Card Tech Minutes 2015.11.09

Patient History Section of TAVR

• Charles Thomas developed his own crosswalk of every data elements withing the TVT Registry. This may help clinicians understand the complexity of the data requirements for submitting to the registry.
• Diabetes is listed as a disorder, and the style of treatment, e.g. diet, insulin, etc., is a finding. This information may impact how a procedure is performed if a patient may go into renal failure due to IV contrast media.
• Permanent ICD is considered a situation, the removal of a device is a finding.
• Repair of implanted aortic paravalvular leak is a specific finding for TAVR that are unique to this registry.
• There is no SNOMED code for mitral valve replacement.
• Q: Patients are unlikely to return for a 2nd valve replacement, and there is no code for these procedures. Should we exclude this from consideration?
• Q: There is no code for Hostile Chest. How should we proceed?
• Q: There is no perfect match for Porcelene Aorta, however there is a Atherosclerosis of the aorta, as a disorder. Should we use this as a coding option?