Subset Code	Subset Name	Concept Code	NCI Preferred Term	NCIT Definition	ACC/AHA Preferred Term	ACC/AHA Synonyms(s)	ACC/AHA Definition
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C2989	22q11.2 Deletion Syndrome	A congenital anomaly characterized by immunodeficiency, abnormal facies, congenital heart disease, hypocalcemia, and increased susceptibility to infections. Pathologic characteristics include conotruncal abnormalities and absence or hypoplasia of thymus and parathyroid glands. DiGeorge syndrome is associated with abnormalities of chromosome 22. Also known as DiGeorge anomaly.	22q11 deletion	CATCH-22 || DiGeorge syndrome || FACES || Shprintzen syndrome	A congenital anomaly characterized by partial deletion of the short arm of chromosome 22.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168094	504 Plan	Indicates that a person has been educated through a plan created under section 504 of the Rehabilitation Act which prohibits discrimination against individuals with disabilities and allows for accommodations for the child to be able to achieve academic success in primary or secondary school.	504 plan		A plan created under section 504 for children with disabilities identified under the law to allow for accommodations for the child to be able to achieve academic success in primary or secondary school.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C32038	Abdominal Aorta	The portion of the descending aorta that lies within the abdomen, beginning below the diaphragm and ending at its division into the right and left common iliac arteries.	Abdominal aorta		The lower part of the aorta in the abdomen prior to its bifurcation to the iliac arteries, whose pulse can be palpated at the level of the umbilicus.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168074	Abdominal Auscultation Finding	A finding noted on auscultation of the abdomen.	Abdominal Examination - Auscultation		Abdominal findings on auscultation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168095	Abdominal Bruit Present	An indication that auscultation of the major arteries of the abdomen demonstrates the presence of turbulent vascular sounds.	Abdominal bruits		A clinical finding in which there is the presence of turbulent vascular sounds heard over one or more major arteries in the abdomen.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167415	Abdominal Examination	An assessment of the abdomen including the organs within the abdominal cavity.	Examination of the Abdomen		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26682	Abdominal Pain	Painful sensation in the abdominal region.	Abdominal pain		The sensation of discomfort in the abdominal region.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168075	Abdominal Palpation Finding	A finding noted on palpation of the abdomen.	Abdominal Examination - Palpation		Abdominal findings on palpation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168096	Abdominal Visual Inspection	A visual assessment of the abdomen.	Abdominal Inspection		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168097	Abnormal Cardiac Event Monitoring Finding	A history of having had an abnormal finding during cardiac event monitoring.	Event monitor		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167416	Abnormal Cardiac Study	A history of having had an abnormal cardiac study.	Abnormal Cardiac Study		History of abnormal cardiac study.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168098	Abnormal Chest Radiograph	A history of having had an abnormal chest radiograph.	Chest x-ray		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168099	Abnormal Echocardiogram	A history of having had an abnormal echocardiogram.	Echocardiogram		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168100	Abnormal Electrocardiogram	A history of having had an abnormal electrocardiogram (ECG).	ECG		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168101	Abnormal Holter Monitoring Finding	A history of having had an abnormal finding during Holter monitoring.	Holter monitor		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168060	Abnormal S1 Heart Sound	An auscultated finding in which the components of the first heart sound are not normal. (ACC/AHA)	Abnormal S1		An auscultated finding in which the components of the first heart sound are not normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168067	Abnormal S2 Heart Sound	An auscultated finding in which the semilunar valve closure sounds are not normal. (ACC/AHA)	Abnormal S2		An auscultated finding in which the semilunar valve closure sounds are not normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168104	Abnormally Displaced Point of Maximum Impulse	A clinical finding in which the point of maximum impulse is located lateral to the anticipated position in the left midclavicular clavicular line, fifth intercostal space.	Abnormally displaced		A clinical finding in which the PMI is located lateral to the anticipated position in the left midclavicular clavicular line, fifth intercostal space.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168105	Abnormally Located Point of Maximum Impulse	A clinical finding in which the point of maximum impulse is located in a place other than the left anterior chest.	Abnormally located		A clinical finding in which the PMI is located in a place other than the left anterior chest.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C170883	Acral Edema	Accumulation of an excessive amount of watery fluid in cells or intercellular tissues of the hands and feet.	Edema of the palms and/or soles		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C112180	Acral Erythema	Reddening of the palmar and plantar regions of the body with occasional involvement of the distal extremities.	Erythema of the palms and/or soles		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C98807	Acrocyanosis	Persistent, symmetric, and painless blue discoloration of the extremities. It is the result of vasospasm in response to cold. The affected areas are cold and sweaty.	Acrocyanosis		A clinical finding in which there is a bluish coloration noted in the distal portions of the extremities.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168106	Activity Associated with Chief Complaint	Any associated activity noted when chief complaint occurs or that induces onset of the chief complaint.	Activity Associated With Chief Complaint		Associated activity when chief complaint occurs or that induces onset of the chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C51697	Adenoidectomy	Surgical removal of the pharyngeal tonsils (adenoids).	Adenoidectomy		Surgical removal of the pharyngeal tonsils (adenoids).
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168107	Adequacy of Daily Caloric Intake	The appropriateness of daily caloric intake for a given patent based primarily on age and energy requirements.	Dietary: Caloric Intake		Caloric intake based on age, BSA and comorbid conditions.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168108	Adequacy of Daily Fluid Intake	The appropriateness of daily fluid intake for a given patent.	Dietary: Fluid Intake		The quantities of liquid taken in and used by the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168109	Adequacy of Salt Intake	The appropriateness of daily salt intake for a given patent.	Dietary: Salt Intake		The quantities of sodium chloride (or common salt) taken in and used by the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168110	Adequate Daily Caloric Intake	The daily caloric intake is sufficient.	Adequate caloric intake		Sufficient caloric intake per day.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168111	Adequate Daily Fluid Intake	The daily fluid intake is sufficient.	Adequate		Qualitative state of being sufficient for a specific purpose.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168112	Adequate Daily Salt Intake	The daily salt intake is sufficient.	Adequate		Qualitative state of being sufficient for a specific purpose.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168113	Age at Diagnosis of Congenital Heart Disease	The age of the patient when congenital heart disease was diagnosed.	Age Diagnosed		The age of the patient when CHD was diagnosed.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C64433	Alanine Aminotransferase Measurement	A quantitative measurement of alanine aminotransferase present in a sample.	Alanine aminotransferase		The concentration of alanine aminotransferase, a liver enzyme, in the blood, expressed in units per liter.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C81229	Alcohol Use History	A description of an individual's current and past experience with alcoholic beverage consumption.	Alcohol Use		Current or previous use by the patient of any alcohol.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168114	Alleviating Factor to Chief Complaint	Any factor that lessens or improves the chief complaint.	Alleviating Factors		Factors making the chief complaint better.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C51221	Angina	Paroxysms of chest pain due to reduced oxygen to the heart.	Angina pectoris		A heart condition marked by paroxysms of chest pain due to reduced oxygen to the heart.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34387	Anorexia Nervosa	A disorder most often seen in adolescent females characterized by a refusal to maintain a minimally normal body weight, an intense fear of gaining weight, a disturbance in body image, and, in postmenarcheal females, the development of amenorrhea.	Anorexia nervosa		A clinical disorder in which a patient has an emotional abnormality characterized by an obsessive desire to lose weight by refusing to eat.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168115	Anterior Chest Examination	Inspection of the region encompassing the anterior surface of the chest and epigastrium.	Cardiac Examination - Anterior Chest Inspection		Inspection of the region of the anterior surface of the chest and epigastric area.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168116	Anticongestive Medications Given for Rheumatic Fever	An indication that anticongestive medications were given as treatment for rheumatic fever.	Anticongestive medications		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C29701	Anti-ulcer Agent	Natural or synthetic Anti-ulcer Agents relieve and reduce the symptoms of ulcers in the stomach and upper small intestine, systemically and locally, by reducing gastric secretion (proton pump inhibitors), neutralizing hyperacidity (alkalinizing agents), or improving healing and protecting the mucosa (sucralfate). Recurrent gastric and duodenal ulcers caused by Helicobacter pylori infections are treated with antibiotic therapy.	Antacid medication		Oral therapeutic agent that counteracts acidity.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168076	Appearance of Extremities	An assessment of the appearance of the upper and lower extremities.	Examination of Extremities - Appearance		Examination findings on the appearance of extremities on physical examination.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168117	Arrhythmogenic Syncope	A condition in which syncope occurs due to an arrhythmia. (ACC/AHA)	Arrhythmogenic syncope		A condition in which syncope occurs due to an arrhythmia.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50464	Arthralgia	Pain in a joint.	Arthralgia		Pain in a joint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C2885	Ascites	The accumulation of fluid in the peritoneal cavity, which may be serous, hemorrhagic, or the result of tumor metastasis to the peritoneum.	Ascites		A clinical finding in which there is accumulation of interstitial fluid in the peritoneal cavity.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168118	Aspirin Given for Kawasaki Disease	An indication that aspirin was given as treatment for Kawasaki disease.	Aspirin		Acetyl salicylic acid given orally as 80-100 mg/ kg body weight per day, divided QID through the first 36 hours of IVIG therapy, then 3-5 mg/ kg body weight daily until 6 to 8 weeks after the onset of Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168119	Aspirin Given for Rheumatic Fever	An indication that aspirin was given as treatment for rheumatic fever.	Aspirin		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168120	Asymmetric Chest Appearance	Inspection of the region of the anterior surface of the chest and epigastrium reveals disparate configuration on opposite sides of a vertical central dividing line.	Asymmetry		Inspection of the region of the anterior surface of the chest and epigastric areas that reveals disparate configuration on opposite sides of a vertical central dividing line.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168121	Asymptomatic Presentation	A clinical description in which a patient does not demonstrate evidence of clinical findings to suggest underlying pathology. (ACC/AHA)	Asymptomatic		A clinical description in which a patient does not demonstrate evidence of clinical findings to suggest underlying pathology.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84587	Becker's Muscular Dystrophy	An X-linked inherited disorder characterized by slowly progressing weakness in the muscles of the legs and pelvis.	Becker		An X-linked genetic disorder caused by a mutation in the dystrophin gene characterized by onset in late childhood or adults of slowly progressive skeletal muscle weakness and atrophy initially involving the lower extremities that may eventually affects the entire body including respiratory and cardiac muscles.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C45985	Bed Rest	Confinement of an individual to bed for therapeutic reasons.	Bed rest		Restriction of a patient's activity, either partially or completely.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C25155	Birth	The event of being born.	Birth		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168219	Blowing Heart Murmur	A heart murmur that has an auditory quality similar to the sound of a person blowing air.	Blowing		An auditory quality similar to the sound of a person blowing air.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C16358	Body Mass Index	An individual's weight in kilograms divided by the square of the height in meters.	Vital Signs - BMI		A measurement that is used to indicate the body fat an individual is carrying based on the ratio of weight to height as measured in kilograms per square meters.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C25157	Body Surface Area	A measure of the 2-dimensional extent of the body surface (i.e., the skin).  Body surface area (BSA) can be calculated by mathematical formula or from a chart that relates height to weight.  BSA is often an important factor in dosing.	Vital Signs - BSA		A measurement that indicates overall patient size incorporating one of several different accepted equations, as measured in square meters.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C164325	Body Temperature Measurement	The result of the measurement of the body temperature.	Vital Signs - Body Temperature		A measurement that describes the amount of heat inside the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C81328	Body Weight	The weight of a subject.	Vital Signs - Weight		A measurement that describes the vertical force exerted by a mass of the patient as a result of gravity.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C12681	Brachial Artery	An artery originating at the axillary artery and branching into the radial and ulnar arteries.	Brachial		The artery of the upper arm, whose pulse can be palpated on the inner surface of the upper arm between the bodies of the biceps and triceps muscles.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C121558	Breath Holding	Episodic apnea, which is more common in young children and usually resolves by age six.	Breath-holding spell		A clinical condition in which there is a brief involuntary cessation of breathing at end-expiration in response to emotional or painful stimulus seen in infants, toddlers, and children.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168488	Burning Chest Pain	The sensation of chest pain described as an intense discomfort, similar to that experience as a result of a thermal burn, distinct from sharp, stabbing or aching, often related to nerves; sometimes used to describe gastric or esophageal pain.	Burning Pain		A sensation of an intense discomfort, similar to that experience as a result of a thermal burn, distinct from sharp, stabbing or aching, often related to nerves, used, sometimes to describe gastric or esophageal pain.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168123	Caffeine Not Routinely Consumed	An indication that the patient does not consume caffeine on a regular basis.	No		No routine caffeine, or infrequent caffeine, intake.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168124	Caffeine Routinely Consumed	An indication that the patient consumes caffeine on a regular basis.	Caffeine intake		Intake of caffeine routinely occurring as frequently as at least every other day.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168125	Capillary Refill Test	An assessment performed to estimate peripheral perfusion and hydration status. The test is most often conducted by applying constant manual pressure for a set time on a patient's nail bed and then releasing while observing the length of time it takes for color to return to the tissue. A prolonged return to baseline coloring may indicate compromise of peripheral blood flow.	Examination of the Extremities - Capillary Refill Time		The capillary nail refill test, also called the nail blanch test, is performed on the nail beds as an indicator of tissue perfusion (the amount of blood flow to tissue) and dehydration.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C100068	Cardiac Ablation	A procedure intended to eliminate or modify a focus or re-entry circuit that causes an arrhythmia in the heart. (ACC)	Catheter ablation		Catheter ablation is an invasive procedure used to remove or terminate a faulty electrical pathway from sections of the hearts of those who are prone to developing cardiac arrhythmias such as atrial fibrillation, atrial flutter, SVT and Wolff-Parkinson-White syndrome.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C38044	Cardiac Catheterization	A procedure in which a thin plastic tube (catheter) is inserted into an artery or vein in the arm or leg and then advanced into the chambers of the heart or into the coronary arteries. Catheterization can measure blood pressure within the heart and how much oxygen is in the blood. It's also used to get information about the pumping ability of the heart muscle. Catheters are also used to inject dye into the coronary arteries. Catheters with a balloon on the tip are used in the procedure called percutaneous transluminal coronary angioplasty.	Cardiac catheterization		Passage of a small catheter through a vein or artery in an arm or leg or the neck and into the heart, permitting the securing of blood samples, determination of intracardiac pressure, and detection of cardiac anomalies.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168126	Cardiac Disease Screening	An evaluation to determine whether an individual has any current condition that affects the heart.	Screening for cardiac condition		Evaluation of relevant coexisting conditions (e.g., T21, XO, Marfan, cleft palate, family history).
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C80414	Cardiac Electrophysiology Study	A cardiac procedure performed under fluoroscopy to determine the area of the heart that is the source of aberrant electrical impulses that give rise to arrhythmias. Aberrant pathways can be terminated by ablation.	EP study/EP test		An invasive procedure that tests the electrical conduction system of the heart to assess the electrical activity and conduction pathways of the heart.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C170884	Cardiac Radiofrequency Ablation	The use of radiofrequency energy to destroy an area of heart tissue that is causing an arrhythmia. It is administered via catheterization.	radiofrequency ablation		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C157806	Cardiac Surgery	A surgical procedure on the heart.	Cardiac surgery		The surgical treatment of disease affecting the heart and blood vessels within the thorax.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168127	Cardioinhibitory Syncope	A condition in which neurally-mediated syncope occurs in which the blood pressure falls and heart rate falls. (ACC/AHA)	Cardioinhibitory syncope		A condition in which neurally mediated syncope occurs in which the blood pressure falls and heart rate falls.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C61453	Cardiomegaly	Abnormal enlargement of the heart.	Cardiomegaly		A clinical finding in which the heart is noted to be larger than normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C122008	Cardiovascular Examination	Tests and assessments pertaining to the cardiovascular system.	Cardiac Examination		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168128	Carditis	Inflammation of the heart or its surroundings. (ACC/AHA)	Carditis		Inflammation of the heart or its surroundings.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C12687	Carotid Artery	One of two arteries that supply oxygenated blood to the head and neck; the left common carotid branches from the aorta and the right common carotid from the innominate (brachiocephalic artery).	Carotid		The artery of the neck that arises from the aortic arch and terminates in the external and internal carotid arteries whose pulse can be palpated just medial to the sternocleidomastoid muscle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168039	Carotid Bruit	An innocent murmur with a medium pitched, harsh character heard at the right or left upper sternal border, supraclavicular region, or anterior portion of the lower neck that disappears with bilateral shoulder hyperextension. (ACC/AHA)	Carotid bruit		An innocent murmur with a medium pitched, harsh character heard at the right or left upper sternal border, supraclavicular region, or anterior portion of the lower neck that disappears with bilateral shoulder hyperextension.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168129	Carotid Sinus Syncope	A condition in which neurally mediated syncope occurs due to massage of the carotid body. (ACC/AHA)	Carotid sinus syncope		A condition in which neurally mediated syncope occurs due to massage of the carotid body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168130	Carpal Spasm	A spasmodic contraction of the muscles of the hands, especially the wrists, such as during alkalosis or tetany. (ACC/AHA)	Carpal spasm		A spasmodic contraction of the muscles of the hands, especially the wrists, such as during alkalosis or tetany.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C40972	Central Venous Cannula Insertion	A procedure of surgical placement of a catheter, which lumen is usually occupied by a trocar, into the central vein (internal jugular, subclavian, and femoral often used) or veins, to provide vascular access for measurement of hemodynamic variables that cannot be measured accurately by noninvasive means.  It also can be used to deliver medications that were too potent or too toxic to be administered through peripheral access, for parenteral nutrition delivery; and for placing wires and pulmonary artery catheters. Central veins are usually cannulated percutaneously. The procedure is associated with many adverse events and has to be performed or supervised by an experienced physician.	Central venous catheter		A tube surgically placed into a blood vessel for the purpose of giving intravenous fluid and drugs or for obtaining blood samples.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168131	Change to Upright Position	The state of going from a supine or seated position to a standing position. (ACC/AHA)	Change to upright position		The state of going from a supine or seated position to a standing position.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C75100	CHARGE Syndrome	A rare autosomal dominant syndrome usually caused by mutations in the CHD7 gene. The term CHARGE is an acronym for the following unusual congenital abnormalities that are associated with this syndrome: coloboma of the eye, heart defects, choanal atresia, growth and developmental retardation, genital, and ear abnormalities.	CHARGE association		A genetic syndrome characterized by autosomal dominant mutations in the CHD7 gene. The term CHARGE is an acronym for the following unusual congenital abnormalities that are associated with this syndrome: coloboma of the eye, heart defects, choanal atresia, growth and developmental delay, genital, and ear abnormalities.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C79545	Cheilitis	An inflammatory process affecting the lip.	Cheilitis		An inflammatory process affecting the lips.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C38665	Chest Pain	Pain in the chest.	Chest Pain		Discomfort felt in the upper abdomen, thorax, neck, or shoulders.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167423	Chest Pain Along Anterior Axillary Line	The location of the chest pain is along an imaginary vertical line that descends along the lateral aspect of the chest wall originating from the armpit.	Anterior axillary line		Location is along an imaginary vertical line that descends along the lateral aspect of the chest wall originating from the armpit.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168132	Chest Pain Along Left Anterior Axillary Line	The location of the chest pain is along the anterior axillary line on the left side.	Chest Pain Along Left Anterior Axillary Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168133	Chest Pain Along Left Lower Sternal Border	The location of the chest pain is along the left lower border of the sternum.	Chest Pain Along Left Lower Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168134	Chest Pain Along Left Midclavicular Line	The location of the chest pain is along the left midclavicular line.	Chest Pain Along Left Midclavicular Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168135	Chest Pain Along Left Middle Sternal Border	The location of the chest pain is along the left middle border of the sternum.	Chest Pain Along Left Middle Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168136	Chest Pain Along Left Upper Sternal Border	The location of the chest pain is along the left upper border of the sternum.	Chest Pain Along Left Upper Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167425	Chest Pain Along Midclavicular Line	The location of the chest pain is along an imaginary vertical line on the chest originating from the midpoint of a clavicle.	Midclavicular line		Location is along an imaginary vertical line on the chest originating from the midpoint of a clavicle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168137	Chest Pain Along Right Anterior Axillary Line	The location of the chest pain is along the anterior axillary line on the right side.	Chest Pain Along Right Anterior Axillary Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168138	Chest Pain Along Right Lower Sternal Border	The location of the chest pain is along the right lower border of the sternum.	Chest Pain Along Right Lower Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168139	Chest Pain Along Right Midclavicular Line	The location of the chest pain is along the right midclavicular line.	Chest Pain Along Right Midclavicular Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168140	Chest Pain Along Right Middle Sternal Border	The location of the chest pain is along the right middle border of the sternum.	Chest Pain Along Right Middle Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168141	Chest Pain Along Right Upper Sternal Border	The location of the chest pain is along the right upper border of the sternum.	Chest Pain Along Right Upper Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167424	Chest Pain Along Sternal Border	The location of the chest pain is along the lateral edge of the sternum.	Sternal Border		Location is along the lateral edge of the sternum.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167426	Chest Pain in Intercostal Space	The location of the chest pain is in the area defined by a superior rib margin and an inferior rib margin.	Intercostal space		Location is in the area defined by a superior rib margin and an inferior rib margin.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168142	Chest Pain in Left Fifth Intercostal Space	The location of the chest pain is within the fifth intercostal space on the left side.	Chest Pain in Left Fifth Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168143	Chest Pain in Left Fourth Intercostal Space	The location of the chest pain is within the fourth intercostal space on the left side.	Chest Pain in Left Fourth Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168144	Chest Pain in Left Second Intercostal Space	The location of the chest pain is within the second intercostal space on the left side.	Chest Pain in Left Second Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168145	Chest Pain in Left Third Intercostal Space	The location of the chest pain is within the third intercostal space on the left side.	Chest Pain in Left Third Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168146	Chest Pain in Lower Sternum	The location of the chest pain is in the lower portion of the sternum.	Chest Pain in Lower Sternum		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168147	Chest Pain in Mid Sternum	The location of the chest pain is in the middle of the sternum.	Chest Pain in Mid Sternum		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168148	Chest Pain in Right Fifth Intercostal Space	The location of the chest pain is within the fifth intercostal space on the right side.	Chest Pain in Right Fifth Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168149	Chest Pain in Right Fourth Intercostal Space	The location of the chest pain is within the fourth intercostal space on the right side.	Chest Pain in Right Fourth Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168150	Chest Pain in Right Second Intercostal Space	The location of the chest pain is within the second intercostal space on the right side.	Chest Pain in Right Second Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168151	Chest Pain in Right Third Intercostal Space	The location of the chest pain is within the third intercostal space on the right side.	Chest Pain in Right Third Intercostal Space		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167427	Chest Pain in Sternum	The location of the chest pain is in the middle of the anterior wall of the thorax, bounded by the clavicles, above, and with the cartilages of the first seven ribs, along the sides.	Sternum		Location is in the middle of the anterior wall of the thorax, bounded by the clavicles, above, and with the cartilages of the first seven ribs, along the sides.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168152	Chest Pain in Upper Sternum	The location of the chest pain is in the upper portion of the sternum.	Chest Pain in Upper Sternum		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C78238	Chest Wall Pain	Painful sensation in the chest wall region.	Musculoskeletal chest pain		A condition in which there is chest pain due to an etiology in the structures making up the chest wall.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C85497	Chief Complaint	The primary reason for a patient visit.	Chief Complaint		The primary reason for a patient visit to a healthcare provider.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168153	Chief Complaint Caused by Trauma	An indication that the chief complaint was caused by a traumatic event.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168154	Chief Complaint Continuously Present	The chief complaint continues without interruption.	Continuous		Continuously present.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168155	Chief Complaint Intermittently Present	The chief complaint intermittently stops then starts again.	Intermittent		Periodically stopping and starting.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168156	Chief Complaint is Present Daily	The chief complaint is noted to occur at least once per day.	Daily		Occurs on average once per day.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168157	Chief Complaint is Present Monthly	The chief complaint is noted to occur at least once per month.	Monthly		Occurs once to several times per month.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168158	Chief Complaint is Present Multiple Times per Day	The chief complaint is noted to occur more than once per day.	Multiple times/day		More than once per day.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168159	Chief Complaint is Present Weekly	The chief complaint is noted to occur at least once per week.	Weekly		Occurs once to several times per week.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168160	Chief Complaint Not Caused by Trauma	An indication that the chief complaint was not caused by a traumatic event.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168161	Chief Complaint Occurs After Exercise	The chief complaint typically occurs after exercise.	After Exercise		Chief complaint typically occurs on conclusion of exercise.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168162	Chief Complaint Occurs at Rest	The chief complaint typically occurs at rest.	At rest		Chief complaint typically occurs at rest.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168163	Chief Complaint Occurs During Exercise	The chief complaint typically occurs during exercise.	During exercise		Chief complaint typically occurs during exercise.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168164	Chief Complaint Occurs Without Pattern	The chief complaint occurs both at rest or with exercise.	No pattern		Chief complaint occurs both at rest and with exercise.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168165	Chief Complaint Present at Midday	The chief complaint is noted to primarily occur in the period on or around noon.	Midday		The middle of the day; noon or the time centering around noon.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168166	Chief Complaint Present at Night	The chief complaint is noted to primarily occur between sunset and sunrise.	Night		The period of darkness between sunset and sunrise.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168167	Chief Complaint Present in the Afternoon	The chief complaint is noted to primarily occur after noon but before sunset.	Afternoon		The time from noon until evening; pertaining to the latter part of the day.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168168	Chief Complaint Present in the Evening	The chief complaint is noted to primarily occur after sunset but before bedtime.	Evening		The latter part of the day and early part of the night; the period from sunset to bedtime.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168169	Chief Complaint Present in the Morning	The chief complaint is noted to primarily occur in the period after sunrise and before noon.	Morning		The first part or period of the day, extending from dawn, or from midnight, to noon.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168170	Chief Complaint was Not Witnessed	An indication that the chief complaint was not witnessed.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168171	Chief Complaint was Witnessed	An indication that the chief complaint was witnessed.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168172	Chronic Orthostatic Intolerance	A condition in which there is orthostatic intolerance lasting for at least three months with associated functional impairment. (ACC/AHA)	Chronic orthostatic intolerance		A condition in which there is orthostatic intolerance lasting for at least 3 mo with associated functional impairment.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34491	Clubbing of Fingers	An abnormal enlargement of the terminal phalanges accompanied by increased length-wise curvature of the nails, giving the digits a club-like appearance. Clubbing has been noted with a wide variety of conditions, including pulmonary and cardiac diseases, liver disorders, and disorders of the gastrointestinal tract.	Clubbing		A clinical finding in which the distal phalanx of each finger appears rounded and bulbous, the nail plate is more convex, and the angle between the plate and the proximal nail fold appears increased to Greater than or equal to 180 degrees on visual inspection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168173	Cold Sensation	An internal feeling of being cooler without a concomitant change in the ambient environment. (ACC/AHA)	Sensation of cold		An internal feeling of being cooler without a concomitant change in the ambient environment.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C159746	College Completion	Indicates that a person has attended college and receive a degree.	College		Completion of education at an institution of higher education created to educate and grant degrees; often a part of a university.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C16457	Comorbidity	The coexistence of two or more disease processes.	Intercurrent illness		A disease occurring during the course of another disease with which it has no connection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168174	Complex Breath Holding	A clinical condition in which there is a breath-holding spell associated with syncope. (ACC/AHA)	Complex breath-holding spell		A clinical condition in which there is a breath-holding spell associated with syncope.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168175	Computed Tomography of the Heart	Non-invasive imaging of the heart utilizing computed tomography (CT).	Cardiac CT		A noninvasive medical imaging technology that uses x-ray procedure with the aid of computer to generate cross-sectional images of the heart.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34504	Conjunctivitis	Inflammation of the conjunctiva of the eye.	Conjunctivitis		Inflammation of the conjunctivae of the eye. The conjunctivitis of Kawasaki disease is nonexudative and spares the limbus.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167446	Continuous Heart Murmur	A heart murmur that occurs throughout both systole and diastole.	Continuous		The phase of time encompassing both systole and diastole.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168102	Continuous with Diastolic Spillover Heart Murmur	A heart murmur that occurs throughout systole and the early part of diastole.	Continuous with diastolic spillover		The phase of time encompassing systole and the early part of diastole.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168176	Coronary Artery Aneurysm	Focal dilation of a coronary artery secondary to arterial wall weakening. (ACC/AHA)	Coronary artery aneurysm		Focal dilation of a coronary artery secondary to arterial wall weakening.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168177	Coronary Artery Ectasia	Diffuse dilation of a coronary artery segment.	Coronary artery ectasia		Diffuse dilation of coronary artery segment.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84478	Coronary Microvascular Disease	A disorder affecting the smallest coronary arteries. Causes include atherosclerosis and arterial spasm. Chest pain is a frequently observed symptom.	Microvascular angina	Syndrome X	A condition in which there is angina pectoris due to occlusion of the smaller coronary arteries.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C37935	Cough	A sudden, often repetitive, spasmodic contraction of the thoracic cavity, resulting in violent release of air from the lungs, and usually accompanied by a distinctive sound.	Coughing		A sudden, often repetitive, spasmodic contraction of the thoracic cavity, resulting in violent release of air from the lungs, and usually accompanied by a distinctive sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168178	Coumadin Given for Kawasaki Disease	An indication that coumadin was given as treatment for Kawasaki disease.	Coumadin		An anticoagulant used to prevent thrombosis and thromboembolism that inhibits vitamin K epoxide reductase.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C64548	C-Reactive Protein Measurement	A quantitative measurement of the amount of C-reactive protein present in a sample.	CRP		A quantitative measurement of the amount of CRP, an inflammatory marker, in the blood, expressed as milligrams per liter.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C157829	Cryoablation for Arrhythmia	The use of cold to freeze heart tissue that is a source of an irregular rhythm. It is administered via a balloon catheter that use advanced radiographic techniques.	cryoablation		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C67145	Current Every Day Smoker	Indicates a person who has smoked at least 100 cigarettes in his or her lifetime and who currently smokes every day.	Current every day smoker		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C67146	Current Some Day Smoker	Indicates a person who has smoked at least 100 cigarettes in his or her lifetime, who smokes now, but does not smoke every day.	Current some day smoker		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26737	Cyanosis	A bluish or purplish discoloration of the skin and mucous membranes resulting from a reduced concentration of oxygenated hemoglobin in the blood.	Cyanosis		A clinical finding in which the skin is noted to have a bluish cast due to an increased concentration of deoxyhemoglobin in cutaneous blood vessels on visual inspection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168179	Cyanotic Breath Holding	A clinical condition in which there is a breath-holding spell associated with cyanotic appearance. (ACC/AHA)	Cyanotic breath-holding spell		A clinical condition in which there is a breath-holding spell associated with cyanotic appearance.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168180	Date of Patient Evaluation Prior to Current Chief Complaint	The date of the prior clinical assessment of the patient for the current chief complaint.	Prior Evaluation: Date		Date of assessment of the patient for the purposes of forming a diagnosis and plan of treatment, before the current chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C119203	Decreased Exercise Tolerance	A reduction in the ability to perform or withstand activities that induce physical or mental exertion.	Decreased exercise tolerance		A clinical finding in which there is inability to perform increased physical activity compared with normal levels for self or for age.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C62787	Defecation	The normal process of elimination of fecal material from the rectum.	Defecation		The evacuation of fecal matter from the rectum.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26740	Dehydration	A condition resulting from the excessive loss of water from the body. It is usually caused by severe diarrhea, vomiting or diaphoresis.	Dehydration		A condition resulting from the excessive loss of water from the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168181	Delayed Capillary Refill Time	A clinical finding in which a capillary nail refill test returns to pink color in greater than two seconds after pressure is removed. (ACC/AHA)	Delayed		A clinical finding in which a capillary nail refill test returns to pink color in greater than 2 seconds after pressure is removed.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C111657	Desquamation	Shedding of the outer layer of skin or mucosal tissue.	Desquamation		Peeling of the skin that typically starts at the tips of the fingers/toes.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C116942	Developmental Delay	Failure to meet, or late achievement of developmental milestones.	Delayed developmental milestones		A clinical finding in which there is a failure to achieve expected mental or physical milestones for age.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168182	Developmental Finding	Symptoms, physical examination results, and/or laboratory test results related to physical, emotional, behavioral, or social development.	Developmental		Normal or abnormal findings related to physical, emotional, behavioral, or social development.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168183	Diagnosis at Patient Evaluation Prior to Current Chief Complaint	The diagnosis given at the prior clinical assessment of the patient for the current chief complaint.	Prior Evaluation: Diagnosis		Diagnosis given based on the previous evaluation of the chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C35051	Diaphoresis	Profuse sweating.	Diaphoresis		A clinical finding in which there is excessive or unpredictable sweating.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167445	Diastolic Heart Murmur	A heart murmur that occurs between ventricular ejection, while the semilunar valves are closed.	Diastolic		The phase of time between ventricular ejection, in which the semilunar valve(s) are closed.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36279	Digestive System Finding	Symptoms, physical examination results, and/or laboratory test results related to the digestive system.	Gastrointestinal		Normal or abnormal findings related to the stomach and intestines.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C37943	Dizziness	A sensation of lightheadedness, unsteadiness, turning, spinning or rocking.	Dizziness		A condition in which the sensation of lightheadedness or a feeling of movement within the head occurs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C32478	Dorsalis Pedis Artery	An artery of the dorsal surface of the foot, originating from the anterior tibial artery of the lower leg. The following arterial branches originate from the dorsalis pedis artery: the arcuate artery of the foot and deep plantar artery.	Dorsalis pedis		The artery of the foot that supplies the muscles on the dorsum of the foot whose pulses can be palpated on the dorsum of the foot just lateral to the extensor tendon of the big toe.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168184	Drug-induced Syncope	A condition in which syncope occurs due to the ingestion or administration of a chemical substance. (ACC/AHA)	Drug-induced syncope		A condition in which syncope occurs due to the ingestion or administration of a chemical substance.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C75482	Duchenne Muscular Dystrophy	An X-linked inherited disorder caused by mutations in the DMD gene found on the X chromosome. It is characterized by rapidly progressing muscle weakness and muscle atrophy initially involving the lower extremities and eventually affecting the whole body. It affects males whereas females can be carriers. The symptoms start before the age of six and may appear at infancy.	Duchenne		An X-linked genetic disorder caused by a mutation in the dystrophin gene characterized by early onset, rapidly progressive skeletal muscle weakness and atrophy initially involving the lower extremities that eventually affect the entire body including respiratory and cardiac muscles.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168489	Dull Chest Pain	The sensation of chest pain described as a mild or blunted discomfort.	Dull Pain		A sensation of mild or blunted discomfort.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168185	Duration of Chief Complaint	The length of time that the chief complaint persists.	Chief Complaint - Duration		The length of time the chief complaint occurs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C53439	Dysautonomia	An acute or chronic disorder, affecting the sympathetic or parasympathetic nervous system.  It can be primary, the result of central nervous system degeneration, or secondary due to diabetes or alcoholism.  Patients with the chronic form of this disorder usually have a progressive clinical course and a poor prognosis.	Dysautonomia		A condition in which there is a severe imbalance in the autonomic nervous system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C2998	Dyspnea	An uncomfortable sensation of difficulty breathing. It may present as an acute or chronic sign of an underlying respiratory or heart disorder.	Dyspnea		An uncomfortable sensation of difficulty breathing. It may present as an acute or chronic sign of an underlying respiratory or heart disorder.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167440	Early Systolic Heart Murmur	A heart murmur that occurs during the early portion of the ventricular ejection phase.	Early systolic		A period of time describing the early portion of the ventricular ejection phase.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C37945	Echocardiogram	An image of the heart produced by ultrasonography.	Echocardiogram		The recording of the position and motion of the heart walls or internal structures of the heart by the echo obtained from beams of the ultrasonic waves directed through the chest wall.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168079	Edematous Scrotum	An indication that on visual inspection the scrotal skin is found to have become taut due to excessive fluid.	Edematous scrotum		A clinical finding in which the scrotal skin is found to have become taut due to excessive fluid as noted on visual inspection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C17953	Education Level	An indication of the years of schooling completed in graded public, private, or parochial schools, and in colleges, universities, or professional schools.	Education		Highest education attained.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34568	Ehlers-Danlos Syndrome	An inherited connective tissue disorder characterized by loose and fragile skin and joint hypermobility.	Ehlers-Danlos syndrome		A group of inherited connective tissue disorders characterized by loose and fragile skin and joint hypermobility.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167441	Ejection Systolic Heart Murmur	A heart murmur that occurs predominantly in midsystole, when ejection volume and velocity of blood flow are at their maximum; it is produced by ejection of blood into the pulmonary artery and aorta. It is typically crescendo-decrescendo.	Ejection systolic murmur		An auscultated finding of a heart murmur heard predominantly in midsystole, when ejection volume and velocity of blood flow are at their maximum; it is produced by ejection of blood into the pulmonary artery and aorta. Typically crescendo-decrescendo.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168186	Electrocardiogram	A record of the electrical activity of the heart.	ECG		The record produced by the variations in electrical potential caused by electrical activity of the heart muscle and detected at the body surface, as a method for studying the action of the heart muscle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C25172	Employment	The state of being engaged in an activity or service for wages or salary; the occupation for which you are paid.	Employment		The state of being engaged in an activity or services for wages or salary.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36285	Endocrine System Finding	Symptoms, physical examination results, and/or laboratory test results related to the endocrine system.	Endocrine		Normal or abnormal clinical findings related to the collection of tissues capable of secreting hormones.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26766	Epistaxis	Bleeding from the nose.	Epistaxis		A clinical finding in which there is bleeding from the nose.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C74611	Erythrocyte Sedimentation Rate Measurement	A quantitative measurement of the distance that red blood cells travel in one hour in a sample of unclotted blood.	ESR		A quantitative measurement of the distance that red blood cells travel in 1 hour in a sample of unclotted blood.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168187	Evidence of Previous Streptococcal Infection	The presence of a positive anti-Streptolysin-O or anti-DNase B, demonstrating that the patient was previously infected with Streptococcus. (ACC/AHA)	Evidence of previous streptococcus infection		The presence of a positive anti-Streptolysin-O or anti-DNase B, demonstrating that the patient was previously infected with Streptococcus.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168188	Exacerbating Factor to Chief Complaint	Any factor that worsens the chief complaint.	Exacerbating Factors		Factors causing the chief complaint to worsen.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168189	Examination of Extremities	An assessment of the upper and lower extremities.	Examination of the Extremities		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168190	Excessive Daily Caloric Intake	The daily caloric intake is excessive.	Excessive caloric intake		Caloric intake is more than what is required per day.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168191	Excessive Daily Salt Intake	The daily salt intake is excessive.	Excessive		Qualitative state of being too much for a specific purpose.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C16567	Exercise	Activity that requires physical or mental exertion, especially when performed to develop or maintain fitness.	Exercise		Performance of physical exertion for improvement of health or correction of physical deformity.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168192	Exercise Cardiac Stress Test	A graded test to measure an individual's heart rate and oxygen intake while undergoing strenuous physical exercise; most often assessed on a treadmill.	Exercise Stress Test		A graded test to measure an individual's heart rate and oxygen intake while undergoing strenuous physical exercise, as on a treadmill.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168022	External Genitalia Examination	An assessment of the external genitalia.	Genital Examination - External Genitalia		Examination findings of the external genitalia on physical examination.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168080	Extracardiac Examination	A physical examination focusing on areas of interest other than the heart.	Extracardiac Examination		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C51770	Extraction of Tooth	The surgical removal of a tooth from its bony socket.	Dental extraction		Removal of greater than or equal to 1 teeth.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168193	Faceplant	A syncopal event in which there is no attempt to protect oneself from the effects of the fall.	Faceplant		A type of syncope in which there is no attempt to protect oneself from the effects of the fall.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C107587	Failure to Thrive	A clinical finding indicating less than normal growth in an infant or child, or a state of global decline in an adult.	Failure to thrive		Weight below the third to fifth percentile or a decrease in the percentile rank of two major growth parameters in a short period.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84706	Familial Dysautonomia	A congenital disorder caused by mutations in the IKBKAP gene. It is characterized by damage of the sympathetic and parasympathetic and sensory nervous system.	Familial dysautonomia	Riley- Day || hereditary sensory and autonomic neuropathy type III	A dysautonomia due to a genetic disorder associated with an abnormality of the sensory and autonomic nerves, decreased sensation of pain and decreased production of tears.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168194	Family History of Arrhythmia	A history of a first-degree relative that has had an arrhythmia.	Arrhythmia		An electrocardiographic finding of an atypical cardiac rhythm resulting from a cardiac pathologic process.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168016	Family History of Cardiomyopathy	A history of a first-degree relative that was diagnosed with cardiomyopathy.	Cardiomyopathy		A disease of the heart muscle or myocardium proper.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168492	Family History of Cardiovascular Disease or Cardiovascular Disease Risk Factors	A history of a first-degree relative with cardiovascular disease or cardiovascular disease risk factors.	Family History of Cardiovascular Disease or Cardiovascular Disease Risk Factors		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168195	Family History of Chronic Disease	A history of a first-degree relative that has had a chronic disease.	Other chronic diseases		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168017	Family History of Congenital Heart Disease	A history of a first-degree relative with congenital heart disease.	Family history of CHD		Having a first-degree or first- and second- degree relative with a history of CHD.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168020	Family History of Coronary Artery Bypass Graft Surgery	A history of a first-degree relative that has had coronary artery bypass graft surgery.	CABG		A procedure performed to bypass partially or completely occluded coronary arteries with veins and/or arteries harvested from elsewhere in the body, thereby improving the blood supply to the coronary circulation supplying the myocardium (heart muscle).
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C80398	Family History of Coronary Artery Disease	History of a first-degree relative (less than 55 years for male relatives or less than 65 years for female relatives) having had any of the following: coronary artery disease, myocardial infarction, coronary artery bypass graft surgery, percutaneous coronary intervention, or sudden cardiac death without obvious cause.	CAD		Narrowing of the coronary arteries due to fatty deposits inside the arterial walls. The diagnostic criteria may include documented history of any of the following: documented coronary artery stenosis Greater than or equal to 50% (by cardiac catheterization or other modality of direct imaging of the coronary arteries); previous coronary artery bypass graft (CABG), previous percutaneous coronary intervention (PCI), previous myocardial infarction.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168200	Family History of Ehlers-Danlos Syndrome	A history of a first-degree relative with Ehlers-Danlos syndrome.	Ehlers-Danlos syndrome		A group of inherited connective tissue disorders characterized by loose and fragile skin and joint hypermobility.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167449	Family History of Heart Disease	A history of a first-degree relative with heart disease.	Family History of Heart Disease		The presence of heart disease in a first-degree family member.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168202	Family History of Hyperlipidemia	A history of a first-degree relative that has hyperlipidemia.	Hyperlipidemia		Elevated levels of lipids in the blood.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168203	Family History of Hypertension	A history of a first-degree relative that has hypertension.	Hypertension		Pathological increase in blood pressure; a repeatedly elevated blood pressure exceeding 140/90 mm Hg.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168018	Family History of Long QTc	A history of a first-degree relative that was diagnosed with prolongation of the heart rate corrected QT interval as calculated by the Bazett formula.	Long QTc		Disorder characterized by prolongation of the heart rate corrected QT interval that predisposes to ventricular arrhythmias and sudden death. As calculated by the Bazett formula.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168205	Family History of Marfan Syndrome	A history of a first-degree relative with Marfan syndrome.	Marfan syndrome		A genetic syndrome inherited as an autosomal dominant trait. It is caused by mutations in the FBN1 gene. It is characterized by tall stature, elongated extremities, mitral valve prolapse, aortic dilatation, aortic dissection, and subluxation of the lens. Diagnosis is made based on the 2010 Revised Ghent Nosology for Marfan syndrome
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168206	Family History of Myocardial Infarction	A history of a first-degree relative that has had a myocardial infarction.	MI		Clinical syndrome where there is evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168021	Family History of Percutaneous Coronary Intervention	A history of a first-degree relative that has had a percutaneous coronary intervention.	PCI		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 CABG for the purpose of mechanical coronary revascularization. The assessment of coronary lesion severity via intravascular ultrasound, coronary flow reserve, or fractional flow reserve is not considered to be a PCI procedure.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168208	Family History of Stroke	A history of a first-degree relative that has had a stroke.	Stroke		An acute episode of focal or global neurological dysfunction caused by presumed brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction but with insufficient information to allow categorization as ischemic or hemorrhagic.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168019	Family History of Sudden Arrythmia Death Syndrome	A history of a first-degree relative whose death was attributed to sudden arrythmia death syndrome (SADS).	SADS		Unexpected sudden cardiac death secondary to a genetic condition that lowers the threshold for lethal arrhythmia. This includes Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia, long QT syndrome, short QT syndrome, Timothy syndrome, and Wolff- Parkinson-White syndrome.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168209	Family History of Sudden Infant Death Syndrome	A history of a first-degree relative whose death was attributed to sudden infant death syndrome (SIDS).	Sudden death/SIDS		Unexpected death in infancy which remains unexplained following autopsy, review of the medical history, and investigation of the death circumstances and death scene.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168210	Family History of Syncope	A history of a first-degree relative that has had syncope.	Syncope		Sudden loss of consciousness with spontaneous recovery.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3036	Fatigue	Overall tiredness and lack of energy.	Fatigue (lassitude)		A state of exhaustion usually caused by various etiologies such as a period of mental or bodily activity, sleep deprivation, medications, chronic disease, or other factors.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C78498	Fecal Incontinence	Involuntary passage of stool from the rectum.	Bowel incontinence		Inability to control the escape of stool from the rectum.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168211	Feeding Fatigue	A state of increased discomfort and decreased efficiency due to prolonged or excessive exertion during the taking of food. (ACC/AHA)	Fatigue with feeding		A state of increased discomfort and decreased efficiency due to prolonged or excessive exertion during the taking of food.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C12715	Femoral Artery	An artery that starts within the inguinal region and extends to the lower extremities.	Femoral		The artery of the groin that supplies the lower extremity, including the anterior and anteromedial surfaces of the thigh, whose pulse is palpable below the inguinal ligament, midway between the anterior superior iliac spine and the symphysis pubis.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84713	Fetal Alcohol Syndrome	A teratogenic disorder observed in a newborn or child of a mother who consumed alcohol during pregnancy. Manifestations of the syndrome include low birth weight, atypical facies, microcephaly, failure to thrive, developmental defects, organ dysfunction, mental deficiencies, poor motor coordination and behavioral problems.	Fetal alcohol syndrome		A syndrome that can develop in infants whose mothers consumed alcohol during pregnancy. Manifestations of this syndrome include low birth weight, failure to thrive, developmental defects, organ dysfunction, mental deficiencies, behavioral problems, and poor motor coordination.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3038	Fever	Elevation of body temperature above normal due to inflammatory or immune responses.	Fever		The elevation of the body's temperature above the upper limit of normal, usually taken as 37.7 degrees Celsius.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168068	Fixed Split S2 Heart Sound	An auscultated finding in which the semilunar valve closure sounds do not vary with respiration. (ACC/AHA)	Fixed split S2		An auscultated finding in which the semilunar valve closure sounds do not vary with respiration.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26775	Flushing	Reddening of the skin from a transient increase in blood flow.	Flushing		A clinical finding in which there is reddening of the skin, typically with increased perfusion.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168213	Forceful Heartbeats	The sensation of an isolated cardiac contraction occurring with greater strength than that of a typical or normal contraction. (ACC/AHA)	Forceful heartbeats		The sensation of an isolated cardiac contraction occurring with greater strength than that of a typical or normal contraction.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C67148	Former Smoker	A person who has quit smoking at the time of the interview but has smoked at least 100 cigarettes in their life.	Former smoker		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168214	Frequency of Chief Complaint	The number of occurrences of the chief complaint over a given period of time.	Chief Complaint - Frequency		The number of occurrences of a periodic process in a unit of time.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168215	Frequency of Routine Caffeine Intake	The frequency of caffeine consumed on a regular basis.	Dietary: Routine Caffeine Intake		The quantities of caffeine, a central nervous system stimulant, found in coffee, tea and other foods and beverages, taken in and utilized by the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C52658	Full Time Employment	Employed for a standard number of hours of working time, at least 50% or 20 hours per week.	Full-time		Employed for a standard number of hours of working time, at least 50% or 20 h/wk.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C91834	Fundoplication	A therapeutic surgical procedure to treat gastroesophageal reflux disease and hiatus hernia. It involves the wrapping of the fundus of the stomach around the lower esophagus to strengthen the lower esophageal sphincter.	Fundoplication		A therapeutic surgical procedure to treat gastroesophageal reflux disease and hiatus hernia. It involves the wrapping of the fundus of the stomach around the lower esophagus to strengthen the lower esophageal sphincter.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168216	Gallbladder Mucocele	The enlargement of the gallbladder secondary to prolonged obstruction of the cystic duct.	Gallbladder hydrops		Enlargement of the gallbladder secondary to prolonged obstruction of the cystic duct that is non-obstructive.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50573	Gangrene	Death of tissue, usually in considerable mass and generally associated with loss of vascular (nutritive) supply and followed by bacterial invasion and putrefaction.	Gangrene		Death of tissue, usually in considerable mass and generally associated with loss of vascular (nutritive) supply and followed by bacterial invasion and putrefaction.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C52006	Gastrostomy	Creation of an opening between the stomach and the outside of the body.	Gastrostomy/fundoplication		Creation of an opening between the stomach and the outside of the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C87079	General Appearance	The result of observation and overall assessment of a subject's outward aspect including appearance and movements; for example, in a human newborn general appearance includes skin color and tone, range of motion, and spontaneous movements.	General Appearance		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168217	Genetic Syndrome Associated with Congenital Heart Defect	Genetic anomalies and collections of malformations that are known to cluster together that can be associated with congenital heart defects. (ACC/AHA)	Syndrome		Genetic anomalies and collections of malformations that are known to cluster together that can be associated with congenital heart defects.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167451	Genitalia Examination	An assessment of the genitalia.	Examination of the Genitalia		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C92804	Gestation	The period of fetal development in the uterus from the start of conception until its birth.	Gestation		The period of fetal development in the uterus from the start of conception until its birth.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168218	Gestational Complication	A difficulty or problem that occurs during intrauterine development that can jeopardize the health of the fetus. (ACC/AHA)	Gestational Complications		A difficulty or problem that occurs during intrauterine development that can jeopardize the health of the fetus.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C61272	Glycogen Storage Disease	An inherited metabolic disorder characterized either by defects in glycogen synthesis or defects in the breaking down of glycogen. It results either in the creation of abnormal forms of glycogen or accumulation of glycogen in the tissues.	Glycogen storage disease		An inherited metabolic disorder characterized either by defects in glycogen synthesis or defects in the breaking down of glycogen. It results either in the creation of abnormal forms of glycogen or accumulation of glycogen in the tissues.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168030	Grade I Heart Sound	A heart sound that is very soft or intermittently heard.	Grade I		An auscultated finding that is very soft or intermittently heard.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168031	Grade II Heart Sound	A heart sound that is as loud as the breath sounds.	Grade II		An auscultated finding that is as loud as the breath sounds.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168032	Grade III Heart Sound	A heart sound that is louder than breath sounds.	Grade III		An auscultated finding that is louder than the breath sounds.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168033	Grade IV Heart Sound	A heart sound that is louder than breath sounds in the presence of a palpated thrill.	Grade IV		An auscultated finding that is louder than the breath sounds in the presence of a palpated thrill.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168223	Grade School Completion	Indicates that a person has attended grade school to completion. Depending on school system, this may indicate completion of sixth, seventh or eight grade.	Grade school completion		Completed the first 6 or 8 grades of education.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168034	Grade V Heart Sound	A heart sound that can be auscultated with the stethoscope on a 45-degree angle or on its side in the presence of a palpated thrill.	Grade V		An auscultated finding that is heard with the stethoscope on a 45-degree angle OR on its side in the presence of a palpated thrill.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168035	Grade VI Heart Sound	A heart sound that can be auscultated with the stethoscope off of the chest wall or with the naked ear.	Grade VI		An auscultated finding that is heard with the stethoscope off of the chest wall OR with the naked ear.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168226	Graduate Studies Completion	Indicates that a person has completed a graduate studies program beyond a bachelor's degree.	Graduate studies		Completion of a program of study of at least the full-time equivalent of greater than or equal to 1 academic years of work beyond the bachelor's degree.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168227	Hair Brushing	The use of an implement with bristles to groom one's hair.	Hair brushing		The use of an implement, consisting of bristles, attached to a handle to groom hair.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168220	Harsh Heart Murmur	A heart murmur that has an auditory quality in which the flow sounds highly turbulent.	Harsh		An auditory quality in which flow sounds to be highly turbulent.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168229	Has No Sibling	An indication that an individual does not have a sibling.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168230	Has Response to Intervention for Kawasaki Disease	An indication that a patient responded to a treatment for Kawasaki disease.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168231	Has Sibling	An indication that an individual has a sibling.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36282	Head and Neck Finding	Symptoms, physical examination results, and/or laboratory test results related to the head and neck.	Otolaryngological		Normal or abnormal findings related to disorders of the ear, nose, and throat.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34661	Headache	Pain in various parts of the head, not confined to the area of distribution of any nerve.	Headache		Pain in various parts of the head, not confined to the area of distribution of any nerve.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168232	Hear Sound Auscultation at Left Infraclavicular Region	Heart sounds are auscultated on the precordial location corresponding to the anterior portion of the thorax directly below the left clavicle.	Infraclavicular, left		The location that describes the anterior portion of the thorax directly below the left clavicle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168233	Hear Sound Auscultation at Right Infraclavicular Region	Heart sounds are auscultated on the precordial location corresponding to the anterior portion of the thorax directly below the right clavicle.	Infraclavicular, right		The location that describes the anterior portion of the thorax directly below the right clavicle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50577	Heart Failure	Inability of the heart to pump blood at an adequate rate to meet tissue metabolic requirements. Clinical symptoms of heart failure include: unusual dyspnea on light exertion, recurrent dyspnea occurring in the supine position, fluid retention or rales, jugular venous distension, pulmonary edema on physical exam, or pulmonary edema on chest x-ray presumed to be cardiac dysfunction.	Heart failure		A clinical condition in which the function of the heart is inadequate to meet the metabolic needs of the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84480	Heart Murmur	A periodic humming or blowing sound heard on auscultation of the heart that can indicate the presence of cardiac disease; murmurs are the result of vibrations caused by the turbulent flow of blood in the heart or great vessels. Murmurs are characterized according to the area of generation (mitral, aortic, tricuspid, or pulmonary) and according to the period of the cycle (systolic or diastolic).	Murmur		An auscultated finding describing a series of audible vibrations of varying intensity (loudness), frequency (pitch), quality, configuration, and duration created by turbulent blood flow in the heart or surrounding vessels.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167436	Heart Murmur Categorized by Duration	The classification of a heart murmur based on its duration.	Cardiac Examination - Heart Sounds, Systolic Murmur Types		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167438	Heart Murmur Categorized by Phase or Timing	The classification of a heart murmur based on the phase of the cardiac cycle or timing of its occurrence.	Cardiac Examination - Heart Sounds, Phase of Murmur		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167439	Heart Murmur Categorized by Quality	The classification of a heart murmur based on its characteristic quality.	Cardiac Examination - Heart Sounds, Murmurs, Characteristic		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C49677	Heart Rate	The number of heartbeats per unit of time, usually expressed as beats per minute.	Vital Signs - Heart Rate		A measurement that describes the frequency of rate of contractions of the systemic (often left) ventricle measured within a unit time.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167450	Heart Sound	Auditory vibrations of varying intensity (loudness), frequency (pitch), quality, and duration noted during auscultation of the thorax as part of the examination of the cardiovascular system. (ACC/AHA)	Cardiac Examination - Heart Sounds		Auditory vibrations of varying intensity (loudness), frequency (pitch), quality, and duration noted during auscultation of the thorax as part of the examination of the cardiovascular system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168234	Heart Sound Auscultation at Apex	Heart sounds are auscultated on the precordial location corresponding to the blunt extremity of the heart formed by the left ventricle.	Apex		The location on the precordium that corresponds to the location of the blunt extremity of the heart formed by the left ventricle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168235	Heart Sound Auscultation at Back	Heart sounds are auscultated on the posterior portion of the trunk of the human body between the neck and the pelvis; the dorsum.	Back		The location on the thorax that describes the posterior portion of the trunk of the human body between the neck and the pelvis; the dorsum.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168236	Heart Sound Auscultation at Left Anterior Axillary Line	Heart sounds are auscultated on the precordial location delineated by a coronal line on the anterior torso marked by the anterior axillary fold on the left side.	Left anterior axillary line		The location on the thorax delineated by a coronal line on the anterior torso marked by the anterior axillary fold on the left side.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168237	Heart Sound Auscultation at Left Axilla	Heart sounds are auscultated on the precordial location delineated by a pyramid-shaped space forming the underside of the shoulder between the upper arm and the side of the chest on the left side.	Left axilla		The location on the thorax delineated by a pyramid-shaped space forming the underside of the shoulder between the upper arm and the side of the chest on the left side.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168238	Heart Sound Auscultation at Left Lower Sternal Border	Heart sounds are auscultated on the precordial location corresponding to the tricuspid region, between the fifth, and sixth intercostal spaces at the left sternal border.	Left lower sternal border		The location on the precordium that corresponds to the tricuspid region, between the fifth, and sixth intercostal spaces at the left sternal border; LLSB.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168239	Heart Sound Auscultation at Left Lung Field	Heart sounds are auscultated on the precordial location corresponding to the pleural apices, middle and lower or base, posteriorly, laterally and anteriorly of the left lung.	Left lung field/left chest		The location on the thorax that corresponds to the location of the pleural apices, middle and lower or base, posteriorly, laterally and anteriorly of the left lung, covered during auscultation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168240	Heart Sound Auscultation at Left Middle Sternal Border	Heart sounds are auscultated on the precordial location corresponding to the region between the third and fifth intercostal spaces at the left sternal border.	Left middle sternal border		The location on the precordium that corresponds to the region between the third and fifth intercostal spaces at the left sternal border.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168241	Heart Sound Auscultation at Left Upper Sternal Border	Heart sounds are auscultated on the precordial location corresponding to the pulmonic region, between the second and third intercostal spaces at the left sternal border.	Left upper sternal border		The location on the precordium that corresponds to the pulmonic region, between the second and third intercostal spaces at the left sternal border.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168242	Heart Sound Auscultation at Right Anterior Axillary Line	Heart sounds are auscultated on the precordial location delineated by a coronal line on the anterior torso marked by the anterior axillary fold on the right side.	Right anterior axillary line		The location on the thorax delineated by a coronal line on the anterior torso marked by the anterior axillary fold on the right side.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168243	Heart Sound Auscultation at Right Axilla	Heart sounds are auscultated on the precordial location delineated by a pyramid-shaped space forming the underside of the shoulder between the upper arm and the side of the chest on the right side.	Right axilla		The location on the thorax delineated by a pyramid-shaped space forming the underside of the shoulder between the upper arm and the side of the chest on the right side.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168244	Heart Sound Auscultation at Right Lower Sternal Border	Heart sounds are auscultated on the precordial location corresponding to the region between the fifth, and sixth intercostal spaces at the right sternal border.	Right lower sternal border		The location on the precordium that corresponds to the region between the fifth, and sixth intercostal spaces at the right sternal border.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168245	Heart Sound Auscultation at Right Lung Field	Heart sounds are auscultated on the precordial location corresponding the pleural apices, middle and lower or base, posteriorly, laterally and anteriorly of the right lung.	Right lung field/right chest		The location on the thorax that corresponds to the location of the pleural apices, middle and lower or base, posteriorly, laterally and anteriorly of the right lung, covered during auscultation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168246	Heart Sound Auscultation at Right Middle Sternal Border	Heart sounds are auscultated on the precordial location corresponding to the region between the third and fifth intercostal spaces at the right sternal border.	Right middle sternal border		The location on the precordium that corresponds to the region between the third and fifth intercostal spaces at the right sternal border.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168247	Heart Sound Auscultation at Right Upper Sternal Border	Heart sounds are auscultated on the precordial location corresponding to the aortic region, between the second and third intercostal spaces at the right sternal border.	Right upper sternal border		The location on the precordium that corresponds to the aortic region, between the second and third intercostal spaces at the right sternal border.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167452	Heart Sound Categorized by Grade	The classification of a heart sound based on its intensity.	Cardiac Examination - Heart Sounds, Grade		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167453	Heart Sound Categorized by Pitch	The classification of a heart sound based on its frequency.	Cardiac Examination - Heart Sounds, Pitch		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50818	Heart Valve Repair	Surgery performed for the purpose of repairing a degenerated, calcified, malformed, dysfunctional, etc. heart valve.	Valvuloplasty		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168248	Heat Sensation	An internal feeling of being warmer without a concomitant change in the ambient environment. (ACC/AHA)	Sensation of heat		An internal feeling of being warmer without a concomitant change in the ambient environment.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C154510	Heavy Smoker	A smoker who smokes more than 10 cigarettes per day, or an equivalent quantity of cigar or pipe smoke.	Heavy tobacco smoker		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36289	Hematopoietic System Finding	Symptoms, physical examination results, and/or laboratory test results related to the hematopoietic system.	Hematological		Normal or abnormal findings related to abnormalities of the synthesis of hemoglobin, and/or the mechanisms of coagulation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C64848	Hemoglobin Measurement	A quantitative measurement of the amount of hemoglobin present in a sample.	Hemoglobin		Concentration of hemoglobin in the peripheral blood stream, expressed as grams per deciliter.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3092	Hemoglobinopathy	An inherited disorder characterized by structural alterations of a globin chain within the hemoglobin molecule.	Hemoglobinopathy		Normal or abnormal findings related to the structural alterations of a globin chain within the hemoglobin molecule.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3094	Hemoptysis	Coughing up blood from the respiratory tract.	Hemoptysis		A clinical finding in which blood is coughed up from the lungs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3100	Hepatomegaly	Abnormal enlargement of the liver.	Hepatomegaly		A clinical finding in which the liver is found to be enlarged on abdominal palpation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168249	Herniorrhaphy	The surgical repair of a hernia by approximation of the intact tissues surrounding the defect.	Herniorrhaphy		Surgical repair of a hernia (e.g., inguinal, abdominal).
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168036	High Frequency Heart Sound	A heart sound that can be auscultated only with the diaphragm of the stethoscope.	High frequency		An auscultated finding in which a heart sound is heard only with the diaphragm of the stethoscope.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C67136	High School Completion	Indicates that a person has attended high school and has received a high school diploma.	High school completion		Completed secondary education through 12th or 13th grade as required by the school system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168250	History of Allergic Reaction	A history of any allergic reaction that the patient has had.	Allergic reaction		A hypersensitivity reaction triggered by exposure to a previously encountered foreign substance to which the individual has formed antibodies.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168251	History of Congenital Heart Disease	An abnormality of cardiac structure or function was present at birth.	History of CHD		Any abnormality of cardiac structure or function present at birth.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168252	History of Failure to Gain Weight	A history of less than normal weight gain.	Failure to Gain Weight/Thrive		History of failure to gain weight.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168253	History of Medication	A history of the medication that the patient has taken.	Medications		A drug or substance used to treat a medical condition.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168254	History of Non-Cardiac Surgery	A history of a surgery not involving the heart.	Noncardiac Surgical History		Surgeries or interventions performed in the patient that do not involve the heart, but are commonly seen in patients who have complex congenital heart disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168255	History of Other Non-Cardiac Surgery	An indication that the patient has a history of a non-cardiac surgery other than those listed.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C80397	History of Sudden Cardiac Death	A first-degree relative (parent, sibling, child) documented to have died suddenly of presumed cardiac etiology without other obvious cause.	Sudden cardiac death		Death that occurs unexpectedly, and not within 30 days of an acute MI.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168256	History of Trauma in Chief Complaint	A traumatic event preceded the chief complaint.	History of trauma		Chief complaint is caused by traumatic event.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168257	Hot Bath or Shower	Bathing or showering with water that has an extremely elevated temperature.	Hot bath/shower		Bathing with water that has an extremely elevated temperature.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168258	Hot Weather	Increased ambient temperature. (ACC/AHA)	Hot weather		Increased ambient temperature.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168259	Hyperactive Chest Appearance	Inspection of the region of the anterior surface of the chest and epigastrium reveals a highly or excessively active or hyperkinetic apical impulse.	Hyperactive		Inspection of the region of the anterior surface of the chest and epigastric areas that reveals a highly or excessively active or hyperkinetic apical impulse
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168260	Hypercyanotic Spell	A clinical finding in which a patient has profound cyanosis associated with hyperpnea; classically associated with tetralogy of Fallot. (ACC/AHA)	Hypercyanotic spell		A clinical finding in which a patient has profound cyanosis associated with hyperpnea; classically associated with tetralogy of Fallot.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168261	Hyperdynamic Precordial Palpation Finding	A clinical finding in which palpation of the precordium reveals a hyperkinetic cardiac impulse with increased amplitude and forcefulness. (ACC/AHA)	Hyperdynamic		A clinical finding in which palpation of the precordium reveals a hyperkinetic cardiac impulse with increased amplitude and forcefulness.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168262	Hyperpnea	A clinical finding in which there is deeper breathing than normal. (ACC/AHA)	Hyperpnea		A clinical finding in which there is deeper breathing than normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50590	Hyperventilation	Abnormally prolonged, rapid, and deep breathing.	Hyperventilation		Abnormally prolonged, rapid, and deep breathing.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3128	Hypotension	Blood pressure that is abnormally low.	Hypotension		A condition in which the blood pressure is less than the below the fifth percentile or below 2 standard deviations of the mean for age and sex.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168263	Hypotension due to Cardiac Dysfunction	A condition in which there is hypotension because of inadequate pumping function of the heart. (ACC/AHA)	Hypotension due to cardiac dysfunction		A condition in which there is hypotension because of inadequate pumping function of the heart.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168264	Hypotension due to Drug	A condition in which there is hypotension because of the effects of a medication or other substance. (ACC/AHA)	Hypotension due to drug		A condition in which there is hypotension because of the effects of a medication or other substance.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C93047	Hypoxemia	A finding indicating decreased oxygen levels in the blood.	Hypoxemia		A clinical finding in which the arterial oxygen tension is lower than the normal range.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168265	Illicit Drug Use History	A description of an individual's current and past use of illicit drugs.	Illicit Drug Use		The nonmedical use of chemicals that are prohibited by international law.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168266	Inadequate Daily Caloric Intake	The daily caloric intake is deficient.	Inadequate caloric intake		Deficient caloric intake per day.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168267	Inadequate Daily Fluid Intake	The daily fluid intake is deficient.	Inadequate		Qualitative state of not being sufficient for a specific purpose.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168268	Inadequate Daily Salt Intake	The daily salt intake is deficient.	Inadequate		Qualitative state of not being sufficient for a specific purpose.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168269	Increased Emotional State	A state of mental excitement, characterized by physiological and behavioral changes.	Increased emotional state		A state of mental excitement, characterized by alteration of feeling tone and by physiological and behavioral changes.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168270	Individualized Education Plan	Indicates that a person has been educated through a Individualized education plan in primary and secondary school.	IEP		Individualized education plan in primary and secondary school.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168271	Infective Endocarditis Prophylaxis	The use of antibiotics for the prevention of endocarditis.	Infective Endocarditis Prophylaxis		The giving of antibiotic therapy for the prevention of endocarditis.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168272	Infliximab Given for Kawasaki Disease	An indication that infliximab was given as treatment for Kawasaki disease.	Infliximab		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167454	Innocent Murmur	A clinical finding in which turbulent flow is noted by auscultation that is not associated with any structural cardiac defects. (ACC/AHA)	Innocent murmur		A clinical finding in which turbulent flow is noted by auscultation that is not associated with any structural cardiac defects.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168040	Innocent Pulmonary Systolic Murmur	An innocent murmur with a medium pitched, harsh character heard at the left middle and left upper sternal border that disappears with upright position. (ACC/AHA)	Innocent pulmonary systolic murmur		An innocent murmur with a medium pitched, harsh character heard at the left middle and left upper sternal border that disappears with upright position.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C25735	Inspiration	Taking ambient air into the lungs; breathing in.	Inspiration		The drawing of air into the lungs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36281	Integumentary System Finding	Symptoms, physical examination results, and/or laboratory test results related to the integumentary system.	Dermatological		Normal or abnormal clinical findings related to the skin.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168273	Intercurrent Illness at Onset of Chief Complaint	The presence of any other illnesses at the time the chief complaint was first noted.	Intercurrent Illness Present		Presence of other illnesses at the time the chief complaint started.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168274	Intercurrent Illness is Absent at Onset of Chief Complaint	An indication that the patient was in their usual state of health when the chief complaint was manifested.	No		The patient was in her/his usual state of health when the chief complaint was manifested.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168275	Intercurrent Illness is Present at Onset of Chief Complaint	An indication that the patient was unwell at the time the chief complaint was manifested.	Yes		The patient was unwell at the time the chief complaint was manifested.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168276	Intercurrent Illness is Unknown at Onset of Chief Complaint	An indication that it is not known whether the patient was in their usual state of health when the chief complaint was manifested.	Unknown		Whether the patient experience an intercurrent illness at the time the chief complaint became manifest is unknown.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168277	Intervention for Congenital Heart Disease	The treatment the patient had for congenital heart disease.	Intervention(s)		The treatment the patient had for CHD.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168278	Intervention for Kawasaki Disease	The treatment the patient had for Kawasaki disease.	Intervention for Kawasaki Disease		Whether treatment was given for Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168279	Intervention for Kawasaki Disease Given Beyond Ten Days of Onset of Initial Symptoms	An indication that the patient was given treatment for Kawasaki disease beyond 10 days of the onset of initial symptoms.	>10 days within the onset of initial symptoms		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168280	Intervention for Kawasaki Disease Given Within Ten Days of Onset of Initial Symptoms	An indication that the patient was given treatment for Kawasaki disease within 10 days of the onset of initial symptoms.	<10 days within the onset of initial symptoms		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168082	Intervention for Rheumatic Fever	The type of treatment the patient received for rheumatic fever. (ACC/AHA)	Intervention for Rheumatic Fever		The type of treatment the patient received for rheumatic fever.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168281	Intervention Given for Kawasaki Disease	An indication that the patient was given treatment for Kawasaki disease.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168282	Intervention Not Given for Kawasaki Disease	An indication that the patient was not given treatment for Kawasaki disease.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168283	Interventional Cardiac Catheterization	The performance of cardiac catheterization with the intent of making a modification to the structures of the heart or surrounding vessels.	Interventional catheterization		The performance of a cardiac catheterization with the intent of making a modification to the structures of the heart or surrounding vessels.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168284	Irregular Heart Beat	A clinical finding in which the rhythm of the heart is noted to be abnormal. (ACC/AHA)	Irregular heart beat		A clinical finding in which the rhythm of the heart is noted to be abnormal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C21057	Isometric Exercise	An exercise that is performed by exerting force against an immovable object or by holding an object in a static position.	Isometric countermeasures		Grasping one's hands in the midline and pushing them away from each other with tensed muscles OR leg crossing plus tensing of leg, abdominal, and buttock muscles.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168285	IVIG Given for Kawasaki Disease	An indication that intravenously administered pooled immunoglobulins were given as treatment for Kawasaki disease.	IVIG		Pooled immunoglobulins given parenterally. In Kawasaki disease, given as 2 g/kg of body weight.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34825	Kawasaki Disease	A vasculitis characterized by inflammation of the arteries, particularly the coronary arteries. The vasculitis may lead to aneurysm formation and possibly, heart attacks. It affects young children who usually present with persistent high fever, redness of the mucous membranes of the mouth, redness of the palms and soles, skin rashes, lymphadenitis, and joint pain and swelling.	Kawasaki Disease		Kawasaki disease is an acute self-limited vasculitis of childhood that is characterized by fever, bilateral nonexudative conjunctivitis, erythema of the lips and oral mucosa, changes in the extremities, rash, and cervical lymphadenopathy.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168083	Kawasaki Disease Laboratory Finding	The laboratory findings indicating diagnosis of Kawasaki disease. The criteria for incomplete Kawasaki disease are: 1) Elevated ESR or CRP 2) Sterile pyuria 3) Anemia 4) Decreased albumin 5) Elevated alanine aminotransferase 6) Leukocytosis 7) Thrombocytosis. (ACC/AHA)	Laboratory Findings for Kawasaki Disease		The laboratory findings indicating diagnosis of Kawasaki disease. The criteria for incomplete Kawasaki disease are: 1) Elevated ESR or CRP 2) Sterile pyuria 3) Anemia 4) Decreased albumin 5) Elevated alanine aminotransferase 6) Leukocytosis 7) Thrombocytosis
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168286	Kawasaki Disease Symptom	The symptoms of Kawasaki disease that the patient had. (ACC/AHA)	Symptoms		The symptoms of Kawasaki disease that the patient had.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168287	Kawasaki Disease Symptom Onset Age	The age of the patient when the symptoms of Kawasaki disease were first noted. (ACC/AHA)	Age When First Noted		The age of the patient when the symptoms of Kawasaki disease were first noted.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168288	Kawasaki Disease Symptom Onset Date	The date of the first onset of the symptoms of Kawasaki disease.	Symptom Onset		Date of the first onset of the symptoms of Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168084	Kawasaki Disease-Associated Coronary Artery Aneurysm Z-Score	A classification used to quantify the risk for a coronary artery aneurysm in Kawasaki disease patients. Baseline dimensions of coronary arteries are adjusted for body surface area.	Kawasaki Z-Score Classification		Classification for the size of aneurysm in Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168289	Kawasaki Disease-Associated Coronary Artery Aneurysm Z-Score Suggests Dilatation Only	The Kawasaki disease-associated coronary artery aneurysm Z-score is between 2 and 2.5 mm, or if less than 2 mm on first assessment, then a decrease during follow-up of greater than 1 mm, suggesting dilatation only of the coronary arteries.	Dilatation only		From 2 to 2.5 mm; or if initially less than 2, a decrease in Z score during follow-up greater than or equal to 1
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168290	Kawasaki Disease-Associated Coronary Artery Aneurysm Z-Score Suggests Large or Giant Aneurysm	The Kawasaki disease-associated coronary artery aneurysm Z-score is greater than or equal to 10 mm, or is greater than 8 mm in absolute dimension, suggesting a large or giant aneurysm of the coronary arteries.	Large or giant aneurysm		Greater than or equal to 10, or absolute dimension greater than or equal to 8 mm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168291	Kawasaki Disease-Associated Coronary Artery Aneurysm Z-Score Suggests Medium Aneurysm	The Kawasaki disease-associated coronary artery aneurysm Z-score is greater than or equal to 5 mm but less than 10 mm, and has absolute dimension less than 8 mm, suggesting a medium aneurysm of the coronary arteries.	Medium aneurysm		Greater than or equal to 5 to less than 10 mm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168292	Kawasaki Disease-Associated Coronary Artery Aneurysm Z-Score Suggests No Involvement	The Kawasaki disease-associated coronary artery aneurysm Z-score is always less than 2 mm, suggesting no involvement of the coronary arteries.	No involvement		Always less than 2 mm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168293	Kawasaki Disease-Associated Coronary Artery Aneurysm Z-Score Suggests Small Aneurysm	The Kawasaki disease-associated coronary artery aneurysm Z-score is greater than or equal to 2.5 mm but less than 5 mm, suggesting a small aneurysm of the coronary arteries.	Small aneurysm		Greater than or equal to 2.5 to less than 5 mm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168294	Known Family History of Rheumatic Fever or Rheumatic Heart Disease	An indication that the patient has a family history of rheumatic fever or rheumatic heart disease.	Family history of rheumatic fever/ rheumatic heart disease		The presence of a first-degree family member with a history of rheumatic fever or rheumatic heart disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168295	Known History of Acute Rheumatic Fever or Rheumatic Heart Disease	An indication that the patient has a history of acute rheumatic fever or rheumatic heart disease.	Previous acute rheumatic fever or rheumatic heart disease		Prior history of rheumatic fever or rheumatic heart disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168296	Known History of Alcohol Use	An indication that the patient has a history of alcohol use.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168297	Known History of Allergy to Fish	An indication that the patient has a history of an allergic reaction to fish.	Fish [allergy]		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168298	Known History of Allergy to Medication	An indication that the patient has a history of an allergic reaction to medication.	Medication [allergy]		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168299	Known History of Congenital Heart Disease	An indication that the patient has a history of congenital heart disease.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168300	Known History of Gestational Complication	An indication that the patient's mother had a gestational complication while pregnant with the patient.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168301	Known History of Illicit Drug Use	An indication that the patient has a history of illicit drug use.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168302	Known History of Kawasaki Disease	An indication that the patient has a history of Kawasaki disease.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168303	Known History of Neonatal Complication	An indication that the patient had a neonatal complication during the period around their birth.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168304	Known History of Other Allergy	An indication that the patient has a history of an allergic reaction to an allergen other than those listed.	Others [allergy]		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168305	Known History of Rheumatic Fever	An indication that the patient has a history of rheumatic fever.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168306	Labile Affect	Emotional instability characterized by rapid and dramatic mood swings. (ACC/AHA)	Labile affect		Emotional instability characterized by rapid and dramatic mood swings.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168307	Ladd Procedure	A surgical procedure performed to correct intestinal malrotation via division of the mesenteric (Ladd's) bands and detorsion of the affected segment(s) of the bowel. This procedure often includes appendectomy as the dissection of the bands often causes damage to the appendiceal vessels.	Ladd's or other malrotation procedures		Surgical procedure performed to alleviate intestinal malrotation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168103	Late Diastolic Heart Murmur	A heart murmur that occurs during the last half of the ventricular filling phase. This may or may not extend to the first heart sound.	Late diastolic		A period of time describing the last half of the ventricular filling phase. This may or may not extend to the first heart sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167442	Late Systolic Heart Murmur	A heart murmur that occurs during the last half of the ventricular ejection phase. This may or may not extend to the second heart sound.	Late systolic		A period of time describing the last half of the ventricular ejection phase. This may or may not extend to the second heart sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C78416	Lethargy	Decreased consciousness characterized by mental and physical inertness.	Lethargy		Experience of decreased consciousness characterized by mental and physical inertness.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C51948	Leukocyte Count	A test to determine the number of leukocytes in a sample of blood.	WBC		Concentration of leukocytes in the peripheral blood stream, expressed as WBCs per milliliter of whole blood.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C154511	Light Smoker	A smoker who smokes less than 10 cigarettes per day, or an equivalent quantity of cigar or pipe smoke.	Light tobacco smoker		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84828	Limb-Girdle Muscular Dystrophy	A group of autosomal recessive and less frequently autosomal dominant muscular dystrophies affecting the muscles of the hips and shoulders.	Limb girdle dystrophy		A group of muscular dystrophies due to mutations in a variety of genes, predominantly affecting the proximal muscles of the arms and legs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168308	Lives Alone	An indication that an individual lives alone.	Living alone		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168309	Lives with Aunt	An indication that an individual lives with their aunt.	Lives with aunt		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168310	Lives with Father	An indication that an individual lives with their father.	Lives with father		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168311	Lives with Foster Parent	An indication that an individual lives with their foster parent.	Lives with foster parent		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168312	Lives with Legal Guardian	An indication that an individual lives with a legal guardian other than those listed elsewhere.	Living with legal guardian other than above		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168313	Lives with Mother	An indication that an individual lives with their mother.	Lives with mother		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168314	Lives with Partner or Spouse	An indication that an individual lives with their partner or spouse.	Lives with partner/spouse		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168315	Lives with Sibling	An indication that an individual lives with their sibling.	Lives with sibling		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168316	Lives with Stepfather	An indication that an individual lives with their stepfather.	Lives with step-father		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168317	Lives with Stepmother	An indication that an individual lives with their stepmother.	Lives with step-mother		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168318	Lives with Uncle	An indication that an individual lives with their uncle.	Lives with uncle		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C94852	Living Arrangement	A description of a personal residence and the relationship between the occupants that reside there.	Living Arrangement		Other persons who live with the patient at home.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168319	Location of Chest Pain	The anatomic location of one's chest pain.	Location of Chest Pain		The location of chest pain.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168320	Location of Heart Sound Auscultation	The location on the anterior chest wall where auscultation is undertaken.	Cardiac Examination - Heart Sounds, Location (Including Murmurs)		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168321	Location of Patient Evaluation Prior to Current Chief Complaint	The location of the prior clinical assessment of the patient for the current chief complaint.	Prior Evaluation: Location		Location of the institution where chief complaint was previously evaluated.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168322	Location of Point of Maximum Impulse	The location on the anterior chest wall where the point of maximum impulse is noted.	Cardiac Examination - PMI Type		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168323	Location of Pulse Measurement	The arterial location where palpation of a pulse is performed.	Examination of the Extremities - Pulses, Location		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167488	Location of Radiating Chest Pain	The anatomic location of where one's chest pain radiates.	Radiation of Chest Pain		The part of the body to where the chest pain radiates.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C75006	Loeys-Dietz Syndrome	A rare autosomal dominant syndrome caused by mutations in the TGFBR1 or TGFBR2 genes. It is characterized by vascular abnormalities including aortic and arterial aneurysms, aortic dissection, and tortuosity of the arteries. Other findings include scoliosis, long fingers, and joint hypermobility. Patients with TGFBR1 gene mutations also exhibit hypertelorism, bifid uvula, and early fusion of the skull bones.	Loeys-Dietz syndrome		A genetic syndrome characterized by a rare autosomal dominant syndrome caused by mutations in the TGFBR1 or TGFBR2 genes. It is characterized by aortic dilation and dissection, vascular tortuosity, hypertelorism, bifid uvula, scoliosis, and pectus deformities.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168196	Long Heart Murmur	A heart murmur that occurs for an extended length of time after a valve closure sound.	Long		An extended length of time after a valve closure sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50635	Loss of Consciousness	An inability to purposefully respond to stimuli.	Loss of consciousness		A level of awareness that can be described as consistently not responsive to stimuli.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168069	Loud P2 Heart Sound	An auscultated finding in which the pulmonary valve closure sound is louder than normal. (ACC/AHA)	Loud P2 (pulmonary component) of S2		An auscultated finding in which the pulmonary valve closure sound is louder than normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168061	Loud S1 Heart Sound	An auscultated finding in which the sounds comprising the first heart sound are louder than normal. (ACC/AHA)	Loud S1		An auscultated finding in which the sounds comprising the first heart sound are louder than normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50640	Low Blood Oxygen Saturation	A low level of the degree to which oxygen is bound to hemoglobin given as a percentage calculated by dividing the maximum oxygen capacity into the actual oxygen content and multiplying by 100. Oxygen saturation usually is measured using pulse oximetry.	Desaturation		A clinical finding in which the percentage of filled hemoglobin binding sites for oxygen is lower than the normal level.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168037	Low Frequency Heart Sound	A heart sound that can only be auscultated with the bell of the stethoscope.	Low frequency		An auscultated finding in which a heart sound only with the bell of the stethoscope.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50764	Lymphadenopathy	An enlarged lymph node. Causes include viral and bacterial infections and cancers that affect the lymph nodes.	Lymphadenopathy		A clinical finding indicating that a lymph node is enlarged. The lymphadenopathy of Kawasaki disease is a single anterior cervical lymph node.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168221	Machinery Heart Murmur	A heart murmur that has an auditory quality in which turbulence sounds similar to the workings of an industrial machine.	Machinery		An auditory quality in which turbulence sounds similar to the workings of an industrial machine.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C137915	Magnetic Resonance Imaging of the Heart	Magnetic resonance imaging of the heart.	Cardiac MRI		A noninvasive medical imaging technology using magnetic field and radio waves to evaluate the heart's anatomy and function for detection and monitoring of cardiac diseases.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168041	Mammary Souffle	An innocent murmur with a medium or high pitched, blowing character with continuous flow with systolic accentuation heard over or above the breasts that disappears with compression of the breast tissue. (ACC/AHA)	Mammary souffle		An innocent murmur with a medium or high pitched, blowing character with continuous flow with systolic accentuation heard over or above the breasts that disappears with compression of the breast tissue.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34807	Marfan Syndrome	A genetic syndrome inherited as an autosomal dominant trait. It is caused by mutations in the FBN1 gene. It is characterized by tall stature, elongated extremities, mitral valve prolapse, aortic dilatation, aortic dissection, and subluxation of the lens.	Marfan syndrome		A genetic syndrome inherited as an autosomal dominant trait. It is caused by mutations in the FBN1 gene. It is characterized by tall stature, elongated extremities, mitral valve prolapse, aortic dilatation, aortic dissection, and subluxation of the lens. Diagnosis is made based on the 2010 Revised Ghent Nosology for Marfan syndrome.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C459	Medication	A drug product that contains one or more active and/or inactive ingredients; it is intended to treat, prevent or alleviate the symptoms of disease. This term does not refer to the individual ingredients that make up the product.	Medications		A drug product that contains one or more active and/or inactive ingredients; it is intended to treat, prevent or alleviate the symptoms of disease. This term does not refer to the individual ingredients that make up the product.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168324	Medication for Kawasaki Disease	The medication(s) given to the patient for treatment of Kawasaki disease.	Intervention for Kawasaki Disease, Medications		The medications given to the patient for treatment of Kawasaki disease. If known, dosage should also be indicated.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168325	Medication for Rheumatic Fever	The medication(s) given to the patient for treatment of rheumatic fever.	Medication for Rheumatic Fever		Pharmacological Therapy for Rheumatic Fever
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168326	Medication Not Taken	An indication that the patient has not taken medication.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168327	Medication Taken	An indication that the patient has taken medication.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168038	Medium Frequency Heart Sound	A heart sound that can be auscultated with both the diaphragm and the bell of the stethoscope.	Medium frequency		An auscultated finding in which a heart sound with both the diaphragm and the bell of the stethoscope.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168198	Medium Heart Murmur	A heart murmur that occurs for a medium length of time after a valve closure sound.	Medium		A medium length of time after a valve closure sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3232	Menstruation	The normal physiologic discharge through the vagina of blood and mucosal tissues from the nonpregnant uterus.	Menses		The monthly flow of blood from the female genital tract.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168122	Middiastolic Heart Murmur	A heart murmur that occurs during the middle portion of the ventricular filling phase.	Middiastolic		A period of time describing the middle portion of the ventricular filling phase.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167443	Midsystolic Heart Murmur	A heart murmur that occurs during the middle portion of the ventricular ejection phase.	Midsystolic		A period of time describing the middle portion of the ventricular ejection phase.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168085	Minor Criteria for Rheumatic Heart Disease	The minor symptom criteria for rheumatic heart disease which include fever, arthralgia, elevated erythrocyte sedimentation rate (ESR), elevated C-reactive protein (CRP), elevated white blood cells (WBCs), and prolonged P-R interval.	Minor Criteria for Rheumatic Fever		Minor symptom criteria for rheumatic disease include fever, arthralgia, elevated ESR levels, elevated CRP levels, elevated WBC levels, prolonged PR interval.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168328	Minor Criteria for Rheumatic Heart Disease Not Present	An indication that the minor criteria for rheumatic heart disease are not present.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168329	Minor Criteria for Rheumatic Heart Disease Present	An indication that the minor criteria for rheumatic heart disease are present.	Yes		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C37994	Movement	A change in location or position.	Movement		An act of moving; motion.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C61259	Mucopolysaccharidosis	A group of autosomal recessive or X-linked inherited lysosomal storage disorders affecting the metabolism of mucopolysaccharides, resulting in the accumulation of mucopolysaccharides in the body. Signs and symptoms include organomegaly, intellectual disabilities, abnormal skeletal development, heart disorders, hearing loss, and central nervous system deficiencies.	Mucopolysaccharidosis		A group of autosomal recessive or X-linked inherited lysosomal storage disorders affecting the metabolism of mucopolysaccharides, resulting in the accumulation of mucopolysaccharides in the body. Signs and symptoms include organomegaly, mental developmental delay, abnormal skeletal development, heart disorders, hearing loss, and central nervous system deficiencies.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168222	Multifrequency Heart Murmur	A heart murmur that has an auditory quality in which multiple frequencies are heard either simultaneously or in rapid succession.	Multifrequency		An auditory quality in which multiple frequencies are heard either simultaneously or in rapid succession.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168497	Multiple Congenital Anomalies	The presence of multiple congenital malformations in a patient.	Multiple anomalies		Presence of multiple congenital malformations.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84909	Multiple System Atrophy	A rare neurodegenerative disorder characterized by loss of autonomic nervous system functions and disturbances of motor, balance and muscle coordination.	multiple system atrophy	Shy-Drager syndrome	A condition in which there is neurologic degeneration, postural tachycardia, and muscular rigidity.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168330	Muscular Dystrophies and Storage Diseases Leading to Cardiomyopathy	A muscular dystrophy or storage disease that causes cardiomyopathy.	Other Muscular Dystrophies and Storage Diseases That Lead to Cardiomyopathies		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168331	Muscular Dystrophy Secondary to Mitochondrial Disorder	A muscular dystrophy that was caused by a primary mitochondrial disorder.	Mitochondrial		Muscular dystrophy secondary to a mitochondrial disorder.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168332	Muscular Dystrophy Secondary to Oxidative Phosphorylation Disorder	A muscular dystrophy that was caused by a primary disorder of oxidative phosphorylation.	Ox/Phos		Muscular dystrophy secondary to a genetic defect that interferes with oxidative phosphorylation frequently associated with severe neurologic abnormalities.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168333	Musculoskeletal Chest Pain due to Costochondral Junction Syndrome	A condition in which there is musculoskeletal chest pain associated with localized inflammation of one or more joints between the rib and the costal cartilage. (ACC/AHA)	Musculoskeletal chest pain due to costochondral junction syndrome	Tietze	A condition in which there is musculoskeletal chest pain associated with localized inflammation of at greater than or equal to 1 joints between the rib and the costal cartilage.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168334	Musculoskeletal Chest Pain due to Costochondritis	A condition in which there is musculoskeletal chest pain associated with inflammation of one or more ribs and/or cartilages. (ACC/AHA)	Musculoskeletal chest pain due to costochondritis		A condition in which there is musculoskeletal chest pain associated with inflammation of greater than or equal to 1 ribs and/or cartilages.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168045	Musculoskeletal Chest Pain due to Epidemic Myalgia	A condition in which there is myositis secondary to an infectious etiology. (ACC/AHA)	Musculoskeletal chest pain due to epidemic myalgia	Musculoskeletal chest pain due to Bornholm Disease || Musculoskeletal chest pain due to Enterovirus || Musculoskeletal chest pain due to epidemic pleurodynia	A condition in which there is myositis secondary to an infectious etiology.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168335	Musculoskeletal Chest Pain due to Intercostal Myofascial Injury	A condition in which there is musculoskeletal chest pain secondary to trauma to the connective tissues between the ribs. (ACC/AHA)	Musculoskeletal chest pain due to intercostal myofascial injury		A condition in which there is musculoskeletal chest pain secondary to trauma to the connective tissues between the ribs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167456	Musculoskeletal Chest Pain due to Myositis	A condition in which there is musculoskeletal chest pain secondary to inflammation of the muscle tissue. (ACC/AHA)	Musculoskeletal chest pain due to myositis		A condition in which there is musculoskeletal chest pain secondary to inflammation of the muscle tissue.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168336	Musculoskeletal Chest Pain due to Rib Injury	A condition in which there is musculoskeletal chest pain secondary to trauma to one or more ribs. (ACC/AHA)	Musculoskeletal chest pain due to rib injury		A condition in which there is musculoskeletal chest pain secondary to trauma to greater than or equal to 1 ribs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168337	Musculoskeletal Chest Pain due to Slipping Rib Syndrome	A condition in which there is musculoskeletal chest pain associated with one or more ribs subluxing from the joint. (ACC/AHA)	Musculoskeletal chest pain due to slipping rib syndrome		A condition in which there is musculoskeletal chest pain associated with greater than or equal to 1 ribs subluxing from the joint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168338	Musculoskeletal Chest Pain due to Sternal Injury	A condition in which there is musculoskeletal chest pain secondary to trauma to the sternum. (ACC/AHA)	Musculoskeletal chest pain due to sternal injury		A condition in which there is musculoskeletal chest pain secondary to trauma to the sternum.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C110937	Musculoskeletal Finding	Symptoms, physical examination results, and/or laboratory rest results related to the muscles and bones.	Musculoskeletal		Normal or abnormal findings related to the musculoskeletal system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C27996	Myocardial Infarction	Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area, as in coronary thrombosis.	MI		Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area, as in coronary thrombosis.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C101216	Myopathy	A non-neoplastic disorder that affects the muscles. Representative examples include muscular dystrophy, metabolic myopathies, muscular atrophies, and dermatomyositis.	Myopathy		A nontraumatic and nonneoplastic disease of the muscles.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168339	Myopathy Secondary to Fatty Acid Oxidation Disorder	A myopathy that was caused by a primary disorder of fatty acid oxidation.	Fatty acid oxidation disorder		Myopathy secondary to a genetic defect in fatty acid metabolism.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168340	Myopathy Secondary to Glycogen Storage Disorder	A myopathy that was caused by a primary disorder of glycogen storage.	Glycogen storage disorder		Myopathy secondary to glycogen accumulation related to an enzymatic deficiency or absence.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84914	Myotonic Dystrophy	An inherited progressive disorder affecting the muscles. It is characterized by muscle wasting and hypotonia, cataracts, heart conduction defects and endocrinopathies.	Myotonic dystrophy		An inherited progressive disorder affecting the muscles.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C70906	Myringotomy with Ear Tube Placement	A surgical procedure where an incision is made through the eardrum, and a plastic or metal tube is inserted.	Bilateral myringotomies with tube placement		Also known as placement of pressure equalization tubes, used for treatment of chronic or recurrent otitis media.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3258	Nausea	Upper abdominal discomfort associated with an urge to vomit.	Nausea		The sensation that one is about to vomit.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168498	Neonatal Complication	A difficulty or problem that occurs at or just after delivery of an infant that can jeopardize the health of the infant.	Neonatal Complications		A problem that occurs at or just after delivery of an infant that can jeopardize the health of the infant.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36280	Nervous System Finding	Symptoms, physical examination results, and/or laboratory test results related to the nervous system.	Neurologic		Normal or abnormal findings related to the nervous system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C170885	Neurogenic Orthostatic Hypotension	Orthostatic hypotension due to autonomic dysfunction. Primary neurogenic orthostatic hypotension (nOH) may be associated with disorders such as Parkinson disease (PD) and multiple system atrophy (MSA) whereas secondary nOH may be seen in peripheral neuropathies.	Neurogenic orthostatic hypotension		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C65108	Never Smoker	A person who has never smoked at the time of the interview or has smoked less than 100 cigarettes in their life.	Never smoker		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168341	No Abdominal Bruit	An indication that auscultation of the major arteries of the abdomen demonstrates an absence of vascular sounds.	No abdominal bruits		A clinical finding in which there is absence of vascular sounds heard over major arteries in the abdomen.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168342	No Alleviating Factor to Chief Complaint	An indication that the chief complaint was not lessened or improved by another factor.	None		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168343	No Exacerbating Factor to Chief Complaint	An indication that the chief complaint was not worsened by another factor.	None		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168344	No History of Congenital Heart Disease	An indication that the patient does not have a history of congenital heart disease.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168345	No History of Gestational Complication	An indication that the patient's mother did not have a gestational complication while pregnant with the patient.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168346	No History of Kawasaki Disease	An indication that the patient does not have a history of a Kawasaki disease.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168347	No History of Myopathy	An indication that the patient does not have a history of myopathy.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168348	No History of Neonatal Complication	An indication that the patient did not have a neonatal complication during the period around their birth.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168349	No History of Non-Cardiac Surgery	An indication that the patient does not have a history of a surgery not involving the heart.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168350	No History of Other Muscular Dystrophy or Glycogen Storage Disorder	An indication that the patient does not have a history of a muscular dystrophy or storage disorder other than those listed.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168351	No History of Rheumatic Fever	An indication that the patient does not have a history of rheumatic fever.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168352	No Known History of Alcohol Use	An indication that the patient does not have a history of alcohol use.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168353	No Known History of Allergy	An indication that the patient does not have a history of an allergic reaction.	None [allergy]		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168354	No Known History of Illicit Drug Use	An indication that the patient does not have a history of illicit drug use.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167478	No Radiating Chest Pain	An indication that the chest pain dose not radiate.	None		The chest pain does not radiate.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168355	No Response to Intervention for Kawasaki Disease	An indication that a patient did not respond to a treatment for Kawasaki disease.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168356	No Sequelae of Intervention for Kawasaki Disease	An indication that no sequelae were noted following treatment for Kawasaki disease.	None		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168357	No Signs and Symptoms Associated with Chief Complaint	An indication that no signs or symptoms associated with the chief complaint are present.	None		No associated symptoms/signs present.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C78504	Non-Cardiac Chest Pain	Pain in the chest unrelated to a heart disorder.	Noncardiac chest pain		A condition in which there is chest pain that is not due to a cardiac etiology.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168224	Nonspecific Heart Murmur	A heart murmur that has an auditory quality in which there are no recognizable characteristics to describe the turbulent sound.	Nonspecific		An auditory quality in which there are no recognizable characteristics to describe the turbulent sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C257	Nonsteroidal Antiinflammatory Drug	A pharmacological agent that is not a steroid and has potential anti-inflammatory, analgesic, antipyretic and anti-platelet activities. Most nonsteroidal anti-inflammatory drugs (NSAIDs) act by inhibiting the conversion of arachidonic acid to the precursors of prostaglandin and thromboxane by cyclooxygenase enzymes.	NSAID medications		A medication from the category of the NSAIDs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34854	Noonan Syndrome	A genetic syndrome caused by mutations in the PTPN11 gene (over 50% of the cases) or less frequently mutations in the SOS1, RAF1, or KRAS genes. It is characterized by short stature, webbed neck, hypertelorism, low-set ears, deafness, and thrombocytopenia or abnormal platelet function.	Noonan syndrome		A genetic syndrome caused by mutations in the PTPN11 gene (greater than 50% of the cases) or less frequently mutations in the SOS1, RAF1, or KRAS genes. It is characterized by short stature, webbed neck, hypertelorism, low-set ears, deafness, and thrombocytopenia or abnormal platelet function.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168358	Normal Abdomen on Palpation	An indication that palpation of the abdomen demonstrates no organomegaly or masses found.	Normal		A clinical finding in which there is no organomegaly or masses found on palpating the abdomen.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168359	Normal Abdomen on Visual Inspection	An indication that there are no abnormal findings on visual inspection of the abdomen.	Normal		A clinical finding in which there are no abnormal findings on visual inspection of the abdomen.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168360	Normal Appearance of Extremities	An indication that the extremities demonstrate no anomalies on visual inspection.	Normal		A clinical finding in which the extremities demonstrate no anomalies of appearance or color.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168361	Normal Blood Oxygen Saturation	A measure of level of the degree to which oxygen is bound to hemoglobin is in the normal range.	Normal saturation		A clinical finding in which the percentage of filled hemoglobin binding sites for oxygen is within the normal range.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168362	Normal Capillary Refill Time	A clinical finding in which a capillary nail refill test returns to pink color in less than 2 seconds after pressure is removed.	Normal		A clinical finding in which a capillary nail refill test returns to pink color in less than 2 seconds after pressure is removed.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168363	Normal Chest Appearance	Inspection of the region of the anterior surface of the chest and epigastrium reveals a normally shaped thorax, free from any infection, other form of disease or malformation or asymmetry; and a point of maximal impulse (apical impulse) that is a single outward impulse, usually located inside the mid clavicular point at the fifth intercostal space.	Normal		Inspection of the region of the anterior surface of the chest and epigastric areas that reveals a normally shaped thorax, free from any infection, other form of disease or malformation or asymmetry; and a point of maximal impulse (apical impulse) that is a single outward impulse, usually located inside the mid clavicular point at the intercostal space 5.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168088	Normal Male External Genitalia	An indication that on visual inspection the male external genitalia demonstrate no anomalies or abnormal findings.	Normal		A clinical finding in which the male external genitalia demonstrate no anomalies or abnormal findings on visual inspection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168364	Normal Point of Maximum Impulse	A clinical finding in which the point of maximum impulse is located in the midclavicular line, fifth intercostal space.	Normal		A clinical finding in which the PMI is located in the midclavicular line, fifth intercostal space.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168365	Normal Precordial Palpation Finding	A clinical finding in which palpation of the chest wall anterior to the heart reveals normal location and characteristic of the right ventricular and apical impulses without other palpable impulses. (ACC/AHA)	Normal		A clinical finding in which palpation of the chest wall anterior to the heart reveals normal location and characteristic of the right ventricular and apical impulses without other palpable impulses.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C74593	Normal Skin	The pores are visible but not large. The skin texture is neither fine or thick and it neither feels dry or oily to the touch.	Normal		A clinical description of the skin in which there is appropriate color and perfusion.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168062	Normal Split S1 Heart Sound	An auscultated finding in which there is appropriate splitting between the closure sounds of the atrioventricular valve.	Normally split S1		Auscultated finding in which there is appropriate splitting between the closure sounds of the atrioventricular valve.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168070	Normal Split S2 Heart Sound	An auscultated finding in which the semilunar valve closure sounds occur close together without occurring simultaneously and vary with respiration. (ACC/AHA)	Normally split S2		An auscultated finding in which the semilunar valve closure sounds occur close together without occurring simultaneously and vary with respiration.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168366	Noxious Stimulus	Hurtful, injurious, or pernicious action that produces a reaction in a receptor or tissue.	Noxious stimulus		Hurtful, injurious, pernicious agent that produces a reaction in a receptor or tissue.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34857	Numbness	A loss of the sensation of feeling in an area of the body.	Numbness		The loss of the sensation of feeling in an area of the body.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168367	Onset of Chief Complaint	The time period when the chief complaint first occurred.	Chief Complaint - Onset		Time interval from onset/recognition of "chief complaint" to present
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168023	Opening Snap	An auscultated finding describing a crisp, sharp sound that can be heard in the midprecordial location, caused by thickening and deformity of the atrioventricular valve. (ACC/AHA)	Opening snap		An auscultated finding describing a crisp, sharp sound that can be heard in the midprecordial location, caused by thickening and deformity of the atrioventricular valve.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C84973	Orthostatic Intolerance	A condition characterized by development of symptoms while standing. It is an autonomic nervous system disorder and the symptoms are relieved once the person sits back down. Symptoms include heart palpitations, sweating, anxiety, lightheadedness, hyperpnea, anxiety, and blurred vision.	Orthostatic intolerance		A condition in which there is the presence of greater than or equal to 1 symptoms (e.g., dizziness, lightheadedness, nausea, dyspnea, vision change) occurring specifically when assuming or maintaining upright position and resolving in the seated or supine position.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26837	Osteogenesis Imperfecta	A group of usually autosomal dominant inherited disorders characterized by defective synthesis of collagen type I resulting in defective collagen formation. It is characterized by brittle and easily fractured bones.	Osteogenesis imperfecta		A group of usually autosomal dominant inherited disorders characterized by defective synthesis of collagen type I resulting in defective collagen formation. It is characterized by brittle and easily fractured bones.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168368	Other Abnormal Cardiac Study	A history of having had an abnormal finding during a cardiac study other than those listed.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168369	Other Chief Complaint	An indication that the primary reason for a patient visit to a healthcare provider is other than those listed.	Others		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168370	Other Common Clinical Findings Noted During the Evaluation for Cardiac Disease	Other clinical findings noted during the patient's evaluation for cardiac disease.	Other Common Clinical Findings Noted During the Evaluation for Cardiac Disease		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168371	Other Exacerbating Factor to Chief Complaint	An indication that the chief complaint was worsened by another factor other than those listed.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168372	Other Extremity Blood Pressure Measurement	The arterial blood pressure as measured from any extremity other than the right arm.	Vital Signs - Other Extremity Blood Pressure		A measurement that describes the pressure of the circulating blood against the walls of the blood vessels. Measurement is taken from extremities other than the right arm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168373	Other Family History of Heart Disease	A history of a first-degree relative with diagnosed with a heart disease other than those listed.	Others		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168374	Other Frequency of Chief Complaint	The chief complaint is noted to occur at a frequency other than those listed.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168375	Other Genetic Syndrome Associated with Congenital Heart Defect	An indication that the patient has a history of a genetic syndrome associated with a congenital heart defect other than those listed.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168376	Other Medication Given for Kawasaki Disease	An indication that other non-listed medications were given as treatment for Kawasaki disease.	Other		Includes ticlopidine, clopidogrel, abciximab, steroids, infliximab.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168377	Other Medication Given for Rheumatic Fever	An indication that other non-listed medications were given as treatment for rheumatic fever.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168378	Other Presenting Finding of Congenital Heart Disease	An indication that the patient had a presenting finding of congenital heart disease other than those listed.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C60832	Oxygen Saturation Measurement	The measurement of the ratio of oxygenated hemoglobin to total hemoglobin in the blood.	Vital Signs - Oxygen Saturation		A measurement that describes the determination of oxygen-hemoglobin saturation of blood.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3303	Pain	The sensation of discomfort, distress, or agony, resulting from the stimulation of specialized nerve endings.	Pain		A feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168379	Pain in Epigastrium	The location of the pain is in the upper and middle region of the abdomen, located within the sternal angle.	Epigastrium		The upper and middle region of the abdomen, located within the sternal angle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168380	Palatorrhaphy	The surgical repair of a cleft palate by approximation of the intact tissues surrounding the defect.	Cleft palate repair		Surgery to repair a cleft palate.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168381	Pallid Breath Holding	A clinical condition in which there is a breath-holding spell associated with pale appearance. (ACC/AHA)	Pallid breath-holding spell		A clinical condition in which there is a breath-holding spell associated with pale appearance.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50685	Pallor	An unusual or extreme paleness, state of decreased skin or mucosal coloration.	Pallor		A clinical finding in which there appears to be a loss of color and/or perfusion, or a white appearance.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C16950	Palpation	A method of feeling with the hands during a physical examination. The health care provider touches and feels the patient's body to examine the size, consistency, texture, location and tenderness of an organ or body part.	Palpation		The act of feeling with the hand.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C37999	Palpitation	An unpleasant sensation of irregular and/or forceful beating of the heart.	Palpitations		A clinical historical feature in which there is the sensation of the heart beating abnormally in rate, rhythm, or force.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167444	Pansystolic Heart Murmur	A heart murmur that occurs during the entire systolic interval, from the first to second heart sounds.	Pansystolic/holosystolic		A length of time occupying the entire systolic interval, from first to second heart sounds.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C75562	Part Time Employment	Employment involving less than the standard or customary working time.	Part-time		Employment involving less than the standard or customary working time.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168382	Pathologic Murmur	A clinical finding in which turbulent flow is noted by auscultation that is associated with a structural cardiac defect. (ACC/AHA)	Pathologic murmur		A clinical finding in which turbulent flow is noted by auscultation that is associated with a structural cardiac defect.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168383	Patient was Not Previously Evaluated for Current Chief Complaint	An indication that the patient was not previously clinically assessed for the same chief complaint.	No		The patient has not undergone previous subspecialty evaluation for the same chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168384	Patient was Previously Evaluated for Current Chief Complaint	An indication that the patient was previously clinically assessed for the same chief complaint.	Yes		The patient has undergone previous subspecialty evaluation for the same chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168385	Pectus Carinatum	A clinical finding in which there is protuberance of the sternum visible on examination of the chest. (ACC/AHA)	Pectus carinatum		A clinical finding in which there is protuberance of the sternum visible on examination of the chest.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168386	Pectus Excavatum	A clinical finding in which there is depression of the sternum visible on examination of the chest. (ACC/AHA)	Pectus excavatum		A clinical finding in which there is depression of the sternum visible on examination of the chest.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168387	Pedal Spasm	A spasmodic contraction of the muscles of the feet, especially the ankles, such as during alkalosis or tetany. (ACC/AHA)	Pedal spasm		A spasmodic contraction of the muscles of the feet, especially the ankles, such as during alkalosis or tetany.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168388	Penicillin Given for Rheumatic Fever	An indication that penicillin was given as treatment for rheumatic fever.	Penicillin		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168024	Pericardial Knock	An auscultated finding describing an early diastolic banging sound associated with pericardial constriction. (ACC/AHA)	Knock		An auscultated finding describing an early diastolic banging sound associated with pericardial constriction.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168025	Pericardial Rub	An auscultated finding describing high or medium pitched and scratchy sound, generated by inflammation of the pericardial sac. (ACC/AHA)	Rub		An auscultated finding describing high or medium pitched and scratchy sound, generated by inflammation of the pericardial sac.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168389	Periodicity of Chief Complaint	The regular interval of time when the chief complaint recurs.	Chief Complaint - Periodicity		Recurrence at regular intervals of time of the chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C20989	Physical Examination	A systemic evaluation of the body and its functions using visual inspection, palpation, percussion and auscultation. The purpose is to determine the presence or absence of physical signs of disease or abnormality for an individual's health assessment.	General Examination		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168042	Physiologic Pulmonary Artery Stenosis Murmur	An innocent murmur with a medium or high pitched, blowing character heard at the left middle sternal border that can also be heard at the same volume across the precordium and back that does not disappear with maneuvers but is only heard in infants less than six months of age. (ACC/AHA)	Physiologic pulmonary artery stenosis		An innocent murmur with a medium or high pitched, blowing character heard at the left middle sternal border that can also be heard at the same volume across the precordium and back that does not disappear with maneuvers but is only heard in infants less than 6 mo of age.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C51951	Platelet Count	The determination of the number of platelets in a blood sample, usually expressed as platelets per cubic millimeter (cmm) of whole blood.	Platelet count		The determination of the number of platelets in a blood sample, usually expressed as platelets per milliliter of whole blood.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168089	Point of Maximum Impulse	A clinical finding demonstrating the pulsation associated with the contraction of the systemic ventricle. Typically associated with the apex of the heart. (ACC/AHA)	PMI		A clinical finding demonstrating the pulsation associated with the contraction of the systemic ventricle. Typically associated with the apex of the heart.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26996	Polyarticular Arthritis	An arthritis affecting five or more separate joints.	Polyarthritis		Type of arthritis that involves greater than or equal to 5 joints simultaneously, and usually associated with autoimmune conditions.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C87111	Poor Feeding	Occurs either when an infant shows no interest in feeding or when there is an inability to take in adequate nutrition. Poor feeding is a nonspecific symptom of many disorders, including neurological, genetic, structural, metabolic, and infectious diseases.	Poor feeding		A clinical finding in which a patient does not or is not able to take in food in normal amounts.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168390	Poorly Perfused	A clinical condition in which there is insufficient blood flow to the core or to the extremities. (ACC/AHA)	Poorly perfused		A clinical condition in which there is insufficient blood flow to the core or to the extremities.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C114097	Post Term Birth	Birth at greater than or equal to 42 weeks and 0 days.	Postterm		Gestation lasts greater than or equal to 42 wk.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C12826	Posterior Tibial Artery	A terminal branch of the popliteal artery that runs along the tibia from the lower portion of the popliteus muscle to the lower ankle with numerous branches supplying the lower leg and foot.	Posterior tibial		The artery of the foot that supplies the posterior and lateral compartment of the leg whose pulses can be palpated as it passes behind the medial malleolus of the ankle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168391	Postictal Confusion	A period of confusion following a seizure in which the patient does not respond appropriately despite appearing awake.	Postictal confusion		Period of confusion post seizure in which the patient does not respond appropriately although appearing "awake."
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C85020	Postural Orthostatic Tachycardia Syndrome	A syndrome characterized by orthostatic intolerance resulting in tachycardia, often accompanied by a decrease in the blood pressure. It occurs when individuals change from the supine position to an upright position. Other signs and symptoms include lightheadedness, fainting, fatigue and muscle weakness.	Postural orthostatic tachycardia syndrome		A type of chronic orthostatic intolerance lasting greater than or equal to 3 months associated with excessive upright tachycardia in the absence of orthostatic hypotension, plus a constellation of typically daily symptoms that may include lightheadedness, dizziness, nausea, dyspnea, diaphoresis, headache, fatigue and other symptoms of autonomic dysfunction. Excessive tachycardia is defined by present consensus as a heart rate increase of at least 30 beats/min in adults (40 beats/min for adolescents), or a heart rate greater than 120 beats/ min, within 10 min of upright tilt table testing.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168392	Precordial Catch Syndrome	A condition in which there is musculoskeletal chest pain characterized by brief, sharp discomfort associated with inspiration. (ACC/AHA)	Musculoskeletal chest pain: idiopathic/precordial catch syndrome	Texidor's twinge	A condition in which there is musculoskeletal chest pain characterized by brief, sharp discomfort associated with inspiration.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168393	Precordial Palpation	Palpation of the part of the chest wall that is located anterior to the heart. (ACC/AHA)	Cardiac Examination - Precordium, Palpation		Palpation of the part of the chest wall that is located anterior to the heart.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168394	Precordial Palpation Finding of Lift or Heave	A clinical finding in which there is an abnormally increased and sustained systolic pulsation found on palpation of the chest wall over the heart, including over a ventricle or the pulmonary artery area. This is typically associated with increased blood volume or pressure in the associated chamber. (ACC/AHA)	Lift or heave		A clinical finding in which there is an abnormally increased and sustained systolic pulsation found on palpation of the chest wall over the heart, including over a ventricle or the pulmonary artery area. This is typically associated with increased blood volume or pressure in the associated chamber.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168395	Precordial Palpation Finding of Palpable Heart Sound	A clinical finding in which a heart sound is felt during palpation of the chest wall. (ACC/AHA)	Palpable heart sound		A clinical finding in which a heart sound is felt during palpation of the chest wall.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168396	Precordial Palpation Finding of Tap	A clinical finding in which there is an abnormally increased and localized brief pulsation found on palpation of the chest wall over the heart, typically associated with ventricular hypertrophy or increased intraventricular pressure. (ACC/AHA)	Tap		A clinical finding in which there is an abnormally increased and localized brief pulsation found on palpation of the chest wall over the heart, typically associated with ventricular hypertrophy or increased intraventricular pressure.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168397	Precordial Palpation Finding of Thrill	A clinical finding in which humming vibration; accompanying a loud, harsh or rumbling murmur felt during palpation of the precordium or over the blood vessels. (ACC/AHA)	Thrill		A clinical finding in which humming vibration; accompanying a loud, harsh or rumbling murmur felt during palpation of the precordium or over the blood vessels.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168398	Presenting Finding of Congenital Heart Disease	The presenting findings of congenital heart disease in the patient.	Presenting Finding		The presenting findings of CHD.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C25195	Pressure	The force applied to a unit area of surface.	Pressure		Continuous physical force exerted on an object by something in contact with it.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168501	Pressure Chest Pain	The sensation of chest pain described as an object creating physical force.	Pressure Pain		A sensation of an object creating physical force.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C92861	Preterm Birth	Birth when a fetus is less than 37 weeks and 0 days gestational age.	Preterm		Gestation that is less than 37 wks. and 0 days' gestational age.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168399	Previous Therapies at Patient Evaluation Prior to Current Chief Complaint	The previous therapies given at the prior clinical assessment of the patient for the current chief complaint.	Prior Evaluation: Previous Therapies		Treatment recommendations from previous evaluation of the chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168400	Primary Pulmonary Hypertension	Pulmonary hypertension that is not caused by any other disease or condition.	Primary pulmonary hypertension		Type of pulmonary hypertension that is not caused by any other disease or condition.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168401	Prior Patient Evaluation for Current Chief Complaint	A prior clinical assessment of the patient for the current chief complaint.	Prior Evaluation		In clinical medicine, assessment of the patient for the purposes of forming a diagnosis and plan of treatment, before the current chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168402	Prolonged Standing	The state of being in an upright position continuing for a time greater than what would be considered normal. (ACC/AHA)	Prolonged standing		The state of being in an upright position continuing for a time greater than what would be considered normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168403	Protuberant Abdomen	An indication that there is unusual or prominent convexity of the abdomen on visual inspection.	Protuberant		A clinical finding in which there is unusual or prominent convexity of the abdomen on visual inspection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168404	Psychiatric Finding	Symptoms, physical examination results, and/or laboratory test results related to mental health.	Psychiatric		Normal or abnormal findings related to mental health.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167457	Psychogenic Musculoskeletal Chest Pain	A condition in which there is the sensation of musculoskeletal chest pain due to a conversion disorder. (ACC/AHA)	Musculoskeletal chest pain: psychogenic		A condition in which there is the sensation of musculoskeletal chest pain due to a conversion disorder.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168046	Psychogenic Musculoskeletal Chest Pain with Dysfunctional Breathing	A condition in which there is musculoskeletal chest pain associated with inappropriate hyperpnea or tachypnea. (ACC/AHA)	Musculoskeletal chest pain: psychogenic with dysfunctional breathing	Musculoskeletal chest pain: psychogenic with hyperventilation	A condition in which there is musculoskeletal chest pain associated with inappropriate hyperpnea or tachypnea.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168405	Psychogenic Syncope	A condition in which syncope occurs due to a conversion disorder. (ACC/AHA)	Psychogenic syncope		A condition in which syncope occurs due to a conversion disorder.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3120	Pulmonary Hypertension	Increased pressure within the pulmonary circulation due to lung or heart disorder.	Pulmonary Hypertension		Increased pressure within the pulmonary circulation due to lung or heart disorder.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168406	Pulse Wave Absent	A clinical finding in which palpation of a pulse demonstrates no upstroke or amplitude. (ACC/AHA)	0 (absent)		A clinical finding in which palpation of a pulse demonstrates no upstroke or amplitude.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168407	Pulse Wave Amplitude Measurement	The measurement a pulse wave's amplitude by palpation.	Examination of the Extremities - Pulses, Amplitude		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168408	Pulse Wave Decreased	A clinical finding in which palpation of a pulse demonstrates a diminished upstroke and/or amplitude. (ACC/AHA)	1+ (decreased)		A clinical finding in which palpation of a pulse demonstrates a diminished upstroke and/or amplitude.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168409	Pulse Wave Increased	A clinical finding in which palpation of the pulse demonstrates a significantly increased upstroke and/or amplitude. (ACC/AHA)	3+ (increased)		A clinical finding in which palpation of the pulse demonstrates a significantly increased upstroke and/or amplitude.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168410	Pulse Wave Markedly Increased	A clinical finding in which palpation of the pulse demonstrates a significantly increased upstroke, amplitude, and rapid decay. (ACC/AHA)	4+ (water hammer or markedly increased)		A clinical finding in which palpation of the pulse demonstrates a significantly increased upstroke, amplitude, and rapid decay.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168411	Pulse Wave Normal	A clinical finding in which palpation of the pulse demonstrates appropriate upstroke, amplitude, and decay. (ACC/AHA)	2+ (normal)		A clinical finding in which palpation of the pulse demonstrates appropriate upstroke, amplitude, and decay.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168412	Quality of Chest Pain	The characteristics of chest pain as described by the patient. (ACC/AHA)	Quality of Chest Pain		The characteristics of chest pain as described by the patient.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168413	Quality of Palpitations	The characteristics of the palpitations as described by the patient. (ACC/AHA)	Quality of Palpitations		The characteristics of the palpitations as described by the patient.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168414	Racing Heartbeats	The sensation of an abnormally rapid heart rate. (AHA/CC)	Racing heartbeats		The sensation of an abnormally rapid heart rate.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C12838	Radial Artery	The branch of the brachial artery that passes down the forearm.	Radial		The artery of the lower arm that supplies muscles of lateral portions of both the anterior and posterior compartment of the forearm, lateral aspect of the wrist, skin of the dorsum hand and proximal portions of digits, and deep muscles of pain whose pulsations can be palpated on the flexor surface of the wrist laterally.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168415	Radial-Femoral Lag	A delay between the upstroke of the right radial pulse and a femoral pulse who presence indicates coarctation of the aorta.	Examination of Extremities - Radial-Femoral Lag		Delay between the upstroke of the right radial pulse and a femoral pulse. Presence indicates coarctation of the aorta.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168416	Radial-Femoral Lag Absent	An indication that a radial-femoral lag is not present.	Absent		A radial-femoral lag (or brachial-femoral lag or delay) is not present.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168417	Radial-Femoral Lag Present	An indication that a radial-femoral lag is present.	Present		A radial-femoral lag (or brachial-femoral lag or delay) is a finding on physical examination when palpation of both the radial and femoral pulses on one side of the body at the same time, reveals a delay, suggesting the presence of coarctation of the aorta.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167479	Radiating Chest Pain Along Anterior Axillary Line	The location of the radiating chest pain is along an imaginary vertical line that descends along the lateral aspect of the chest wall originating from the armpit.	Anterior axillary line		Location is along an imaginary vertical line that descends along the lateral aspect of the chest wall originating from the armpit.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168047	Radiating Chest Pain Along Left Anterior Axillary Line	The location of the radiating chest pain is along the left anterior axillary line.	Radiating Chest Pain Along Left Anterior Axillary Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168051	Radiating Chest Pain Along Left Lower Sternal Border	The location of the radiating chest pain is along the left lower sternal border.	Radiating Chest Pain Along Left Lower Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168049	Radiating Chest Pain Along Left Midclavicular Line	The location of the radiating chest pain is along the left midclavicular line.	Radiating Chest Pain Along Left Midclavicular Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168052	Radiating Chest Pain Along Left Middle Sternal Border	The location of the radiating chest pain is along the left middle sternal border.	Radiating Chest Pain Along Left Middle Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168053	Radiating Chest Pain Along Left Upper Sternal Border	The location of the radiating chest pain is along the left upper sternal border.	Radiating Chest Pain Along Left Upper Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167480	Radiating Chest Pain Along Midclavicular Line	The location of the radiating chest pain is along an imaginary vertical line on the chest originating from the midpoint of a clavicle.	Midclavicular line		Location is along an imaginary vertical line on the chest originating from the midpoint of a clavicle.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168048	Radiating Chest Pain Along Right Anterior Axillary Line	The location of the radiating chest pain is along the right anterior axillary line.	Radiating Chest Pain Along Right Anterior Axillary Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168054	Radiating Chest Pain Along Right Lower Sternal Border	The location of the radiating chest pain is along the right lower sternal border.	Radiating Chest Pain Along Right Lower Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168050	Radiating Chest Pain Along Right Midclavicular Line	The location of the radiating chest pain is along the right midclavicular line.	Radiating Chest Pain Along Right Midclavicular Line		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168055	Radiating Chest Pain Along Right Middle Sternal Border	The location of the radiating chest pain is along the right middle sternal border.	Radiating Chest Pain Along Right Middle Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168056	Radiating Chest Pain Along Right Upper Sternal Border	The location of the radiating chest pain is along the right upper sternal border.	Radiating Chest Pain Along Right Upper Sternal Border		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167481	Radiating Chest Pain Along Sternal Border	The location of the radiating chest pain is along the lateral edge of the sternum.	Sternal Border		Location is along the lateral edge of the sternum.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167482	Radiating Chest Pain in Abdomen	The location of the radiating chest pain is in the abdomen.	Abdomen		The chest pain radiates to the abdomen.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167483	Radiating Chest Pain in Back	The location of the radiating chest pain is in the back.	Back		The chest pain radiates to the back.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167484	Radiating Chest Pain in Left Arm	The location of the radiating chest pain is in the left arm.	Left arm		The chest pain radiates to the left arm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168057	Radiating Chest Pain in Lower Sternum	The location of the radiating chest pain is in the lower portion of the sternum.	Radiating Chest Pain in Lower Sternum		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168058	Radiating Chest Pain in Mid Sternum	The location of the radiating chest pain is in the middle portion of the sternum.	Radiating Chest Pain in Mid Sternum		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167485	Radiating Chest Pain in Neck	The location of the radiating chest pain is in the neck.	Neck		The chest pain radiates to the neck.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167486	Radiating Chest Pain in Sternum	The location of the radiating chest pain is in the middle of the anterior wall of the thorax, bounded by the clavicles, above, and with the cartilages of the first seven ribs, along the sides.	Sternum		Location is in the middle of the anterior wall of the thorax, bounded by the clavicles, above, and with the cartilages of the first seven ribs, along the sides.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168059	Radiating Chest Pain in Upper Sternum	The location of the radiating chest pain is in the upper portion of the sternum.	Radiating Chest Pain in Upper Sternum		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167487	Radiating Chest Pain to Other Location	An indication that the chest pain radiates to a location other than those listed.	Other		The chest pain radiates to an area not specified.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C38155	Recurrent Disease	The return of a disease after a period of remission.	Relapse		The return of a disease after a period of remission.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168418	Relapse Following Intervention for Kawasaki Disease	An indication that there was a relapse following treatment for Kawasaki disease.	Relapse		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168419	Resolution of Findings Following Intervention for Kawasaki Disease	An indication that findings were resolved following treatment for Kawasaki disease.	Resolution of findings		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C27165	Respiratory Distress	A pathological increase in the effort and frequency of breathing movements.	Respiratory distress		A pathological increase in the effort and frequency of breathing movements.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C49678	Respiratory Rate	The rate of breathing (inhalation and exhalation) measured within in a unit time, usually expressed as breaths per minute.	Vital Signs - Respiratory Rate		A measurement that describes the rate of breathing (inhalation and exhalation) measured within a unit time.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C45233	Respiratory System Finding	Symptoms, physical examination results, and/or laboratory test results related to the respiratory system.	Respiratory		Normal or abnormal findings related to the respiratory system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168420	Response to Intervention for Kawasaki Disease	The patient's response to treatment of Kawasaki disease. (ACC/AHA)	Intervention for Kawasaki Disease, Response		The patient's response to treatment of Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C28185	Resting	Freedom from activity.	Rest		Repose after exertion.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168421	Retreatment Following Intervention for Kawasaki Disease	An indication that retreatment was required following initial treatment for Kawasaki disease.	Retreatment		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168063	Reverse Split S1 Heart Sound	An auscultated finding in which the tricuspid valve closure sound occurs before the mitral closure sound. (ACC/AHA)	Reverse split S1		An auscultated finding in which the tricuspid valve closure sound occurs before the mitral closure sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168071	Reverse Split S2 Heart Sound	An auscultated finding in which the pulmonic valve closure sound occurs prior to the aortic valve closure sound. (ACC/AHA)	Reverse split S2		An auscultated finding in which the pulmonic valve closure sound occurs prior to the aortic valve closure sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C95618	Review of Systems	A comprehensive assessment of a patient, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body systems.	Review of Systems		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C34984	Rheumatic Fever	An inflammatory disorder that follows infection with group A streptococcus. It affects the heart, joints, and subcutaneous tissues. It manifests with pericarditis, heart murmur, congestive heart failure, polyarthritis, subcutaneous nodules, and erythema marginatum. It is characterized by the formation of granulomatous lesions called Aschoff bodies usually in the heart tissue.	Rheumatic Fever		An inflammatory disorder that follows infection with group A streptococcus. It affects the heart, joints, and subcutaneous tissues. It is manifested with pericarditis, heart murmur, congestive heart failure, polyarthritis, subcutaneous nodules, and erythema marginatum.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168422	Rheumatic Fever Symptom	The symptoms of rheumatic fever that the patient had. (ACC/AHA)	Symptoms		The symptoms of rheumatic fever that the patient had.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168423	Rheumatic Fever Symptom Onset Age	The age of the patient when the symptoms of rheumatic fever were first noted.	Age When First Symptoms Occurred		The age of the patient when first symptoms of rheumatic fever occurred.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168424	Rheumatic Fever Symptom Onset Date	The date of the first onset of the symptoms of rheumatic fever.	Onset		Date of the first onset of rheumatic fever.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168425	Rheumatological Finding	Symptoms, physical examination results, and/or laboratory test results related to diseases and disorders of the connective tissues.	Rheumatological		Normal or abnormal findings related to diseases and disorders of the connective tissues.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168426	Right Arm Blood Pressure Measurement	The arterial blood pressure as measured from the right arm.	Vital Signs - RABP		A measurement that describes the pressure of the circulating blood against the walls of the blood vessels. Measurement is taken from the right arm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167489	S1 Heart Sound	An auscultated finding describing the heart sound that occurs with ventricular systole and is produced mainly by closure of the atrioventricular valves, signifying the first heart sound. (ACC/AHA)	S1		An auscultated finding describing the heart sound that occurs with ventricular systole and is produced mainly by closure of the atrioventricular valves, signifying the first heart sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168427	S1 Heart Sound Type	The type of S1 heart sound that is auscultated.	Cardiac Examination - Heart Sounds, S1 Types		An auscultated finding describing the heart sound that occurs with ventricular systole and is produced mainly by closure of the atrioventricular valves, signifying the first heart sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167490	S2 Heart Sound	An auscultated finding describing the heart sound that signifies the beginning of diastole and is caused by closure of the semilunar valves, signifying the second heart sound. (ACC/AHA)	S2		An auscultated finding describing the heart sound that signifies the beginning of diastole and is caused by closure of the semilunar valves, signifying the second heart sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168428	S2 Heart Sound Type	The type of S2 heart sound that is auscultated.	Cardiac Examination - Heart Sounds, S2 Types		An auscultated finding describing the heart sound that signifies the beginning of diastole and is caused by closure of the semilunar valves, signifying the second heart sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C61455	S3 Gallop	A finding which can be heard on auscultation of the heart in the setting of congestive heart failure. The sound of the S3 gallop, which immediately follows the second heart sound (S2) is thought to be produced by the sound of blood flowing into a noncompliant ventricle.	S3		An auscultated finding describing a low-frequency sound that follows A2 in early diastole and corresponds with the first phase of rapid ventricular filling, signifying the third heart sound. It is normal in children and young adults, but abnormal in others.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168026	S4 Heart Sound	An auscultated finding that describes a low-frequency sound, heard late in diastole just before S1, caused by forceful atrial contractions, signifying the fourth heart sound. It is typically abnormal, except in highly trained athletes and the elderly. (ACC/AHA)	S4		An auscultated finding that describes a low-frequency sound, heard late in diastole just before S1, caused by forceful atrial contractions, signifying the fourth heart sound. It is typically abnormal, except in highly trained athletes and the elderly.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168429	Scaphoid Abdomen	An indication that the anterior abdominal wall is sunken or has a concave appearance on visual inspection.	Scaphoid		A clinical finding in which the anterior abdominal wall is sunken or has a concave appearance on visual inspection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168430	Secondary Pulmonary Hypertension	Pulmonary hypertension that is caused by an underlying condition.	Secondary pulmonary hypertension		Type of pulmonary hypertension that is caused by an underlying condition.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C2962	Seizure	Sudden, involuntary skeletal muscular contractions of cerebral or brain stem origin.	Seizure		Sudden, involuntary skeletal muscular contractions of cerebral or brain stem origin.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168431	Sequelae of Intervention for Kawasaki Disease	The sequelae of treatment given for Kawasaki disease.	Intervention for Kawasaki Disease, Sequelae		Outcomes or findings after treatment of Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168432	Severity of Chief Complaint	The intensity of the chief complaint perceived by the patient.	Chief Complaint - Severity		The intensity of the chief complaint as perceived by the patient.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C170927	Severity of Chief Complaint Based on Infant FLACC Scale	The intensity of the chief complaint perceived by the patient as rated using the Facial expression, Leg movement, Activity, Cry, and Consolability (FLACC) scale (Merkel SI, Voepel-Lewis T, Shayevitz JR, et al. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997;23:293-722).	Chief Complaint Severity - Infant Behavioral FLACC Scale		0-10 point scale based in caregiver's observation of infant's behavior.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C170925	Severity of Chief Complaint Based on Verbal 0-10 Scale	The intensity of the chief complaint perceived by the patient as rated using a verbal scale from 0 to 10.	Chief Complaint Severity - Verbal 0-10 Scale		Verbal 0-10 Scale as appropriate patient's developmental stage.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C170926	Severity of Chief Complaint Based on Wong-Baker Scale	The intensity of the chief complaint perceived by the patient as rated using the Wong-Baker Scale (Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs. 1988;14:9-17).	Chief Complaint Severity - Wong-Baker FACES Scale		5- point visual analog scale as appropriate for patient's developmental stage.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168506	Sharp Chest Pain	The sensation of chest pain described as a stabbing feeling.	Sharp Pain		A sensation of a stabbing feeling.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168199	Short Heart Murmur	A heart murmur that occurs for a brief length of time after a valve closure sound.	Short		A brief length of time after onset of a valve closure sound.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C25204	Sibling	A person's brother or sister.	Siblings		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168433	Signs and Symptoms Associated with Chief Complaint	The signs and symptoms present with the chief complaint.	Associated Symptoms		Symptoms and signs present with the chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168434	Simple Breath Holding	A clinical condition in which there is a breath-holding spell without syncope. (ACC/AHA)	Simple breath-holding spell		A clinical condition in which there is a breath-holding spell without syncope.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168064	Single S1 Heart Sound	An auscultated finding in which the atrioventricular valve closure sounds occur so close together as to sound single. (ACC/AHA)	Single S1		An auscultated finding in which the atrioventricular valve closure sounds occur so close together as to sound single.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168072	Single S2 Heart Sound	An auscultated finding in which the semilunar valve closure sounds occur simultaneously. (ACC/AHA)	Single S2		An auscultated finding in which the semilunar valve closure sounds occur simultaneously.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168435	Situational Syncope	A condition in which neurally-mediated syncope occurs due to a specific circumstance, such as micturition, defecation, coughing, or traction of the hair. (ACC/AHA)	Situational syncope		A condition in which neurally mediated syncope occurs due to a specific circumstance, such as micturition, defecation, coughing, or traction of the hair.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168436	Skin Examination	An assessment of the skin via physical examination.	Skin Examination		Examination of the skin on physical examination.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C39594	Skin Rash	Any change in the skin which affects its appearance or texture. A rash may be localized to one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, dry, cracked or blistered, swell and may be painful.	Rash		Any change in the skin which affects its appearance or texture. A rash may be localized to one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, dry, cracked, or blistered, swell and may be painful.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168437	Skipped Heartbeats	The sensation of an isolated cardiac contraction occurring prior to the normal or regular rhythm. (ACC/AHA)	Skipped/early heartbeats		The sensation of an isolated cardiac contraction occurring prior to the normal or regular rhythm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3376	Sleep Disorder	A change from the patient's baseline sleeping pattern, in the hours slept and/or an alteration/dysfunction in the stages of sleep.	Sleep disturbance		An interruption, departure, or divergence from that which is considered normal in sleep.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C67150	Smoker, Current Status Unknown	Indicates a person who is known to have smoked but whose current smoking status is unknown.	Smoker, current status unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C81292	Social History	Past events that occurred between individuals and/or their communities.	Social History		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168065	Soft S1 Heart Sound	An auscultated finding in which the sounds comprising the first heart sound are quieter than normal. (ACC/AHA)	Soft S1		An auscultated finding in which the sounds comprising the first heart sound are quieter than normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C157986	Spinal Fusion	Fusing two or more vertebrae into one.	Spinal fusion		Surgical procedure in which greater than or equal to 1 parts of the spine are joined together.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3384	Splenomegaly	Abnormal enlargement of the spleen.	Splenomegaly		A clinical finding in which the spleen is found to be enlarged on abdominal palpation.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168225	Squeaky Heart Murmur	A heart murmur that has an auditory quality in which the turbulence is brief and noted with the diaphragm of the stethoscope only.	Squeaky		An auditory quality in which the turbulence is brief and noted with the diaphragm of the stethoscope only.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C66914	Stable Angina	Angina pectoris which has not recently changed in frequency, duration or intensity. Stable angina pectoris is relieved by rest or administration or oral, sublingual or transdermal antianginal medications.	Stable angina		A condition in which there is angina pectoris that occurs predictably with increasing amounts of stress or activity, resolves with cessation of activity, and has been present for greater than or equal to 4 wks.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168438	Startle	A quick involuntary movement in response to an alarm, surprise, or fright.	Startle		To make a quick involuntary movement as in alarm, surprise, or fright.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C94488	Stature	The height of a person while standing.	Vital Signs - Height		A measurement that describes the vertical measurement or distance from the base, or bottom, of the patient, to the top of the patient; this can be taken as the dimension of extension of a patient who cannot stand.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168439	Sterile Pyuria	The presence of leukocytes in the urine without evidence of an infection. (ACC/AHA)	Sterile pyuria		The presence of leukocytes in the urine without evidence of an infection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168440	Sternotomy Scar	Replacement of destroyed tissue by fibrous tissue due to a surgical procedure where a vertical inline incision is made along the sternum, after which the sternum itself is divided. (ACC/AHA)	Sternotomy scar		Replacement of destroyed tissue by fibrous tissue due to a surgical procedure where a vertical inline incision is made along the sternum, after which the sternum itself is divided.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168441	Steroids Given for Kawasaki Disease	An indication that steroids were given as treatment for Kawasaki disease.	Steroids		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168442	Steroids Given for Rheumatic Fever	An indication that steroids were given as treatment for rheumatic fever.	Steroids		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168043	Still's Murmur	An innocent murmur with a medium pitched, vibratory character heard at the apex, left lower sternal border, left middle sternal border, and right upper sternal border that disappears or becomes quieter and localizes to the left lower sternal border on upright position. (ACC/AHA)	Still's murmur		An innocent murmur with a medium pitched, vibratory character heard at the apex, left lower sternal border, left middle sternal border, and right upper sternal border that disappears or becomes quieter and localizes to the left lower sternal border on upright position.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C81003	Stooping	The act of bending one's back forward from the waist on down.	Leaning forward		Tilting the upper body so that the head and chest extends beyond the waist.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168443	Strawberry Tongue	A pathological finding in which inflammation, hyperemia and enlarged papillae of the dorsum of the tongue resemble a strawberry. It may be seen in variety of bacterial and viral disorders, and in non-infectious disorders such as Kawasaki disease.	Strawberry tongue		The pathological finding of the tongue in which the tongue has an appearance of a strawberry.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C154225	Stretching	A physical exercise in which a specific muscle or tendon is deliberately flexed or stretched in order to improve the muscle's elasticity.	Stretching		An activity that elongates shortened soft-tissue structures and thereby increases flexibility.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C78632	Stridor	A symptom resulting from laryngeal obstruction. It is characterized by a high pitched breathing sound.	Stridor		A clinical finding in which there is loud or harsh inspiratory noise associated with obstruction of the upper airway.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C39618	Subcutaneous Nodule	A small palpable mass in the subcutaneous tissues.	Subcutaneous nodules		Firm lump under the skin.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168027	Summation Gallop	An auscultated finding in which S3 and S4 fuse, during tachycardia or a prolonged PR interval or both. (ACC/AHA)	Summation gallop		An auscultated finding in which S3 and S4 fuse, during tachycardia or a prolonged PR interval or both.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C62167	Supine Position	A posterior recumbent body position whereby the person lies on its back and faces upward.	Supine position		Lying with the face upward or on the dorsal surface.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168444	Surgery for Rheumatic Fever	A surgical procedure performed as part of the treatment for the sequelae of rheumatic fever.	Surgery for Rheumatic Fever		Surgical Intervention for Rheumatic Fever
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C94738	Swimming	The act of propelling the body through water by movement of the arms and/or legs.	Swimming		Propel the body through the water by using the limbs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168445	Sydenham Chorea	A neurologic disorder characterized by smooth involuntary, uncoordinated movements affecting especially the hands, feet, and face. (ACC/AHA)	Sydenham's chorea		A neurologic disorder characterized by smooth involuntary, uncoordinated movements affecting especially the hands, feet, and face.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168446	Symmetric Chest Appearance	Inspection of the region of the anterior surface of the chest and epigastrium reveals an approximate correspondence of form and constituent configuration on opposite sides of a vertical central dividing line.	Symmetric		Inspection of the region of the anterior surface of the chest and epigastric areas that reveals an approximate correspondence of form and constituent configuration on opposite sides of a vertical central dividing line.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168447	Symptomatic Presentation	A clinical description in which a patient demonstrates evidence of more than one clinical finding suggestive of underlying pathology. (ACC/AHA)	Symptomatic		A clinical description in which a patient demonstrates evidence of greater than or equal to 1 clinical finding suggestive of underlying pathology.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C35053	Syncope	A spontaneous loss of consciousness caused by insufficient blood supply to the brain.	Syncope		Sudden loss of consciousness with loss of postural tone, not related to anesthesia with spontaneous recovery as reported by patient or observer. Patient may experience syncope when supine.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168448	Syncope due to Acquired Heart Lesion	A condition in which syncope occurs due to a disease process of the heart with which the patient was not born. (ACC/AHA)	Syncope due to acquired heart lesion		A condition in which syncope occurs due to a disease process of the heart with which the patient was not born.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168449	Syncope due to Congenital Heart Lesion	A condition in which syncope occurs due to a disease process of the heart with which the patient was born. (ACC/AHA)	Syncope due to congenital heart lesion		A condition in which syncope occurs due to a disease process of the heart with which the patient was born.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168450	Syncope due to Migraine	A condition in which syncope occurs associated with the occurrence of cerebral vasospasm. (ACC/AHA)	Syncope due to migraine		A condition in which syncope occurs associated with the occurrence of cerebral vasospasm.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168451	Syncope due to Pulmonary Hypertension	A condition in which syncope occurs associated with a sudden and severe increase in pulmonary vascular resistance. (ACC/AHA)	Syncope due to pulmonary hypertension		A condition in which syncope occurs associated with a sudden and severe increase in pulmonary vascular resistance.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168452	Syncope with Exertion	A condition in which syncope occurs either during or after physical activity. (ACC/AHA)	Syncope with exertion		A condition in which syncope occurs either during or after physical activity.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168028	Systolic Click	An auscultated finding describing a sharp, high-frequency sound heard during auscultation of the thorax caused by valvular prolapse or stenosis. (ACC/AHA)	Systolic click		An auscultated finding describing a sharp, high-frequency sound heard during auscultation of the thorax caused by valvar prolapse or stenosis.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C167437	Systolic Heart Murmur	A heart murmur that occurs during ventricular ejection, while the semilunar valves are open.	Systolic		The phase of time during ventricular ejection in which the semilunar valve(s) are open.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168029	Systolic Whoop	An auscultated finding describing a loud musical or sonorous vibratory systolic murmur that may be heard in patients with atrioventricular valve prolapse. (ACC/AHA)	Whoop		An auscultated finding describing a loud musical or sonorous vibratory systolic murmur that may be heard in patients with atrioventricular valve prolapse.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168212	Systolic-Diastolic Heart Murmur	An accentuated heart murmur that occurs during both ventricular ejection and ventricular filling phases.	To and fro or systolic-diastolic murmur		An auscultated finding associated with the accentuation of a heart murmur during both ventricular ejection and ventricular filling phases.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50767	Tachypnea	Abnormal increase of rate of breathing.	Tachypnea		A clinical finding in which there is rapid breathing.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168517	Tearing Chest Pain	The sensation of chest pain described as a sharp, lacerating, intense, discomfort; sometimes used to describe the pain felt during an aortic dissection.	Tearing Pain		A sensation of a sharp, lacerating, intense, discomfort, sometimes used to describe the pain felt during an aortic dissection.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C114093	Term Birth	Birth at greater than or equal to 37 weeks using best estimated due date.	Term		Gestation is greater than or equal to 37 wks. using best estimated due date.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168453	Tests Performed at Patient Evaluation Prior to Current Chief Complaint	The studies performed during the prior clinical assessment of the patient for the current chief complaint.	Prior Evaluation: Tests Performed		Tests performed as part of the previous evaluation of chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168454	Thoracotomy Scar	Replacement of destroyed tissue by fibrous tissue due to a surgical procedure where an incision was made into the chest wall to the left or to the right of the midline.	Thoracotomy scar		Replacement of destroyed tissue by fibrous tissue due to a surgical procedure where an incision (cut) was made into the chest wall to the left or to the right of the midline.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168455	Time of Day of Chief Complaint	The time of day when the chief complaint occurs.	Chief Complaint - Time of Day		The time of day the chief complaint typically occurs.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168456	Timing of Intervention for Kawasaki Disease	The timing of the treatment given to the patient from the onset of the initial symptoms of Kawasaki disease.	Intervention for Kawasaki Disease, Timing		The timing of treatment given to patient from the onset of the initial symptoms of Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C50771	Tingling	A sensation as of repetitive pin pricks, caused by cold or by striking a nerve, or as a result of various diseases of the central or peripheral nervous system.	Tingling		A sensation as of repetitive pin pricks, caused by cold or by striking a nerve, or because of various diseases of the central or peripheral nervous system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C29719	Tobacco Smoking History	A record of an individual's background in regard to smoking tobacco. This would include such factors as start date, end date (if applicable), number of cigarette smoked, attempts to quit, and others.	Tobacco Use		Current or previous use of any tobacco product including cigarettes, cigars, pipes, and chewing tobacco. (Captured as smoking status.)
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168457	Tongue Biting	Clamping of the teeth on the tongue, as can accompany a seizure. (ACC/AHA)	Tongue-biting		Clamping of the teeth on the tongue, as can accompany a seizure.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C51679	Tonsillectomy	Surgical removal of the tonsils.	Tonsillectomy		Surgical removal of the tonsils.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36529	Trisomy 13	A chromosomal abnormality characterized by the presence of three copies of genetic material for chromosome 13, instead of the normal two. It leads to a variety of abnormalities that include mental retardation, microcephaly, low-set ears, eye structural defects, polydactyly, and limb abnormalities.	Trisomy-13		A chromosomal abnormality consisting of the presence of part or all of a third copy of chromosome 13 in somatic cells.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C36626	Trisomy 18	A chromosomal abnormality consisting of the presence of a third copy of chromosome 18 in somatic cells.	Trisomy-18		A chromosomal abnormality consisting of the presence of part of all of a third copy of chromosome 18 in somatic cells.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C43224	Trisomy 21	A chromosomal abnormality consisting of the presence of a third copy of chromosome 21 in somatic cells.	Trisomy-21		A chromosomal abnormality consisting of the presence of part or all of a third copy of chromosome 21 in somatic cells.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C3424	Tuberous Sclerosis	Hereditary disease characterized by seizures, mental retardation, developmental delay, and skin and ocular lesions. First signs usually occur during infancy or childhood but in rare cases may not occur until 2nd or 3rd decade.	Tuberous sclerosis		Hereditary disease characterized by seizures, intracerebral tumors, cardiac tumors, developmental delay, and skin and ocular lesions.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C26900	Turner Syndrome	A gonadal dysgenesis syndrome occurring in phenotypic females, characterized by the absence of a part or all of one of the sex chromosomes. Signs and symptoms include short stature, webbing of neck, low-set ears, hypogonadism, and sterility.	Turner syndrome		A chromosomal abnormality occurring in phenotypic females, characterized by the absence of a part or all of one of the sex chromosomes.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168458	Type of Response to Intervention for Kawasaki Disease	The type of response noted after treatment was given for Kawasaki disease.	Intervention for Kawasaki Disease, Type of Response		The type of treatment patient received for Kawasaki disease.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C12839	Ulnar Artery	A terminal branch of the brachial artery arising just below the elbow that runs along the ulna into the wrist with numerous branches supplying the forearm, wrist and hand.	Ulnar		The artery of the lower arm that supplies the medial part of the anterior compartment of the forearm, wrist and hand, the superficial structures of the central palm and most of the palmar and distal dorsal aspects of the fingers, whose pulse can be palpated on the flexor surface of the wrist medially.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C75563	Unemployment	The state of not having a job.	No		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168459	Unknow if Medication Taken	An indication that it is unknown whether the patient has taken medication.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168460	Unknown Daily Caloric Intake	The daily caloric intake is unknown.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168461	Unknown Daily Fluid Intake	The daily fluid intake is unknown.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168462	Unknown Daily Salt Intake	The daily salt intake is unknown.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168463	Unknown Family History Cardiovascular Disease or Cardiovascular Disease Risk Factors	An indication that the patient has a unknown family history of cardiovascular disease or cardiovascular disease risk factors.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168464	Unknown History of Alcohol Use	An indication that it is unknown whether the patient has a history of alcohol use.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168465	Unknown History of Allergy	An indication that it is unknown whether the patient has a history of an allergic reaction.	Unknown [allergy]		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168466	Unknown History of Congenital Heart Disease	An indication that it is unknown whether the patient has a history of congenital heart disease.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168467	Unknown History of Gestational Complication	An indication that it is unknown whether the patient's mother had a gestational complication while pregnant with the patient.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168468	Unknown History of Illicit Drug Use	An indication that it is unknown whether the patient has a history of illicit drug use.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168469	Unknown History of Kawasaki Disease	An indication that it is unknown whether the patient has a history of Kawasaki disease.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168470	Unknown History of Myopathy	An indication that it is unknown whether the patient has a history of myopathy.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168471	Unknown History of Neonatal Complication	An indication that it is unknown whether the patient had a neonatal complication during the period around their birth.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168472	Unknown History of Non-Cardiac Surgery	An indication that it is unknown whether the patient has a history of a surgery not involving the heart.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168473	Unknown History of Other Muscular Dystrophy or Glycogen Storage Disorder	An indication that it is unknown whether the patient has a history of a muscular dystrophy or storage disorder other than those listed.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168474	Unknown History of Rheumatic Fever	An indication that it is unknown whether the patient has a history of rheumatic fever.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168475	Unknown if Caffeine Consumption is Routine	An indication that it is unknown whether the patient consumes caffeine on a regular basis.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168476	Unknown if Chief Complaint Caused by Trauma	An indication that it is unknown whether the chief complaint was caused by a traumatic event.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168477	Unknown if Chief Complaint was Witnessed	An indication that it is unknown whether the chief complaint was witnessed.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C67151	Unknown If Ever Smoked	Indicates that a person's smoking status is unknown.	Unknown if ever smoked		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168478	Unknown if Has Sibling	An indication that it is unknown whether an individual has a sibling.	Other		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168479	Unknown if Patient Has Genetic Syndrome Associated with Congenital Heart Defect	An indication that it is unknown whether the patient has a history of a genetic syndrome associated with a congenital heart defect.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168480	Unknown if Patient was Previously Evaluated for Current Chief Complaint	An indication that it is not known whether the patient was previously clinically assessed for the same chief complaint.	Unknown		It is unknown if the patient has undergone previous subspecialty evaluation for the same chief complaint.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168481	Unknown when Chief Complaint Present	The time of day that the chief complaint occurs is not known.	Unknown		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C66911	Unstable Angina	Angina pectoris (or equivalent type of ischemic discomfort) which has recently changed in frequency, duration, intensity, or occurs at rest.	Unstable angina		A condition in which there is angina pectoris that occurs without stress or activity, or with decreasing stress or activity compared with stable angina, and has been present for less than 2 wks.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C78497	Urinary Incontinence	Involuntary passage of urine outside the body.	Bladder incontinence		Inability to control the flow of urine from the bladder.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C25744	Urination	The discharge of urine.	Micturition		Urination, the act of emptying the bladder of urine.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C99105	VACTERL Association	An association of congenital birth defects that includes vertebral abnormalities, anal atresia, cardiac abnormalities, tracheo-esophageal fistula, renal abnormalities, and limb abnormalities.	VACTERL association		An association of congenital birth defects that includes vertebral abnormalities, anal atresia, cardiac abnormalities, tracheo-esophageal fistula, renal abnormalities, and limb abnormalities.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168093	Valve Replacement	Surgery performed with the purpose of replacing a degenerated, calcified, malformed, dysfunctional, etc. cardiac valve with a bioprosthetic, homograft, or autograft valve.	Valve replacement		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C66915	Variant Angina	A variant form of angina pectoris caused by coronary artery vasospasm, usually occurring spontaneously and frequently associated with ST segment elevation.	Prinzmetal angina		A condition in which there is angina pectoris due to spasm of the coronary artery.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168482	Vasodepressor Syncope	A condition in which neurally-mediated syncope occurs in which the blood pressure falls and the heart rate increases. (ACC/AHA)	Vasodepressor syncope		A condition in which neurally mediated syncope occurs in which the blood pressure falls and the heart rate increases.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C35120	Vasovagal Syncope	An autonomic reflex response to emotional or orthostatic stress, which is characterized by paradoxical hypotension and bradycardia.	Neurally mediated/neurocardiogenic syncope		A condition in which syncope occurs due to a brief imbalance of the autonomic nervous system.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168044	Venous Hum	An innocent murmur with a medium pitched, blowing character with diastolic accentuation heard at the right or left upper sternal border that disappears with jugular venous compression or supine position. (ACC/AHA)	Venous hum		An innocent murmur with a medium pitched, blowing character with diastolic accentuation heard at the right or left upper sternal border that disappears with jugular venous compression or supine position.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168483	Ventriculoperitoneal Shunt Placement	A therapeutic procedure that involves the placement of a tube in one of the ventricles of the brain to allow for drainage of cerebrospinal fluid (CSF) into the peritoneal cavity. It is used to relieve hydrocephalus.	Ventriculoperitoneal shunt		Surgical procedure in which a tube is placed in one of the ventricles of the brain and whose other end is placed in the abdomen to relieve hydrocephalus
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168228	Vibratory Heart Murmur	A heart murmur that has an auditory quality with a distinct groaning, croaking, buzzing or twanging.	Vibratory		An auditory quality with a distinct groaning, croaking, buzzing or twanging quality.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C49672	Vital Signs Measurement	The act of assessing an individual's current temperature, heart rate, respiratory rate, pulse oxygenation, and blood pressure.	Vital Signs		
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168484	Well Perfused	A clinical finding in which there is sufficient blood flow to the core and extremities. (ACC/AHA)	Well perfused		A clinical finding in which there is sufficient blood flow to the core and extremities.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C78718	Wheezing	A symptom and a finding during physical examination, characterized by a high-pitched, whistling sound during breathing. It results from the narrowing or obstruction of the respiratory airways. The most common causes of wheezing are asthma, chronic obstructive pulmonary disease, tracheobronchitis, and pulmonary edema.	Wheezing		A clinical finding in which there is a raspy high-pitched whistling sound noted on expiration or inspiration associated with obstruction of the lower airways.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168073	Widely Split S2 Heart Sound	An auscultated finding in which the semilunar valve closure sounds occur further apart in time than normal. (ACC/AHA)	Widely split S2		An auscultated finding in which the semilunar valve closure sounds occur further apart in time than normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168066	Widened S1 Heart Sound	An auscultated finding in which the mitral and tricuspid closure sounds are wider apart in time than normal. (ACC/AHA)	Widened S1		An auscultated finding in which the mitral and tricuspid closure sounds are wider apart in time than normal.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C85232	Williams Syndrome	A rare syndrome caused by multiple gene deletions from a region of chromosome 7, including the deletion of CLIP2, ELN, GTF2I, GTF2IRD1 and LIMK1 genes. It is characterized by distinctive facial appearance (elfin facies), mild-to-moderate mental retardation, cheerfulness, cardiovascular abnormalities and infantile hypercalcemia.	Williams syndrome		A genetic syndrome caused by multiple gene deletions from a region of chromosome 7, including the deletion of CLIP2, ELN, GTF2I, GTF2IRD1, and LIMK1 genes. It is characterized by distinctive facial appearance (elfin facies), mild-to-moderate mental developmental delay, cheerfulness, cardiovascular abnormalities and infantile hypercalcemia.
C167409	ACC/AHA Pediatric and Congenital Cardiology EHR Terminology	C168485	Witnessing of Chief Complaint	A witness was present when chief complaint was noted by patient.	Witnessed		Chief complaint witnessed or seen by bystander.