ACCF/AHA 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records

• DOI: 10.1161/cir.0b013e31821ccf71
• Publication Date: 2011-06-07T01:54:46Z
• Authors: William S. Weintraub; Ronald P. Karlsberg; James E. Tcheng; Jeffrey R. Boris; Alfred E. Buxton; James T. Dove; Gregg C. Fonarow; Lee R. Goldberg; Paul Heidenreich; Robert C. Hendel; Alice K. Jacobs; William Lewis; Michael J. Mirro; David M. Shahian
• Keywords: informatics, medical; Medical Records Systems, Computerized; Advisory Committees; Cardiology; Guidelines as Topic; information storage and retrieval; Vocabulary; 03 medical and health sciences; 0302 clinical medicine; Terminology as Topic; Outcome Assessment, Health Care; Electronic Health Records; Humans; vocabulary, controlled; Societies, Medical; Quality of Health Care; Clinical Trials as Topic; registries; American Heart Association; United States; 3. Good health; electronic health records; Treatment Outcome; Cardiovascular Diseases; ACCF/AHA Data Standards; cardiology; Laboratories; Goals

View this table: Table of Contents The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) support their members' goal to improve the prevention and care of cardiovascular diseases through professional education, research, and development of guidelines and standards and by fostering policy that supports optimal patient outcomes. The ACCF and AHA recognize the importance of the use of clinical data standards for patient management, assessment of outcomes, and conduct of research, and the importance of defining the processes and outcomes of clinical care, whether in randomized trials, observational studies, registries, or quality-improvement initiatives. Hence, clinical data standards strive to define and standardize data relevant to clinical topics in cardiology, with the primary goal of assisting data collection by providing a platform of data elements and definitions applicable to various conditions. Broad agreement on a common vocabulary with reliable definitions used by all is vital to pool and/or compare data across studies to promote interoperability of electronic health records (EHRs) and to assess the applicability of research to clinical practice. The increasing national focus on adoption of certified EHRs along with financial incentives for providers to demonstrate “meaningful use” of those EHRs to improve healthcare quality render even more imperative and urgent the need for such definitions and standards. Therefore, the ACCF and AHA have undertaken to define and disseminate clinical data standards—sets of standardized data elements and corresponding definitions—to collect data relevant to cardiovascular conditions. The ultimate purpose of clinical data standards is to contribute to the infrastructure necessary to accomplish the ACCF/AHA mission of fostering optimal cardiovascular care and disease prevention and building healthier lives, free of cardiovascular diseases and stroke. The specific goals of clinical data standards are 1. To establish a consistent, interoperable, and universal clinical vocabulary as a foundation for both clinical care and clinical research. …