial infarction.

Note(s):
If the month or day of the myocardial infarction is unknown, please code 01/01/YYYY. If the specific year is unknown in the current record, the year may be estimated based on timeframes found in prior medical record documentation (Example: If the patient had "most recent myocardial infarction" documented in a record from 2011, then the year 2011 can be utilized and coded as 01/01/2011).]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Myocardial Infarction/Prior MI</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Thygesen K, Alpert JS, Jaffe AS, et al. Third Universal Definition of Myocardial Infarction. J Am Coll Cardiol. 2012;60(16):1581-1598. doi:10.1016/j.jacc.2012.08.001.]]></source>
					<definition><![CDATA[Criteria for acute myocardial infarction: 
The term acute myocardial infarction (MI) should be used when there is evidence of myocardial necrosis in a clinical setting consistent with acute myocardial ischemia. Under these conditions any one of the following criteria meets the diagnosis for MI:
- Detection of a rise and/or fall of cardiac biomarker values [preferably cardiac troponin (cTn) with at least one value above the 99th percentile upper reference limit (URL) and with at least one of the following:

Symptoms of ischemia.
New or presumed new significant ST-segment-T wave (ST-T) changes or new left bundle branch block (LBBB). Development of pathological Q waves in the ECG.
Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality. Identification of an intracoronary thrombus by angiography or autopsy.

- Cardiac death with symptoms suggestive of myocardial ischemia and presumed new ischemic ECG changes or new LBBB, but death occurred before cardiac biomarkers were obtained, or before cardiac biomarker values would be increased.

- Percutaneous coronary intervention (PCI) related MI is arbitrarily defined by elevation of cTn values (>5 x 99th percentile URL) in patients with normal baseline values (99th percentile URL) or a rise of cTn values >20% if the baseline values are elevated and are stable or falling. In addition, either (i) symptoms suggestive of myocardial ischemia or (ii) new ischemic ECG changes or (iii) angiographic findings consistent with a procedural complication or (iv) imaging demonstration of new loss of viable myocardium or new regional wall motion abnormality are required.

- Stent thrombosis associated with MI when detected by coronary angiography or autopsy in the setting of myocardial ischemia and with a rise and/or fall of cardiac biomarker values with at least one value above the 99th percentile URL.

- Coronary artery bypass grafting (CABG) related MI is arbitrarily defined by elevation of cardiac biomarker values (>10 x 99th percentile URL) in patients with normal baseline cTn values (99th percentile URL). In addition, either (i) new pathological Q waves or new LBBB, or (ii) angiographic documented new graft or new native coronary artery occlusion, or (iii) imaging evidence of new loss of viable myocardium or new regional wall motion abnormality.

Any one of the following criteria meets the diagnosis for prior MI:
- Pathological Q waves with or without symptoms in the absence of non-ischemic causes.
- Imaging evidence of a region of loss of viable myocardium that is thinned and fails to contract, in the absence of a non-ischemic cause.
- Pathological findings of a prior MI.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HxMIDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Most Recent MI Date(4296) is greater than Date of Birth(2050) (HxMIDate > DOB)
Date Rule 2: Most Recent MI Date(4296) is prior or equal to Arrival Date and Time(3001) (HxMIDate <= ArrivalDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4291</parentElementReference>
						<parentElementName>Prior Myocardial Infarction</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4495" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="415070008">
			<name>Prior Percutaneous Coronary Intervention</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient had a percutaneous coronary intervention (PCI), prior to this admission.
]]></codingInstruction>
			<technicalSpecification>
				<shortName>PriorPCI</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4503" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="415070008">
			<name>Most Recent Percutaneous Coronary Intervention Date</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The last value between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the date of the most recent percutaneous coronary intervention (PCI) that the patient received prior to this admission.

Note(s):
If the month or day of the PCI is unknown, please code 01/01/YYYY. If the specific year is unknown in the current record, the year may be estimated based on timeframes found in prior medical record documentation (Example: If the patient had "most recent PCI" documented in a record from 2011, then the year 2011 can be utilized and coded as 01/01/2011).]]></codingInstruction>
			<technicalSpecification>
				<shortName>HxPCIDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Most Recent Percutaneous Coronary Intervention Date(4503) is greater than Date of Birth(2050)  (HxPCIDate > DOB)
Date Rule 2: Most Recent Percutaneous Coronary Intervention Date(4503) is prior or equal to Arrival Date and Time(3001) (HxPCIDate <= ArrivalDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4495</parentElementReference>
						<parentElementName>Prior Percutaneous Coronary Intervention</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4501" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001255">
			<name>Percutaneous Coronary Intervention of the Left Main Coronary Artery</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient's prior PCI included revascularization of the Left Main.]]></codingInstruction>
			<technicalSpecification>
				<shortName>LMPCI</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4502</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention of the Left Main Coronary Artery Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4502" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000346">
			<name>Percutaneous Coronary Intervention of the Left Main Coronary Artery Unknown</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if it is unknown if the patient's prior PCI included revascularization of the Left Main.]]></codingInstruction>
			<technicalSpecification>
				<shortName>LMPCIUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4495</parentElementReference>
						<parentElementName>Prior Percutaneous Coronary Intervention</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="6000" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="8302-2">
			<name>Height</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The last value prior to the start of the first procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's height in centimeters.]]></codingInstruction>
			<technicalSpecification>
				<shortName>Height</shortName>
				<dataType>PQ</dataType>
				<precision>5,2</precision>
				<unitofMeasure><![CDATA[cm]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[cm]]></unitofMeasure>
						<usualRangeMin>100.00</usualRangeMin>
						<usualRangeMax>225.00</usualRangeMax>
						<validRangeMin>20.00</validRangeMin>
						<validRangeMax>260.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="6005" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="3141-9">
			<name>Weight</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The last value prior to the start of the first procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's weight in kilograms. ]]></codingInstruction>
			<technicalSpecification>
				<shortName>Weight</shortName>
				<dataType>PQ</dataType>
				<precision>5,2</precision>
				<unitofMeasure><![CDATA[kg]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[kg]]></unitofMeasure>
						<usualRangeMin>40.00</usualRangeMin>
						<usualRangeMax>200.00</usualRangeMax>
						<validRangeMin>10.00</validRangeMin>
						<validRangeMax>700.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="4287" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="134439009">
			<name>Family History of Premature Coronary Artery Disease</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has a family history of premature coronary artery disease.

Note(s):  
If the patient is adopted, or the family history is unknown, code 'No'.

Family history includes any direct blood relatives (parents, siblings, children) who have had any of the following diagnosed at age less than 55 years for male relatives or less than 65 years for female relatives

1. Angina

2. Acute myocardial infarction

3. Sudden cardiac death without obvious cause

4. Coronary artery bypass graft surgery

5. Percutaneous coronary intervention]]></codingInstruction>
			<technicalSpecification>
				<shortName>FamilyHxCAD</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4551" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="62914000">
			<name>Cerebrovascular Disease</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has a history of cerebrovascular disease.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cerebrovascular Disease</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[ACCF/AHA 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records (JACC 2011;58;202-222)]]></source>
					<definition><![CDATA[Current or previous history of any of the following:

- Ischemic stroke: infarction of central nervous system tissue whether symptomatic or silent (asymptomatic).

-TIA: transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia without acute infarction. The symptoms typically last less than 24 hours.

- Noninvasive or invasive arterial imaging test demonstrating 50% stenosis of any of the major extracranial or intracranial vessels to the brain.

- Previous cervical or cerebral artery revascularization surgery or percutaneous intervention.

This does not include chronic (nonvascular) neurological diseases or other acute neurological insults such as metabolic and anoxic ischemic encephalopathy.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HxCVD</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4610" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="399957001">
			<name>Peripheral Arterial Disease</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has a history of peripheral arterial disease (PAD).]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Peripheral Arterial Disease</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[ACCF/AHA 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records (JACC 2011;58;202-222)]]></source>
					<definition><![CDATA[Current or previous history of peripheral arterial disease (includes subclavian, iliac, femoral, and upper- and lower-extremity vessels; excludes renal, coronary, cerebral, and mesenteric vessels and aneurysms). This can include:
* Claudication on exertion
* Amputation for arterial vascular insufficiency
* Vascular reconstruction, bypass surgery, or percutaneous revascularization in the arteries of the extremities
* Positive noninvasive test (e.g., ankle brachial index <= 0.9, ultrasound, MR or CT imaging of >50% diameter stenosis in any peripheral artery (i.e., subclavian, femoral, iliac) or angiographic imaging)]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PriorPAD</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4576" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="413839001">
			<name>Chronic Lung Disease</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has a history of chronic lung disease.

Note(s):
A history of chronic inhalation reactive disease (asbestosis, mesothelioma, black lung disease or pneumoconiosis) may qualify as chronic lung disease. Radiation induced pneumonitis or radiation fibrosis also qualifies as chronic lung disease. A history of atelectasis is a transient condition and does not qualify.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Chronic Lung Disease</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[ACC/AHA Key Data Elements and Definitions for Measuring the Clinical Management and Outcomes of Patients With Chronic Heart Failure Circulation. 2005;112:1888-1916]]></source>
					<definition><![CDATA[Chronic lung disease can include patients with chronic obstructive pulmonary disease, chronic bronchitis, or emphysema. It can also include a patient who is currently being chronically treated with inhaled or oral pharmacological therapy (e.g., beta-adrenergic agonist, anti-inflammatory agent, leukotriene receptor antagonist, or steroid). Patients with asthma or seasonal allergies are not considered to have chronic lung disease.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HxChronicLungDisease</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4515" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="232717009">
			<name>Prior Coronary Artery Bypass Graft</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient had coronary artery bypass graft (CABG) surgery prior to this admission.


]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Coronary Artery Bypass Graft</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Cannon CP, Brindis RG, Chaitman BR, et al.  2013 ACCF>AHA Key Date Elements and Definitions for Measuring the Clinical Management and Outcomes of Patients with Acute Coronary Syndromes and Coronary Artery Disease. Circulation. 2013;127;1052-1089.]]></source>
					<definition><![CDATA[Coronary artery bypass graft surgery is when the native vessels of the heart are bypassed with other vessels (internal mammary artery, radial artery or saphenous vein) to restore normal blood flow to the obstructed coronary arteries.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PriorCABG</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4521" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="232717009">
			<name>Most Recent Coronary Artery Bypass Graft Date</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The last value between birth and arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the date of the coronary artery bypass graft (CABG) surgery.

Note(s):
If the month or day of the CABG is unknown, please code 01/01/YYYY. If the specific year is unknown in the current record, the year may be estimated based on timeframes found in prior medical record documentation (Example: If the patient had CABG documented in a record from 2011, then the year 2011 can be utilized and coded as 01/01/2011).]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Coronary Artery Bypass Graft</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Cannon CP, Brindis RG, Chaitman BR, et al.  2013 ACCF>AHA Key Date Elements and Definitions for Measuring the Clinical Management and Outcomes of Patients with Acute Coronary Syndromes and Coronary Artery Disease. Circulation. 2013;127;1052-1089.]]></source>
					<definition><![CDATA[Coronary artery bypass graft surgery is when the native vessels of the heart are bypassed with other vessels (internal mammary artery, radial artery or saphenous vein) to restore normal blood flow to the obstructed coronary arteries.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HxCABGDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Most Recent Coronary Artery Bypass Graft Date(4521) is greater than Date of Birth(2050) (HxCABGDate > DOB)
Date Rule 2: Most Recent Coronary Artery Bypass Graft Date(4521) is prior or equal to Arrival Date and Time(3001) (HxCABGDate <= ArrivalDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4515</parentElementReference>
						<parentElementName>Prior Coronary Artery Bypass Graft</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4625" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="110483000">
			<name>Tobacco Use</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the frequency that the patient smokes tobacco.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="266919005">
					<selectionName><![CDATA[Never]]></selectionName>
					<selectionDefinition><![CDATA[The patient has never been a tobacco smoker.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="8517006">
					<selectionName><![CDATA[Former]]></selectionName>
					<selectionDefinition><![CDATA[The patient previously smoked daily for at least 1 year but has not smoked within the past 1 year.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="449868002">
					<selectionName><![CDATA[Current - Every Day]]></selectionName>
					<selectionDefinition><![CDATA[The patient smokes tobacco daily.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="428041000124106">
					<selectionName><![CDATA[Current - Some Days]]></selectionName>
					<selectionDefinition><![CDATA[The patient smokes tobacco but not every day.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="77176002">
					<selectionName><![CDATA[Current - Frequency Unknown]]></selectionName>
					<selectionDefinition><![CDATA[The patient smokes tobacco but the frequency is unknown.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>TobaccoUse</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4626" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="266918002">
			<name>Tobacco Type</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the type of tobacco product the patient uses.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="65568007">
					<selectionName><![CDATA[Cigarettes]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="59978006">
					<selectionName><![CDATA[Cigars]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="82302008">
					<selectionName><![CDATA[Pipe]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="713914004">
					<selectionName><![CDATA[Smokeless]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>TobaccoType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4625</parentElementReference>
						<parentElementName>Tobacco Use</parentElementName>
						<parentElementSelectionName><![CDATA[Current - Every Day]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>4625</parentElementReference>
						<parentElementName>Tobacco Use</parentElementName>
						<parentElementSelectionName><![CDATA[ Current - Some Days]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>4625</parentElementReference>
						<parentElementName>Tobacco Use</parentElementName>
						<parentElementSelectionName><![CDATA[ Current - Frequency Unknown]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4627" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001256">
			<name>Smoking Amount</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate the amount of cigarette smoking reported by the patient.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="428061000124105">
					<selectionName><![CDATA[Light tobacco use (<10/day)]]></selectionName>
					<selectionDefinition><![CDATA[ The patient smokes less than 10 cigarettes daily.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="428071000124103">
					<selectionName><![CDATA[Heavy tobacco use (>=10 day)]]></selectionName>
					<selectionDefinition><![CDATA[The patient smokes more than 10 or more cigarettes daily.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>SmokeAmount</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Enable element when Tobacco Use(4625) = 'Current - Every Day' AND Tobacco Type(4626) = 'Cigarettes']]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4625</parentElementReference>
						<parentElementName>Tobacco Use</parentElementName>
						<parentElementSelectionName><![CDATA[Current - Every Day]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>4626</parentElementReference>
						<parentElementName>Tobacco Type</parentElementName>
						<parentElementSelectionName><![CDATA[Cigarettes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4630" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424808">
			<name>Cardiac Arrest Out of Hospital</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if a cardiac arrest event occurred outside of any hospital facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cardiac Arrest</title>
					<displayOrder>1</displayOrder>
					<source/>
					<definition><![CDATA[Cardiac arrest includes pulseless clinical scenarios that require cardiopulmonary resuscitation (requiring two or more chest compressions, or open heart massage) and/or requiring emergency defibrillation.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CAOutHospital</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4631" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014082">
			<name>Cardiac Arrest Witnessed</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the out-of-hospital cardiac arrest was witnessed by another person.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cardiac Arrest Witnessed</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Cardiac Arrest Registry to Enhand Survival - CARES Complete Data Set for EMS, Hospital and CAD participants and Instruction for Abstracting and Coding Data Elements]]></source>
					<definition><![CDATA[A witnessed arrest is one that is seen or heard by another person.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CAWitness</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4630</parentElementReference>
						<parentElementName>Cardiac Arrest Out of Hospital</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4632" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014081">
			<name>Cardiac Arrest After Arrival of Emergency Medical Services</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the out-of-hospital cardiac arrest occurred after arrival of Emergency Medical Services (EMS).]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cardiac Arrest After Arrival of EMS</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Cardiac Arrest Registry to Enhand Survival - CARES Complete Data Set for EMS, Hospital and CAD participants and Instruction for Abstracting and Coding Data Elements]]></source>
					<definition><![CDATA[Patients who experience a cardiac arrest after the arrival of EMS personnel are in the best circumstances to be resuscitated by trained personnel with the equipment to provide immediate defibrillation.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CAPostEMS</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4630</parentElementReference>
						<parentElementName>Cardiac Arrest Out of Hospital</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4633" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014013">
			<name>First Cardiac Arrest Rhythm</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the initial out-of-hospital cardiac arrest rhythm was a shockable rhythm.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013034">
					<selectionName><![CDATA[Shockable]]></selectionName>
					<selectionDefinition><![CDATA[Pulseless ventricular arrhythmias]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013035">
					<selectionName><![CDATA[Not Shockable]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>InitCARhythm</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4634</parentElementReference>
						<parentElementName>First Cardiac Arrest Rhythm Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4634" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014013">
			<name>First Cardiac Arrest Rhythm Unknown</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the initial out-of-hospital cardiac arrest rhythm was unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>InitCARhythmUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4630</parentElementReference>
						<parentElementName>Cardiac Arrest Out of Hospital</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4635" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014016">
			<name>Cardiac Arrest at Transferring Facility</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The value on arrival at this facility</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient had cardiac arrest at the transferring facility prior to arrival at the current facility.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CATransferFac</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4555" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="73211009">
			<name>Diabetes Mellitus</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and the first procedure in this admission</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has been diagnosed with diabetes mellitus regardless of duration of disease or need for diabetic medications.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Diabetes Mellitus</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[American Diabetes Association Care. 2011;34 Suppl 1:S4-10.]]></source>
					<definition><![CDATA[The American Diabetes Association criteria include documentation of the following:

1. A1c >=6.5%; or
2. Fasting plasma glucose >=126 mg/dl (7.0 mmol/l); or
3. Two-hour plasma glucose >=200 mg/dl (11.1 mmol/l) during an oral glucose tolerance test; or
4. In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose >=200 mg/dl (11.1 mmol/l)

This does not include gestational diabetes.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>Diabetes</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4560" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="108241001">
			<name>Currently on Dialysis</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>Any occurrence between birth and the first procedure in this admission</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is currently undergoing either hemodialysis or peritoneal dialysis on an ongoing basis as a result of renal failure.

Note(s): 
If a patient is receiving continuous veno-venous hemofiltration (CVVH) as a result of renal failure (and not as treatment to remove fluid for heart failure), code 'Yes'.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CurrentDialysis</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4561" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142381">
			<name>Canadian Study of Health and Aging (CSHA) Clinical Frailty Scale</name>
			<sectionDisplayName>C. History and Risk Factors</sectionDisplayName>
			<sectionCode>HXANDRISKFACTORS</sectionCode>
			<targetValue>The last value prior to the start of the first procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the Canadian Study of Health and Aging (CSHA) Clinical Frailty Scale of the patient.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142382">
					<selectionName><![CDATA[1: Very Fit]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 1: Very Fit - People who are robust, active, energetic and motivated. These people commonly exercise regularly. They are among the fittest for their age.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142383">
					<selectionName><![CDATA[2: Well]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 2: Well  - People who have no active disease symptoms but are less fit than category 1. Often, they exercise or are very active occasionally, e.g. seasonally.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142384">
					<selectionName><![CDATA[3: Managing Well]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 3: Managing Well - People whose medical problems are well controlled, but are not regularly active beyond routine walking.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142385">
					<selectionName><![CDATA[4: Vulnerable]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 4: Vulnerable - While not dependent on others for daily help, often symptoms limit activities. A common complaint is being "slowed up", and/or being tired during the day.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142386">
					<selectionName><![CDATA[5: Mildly Frail]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 5: Mildly Frail -  These people often have more evident slowing, and need help in high order IADLs (finances, transportation, heavy housework, medications). Typically, mild frailty progressively impairs shopping and walking outside alone, meal preparation and housework.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142387">
					<selectionName><![CDATA[6: Moderately Frail]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 6: Moderately Frail -  People need help with all outside activities and with keeping house. Inside, they often have problems with stairs and need help with bathing and might need minimal assistance (cuing, standby) with dressing.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142388">
					<selectionName><![CDATA[7: Severely Frail]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 7: Severely Frail - Completely dependent for personal care, from whatever cause (physical or cognitive). Even so, they seem stable and not at high risk of dying (within ~ 6 months).]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142389">
					<selectionName><![CDATA[8: Very Severely Frail]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 8: Very Severely Frail - Completely dependent, approaching the end of life. Typically, they could not recover even from a minor illness.]]></selectionDefinition>
					<displayOrder>8</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142390">
					<selectionName><![CDATA[9: Terminally Ill]]></selectionName>
					<selectionDefinition><![CDATA[CHSA Clinical Frailty Scale 9: Terminally Ill - Approaching the end of life. This category applies to people with a life expectancy <6 months, who are not otherwise evidently frail.]]></selectionDefinition>
					<displayOrder>9</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Canadian Study of Health and Aging (CSHA)</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[1. Canadian Study on Health & Aging, Revised 2008.
2. K. Rockwood et al. A global clinical measure of fitness and frailty in elderly people. CMAJ 2005;173:489-495.]]></source>
					<definition><![CDATA[1 Very Fit - People who are robust, active, energetic and motivated. These people commonly exercise regularly. They are among the fittest for their age.

2 Well - People who have no active disease symptoms but are less fit than category 1. Often, they exercise or are very active occasionally, e.g. seasonally.

3 Managing Well - People whose medical problems are well controlled, but are not regularly active beyond routine walking.

4 Vulnerable - While not dependent on others for daily help, often symptoms limit activities. A common complaint is being "slowed up", and/or being tired during the day.

5 Mildly Frail - These people often have more evident slowing, and need help in high order IADLs (finances, transportation, heavy housework, medications).

Typically, mild frailty progressively impairs shopping and walking outside alone, meal preparation and housework. 

6 Moderately Frail - People need help with all outside activities and with keeping house. Inside, they often have problems with stairs and need help with bathing and might need minimal assistance (cuing, standby) with dressing.

7 Severely Frail - Completely dependent for personal care, from whatever cause (physical or cognitive). Even so, they seem stable and not at high risk of dying (within ~ 6 months).

8 Very Severely Frail - Completely dependent, approaching the end of life. Typically, they could not recover even from a minor illness.

9. Terminally Ill - Approaching the end of life. This category applies to people with a life expectancy <6 months, who are not otherwise evidently frail.

Scoring frailty in people with dementia
The degree of frailty corresponds to the degree of dementia.
Common symptoms in mild dementia include forgetting the
details of a recent event, though still remembering the event itself, repeating the same question/story and social withdrawal.
In moderate dementia, recent memory is very impaired, even
though they seemingly can remember their past life events well.
They can do personal care with prompting.

In severe dementia, they cannot do personal care without help.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CSHAScale</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7000" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142460">
			<name>Procedure Start Date and Time</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time the procedure started. The time of the procedure is the time that the skin incision, vascular access, or its equivalent, was made in order to start the procedure.

Note(s):
Indicate the date/time (mm/dd/yyyy hours:minutes) using the military 24-hour clock, beginning at midnight (0000 hours).

The time the procedure started is defined as the time at which local anesthetic was first administered for vascular access, or the time of the first attempt at vascular access for the cardiac catheterization (use whichever is earlier).]]></codingInstruction>
			<technicalSpecification>
				<shortName>ProcedureStartDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Procedure Start Date and Time(7000) is greater than Arrival Date and Time(3001) (ProcedureStartDateTime > ArrivalDateTime)
Date Rule 2: Procedure Start Date and Time(7000) is less than Procedure End Date and Time(7005) (ProcedureStartDateTime < ProcedureEndDateTime)
Date Rule 3: Procedure Start Date and Time(7000) is less than Discharge Date and Time(10101) (ProcedureStartDateTime < DCDateTime)]]></vendorInstruction>
			</technicalSpecification>
		</element>
		<element reference="7005" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142459">
			<name>Procedure End Date and Time</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the ending date and time at which the operator completes the procedure and breaks scrub at the end of the procedure.

Note(s):
If more than one operator is involved in the case then use the date and time the last operator breaks scrub for the last time.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ProcedureEndDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Procedure End Date and Time(7005) is greater than Procedure Start Date and Time(7000) (ProcedureEndDateTime > ProcedureStartDateTime)
Date Rule 2: Procedure End Date and Time(7000)is less than Discharge Date and Time(10101) (ProcedureEndDateTime < DCDateTime)]]></vendorInstruction>
			</technicalSpecification>
		</element>
		<element reference="7045" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001201">
			<name>Diagnostic Coronary Angiography Procedure</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient had diagnostic coronary angiography.

Note(s):
In order to code as 'Yes' when PCI is performed during the same cath lab visit, coronary angiography is understood to reflect the patient's initial evaluation within the last 30 days.

Diagnostic coronary angiography is defined as the passage of a catheter into the aortic root or other great vessels for the purpose of angiography of the native coronary arteries or bypass grafts supplying native coronary arteries.

Code 'No' if the patient presents for a staged PCI.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DiagCorAngio</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7046" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142454">
			<name>Diagnostic Catheterization Operator Last Name</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the last name of the operator who is performing the diagnostic catheterization.

Note(s):
If the name exceeds 50 characters, enter the first 50 letters only.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCathLName</shortName>
				<dataType>LN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7045</parentElementReference>
						<parentElementName>Diagnostic Coronary Angiography Procedure</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7047" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142454">
			<name>Diagnostic Catheterization Operator First Name</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the first name of the operator who is performing the diagnostic catheterization.

Note(s):
If the name exceeds 50 characters, enter the first 50 letters only.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCathFName</shortName>
				<dataType>FN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7045</parentElementReference>
						<parentElementName>Diagnostic Coronary Angiography Procedure</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7048" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142454">
			<name>Diagnostic Catheterization Operator Middle Name</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the middle name of the operator who is performing the diagnostic catheterization.

Note(s):
It is acceptable to specify the middle initial.

If there is no middle name given, leave field blank.

If there are multiple middle names, enter all of the middle names sequentially.

If the name exceeds 50 characters, enter the first 50 letters only.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCathMName</shortName>
				<dataType>MN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7045</parentElementReference>
						<parentElementName>Diagnostic Coronary Angiography Procedure</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7049" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142454">
			<name>Diagnostic Catheterization Operator NPI</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the National Provider Identifier (NPI) of the operator who is performing the diagnostic catheterization. NPI's, assigned by the Centers for Medicare and Medicaid Services (CMS), are used to uniquely identify physicians for Medicare billing purposes.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCathNPI</shortName>
				<dataType>NUM</dataType>
				<precision>10</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7045</parentElementReference>
						<parentElementName>Diagnostic Coronary Angiography Procedure</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7050" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="415070008">
			<name>Percutaneous Coronary Intervention (PCI)</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient had a percutaneous coronary intervention (PCI) attempted and/or performed during this cath lab visit.     

Note(s):  

Code 'Yes' when a guidewire is introduced for the purpose of PCI.

A percutaneous coronary intervention (PCI) is the placement of an angioplasty guide wire, balloon, or other device (e.g. stent, atherectomy, brachytherapy, or thrombectomy catheter) into a native coronary artery or coronary artery bypass graft for the purpose of mechanical coronary revascularization.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PCIProc</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7051" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142455">
			<name>PCI Operator Last Name</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the last name of the operator who is performing the percutaneous coronary intervention.

Note(s):
If the name exceeds 50 characters, enter the first 50 letters only.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PCILName</shortName>
				<dataType>LN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7050</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention (PCI)</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7052" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142455">
			<name>PCI Operator First Name</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the first name of the operator who is performing the percutaneous coronary intervention.

Note(s):
If the name exceeds 50 characters, enter the first 50 letters only.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PCIFName</shortName>
				<dataType>FN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7050</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention (PCI)</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7053" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142455">
			<name>PCI Operator Middle Name</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the middle name of the operator who is performing the percutaneous coronary intervention.

Note(s):
It is acceptable to specify the middle initial.

If there is no middle name given, leave field blank.

If there are multiple middle names, enter all of the middle names sequentially.

If the name exceeds 50 characters, enter the first 50 letters only.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PCIMName</shortName>
				<dataType>MN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7050</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention (PCI)</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7054" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142455">
			<name>PCI Operator NPI</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the National Provider Identifier (NPI) of the operator who is performing the PCI procedure. NPI's, assigned by the Centers for Medicare and Medicaid Services (CMS), are used to uniquely identify physicians for Medicare billing purposes.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PCINPI</shortName>
				<dataType>NUM</dataType>
				<precision>10</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7050</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention (PCI)</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7060" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="67629009">
			<name>Diagnostic Left Heart Cath</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value between start of procedure and prior to the intervention</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient had a left heart cath procedure, defined as the passage of a catheter into the left ventricle for the purposes of angiography or measurement of ventricular pressures and/or oxygen saturation.

Note(s):  Code 'No' if the left ventricle was only assessed post-intervention (PCI).]]></codingInstruction>
			<technicalSpecification>
				<shortName>LeftHeartCath</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7061" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10230-1">
			<name>LVEF % (Diagnostic Left Heart Cath)</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value between start of procedure and prior to the intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the best estimate of the current left ventricular ejection fraction.

Note(s):
Enter a percentage in the range of 01 - 99.  If a percentage range was reported, report the lowest number of the range (i.e.50-55%, is reported as 50%).  

If only a descriptive value is reported (i.e.normal), enter the corresponding percentage value from the list below:
Normal = 60%
Good function = 50%
Mildly reduced = 45%
Fair function = 40%
Moderately reduced = 30%
Poor function = 25%
Severely reduced = 20%

]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Most Recent LVEF %</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[ACC Clinical Data Standards, Society for Thoracic Surgeons Adult Cardiac Surgery Database (STS)]]></source>
					<definition><![CDATA[The left ventricular ejection fraction is the percentage of blood emptied from the left ventricle at the end of contraction.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PrePCILVEF</shortName>
				<dataType>PQ</dataType>
				<precision>2,0</precision>
				<unitofMeasure><![CDATA[%]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7060</parentElementReference>
						<parentElementName>Diagnostic Left Heart Cath</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[%]]></unitofMeasure>
						<usualRangeMin>5</usualRangeMin>
						<usualRangeMax>70</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>99</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7065" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001271">
			<name>Concomitant Procedures Performed</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if another procedure was performed in conjunction with a diagnostic coronary angiography and/or PCI procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ConcomProc</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7066" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013075">
			<name>Concomitant Procedures Performed Type</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the type of procedure performed in conjunction with a diagnostic coronary angiography and/or PCI procedure.

Note(s):
The procedure(s) collected in your application is controlled by Procedure Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ConcomProcType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7065</parentElementReference>
						<parentElementName>Concomitant Procedures Performed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7320" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014079">
			<name>Arterial Access Site</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The last value on current procedure</targetValue>
			<codingInstruction><![CDATA[ Indicate the location of percutaneous entry for the procedure.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="7657000">
					<selectionName><![CDATA[Femoral]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="17137000">
					<selectionName><![CDATA[Brachial]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="45631007">
					<selectionName><![CDATA[Radial]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013029">
					<selectionName><![CDATA[Other]]></selectionName>
					<selectionDefinition><![CDATA[Specific artery not available for selection in registry.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>AccessSite</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7325" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014075">
			<name>Arterial Cross Over</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the procedure involved a crossover to a different access site.

Note(s):
Code 'Yes' when the final procedure access site is subsequent to where arterial access for the procedure was first attempted.]]></codingInstruction>
			<technicalSpecification>
				<shortName>Crossover</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7332" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000349">
			<name>Closure Method Not Documented</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>All values between start of procedure and next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the method to close the arterial access site was not documented.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ClosureMethodNA</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7335" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142421">
			<name>Venous Access</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a venous access was obtained for the purpose of the diagnostic or PCI procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>VenousAccess</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="6016" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="8480-6">
			<name>Systolic Blood Pressure</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The first value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the systolic blood pressure  in mmHg.
 
Note(s):  
Code the first systolic blood pressure obtained in the cath lab procedure room.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ProcSystolicBP</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[mm[Hg]]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm[Hg]]]></unitofMeasure>
						<usualRangeMin>50</usualRangeMin>
						<usualRangeMax>220</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>300</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7340" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014017">
			<name>Cardiac Arrest at this Facility</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>Any occurrence between arrival at this facility and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a cardiac arrest event occurred at this facility PRIOR to the cath lab visit.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CAInHosp</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7214" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014077">
			<name>Fluoroscopy Time</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The total between start of current procedure and end of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the total fluoroscopy time recorded to the nearest 0.1-minute.  The time recorded should include the total time for the lab visit.]]></codingInstruction>
			<technicalSpecification>
				<shortName>FluoroTime</shortName>
				<dataType>PQ</dataType>
				<precision>4,1</precision>
				<unitofMeasure><![CDATA[min]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[min]]></unitofMeasure>
						<usualRangeMin>0.1</usualRangeMin>
						<usualRangeMax>30.0</usualRangeMax>
						<validRangeMin>0.1</validRangeMin>
						<validRangeMax>300.0</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7215" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="80242-1">
			<name>Contrast Volume</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The total between start of current procedure and end of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the volume of contrast (ionic and non-ionic) used in milliliters (ml). The volume recorded should be the total volume for the lab visit.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ContrastVol</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[mL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mL]]></unitofMeasure>
						<usualRangeMin>5</usualRangeMin>
						<usualRangeMax>300</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>999</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7210" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="228850003">
			<name>Cumulative Air Kerma</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The total between start of current procedure and end of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the total radiation dose (Cumulative Air Kerma, or Reference Air Kerma) recorded to the nearest milligray (mGy) or gray (Gy). The value recorded should include the total dose for the lab visit. Cumulative air kerma is the total air kerma accrued from the beginning of an examination or procedure and includes all contributions from fluoroscopic and radiographic irradiation.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cumulative (Reference) Air kerma</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Miller DL, et al. Radiation doses in interventional radiology procedures. (J Vasc Interv Radiol 2003;14:711-727.)]]></source>
					<definition><![CDATA[Cumulative air kerma (also known as reference, reference dose, cumulative dose, or cumulative dose at a reference point) is the air kerma accumulated at a specific point in space (the patient entrance reference point) relative to the gantry of the fluoroscopy system.

The quantity, kerma, originated from the acronym, KERMA, for Kinetic Energy Released per unit Mass (of air).]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>FluoroDoseKerm</shortName>
				<dataType>PQ</dataType>
				<precision>5,0</precision>
				<unitofMeasure><![CDATA[mGy, Gy]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[Gy]]></unitofMeasure>
						<usualRangeMin>1</usualRangeMin>
						<usualRangeMax>10</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>50</validRangeMax>
					</elementRange>
					<elementRange>
						<unitofMeasure><![CDATA[mGy]]></unitofMeasure>
						<usualRangeMin>1</usualRangeMin>
						<usualRangeMax>10000</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>50000</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7220" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000994">
			<name>Dose Area Product</name>
			<sectionDisplayName>E. Procedure Information</sectionDisplayName>
			<sectionCode>PROCINFO</sectionCode>
			<targetValue>The total between start of current procedure and end of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the total fluoroscopy dose to the nearest integer. The value recorded should include the total dose for the lab visit.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Dose Area Product</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Miller DL, et al. Radiation doses in interventional radiology procedures. (J Vasc Interv Radiol 2003; 14:711-727.)]]></source>
					<definition><![CDATA[Dose Area Product is the integral of air kerma (the energy extracted from an x-ray beam per unit mass of air in a small irradiated air volume; for diagnostic x-rays, the dose delivered to that volume of air) across the entire x-ray beam emitted from the x-ray tube. It is a surrogate measure of the amount of energy delivered to the patient.

Also known as KAP (Kerma Area Product).]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>FluoroDoseDAP</shortName>
				<dataType>PQ</dataType>
				<precision>7,0</precision>
				<unitofMeasure><![CDATA[Gy/cm2, dGy/cm2, cGy/cm2, mGy/cm2, µGy/M2]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[Gy/cm2]]></unitofMeasure>
						<usualRangeMin>1</usualRangeMin>
						<usualRangeMax>700</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>5000</validRangeMax>
					</elementRange>
					<elementRange>
						<unitofMeasure><![CDATA[dGy/cm2]]></unitofMeasure>
						<usualRangeMin>10</usualRangeMin>
						<usualRangeMax>7000</usualRangeMax>
						<validRangeMin>10</validRangeMin>
						<validRangeMax>50000</validRangeMax>
					</elementRange>
					<elementRange>
						<unitofMeasure><![CDATA[µGy/M2]]></unitofMeasure>
						<usualRangeMin>100</usualRangeMin>
						<usualRangeMax>70000</usualRangeMax>
						<validRangeMin>100</validRangeMin>
						<validRangeMax>500000</validRangeMax>
					</elementRange>
					<elementRange>
						<unitofMeasure><![CDATA[cGy/cm2]]></unitofMeasure>
						<usualRangeMin>100</usualRangeMin>
						<usualRangeMax>70000</usualRangeMax>
						<validRangeMin>100</validRangeMin>
						<validRangeMax>500000</validRangeMax>
					</elementRange>
					<elementRange>
						<unitofMeasure><![CDATA[mGy/cm2]]></unitofMeasure>
						<usualRangeMin>1000</usualRangeMin>
						<usualRangeMax>700000</usualRangeMax>
						<validRangeMin>1000</validRangeMin>
						<validRangeMax>5000000</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="4001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="84114007">
			<name>Heart Failure</name>
			<sectionDisplayName>D. Pre-Procedure Information</sectionDisplayName>
			<sectionCode>PREPROCINFO</sectionCode>
			<targetValue>Any occurrence between birth and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has been diagnosed with heart failure.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Heart Failure</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[2013 ACCF/AHA Guideline for the Management of Heart Failure;  J Am Coll Cardiol. 2013;62(16):e147-e239. doi:10.1016/j.jacc.2013.05.019]]></source>
					<definition><![CDATA[Heart failure is a complex clinical syndrome that results from any structural or functional impairment of ventricular filling or ejection of blood. The cardinal manifestations of HF are dyspnea and fatigue, which may limit exercise tolerance, and fluid retention, which may lead to pulmonary and/or splanchnic congestion and/or peripheral edema. Some patients have exercise intolerance but little evidence of fluid retention, whereas others complain primarily of edema, dyspnea, or fatigue. Because some patients present without signs or symptoms of volume overload, the term "heart failure" is preferred over "congestive heart failure." There is no single diagnostic test for HF because it is largely a clinical diagnosis based on a careful history and physical examination.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HxHF</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="4011" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="420816009">
			<name>New York Heart Association Classification</name>
			<sectionDisplayName>D. Pre-Procedure Information</sectionDisplayName>
			<sectionCode>PREPROCINFO</sectionCode>
			<targetValue>The last value between birth and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's latest dyspnea or functional class, coded as the New York Heart Association (NYHA) classification.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="420300004">
					<selectionName><![CDATA[Class I]]></selectionName>
					<selectionDefinition><![CDATA[Patients with cardiac disease but without resulting limitations of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="421704003">
					<selectionName><![CDATA[Class II]]></selectionName>
					<selectionDefinition><![CDATA[Patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, or dyspnea.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="420913000">
					<selectionName><![CDATA[Class III]]></selectionName>
					<selectionDefinition><![CDATA[Patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="422293003">
					<selectionName><![CDATA[Class IV]]></selectionName>
					<selectionDefinition><![CDATA[Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms are present even at rest or minimal exertion. If any physical activity is undertaken, discomfort is increased.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>NYHA</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[2013 ACCF/AHA Guideline for the Management of Heart Failure;  J Am Coll Cardiol. 2013;62(16):e147-e239. doi:10.1016/j.jacc.2013.05.019]]></source>
					<definition><![CDATA[The NYHA classes focus on exercise capacity and the symptomatic status of the disease. ]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PriorNYHA</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4001</parentElementReference>
						<parentElementName>Heart Failure</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4012" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142464">
			<name>Heart Failure Newly Diagnosed</name>
			<sectionDisplayName>D. Pre-Procedure Information</sectionDisplayName>
			<sectionCode>PREPROCINFO</sectionCode>
			<targetValue>The last value between birth and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the heart failure was newly diagnosed.

Note: Code 'Yes' (newly diagnosed) if there is no documentation of a prior diagnosis of heart failure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>HFNewDiag</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4001</parentElementReference>
						<parentElementName>Heart Failure</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4013" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142465">
			<name>Heart Failure Type</name>
			<sectionDisplayName>D. Pre-Procedure Information</sectionDisplayName>
			<sectionCode>PREPROCINFO</sectionCode>
			<targetValue>The last value between birth and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has systolic or diastolic heart failure.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="418304008">
					<selectionName><![CDATA[Diastolic]]></selectionName>
					<selectionDefinition><![CDATA[Diastolic Heart Failure or Heart Failure with a normal Ejection Fraction (HFnEF), also known as Heart Failure with a Preserved Ejection Fraction (HFpEF), is when the amount of blood pumped from the heart's left ventricle with each beat (ejection fraction) remains >= 50%.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="417996009">
					<selectionName><![CDATA[Systolic]]></selectionName>
					<selectionDefinition><![CDATA[Systolic Heart Failure or Heart Failure with a reduced Ejection Fraction (HFrEF) is when the amount of blood pumped from the heart's left ventricle with each beat (ejection fraction) is <50%.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>HFType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4014</parentElementReference>
						<parentElementName>Heart Failure Type Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="4014" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142465">
			<name>Heart Failure Type Unknown</name>
			<sectionDisplayName>D. Pre-Procedure Information</sectionDisplayName>
			<sectionCode>PREPROCINFO</sectionCode>
			<targetValue>The last value between birth and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if it is unknown if the patient has systolic or diastolic heart failure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>HFTypeUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4001</parentElementReference>
						<parentElementName>Heart Failure</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5037" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424801">
			<name>Electrocardiac Assessment Method</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the method used for electrocardiac assessment.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="164847006">
					<selectionName><![CDATA[ECG]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424802">
					<selectionName><![CDATA[Telemetry Monitor]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="86184003">
					<selectionName><![CDATA[Holter Monitor]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424803">
					<selectionName><![CDATA[Other Electrocardiac Assessment]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424804">
					<selectionName><![CDATA[None]]></selectionName>
					<selectionDefinition><![CDATA[No Electrocardiac Assessment Performed]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>ECAssessMethod</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5032" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142467">
			<name>Electrocardiac Assessment Results</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the results of the electrocardiac assessment.

Note(s):
Select all abnormal electocardiac findings supported by physician diagnosis as documented in the medical record.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="253352002:116676008=442021009,17621005">
					<selectionName><![CDATA[Normal]]></selectionName>
					<selectionDefinition><![CDATA[No evidence that the patient has a clinically relevant electrical dysfunction of the heart (rate, rhythm).]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="263654008">
					<selectionName><![CDATA[Abnormal]]></selectionName>
					<selectionDefinition><![CDATA[Evidence that the patient has a clinically relevant electrical dysfunction of the heart (rate, rhythm).]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142468">
					<selectionName><![CDATA[Uninterpretable]]></selectionName>
					<selectionDefinition><![CDATA[A determination cannot be made if the patient has a clinically relevant electrical dysfunction of the heart (rate, rhythm).]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>ECGResults</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5037</parentElementReference>
						<parentElementName>Electrocardiac Assessment Method</parentElementName>
						<parentElementSelectionName><![CDATA[ECG]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>5037</parentElementReference>
						<parentElementName>Electrocardiac Assessment Method</parentElementName>
						<parentElementSelectionName><![CDATA[ Telemetry Monitor]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>5037</parentElementReference>
						<parentElementName>Electrocardiac Assessment Method</parentElementName>
						<parentElementSelectionName><![CDATA[ Holter Monitor]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>5037</parentElementReference>
						<parentElementName>Electrocardiac Assessment Method</parentElementName>
						<parentElementSelectionName><![CDATA[ Other Electrocardiac Assessment]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5033" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142469">
			<name>New Antiarrhythmic Therapy Initiated Prior to Cath Lab</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient received a NEW antiarrhythmic therapy PRIOR to evaluation within the cath lab.

Note(s):
New Antiarrhythmic therapy is defined as initiation of a new drug to the patient for the purpose of controlling an abnormal rhythm.]]></codingInstruction>
			<technicalSpecification>
				<shortName>AntiArrhyTherapy</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5032</parentElementReference>
						<parentElementName>Electrocardiac Assessment Results</parentElementName>
						<parentElementSelectionName><![CDATA[Abnormal]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5034" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="102594003">
			<name>Electrocardiac Abnormality Type</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the findings of the electrocardiac assessment.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="71908006">
					<selectionName><![CDATA[Ventricular fibrillation (VF)]]></selectionName>
					<selectionDefinition><![CDATA[Fibrillation is an uncontrolled twitching or quivering of muscle fibers occurring in the lower chambers of the heart (ventricles).]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="426525004">
					<selectionName><![CDATA[Sustained VT]]></selectionName>
					<selectionDefinition><![CDATA[Ventricular tachycardia (VT) that is >30 seconds in duration and/or requires termination due to hemodynamic compromise in <30 seconds.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="444658006">
					<selectionName><![CDATA[Non Sustained VT]]></selectionName>
					<selectionDefinition><![CDATA[Three or more consecutive beats of VT that self-terminate in <30 seconds.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142470">
					<selectionName><![CDATA[Exercise Induced VT]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="59931005">
					<selectionName><![CDATA[T Wave Inversions]]></selectionName>
					<selectionDefinition><![CDATA[T wave inversion is defined as secondary to depolarization abnormalities and is selected as an abnormal electrocardiac finding when there is specific physician documentation indicating this is an abnormal finding for the patient.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014019">
					<selectionName><![CDATA[New Left Bundle Branch Block]]></selectionName>
					<selectionDefinition><![CDATA[New = Not previously documented]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142476">
					<selectionName><![CDATA[New Onset Atrial Fib]]></selectionName>
					<selectionDefinition><![CDATA[New = Not previously documented]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142477">
					<selectionName><![CDATA[New Onset Atrial Flutter]]></selectionName>
					<selectionDefinition><![CDATA[New = Not previously documented]]></selectionDefinition>
					<displayOrder>8</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142471">
					<selectionName><![CDATA[PVC - Frequent]]></selectionName>
					<selectionDefinition><![CDATA[More than 30 premature ventricular contractions (PVCs) per hour.]]></selectionDefinition>
					<displayOrder>9</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142472">
					<selectionName><![CDATA[PVC - Infrequent]]></selectionName>
					<selectionDefinition><![CDATA[Less than or equal to 30 premature ventricular contractions (PVCs) per hour.]]></selectionDefinition>
					<displayOrder>10</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="54016002">
					<selectionName><![CDATA[2nd Degree AV Heart Block Type I]]></selectionName>
					<selectionDefinition><![CDATA[Second-degree atrioventricular block Type 1also known as Wenckebach (Type I Mobitz)  is a disease of the of the electrical conduction system of the heart (AV node) characterized by progressive prolongation of the PR interval.]]></selectionDefinition>
					<displayOrder>11</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="28189009">
					<selectionName><![CDATA[2nd Degree AV Heart Block Type II]]></selectionName>
					<selectionDefinition><![CDATA[Second-degree Atrioventricular block Type 2, also known as "Mobitz II," is usually a disease of the distal conduction system (His-Purkinje System) characterized on a surface ECG by intermittently non-conducted P waves not preceded by PR prolongation and not followed by PR shortening.]]></selectionDefinition>
					<displayOrder>12</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="27885002">
					<selectionName><![CDATA[3rd Degree AV Heart Block]]></selectionName>
					<selectionDefinition><![CDATA[Third-degree atrioventricular block (AV block), also known as complete heart block, is when the electrical impulse generated in the sinoatrial node (SA node) in the atrium of the heart does stimulate the ventricles to contract.]]></selectionDefinition>
					<displayOrder>13</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142473">
					<selectionName><![CDATA[Symptomatic Bradyarrhythmia]]></selectionName>
					<selectionDefinition><![CDATA[Heart rate under 60 beats per minute that is associated with symptoms of fatigue, weakness, dizziness, sweating and/or syncope]]></selectionDefinition>
					<displayOrder>14</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424809">
					<selectionName><![CDATA[ST deviation >= 0.5 mm]]></selectionName>
					<selectionDefinition/>
					<displayOrder>15</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142474">
					<selectionName><![CDATA[Other Electrocardiac Abnormality]]></selectionName>
					<selectionDefinition><![CDATA[Electrocardiac abnormality noted but the specific type is not available for selection within the registry.]]></selectionDefinition>
					<displayOrder>16</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>ECGFindings</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5032</parentElementReference>
						<parentElementName>Electrocardiac Assessment Results</parentElementName>
						<parentElementSelectionName><![CDATA[Abnormal]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="6011" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="8867-4">
			<name>Heart Rate</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's heart rate (beats per minute).

Note(s): During atrial fibrillation code the ventricular rate.]]></codingInstruction>
			<technicalSpecification>
				<shortName>HR</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[bpm]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5034</parentElementReference>
						<parentElementName>Electrocardiac Abnormality Type</parentElementName>
						<parentElementSelectionName><![CDATA[New Onset Atrial Fib]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[bpm]]></unitofMeasure>
						<usualRangeMin>50</usualRangeMin>
						<usualRangeMax>100</usualRangeMax>
						<validRangeMin>20</validRangeMin>
						<validRangeMax>300</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="5036" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142475">
			<name>Non-Sustained Ventricular Tachycardia Type</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between 30 days prior to 1st procedure (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the non-sustained ventricular tachycardia type.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142351">
					<selectionName><![CDATA[Symptomatic]]></selectionName>
					<selectionDefinition><![CDATA[The patient experiences symptoms indicative of non-sustained ventricular tachycardia.  This may include: palpitations, dizziness or lightheadedness, shortness of breath, chest pain, or angina, near-fainting or fainting (syncope), weak pulse or no pulse.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424781">
					<selectionName><![CDATA[Newly Diagnosed]]></selectionName>
					<selectionDefinition><![CDATA[The patient does not have a documented prior diagnosis of non-sustained ventricular tachycardia.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000351">
					<selectionName><![CDATA[Other]]></selectionName>
					<selectionDefinition><![CDATA[The patient has been diagnosed with non-sustained ventricular tachycardia but the type is not consistent with selections available.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>NSVTType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5034</parentElementReference>
						<parentElementName>Electrocardiac Abnormality Type</parentElementName>
						<parentElementSelectionName><![CDATA[Non Sustained VT]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5200" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142431">
			<name>Stress Test Performed</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a non-invasive stress test was performed.]]></codingInstruction>
			<technicalSpecification>
				<shortName>StressPerformed</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5220" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="59255-0">
			<name>Cardiac CTA Performed</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Any occurrence between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a cardiac computerized tomographic angiography (CTA) was performed.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CardiacCTA</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5226" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="59255-0">
			<name>Cardiac CTA Date</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the most recent date a cardiac computerized tomographic angiography (CTA) was performed.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CardiacCTADate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Cardiac CTA Date(5226) is greater than Date of Birth(2050) (CardiacCTADate > DOB)
Date Rule 2: Cardiac CTA Date(5226) is less than Procedure Start Date and Time(7000) (CardiacCTADate < ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5220</parentElementReference>
						<parentElementName>Cardiac CTA Performed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5227" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001257">
			<name>Cardiac CTA Results</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the results of the cardiac CTA.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424786">
					<selectionName><![CDATA[Obstructive CAD]]></selectionName>
					<selectionDefinition><![CDATA[Greater than or equal to 50% luminal diameter narrowing of an epicardial or left main stenosis.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424787">
					<selectionName><![CDATA[Non-Obstructive CAD]]></selectionName>
					<selectionDefinition><![CDATA[Less than 50% luminal diameter narrowing of an epicardial or left main stenosis.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001262">
					<selectionName><![CDATA[Unclear Severity]]></selectionName>
					<selectionDefinition><![CDATA[Coronary artery disease severity is unclear or conflicting.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424789">
					<selectionName><![CDATA[No CAD]]></selectionName>
					<selectionDefinition><![CDATA[No evidence of coronary artery disease.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="128599005">
					<selectionName><![CDATA[Structural Disease]]></selectionName>
					<selectionDefinition><![CDATA[An abnormality of the heart that is non- coronary, meaning that it does not affect the blood vessels in the heart, but rather involves the valves, walls or chambers.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>CardiacCTAResults</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5228</parentElementReference>
						<parentElementName>Cardiac CTA Results Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5228" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001257">
			<name>Cardiac CTA Results Unknown</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the results of the cardiac CTA are unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CardiacCTAResultsUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5220</parentElementReference>
						<parentElementName>Cardiac CTA Performed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5256" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="450360000">
			<name>Agatston Calcium Score Assessed</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Any occurrence between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the agatston coronary calcium score was assessed.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Agatston Calcium Score</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[https://www.nhlbi.nih.gov/health/health-topics/topics/cscan/show]]></source>
					<definition><![CDATA[After a coronary calcium scan, a calcium score called an Agatston score is provided. The score is based on the amount of calcium found in the coronary (heart) arteries. The test may get an Agatston score for each major artery and a total score.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CalciumScoreAssessed</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5255" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="450360000">
			<name>Agatston Calcium Score</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the total agatston coronary calcium score.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Agatston Calcium Score</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[https://www.nhlbi.nih.gov/health/health-topics/topics/cscan/show]]></source>
					<definition><![CDATA[After a coronary calcium scan, a calcium score called an Agatston score is provided. The score is based on the amount of calcium found in the coronary (heart) arteries. The test may get an Agatston score for each major artery and a total score.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CalciumScore</shortName>
				<dataType>NUM</dataType>
				<precision>4</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5256</parentElementReference>
						<parentElementName>Agatston Calcium Score Assessed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin>0</usualRangeMin>
						<usualRangeMax>400</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>6000</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="5257" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="450360000">
			<name>Agatston Calcium Score Date</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the most recent date of the agatston calcium score.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Agatston Calcium Score</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[https://www.nhlbi.nih.gov/health/health-topics/topics/cscan/show]]></source>
					<definition><![CDATA[After a coronary calcium scan, a calcium score called an Agatston score is provided. The score is based on the amount of calcium found in the coronary (heart) arteries. The test may get an Agatston score for each major artery and a total score.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CalciumScoreDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Agatston Calcium Score Date(5257) is greater than Date of Birth(2050) (CalciumScoreDate > DOB)
Date Rule 2: Agatston Calcium Score Date(5257) is less than Procedure Start Date and Time(7000) (CalciumScoreDate < ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5255</parentElementReference>
						<parentElementName>Agatston Calcium Score</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5111" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001027">
			<name>LVEF Assessed (Pre-Procedure)</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Any occurrence between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the left ventricle was assessed prior to the cath lab visit.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PreProcLVEFAssessed</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5116" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10230-1">
			<name>LVEF % (Pre-Procedure)</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the best estimate of the most recent left ventricular ejection fraction.

Note(s):
Enter a percentage in the range of 01 - 99.  If a percentage range was reported, report the lowest number of the range (i.e.50-55%, is reported as 50%).

If only a descriptive value is reported (i.e. Normal), enter the corresponding percentage value from the list below:
Normal = 60%
Good function = 50%
Mildly reduced = 45%
Fair function = 40%
Moderately reduced = 30%
Poor function = 25%
Severely reduced = 20%

The Left Ventricular Ejection Fraction can be assessed via invasive (i.e. LV gram) or non-invasive (i.e. Echo, MR, CT or Nuclear) testing.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Most Recent LVEF %</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[ACC Clinical Data Standards, Society for Thoracic Surgeons Adult Cardiac Surgery Database (STS)]]></source>
					<definition><![CDATA[The left ventricular ejection fraction is the percentage of blood emptied from the left ventricle at the end of contraction.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PreProcLVEF</shortName>
				<dataType>PQ</dataType>
				<precision>2,0</precision>
				<unitofMeasure><![CDATA[%]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5111</parentElementReference>
						<parentElementName>LVEF Assessed (Pre-Procedure)</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[%]]></unitofMeasure>
						<usualRangeMin>5</usualRangeMin>
						<usualRangeMax>70</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>99</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="5263" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424782">
			<name>Prior Diagnostic Coronary Angiography Procedure without intervention</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Any occurrence between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient had a prior diagnostic coronary angiography procedure without a subsequent intervention.

Note: Code "No"  if the most recent cath lab visit involved PCI.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PriorDxAngioProc</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5264" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424783">
			<name>Prior Diagnostic Coronary Angiography Procedure Date</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the date of the prior diagnostic coronary angiography.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PriorDxAngioDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Prior Diagnostic Coronary Angiography Procedure Date(5264) is greater than Date of Birth(2050) (PriorDxAngioDate > DOB)
Date Rule 2: Prior Diagnostic Coronary Angiography Procedure Date(5264) is less than Procedure Start Date and Time(7000) (PriorDxAngioDate < ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5263</parentElementReference>
						<parentElementName>Prior Diagnostic Coronary Angiography Procedure without intervention</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5265" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424784">
			<name>Prior Diagnostic Coronary Angiography Procedure Results</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the results of the prior diagnostic coronary angiography.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424786">
					<selectionName><![CDATA[Obstructive CAD]]></selectionName>
					<selectionDefinition><![CDATA[Greater than or equal to 50% luminal diameter narrowing of an epicardial or left main stenosis.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424787">
					<selectionName><![CDATA[Non-Obstructive CAD]]></selectionName>
					<selectionDefinition><![CDATA[Less than 50% luminal diameter narrowing of an epicardial or left main stenosis.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001262">
					<selectionName><![CDATA[Unclear Severity]]></selectionName>
					<selectionDefinition><![CDATA[Coronary artery disease severity is unclear or conflicting.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424789">
					<selectionName><![CDATA[No CAD]]></selectionName>
					<selectionDefinition><![CDATA[No evidence of coronary artery disease.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="128599005">
					<selectionName><![CDATA[Structural Disease]]></selectionName>
					<selectionDefinition><![CDATA[An abnormality of the heart that is non- coronary, meaning that it does not affect the blood vessels in the heart, but rather involves the valves, walls or chambers.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PriorDxAngioResults</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5266</parentElementReference>
						<parentElementName>Prior Diagnostic Coronary Angiography Procedure Results Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5266" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424784">
			<name>Prior Diagnostic Coronary Angiography Procedure Results Unknown</name>
			<sectionDisplayName>Diagnostic Test</sectionDisplayName>
			<sectionCode>DIAGNOSTICTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the prior diagnostic coronary angiography results are unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PriorDxCathResultsUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5263</parentElementReference>
						<parentElementName>Prior Diagnostic Coronary Angiography Procedure without intervention</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5201" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142432">
			<name>Stress Test Performed Type</name>
			<sectionDisplayName>Stress Test</sectionDisplayName>
			<sectionCode>STRESSTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the type of non-invasive stress test performed.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="18752-6">
					<selectionName><![CDATA[Exercise Stress Test (w/o imaging)]]></selectionName>
					<selectionDefinition><![CDATA[Continuous ECG recording/monitoring test (without additional imaging) performed initially at rest and then during exercise, or pharmacologic stress to detect the presence of coronary artery disease, abnormal heart rhythms, abnormal blood pressure response to exercise, or evaluate exercise tolerance and exercise-related symptoms.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="18107-3">
					<selectionName><![CDATA[Stress Echocardiogram]]></selectionName>
					<selectionDefinition><![CDATA[Cardiac ultrasound procedure obtained at rest and during exercise or pharmacologic stress.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="49569-7">
					<selectionName><![CDATA[Stress Nuclear]]></selectionName>
					<selectionDefinition><![CDATA[A nuclear stress test measures blood flow to the heart at rest, and during exercise or pharmacologic stress, by comparing the distribution throughout the heart of a radioactive dye injected into the bloodstream.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="58750-1">
					<selectionName><![CDATA[Stress Imaging with CMR]]></selectionName>
					<selectionDefinition><![CDATA[Magnetic resonance imaging of the heart at rest and during exercise or pharmacologic stress ]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>StressTestType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5200</parentElementReference>
						<parentElementName>Stress Test Performed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5204" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142431">
			<name>Most Recent Stress Test Date</name>
			<sectionDisplayName>Stress Test</sectionDisplayName>
			<sectionCode>STRESSTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the most recent date of the stress test.]]></codingInstruction>
			<technicalSpecification>
				<shortName>StressTestDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Most Recent Stress Test Date(5204) is greater than Date of Birth(2050) (StressTestDate > DOB)
Date Rule 2: Most Recent Stress Test Date(5204) is less than Procedure Start Date and Time(7000) (StressTestDate < ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5201</parentElementReference>
						<parentElementName>Stress Test Performed Type</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5202" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424303">
			<name>Stress Test Results</name>
			<sectionDisplayName>Stress Test</sectionDisplayName>
			<sectionCode>STRESSTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the result of the non-invasive stress test.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013083">
					<selectionName><![CDATA[Negative]]></selectionName>
					<selectionDefinition><![CDATA[Stress Test: Exercise Stress Test (w/o imaging)
•	A stress test is negative when the electrocardiogram (ECG) is normal or not suggestive of ischemia.  ECGs are not suggestive of ischemia when < 1 mm of horizontal or downsloping ST-segment depression or elevation for >= 60-80 milliseconds after the end of the QRS complex, either during or after exercise.

Stress Test: Stress Echocardiogram
•	The imaging study was normal. There was no change in wall motion during the procedure.

Stress Test: Stress Nuclear
•	The results of the imaging study revealed no myocardial perfusion defects.

Stress Test: Stress Imaging with CMR
•	The results of the imaging study revealed no myocardial perfusion defects.
]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013093">
					<selectionName><![CDATA[Positive]]></selectionName>
					<selectionDefinition><![CDATA[Stress Test: Exercise Stress Test (w/o imaging)
•	A stress test is positive when the electrocardiogram (ECG) suggests ischemia. ECGs suggestive of ischemia can be described as having >= 1 mm of horizontal or downsloping ST-segment depression or elevation for >= 60-80 milliseconds after the end of the QRS complex, either during or after exercise.  It is also be suggestive of ischemia if the patient had symptoms of ischemia (i.e.chest pain), arrhythmias, and/or a fall in blood pressure during or immediately after the procedure.

Stress Test: Stress Echocardiogram
•	The imaging study was abnormal.  There were changes that reflected wall motion abnormalities during the procedure.

Stress Test: Stress Nuclear
•	The result of the imaging study revealed one or more stress-induced myocardial perfusion defects.

Stress Test: Stress Imaging with CMR
•	The result of the imaging study revealed one or more stress-induced myocardial perfusion defects.
]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013094">
					<selectionName><![CDATA[Indeterminate]]></selectionName>
					<selectionDefinition><![CDATA[The results of the study were uninterpretable.  They cannot be considered to be positive or negative.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000646">
					<selectionName><![CDATA[Unavailable]]></selectionName>
					<selectionDefinition><![CDATA[The results of the study were not available.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>StressTestResult</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5201</parentElementReference>
						<parentElementName>Stress Test Performed Type</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5203" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142434">
			<name>Stress Test Risk/Extent of Ischemia</name>
			<sectionDisplayName>Stress Test</sectionDisplayName>
			<sectionCode>STRESSTEST</sectionCode>
			<targetValue>Last value between birth (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the risk or extent of ischemia for the non-invasive stress test.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013097">
					<selectionName><![CDATA[Low]]></selectionName>
					<selectionDefinition><![CDATA[Low risk (<1% annual death or MI)
1. Low-risk treadmill score (score >=5) or no new ST segment changes or exercise-induced chest pain symptoms; when achieving maximal levels of exercise
2. Normal or small myocardial perfusion defect at rest or with stress encumbering <5% of the myocardium*
3. Normal stress or no change of limited resting wall motion abnormalities during stress
4. CAC score <100 Agaston units
5. No coronary stenosis >50% on CCTA

*Although the published data are limited; patients with these findings will probably not be at low risk in the presence of either a high-risk treadmill score or severe resting LV dysfunction (LVEF <35%).
]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000584">
					<selectionName><![CDATA[High]]></selectionName>
					<selectionDefinition><![CDATA[High risk (>3% annual death or MI)
1. Severe resting LV dysfunction (LVEF <35%) not readily explained by noncoronary causes
2. Resting perfusion abnormalities >=10% of the myocardium in patients without prior history or evidence of MI
3. Stress ECG findings including >=2 mm of ST-segment depression at low workload or persisting into recovery, exercise-induced ST-segment elevation, or exercise-induced VT/VF
4. Severe stress-induced LV dysfunction (peak exercise LVEF <45% or drop in LVEF with stress >=10%)
5. Stress-induced perfusion abnormalities encumbering >=10% myocardium or stress segmental scores indicating multiple vascular territories with abnormalities
6. Stress-induced LV dilation
7. Inducible wall motion abnormality (involving >2 segments or 2 coronary beds)
8. Wall motion abnormality developing at low dose of dobutamine (<=10 mg/kg/min) or at a low heart rate (<120 beats/min)
9. CAC score >400 Agatston units
10. Multivessel obstructive CAD (>=70% stenosis) or left main stenosis (>=50% stenosis) on CCTA
]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013098">
					<selectionName><![CDATA[Intermediate]]></selectionName>
					<selectionDefinition><![CDATA[Intermediate risk (1% to 3% annual death or MI)
1. Mild/moderate resting LV dysfunction (LVEF 35% to 49%) not readily explained by noncoronary causes
2. Resting perfusion abnormalities in 5% to 9.9% of the myocardium in patients without a history or prior evidence of MI
3. >=1 mm of ST-segment depression occurring with exertional symptoms
4. Stress-induced perfusion abnormalities encumbering 5% to 9.9% of the myocardium or stress segmental scores (in multiple segments) indicating 1 vascular territory with abnormalities but without LV dilation
5. Small wall motion abnormality involving 1 to 2 segments and only 1 coronary bed
6. CAC score 100 to 399 Agatston units
7. One vessel CAD with >=70% stenosis or moderate CAD stenosis (50% to 69% stenosis) in >=2 arteries on CCTA
]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000646">
					<selectionName><![CDATA[Unavailable]]></selectionName>
					<selectionDefinition><![CDATA[The results of the study were not available.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>StressTestRisk</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>5202</parentElementReference>
						<parentElementName>Stress Test Results</parentElementName>
						<parentElementSelectionName><![CDATA[Positive]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="6986" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013057">
			<name>PreProcedure Medication Code</name>
			<sectionDisplayName>Pre-Procedure Medications</sectionDisplayName>
			<sectionCode>PREPROCMED</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the assigned identification number associated with the medications the patient was prescribed or received.

Note:  The medications that should be collected in your application are controlled by a Medication Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application. Each medication in the Medication Master file is assigned a timing indicator. This indicator is used to separate procedural medications from medications prescribed at discharge. The separation of these medications is
depicted on the data collection form.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PreProcMedID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="6991" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="432102000">
			<name>PreProcedure Medication Administered</name>
			<sectionDisplayName>Pre-Procedure Medications</sectionDisplayName>
			<sectionCode>PREPROCMED</sectionCode>
			<targetValue>Any occurrence between 2 weeks prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient was prescribed or received the medication.

Note(s):
Code 'No' if a patient was given a sublingual, IV, or short acting formula of one of these medications.

Code 'Yes' if the patient received an oral (long-acting formula) of the medication after admission but prior to this cath lab visit.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000168">
					<selectionName><![CDATA[No]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001247">
					<selectionName><![CDATA[Yes]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013074">
					<selectionName><![CDATA[Contraindicated]]></selectionName>
					<selectionDefinition><![CDATA[A contraindication is a specific situation in which a drug should not be used because a clinician deems it may be harmful to the patient.

Examples include allergy, adverse drug interaction, comorbid condition, pregnancy.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcMedAdmin</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>6986</parentElementReference>
						<parentElementName>PreProcedure Medication Code</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="5301" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013017">
			<name>Q1a: Difficulty walking indoors on level ground</name>
			<sectionDisplayName>SA Questionnaire</sectionDisplayName>
			<sectionCode>SAQ</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 1a "Over the past four weeks, as a result of your angina, how much difficulty have you had in: walking indoors on level ground?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001173">
					<selectionName><![CDATA[Extremely limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001171">
					<selectionName><![CDATA[Quite a bit limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001170">
					<selectionName><![CDATA[Moderately limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014042">
					<selectionName><![CDATA[Slightly limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001167">
					<selectionName><![CDATA[Not at all limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014041">
					<selectionName><![CDATA[Limited for other reasons or did not do these activities]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcSAQQ1a</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5302" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013018">
			<name>Q1b: Difficulty gardening, vacuuming or carrying groceries</name>
			<sectionDisplayName>SA Questionnaire</sectionDisplayName>
			<sectionCode>SAQ</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 1b "Over the past four weeks, as a result of your angina, how much difficulty have you had in: gardening, vacuuming, or carrying groceries?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001173">
					<selectionName><![CDATA[Extremely limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001171">
					<selectionName><![CDATA[Quite a bit limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001170">
					<selectionName><![CDATA[Moderately limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014042">
					<selectionName><![CDATA[Slightly limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001167">
					<selectionName><![CDATA[Not at all limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014041">
					<selectionName><![CDATA[Limited for other reasons or did not do these activities]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcSAQQ1b</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5303" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013019">
			<name>Q1c: Difficulty lifting or moving heavy objects (e.g. furniture, children)</name>
			<sectionDisplayName>SA Questionnaire</sectionDisplayName>
			<sectionCode>SAQ</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 1c "Over the past four weeks, as a result of your angina, how much difficulty have you had in: lifting or moving heavy objects (e.g. furniture, children)?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001173">
					<selectionName><![CDATA[Extremely limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001171">
					<selectionName><![CDATA[Quite a bit limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001170">
					<selectionName><![CDATA[Moderately limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014042">
					<selectionName><![CDATA[Slightly limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001167">
					<selectionName><![CDATA[Not at all limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014041">
					<selectionName><![CDATA[Limited for other reasons or did not do these activities]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcSAQQ1c</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5305" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013020">
			<name>Q2: Had chest pain, chest tightness, or angina</name>
			<sectionDisplayName>SA Questionnaire</sectionDisplayName>
			<sectionCode>SAQ</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 2 "Over the past four weeks, on average, how many times have you: Had chest pain, chest tightness, or angina?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014043">
					<selectionName><![CDATA[4 or more times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014044">
					<selectionName><![CDATA[1 - 3 times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014045">
					<selectionName><![CDATA[3 or more times per week but not every day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014046">
					<selectionName><![CDATA[1 - 2 times per week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014047">
					<selectionName><![CDATA[Less than once a week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014048">
					<selectionName><![CDATA[None over the past 4 weeks]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcSAQQ2</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5310" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013021">
			<name>Q3: Had to take nitroglycerin (Tablets or spray) for  your chest pain, chest tightness or angina</name>
			<sectionDisplayName>SA Questionnaire</sectionDisplayName>
			<sectionCode>SAQ</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 3 "Over the past four weeks, on average, how many times have you: Had to take nitroglycerin (Tablets or spray) for  your chest pain, chest tightness or angina?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014043">
					<selectionName><![CDATA[4 or more times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014044">
					<selectionName><![CDATA[1 - 3 times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014045">
					<selectionName><![CDATA[3 or more times per week but not every day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014046">
					<selectionName><![CDATA[1 - 2 times per week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014047">
					<selectionName><![CDATA[Less than once a week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014048">
					<selectionName><![CDATA[None over the past 4 weeks]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcSAQQ3</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5315" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013022">
			<name>Q4: Chest pain, chest tightness or angina limited your enjoyment of life</name>
			<sectionDisplayName>SA Questionnaire</sectionDisplayName>
			<sectionCode>SAQ</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 4 "Over the past four weeks, on average, how many times have you: Chest pain, chest tightness or angina limited your enjoyment of life?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014049">
					<selectionName><![CDATA[It has extremely limited my enjoyment of life]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014050">
					<selectionName><![CDATA[It has limited my enjoyment of life quite a bit]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014051">
					<selectionName><![CDATA[It has moderately limited my enjoyment of life]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014052">
					<selectionName><![CDATA[It has slightly limited my enjoyment of life]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014053">
					<selectionName><![CDATA[It has not limited my enjoyment of life at all]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcSAQQ4</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5320" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013023">
			<name>Q5: How would you feel about this</name>
			<sectionDisplayName>SA Questionnaire</sectionDisplayName>
			<sectionCode>SAQ</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 5 "If you had to spend the rest of  your life with your chest pain, chest tightness or angina the way it is right now how would you feel about that?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014054">
					<selectionName><![CDATA[Not satisfied at all]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014055">
					<selectionName><![CDATA[Mostly dissatisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001197">
					<selectionName><![CDATA[Somewhat satisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014057">
					<selectionName><![CDATA[Mostly satisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014058">
					<selectionName><![CDATA[Completely satisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcSAQQ5</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5330" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013024">
			<name>Rose Dyspnea Scale Question 1</name>
			<sectionDisplayName>Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>ROSE</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 1 "Do you get short of breath when hurrying  on level ground or walking up a slight hill?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>PreProcRDSScaleQ1</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5335" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013025">
			<name>Rose Dyspnea Scale Question 2</name>
			<sectionDisplayName>Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>ROSE</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 2 "Do you get short of breath when walking with other people your own age on level ground?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>PreProcRDSScaleQ2</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5340" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013026">
			<name>Rose Dyspnea Scale Question 3</name>
			<sectionDisplayName>Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>ROSE</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 3 "Do you get short of breath when walking at your own pace on level ground?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>PreProcRDSScaleQ3</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="5345" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013027">
			<name>Rose Dyspnea Scale Question 4</name>
			<sectionDisplayName>Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>ROSE</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 4 "Do you get short of breath when washing or dressing?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>PreProcRDSScaleQ4</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7330" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014083">
			<name>Closure Device Counter</name>
			<sectionDisplayName>Closure Methods</sectionDisplayName>
			<sectionCode>CLMETHOD</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[The software assigned closure device counter should start at 1 and be incremented by one for each closure device used during or after the cath lab visit.

Note(s):
The closure device counter number should be assigned sequentially in ascending order. Do not skip numbers.

The closure device counter is reset back to 1 for each new cath lab visit.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ClosureCounter</shortName>
				<dataType>CTR</dataType>
				<precision>3</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7331</parentElementReference>
						<parentElementName>Arterial Access Closure Method</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin/>
						<usualRangeMax/>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>999</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7331" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014074">
			<name>Arterial Access Closure Method</name>
			<sectionDisplayName>Closure Methods</sectionDisplayName>
			<sectionCode>CLMETHOD</sectionCode>
			<targetValue>All values between start of procedure and next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the arterial closure methods used in chronological order regardless of whether or not they provided hemostasis. The same closure method may be repeated.

Note(s):
If multiple access sites were utilized during the procedure, only provide those closure methods used for the site identified in Element Ref# 7320 (Arterial Access Site).

The closure method devices that should be collected in your application are controlled by a Closure Method Device Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ClosureDevID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7332</parentElementReference>
						<parentElementName>Closure Method Not Documented</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7333" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3719">
			<name>Closure Method Unique Device Identifier</name>
			<sectionDisplayName>Closure Methods</sectionDisplayName>
			<sectionCode>CLMETHOD</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the direct identifier portion of the Unique Device Identifier (UDI) associated with the closure method utilized. This ID is provided by the device manufacturer, and is either a GTIN or HIBC number.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Unique Device Identifier (UDI)</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[US FDA]]></source>
					<definition><![CDATA[An identifier that is the main (primary) lookup for a medical device product and meets the requirements to uniquely identify a device through its distribution and use. This value is supplied to the FDA by the manufacturer.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>ClosureUDI</shortName>
				<dataType>ST</dataType>
				<precision>150</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>No Action</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Reserved for Future use. NCDR will provide additional information once FDA has established a timeline for implementation. The application must create these fields (as placeholders) during initial development and vendor certification of the registry; and demonstrate that they can be transmitted in the export file.]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7331</parentElementReference>
						<parentElementName>Arterial Access Closure Method</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="6090" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10839-9">
			<name>PreProcedure Troponin I </name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>The last value between date of arrival and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the Troponin I result in ng/mL.
 
Note(s): 
This may include POC (Point of Care) testing results.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin I</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/42757-5.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PreProcTnI</shortName>
				<dataType>PQ</dataType>
				<precision>6,2</precision>
				<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>6091</parentElementReference>
						<parentElementName>PreProcedure Troponin I Not Drawn </parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1000.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>5000.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="6091" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10839-9">
			<name>PreProcedure Troponin I Not Drawn </name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>The last value between date of arrival and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the Troponin I was not obtained at your facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin I</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/42757-5.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PreProcTnIND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="6095" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="6598-7">
			<name>Troponin T (Pre-Procedure)</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>The last value between date of arrival and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the Troponin T result in ng/mL.

Note(s):
This may include POC (Point of Care) testing results.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin T</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/48425-3.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PreProcTnT</shortName>
				<dataType>PQ</dataType>
				<precision>6,2</precision>
				<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>6096</parentElementReference>
						<parentElementName>Troponin T Not Drawn (Pre-Procedure)</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1000.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>5000.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="6096" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="6598-7">
			<name>Troponin T Not Drawn (Pre-Procedure)</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>The last value between date of arrival and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the Troponin T was not obtained at your facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin T</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/48425-3.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PreProcTnTND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="6050" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2160-0">
			<name>Creatinine</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>The last value between 30 days prior to the procedure and the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the creatinine (Cr) level mg/dL.

Note(s):
This may include POC (Point of Care) testing results or results obtained prior to arrival at this facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Creatinine</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/2160-0.html?sections=Simple]]></source>
					<definition><![CDATA[Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomerular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PreProcCreat</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>6051</parentElementReference>
						<parentElementName>Creatinine Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
						<usualRangeMin>0.10</usualRangeMin>
						<usualRangeMax>5.00</usualRangeMax>
						<validRangeMin>0.10</validRangeMin>
						<validRangeMax>30.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="6051" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2160-0">
			<name>Creatinine Not Drawn</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate if a creatinine level was not drawn.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Creatinine</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/2160-0.html?sections=Simple]]></source>
					<definition><![CDATA[Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomerular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PreProcCreatND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="6030" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="718-7">
			<name>Hemoglobin</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>The last value within 30 days prior to the first procedure in this admission</targetValue>
			<codingInstruction><![CDATA[Indicate the hemoglobin (Hgb) value in g/dL.

Note(s):  
This may include POC (Point of Care) testing results or results obtained prior to arrival at this facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hemoglobin</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/718-7.html?sections=Simple]]></source>
					<definition><![CDATA[Hemoglobin (Hb or Hgb) is the iron-containing oxygen-transport metalloprotein in the red blood cells. It carries oxygen from the lungs to the rest of the body (i.e. the tissues) where it releases the oxygen to burn nutrients and provide energy. Hemoglobin concentration measurement is among the most commonly performed blood tests, usually as part of a complete blood count. If the concentration is below normal, this is called anemia. Anemias are classified by the size of red blood cells: "microcytic" if red cells are small, "macrocytic" if they are large, and "normocytic" if otherwise. Dehydration or hyperhydration can greatly influence measured hemoglobin levels.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HGB</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[g/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>6031</parentElementReference>
						<parentElementName>Hemoglobin Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[g/dL]]></unitofMeasure>
						<usualRangeMin>5.00</usualRangeMin>
						<usualRangeMax>20.00</usualRangeMax>
						<validRangeMin>1.00</validRangeMin>
						<validRangeMax>50.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="6031" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="718-7">
			<name>Hemoglobin Not Drawn</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>The last value within 30 days prior to the first procedure in this admission</targetValue>
			<codingInstruction><![CDATA[Indicate if the hemoglobin was not drawn.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hemoglobin</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/718-7.html?sections=Simple]]></source>
					<definition><![CDATA[Hemoglobin (Hb or Hgb) is the iron-containing oxygen-transport metalloprotein in the red blood cells. It carries oxygen from the lungs to the rest of the body (i.e. the tissues) where it releases the oxygen to burn nutrients and provide energy. Hemoglobin concentration measurement is among the most commonly performed blood tests, usually as part of a complete blood count. If the concentration is below normal, this is called anemia. Anemias are classified by the size of red blood cells: "microcytic" if red cells are small, "macrocytic" if they are large, and "normocytic" if otherwise. Dehydration or hyperhydration can greatly influence measured hemoglobin levels.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>HGBND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="6100" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2093-3">
			<name>Total Cholesterol</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>Any occurrence between 30 days prior to the procedure and the procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the cholesterol level mg/dL.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cholesterol</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Copyright © 2015 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2015, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee.]]></source>
					<definition><![CDATA[Cholesterol is a lipidic, waxy alcohol found in the cell membranes and transported in the blood plasma of all animals. It is an essential component of mammalian cell membranes where it establishes proper membrane permeability and fluidity. Cholesterol is the principal sterol synthesized by animals, but small quantities are synthesized in other eukaryotes, such as plants and fungi. It is almost completely absent among prokaryotes, which include bacteria. Cholesterol is classified as a sterol.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>LipidsTC</shortName>
				<dataType>PQ</dataType>
				<precision>4,0</precision>
				<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>6101</parentElementReference>
						<parentElementName>Total Cholesterol Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
						<usualRangeMin>75</usualRangeMin>
						<usualRangeMax>300</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>1000</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="6101" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2093-3">
			<name>Total Cholesterol Not Drawn</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>Any occurrence between 30 days prior to the procedure and the procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the total cholesterol was not collected.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cholesterol</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Copyright © 2015 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2015, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee.]]></source>
					<definition><![CDATA[Cholesterol is a lipidic, waxy alcohol found in the cell membranes and transported in the blood plasma of all animals. It is an essential component of mammalian cell membranes where it establishes proper membrane permeability and fluidity. Cholesterol is the principal sterol synthesized by animals, but small quantities are synthesized in other eukaryotes, such as plants and fungi. It is almost completely absent among prokaryotes, which include bacteria. Cholesterol is classified as a sterol.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>LipidsTCND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="6105" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2085-9">
			<name>High-density Lipoprotein</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>Any occurrence between 30 days prior to the procedure and the procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the high-density lipoprotein (HDL) level mg/dL.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>High-density lipoprotein</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2015, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee.

Copyright: Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.]]></source>
					<definition><![CDATA[High-density lipoprotein (HDL) is one of the five major groups of lipoproteins (chylomicrons, VLDL, IDL, LDL, HDL) which enable lipids like cholesterol and triglycerides to be transported within the water based blood stream. In healthy individuals, about thirty percent of blood cholesterol is carried by HDL. High levels of cholesterol in the blood have been linked to damage to arteries and cardiovascular disease.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>LipidsHDL</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>6106</parentElementReference>
						<parentElementName>High-density Lipoprotein Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
						<usualRangeMin>0</usualRangeMin>
						<usualRangeMax>100</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>300</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="6106" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2085-9">
			<name>High-density Lipoprotein Not Drawn</name>
			<sectionDisplayName>Pre-Procedure Labs</sectionDisplayName>
			<sectionCode>PREPROCLABS</sectionCode>
			<targetValue>Any occurrence between 30 days prior to the procedure and the procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the high density lipoprotein (HDL) cholesterol value was not drawn.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>High-density lipoprotein</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2015, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee.

Copyright: Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.]]></source>
					<definition><![CDATA[High-density lipoprotein (HDL) is one of the five major groups of lipoproteins (chylomicrons, VLDL, IDL, LDL, HDL) which enable lipids like cholesterol and triglycerides to be transported within the water based blood stream. In healthy individuals, about thirty percent of blood cholesterol is carried by HDL. High levels of cholesterol in the blood have been linked to damage to arteries and cardiovascular disease.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>LipidsHDLND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8515" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10839-9">
			<name>PostProcedure Troponin I </name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The highest value between 6 hours after current procedure and 24 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the Troponin I result in ng/mL.

Note(s):  
This may include POC (Point of Care) testing results.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin I</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/42757-5.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcTnI</shortName>
				<dataType>PQ</dataType>
				<precision>6,2</precision>
				<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8516</parentElementReference>
						<parentElementName>PostProcedure Troponin I Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1000.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>5000.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8516" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="10839-9">
			<name>PostProcedure Troponin I Not Drawn</name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The highest value between 6 hours after current procedure and 24 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the Troponin I was not obtained at your facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin I</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/42757-5.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcTnIND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8520" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="6598-7">
			<name>Troponin T (Post-Procedure)</name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The highest value between 6 hours after current procedure and 24 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the Troponin T result in ng/mL.

Note(s): 
This may include POC (Point of Care) testing results.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin T</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/48425-3.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcTnT</shortName>
				<dataType>PQ</dataType>
				<precision>6,2</precision>
				<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8521</parentElementReference>
						<parentElementName>Troponin T Not Drawn (Post-Procedure)</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[ng/mL]]></unitofMeasure>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1000.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>5000.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8521" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="6598-7">
			<name>Troponin T Not Drawn (Post-Procedure)</name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The highest value between 6 hours after current procedure and 24 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the Troponin T was not obtained at your facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Troponin T</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/48425-3.html?sections=Simple]]></source>
					<definition><![CDATA[The troponin test is used to help diagnose a heart attack, to detect and evaluate mild to severe heart injury, and to distinguish chest pain that may be due to other causes. Troponin values can remain high for 1-2 weeks after a heart attack. The test is not affected by damage to other muscles, so injections, accidents, and drugs that can damage muscle do not affect troponin levels. Troponin may rise following strenuous exercise, although in the absence of signs and symptoms of heart disease, it is usually of no medical significance.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcTnTND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8510" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2160-0">
			<name>Creatinine</name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The highest value between current procedure and 5 days after current procedure or until next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the post-procedure creatinine level in mg/dL. If more than one level is available, code the peak level.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Creatinine</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/2160-0.html?sections=Simple]]></source>
					<definition><![CDATA[Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomerular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcCreat</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8511</parentElementReference>
						<parentElementName>Creatinine Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
						<usualRangeMin>0.10</usualRangeMin>
						<usualRangeMax>5.00</usualRangeMax>
						<validRangeMin>0.10</validRangeMin>
						<validRangeMax>30.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8511" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2160-0">
			<name>Creatinine Not Drawn</name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The highest value between current procedure and 5 days after current procedure or until next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if a post-procedure creatinine level was not drawn.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Creatinine</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/2160-0.html?sections=Simple]]></source>
					<definition><![CDATA[Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomerular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcCreatND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8505" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="718-7">
			<name>Hemoglobin</name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The lowest value between current procedure and 72 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the hemoglobin (Hgb) value in g/dL.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hemoglobin</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/718-7.html?sections=Simple]]></source>
					<definition><![CDATA[Hemoglobin (Hb or Hgb) is the iron-containing oxygen-transport metalloprotein in the red blood cells. It carries oxygen from the lungs to the rest of the body (i.e. the tissues) where it releases the oxygen to burn nutrients and provide energy. Hemoglobin concentration measurement is among the most commonly performed blood tests, usually as part of a complete blood count. If the concentration is below normal, this is called anemia. Anemias are classified by the size of red blood cells: "microcytic" if red cells are small, "macrocytic" if they are large, and "normocytic" if otherwise. Dehydration or hyperhydration can greatly influence measured hemoglobin levels.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcHgb</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[g/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8506</parentElementReference>
						<parentElementName>Hemoglobin Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[g/dL]]></unitofMeasure>
						<usualRangeMin>5.00</usualRangeMin>
						<usualRangeMax>20.00</usualRangeMax>
						<validRangeMin>1.00</validRangeMin>
						<validRangeMax>50.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8506" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="718-7">
			<name>Hemoglobin Not Drawn</name>
			<sectionDisplayName>Post-Procedure Labs</sectionDisplayName>
			<sectionCode>POSTPROCLABS</sectionCode>
			<targetValue>The lowest value between current procedure and 72 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the hemoglobin was not drawn.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hemoglobin</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/718-7.html?sections=Simple]]></source>
					<definition><![CDATA[Hemoglobin (Hb or Hgb) is the iron-containing oxygen-transport metalloprotein in the red blood cells. It carries oxygen from the lungs to the rest of the body (i.e. the tissues) where it releases the oxygen to burn nutrients and provide energy. Hemoglobin concentration measurement is among the most commonly performed blood tests, usually as part of a complete blood count. If the concentration is below normal, this is called anemia. Anemias are classified by the size of red blood cells: "microcytic" if red cells are small, "macrocytic" if they are large, and "normocytic" if otherwise. Dehydration or hyperhydration can greatly influence measured hemoglobin levels.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PostProcHgbND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7400" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014000">
			<name>Indications for Cath Lab Visit</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient symptoms or condition prompting the cath lab visit.

Note(s): 
The Cath Lab Indications collected in this field by your application are controlled by Cath Lab Indication Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CathLabVisitIndication</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7405" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001274">
			<name>Chest Pain Symptom Assessment</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the chest pain symptom assessment as diagnosed by the physician or described by the patient.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="429559004">
					<selectionName><![CDATA[Typical Angina]]></selectionName>
					<selectionDefinition><![CDATA[Symptoms meet all three of the characteristics of angina (also known as definite): 1. Substernal chest discomfort with a characteristic quality and duration that is 2. provoked by exertion or emotional stress and 3. relieved by rest or nitroglycerin.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371807002">
					<selectionName><![CDATA[Atypical angina]]></selectionName>
					<selectionDefinition><![CDATA[Symptoms meet two of the three characteristics of typical angina (also known as probable).]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001275">
					<selectionName><![CDATA[Non-anginal Chest Pain]]></selectionName>
					<selectionDefinition><![CDATA[The patient meets one, or none of the typical characteristics of angina.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000932">
					<selectionName><![CDATA[Asymptomatic]]></selectionName>
					<selectionDefinition><![CDATA[No typical or atypical symptoms or non-anginal chest pain.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>CPSxAssess</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7410" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014004">
			<name>Cardiovascular Instability</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has cardiovascular instability.  Cardiovascular instability includes, but is not limited to, persistent ischemic symptoms (such as chest pain or ST elevation), cardiogenic shock, ventricular arrhythmias, symptoms of acute heart failure, or hemodynamic instability (not cardiogenic shock).]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cardiac Instability</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS 2016 Appropriate Use Criteria for Coronary Revascularization in Patients with Acute Coronary Syndromes: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and the Society of Thoracic Surgeons. www.onlinejacc.org/lookup/doi/10.1016/j.jacc.2016.10.034]]></source>
					<definition><![CDATA[Cardiac Instability is defined as persistent ischemic symptoms, decompensating heart failure, ventricular arrhythmias, cardiogenic shock and hemodynamic instability (not cardiogenic shock).]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CVInstability</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7415" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014005">
			<name>Cardiovascular Instability Type</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the cardiovascular instability type.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014006">
					<selectionName><![CDATA[Persistent Ischemic Symptoms (chest pain, STE)]]></selectionName>
					<selectionDefinition><![CDATA[Persistent ischemic symptoms as demonstrated by chest pain, angina and/or ST segment elevation.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="422773005">
					<selectionName><![CDATA[Hemodynamic Instability (not cardiogenic shock)]]></selectionName>
					<selectionDefinition><![CDATA[Hemodynamic instability can include periods of reduced, unstable or
abnormal blood pressure, and/or hypo-perfusion that does not support
normal organ perfusion or function. The hemodynamic compromise
(with or without extraordinary supportive therapy) must persist for at
least 30 min. Does NOT include cardiogenic shock.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="44103008">
					<selectionName><![CDATA[Ventricular arrhythmias]]></selectionName>
					<selectionDefinition><![CDATA[Ventricular arrhythmias are abnormal rapid heart rhythms that originate in the ventricles.

Ventricular arrhythmias include ventricular tachycardia and ventricular fibrillation.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="89138009">
					<selectionName><![CDATA[Cardiogenic Shock]]></selectionName>
					<selectionDefinition><![CDATA[Cardiogenic shock is defined as a sustained (>30 min) episode of systolic blood pressure <90 mm Hg and/or cardiac index <2.2 L/min per square meter determined to be secondary to cardiac dysfunction and/or the requirement for parenteral inotropic or vasopressor agents or mechanical support (eg, IABP, extracorporeal circulation, VADs) to maintain blood pressure and cardiac index above those specified levels. Note: Transient episodes of hypotension reversed with IV fluid or atropine do not constitute cardiogenic shock. The hemodynamic compromise (with or without extraordinary supportive therapy) must persist for at least 30 min.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014007">
					<selectionName><![CDATA[Acute Heart Failure Symptoms]]></selectionName>
					<selectionDefinition><![CDATA[Acute heart failure typically have symptoms such as difficulty breathing, leg or feet swelling, pulmonary edema on chest x-ray or jugular venous distension.  A low ejection fraction alone, without clinical evidence of heart failure does not qualify.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="276227005">
					<selectionName><![CDATA[Refractory Cardiogenic Shock]]></selectionName>
					<selectionDefinition><![CDATA[Refractory cardiogenic shock is defined as acute hypotension with systolic blood pressure <90mmHg (or cardiac index <2.0l/min/m2) for more than 10 minutes despite mechanical support or pharmacologic support with at least two vasopressor agents.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>CVInstabilityType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7410</parentElementReference>
						<parentElementName>Cardiovascular Instability</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7420" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001276">
			<name>Ventricular Support</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient required any type of ventricular support (i.e. IV vasopressors or mechanical).]]></codingInstruction>
			<technicalSpecification>
				<shortName>VSupport</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7421" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001277">
			<name>Pharmacologic Vasopressor Support</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient required pharmacologic vasopressor support.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PharmVasoSupp</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7420</parentElementReference>
						<parentElementName>Ventricular Support</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7422" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014009">
			<name>Mechanical Ventricular Support</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient required mechanical ventricular support.]]></codingInstruction>
			<technicalSpecification>
				<shortName>MechVentSupp</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7420</parentElementReference>
						<parentElementName>Ventricular Support</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7423" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001278">
			<name>Mechanical Ventricular Support Device</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the mechanical ventricular support device used.

Note(s):
The device that should be collected in your application are controlled by a Mechanical Ventricular Support Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>MVSupportDevice</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7422</parentElementReference>
						<parentElementName>Mechanical Ventricular Support</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7424" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014009">
			<name>Mechanical Ventricular Support Timing</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate when the mechanical ventricular support device was placed.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001280">
					<selectionName><![CDATA[In place at start of procedure]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001281">
					<selectionName><![CDATA[Inserted during procedure and prior to intervention]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013042">
					<selectionName><![CDATA[Inserted after intervention has begun]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>MVSupportTiming</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7422</parentElementReference>
						<parentElementName>Mechanical Ventricular Support</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7465" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="110466009">
			<name>Evaluation for Surgery Type</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the type of surgery for which the diagnostic coronary angiography is being performed.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="64915003">
					<selectionName><![CDATA[Cardiac Surgery]]></selectionName>
					<selectionDefinition><![CDATA[Any surgery involving the coronary arteries, valves, or a structural repair of the heart.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014022">
					<selectionName><![CDATA[Non-Cardiac Surgery]]></selectionName>
					<selectionDefinition><![CDATA[Any surgery involving the aortic arch or other body system.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreOPEval</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7400</parentElementReference>
						<parentElementName>Indications for Cath Lab Visit</parentElementName>
						<parentElementSelectionName><![CDATA[Pre-operative Evaluation]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7466" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142418">
			<name>Functional Capacity</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the functional capacity of the patient as documented by the physician in the medical record. 

Note(s):  
There should be explicit documentation as part of the pre-op evaluation indicating functional capacity to determine whether the patient should proceed to planned surgery.

Metabolic equivalent of task (MET) is a metabolic unit used to quantify the estimated energy requirements of various activities.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014023">
					<selectionName><![CDATA[< 4 METS]]></selectionName>
					<selectionDefinition><![CDATA[1 MET is the equivalent of energy required at rest.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014025">
					<selectionName><![CDATA[>= 4 METS without Symptoms]]></selectionName>
					<selectionDefinition><![CDATA[>= 4 METS without symptoms of chest pain or anginal equivalent.

4 METS is the equivalent of energy required to walk slowly for two blocks and/or perform light work around the house.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014024">
					<selectionName><![CDATA[>= 4 METS with Symptoms]]></selectionName>
					<selectionDefinition><![CDATA[>= 4 METS with symptoms of chest pain or anginal equivalent.

4 METS is the equivalent of energy required to walk slowly for two blocks and/or perform light work around the house.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Functional Capacity</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Fleisher LA, Beckman JA, Brown KA, et al. 2009 ACCF/AHA Focused Update on Perioperative Beta Blockade Incorporated into the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery. J Am Coll Cardiol 2009;54:e13-118.]]></source>
					<definition><![CDATA[Functional capacity (measured in METS) measures the ability (or limitation) of a patient to perform various activities.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>FuncCapacity</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7467</parentElementReference>
						<parentElementName>Functional Capacity Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7467" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142418">
			<name>Functional Capacity Unknown</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the functional capacity of the patient is unknown.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Functional Capacity</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Fleisher LA, Beckman JA, Brown KA, et al. 2009 ACCF/AHA Focused Update on Perioperative Beta Blockade Incorporated into the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery. J Am Coll Cardiol 2009;54:e13-118.]]></source>
					<definition><![CDATA[Functional capacity (measured in METS) measures the ability (or limitation) of a patient to perform various activities.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>FuncCapacityNA</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7400</parentElementReference>
						<parentElementName>Indications for Cath Lab Visit</parentElementName>
						<parentElementSelectionName><![CDATA[Pre-operative Evaluation]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7468" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142420">
			<name>Surgical Risk</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The last value between 6 months prior to procedure and the start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the surgical risk category as documented by the physician in the medical record. 

Note(s):   
There should be explicit documentation by the physician indicating surgical risk to support the risk profile documented.  When surgical risk is not documented, select low risk.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000375">
					<selectionName><![CDATA[Low]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000376">
					<selectionName><![CDATA[Intermediate]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014029">
					<selectionName><![CDATA[High Risk: Vascular]]></selectionName>
					<selectionDefinition><![CDATA[High risk vascular surgery includes aortic and other major vascular surgery, and peripheral vascular surgery. This does not include non-surgical vascular procedures that are interventions.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014030">
					<selectionName><![CDATA[High Risk: Non-Vascular]]></selectionName>
					<selectionDefinition><![CDATA[None]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Surgical Risk</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Fleisher LA, Beckman JA, Brown KA, et al. 2009 ACCF/AHA Focused Update on Perioperative Beta Blockade Incorporated into the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery. J Am Coll Cardiol 2009;54:e13-118]]></source>
					<definition><![CDATA[Surgical risk is assessed based on the patient's history of cardiac and co-morbid diseases, functional capacity, as well as the urgency and magnitude of the surgical procedure.  Evaluation of surgical risk is determined by the physician, and outlined according to the ACC/AHA Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>SurgRisk</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7400</parentElementReference>
						<parentElementName>Indications for Cath Lab Visit</parentElementName>
						<parentElementSelectionName><![CDATA[Pre-operative Evaluation]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7469" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="313039003">
			<name>Solid Organ Transplant Surgery</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the pending surgery involves a solid organ transplant.]]></codingInstruction>
			<technicalSpecification>
				<shortName>OrganTransplantSurg</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7400</parentElementReference>
						<parentElementName>Indications for Cath Lab Visit</parentElementName>
						<parentElementSelectionName><![CDATA[Pre-operative Evaluation]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7470" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="51032003">
			<name>Solid Organ Transplant Donor</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is the organ donor.]]></codingInstruction>
			<technicalSpecification>
				<shortName>OrganTransplantDonor</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7469</parentElementReference>
						<parentElementName>Solid Organ Transplant Surgery</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7471" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014026">
			<name>Solid Organ Transplant Type</name>
			<sectionDisplayName>G. Cath Lab Visit</sectionDisplayName>
			<sectionCode>LABVISIT</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the type of organ transplant surgery performed.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="32413006">
					<selectionName><![CDATA[Heart]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="70536003">
					<selectionName><![CDATA[Kidney]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="18027006">
					<selectionName><![CDATA[Liver]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="88039007">
					<selectionName><![CDATA[Lung]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014027">
					<selectionName><![CDATA[Pancreas]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142347">
					<selectionName><![CDATA[Other Organ]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>OrganTransplantType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7469</parentElementReference>
						<parentElementName>Solid Organ Transplant Surgery</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7450" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014085">
			<name>Valvular Disease Stenosis Type</name>
			<sectionDisplayName>Valvular Disease Stenosis</sectionDisplayName>
			<sectionCode>VALVULARDZSTEN</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the cardiac valve stenosis severity as diagnosed by the physician.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="60573004">
					<selectionName><![CDATA[Aortic Stenosis]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="79619009">
					<selectionName><![CDATA[Mitral Stenosis]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="56786000">
					<selectionName><![CDATA[Pulmonic Stenosis]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="49915006">
					<selectionName><![CDATA[Tricuspid Stenosis]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>ValvularDzStenosisType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7400</parentElementReference>
						<parentElementName>Indications for Cath Lab Visit</parentElementName>
						<parentElementSelectionName><![CDATA[Valvular Disease]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7451" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014087">
			<name>Valvular Disease Stenosis Severity</name>
			<sectionDisplayName>Valvular Disease Stenosis</sectionDisplayName>
			<sectionCode>VALVULARDZSTEN</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the cardiac valve stenosis severity.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000377">
					<selectionName><![CDATA[Mild]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000378">
					<selectionName><![CDATA[Moderate]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000379">
					<selectionName><![CDATA[Severe]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>ValvularDzStenosisSev</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7450</parentElementReference>
						<parentElementName>Valvular Disease Stenosis Type</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7455" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014086">
			<name>Valvular Disease Regurgitation Type</name>
			<sectionDisplayName>Valvular Disease Regurgitation</sectionDisplayName>
			<sectionCode>VALVULARDZREGURG</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[ Indicate the cardiac valve regurgitation severity as diagnosed by the physician.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="60234000">
					<selectionName><![CDATA[Aortic Regurgitation]]></selectionName>
					<selectionDefinition><![CDATA[A condition that occurs when the heart's aortic valve doesn't close tightly, leading to the backward flow of blood from the aorta into the left ventricle. Also called aortic insufficiency.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="48724000">
					<selectionName><![CDATA[Mitral Regurgitation]]></selectionName>
					<selectionDefinition><![CDATA[A condition that occurs when the heart's mitral valve doesn't close tightly, causing blood to leak backward, through the mitral valve, each time the left ventricle contracts. Also called mitral valve regurgitation, mitral insufficiency or mitral incompetence.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91434003">
					<selectionName><![CDATA[Pulmonic Regurgitation]]></selectionName>
					<selectionDefinition><![CDATA[A condition that occurs when an incompetent pulmonary valve allows blood to flow backward from the pulmonary artery into the right ventricle during diastole. Also called pulmonic regurgitation, pulmonary insufficiency or pulmonic incompetence.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="111287006">
					<selectionName><![CDATA[Tricuspid Regurgitation]]></selectionName>
					<selectionDefinition><![CDATA[A condition that occurs when the tricuspid valve fails to close properly during systole, allowing blood to flow backward into the right atria. Also called tricuspid insufficiency.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>ValvularDzRegurgType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7400</parentElementReference>
						<parentElementName>Indications for Cath Lab Visit</parentElementName>
						<parentElementSelectionName><![CDATA[Valvular Disease]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7456" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014089">
			<name>Valvular Disease Regurgitation Severity</name>
			<sectionDisplayName>Valvular Disease Regurgitation</sectionDisplayName>
			<sectionCode>VALVULARDZREGURG</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the cardiac valve regurgitation severity.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000380">
					<selectionName><![CDATA[Mild (1+)]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000381">
					<selectionName><![CDATA[Moderate (2+)]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142345">
					<selectionName><![CDATA[Moderately Severe (3+)]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000382">
					<selectionName><![CDATA[Severe (4+)]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>RegurgSeverity</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7455</parentElementReference>
						<parentElementName>Valvular Disease Regurgitation Type</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7500" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="253727002">
			<name>Coronary Circulation Dominance</name>
			<sectionDisplayName>H. Coronary Anatomy</sectionDisplayName>
			<sectionCode>CORANATOMY</sectionCode>
			<targetValue>Any occurrence between 30 days prior to the procedure and the procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the dominance of the coronary anatomy (whether the posterior descending artery comes from the right or left vessel system).]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="253729004">
					<selectionName><![CDATA[Left]]></selectionName>
					<selectionDefinition><![CDATA[The posterior descending artery (PDA) and posterolateral artery (PLA) arises from the left circumflex artery.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="253728007">
					<selectionName><![CDATA[Right]]></selectionName>
					<selectionDefinition><![CDATA[The posterior descending artery (PDA) and posterolateral artery (PLA) arises from the right coronary artery.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="253730009">
					<selectionName><![CDATA[Co-dominant]]></selectionName>
					<selectionDefinition><![CDATA[The right coronary artery supplies the posterior descending artery (PDA) and the circumflex supplies the posterolateral artery (PLA).  Thus, there is approximately equal contribution to the inferior surface of the left ventricle from both the left circumflex and right coronary arteries.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>Dominance</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7505" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001297">
			<name>Native Vessel with Stenosis &gt;= 50%</name>
			<sectionDisplayName>H. Coronary Anatomy</sectionDisplayName>
			<sectionCode>CORANATOMY</sectionCode>
			<targetValue>The highest value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if any native vessel had a lesion >= 50%.

Note(s): 
Identify the disease found in vessels >=2mm.

Identify disease found in vessels <2mm when PCI is intended for the lesion and/or the patients anatomy is <2mm.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NVStenosis</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7525" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012978">
			<name>Graft Vessel with Stenosis &gt;= 50%</name>
			<sectionDisplayName>H. Coronary Anatomy</sectionDisplayName>
			<sectionCode>CORANATOMY</sectionCode>
			<targetValue>The highest value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if any graft vessel had a lesion >= 50%.

Note(s):
Identify the disease found in vessels >=2mm.

Identify disease found in vessels <2mm when PCI is intended for the lesion and/or the patients anatomy is <2m.]]></codingInstruction>
			<technicalSpecification>
				<shortName>GraftStenosis</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Enable element when Prior Coronary Artery Bypass Graft(4515) = 'Yes'
Parent/Child Rule 2: Coronary Artery Bypass Graft Date and Time(10011) is less than Procedure Start Date and Time(7000) (CABGDateTime < ProcedureStartDateTime)]]></vendorInstruction>
			</technicalSpecification>
		</element>
		<element reference="7507" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012984">
			<name>Native Lesion Segment Number</name>
			<sectionDisplayName>Native Vessel</sectionDisplayName>
			<sectionCode>NVESSEL</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the lesion location using the coronary artery segment diagram of the native lesion.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91083009">
					<selectionName><![CDATA[1 - pRCA]]></selectionName>
					<selectionDefinition><![CDATA[Proximal right coronary artery conduit segment - pRCA]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="450960006">
					<selectionName><![CDATA[2 - mRCA]]></selectionName>
					<selectionDefinition><![CDATA[Mid-right coronary artery conduit segment - mRCA]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="41879009">
					<selectionName><![CDATA[3 - dRCA]]></selectionName>
					<selectionDefinition><![CDATA[Distal right coronary artery conduit segment - dRCA]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="53655008">
					<selectionName><![CDATA[4 - rPDA]]></selectionName>
					<selectionDefinition><![CDATA[Right posterior descending artery segment - rPDA]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="12800002">
					<selectionName><![CDATA[5 - rPAV]]></selectionName>
					<selectionDefinition><![CDATA[Right posterior atrioventricular segment - rPAV]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91761002">
					<selectionName><![CDATA[6 - 1st RPL]]></selectionName>
					<selectionDefinition><![CDATA[First right posterolateral segment - 1st RPL]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91762009">
					<selectionName><![CDATA[7 - 2nd RPL]]></selectionName>
					<selectionDefinition><![CDATA[Second right posterolateral segment - 2nd RPL]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91763004">
					<selectionName><![CDATA[8 - 3rd RPL]]></selectionName>
					<selectionDefinition><![CDATA[Third right posterolateral segment - 3rd RPL]]></selectionDefinition>
					<displayOrder>8</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="194142006">
					<selectionName><![CDATA[9 - pDSP]]></selectionName>
					<selectionDefinition><![CDATA[Posterior descending septal perforators segment - pDSP]]></selectionDefinition>
					<displayOrder>9</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244258000">
					<selectionName><![CDATA[10 - aMarg]]></selectionName>
					<selectionDefinition><![CDATA[Acute marginal segment(s) - aMarg]]></selectionDefinition>
					<displayOrder>10</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="76862008">
					<selectionName><![CDATA[11a - Ostial LM]]></selectionName>
					<selectionDefinition><![CDATA[Ostial Left Main Segment - Ostial LM]]></selectionDefinition>
					<displayOrder>11</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142402">
					<selectionName><![CDATA[11b-  Mid-LM]]></selectionName>
					<selectionDefinition><![CDATA[Mid-Left Main Segment -  Mid-LM]]></selectionDefinition>
					<displayOrder>12</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142403">
					<selectionName><![CDATA[11c -  Distal LM]]></selectionName>
					<selectionDefinition><![CDATA[Distal Left Main Segment -  Distal LM]]></selectionDefinition>
					<displayOrder>13</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="68787002">
					<selectionName><![CDATA[12 - pLAD]]></selectionName>
					<selectionDefinition><![CDATA[Proximal LAD artery segment - pLAD]]></selectionDefinition>
					<displayOrder>14</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91748002">
					<selectionName><![CDATA[13 - mLAD]]></selectionName>
					<selectionDefinition><![CDATA[Mid-LAD artery segment - mLAD]]></selectionDefinition>
					<displayOrder>15</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="36672000">
					<selectionName><![CDATA[14 - dLAD]]></selectionName>
					<selectionDefinition><![CDATA[Distal LAD artery segment - dLAD]]></selectionDefinition>
					<displayOrder>16</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91750005">
					<selectionName><![CDATA[15 - 1st Diag]]></selectionName>
					<selectionDefinition><![CDATA[First diagonal branch segment - 1st Diag]]></selectionDefinition>
					<displayOrder>17</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142404">
					<selectionName><![CDATA[15a - Lat 1st Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral first diagonal branch segment - Lat 1st Diag]]></selectionDefinition>
					<displayOrder>18</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91751009">
					<selectionName><![CDATA[16 - 2nd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Second diagonal branch segment - 2nd Diag]]></selectionDefinition>
					<displayOrder>19</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142405">
					<selectionName><![CDATA[16a - Lat 2nd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral second diagonal branch segment]]></selectionDefinition>
					<displayOrder>20</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244251006">
					<selectionName><![CDATA[17 - LAD SP]]></selectionName>
					<selectionDefinition><![CDATA[LAD septal perforator segments - LAD SP]]></selectionDefinition>
					<displayOrder>21</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="52433000">
					<selectionName><![CDATA[18 - pCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Proximal circumflex artery segment - pCIRC]]></selectionDefinition>
					<displayOrder>22</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91753007">
					<selectionName><![CDATA[19 - mCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Mid-circumflex artery segment - mCIRC]]></selectionDefinition>
					<displayOrder>23</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="6511003">
					<selectionName><![CDATA[19a - dCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Distal circumflex artery segment - dCIRC]]></selectionDefinition>
					<displayOrder>24</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91754001">
					<selectionName><![CDATA[20 - 1st OM]]></selectionName>
					<selectionDefinition><![CDATA[First obtuse marginal branch segment - 1st OM]]></selectionDefinition>
					<displayOrder>25</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142406">
					<selectionName><![CDATA[20a - Lat 1st OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral first obtuse marginal branch segment - Lat 1st OM]]></selectionDefinition>
					<displayOrder>26</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91755000">
					<selectionName><![CDATA[21 - 2nd OM]]></selectionName>
					<selectionDefinition><![CDATA[Second obtuse marginal branch segment - 2nd OM]]></selectionDefinition>
					<displayOrder>27</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142407">
					<selectionName><![CDATA[21a - Lat 2nd OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral second obtuse marginal branch segment - Lat 2nd OM]]></selectionDefinition>
					<displayOrder>28</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91756004">
					<selectionName><![CDATA[22 - 3rd OM]]></selectionName>
					<selectionDefinition><![CDATA[Third obtuse marginal branch segment - 3rd OM]]></selectionDefinition>
					<displayOrder>29</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142408">
					<selectionName><![CDATA[22a - Lat 3rd OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral third obtuse marginal branch segment - Lat 3rd OM]]></selectionDefinition>
					<displayOrder>30</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="75902001">
					<selectionName><![CDATA[23 - CIRC AV]]></selectionName>
					<selectionDefinition><![CDATA[Circumflex artery AV groove continuation segment - CIRC AV]]></selectionDefinition>
					<displayOrder>31</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91757008">
					<selectionName><![CDATA[24 - 1st LPL]]></selectionName>
					<selectionDefinition><![CDATA[First left posterolateral branch segment - 1st LPL]]></selectionDefinition>
					<displayOrder>32</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91758003">
					<selectionName><![CDATA[25 - 2nd LPL]]></selectionName>
					<selectionDefinition><![CDATA[Second left posterolateral branch segment - 2nd LPL]]></selectionDefinition>
					<displayOrder>33</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91759006">
					<selectionName><![CDATA[26 - 3rd LPL]]></selectionName>
					<selectionDefinition><![CDATA[Third posterolateral descending artery segment - 3rd LPL]]></selectionDefinition>
					<displayOrder>34</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="56322004">
					<selectionName><![CDATA[27 - LPDA]]></selectionName>
					<selectionDefinition><![CDATA[Left posterolateral descending artery segment - LPDA]]></selectionDefinition>
					<displayOrder>35</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244252004">
					<selectionName><![CDATA[28 - Ramus]]></selectionName>
					<selectionDefinition><![CDATA[Ramus intermedius segment - Ramus]]></selectionDefinition>
					<displayOrder>36</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142409">
					<selectionName><![CDATA[28a - Lat Ramus]]></selectionName>
					<selectionDefinition><![CDATA[Lateral ramus intermedius segment - Lat Ramus]]></selectionDefinition>
					<displayOrder>37</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91752002">
					<selectionName><![CDATA[29 - 3rd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Third diagonal branch segment - 3rd Diag]]></selectionDefinition>
					<displayOrder>38</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142410">
					<selectionName><![CDATA[29a - Lat 3rd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral third diagonal branch segment - Lat 3rd Diag]]></selectionDefinition>
					<displayOrder>39</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>NVSegmentID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7505</parentElementReference>
						<parentElementName>Native Vessel with Stenosis &gt;= 50%</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7508" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012981">
			<name>Native Coronary Vessel Stenosis</name>
			<sectionDisplayName>Native Vessel</sectionDisplayName>
			<sectionCode>NVESSEL</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the best estimate of the most severe percent stenosis in the segment of the native coronary vessel identified.

Note(s):
If the patient has only a PCI (without a diagnostic cath in this lab visit) it is acceptable to use prior cath lab visit information, when coding coronary stenosis, as long as there have been no changes in coronary anatomy. This includes stenosis determined via cardiac catheterization at another facility. This does not include collaterals.

Stenosis represents the percentage diameter reduction, ranging from 0 to 100, associated with the identified vessels. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the "normal" reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NVCoroVesselStenosis</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[%]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7507</parentElementReference>
						<parentElementName>Native Lesion Segment Number</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[%]]></unitofMeasure>
						<usualRangeMin>0</usualRangeMin>
						<usualRangeMax>100</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7511" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012979">
			<name>Native Vessel Adjunctive Measurements Obtained</name>
			<sectionDisplayName>Native Vessel</sectionDisplayName>
			<sectionCode>NVESSEL</sectionCode>
			<targetValue>Any occurrence between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate if an invasive diagnostic measurement was obtained of the native vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NVAdjuncMeasObtained</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7507</parentElementReference>
						<parentElementName>Native Lesion Segment Number</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7512" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371835003">
			<name>Native Vessel Fractional Flow Reserve Ratio</name>
			<sectionDisplayName>Native Vessel</sectionDisplayName>
			<sectionCode>NVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the fractional flow reserve of the native vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NV_FFR</shortName>
				<dataType>PQ</dataType>
				<precision>3,2</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7511</parentElementReference>
						<parentElementName>Native Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>1.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7513" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012980">
			<name>Native Vessel Instantaneous Wave-Free Ratio</name>
			<sectionDisplayName>Native Vessel</sectionDisplayName>
			<sectionCode>NVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the instantaneous wave-free ratio (iFR ratio) of the native vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NV_IFR</shortName>
				<dataType>PQ</dataType>
				<precision>3,2</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7511</parentElementReference>
						<parentElementName>Native Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>1.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7514" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="431945005">
			<name>Native Vessel Intravascular Ultrasonography</name>
			<sectionDisplayName>Native Vessel</sectionDisplayName>
			<sectionCode>NVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the mean luminal area (MLA) measured via IVUS of the native vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NV_IVUS</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7511</parentElementReference>
						<parentElementName>Native Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
						<usualRangeMin>1.00</usualRangeMin>
						<usualRangeMax>9.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>10.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7515" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="698254001">
			<name>Native Vessel Optical Coherence Tomography</name>
			<sectionDisplayName>Native Vessel</sectionDisplayName>
			<sectionCode>NVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the mean luminal area (MLA) measured via OCT of the native vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>NV_OCT</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7511</parentElementReference>
						<parentElementName>Native Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
						<usualRangeMin>1.00</usualRangeMin>
						<usualRangeMax>9.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>10.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7527" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012984">
			<name>Graft Lesion Segment Number</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the lesion location using the coronary artery segment 
diagram of the graft lesion.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91083009">
					<selectionName><![CDATA[1 - pRCA]]></selectionName>
					<selectionDefinition><![CDATA[Proximal right coronary artery conduit segment - pRCA]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="450960006">
					<selectionName><![CDATA[2 - mRCA]]></selectionName>
					<selectionDefinition><![CDATA[Mid-right coronary artery conduit segment - mRCA]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="41879009">
					<selectionName><![CDATA[3 - dRCA]]></selectionName>
					<selectionDefinition><![CDATA[Distal right coronary artery conduit segment - dRCA]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="53655008">
					<selectionName><![CDATA[4 - rPDA]]></selectionName>
					<selectionDefinition><![CDATA[Right posterior descending artery segment - rPDA]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="12800002">
					<selectionName><![CDATA[5 - rPAV]]></selectionName>
					<selectionDefinition><![CDATA[Right posterior atrioventricular segment - rPAV]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91761002">
					<selectionName><![CDATA[6 - 1st RPL]]></selectionName>
					<selectionDefinition><![CDATA[First right posterolateral segment - 1st RPL]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91762009">
					<selectionName><![CDATA[7 - 2nd RPL]]></selectionName>
					<selectionDefinition><![CDATA[Second right posterolateral segment - 2nd RPL]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91763004">
					<selectionName><![CDATA[8 - 3rd RPL]]></selectionName>
					<selectionDefinition><![CDATA[Third right posterolateral segment - 3rd RPL]]></selectionDefinition>
					<displayOrder>8</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="194142006">
					<selectionName><![CDATA[9 - pDSP]]></selectionName>
					<selectionDefinition><![CDATA[Posterior descending septal perforators segment - pDSP]]></selectionDefinition>
					<displayOrder>9</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244258000">
					<selectionName><![CDATA[10 - aMarg]]></selectionName>
					<selectionDefinition><![CDATA[Acute marginal segment(s) - aMarg]]></selectionDefinition>
					<displayOrder>10</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="76862008">
					<selectionName><![CDATA[11a - Ostial LM]]></selectionName>
					<selectionDefinition><![CDATA[Ostial Left Main Segment - Ostial LM]]></selectionDefinition>
					<displayOrder>11</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142402">
					<selectionName><![CDATA[11b-  Mid-LM]]></selectionName>
					<selectionDefinition><![CDATA[Mid-Left Main Segment -  Mid-LM]]></selectionDefinition>
					<displayOrder>12</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142403">
					<selectionName><![CDATA[11c -  Distal LM]]></selectionName>
					<selectionDefinition><![CDATA[Distal Left Main Segment -  Distal LM]]></selectionDefinition>
					<displayOrder>13</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="68787002">
					<selectionName><![CDATA[12 - pLAD]]></selectionName>
					<selectionDefinition><![CDATA[Proximal LAD artery segment - pLAD]]></selectionDefinition>
					<displayOrder>14</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91748002">
					<selectionName><![CDATA[13 - mLAD]]></selectionName>
					<selectionDefinition><![CDATA[Mid-LAD artery segment - mLAD]]></selectionDefinition>
					<displayOrder>15</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="36672000">
					<selectionName><![CDATA[14 - dLAD]]></selectionName>
					<selectionDefinition><![CDATA[Distal LAD artery segment - dLAD]]></selectionDefinition>
					<displayOrder>16</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91750005">
					<selectionName><![CDATA[15 - 1st Diag]]></selectionName>
					<selectionDefinition><![CDATA[First diagonal branch segment - 1st Diag]]></selectionDefinition>
					<displayOrder>17</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142404">
					<selectionName><![CDATA[15a - Lat 1st Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral first diagonal branch segment - Lat 1st Diag]]></selectionDefinition>
					<displayOrder>18</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91751009">
					<selectionName><![CDATA[16 - 2nd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Second diagonal branch segment - 2nd Diag]]></selectionDefinition>
					<displayOrder>19</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142405">
					<selectionName><![CDATA[16a - Lat 2nd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral second diagonal branch segment]]></selectionDefinition>
					<displayOrder>20</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244251006">
					<selectionName><![CDATA[17 - LAD SP]]></selectionName>
					<selectionDefinition><![CDATA[LAD septal perforator segments - LAD SP]]></selectionDefinition>
					<displayOrder>21</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="52433000">
					<selectionName><![CDATA[18 - pCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Proximal circumflex artery segment - pCIRC]]></selectionDefinition>
					<displayOrder>22</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91753007">
					<selectionName><![CDATA[19 - mCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Mid-circumflex artery segment - mCIRC]]></selectionDefinition>
					<displayOrder>23</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="6511003">
					<selectionName><![CDATA[19a - dCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Distal circumflex artery segment - dCIRC]]></selectionDefinition>
					<displayOrder>24</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91754001">
					<selectionName><![CDATA[20 - 1st OM]]></selectionName>
					<selectionDefinition><![CDATA[First obtuse marginal branch segment - 1st OM]]></selectionDefinition>
					<displayOrder>25</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142406">
					<selectionName><![CDATA[20a - Lat 1st OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral first obtuse marginal branch segment - Lat 1st OM]]></selectionDefinition>
					<displayOrder>26</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91755000">
					<selectionName><![CDATA[21 - 2nd OM]]></selectionName>
					<selectionDefinition><![CDATA[Second obtuse marginal branch segment - 2nd OM]]></selectionDefinition>
					<displayOrder>27</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142407">
					<selectionName><![CDATA[21a - Lat 2nd OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral second obtuse marginal branch segment - Lat 2nd OM]]></selectionDefinition>
					<displayOrder>28</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91756004">
					<selectionName><![CDATA[22 - 3rd OM]]></selectionName>
					<selectionDefinition><![CDATA[Third obtuse marginal branch segment - 3rd OM]]></selectionDefinition>
					<displayOrder>29</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142408">
					<selectionName><![CDATA[22a - Lat 3rd OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral third obtuse marginal branch segment - Lat 3rd OM]]></selectionDefinition>
					<displayOrder>30</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="75902001">
					<selectionName><![CDATA[23 - CIRC AV]]></selectionName>
					<selectionDefinition><![CDATA[Circumflex artery AV groove continuation segment - CIRC AV]]></selectionDefinition>
					<displayOrder>31</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91757008">
					<selectionName><![CDATA[24 - 1st LPL]]></selectionName>
					<selectionDefinition><![CDATA[First left posterolateral branch segment - 1st LPL]]></selectionDefinition>
					<displayOrder>32</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91758003">
					<selectionName><![CDATA[25 - 2nd LPL]]></selectionName>
					<selectionDefinition><![CDATA[Second left posterolateral branch segment - 2nd LPL]]></selectionDefinition>
					<displayOrder>33</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91759006">
					<selectionName><![CDATA[26 - 3rd LPL]]></selectionName>
					<selectionDefinition><![CDATA[Third posterolateral descending artery segment - 3rd LPL]]></selectionDefinition>
					<displayOrder>34</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="56322004">
					<selectionName><![CDATA[27 - LPDA]]></selectionName>
					<selectionDefinition><![CDATA[Left posterolateral descending artery segment - LPDA]]></selectionDefinition>
					<displayOrder>35</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244252004">
					<selectionName><![CDATA[28 - Ramus]]></selectionName>
					<selectionDefinition><![CDATA[Ramus intermedius segment - Ramus]]></selectionDefinition>
					<displayOrder>36</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142409">
					<selectionName><![CDATA[28a - Lat Ramus]]></selectionName>
					<selectionDefinition><![CDATA[Lateral ramus intermedius segment - Lat Ramus]]></selectionDefinition>
					<displayOrder>37</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91752002">
					<selectionName><![CDATA[29 - 3rd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Third diagonal branch segment - 3rd Diag]]></selectionDefinition>
					<displayOrder>38</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142410">
					<selectionName><![CDATA[29a - Lat 3rd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral third diagonal branch segment - Lat 3rd Diag]]></selectionDefinition>
					<displayOrder>39</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>GraftSegmentID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7525</parentElementReference>
						<parentElementName>Graft Vessel with Stenosis &gt;= 50%</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7528" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012982">
			<name>Graft Coronary Vessel Stenosis</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The last value between 6 months prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the best estimate of the most severe percent stenosis in the segment of the graft vessel identified.

Note(s):
If the patient has only a PCI (without a diagnostic cath in this lab visit) it is acceptable to use prior cath lab visit information, when coding coronary stenosis, as long as there have been no changes in coronary anatomy. This includes stenosis determined via cardiac catheterization at another facility. This does not include collaterals.

Stenosis represents the percentage diameter reduction, ranging from 0 to 100, associated with the identified vessels. Percent stenosis at its maximal point is estimated to be the amount of reduction in the diameter of the "normal" reference vessel proximal to the lesion. In instances where multiple lesions are present, enter the single highest percent stenosis noted.]]></codingInstruction>
			<technicalSpecification>
				<shortName>GraftCoroVesselStenosis</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[%]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7527</parentElementReference>
						<parentElementName>Graft Lesion Segment Number</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[%]]></unitofMeasure>
						<usualRangeMin>0</usualRangeMin>
						<usualRangeMax>100</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7529" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012983">
			<name>CABG Graft Vessel</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the vessel that was used for the coronary artery bypass graft.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="261402001">
					<selectionName><![CDATA[LIMA]]></selectionName>
					<selectionDefinition><![CDATA[Left Internal Mammary Artery]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="261403006">
					<selectionName><![CDATA[RIMA]]></selectionName>
					<selectionDefinition><![CDATA[Right Internal Mammary Artery]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="362072009">
					<selectionName><![CDATA[SVG]]></selectionName>
					<selectionDefinition><![CDATA[Saphenous Vein Graft]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="181332001">
					<selectionName><![CDATA[Radial]]></selectionName>
					<selectionDefinition><![CDATA[Radial Artery]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>CABGGraftVessel</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7530</parentElementReference>
						<parentElementName>CABG Graft Vessel Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7530" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012983">
			<name>CABG Graft Vessel Unknown</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the vessel that was used for the coronary artery bypass graft was unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CABGGraftVesselUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7527</parentElementReference>
						<parentElementName>Graft Lesion Segment Number</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7531" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142356">
			<name>Graft Vessel Adjunctive Measurements Obtained</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>Any occurrence between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate if an invasive diagnostic measurement was obtained of the graft vessel intra-procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>GraftAdjuncMeasObtained</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7527</parentElementReference>
						<parentElementName>Graft Lesion Segment Number</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7532" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371835003">
			<name>Graft Vessel Fractional Flow Reserve Ratio</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the fractional flow reserve of the graft vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>Graft_FFR</shortName>
				<dataType>PQ</dataType>
				<precision>3,2</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7531</parentElementReference>
						<parentElementName>Graft Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>1.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7533" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012980">
			<name>Graft Vessel Instantaneous Wave-Free Ratio</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the instantaneous wave-free ratio (iFR ratio) of the graft vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>Graft_IFR</shortName>
				<dataType>PQ</dataType>
				<precision>3,2</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7531</parentElementReference>
						<parentElementName>Graft Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin>0.00</usualRangeMin>
						<usualRangeMax>1.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>1.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7534" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="431945005">
			<name>Graft Vessel Intravascular Ultrasonography</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the mean luminal area (MLA) measured via IVUS of the graft vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>Graft_IVUS</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7531</parentElementReference>
						<parentElementName>Graft Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
						<usualRangeMin>1.00</usualRangeMin>
						<usualRangeMax>9.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>10.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7535" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="698254001">
			<name>Graft Vessel Optical Coherence Tomography</name>
			<sectionDisplayName>Graft Vessel</sectionDisplayName>
			<sectionCode>GVESSEL</sectionCode>
			<targetValue>The lowest value between start of procedure and prior to intervention</targetValue>
			<codingInstruction><![CDATA[Indicate the mean luminal area (MLA) measured via OCT of the graft vessel segment.]]></codingInstruction>
			<technicalSpecification>
				<shortName>Graft_OCT</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7531</parentElementReference>
						<parentElementName>Graft Vessel Adjunctive Measurements Obtained</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm2]]></unitofMeasure>
						<usualRangeMin>1.00</usualRangeMin>
						<usualRangeMax>9.00</usualRangeMax>
						<validRangeMin>0.00</validRangeMin>
						<validRangeMax>10.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="7800" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012986">
			<name>PCI Status</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The highest value at start of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the status of the PCI. The status is determined at the time the operator decides to perform a PCI.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012987">
					<selectionName><![CDATA[Elective]]></selectionName>
					<selectionDefinition><![CDATA[The procedure can be performed on an outpatient basis or during a subsequent hospitalization without significant risk of infarction or death.  For stable inpatients, the procedure is being performed during this hospitalization for convenience and ease of scheduling and NOT because the patient's clinical situation demands the procedure prior to discharge.  If the diagnostic catheterization was elective and there were no complications, the PCI would also be elective.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012988">
					<selectionName><![CDATA[Urgent]]></selectionName>
					<selectionDefinition><![CDATA[The procedure should be performed on an inpatient basis and prior to discharge because of significant concerns that there is risk of ischemia, infarction and/or death.  Patients who are outpatients or in the emergency department at the time that the cardiac catheterization is requested would warrant an admission based on their clinical presentation.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012989">
					<selectionName><![CDATA[Emergency]]></selectionName>
					<selectionDefinition><![CDATA[The procedure should be performed as soon as possible because of substantial concerns that ongoing ischemia and/or infarction could lead to death.  "As soon as possible" refers to a patient who is of sufficient acuity that you would cancel a scheduled case to perform this procedure immediately in the next available room during business hours, or you would activate the on-call team were this to occur during off-hours.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001290">
					<selectionName><![CDATA[Salvage]]></selectionName>
					<selectionDefinition><![CDATA[The procedure is a last resort.  The patient is in cardiogenic shock when the PCI begins (i.e. at the time of introduction into a coronary artery or bypass graft of the first guidewire or intracoronary device for the purpose of mechanical revascularization). Within the last ten minutes prior to the start of the case or during the diagnostic portion of the case, the patient has also received chest compressions for a total of at least sixty seconds or has been on unanticipated extracorporeal circulatory support (e.g. extracorporeal mechanical oxygenation, or cardiopulmonary support).]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PCIStatus</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7806" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="308693008">
			<name>Hypothermia Induced</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>Any occurrence between arrival (or previous procedure) and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if hypothermia was induced.

Note(s):
Hypothermia Induced is also known as Targeted Temperature Management (TTM).]]></codingInstruction>
			<technicalSpecification>
				<shortName>HypothermiaInduced</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4630</parentElementReference>
						<parentElementName>Cardiac Arrest Out of Hospital</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>4635</parentElementReference>
						<parentElementName>Cardiac Arrest at Transferring Facility</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7340</parentElementReference>
						<parentElementName>Cardiac Arrest at this Facility</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7807" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013039">
			<name>Hypothermia Induced Timing</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate when hypothermia was initiated.

Note(s): Hypothermia Induced is also known as Targeted Temperature Management (TTM).]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013036">
					<selectionName><![CDATA[Initiated Pre-PCI, <=  6 hrs post cardiac arrest]]></selectionName>
					<selectionDefinition><![CDATA[Hypothermia was induced less than or equal to 6 hours after the cardiac arrest event and prior to engaging in PCI (guidewire introduced).]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013037">
					<selectionName><![CDATA[Initiated Pre-PCI,  >  6 hrs post cardiac arrest]]></selectionName>
					<selectionDefinition><![CDATA[Hypothermia was induced greater than 6 hours after the cardiac arrest event and prior to engaging in PCI (guidewire introduced).]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013038">
					<selectionName><![CDATA[Post PCI]]></selectionName>
					<selectionDefinition><![CDATA[Hypothermia was induced after guidewire introduction for PCI.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>HypothermiaInducedTiming</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7806</parentElementReference>
						<parentElementName>Hypothermia Induced</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7810" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="365931003">
			<name>Level of Consciousness (PCI Procedure)</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The value at the start of the PCI</targetValue>
			<codingInstruction><![CDATA[Indicate the level of consciousness after resuscitation as measured by the AVPU scale.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="248234008">
					<selectionName><![CDATA[(A) Alert]]></selectionName>
					<selectionDefinition><![CDATA[Spontaneously open eyes, responding to voice (although may be confused) and motor function.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="284592002">
					<selectionName><![CDATA[(V) Verbal]]></selectionName>
					<selectionDefinition><![CDATA[Responding to verbal stimuli.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013043">
					<selectionName><![CDATA[(P) Pain]]></selectionName>
					<selectionDefinition><![CDATA[Responding to painful stimuli.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="422768004">
					<selectionName><![CDATA[(U) Unresponsive]]></selectionName>
					<selectionDefinition><![CDATA[No eye, voice or motor response to voice or pain.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014234">
					<selectionName><![CDATA[Unable to Assess]]></selectionName>
					<selectionDefinition><![CDATA[Unable to assess level of consciousness. (Example: Patient Sedated)]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Level of Consciousness</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Deakin, Charles D., Fothergill, Rachael, Moore, Fionna, Watson, Lynne, Whitbread, Mark, Level of consciousness on admission to a Heart Attack Centre is a predictor of survival from out-of-hospital cardiac arrest, Resuscitation (2014) doi: 10.1016/j.resuscitation.2014.02.020.]]></source>
					<definition><![CDATA[The presence of consciousness on admission to hospital and the speed at which consciousness returns following cardiac arrest has been shown to be an indicator of neurological survival following out of hospital cardiac arrest (OHCA).]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>LOCProc</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>4630</parentElementReference>
						<parentElementName>Cardiac Arrest Out of Hospital</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>4635</parentElementReference>
						<parentElementName>Cardiac Arrest at Transferring Facility</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7340</parentElementReference>
						<parentElementName>Cardiac Arrest at this Facility</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7815" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142366">
			<name>Decision for PCI with Surgical Consult</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a cardiac surgical consult was obtained prior to engaging in PCI.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PCIDecision</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7816" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142367">
			<name>Cardiovascular Treatment Decision</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the cardiovascular surgery recommendation and/or patient/family decision.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142368">
					<selectionName><![CDATA[Surgery not Recommended]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142369">
					<selectionName><![CDATA[Surgery Recommended, Patient/Family Declined]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142370">
					<selectionName><![CDATA[Surgery Recommended, Patient/Family Accepted (Hybrid Procedure)]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>CVTxDecision</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7815</parentElementReference>
						<parentElementName>Decision for PCI with Surgical Consult</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7820" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013007">
			<name>PCI for MultiVessel Disease</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the PCI procedure was performed in the presence of multi-vessel disease.

Note(s):
Code 'Yes' if this is the initial (first) PCI procedure for the cath lab indication and the patient has obstructive disease >70% stenosis in >2 coronary vessels and/or disease 50%-70% stenosis in >2 coronary vessels with non-invasive or FFR/IFR evidence of ischemia in that territory and/or left main disease >=50% stenosis
(A coronary vessel is defined as: LAD and any of its branches, LCX and any of its branches, RCA and any of its branches, a true RAMUS branch >2 mm)

Code 'Yes' if this a subsequent, planned staged PCI procedure of a vessel not treated during the initial PCI procedure.  The first PCI could have been during a prior admission, or during this admission but must occur within 90 days of the initial PCI procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>MultiVesselDz</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7821" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013008">
			<name>Multi-vessel Procedure Type</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the type of multi-vessel PCI procedure that was performed during this lab visit.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424793">
					<selectionName><![CDATA[Initial PCI]]></selectionName>
					<selectionDefinition><![CDATA[This PCI procedure is the initial (first) for the cath lab indication]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424794">
					<selectionName><![CDATA[Staged PCI]]></selectionName>
					<selectionDefinition><![CDATA[This PCI procedure is the subsequent, planned staged PCI procedure for a vessel NOT treated during the initial PCI procedure.  The first PCI could have been during a prior admission, or during this admission but must occur within 90 days of the initial PCI procedure.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>MultiVessProcType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7820</parentElementReference>
						<parentElementName>PCI for MultiVessel Disease</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7825" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000880">
			<name>Percutaneous Coronary Intervention Indication</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The highest value at start of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the reason the percutaneous coronary intervention PCI is being performed.

Note(s): 
The PCI Indications collected in this field by your application are controlled by PCI Indication Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PCIIndication</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7826" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013003">
			<name>Acute Coronary Syndrome Symptom Date</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The last value between 1 week prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time the patient noted ischemic symptoms lasting greater than or equal to 10 minutes.

Note(s):
Symptoms may include jaw pain, arm pain, shortness of breath, nausea, vomiting, fatigue/malaise, or other equivalent discomfort suggestive of a myocardial infarction.]]></codingInstruction>
			<technicalSpecification>
				<shortName>SymptomDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Acute Coronary Syndrome Symptom Date(7826) is 1 week prior or equal to Procedure Start Date and Time(7000) (SymptomDate - ProcedureStartDateTime <= 7 days)
Date Rule 2: Acute Coronary Syndrome Symptom Date(7826) AND Acute Coronary Syndrome Symptom Time(7827) is less than Procedure Start Date and Time(7000) (SymptomDate, SymptomTime < ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[STEMI - Immediate PCI for Acute STEMI]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Stable (<= 12 hrs from Sx)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Stable (> 12 hrs from Sx)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Unstable (> 12 hrs from Sx)]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7827" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013004">
			<name>Acute Coronary Syndrome Symptom Time</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The last value between 1 week prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the time the patient first noted ischemic symptoms lasting greater than or equal to 10 minutes.    

Note(s):
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).

If the symptom time is not specified in the medical record, it may be recorded as 0700 for morning; 1200 for lunchtime; 1500 for afternoon; 1800 for dinnertime; 2200 for evening and 0300 if awakened from sleep.]]></codingInstruction>
			<technicalSpecification>
				<shortName>SymptomTime</shortName>
				<dataType>TM</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Time validation included in Acute Coronary Syndrome Symptom Date(7826) Time Rule 2]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7828</parentElementReference>
						<parentElementName>Acute Coronary Syndrome Symptom Time Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7828" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013004">
			<name>Acute Coronary Syndrome Symptom Time Unknown</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate if the symptom time was not available.]]></codingInstruction>
			<technicalSpecification>
				<shortName>SymptomTimeUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7826</parentElementReference>
						<parentElementName>Acute Coronary Syndrome Symptom Date</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7829" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="307521008">
			<name>Thrombolytics</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>Any occurrence between 1 week prior to arrival at this facility and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient received thrombolytic therapy as an urgent treatment for STEMI.

Note(s): 
Code 'Yes' only if full dose (not partial dose) thrombolytics were administered.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ThromTherapy</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[STEMI (after successful lytics)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Rescue (After unsuccessful lytics)]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7830" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="307521008">
			<name>Thrombolytic Therapy Date and Time</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>Any occurrence between 1 week prior to arrival at this facility and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time of either the first bolus or the beginning of the infusion.

Note(s): 
If your facility receives a patient transfer with infusion ongoing, record the date that infusion was started at the transferring facility.

Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).]]></codingInstruction>
			<technicalSpecification>
				<shortName>ThromDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Thrombolytic Therapy Date and Time(7830) is 1 week prior or equal to Arrival Date and Time(3001) (ThromDateTime - ArrivalDateTime <= 7 days)
Date Rule 2: Thrombolytic Therapy Date and Time(7830) is less than Procedure Start Date and Time(7000) (ThromDateTime < ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7829</parentElementReference>
						<parentElementName>Thrombolytics</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7831" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424796">
			<name>Syntax Score</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The highest value at start of current procedure</targetValue>
			<codingInstruction><![CDATA[ Indicate the Syntax Score for the PCI procedure.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424799">
					<selectionName><![CDATA[Low Syntax Score]]></selectionName>
					<selectionDefinition><![CDATA[Syntax score <=22]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424798">
					<selectionName><![CDATA[Intermediate Syntax Score]]></selectionName>
					<selectionDefinition><![CDATA[Syntax score >22 and <=27]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424797">
					<selectionName><![CDATA[High Syntax Score]]></selectionName>
					<selectionDefinition><![CDATA[Syntax score >27]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>SyntaxScore</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7832</parentElementReference>
						<parentElementName>Syntax Score Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7832" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424796">
			<name>Syntax Score Unknown</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The highest value at start of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the Syntax Score for the PCI procedure is unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>SyntaxScoreUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[New Onset Angina <= 2 months]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ Stable angina]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ CAD (without ischemic Sx)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ Other PCI Indication]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7835" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000180">
			<name>STEMI or STEMI Equivalent First Noted</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The first value between 1 day prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a STEMI or STEMI equivalent was noted on either the first ECG or a subsequent ECG.

Note(s):
Code "Subsequent ECG" if STEMI is noted after the ECG on arrival does not indicate STEMI or STEMI equivalent.

Code "Subsequent ECG" if STEMI is noted on an ECG subsequent to the patients non-cardiac presentation.

Code "Subsequent ECG" if STEMI is noted on an inpatient ECG.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000578">
					<selectionName><![CDATA[First ECG]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000579">
					<selectionName><![CDATA[Subsequent ECG]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>StemiFirstNoted</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[STEMI - Immediate PCI for Acute STEMI]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7836" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012995">
			<name>Subsequent ECG with STEMI or STEMI Equivalent Date and Time</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The first value between 1 day prior to current procedure and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the Subsequent ECG date and time.

Note(s): 
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).]]></codingInstruction>
			<technicalSpecification>
				<shortName>SubECGDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Subsequent ECG with STEMI or STEMI Equivalent Date and Time(7836) is 1 day prior to Procedure Start Date and Time(7000) (SubECGDateTime - ProcedureStartDateTime < 1 day)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7835</parentElementReference>
						<parentElementName>STEMI or STEMI Equivalent First Noted</parentElementName>
						<parentElementSelectionName><![CDATA[Subsequent ECG]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7840" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012997">
			<name>Subsequent ECG obtained in Emergency Department</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the subsequent ECG was obtained in the Emergency Department at this facility.]]></codingInstruction>
			<technicalSpecification>
				<shortName>SubECGED</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7835</parentElementReference>
						<parentElementName>STEMI or STEMI Equivalent First Noted</parentElementName>
						<parentElementSelectionName><![CDATA[Subsequent ECG]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7841" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014084">
			<name>Patient Transferred In for Immediate PCI for STEMI</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>Any occurrence between ACS symptom date/time and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient was transferred from another facility to have a primary PCI for STEMI at this facility.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PatientTransPCI</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule: Enable element if Subsequent ECG with STEMI or STEMI Equivalent Date and Time(7836) is not Null and Date Rule 1 is True]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[STEMI - Immediate PCI for Acute STEMI]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7842" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012999">
			<name>Emergency Department Presentation at Referring Facility Date and Time</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The first value on arrival at referring facility</targetValue>
			<codingInstruction><![CDATA[Code the date and time of arrival to the original, transferring facility as documented in the medical record.

Note(s):
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).]]></codingInstruction>
			<technicalSpecification>
				<shortName>EDPresentDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Emergency Department Presentation at Referring Facility Date and Time(7842) is less than Arrival Date and Time(3001) (EDPresentDateTime < ArrivalDateTime)
Date Rule 2: Emergency Department Presentation at Referring Facility Date and Time(7842) is less than Procedure Start Date and Time(7000) (EDPresentDateTime < ProcedureStartDateTime)
Date Rule 3: Emergency Department Presentation at Referring Facility Date and Time(7842) is less than Subsequent ECG with STEMI or STEMI Equivalent Date and Time(7836) (EDPresentDateTime < SubECGDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7841</parentElementReference>
						<parentElementName>Patient Transferred In for Immediate PCI for STEMI</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7845" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012993">
			<name>First Device Activation Date and Time</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The first value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time the first device was activated regardless of type of device used.

Note(s):
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).

Use the earliest time from the following:
1. Time of the first balloon inflation.

2. Time of the first stent deployment.

3. Time of the first treatment of lesion (AngjoJet or other thrombectomy/aspiration device, laser, rotational atherectomy).

4. If the lesion cannot be crossed with a guidewire or device (and thus none of the above apply), use the time of guidewire introduction.

This is a process measure about the timeliness of treatment. It is NOT a clinical outcomes measure based on TIMI flow or clinical reperfusion. It does not matter whether the baseline angiogram showed TIMI 3 flow or if the final post-PCI angiogram showed TIMI 0 flow. What is being measured is the time of the first mechanical treatment of the culprit lesion, not the time when TIMI 3 flow was (or was not) restored.]]></codingInstruction>
			<technicalSpecification>
				<shortName>FirstDevActiDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule: Enable element if Subsequent ECG with STEMI or STEMI Equivalent Date and Time(7836) is not Null and Date Rule 1 is True
Date Rule 1: First Device Activation Date and Time(7845) is greater than Procedure Start Date and Time(7000) (FirstDevActiDateTime > ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[STEMI - Immediate PCI for Acute STEMI]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7850" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013002">
			<name>Patient Centered Reason for Delay in PCI</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The first value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if there was a patient-centered reason for delay in performing the percutaneous coronary intervention (PCI).

Note(s):
A patient-centered reason for delay is an issue/condition understood and documented to originate  with the patient.  It is not associated with the health care system (i.e. facility, staff or processes, etc.).  

To warrant coding 'Yes' the patient-centered reason(s) must be identified in the first 90min after arrival at this facility or in the first 90min after an in-house diagnosis of STEMI and be responsible for affecting the time to PCI.  

If the issue is documented in the medical record and the effect on timing self-evident, it can be coded.  If the effect on timing/delay to PCI is unclear, then there must be specific documentation by a physician/APN/PA that establishes the linkage between the patient issue/condition and the timing/delay in PCI.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PtPCIDelayReason</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[STEMI - Immediate PCI for Acute STEMI]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7851" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013000">
			<name>Patient Centered Reason for Delay in PCI Reason</name>
			<sectionDisplayName>I. PCI Procedure</sectionDisplayName>
			<sectionCode>PCIPROC</sectionCode>
			<targetValue>The first value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the patient-centered reason for delay in performing the percutaneous coronary intervention (PCI).]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000881">
					<selectionName><![CDATA[Difficult Vascular Access]]></selectionName>
					<selectionDefinition><![CDATA[The patient's anatomy is torturous, obstructive or otherwise prohibitive to the vascular access device.  Do not select if the operator is unable to gain access due to inexperience or device selection, etc.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000350">
					<selectionName><![CDATA[Difficulty crossing the culprit lesion]]></selectionName>
					<selectionDefinition><![CDATA[The patient's anatomy is torturous, obstructive or otherwise prohibitive to guidewire or device access.  Do not select if the operator is unable to cross the culprit lesion due to inexperience or device selection, etc.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013001">
					<selectionName><![CDATA[Cardiac Arrest and/or need for intubation before PCI]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000349">
					<selectionName><![CDATA[Patient delays in providing consent for PCI]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142391">
					<selectionName><![CDATA[Emergent placement of LV support device before PCI]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000351">
					<selectionName><![CDATA[Other]]></selectionName>
					<selectionDefinition><![CDATA[The patient and/or their condition is obstructive to the timing of PCI.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PCIDelayReason</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule: Enable element if Subsequent ECG with STEMI or STEMI Equivalent Date and Time(7836) is not Null and Date Rule 1 is True]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7850</parentElementReference>
						<parentElementName>Patient Centered Reason for Delay in PCI</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="7990" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013057">
			<name>PCI Procedure Medication Code</name>
			<sectionDisplayName>Procedure Medications</sectionDisplayName>
			<sectionCode>PROCMED</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the assigned identification number associated with the medications the patient received.

Note(s):
The medication(s) collected in this field are controlled by the Medication Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application. Each medication in the Medication Master file is assigned to a value set. The value set is used to separate procedural medications from medications prescribed at discharge. The separation of these medications is depicted on the data collection form.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ProcMedID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="7995" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="432102000">
			<name>Procedure Medications Administered</name>
			<sectionDisplayName>Procedure Medications</sectionDisplayName>
			<sectionCode>PROCMED</sectionCode>
			<targetValue>Any occurrence between 24 hours prior to current procedure and end of current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate which medications were administered.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="432102000">
					<selectionName><![CDATA[Yes]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014173">
					<selectionName><![CDATA[No]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>ProcMedAdmin</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7990</parentElementReference>
						<parentElementName>PCI Procedure Medication Code</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8000" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142441">
			<name>Lesion Counter</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[The lesion counter is used to distinguish between multiple lesions on which a PCI is attempted or performed.

When specifying intracoronary devices, list all treated lesions in which the device was utilized.

Note(s):
The software-assigned lesion counter should start at one and be incremented by one for each lesion. The lesion counter is reset back to one for each new PCI lab visit.

At least one lesion must be specified for each PCI procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>LesionCounter</shortName>
				<dataType>CTR</dataType>
				<precision>3</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin/>
						<usualRangeMax/>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8001" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100012984">
			<name>Native Lesion Segment Number</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the segment(s) that the current lesion spans (a lesion can span one or more segments).]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91083009">
					<selectionName><![CDATA[1 - pRCA]]></selectionName>
					<selectionDefinition><![CDATA[Proximal right coronary artery conduit segment - pRCA]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="450960006">
					<selectionName><![CDATA[2 - mRCA]]></selectionName>
					<selectionDefinition><![CDATA[Mid-right coronary artery conduit segment - mRCA]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="41879009">
					<selectionName><![CDATA[3 - dRCA]]></selectionName>
					<selectionDefinition><![CDATA[Distal right coronary artery conduit segment - dRCA]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="53655008">
					<selectionName><![CDATA[4 - rPDA]]></selectionName>
					<selectionDefinition><![CDATA[Right posterior descending artery segment - rPDA]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="12800002">
					<selectionName><![CDATA[5 - rPAV]]></selectionName>
					<selectionDefinition><![CDATA[Right posterior atrioventricular segment - rPAV]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91761002">
					<selectionName><![CDATA[6 - 1st RPL]]></selectionName>
					<selectionDefinition><![CDATA[First right posterolateral segment - 1st RPL]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91762009">
					<selectionName><![CDATA[7 - 2nd RPL]]></selectionName>
					<selectionDefinition><![CDATA[Second right posterolateral segment - 2nd RPL]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91763004">
					<selectionName><![CDATA[8 - 3rd RPL]]></selectionName>
					<selectionDefinition><![CDATA[Third right posterolateral segment - 3rd RPL]]></selectionDefinition>
					<displayOrder>8</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="194142006">
					<selectionName><![CDATA[9 - pDSP]]></selectionName>
					<selectionDefinition><![CDATA[Posterior descending septal perforators segment - pDSP]]></selectionDefinition>
					<displayOrder>9</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244258000">
					<selectionName><![CDATA[10 - aMarg]]></selectionName>
					<selectionDefinition><![CDATA[Acute marginal segment(s) - aMarg]]></selectionDefinition>
					<displayOrder>10</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="76862008">
					<selectionName><![CDATA[11a - Ostial LM]]></selectionName>
					<selectionDefinition><![CDATA[Ostial Left Main Segment - Ostial LM]]></selectionDefinition>
					<displayOrder>11</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142402">
					<selectionName><![CDATA[11b-  Mid-LM]]></selectionName>
					<selectionDefinition><![CDATA[Mid-Left Main Segment -  Mid-LM]]></selectionDefinition>
					<displayOrder>12</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142403">
					<selectionName><![CDATA[11c -  Distal LM]]></selectionName>
					<selectionDefinition><![CDATA[Distal Left Main Segment -  Distal LM]]></selectionDefinition>
					<displayOrder>13</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="68787002">
					<selectionName><![CDATA[12 - pLAD]]></selectionName>
					<selectionDefinition><![CDATA[Proximal LAD artery segment - pLAD]]></selectionDefinition>
					<displayOrder>14</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91748002">
					<selectionName><![CDATA[13 - mLAD]]></selectionName>
					<selectionDefinition><![CDATA[Mid-LAD artery segment - mLAD]]></selectionDefinition>
					<displayOrder>15</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="36672000">
					<selectionName><![CDATA[14 - dLAD]]></selectionName>
					<selectionDefinition><![CDATA[Distal LAD artery segment - dLAD]]></selectionDefinition>
					<displayOrder>16</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91750005">
					<selectionName><![CDATA[15 - 1st Diag]]></selectionName>
					<selectionDefinition><![CDATA[First diagonal branch segment - 1st Diag]]></selectionDefinition>
					<displayOrder>17</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142404">
					<selectionName><![CDATA[15a - Lat 1st Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral first diagonal branch segment - Lat 1st Diag]]></selectionDefinition>
					<displayOrder>18</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91751009">
					<selectionName><![CDATA[16 - 2nd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Second diagonal branch segment - 2nd Diag]]></selectionDefinition>
					<displayOrder>19</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142405">
					<selectionName><![CDATA[16a - Lat 2nd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral second diagonal branch segment]]></selectionDefinition>
					<displayOrder>20</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244251006">
					<selectionName><![CDATA[17 - LAD SP]]></selectionName>
					<selectionDefinition><![CDATA[LAD septal perforator segments - LAD SP]]></selectionDefinition>
					<displayOrder>21</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="52433000">
					<selectionName><![CDATA[18 - pCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Proximal circumflex artery segment - pCIRC]]></selectionDefinition>
					<displayOrder>22</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91753007">
					<selectionName><![CDATA[19 - mCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Mid-circumflex artery segment - mCIRC]]></selectionDefinition>
					<displayOrder>23</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="6511003">
					<selectionName><![CDATA[19a - dCIRC]]></selectionName>
					<selectionDefinition><![CDATA[Distal circumflex artery segment - dCIRC]]></selectionDefinition>
					<displayOrder>24</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91754001">
					<selectionName><![CDATA[20 - 1st OM]]></selectionName>
					<selectionDefinition><![CDATA[First obtuse marginal branch segment - 1st OM]]></selectionDefinition>
					<displayOrder>25</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142406">
					<selectionName><![CDATA[20a - Lat 1st OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral first obtuse marginal branch segment - Lat 1st OM]]></selectionDefinition>
					<displayOrder>26</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91755000">
					<selectionName><![CDATA[21 - 2nd OM]]></selectionName>
					<selectionDefinition><![CDATA[Second obtuse marginal branch segment - 2nd OM]]></selectionDefinition>
					<displayOrder>27</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142407">
					<selectionName><![CDATA[21a - Lat 2nd OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral second obtuse marginal branch segment - Lat 2nd OM]]></selectionDefinition>
					<displayOrder>28</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91756004">
					<selectionName><![CDATA[22 - 3rd OM]]></selectionName>
					<selectionDefinition><![CDATA[Third obtuse marginal branch segment - 3rd OM]]></selectionDefinition>
					<displayOrder>29</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142408">
					<selectionName><![CDATA[22a - Lat 3rd OM]]></selectionName>
					<selectionDefinition><![CDATA[Lateral third obtuse marginal branch segment - Lat 3rd OM]]></selectionDefinition>
					<displayOrder>30</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="75902001">
					<selectionName><![CDATA[23 - CIRC AV]]></selectionName>
					<selectionDefinition><![CDATA[Circumflex artery AV groove continuation segment - CIRC AV]]></selectionDefinition>
					<displayOrder>31</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91757008">
					<selectionName><![CDATA[24 - 1st LPL]]></selectionName>
					<selectionDefinition><![CDATA[First left posterolateral branch segment - 1st LPL]]></selectionDefinition>
					<displayOrder>32</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91758003">
					<selectionName><![CDATA[25 - 2nd LPL]]></selectionName>
					<selectionDefinition><![CDATA[Second left posterolateral branch segment - 2nd LPL]]></selectionDefinition>
					<displayOrder>33</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91759006">
					<selectionName><![CDATA[26 - 3rd LPL]]></selectionName>
					<selectionDefinition><![CDATA[Third posterolateral descending artery segment - 3rd LPL]]></selectionDefinition>
					<displayOrder>34</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="56322004">
					<selectionName><![CDATA[27 - LPDA]]></selectionName>
					<selectionDefinition><![CDATA[Left posterolateral descending artery segment - LPDA]]></selectionDefinition>
					<displayOrder>35</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="244252004">
					<selectionName><![CDATA[28 - Ramus]]></selectionName>
					<selectionDefinition><![CDATA[Ramus intermedius segment - Ramus]]></selectionDefinition>
					<displayOrder>36</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142409">
					<selectionName><![CDATA[28a - Lat Ramus]]></selectionName>
					<selectionDefinition><![CDATA[Lateral ramus intermedius segment - Lat Ramus]]></selectionDefinition>
					<displayOrder>37</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="91752002">
					<selectionName><![CDATA[29 - 3rd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Third diagonal branch segment - 3rd Diag]]></selectionDefinition>
					<displayOrder>38</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142410">
					<selectionName><![CDATA[29a - Lat 3rd Diag]]></selectionName>
					<selectionDefinition><![CDATA[Lateral third diagonal branch segment - Lat 3rd Diag]]></selectionDefinition>
					<displayOrder>39</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>SegmentID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371895000">
			<name>Culprit Stenosis</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the stenosis is considered to be responsible for the acute coronary syndrome.

Note(s): 
Code 'No' if the stenosis is not considered to be responsible for the evidence of ischemia.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CulpritArtery</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8003</parentElementReference>
						<parentElementName>Culprit Stenosis Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8003" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000347">
			<name>Culprit Stenosis Unknown</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the stenosis considered to be responsible for the acute coronary syndrome is unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CulpritArteryUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[STEMI - Immediate PCI for Acute STEMI]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Stable (<= 12 hrs from Sx)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Stable (> 12 hrs from Sx)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Unstable (> 12 hrs from Sx)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI (after successful lytics)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ STEMI - Rescue (After unsuccessful lytics)]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>7825</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention Indication</parentElementName>
						<parentElementSelectionName><![CDATA[ NSTE - ACS]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8004" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142442">
			<name>Stenosis Immediately Prior to Treatment</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The highest value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the percent diameter stenosis immediately prior to the treatment of this lesion.]]></codingInstruction>
			<technicalSpecification>
				<shortName>StenosisPriorTreat</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[%]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[%]]></unitofMeasure>
						<usualRangeMin>0</usualRangeMin>
						<usualRangeMax>100</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8005" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000290">
			<name>Chronic Total Occlusion</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the segment with 100% pre-procedure stenosis was  presumed to be 100% occluded for at least 3 months previous to this procedure AND not related to a clinical event prompting (or leading to) this procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ChronicOcclusion</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8006</parentElementReference>
						<parentElementName>Chronic Total Occlusion Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8006" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000345">
			<name>Chronic Total Occlusion Unknown</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the segment with 100% pre-procedure stenosis was  presumed to be 100% occluded for at least 3 months previous to this procedure AND not related to a clinical event prompting (or leading to) this procedure was  unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ChronicOcclusionUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8004</parentElementReference>
						<parentElementName>Stenosis Immediately Prior to Treatment</parentElementName>
						<parentElementSelectionName><![CDATA[100]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8007" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="112000000348">
			<name>TIMI Flow (Pre-Intervention)</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The lowest value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the pre-intervention TIMI flow.

Note(s):  If a lesion spans multiple segments with different TIMI flow, code the lowest TIMI flow within the entire lesion.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371867000">
					<selectionName><![CDATA[TIMI-0]]></selectionName>
					<selectionDefinition><![CDATA[No flow/no perfusion]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371866009">
					<selectionName><![CDATA[TIMI-1]]></selectionName>
					<selectionDefinition><![CDATA[Slow penetration without perfusion]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371864007">
					<selectionName><![CDATA[TIMI-2]]></selectionName>
					<selectionDefinition><![CDATA[Partial flow/partial perfusion (greater than TIMI-1 but less than TIMI-3).]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371865008">
					<selectionName><![CDATA[TIMI-3]]></selectionName>
					<selectionDefinition><![CDATA[Complete and brisk flow/complete perfusion.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PreProcTIMI</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8008" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013015">
			<name>Previously Treated Lesion</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence between birth and the procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the lesion has been treated before in the current or a prior episode of care.

Note(s):
Code 'No' if the only prior treatment was CABG.

Code 'No' if the only treatment of this lesion occurred during THIS PCI procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PrevTreatedLesion</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8009" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013015">
			<name>Previously Treated Lesion Date</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The last value between birth and current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the date the lesion was previously treated.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PrevTreatedLesionDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Previously Treated Lesion Date(8009) is greater than Date of Birth(2005) (PrevTreatedLesionDate > DOB)
Date Rule 2: Previously Treated Lesion Date(8009) is greater than or equal to Arrival Date and Time(3001) (PrevTreatedLesionDate >= ArrivalDateTIme)
Date Rule 3: Previously Treated Lesion Date(8009) is less than or equal to Procedure Start Date and Time(7000) (PrevTreatedLesionDate <= ProcedureStartDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8008</parentElementReference>
						<parentElementName>Previously Treated Lesion</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8010" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="36969009">
			<name>Treated with Stent</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence between birth and start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the previously treated lesion was treated with any type of stent in the current or prior episode of care.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PreviousStent</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8008</parentElementReference>
						<parentElementName>Previously Treated Lesion</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8011" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013013">
			<name>In-stent Restenosis</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence between birth and start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the previously treated and stented lesion is being treated for in-stent restenosis.  

Note(s): In-stent restenosis is defined as a  previously stented lesion that has 50% or greater stenosis.]]></codingInstruction>
			<technicalSpecification>
				<shortName>InRestenosis</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8010</parentElementReference>
						<parentElementName>Treated with Stent</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8012" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013014">
			<name>In-stent Thrombosis</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence between birth and start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the previously treated and stented lesion is being treated because of the presence of a thrombus in the stent.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Thrombosis in stented Lesion</title>
					<displayOrder>1</displayOrder>
					<source/>
					<definition><![CDATA[The formation of a blood clot inside a previously treated and stented lesion.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>InThrombosis</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8010</parentElementReference>
						<parentElementName>Treated with Stent</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8013" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000856">
			<name>Stent Type</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The last value between birth and start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the type of stent used in the previously treated lesion.

Note(s):  If a patient has multiple stents in the lesion code 'bioabsorbable' over either of the other two options when it is present.  

If a DES and BMS are present in the lesion, code 'DES'.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="411191007">
					<selectionName><![CDATA[DES]]></selectionName>
					<selectionDefinition><![CDATA[A drug-eluting stent is a coronary stent placed into narrowed, diseased coronary arteries that slowly releases a drug to prevent cell proliferation, thereby preventing fibrosis, that together with clots, could block the stented artery (restenosis).]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="705632009">
					<selectionName><![CDATA[Bioabsorbable]]></selectionName>
					<selectionDefinition><![CDATA[A bioabsorbable stent is a coronary stent placed into narrowed or diseased coronary arteries that is manufactured from a material that may dissolve or be absorbed by the body.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="464052002">
					<selectionName><![CDATA[Bare Metal Stent (BMS)]]></selectionName>
					<selectionDefinition><![CDATA[A bare metal stent (BMS) is a coronary stent without eluting drugs.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>StentType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8014</parentElementReference>
						<parentElementName>Stent Type Unknown</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8014" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000856">
			<name>Stent Type Unknown</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The last value between birth and start of the current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the type of stent used in the previously treated lesion is unknown.]]></codingInstruction>
			<technicalSpecification>
				<shortName>StentTypeUnk</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8010</parentElementReference>
						<parentElementName>Treated with Stent</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8015" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142443">
			<name>Lesion In Graft</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicated if the lesion is in a coronary artery bypass graft.]]></codingInstruction>
			<technicalSpecification>
				<shortName>LesionGraft</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8016" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013028">
			<name>Type of CABG Graft</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate in which type of bypass graft the lesion is located.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="261402001">
					<selectionName><![CDATA[LIMA]]></selectionName>
					<selectionDefinition><![CDATA[Left Internal Mammary Artery]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="181367001">
					<selectionName><![CDATA[Vein]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013029">
					<selectionName><![CDATA[Other Artery]]></selectionName>
					<selectionDefinition><![CDATA[Specific artery not available for selection in registry.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>LesionGraftType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8015</parentElementReference>
						<parentElementName>Lesion In Graft</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8017" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000862">
			<name>Location in Graft</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the location of the most severe stenosis, if the lesion is in the graft.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142355">
					<selectionName><![CDATA[Aortic]]></selectionName>
					<selectionDefinition><![CDATA[At the aortic anastomosis of the graft (<= 3 mm from insertion point).]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142354">
					<selectionName><![CDATA[Body]]></selectionName>
					<selectionDefinition><![CDATA[In the body of the graft.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142353">
					<selectionName><![CDATA[Distal]]></selectionName>
					<selectionDefinition><![CDATA[At the distal anastomosis of the graft (<= 3 mm from insertion point).]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>LocGraft</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8015</parentElementReference>
						<parentElementName>Lesion In Graft</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8018" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142348">
			<name>Navigate through Graft to Native Lesion</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if treatment of the native artery lesion required navigating through a graft (to reach the lesion).]]></codingInstruction>
			<technicalSpecification>
				<shortName>NavGraftNatLes</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8019" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000866">
			<name>Lesion Complexity</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the complexity of the lesion as defined in the selections below.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000583">
					<selectionName><![CDATA[Non-High/Non-C]]></selectionName>
					<selectionDefinition><![CDATA[Non-high/non-C lesions are considered Type A or B lesions. They can be characterized as follows:
Low Risk or Type A lesions:
Discrete (<10 mm length)
Concentric
Readily accessible
Non-angulated segment <45 degrees
Smooth contour
Little or no calcification
Less than totally occlusive
Not ostial in location
No major branch involvement
Absence of thrombus

Medium Risk (Type B1) lesions:
Tubular (10-20 mm length)
Eccentric
Moderate tortuosity of proximal segment
Moderately angulated segment, 45-90 degrees
Irregular contour
Moderate to heavy calcification
Ostial in location
Bifurcation lesions requiring double guidewires
Some thrombus present
Total occlusion <3 months old

Medium Risk (Type B2 lesions): Two or more "B" characteristics.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000584">
					<selectionName><![CDATA[High/C]]></selectionName>
					<selectionDefinition><![CDATA[Descriptions of a High Lesion Risk (C Lesion):
Diffuse (length > 2cm)
Excessive tortuosity of proximal segment
Extremely angulated segments > 90 degrees
Total occlusions > 3 months old and/or bridging collaterals
Inability to protect major side branches
Degenerated vein grafts with friable lesions]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>LesionComplexity</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8020" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013030">
			<name>Lesion Length</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the length of the treated lesion in millimeters.

Note(s):
If the lesion length is not available it is acceptable to code the length of the device used to treat the lesion.  

If multiple devices are used sequentially, total the individual device lengths.

Information obtained after the baseline angiogram can be used to help determine lesion length (e.g. for total occlusions where the distal vessel can not be visualized).]]></codingInstruction>
			<technicalSpecification>
				<shortName>LesionLength</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[mm]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm]]></unitofMeasure>
						<usualRangeMin>1</usualRangeMin>
						<usualRangeMax>50</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8021" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142350">
			<name>Severe Calcification</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if there was severe calcification of the lesion.

Note(s): To support coding there must documentation of 'severe calcification' specific to the lesion treated during the PCI procedure, by the interventionalist.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Severe calcification</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Madhavan MV, Tarigopula M, Mintz GS, Maehara A, Stone GW, Généreux P. Coronary Artery Calcification: Pathogenesis and Prognostic Implications. J Am Coll Cardiol. 2014;63(17):1703-1714. doi:10.1016/j.jacc.2014.01.017.]]></source>
					<definition><![CDATA[Severe calcification is most commonly defined as radiopacities seen without cardiac motion before contrast injection, usually affecting both sides of the arterial lumen.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>SevereCalcification</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8022" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371894001">
			<name>Bifurcation Lesion</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the treated lesion is at a significant bifurcation, trifucation or more complex branch point.

Note(s):
A significant bifurcation or branch point is a division of a vessel into at least two branches, each of which is >1.5 mm or greater in diameter. In a bifurcation or branch lesion, the plaque extends from at least one of the limbs to the branch point; it need not progress down all the proximal and distal branches. Bifurcations or branch point lesions should be considered one lesion, no matter how many limbs are treated.]]></codingInstruction>
			<technicalSpecification>
				<shortName>BifurcationLesion</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8023" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000851">
			<name>Guidewire Across Lesion</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a guidewire successfully crossed the lesion.]]></codingInstruction>
			<technicalSpecification>
				<shortName>GuidewireLesion</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="8024" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142349">
			<name>Device Deployed</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a device was deployed during the procedure.

Note(s): 
Code 'Yes' if an intracoronary device was used as designed (e.g. a balloon was inflated, a stent was placed, aspiration was attempted with a thrombectomy device, etc.) The success of the device used is not relevant.

If 'Yes' is selected for any lesion, at least one intracoronary device must be specified.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DeviceDeployed</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8023</parentElementReference>
						<parentElementName>Guidewire Across Lesion</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8025" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142461">
			<name>Stenosis (Post-Intervention)</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The highest value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the post-intervention percent stenosis for the treated lesion.]]></codingInstruction>
			<technicalSpecification>
				<shortName>StenosisPostProc</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[%]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8024</parentElementReference>
						<parentElementName>Device Deployed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[%]]></unitofMeasure>
						<usualRangeMin>0</usualRangeMin>
						<usualRangeMax>100</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8026" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013016">
			<name>TIMI Flow (Post-Intervention)</name>
			<sectionDisplayName>J. Lesions and Devices</sectionDisplayName>
			<sectionCode>LESIONDEV</sectionCode>
			<targetValue>The lowest value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the post-intervention TIMI flow.

Note(s): 
If a lesion spans multiple segments with  different TIMI flows, coded the lowest TIMI flow within the entire lesion.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371867000">
					<selectionName><![CDATA[TIMI-0]]></selectionName>
					<selectionDefinition><![CDATA[No flow/no perfusion]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371866009">
					<selectionName><![CDATA[TIMI-1]]></selectionName>
					<selectionDefinition><![CDATA[Slow penetration without perfusion]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371864007">
					<selectionName><![CDATA[TIMI-2]]></selectionName>
					<selectionDefinition><![CDATA[Partial flow/partial perfusion (greater than TIMI-1 but less than TIMI-3).]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371865008">
					<selectionName><![CDATA[TIMI-3]]></selectionName>
					<selectionDefinition><![CDATA[Complete and brisk flow/complete perfusion.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>PostProcTIMI</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8024</parentElementReference>
						<parentElementName>Device Deployed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8027" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.851">
			<name>Intracoronary Device Counter</name>
			<sectionDisplayName>Devices</sectionDisplayName>
			<sectionCode>DEVICES</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[The software-assigned intracoronary device counter should start at one and be incremented by one for each intracoronary device used.

Note(s):
The intracoronary device counter numbers should be assigned sequentially in ascending order. Do not skip numbers.

The intracoronary device counter is reset back to one for each procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ICDevCounter</shortName>
				<dataType>CTR</dataType>
				<precision>3</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8028</parentElementReference>
						<parentElementName>Intracoronary Device(s) Used</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin/>
						<usualRangeMax/>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>999</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8028" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142374">
			<name>Intracoronary Device(s) Used</name>
			<sectionDisplayName>Devices</sectionDisplayName>
			<sectionCode>DEVICES</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate all devices utilized during the current procedure.  If a device was utilized on multiple lesions, specify it only once (e.g., if a balloon was used to dilate two separate lesions, list it only once). Every treatment and support device utilized during the procedure should be specified.

Note(s): 
Each intracoronary device must be associated with at least one lesion via the Lesion Counter (Element Ref# 8000) if Device Deployed (8024) is 'Yes'.  An intracoronary device may be associated with more than one lesion.

The device(s) collected in this field are controlled by the Intracoronary Device Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ICDevID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8024</parentElementReference>
						<parentElementName>Device Deployed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8029" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3719">
			<name>Intracoronary Unique Device Identifier</name>
			<sectionDisplayName>Devices</sectionDisplayName>
			<sectionCode>DEVICES</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the direct identifier portion of the Unique Device Identifier (UDI) associated with the intracoronary device. This ID is provided by the device manufacturer, and is either a GTIN or HIBC number.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Unique Device Identifier (UDI)</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[US FDA]]></source>
					<definition><![CDATA[An identifier that is the main (primary) lookup for a medical device product and meets the requirements to uniquely identify a device through its distribution and use. This value is supplied to the FDA by the manufacturer.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>ICDevUDI</shortName>
				<dataType>ST</dataType>
				<precision>150</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>No Action</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Reserved for Future use. NCDR will provide additional information once FDA has established a timeline for implementation. The application must create these fields (as placeholders) during initial development and vendor certification of the registry; and demonstrate that they can be transmitted in the export file.]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8028</parentElementReference>
						<parentElementName>Intracoronary Device(s) Used</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8030" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142398">
			<name>Intracoronary Device Associated Lesion</name>
			<sectionDisplayName>Devices</sectionDisplayName>
			<sectionCode>DEVICES</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate all Lesion Counter Numbers (Element Ref# 8000) corresponding to the lesion(s) on which this device was used.

The lesion counter is used to distinguish between multiple lesions on which a PCI procedure is attempted or performed.]]></codingInstruction>
			<technicalSpecification>
				<shortName>ICDevCounterAssn</shortName>
				<dataType>NUM</dataType>
				<precision>3</precision>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8028</parentElementReference>
						<parentElementName>Intracoronary Device(s) Used</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="8031" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142375">
			<name>Intracoronary Device Diameter</name>
			<sectionDisplayName>Devices</sectionDisplayName>
			<sectionCode>DEVICES</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the diameter of the intracoronary device in millimeters.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DeviceDiameter</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mm]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Controlled by the Intracoronary Device Master list and the element reference number under the "enableElements" column for a specified device, the application shall make the element accessible to the participant.]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8028</parentElementReference>
						<parentElementName>Intracoronary Device(s) Used</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm]]></unitofMeasure>
						<usualRangeMin>1.00</usualRangeMin>
						<usualRangeMax>6.00</usualRangeMax>
						<validRangeMin>0.01</validRangeMin>
						<validRangeMax>10.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="8032" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142376">
			<name>Intracoronary Device Length</name>
			<sectionDisplayName>Devices</sectionDisplayName>
			<sectionCode>DEVICES</sectionCode>
			<targetValue>The value on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate the length of the device in millimeters.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DeviceLength</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[mm]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Controlled by the Intracoronary Device Master list and the element reference number under the "enableElements" column for a specified device, the application shall make the element accessible to the participant.]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>8028</parentElementReference>
						<parentElementName>Intracoronary Device(s) Used</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mm]]></unitofMeasure>
						<usualRangeMin>5</usualRangeMin>
						<usualRangeMax>40</usualRangeMax>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="9145" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="234010000">
			<name>Coronary Artery Perforation</name>
			<sectionDisplayName>K. Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>INTPOSTEVENT</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if angiographic or clinical evidence of perforation was observed.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Perforation</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[NCDR]]></source>
					<definition><![CDATA[A coronary artery perforation occurs when there is angiographic or clinical evidence of a dissection or intimal tear that extends through the full thickness of the arterial wall.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PerfSeg</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7050</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention (PCI)</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="9146" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000883">
			<name>Significant Coronary Artery Dissection</name>
			<sectionDisplayName>K. Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>INTPOSTEVENT</sectionCode>
			<targetValue>Any occurrence on current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if a significant coronary artery dissection was observed.  

Note(s):
Typically, dissections described as type A or B are not considered significant dissections because there is no impairment of flow. 

Significant dissections are grade C dissections in the presence of ischemia, or grade D-F dissections, all of which are further described as:

type C: persisting contrast medium extravasations;
type D: spiral filling defect with delayed but complete distal flow;
type E: persistent filling defect with delayed antegrade flow;
type F: filling defect with impaired flow and total occlusion]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Dissection</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[NCDR]]></source>
					<definition><![CDATA[Dissection is defined as the appearance of contrast materials outside of the expected luminal dimensions of the target vessel and extending longitudinally beyond the length of the lesion.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DissectionSeg</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7050</parentElementReference>
						<parentElementName>Percutaneous Coronary Intervention (PCI)</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="9275" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="71493000">
			<name>Packed Red Blood Cell Transfusion</name>
			<sectionDisplayName>K. Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>INTPOSTEVENT</sectionCode>
			<targetValue>Any occurrence between start of procedure and until next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if there was a transfusion(s) of packed red blood cells.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PostTransfusion</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="9276" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014031">
			<name>Number of units of PRBCs transfused</name>
			<sectionDisplayName>K. Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>INTPOSTEVENT</sectionCode>
			<targetValue>Any occurrence between start of procedure and until next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the number of transfusion(s) of packed red blood cells.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PRBCUnits</shortName>
				<dataType>PQ</dataType>
				<precision>3,0</precision>
				<unitofMeasure><![CDATA[unit]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>9275</parentElementReference>
						<parentElementName>Packed Red Blood Cell Transfusion</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[unit]]></unitofMeasure>
						<usualRangeMin>1</usualRangeMin>
						<usualRangeMax>5</usualRangeMax>
						<validRangeMin>0</validRangeMin>
						<validRangeMax>100</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="9277" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014032">
			<name>Transfusion PCI</name>
			<sectionDisplayName>K. Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>INTPOSTEVENT</sectionCode>
			<targetValue>Any occurrence between start of procedure and 72 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the transfusion occurred during or after PCI.

Note(s): 
Code 'No' if the pre-procedure hemoglobin was <=8mg/dL.]]></codingInstruction>
			<technicalSpecification>
				<shortName>TransfusPostPCI</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>9275</parentElementReference>
						<parentElementName>Packed Red Blood Cell Transfusion</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="9278" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014033">
			<name>Transfusion Surgery</name>
			<sectionDisplayName>K. Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>INTPOSTEVENT</sectionCode>
			<targetValue>Any occurrence between start of procedure and 72 hours after current procedure</targetValue>
			<codingInstruction><![CDATA[Indicate if the transfusion occurred during or after surgery.]]></codingInstruction>
			<technicalSpecification>
				<shortName>TransfusionPostSurg</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>9275</parentElementReference>
						<parentElementName>Packed Red Blood Cell Transfusion</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="9001" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142478">
			<name>Intra/Post-Procedure Events</name>
			<sectionDisplayName>Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>IPPEVENTS</sectionCode>
			<targetValue>Any occurrence between start of procedure and until next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the event that occurred between the procedure and the next procedure or discharge.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PostProcEvent</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="9002" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142479">
			<name>Intra/Post-Procedure Events Occurred</name>
			<sectionDisplayName>Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>IPPEVENTS</sectionCode>
			<targetValue>Any occurrence between start of procedure and until next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the post procedure event did or did not occur.]]></codingInstruction>
			<technicalSpecification>
				<shortName>PostProcOccurred</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>9001</parentElementReference>
						<parentElementName>Intra/Post-Procedure Events</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="9003" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424780">
			<name>Intra/Post-Procedure Event Date and Time</name>
			<sectionDisplayName>Intra and Post-Procedure Events</sectionDisplayName>
			<sectionCode>IPPEVENTS</sectionCode>
			<targetValue>Any occurrence between start of procedure and until next procedure or discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time the event occurred.

Note(s):
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).]]></codingInstruction>
			<technicalSpecification>
				<shortName>PostProcDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Intra/Post-Procedure Event Date and Time(9003) is greater than Procedure Start Date and Time(7000) (PostProcDateTime > ProcedureStartDateTime)
Date Rule 2: <<Removed>>
Date Rule 3: Intra/Post-Procedure Event Date and Time(9003) is less than Discharge Date and Time(10101) (PostProcDateTime <  DCDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>9002</parentElementReference>
						<parentElementName>Intra/Post-Procedure Events Occurred</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10030" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001283">
			<name>Interventions this Hospitalization</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>Any occurrence between arrival and discharge</targetValue>
			<codingInstruction><![CDATA[Indicate other interventions (percutaneous or surgical) that occurred during this hospitalization. 

Note(s): 
This does not include interventions that occurred during the same cath lab visit as a Diagnostic Cath or PCI procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>HospIntervention</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10031" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001284">
			<name>Intervention Type this Hospitalization</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>Any occurrence between arrival and discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the type of intervention or surgery that occurred.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="232717009">
					<selectionName><![CDATA[CABG]]></selectionName>
					<selectionDefinition><![CDATA[Coronary artery bypass graft.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014071">
					<selectionName><![CDATA[Valvular Intervention]]></selectionName>
					<selectionDefinition><![CDATA[A transcatheter valvular intervention.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014068">
					<selectionName><![CDATA[Cardiac Surgery (non CABG)]]></selectionName>
					<selectionDefinition><![CDATA[A surgical correction of a defect or abnormality of the heart that is non- coronary, meaning that it does not affect the blood vessels in the heart, but rather involves the valves, walls or chambers.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014072">
					<selectionName><![CDATA[Structural Heart Intervention (non-valvular)]]></selectionName>
					<selectionDefinition><![CDATA[A transcatheter correction of a defect or abnormality of the heart that is non-coronary and non-valvular, meaning that it does not affect the blood vessels or the valves but is limited to the walls or chambers.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014022">
					<selectionName><![CDATA[Surgery (Non Cardiac)]]></selectionName>
					<selectionDefinition><![CDATA[A surgical intervention not involving the heart.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="252425004">
					<selectionName><![CDATA[EP Study]]></selectionName>
					<selectionDefinition><![CDATA[A cardiac electrophysiology study (EP) is a minimally invasive procedure that tests the electrical conduction system of the heart to assess the electrical activity and conduction pathways of the heart. The study is indicated to investigate the cause, location of origin, and best treatment for various abnormal heart rhythms. This type of study is performed by an electrophysiologist and using a single or multiple catheters situated within the heart through a vein or artery.  If at any step during the EP study the electrophysiologist finds the source of the abnormal electrical activity, he/she may try to ablate the cells that are misfiring. This is done using high-energy radio frequencies (similar to microwaves) to effectively "cook" the abnormal cells.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424811">
					<selectionName><![CDATA[Other]]></selectionName>
					<selectionDefinition><![CDATA[The intervention performed is not available for selection within the registry.]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>HospInterventionType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10030</parentElementReference>
						<parentElementName>Interventions this Hospitalization</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10035" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014080">
			<name>CABG Status</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>Any occurrence between arrival and discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the status of the coronary artery bypass graft (CABG) surgery.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001285">
					<selectionName><![CDATA[Elective]]></selectionName>
					<selectionDefinition><![CDATA[The patient's cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001286">
					<selectionName><![CDATA[Urgent]]></selectionName>
					<selectionDefinition><![CDATA[Procedure required during same hospitalization in order to minimize chance of further clinical deterioration.  Examples include but are not limited to: worsening sudden chest pain, CHF, acute myocardial infarction (AMI), anatomy, IABP, unstable angina (USA) with intravenous (IV) nitroglycerin (NTG) or rest angina]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001287">
					<selectionName><![CDATA[Emergency]]></selectionName>
					<selectionDefinition><![CDATA[Patients requiring emergency operation will have ongoing refractory (difficulty, complicated, and unmanageable) unrelenting cardiac compromise, with or without hemodynamic instability, and not responsive to any form of therapy except cardiac surgery. An emergency operation is one in which there should be no delay in providing operative intervention.  The patient's clinical status includes any of the following:
a. Ischemic dysfunction (any of the following):
1. Ongoing ischemia including rest angina despite maximal medical therapy (medical or IABP).
2. Acute Evolving Myocardial Infarction with 24hours before surgery.
3. Pulmonary edema requiring intubation.

b. Mechanical dysfunction (either of the following):
1. Shock with circulatory support
2. Shock without circulatory support.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001288">
					<selectionName><![CDATA[Salvage]]></selectionName>
					<selectionDefinition><![CDATA[The patient is undergoing CPR in route to the operating room or prior to anesthesia induction.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>CABGStatus</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10031</parentElementReference>
						<parentElementName>Intervention Type this Hospitalization</parentElementName>
						<parentElementSelectionName><![CDATA[CABG]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10036" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001289">
			<name>CABG Indication</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>Any occurrence between arrival and discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the reason coronary artery bypass graft (CABG) surgery is being performed.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000712">
					<selectionName><![CDATA[PCI/CABG Hybrid Procedure]]></selectionName>
					<selectionDefinition><![CDATA[Hybrid therapy occurs when both surgical and percutaneous coronary revascularization are planned, with different lesions treated with the different techniques.  Examples include LIMA-LAD followed by PCI of the circumflex or RCA; or primary PCI of the infarct culprit RCA followed by CABG for the severe LMCA stenosis.  Unplanned revascularization as a result of a complication (e.g., CABG for PCI-related dissection, PCI for acute graft closure) are NOT considered hybrid procedures because these sequential interventions were not part of a considered treatment strategy.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001291">
					<selectionName><![CDATA[Recommendation from Dx Cath (instead of PCI)]]></selectionName>
					<selectionDefinition><![CDATA[CABG was recommended after diagnostic coronary angiography]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001292">
					<selectionName><![CDATA[PCI Failure]]></selectionName>
					<selectionDefinition><![CDATA[PCI failed to successfully treat the patient and CABG is required, the patient is stable without clinical deterioration.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000709">
					<selectionName><![CDATA[PCI complication]]></selectionName>
					<selectionDefinition><![CDATA[PCI failed to successfully treat the patient and/or there was a complication, CABG is required and the patient is unstable.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>CABGIndication</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10031</parentElementReference>
						<parentElementName>Intervention Type this Hospitalization</parentElementName>
						<parentElementSelectionName><![CDATA[CABG]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10011" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="232717009">
			<name>Coronary Artery Bypass Graft Date and Time</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The first value between arrival and discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time of the coronary artery bypass graft (CABG) surgery.

Note(s):
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours).


]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Coronary Artery Bypass Graft</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Cannon CP, Brindis RG, Chaitman BR, et al.  2013 ACCF>AHA Key Date Elements and Definitions for Measuring the Clinical Management and Outcomes of Patients with Acute Coronary Syndromes and Coronary Artery Disease. Circulation. 2013;127;1052-1089.]]></source>
					<definition><![CDATA[Coronary artery bypass graft surgery is when the native vessels of the heart are bypassed with other vessels (internal mammary artery, radial artery or saphenous vein) to restore normal blood flow to the obstructed coronary arteries.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>CABGDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Coronary Artery Bypass Graft Date and Time(10011) is greater than or equal to Arrival Date and Time(3001) (CABGDateTime >= ArrivalDateTime)
Date Rule 2: Coronary Artery Bypass Graft Date and Time(10011) is less than or equal to Discharge Date and Time(10101) (CABGDateTime <= DCDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10031</parentElementReference>
						<parentElementName>Intervention Type this Hospitalization</parentElementName>
						<parentElementSelectionName><![CDATA[CABG]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10060" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2160-0">
			<name>Creatinine</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The last value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the creatinine (Cr) level mg/dL.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Creatinine</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/2160-0.html?sections=Simple]]></source>
					<definition><![CDATA[Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomerular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DCCreatinine</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10061</parentElementReference>
						<parentElementName>Creatinine Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[mg/dL]]></unitofMeasure>
						<usualRangeMin>0.10</usualRangeMin>
						<usualRangeMax>5.00</usualRangeMax>
						<validRangeMin>0.10</validRangeMin>
						<validRangeMax>30.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="10061" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="2160-0">
			<name>Creatinine Not Drawn</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The last value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if a discharge creatinine level was not drawn.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Creatinine</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/2160-0.html?sections=Simple]]></source>
					<definition><![CDATA[Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomerular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DCCreatinineND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10065" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="718-7">
			<name>Hemoglobin</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The last value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the hemoglobin level in g/dL.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hemoglobin</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/718-7.html?sections=Simple]]></source>
					<definition><![CDATA[Hemoglobin (Hb or Hgb) is the iron-containing oxygen-transport metalloprotein in the red blood cells. It carries oxygen from the lungs to the rest of the body (i.e. the tissues) where it releases the oxygen to burn nutrients and provide energy. Hemoglobin concentration measurement is among the most commonly performed blood tests, usually as part of a complete blood count. If the concentration is below normal, this is called anemia. Anemias are classified by the size of red blood cells: "microcytic" if red cells are small, "macrocytic" if they are large, and "normocytic" if otherwise. Dehydration or hyperhydration can greatly influence measured hemoglobin levels.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DCHgb</shortName>
				<dataType>PQ</dataType>
				<precision>4,2</precision>
				<unitofMeasure><![CDATA[g/dL]]></unitofMeasure>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10066</parentElementReference>
						<parentElementName>Hemoglobin Not Drawn</parentElementName>
						<parentElementSelectionName><![CDATA[No]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
				<elementRanges>
					<elementRange>
						<unitofMeasure><![CDATA[g/dL]]></unitofMeasure>
						<usualRangeMin>5.00</usualRangeMin>
						<usualRangeMax>20.00</usualRangeMax>
						<validRangeMin>1.00</validRangeMin>
						<validRangeMax>50.00</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="10066" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="718-7">
			<name>Hemoglobin Not Drawn</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The last value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the hemoglobin was not drawn.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Hemoglobin</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://s.details.loinc.org/LOINC/718-7.html?sections=Simple]]></source>
					<definition><![CDATA[Hemoglobin (Hb or Hgb) is the iron-containing oxygen-transport metalloprotein in the red blood cells. It carries oxygen from the lungs to the rest of the body (i.e. the tissues) where it releases the oxygen to burn nutrients and provide energy. Hemoglobin concentration measurement is among the most commonly performed blood tests, usually as part of a complete blood count. If the concentration is below normal, this is called anemia. Anemias are classified by the size of red blood cells: "microcytic" if red cells are small, "macrocytic" if they are large, and "normocytic" if otherwise. Dehydration or hyperhydration can greatly influence measured hemoglobin levels.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DCHgbND</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10101" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142457">
			<name>Discharge Date and Time</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time the patient was discharged from your facility as identified in the medical record.

Note(s): 
Indicate the time (hours:minutes) using the military 24-hour clock, beginning at midnight (00:00 hours). 

If the exact discharge time is not specified in the medical record, then code the appropriate time as below.

0000 - 0559 (midnight to before 6AM) code  0300
0600 - 1159 (6AM - before noon) code 0900
1200 - 1759 (noon to before 8PM) code 1500
1800 - 2359 (8PM to before midnight) code 2100]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10070" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142453">
			<name>Discharge Provider's Last Name</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the last name of the discharge provider.

Note(s):
If the name exceeds 50 characters, enter the first 50 characters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCLName</shortName>
				<dataType>LN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10071" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142453">
			<name>Discharge Provider's First Name</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the first name of the discharge provider.

Note(s):
If the name exceeds 50 characters, enter the first 50 characters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCFName</shortName>
				<dataType>FN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10072" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142453">
			<name>Discharge Provider's Middle Name</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the middle name of the discharge provider.

Note(s):
It is acceptable to specify the middle initial.

If there is no middle name given, leave field blank.

If there are multiple middle names, enter all of the middle names sequentially.

If the name exceeds 50 characters, enter the first 50 letters only.

The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCMName</shortName>
				<dataType>MN</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10073" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142453">
			<name>Discharge Provider's NPI</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the National Provider Identifier (NPI) of the provider that discharged the patient. NPI's, assigned by the Centers for Medicare and Medicaid Services (CMS), are used to uniquely identify physicians for Medicare billing purposes.

Note(s):
The completion of this data element is voluntary and at the discretion of your facility. NCDR will use the data to provide reporting at the physician level, which may assist physicians with demonstrating value based care as well as support your facility's engagement in quality improvement efforts. If completed, NCDR will defer to your facility's determination of assigning Admitting, Attending, and Discharging Provider roles, as supported by the patient medical record.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCNPI</shortName>
				<dataType>NUM</dataType>
				<precision>10</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10075" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="133918004">
			<name>Comfort Measures Only</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if there was physician/nurse practitioner/physician assistant documentation that the patient was receiving comfort measures.

Note(s): 
Comfort Measures are not equivalent to the following: Do Not Resuscitate (DNR), living will, no code, no heroic measures.

Comfort measures are commonly referred to as palliative care in the medical community and comfort care by the general public. Palliative care includes attention to the psychological and spiritual needs of the patient and support for the dying patient and the patient's family. Usual interventions are not received because a medical decision was made to limit care to comfort measures only.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Comfort Measures Only</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Specifications Manual for Joint Commission National Quality Measures (v2015A)]]></source>
					<definition><![CDATA[Comfort Measures Only refers to medical treatment of a dying person where the natural dying process is permitted to occur while assuring maximum comfort. It includes attention to the psychological and spiritual needs of the patient and support for both the dying patient and the patient's family. Comfort Measures Only is commonly referred to as "“comfort care"” by the general public. It is not equivalent to a physician order to withhold emergency resuscitative measures such as Do Not Resuscitate (DNR).]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DC_Comfort</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10105" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="75527-2">
			<name>Discharge Status</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate whether the patient was alive or deceased at discharge.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="438949009">
					<selectionName><![CDATA[Alive]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.12.112" codeSystemName="HL7 Discharge disposition" code="20">
					<selectionName><![CDATA[Deceased]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>DCStatus</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10110" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="75528-0">
			<name>Discharge Location</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the location to which the patient was discharged.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.12.112" codeSystemName="HL7 Discharge disposition" code="01">
					<selectionName><![CDATA[Home]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.12.112" codeSystemName="HL7 Discharge disposition" code="62">
					<selectionName><![CDATA[Discharged/transferred to an Extended care/TCU/rehab]]></selectionName>
					<selectionDefinition><![CDATA[An Extended Care/transitional care/rehab unit (selection 2) typically provides a high level of intensive therapy as well as specialized nursing and physician care. This discharge setting may also be called subacute care or long term acute care (LTACH).]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.12.112" codeSystemName="HL7 Discharge disposition" code="02">
					<selectionName><![CDATA[Other acute care hospital]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.12.112" codeSystemName="HL7 Discharge disposition" code="64">
					<selectionName><![CDATA[Skilled Nursing facility]]></selectionName>
					<selectionDefinition><![CDATA[Skilled nursing facilities are typically for longer anticipated length of stay, as there are fewer requirements placed on subacute programs. An acute rehabilitation unit may be part of a skilled nursing facility (SNF), however, it is the higher level of care (acute rehab).]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001249">
					<selectionName><![CDATA[Other Discharge Location]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.12.112" codeSystemName="HL7 Discharge disposition" code="07">
					<selectionName><![CDATA[Left against medical advice (AMA)]]></selectionName>
					<selectionDefinition><![CDATA[The patient was discharged or eloped against medical advice.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>DCLocation</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10105</parentElementReference>
						<parentElementName>Discharge Status</parentElementName>
						<parentElementSelectionName><![CDATA[Alive]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10111" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001296">
			<name>Transferred for CABG</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient was transferred for the purpose of performing a coronary artery bypass graft.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CABGTransfer</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[Other acute care hospital]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10112" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="10001424792">
			<name>CABG Planned after Discharge</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient has a CABG planned after discharge.

Note: A planned CABG could include a documented plan for the patient to receive a CABG, a patient referral for a CABG or a CABG date scheduled.]]></codingInstruction>
			<technicalSpecification>
				<shortName>CABGPlannedDC</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[Home]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[ Discharged/transferred to an Extended care/TCU/rehab]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[ Skilled Nursing facility]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[ Other Discharge Location]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10115" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="385763009">
			<name>Hospice Care</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient was discharged to hospice care.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DCHospice</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10105</parentElementReference>
						<parentElementName>Discharge Status</parentElementName>
						<parentElementSelectionName><![CDATA[Alive]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10116" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014067">
			<name>Cardiac Rehabilitation Referral</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if there was written documentation of a referral for the patient (by the physician, nurse, or other personnel) to an outpatient cardiac rehabilitation program, or a documented medical or patient-centered reason why such a referral was not made.

The program may include a traditional cardiac rehabilitation program based on face-to-face interactions and training sessions or may include other options such as home-based approaches.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014064">
					<selectionName><![CDATA[No - Reason Not Documented]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014066">
					<selectionName><![CDATA[No - Medical Reason Documented]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014065">
					<selectionName><![CDATA[No - Health Care System Reason Documented]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013072">
					<selectionName><![CDATA[Yes]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cardiac Rehabilitation Referral</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Thomas RJ, King M, Lui K, Oldridge N, Piña IL, Spertus J. AACVPR/ACCF/AHA 2010 Update: Performance Measures on Cardiac Rehabilitation for Referral to Cardiac Rehabilitation/Secondary Prevention Services: Endorsed by the American College of Chest Physicians, the American College of Sports Medicine, the American Physical Therapy Association, the Canadian Association of Cardiac Rehabilitation, the Clinical Exercise Physiology Association, the European Association for Cardiovascular Prevention and Rehabilitation, the Inter-American Heart Foundation, the National Association of Clinical Nurse Specialists, the Preventive Cardiovascular Nurses Association, and the Society of Thoracic Surgeons. J Am Coll Cardiol. 2010;56(14):1159-1167. doi:10.1016/j.jacc.2010.06.006.]]></source>
					<definition><![CDATA[A referral is defined as an official communication between the health care provider and the patient to recommend and carry out a referral order to an early outpatient cardiac rehab (CR) program. This includes the provision of all necessary information to the patient that will allow the patient to enroll in an early outpatient CR program.  This also includes a communication between the health care provider or health care system and the CR program that includes the patient's referral information for the program.  A hospital discharge summary or office note may potentially be formatted to include the necessary patient information to communicate to the CR program [the patient's cardiovascular history, testing, and treatments, for instance].  All communications must maintain appropriate confidentiality as outlined by the 1996 Health Insurance Portability and Accountability Act [HIPPA].]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DC_CardRehab</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10105</parentElementReference>
						<parentElementName>Discharge Status</parentElementName>
						<parentElementSelectionName><![CDATA[Alive]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10117" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="365931003">
			<name>Level of Consciousness (Discharge)</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The highest value from start of procedure to death</targetValue>
			<codingInstruction><![CDATA[Indicate the level of consciousness after resuscitation as measured by the AVPU scale.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="248234008">
					<selectionName><![CDATA[(A) Alert]]></selectionName>
					<selectionDefinition><![CDATA[Spontaneously open eyes, responding to voice (although may be confused) and motor function.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="284592002">
					<selectionName><![CDATA[(V) Verbal]]></selectionName>
					<selectionDefinition><![CDATA[Responding to verbal stimuli.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013043">
					<selectionName><![CDATA[(P) Pain]]></selectionName>
					<selectionDefinition><![CDATA[Responding to painful stimuli.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="422768004">
					<selectionName><![CDATA[(U) Unresponsive]]></selectionName>
					<selectionDefinition><![CDATA[No eye, voice or motor response to voice or pain.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014234">
					<selectionName><![CDATA[Unable to Assess]]></selectionName>
					<selectionDefinition><![CDATA[Unable to assess level of consciousness. (Example: Patient Sedated)]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Level of Consciousness</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Deakin, Charles D., Fothergill, Rachael, Moore, Fionna, Watson, Lynne, Whitbread, Mark, Level of consciousness on admission to a Heart Attack Centre is a predictor of survival from out-of-hospital cardiac arrest, Resuscitation (2014) doi: 10.1016/j.resuscitation.2014.02.020.]]></source>
					<definition><![CDATA[The presence of consciousness on admission to hospital and the speed at which consciousness returns following cardiac arrest has been shown to be an indicator of neurological survival following out of hospital cardiac arrest (OHCA).]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DC_LOC</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule: Enable element when Discharge Status(10105) is 'Deceased' AND (Cardiac Arrest Out of Hospital(4630) is 'Yes' OR Cardiac Arrest At Transferring Facility(4635) is 'Yes' OR Cardiac Arrest At This Facility(7340) is 'Yes')]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>7340</parentElementReference>
						<parentElementName>Cardiac Arrest at this Facility</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>4635</parentElementReference>
						<parentElementName>Cardiac Arrest at Transferring Facility</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>4630</parentElementReference>
						<parentElementName>Cardiac Arrest Out of Hospital</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10105</parentElementReference>
						<parentElementName>Discharge Status</parentElementName>
						<parentElementSelectionName><![CDATA[Deceased]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10120" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000923">
			<name>Death During the Procedure</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>Any occurrence on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient expired during the procedure.

Note(s): Make sure to only capture 'Death during the procedure' in the procedure appropriate registry. 
 
For example, if the patient had a CathPCI procedure and a TVT procedure in the same episode of care (hospitalization) but different cath lab visits and the death occurred during the TVT procedure, code 'Yes' only in the TVT Registry and not the CathPCI Registry.  If the CathPCI procedure and TVT procedure occurred during the same cath lab visit then code 'Yes' in both registries.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DeathProcedure</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10105</parentElementReference>
						<parentElementName>Discharge Status</parentElementName>
						<parentElementSelectionName><![CDATA[Deceased]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10125" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="184305005">
			<name>Cause of Death</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on time of death</targetValue>
			<codingInstruction><![CDATA[Indicate the primary cause of death, i.e. the first significant abnormal event which ultimately led to death.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000960">
					<selectionName><![CDATA[Acute myocardial infarction]]></selectionName>
					<selectionDefinition><![CDATA[Death by any cardiovascular mechanism (e.g., arrhythmia, sudden death, heart failure, stroke, pulmonary embolus, peripheral arterial disease) within 30 days after an acute myocardial infarction, related to the immediate consequences of the MI, such as progressive HF or recalcitrant arrhythmia. There may be other assessable (attributable) mechanisms of cardiovascular death during this time period, but for simplicity, if the cardiovascular death occurs <=30 days of an acute myocardial infarction, it will be considered a death due to myocardial infarction.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000978">
					<selectionName><![CDATA[Sudden cardiac death]]></selectionName>
					<selectionDefinition><![CDATA[Death that occurs unexpectedly, and not within 30 days of an acute MI.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000964">
					<selectionName><![CDATA[Heart failure]]></selectionName>
					<selectionDefinition><![CDATA[Death associated with clinically worsening symptoms and/or signs of heart failure.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000977">
					<selectionName><![CDATA[Stroke]]></selectionName>
					<selectionDefinition><![CDATA[Death after a stroke that is either a direct consequence of the stroke or a complication of the stroke.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000962">
					<selectionName><![CDATA[Cardiovascular procedure]]></selectionName>
					<selectionDefinition><![CDATA[Death caused by the immediate complication(s) of a cardiovascular procedure.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000961">
					<selectionName><![CDATA[Cardiovascular hemorrhage]]></selectionName>
					<selectionDefinition><![CDATA[Death related to hemorrhage such as a non-stroke intracranial hemorrhage, non-procedural or non-traumatic vascular rupture (e.g., aortic aneurysm), or hemorrhage causing cardiac tamponade.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000972">
					<selectionName><![CDATA[Other cardiovascular reason]]></selectionName>
					<selectionDefinition><![CDATA[Cardiovascular death not included in the above categories but with a specific, known cause (e.g., pulmonary embolism, peripheral arterial disease).]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000975">
					<selectionName><![CDATA[Pulmonary]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the lungs (excludes malignancy).]]></selectionDefinition>
					<displayOrder>8</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000976">
					<selectionName><![CDATA[Renal]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to renal failure.]]></selectionDefinition>
					<displayOrder>9</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000963">
					<selectionName><![CDATA[Gastrointestinal]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the esophagus, stomach, or intestines (excludes malignancy).]]></selectionDefinition>
					<displayOrder>10</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000966">
					<selectionName><![CDATA[Hepatobiliary]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the liver, gall bladder, or biliary ducts (exclude malignancy).]]></selectionDefinition>
					<displayOrder>11</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000974">
					<selectionName><![CDATA[Pancreatic]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the pancreas (excludes malignancy).]]></selectionDefinition>
					<displayOrder>12</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000967">
					<selectionName><![CDATA[Infection]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to an infectious disease.]]></selectionDefinition>
					<displayOrder>13</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000968">
					<selectionName><![CDATA[Inflammatory/Immunologic]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to an inflammatory or immunologic disease process.]]></selectionDefinition>
					<displayOrder>14</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000965">
					<selectionName><![CDATA[Hemorrhage]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to bleeding that is not considered cardiovascular hemorrhage or stroke per this classification.]]></selectionDefinition>
					<displayOrder>15</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000971">
					<selectionName><![CDATA[Non-cardiovascular procedure or surgery]]></selectionName>
					<selectionDefinition><![CDATA[Death caused by the immediate complication(s) of a non-cardiovascular procedure or surgery.]]></selectionDefinition>
					<displayOrder>16</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000980">
					<selectionName><![CDATA[Trauma]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to trauma.]]></selectionDefinition>
					<displayOrder>17</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000979">
					<selectionName><![CDATA[Suicide]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to suicide.]]></selectionDefinition>
					<displayOrder>18</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000970">
					<selectionName><![CDATA[Neurological]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the nervous system (excludes malignancy).]]></selectionDefinition>
					<displayOrder>19</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000969">
					<selectionName><![CDATA[Malignancy]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to malignancy.]]></selectionDefinition>
					<displayOrder>20</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000973">
					<selectionName><![CDATA[Other non-cardiovascular reason]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to a cause other than those listed in this classification (specify organ system).]]></selectionDefinition>
					<displayOrder>21</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cause of Death</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://www.who.int/topics/mortality/en/]]></source>
					<definition><![CDATA[Underlying cause of death is defined as “the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury”.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>DeathCause</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10105</parentElementReference>
						<parentElementName>Discharge Status</parentElementName>
						<parentElementSelectionName><![CDATA[Deceased]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10220" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013084">
			<name>Discharge Medication Reconciliation Completed</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the medication reconciliation was completed as recommended by the Joint Commission's National Patient Safety Goals.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DC_MedReconCompleted</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="10221" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013085">
			<name>Discharge Medications Reconciled</name>
			<sectionDisplayName>L. Discharge</sectionDisplayName>
			<sectionCode>DISCHARGE</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the specific medication classes that were reconciled.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013086">
					<selectionName><![CDATA[Prescriptions: Cardiac]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013087">
					<selectionName><![CDATA[Prescriptions: Non-Cardiac]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013088">
					<selectionName><![CDATA[Over the Counter (OTC) Medications]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013089">
					<selectionName><![CDATA[Vitamins/Minerals]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013090">
					<selectionName><![CDATA[Herbal Supplements]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>DC_MedReconciled</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10220</parentElementReference>
						<parentElementName>Discharge Medication Reconciliation Completed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10200" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013057">
			<name>Discharge Medication Code</name>
			<sectionDisplayName>Discharge Medications</sectionDisplayName>
			<sectionCode>DISCHMED</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the assigned identification number associated with the medications the patient was prescribed upon discharge.

Note(s):
Discharge medications not required for patients who expired, discharged to "Other acute care hospital", "Left against medical advice (AMA)" or are receiving Hospice Care.

The medication(s) collected in this field are controlled by the Medication Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application. Each medication in the Medication Master file is assigned to a value set. The value set is used to separate procedural medications from medications prescribed at discharge. The separation of these medications is depicted on the data collection form.]]></codingInstruction>
			<technicalSpecification>
				<shortName>DC_MedID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Enable element when a PCI procedure was attempted or performed for each Episode of Care
Parent/Child Rule 2: Enable element when Discharge Status(10105) is 'Alive' AND Discharge Location(10110) in ('Home', 'Skilled Nursing facility', 'Extended care/TCU/rehab', 'Other') AND Hospice Care(10115) is ('Null', 'No')]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[Home]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[ Discharged/transferred to an Extended care/TCU/rehab]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[ Other Discharge Location]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10110</parentElementReference>
						<parentElementName>Discharge Location</parentElementName>
						<parentElementSelectionName><![CDATA[ Skilled Nursing facility]]></parentElementSelectionName>
					</parentChildRule>
					<parentChildRule>
						<parentElementReference>10115</parentElementReference>
						<parentElementName>Hospice Care</parentElementName>
						<parentElementSelectionName><![CDATA[No (or Not Answered)]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10205" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="432102000">
			<name>Discharge Medication Prescribed</name>
			<sectionDisplayName>Discharge Medications</sectionDisplayName>
			<sectionCode>DISCHMED</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate if the medication was prescribed, not prescribed, or was not prescribed for either a medical or patient reason.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001247">
					<selectionName><![CDATA[Yes - Prescribed]]></selectionName>
					<selectionDefinition><![CDATA[Code 'Yes' if this medication was initiated (or prescribed) post procedure and for discharge.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001048">
					<selectionName><![CDATA[Not Prescribed - No Reason]]></selectionName>
					<selectionDefinition><![CDATA[Code 'No' if this medication was not prescribed post procedure or for discharge and there was no mention of a reason  why it was not ordered within the medical documentation.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001034">
					<selectionName><![CDATA[Not Prescribed - Medical Reason]]></selectionName>
					<selectionDefinition><![CDATA[Code 'No Medical Reason' if this medication was not prescribed post procedure or for discharge and there was a reason documented related to a medical issue or medical concern for not prescribing the medicine.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001071">
					<selectionName><![CDATA[Not Prescribed - Patient Reason]]></selectionName>
					<selectionDefinition><![CDATA[Code 'No, Patient Reason' if this medication was not prescribed post procedure or for discharge and there was a reason documented related to the patient's preference.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>DC_MedAdmin</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10200</parentElementReference>
						<parentElementName>Discharge Medication Code</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10207" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014233">
			<name>Discharge Medication Dose</name>
			<sectionDisplayName>Discharge Medications</sectionDisplayName>
			<sectionCode>DISCHMED</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the category of the  medication dose prescribed.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014036">
					<selectionName><![CDATA[Low Intensity Dose]]></selectionName>
					<selectionDefinition><![CDATA[Daily dose lowers LDL-C, on average, by <30%

Simvastatin 10 mg
Pravastatin 10-20 mg
Lovastatin 20 mg
Fluvastatin 20-40 mg
Pitavastatin 1 mg]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014035">
					<selectionName><![CDATA[Moderate Intensity Dose]]></selectionName>
					<selectionDefinition><![CDATA[Daily dose lowers LDL-C, on average, by
approximately 30% to <50%

Atorvastatin 10 (20) mg
Rosuvastatin (5) 10 mg
Simvastatin 20-40 mg
Pravastatin 40 (80) mg
Lovastatin 40 mg
Fluvastatin XL 80 mg
Fluvastatin 40 mg BID]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014034">
					<selectionName><![CDATA[High Intensity Dose]]></selectionName>
					<selectionDefinition><![CDATA[Daily dose lowers LDL-C, on average, by
approximately >=50%

Atorvastatin (40)-80 mg
Rosuvastatin 20 (40) mg]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>DC_MedDose</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Controlled by the Discharge Medication Master list and the element reference number under the "enableElements" column for a specified medication, the application shall make the element accessible to the participant
.
Parent/Child Rule 2:  Enable element when Discharge Medication Code (10200) = '96302009' (Statin) AND Discharge Medication Prescribed(10205) = 'Yes - Prescribed'.]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10205</parentElementReference>
						<parentElementName>Discharge Medication Prescribed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes - Prescribed]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10206" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013080">
			<name>Patient Rationale for not taking medication</name>
			<sectionDisplayName>Discharge Medications</sectionDisplayName>
			<sectionCode>DISCHMED</sectionCode>
			<targetValue>The value on discharge</targetValue>
			<codingInstruction><![CDATA[Indicate the patient rationale for requesting a medication not be prescribed.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013081">
					<selectionName><![CDATA[Cost]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013082">
					<selectionName><![CDATA[Alternative Therapy Preferred]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013083">
					<selectionName><![CDATA[Negative Side Effect]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>DC_PtRationale</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>No</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>10205</parentElementReference>
						<parentElementName>Discharge Medication Prescribed</parentElementName>
						<parentElementSelectionName><![CDATA[Not Prescribed - Patient Reason]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="10999" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142426">
			<name>FollowUp Unique Key</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the unique key associated with each patient follow-up record as assigned by the EMR/EHR or your software application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>FollowUpKey</shortName>
				<dataType>ST</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>Automatic</dataSource>
				<isIdentifier>Yes</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11000" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142364">
			<name>FollowUp Assessment Date</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the date of the follow-up assessment was performed.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_AssessmentDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction><![CDATA[Inclusion criteria: Follow-up data should be collected  for patients who had been discharged Alive and a PCI procedure was attempted or performed.]]></vendorInstruction>
			</technicalSpecification>
		</element>
		<element reference="11001" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142372">
			<name>FollowUp Reference Procedure Start Date and Time</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the reference procedure start date and time on the follow-up assessment date.]]></codingInstruction>
			<technicalSpecification>
				<shortName>RefProcStartDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11002" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142436">
			<name>Follow Up Reference Episode Arrival Date and Time</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time of arrival for the episode of care that included the reference procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>RefArrivalDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11015" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142437">
			<name>FollowUp Reference Episode Discharge Date and Time</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the date and time of discharge for the episode of care that included the reference procedure.]]></codingInstruction>
			<technicalSpecification>
				<shortName>RefDCDateTime</shortName>
				<dataType>TS</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11003" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014059">
			<name>Method to Determine FollowUp Status</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the method(s) used to determine the patient's vital status for follow up.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="183654001">
					<selectionName><![CDATA[Office Visit]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014062">
					<selectionName><![CDATA[Phone Call]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014060">
					<selectionName><![CDATA[Medical Records]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142362">
					<selectionName><![CDATA[Social Security Death Master File]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014061">
					<selectionName><![CDATA[Letter from Medical Provider]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142363">
					<selectionName><![CDATA[Hospitalized]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000351">
					<selectionName><![CDATA[Other]]></selectionName>
					<selectionDefinition/>
					<displayOrder>7</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_Method</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="308273005">
			<name>FollowUp Status</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate whether the patient is alive or deceased.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="438949009">
					<selectionName><![CDATA[Alive]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.12.112" codeSystemName="HL7 Discharge disposition" code="20">
					<selectionName><![CDATA[Deceased]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="399307001">
					<selectionName><![CDATA[Lost to follow-up]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_Status</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11005" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001274">
			<name>Chest Pain Symptom Assessment</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the chest pain symptom assessment as diagnosed by the physician or described by the patient.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="429559004">
					<selectionName><![CDATA[Typical Angina]]></selectionName>
					<selectionDefinition><![CDATA[Symptoms meet all three of the characteristics of angina (also known as definite): 1. Substernal chest discomfort with a characteristic quality and duration that is 2. provoked by exertion or emotional stress and 3. relieved by rest or nitroglycerin.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="371807002">
					<selectionName><![CDATA[Atypical angina]]></selectionName>
					<selectionDefinition><![CDATA[Symptoms meet two of the three characteristics of typical angina (also known as probable).]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001275">
					<selectionName><![CDATA[Non-anginal Chest Pain]]></selectionName>
					<selectionDefinition><![CDATA[The patient meets one, or none of the typical characteristics of angina.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000932">
					<selectionName><![CDATA[Asymptomatic]]></selectionName>
					<selectionDefinition><![CDATA[No typical or atypical symptoms or non-anginal chest pain.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_CPSxAssess</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11004</parentElementReference>
						<parentElementName>FollowUp Status</parentElementName>
						<parentElementSelectionName><![CDATA[Alive]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11006" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142373">
			<name>FollowUp Date of Death</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the date of death.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_DeathDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Follow-Up Date of Death(11006) must be greater or equal to Discharge Date/Time(10101)  (F_DeathDate >= DCDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11004</parentElementReference>
						<parentElementName>FollowUp Status</parentElementName>
						<parentElementSelectionName><![CDATA[Deceased]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="184305005">
			<name>Cause of Death</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the primary cause of death, i.e. the first significant abnormal event which ultimately led to death.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000960">
					<selectionName><![CDATA[Acute myocardial infarction]]></selectionName>
					<selectionDefinition><![CDATA[Death by any cardiovascular mechanism (e.g., arrhythmia, sudden death, heart failure, stroke, pulmonary embolus, peripheral arterial disease) within 30 days after an acute myocardial infarction, related to the immediate consequences of the MI, such as progressive HF or recalcitrant arrhythmia. There may be other assessable (attributable) mechanisms of cardiovascular death during this time period, but for simplicity, if the cardiovascular death occurs <=30 days of an acute myocardial infarction, it will be considered a death due to myocardial infarction.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000978">
					<selectionName><![CDATA[Sudden cardiac death]]></selectionName>
					<selectionDefinition><![CDATA[Death that occurs unexpectedly, and not within 30 days of an acute MI.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000964">
					<selectionName><![CDATA[Heart failure]]></selectionName>
					<selectionDefinition><![CDATA[Death associated with clinically worsening symptoms and/or signs of heart failure.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000977">
					<selectionName><![CDATA[Stroke]]></selectionName>
					<selectionDefinition><![CDATA[Death after a stroke that is either a direct consequence of the stroke or a complication of the stroke.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000962">
					<selectionName><![CDATA[Cardiovascular procedure]]></selectionName>
					<selectionDefinition><![CDATA[Death caused by the immediate complication(s) of a cardiovascular procedure.]]></selectionDefinition>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000961">
					<selectionName><![CDATA[Cardiovascular hemorrhage]]></selectionName>
					<selectionDefinition><![CDATA[Death related to hemorrhage such as a non-stroke intracranial hemorrhage, non-procedural or non-traumatic vascular rupture (e.g., aortic aneurysm), or hemorrhage causing cardiac tamponade.]]></selectionDefinition>
					<displayOrder>6</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000972">
					<selectionName><![CDATA[Other cardiovascular reason]]></selectionName>
					<selectionDefinition><![CDATA[Cardiovascular death not included in the above categories but with a specific, known cause (e.g., pulmonary embolism, peripheral arterial disease).]]></selectionDefinition>
					<displayOrder>7</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000975">
					<selectionName><![CDATA[Pulmonary]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the lungs (excludes malignancy).]]></selectionDefinition>
					<displayOrder>8</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000976">
					<selectionName><![CDATA[Renal]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to renal failure.]]></selectionDefinition>
					<displayOrder>9</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000963">
					<selectionName><![CDATA[Gastrointestinal]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the esophagus, stomach, or intestines (excludes malignancy).]]></selectionDefinition>
					<displayOrder>10</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000966">
					<selectionName><![CDATA[Hepatobiliary]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the liver, gall bladder, or biliary ducts (exclude malignancy).]]></selectionDefinition>
					<displayOrder>11</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000974">
					<selectionName><![CDATA[Pancreatic]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the pancreas (excludes malignancy).]]></selectionDefinition>
					<displayOrder>12</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000967">
					<selectionName><![CDATA[Infection]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to an infectious disease.]]></selectionDefinition>
					<displayOrder>13</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000968">
					<selectionName><![CDATA[Inflammatory/Immunologic]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to an inflammatory or immunologic disease process.]]></selectionDefinition>
					<displayOrder>14</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000965">
					<selectionName><![CDATA[Hemorrhage]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to bleeding that is not considered cardiovascular hemorrhage or stroke per this classification.]]></selectionDefinition>
					<displayOrder>15</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000971">
					<selectionName><![CDATA[Non-cardiovascular procedure or surgery]]></selectionName>
					<selectionDefinition><![CDATA[Death caused by the immediate complication(s) of a non-cardiovascular procedure or surgery.]]></selectionDefinition>
					<displayOrder>16</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000980">
					<selectionName><![CDATA[Trauma]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to trauma.]]></selectionDefinition>
					<displayOrder>17</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000979">
					<selectionName><![CDATA[Suicide]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to suicide.]]></selectionDefinition>
					<displayOrder>18</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000970">
					<selectionName><![CDATA[Neurological]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to disease of the nervous system (excludes malignancy).]]></selectionDefinition>
					<displayOrder>19</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000969">
					<selectionName><![CDATA[Malignancy]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to malignancy.]]></selectionDefinition>
					<displayOrder>20</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100000973">
					<selectionName><![CDATA[Other non-cardiovascular reason]]></selectionName>
					<selectionDefinition><![CDATA[Non-cardiovascular death attributable to a cause other than those listed in this classification (specify organ system).]]></selectionDefinition>
					<displayOrder>21</displayOrder>
				</selection>
			</selections>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Cause of Death</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[http://www.who.int/topics/mortality/en/]]></source>
					<definition><![CDATA[Underlying cause of death is defined as “the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury”.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>F_DeathCause</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11004</parentElementReference>
						<parentElementName>FollowUp Status</parentElementName>
						<parentElementSelectionName><![CDATA[Deceased]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11008" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001095">
			<name>Patient Enrolled in Research Study</name>
			<sectionDisplayName>M. Follow-Up</sectionDisplayName>
			<sectionCode>FUP</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate if the patient is enrolled in an ongoing ACC - NCDR research study related to this registry.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Patient Enrolled in Research Study</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[Clinicaltrials.gov Glossary of Common Site Terms retrieved from http://clinicaltrials.gov/ct2/about-studies/glossary#interventional-study]]></source>
					<definition><![CDATA[A clinical or research study is one in which participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes. The assignments are determined by the study protocol. Participants may receive diagnostic, therapeutic, or other types of interventions.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>F_EnrolledStudy</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11009" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001096">
			<name>Research Study Name</name>
			<sectionDisplayName>Follow-Up Research Study</sectionDisplayName>
			<sectionCode>FUP-RSTUDY</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the research study name as provided by the research study protocol.

Note(s):
If the patient is in more than one research study, list each separately.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_StudyName</shortName>
				<dataType>ST</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11008</parentElementReference>
						<parentElementName>Patient Enrolled in Research Study</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11010" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.852">
			<name>Research Study Patient ID</name>
			<sectionDisplayName>Follow-Up Research Study</sectionDisplayName>
			<sectionCode>FUP-RSTUDY</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the research study patient identification number as assigned by the research protocol.

Note(s):
If the patient is in more than one research study, list each separately.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_StudyPtID</shortName>
				<dataType>ST</dataType>
				<precision>50</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11008</parentElementReference>
						<parentElementName>Patient Enrolled in Research Study</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11011" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142377">
			<name>FollowUp Events</name>
			<sectionDisplayName>Follow-Up Events</sectionDisplayName>
			<sectionCode>FUP-EVENT</sectionCode>
			<targetValue>Any occurrence between discharge (or previous follow-up) and current follow-up assessment</targetValue>
			<codingInstruction><![CDATA[Indicate the event(s) assessed for the patient.

Multiple instances of the same event may be identified if the event occurred more than once during the target timeframe.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_EventCode</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11012" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142378">
			<name>FollowUp Events Occurred</name>
			<sectionDisplayName>Follow-Up Events</sectionDisplayName>
			<sectionCode>FUP-EVENT</sectionCode>
			<targetValue>Any occurrence between discharge (or previous follow-up) and current follow-up assessment</targetValue>
			<codingInstruction><![CDATA[Indicate if the event(s) occurred.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_EventOccurred</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11011</parentElementReference>
						<parentElementName>FollowUp Events</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11013" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142417">
			<name>FollowUp Devices Event Occurred In</name>
			<sectionDisplayName>Follow-Up Events</sectionDisplayName>
			<sectionCode>FUP-EVENT</sectionCode>
			<targetValue>All values between discharge (or previous follow-up) and current follow-up assessment</targetValue>
			<codingInstruction><![CDATA[Indicate the device that the event occurred in.

Note(s):
The device(s) collected in this field are controlled by the Intracoronary Device Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_DevEventOccurred</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Multiple</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Controlled by the Intracoronary Device Master list and the element reference number under the "enableElements" column for a specified Event, the application shall make the element accessible to the participant.]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11012</parentElementReference>
						<parentElementName>FollowUp Events Occurred</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11014" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142379">
			<name>FollowUp Event Dates</name>
			<sectionDisplayName>Follow-Up Events</sectionDisplayName>
			<sectionCode>FUP-EVENT</sectionCode>
			<targetValue>All values between discharge (or previous follow-up) and current follow-up assessment</targetValue>
			<codingInstruction><![CDATA[Identify each date when the specified event occurred.

If an event occurred more than once on the same date, record the event multiple times with the same date.

If an event occurred more than once in the target timeframe but on different dates, record the event multiple times but with unique dates.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_EventDate</shortName>
				<dataType>DT</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction><![CDATA[Date Rule 1: Follow-Up Event Date(11014) must be greater or equal to Discharge Date/Time(10101)  (F_EventDate >= DCDateTime)]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11012</parentElementReference>
						<parentElementName>FollowUp Events Occurred</parentElementName>
						<parentElementSelectionName><![CDATA[Yes]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11990" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013057">
			<name>FollowUp Medications Code</name>
			<sectionDisplayName>Follow-Up Medications</sectionDisplayName>
			<sectionCode>FUP-MEDPRES</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the assigned identification number associated with the medications the patient was prescribed or received.

Note(s):
The medication(s) collected in this field are controlled by the Medication Master file. This file is maintained by the NCDR and will be made available on the internet for downloading and importing/updating into your application. Each medication in the Medication Master file is assigned to a value set. The value set is used to separate procedural medications from medications prescribed at discharge. The separation of these medications is depicted on the data collection form.]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_MedID</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList>Yes</isDynamicList>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11995" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="432102000">
			<name>FollowUp Medications Prescribed</name>
			<sectionDisplayName>Follow-Up Medications</sectionDisplayName>
			<sectionCode>FUP-MEDPRES</sectionCode>
			<targetValue>The last value between discharge (or previous follow-up) and current follow-up assessment</targetValue>
			<codingInstruction><![CDATA[Indicated if the medication is prescribed, not prescribed or is not prescribed for either a medical or patient reason]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001247">
					<selectionName><![CDATA[Yes - Prescribed]]></selectionName>
					<selectionDefinition><![CDATA[Code 'Yes' if this medication was initiated (or prescribed)  or continued at follow-up.]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001048">
					<selectionName><![CDATA[Not Prescribed - No Reason]]></selectionName>
					<selectionDefinition><![CDATA[Code 'No' if this medication was not initiated (or prescribed) or continued at follow-up and there was no mention of a reason  why it was not ordered within the medical documentation.]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001034">
					<selectionName><![CDATA[Not Prescribed - Medical Reason]]></selectionName>
					<selectionDefinition><![CDATA[Code 'No Medical Reason' if this medication was not initiated (or prescribed) or continued at follow-up and there was a reason documented related to a medical issue or medical concern for not prescribing the medicine.]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001071">
					<selectionName><![CDATA[Not Prescribed - Patient Reason]]></selectionName>
					<selectionDefinition><![CDATA[Code 'No, Patient Reason' if this medication was not initiated (or prescribed) or continued at follow-up and there was a reason documented related to the patient's preference.]]></selectionDefinition>
					<displayOrder>4</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_MedAdmin</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11990</parentElementReference>
						<parentElementName>FollowUp Medications Code</parentElementName>
						<parentElementSelectionName><![CDATA[Any Value]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11996" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014233">
			<name>FollowUp Medication Dose</name>
			<sectionDisplayName>Follow-Up Medications</sectionDisplayName>
			<sectionCode>FUP-MEDPRES</sectionCode>
			<targetValue>The last value between discharge (or previous follow-up) and current follow-up assessment</targetValue>
			<codingInstruction><![CDATA[Indicate the category of the dose  of statin prescribed at follow-up.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014036">
					<selectionName><![CDATA[Low Intensity Dose]]></selectionName>
					<selectionDefinition><![CDATA[Daily dose lowers LDL-C, on average, by <30%

Simvastatin 10 mg
Pravastatin 10-20 mg
Lovastatin 20 mg
Fluvastatin 20-40 mg
Pitavastatin 1 mg]]></selectionDefinition>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014035">
					<selectionName><![CDATA[Moderate Intensity Dose]]></selectionName>
					<selectionDefinition><![CDATA[Daily dose lowers LDL-C, on average, by
approximately 30% to <50%

Atorvastatin 10 (20) mg
Rosuvastatin (5) 10 mg
Simvastatin 20-40 mg
Pravastatin 40 (80) mg
Lovastatin 40 mg
Fluvastatin XL 80 mg
Fluvastatin 40 mg BID]]></selectionDefinition>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014034">
					<selectionName><![CDATA[High Intensity Dose]]></selectionName>
					<selectionDefinition><![CDATA[Daily dose lowers LDL-C, on average, by
approximately >=50%

Atorvastatin (40)-80 mg
Rosuvastatin 20 (40) mg]]></selectionDefinition>
					<displayOrder>3</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_MedDose</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction><![CDATA[Parent/Child Rule 1: Controlled by the Follow-up Medication Master list and the element reference number under the "enableElements" column for a specified medication, the application shall make the element accessible to the participant.

Parent/Child Rule 2: Enable element when Follow-up Medication Code(11990) = '96302009' (Statin) AND Follow-Up Medications Prescribed(11995) = 'Yes - Prescribed'.]]></vendorInstruction>
				<parentChildRules>
					<parentChildRule>
						<parentElementReference>11995</parentElementReference>
						<parentElementName>FollowUp Medications Prescribed</parentElementName>
						<parentElementSelectionName><![CDATA[Yes - Prescribed]]></parentElementSelectionName>
					</parentChildRule>
				</parentChildRules>
			</technicalSpecification>
		</element>
		<element reference="11301" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013017">
			<name>Q1a: Difficulty walking indoors on level ground</name>
			<sectionDisplayName>Follow-Up SA Questionnaire</sectionDisplayName>
			<sectionCode>FUP-SAQ</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 1a "Over the past four weeks, as a result of your angina, how much difficulty have you had in: walking indoors on level ground?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001173">
					<selectionName><![CDATA[Extremely limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001171">
					<selectionName><![CDATA[Quite a bit limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001170">
					<selectionName><![CDATA[Moderately limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014042">
					<selectionName><![CDATA[Slightly limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001167">
					<selectionName><![CDATA[Not at all limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014041">
					<selectionName><![CDATA[Limited for other reasons or did not do these activities]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_SAQQ1a</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11302" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013018">
			<name>Q1b: Difficulty gardening, vacuuming or carrying groceries</name>
			<sectionDisplayName>Follow-Up SA Questionnaire</sectionDisplayName>
			<sectionCode>FUP-SAQ</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 1b "Over the past four weeks, as a result of your angina, how much difficulty have you had in: gardening, vacuuming, or carrying groceries?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001173">
					<selectionName><![CDATA[Extremely limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001171">
					<selectionName><![CDATA[Quite a bit limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001170">
					<selectionName><![CDATA[Moderately limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014042">
					<selectionName><![CDATA[Slightly limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001167">
					<selectionName><![CDATA[Not at all limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014041">
					<selectionName><![CDATA[Limited for other reasons or did not do these activities]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_SAQQ1b</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11303" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013019">
			<name>Q1c: Difficulty lifting or moving heavy objects (e.g. furniture, children)</name>
			<sectionDisplayName>Follow-Up SA Questionnaire</sectionDisplayName>
			<sectionCode>FUP-SAQ</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 1c "Over the past four weeks, as a result of your angina, how much difficulty have you had in: lifting or moving heavy objects (e.g. furniture, children)?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001173">
					<selectionName><![CDATA[Extremely limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001171">
					<selectionName><![CDATA[Quite a bit limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001170">
					<selectionName><![CDATA[Moderately limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014042">
					<selectionName><![CDATA[Slightly limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001167">
					<selectionName><![CDATA[Not at all limited]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014041">
					<selectionName><![CDATA[Limited for other reasons or did not do these activities]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_SAQQ1c</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11305" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013020">
			<name>Q2: Had chest pain, chest tightness, or angina</name>
			<sectionDisplayName>Follow-Up SA Questionnaire</sectionDisplayName>
			<sectionCode>FUP-SAQ</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 2 "Over the past four weeks, on average, how many times have you: Had chest pain, chest tightness, or angina?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014043">
					<selectionName><![CDATA[4 or more times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014044">
					<selectionName><![CDATA[1 - 3 times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014045">
					<selectionName><![CDATA[3 or more times per week but not every day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014046">
					<selectionName><![CDATA[1 - 2 times per week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014047">
					<selectionName><![CDATA[Less than once a week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014048">
					<selectionName><![CDATA[None over the past 4 weeks]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_SAQQ2</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11310" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013021">
			<name>Q3: Had to take nitroglycerin (Tablets or spray) for  your chest pain, chest tightness or angina</name>
			<sectionDisplayName>Follow-Up SA Questionnaire</sectionDisplayName>
			<sectionCode>FUP-SAQ</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 3 "Over the past four weeks, on average, how many times have you: Had to take nitroglycerin (Tablets or spray) for  your chest pain, chest tightness or angina?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014043">
					<selectionName><![CDATA[4 or more times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014044">
					<selectionName><![CDATA[1 - 3 times per day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014045">
					<selectionName><![CDATA[3 or more times per week but not every day]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014046">
					<selectionName><![CDATA[1 - 2 times per week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014047">
					<selectionName><![CDATA[Less than once a week]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014048">
					<selectionName><![CDATA[None over the past 4 weeks]]></selectionName>
					<selectionDefinition/>
					<displayOrder>6</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_SAQQ3</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11315" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013022">
			<name>Q4: Chest pain, chest tightness or angina limited your enjoyment of life</name>
			<sectionDisplayName>Follow-Up SA Questionnaire</sectionDisplayName>
			<sectionCode>FUP-SAQ</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 4 "Over the past four weeks, on average, how many times have you: Chest pain, chest tightness or angina limited your enjoyment of life?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014049">
					<selectionName><![CDATA[It has extremely limited my enjoyment of life]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014050">
					<selectionName><![CDATA[It has limited my enjoyment of life quite a bit]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014051">
					<selectionName><![CDATA[It has moderately limited my enjoyment of life]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014052">
					<selectionName><![CDATA[It has slightly limited my enjoyment of life]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014053">
					<selectionName><![CDATA[It has not limited my enjoyment of life at all]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_SAQQ4</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11320" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013023">
			<name>Q5: How would you feel about this</name>
			<sectionDisplayName>Follow-Up SA Questionnaire</sectionDisplayName>
			<sectionCode>FUP-SAQ</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Seattle Angina Questionnaire (SAQ) Question 5 "If you had to spend the rest of  your life with your chest pain, chest tightness or angina the way it is right now how would you feel about that?"]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014054">
					<selectionName><![CDATA[Not satisfied at all]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014055">
					<selectionName><![CDATA[Mostly dissatisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100001197">
					<selectionName><![CDATA[Somewhat satisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>3</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014057">
					<selectionName><![CDATA[Mostly satisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>4</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100014058">
					<selectionName><![CDATA[Completely satisfied]]></selectionName>
					<selectionDefinition/>
					<displayOrder>5</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>F_SAQQ5</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11330" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013024">
			<name>Rose Dyspnea Scale Question 1</name>
			<sectionDisplayName>Follow-Up Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>FUP-ROSE</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 1 "Do you get short of breath when hurrying  on level ground or walking up a slight hill?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_RDSScaleQ1</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11335" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013025">
			<name>Rose Dyspnea Scale Question 2</name>
			<sectionDisplayName>Follow-Up Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>FUP-ROSE</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 2 "Do you get short of breath when walking with other people your own age on level ground?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_RDSScaleQ2</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11340" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013026">
			<name>Rose Dyspnea Scale Question 3</name>
			<sectionDisplayName>Follow-Up Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>FUP-ROSE</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 3 "Do you get short of breath when walking at your own pace on level ground?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_RDSScaleQ3</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="11345" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="100013027">
			<name>Rose Dyspnea Scale Question 4</name>
			<sectionDisplayName>Follow-Up Rose Dyspnea Scale</sectionDisplayName>
			<sectionCode>FUP-ROSE</sectionCode>
			<targetValue>The value on Follow-up</targetValue>
			<codingInstruction><![CDATA[Indicate the patient's response to the Rose Dyspnea Scale Questionnaire Question 4 "Do you get short of breath when washing or dressing?"]]></codingInstruction>
			<technicalSpecification>
				<shortName>F_RDSScaleQ4</shortName>
				<dataType>BL</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Report</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet/>
				<dataSource>User</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>No</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="1000" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.836">
			<name>Participant ID</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the participant ID of the submitting facility.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Participant ID</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[NCDR]]></source>
					<definition><![CDATA[Participant ID is a unique number assigned to each database participant by NCDR. A database participant is defined as one entity that signs a Participation Agreement with the NCDR, submits one data submission file to the harvest, and receives one report on their data.

Each participant's data if submitted to harvest must be in one data submission file for a quarter. If one participant keeps their data in more than one file (e.g. at two sites), then the data must be combined into a single data submission to the system to file for the harvest. If two or more participants share a single purchased software, and enter cases into one database, then the data must be exported into different data submission files, one for each participant ID.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PartID</shortName>
				<dataType>NUM</dataType>
				<precision>6</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin/>
						<usualRangeMax/>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>999999</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="1010" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.836">
			<name>Participant Name</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the full name of the facility where the procedure was performed.

Note(s):
Values should be full, official hospital names with no abbreviations or variations in spelling.]]></codingInstruction>
			<supportingDefinitions>
				<supportingDefinition>
					<title>Participant Name</title>
					<displayOrder>1</displayOrder>
					<source><![CDATA[NCDR]]></source>
					<definition><![CDATA[Indicate the full name of the facility where the procedure was performed. Values should be full, official hospital names with no abbreviations or variations in spelling.]]></definition>
				</supportingDefinition>
			</supportingDefinitions>
			<technicalSpecification>
				<shortName>PartName</shortName>
				<dataType>ST</dataType>
				<precision>100</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="1020" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1.3.6.1.4.1.19376.1.4.1.6.5.45">
			<name>Time Frame of Data Submission</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate the time frame of data included in the data submission. Format: YYYYQQ. e.g.,2016Q1]]></codingInstruction>
			<technicalSpecification>
				<shortName>Timeframe</shortName>
				<dataType>ST</dataType>
				<precision>6</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="1040" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1.3.6.1.4.1.19376.1.4.1.6.5.45">
			<name>Transmission Number</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[This is a unique number created, and automatically inserted by the software into export file. It identifies the number of times the software has created a data submission file. The transmission number should be incremented by one every time the data submission files are exported. The transmission number should never be repeated.]]></codingInstruction>
			<technicalSpecification>
				<shortName>XmsnId</shortName>
				<dataType>NUM</dataType>
				<precision>9</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
				<elementRanges>
					<elementRange>
						<unitofMeasure/>
						<usualRangeMin/>
						<usualRangeMax/>
						<validRangeMin>1</validRangeMin>
						<validRangeMax>999999999</validRangeMax>
					</elementRange>
				</elementRanges>
			</technicalSpecification>
		</element>
		<element reference="1050" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.840">
			<name>Vendor Identifier</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Vendor identification (agreed upon by mutual selection between the vendor and the NCDR) to identify software vendor. This is entered into the schema automatically by vendor software. Vendors must use consistent name identification across sites. Changes to vendor name identification must be approved by the NCDR.]]></codingInstruction>
			<technicalSpecification>
				<shortName>VendorId</shortName>
				<dataType>ST</dataType>
				<precision>15</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="1060" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.847">
			<name>Vendor Software Version</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Vendor's software product name and version number identifying the software which created this record (assigned by vendor). Vendor controls the value in this field. This is entered into the schema automatically by vendor software.]]></codingInstruction>
			<technicalSpecification>
				<shortName>VendorVer</shortName>
				<dataType>ST</dataType>
				<precision>20</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="1070" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="2.16.840.1.113883.3.3478.4.841">
			<name>Registry Identifier</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[The NCDR registry identifier describes the data registry to which these records apply. It is implemented in the software at the time the data is collected and records are created. This is entered into the schema automatically by software.]]></codingInstruction>
			<technicalSpecification>
				<shortName>RegistryId</shortName>
				<dataType>ST</dataType>
				<precision>30</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>ACC-NCDR-CathPCI-5.0</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="1071" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142438">
			<name>Registry Schema Version</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Schema version describes the version number of the Registry Transmission Document (RTD) schema to which each record conforms. It is an attribute that includes a constant value indicating the version of schema file. This is entered into the schema automatically by software.]]></codingInstruction>
			<technicalSpecification>
				<shortName>SchemaVersion</shortName>
				<dataType>NUM</dataType>
				<precision>3,1</precision>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>1.0</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
		<element reference="1085" codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142423">
			<name>Submission Type</name>
			<sectionDisplayName>Z. Administration</sectionDisplayName>
			<sectionCode>ADMIN</sectionCode>
			<targetValue>N/A</targetValue>
			<codingInstruction><![CDATA[Indicate if the data contained in the harvest/data file contains either standard patient episode of care records (arrival date to discharge only) or if it contains patient follow-up records. 

A transmission file with all episode of care records (from Arrival to Discharge only) is considered a 'Base Registry Record'.

A file with patient follow-up records (any follow-up assessments performed during the quarter selected) is considered a 'Follow-Up Record'.

Note(s):
Selecting 'Follow-Up Records Only' will transmit all patient records with Follow-up Assessment Dates (Element Ref# 11000) contained in the selected timeframe, regardless of the procedure or discharge date. For example, if a patient has a procedure on 3/30/2017, is discharged on 3/31/2017, and has a follow-up assessment on 5/6/2017, the patient's episode of care data will be transmitted in the 2017Q1 Base Registry Record file, but the Follow-up data will be transmitted in the 2017Q2 Follow-Up File.]]></codingInstruction>
			<selections>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142424">
					<selectionName><![CDATA[Episode of Care Records Only]]></selectionName>
					<selectionDefinition/>
					<displayOrder>1</displayOrder>
				</selection>
				<selection codeSystem="2.16.840.1.113883.3.3478.6.1" codeSystemName="ACC NCDR" code="1000142425">
					<selectionName><![CDATA[Follow-Up Records Only]]></selectionName>
					<selectionDefinition/>
					<displayOrder>2</displayOrder>
				</selection>
			</selections>
			<technicalSpecification>
				<shortName>SubmissionType</shortName>
				<dataType>CD</dataType>
				<precision/>
				<unitofMeasure/>
				<selectionType>Single</selectionType>
				<defaultValue>Null</defaultValue>
				<isDynamicList/>
				<missingData>Illegal</missingData>
				<isHarvested>Yes</isHarvested>
				<dataSet>DDS</dataSet>
				<dataSource>Automatic</dataSource>
				<isIdentifier>No</isIdentifier>
				<isBaseElement>Yes</isBaseElement>
				<isFollowupElement>Yes</isFollowupElement>
				<vendorInstruction/>
			</technicalSpecification>
		</element>
	</elements>
</dataDictionary>
