Table 1.

Patient Information Collected and Documented During Clinic Visits

• Name

• Age

• Gender

• Serum creatinine/creatinine clearance

• Diagnosis (deep vein thrombosis/pulmonary embolism) and date of diagnosis

• Provoked or unprovoked VTE

• Previous doppler date and findings

• D-dimer trends

• Pertinent past medical history

• Family or personal history of clots

• Smoking status

• Patient’s primary care provider

• Current symptoms: pain, shortness of breath, chest pain, coughing, weight changes, bleeding symptoms

• Leg exam: level of swelling, calf measurements, ulceration presence, pigmentation changes

• Medication information: concomitant anticoagulants, rivaroxaban start date, last rivaroxaban fill date, frequency in which patient takes rivaroxaban, current dosing, missed doses, pharmacy used, insurance coverage, assessment of medication adherence

• Duration of rivaroxaban therapy