Crosswalk

Revisions to 0938-1011 Carotid Artery Stenting Data Entry Form
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Action to be
performed

Changes to the Data Entry Form

Reason for the Change

Data entry
form

Remove 10 data elements

Remove: last name, first name, gender, patient has
angina, patient has contralateral occlusion, CHF class,
lesion location, location of stent, location of lesion within
carotid, device manufacturer

These data elements are not collected

Revisions to 0938-1011 Carotid Artery Stenting Data Collection Elements
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Action to be
performed
Add “facility” before
“Provider number”
Add “Patient’s” before
“Medicare ID number”
Add “Patient’s” before
“Date of birth”
Delete “1=yes, 2=no”
and replace with “Y/N”
Delete “1=yes, 2=no”
and replace with “Y/N”
Delete “1=yes, 2=no”
and replace with “Y/N”
Delete “1=yes, 2=no”
and replace with “Y/N”
Delete “Missing or
invalid data”

Changes to the Data Collection Elements

Reason for the Change

Change “Provider number” to “Facility provider
number”
Change “Medicare ID number” to “Patient’s
Medicare ID number”
Change “Date of birth” to “Patient’s date of birth”

To accurately reflect the terminology
used on the form
To accurately reflect the terminology
used on the form
To accurately reflect the terminology
used on the form
To accurately reflect the terminology
used on the form
To accurately reflect the terminology
used on the form
To accurately reflect the terminology
used on the form
To accurately reflect the terminology
used on the form
This field is present in the collection
form but not part of the data
collection. It is used by the contractor
who processes submitted forms to
annotate missing or invalid data in
submitted forms.

Change “1=yes, 2=no” to “Y/N”
Change “1=yes, 2=no” to “Y/N”
Change “1=yes, 2=no” to “Y/N”
Change “1=yes, 2=no” to “Y/N”
Remove element from list

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