<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="The Revised Cardiac Risk Index (RCRI) is a preoperative prediction tool to estimate the perioperative risk of major cardiac complications during non-cardiac surgery." /> <purpose value="To record the result for each component parameter, and their total sum and estimated risk for the Revised Cardiac Risk Index (RCRI)." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Revised_cardiac_risk_index"> <path value="Revised_cardiac_risk_index" /> <short value="Revised cardiac risk index" /> <definition value="The Revised Cardiac Risk Index (RCRI) is a preoperative prediction tool to estimate the perioperative risk of major cardiac complications during non-cardiac surgery." /> <min value="1" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.protocol"> <path value="Revised_cardiac_risk_index.protocol" /> <short value="Item tree" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.protocol" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.protocol.Extension"> <path value="Revised_cardiac_risk_index.protocol.Extension" /> <short value="Extension" /> <definition value="Additional information required to extend the model with local content or to align with other reference models or formalisms." /> <min value="0" /> <max value="*" /> <base> <path value="Revised_cardiac_risk_index.protocol.Extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History"> <path value="Revised_cardiac_risk_index.History" /> <short value="History" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event"> <path value="Revised_cardiac_risk_index.History.Any_event" /> <short value="Any event" /> <definition value="Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time." /> <min value="0" /> <max value="*" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data"> <path value="Revised_cardiac_risk_index.History.Any_event.data" /> <short value="Tree" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Ischemic_heart_disease"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Ischemic_heart_disease" /> <short value="Ischemic heart disease" /> <definition value="History of probable or definite myocardial infarction (MI; ECG changes and/or enzyme changes); history of positive exercise test; current chest pain considered due to myocardial ischemia; use of nitrate therapy; ECG with pathological Q waves." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Ischemic_heart_disease" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Ischemic_heart_disease.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Ischemic_heart_disease.value" /> <short value="Ischemic heart disease" /> <definition value="History of probable or definite myocardial infarction (MI; ECG changes and/or enzyme changes); history of positive exercise test; current chest pain considered due to myocardial ischemia; use of nitrate therapy; ECG with pathological Q waves." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Ischemic_heart_disease.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Congestive_heart_failure"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Congestive_heart_failure" /> <short value="Congestive heart failure" /> <definition value="History of congestive heart failure; pulmonary edema; paroxysmal nocturnal dyspnea; physical examination showing bilateral rales or S3 gallop; chest radiograph showing pulmonary vascular redistribution; has responded symptomatically (or on physical examination) to digitalis, diuretics, or afterload reducing agents." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Congestive_heart_failure" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Congestive_heart_failure.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Congestive_heart_failure.value" /> <short value="Congestive heart failure" /> <definition value="History of congestive heart failure; pulmonary edema; paroxysmal nocturnal dyspnea; physical examination showing bilateral rales or S3 gallop; chest radiograph showing pulmonary vascular redistribution; has responded symptomatically (or on physical examination) to digitalis, diuretics, or afterload reducing agents." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Congestive_heart_failure.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Cerebrovascular_disease"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Cerebrovascular_disease" /> <short value="Cerebrovascular disease" /> <definition value="History of stroke, cerebrovascular accident (CVA) with minor or no residual or transient ischemic attacks (TIA)." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Cerebrovascular_disease" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Cerebrovascular_disease.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Cerebrovascular_disease.value" /> <short value="Cerebrovascular disease" /> <definition value="History of stroke, cerebrovascular accident (CVA) with minor or no residual or transient ischemic attacks (TIA)." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Cerebrovascular_disease.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Diabetes_mellitus_on_insulin"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Diabetes_mellitus_on_insulin" /> <short value="Diabetes mellitus on insulin" /> <definition value="Diabetes mellitus treated with insulin." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Diabetes_mellitus_on_insulin" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Diabetes_mellitus_on_insulin.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Diabetes_mellitus_on_insulin.value" /> <short value="Diabetes mellitus on insulin" /> <definition value="Diabetes mellitus treated with insulin." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Diabetes_mellitus_on_insulin.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Elevated_serum_creatinine"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Elevated_serum_creatinine" /> <short value="Elevated serum creatinine" /> <definition value="Preoperative serum Creatinine ≥2 mg/dl or ≥177 μmol/L." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Elevated_serum_creatinine" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Elevated_serum_creatinine.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Elevated_serum_creatinine.value" /> <short value="Elevated serum creatinine" /> <definition value="Preoperative serum Creatinine ≥2 mg/dl or ≥177 μmol/L." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Elevated_serum_creatinine.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.High_risk_surgery"> <path value="Revised_cardiac_risk_index.History.Any_event.data.High_risk_surgery" /> <short value="High risk surgery" /> <definition value="Surgical procedures that carry a significant risk of complications or adverse events e.g. intraperitoneal, intrathoracic, or suprainguinal vascular procedures." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.High_risk_surgery" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.High_risk_surgery.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.High_risk_surgery.value" /> <short value="High risk surgery" /> <definition value="Surgical procedures that carry a significant risk of complications or adverse events e.g. intraperitoneal, intrathoracic, or suprainguinal vascular procedures." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.High_risk_surgery.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Total_score"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Total_score" /> <short value="Total score" /> <definition value="The total sum of each component variable for the Revised cardiac risk index." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Total_score" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Total_score.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Total_score.value" /> <short value="Total score" /> <definition value="The total sum of each component variable for the Revised cardiac risk index." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Total_score.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Estimated_risk"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Estimated_risk" /> <short value="Estimated risk" /> <definition value="Estimated risk of major cardiac complications (myocardial infarction, pulmonary edema, ventricular fibrillation or primary cardiac arrest, and complete heart block) after non-cardiac surgery: 0 points = Very low risk; 1 point = Low risk; 2 points = Moderate risk; ≥3 points = High risk." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Estimated_risk" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Revised_cardiac_risk_index.History.Any_event.data.Estimated_risk.value"> <path value="Revised_cardiac_risk_index.History.Any_event.data.Estimated_risk.value" /> <short value="Estimated risk" /> <definition value="Estimated risk of major cardiac complications (myocardial infarction, pulmonary edema, ventricular fibrillation or primary cardiac arrest, and complete heart block) after non-cardiac surgery: 0 points = Very low risk; 1 point = Low risk; 2 points = Moderate risk; ≥3 points = High risk." /> <min value="0" /> <max value="1" /> <base> <path value="Revised_cardiac_risk_index.History.Any_event.data.Estimated_risk.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>