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Person—peripheral vascular disease indicator (foot), code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termPeripheral vascular disease in feet (status)
METeOR identifier:Help on this term302459
Registration status:Help on this termHealth, Standard 21/09/2005
Definition:Help on this term

Whether peripheral vascular disease is present in either foot, as represented by a code.

Data Element Concept:Person—peripheral vascular disease indicator (foot)

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
Supplementary values:Help on this term
9Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

CODE 9    Not stated/inadequately described

This code is not for use in primary data collections.

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

CODE 1   Yes
Record if peripheral vascular disease is present in either foot.

CODE 2   No
Record if peripheral vascular disease is not present in either foot.

Collection methods:Help on this term

If it is mild, peripheral vascular disease can be completely without symptoms. However, compromised blood supply in the long term could cause claudication (pain in the calf after walking for a distance or up an incline or stairs), rest pain or vascular ulceration.

Physical examination is necessary to assess the peripheral vascular circulation. Purplish colour and cold temperature of feet are indications to suspect that the circulation may be impaired.

Palpate pulses:

The simplest method to estimate blood flow and to detect ischaemia to the lower extremities is palpation of the foot pulses (posterior tibial and dorsalis pedis arteries) in both feet. Note whether pulses are present or absent. If pulses in the foot can be clearly felt, the risk of foot ulceration due to vascular disease is small.

Test capillary return:

A helpful confirmation sign of arterial insufficiency is pallor of the involved feet after 1 - 2 min of elevation if venous filling time is delayed beyond the normal limit of 15 sec.

Doppler probe:

If pulses cannot be palpated, apply a small hand-held Doppler, placed over the dorsalis pedis or posterior tibial arteries to detect pulses, quantify the vascular supply and listen to the quality of the signal.

When the foot pulses are very weak or not palpable, the risk assessment could be completed by measuring the ankle brachial index (ankle pressure/ brachial pressure). Normal ankle brachial index is 0.9 - 1.2. An ankle brachial index less than 0.6 indicates compromised peripheral circulation.

Source and reference attributes

Submitting organisation:Help on this term

National Diabetes Data Working Group

Origin:Help on this term

National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary.

Relational attributes

Related metadata references:Help on this term

Supersedes Person—peripheral vascular disease status (foot), code N Health, Superseded 21/09/2005

Implementation in Data Set Specifications:Help on this term

Diabetes (clinical) NBPDS Health, Standard 21/09/2005

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