DD_DIA_CMS_DEATH

Description: |
This table contains data elements submitted for CMS ESRD death forms (CMS-2746).

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
REGISTRY_DATA_ID | 1 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | REGISTRY_DATA_ID | NUMERIC | No |
The unique identifier for the registry data record.
2 | FORM_IDENTIFIER | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores a dialysis patient's form 2746 ID.
3 | ADMISSION_DEPARTMENT_ID_EXTERNAL_NAME | VARCHAR | No |
The external name of the department record. This is often used in patient correspondence such as reminder letters.
4 | PAT_FIRST_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's first name.
5 | PAT_MIDDLE_INITIAL | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's middle name initial.
6 | PAT_LAST_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's last name.
7 | DLYS_NAME_SUFFIX_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's name suffix.
May contain organization-specific values: Yes
Category Entries:
Jr
Sr
II
III
IV
V
VI
8 | DLYS_PAT_SEX_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's sex assigned at birth.
May contain organization-specific values: No
Category Entries:
F
M
9 | PAT_BIRTH_DATE | DATETIME | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's date of birth.
10 | PAT_SSN | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's Social Security Number.
11 | PAT_HICNUM | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's Medicare health insurance claim number.
12 | PAT_MBI_NUM | VARCHAR | No |
It stores a dialysis patient's Medicare Beneficiary Identifier number for dialysis regulatory reporting.
13 | PHYSICAL_ADDRESS_STATE_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores the state from a dialysis patient's physical address.
May contain organization-specific values: Yes
14 | DIA_CMS_DEATH_MODALITY_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores a dialysis patient's treatment modality at the time of death.
May contain organization-specific values: No
Category Entries:
In-Center Hemodialysis
Home Hemodialysis
CAPD
CCPD
Transplant
Other
15 | DIA_CMS_DEATH_PLACE_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores a dialysis patient's location at the time of death.
May contain organization-specific values: No
Category Entries:
Hospital
Dialysis Unit
Home
Other
Nursing Home
Unknown
16 | PRIMARY_DIA_CMS_DEATH_CAUSE_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores a dialysis patient's primary cause of death.
May contain organization-specific values: Yes
Category Entries:
Myocardial infarction, acute
Hyperkalemia
Pericarditis, incl. Cardiac tamponade
Atherosclerotic heart disease
Cardiomyopathy
Cardiac arrhythmia
Cardiac arrest, cause unknown
Valvular heart disease
Pulmonary edema due to exogenous fluid
Congestive Heart Failure
Septicemia due to internal vascular access
Septicemia due to vascular access catheter
Pulmonary embolus
Cerebrovascular accident including intracranial hemorrhage
Ischemic brain damage/Anoxic encephalopathy
Hemorrhage from transplant site
Hemorrhage from vascular access
Hemorrhage from dialysis circuit
Hemorrhage from ruptured vascular aneurysm
Hemorrhage from surgery (not 38, 39, or 41)
Other hemorrhage (not 38-42, 72)
Mesenteric infarction/ischemic bowel
Peritoneal access infectious complication, bacterial
Peritoneal access infectious complication, fungal
Peritonitis (complication of peritoneal dialysis)
Central nervous system infection (brain abscess, meningitis, encephalitis, etc.)
Septicemia due to peripheral vascular disease, gangrene
Septicemia, other
Cardiac infection (endocarditis)
Pulmonary infection (pneumonia, influenza)
Abdominal infection (peritonitis (not comp of PD), perforated bowel, diverticular disease, gallbladder)
Hepatitis B
Other viral hepatitis
Liver-drug toxicity
Cirrhosis
Polycystic liver disease
Liver failure, cause unknown or other
Genito-urinary infection (urinary tract infection, pyelonephrititis, renal abscess)
Hepatitis C
Gastro-intestinal hemorrhage
Pancreatitis
Perforation of peptic ulcer
Perforation of bowel (not 75)
Hypokalemia
Hypernatremia
Hyponatremia
Bone marrow depression
Cachexia/failure to thrive
Malignant disease, patient ever on Immunosuppressive therapy
Malignant disease (not 82)
Dementia, incl. dialysis dementia, Alzheimer’s
Seizures
Chronic obstructive lung disease (COPD)
Complications of surgery
Air embolism
Accident related to treatment
Accident unrelated to treatment
Suicide
Drug overdose (street drugs)
Drug overdose (not 92 or 93)
Acidosis
Adrenal insufficiency
Hypothyroidism
Other cause of death
Unknown
Hypoglycemia
Hyperglycemia
Diabetic coma
Hyperthyroidism
Withdrawal from dialysis/uremia
COVID19
COVID19 Unconfirmed
Severe adverse medication reaction (106)
17 | SEC_1_DIA_CMS_DEATH_CAUSE_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores a dialysis patient's secondary cause of death.
The category values for this column were already listed for column: PRIMARY_DIA_CMS_DEATH_CAUSE_C_NAME
18 | SEC_2_DIA_CMS_DEATH_CAUSE_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates the second secondary cause of death of an expired dialysis patient.
The category values for this column were already listed for column: PRIMARY_DIA_CMS_DEATH_CAUSE_C_NAME
19 | SEC_3_DIA_CMS_DEATH_CAUSE_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates the third secondary cause of death of an expired dialysis patient.
The category values for this column were already listed for column: PRIMARY_DIA_CMS_DEATH_CAUSE_C_NAME
20 | SEC_4_DIA_CMS_DEATH_CAUSE_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates the fourth secondary cause of death of an expired dialysis patient.
The category values for this column were already listed for column: PRIMARY_DIA_CMS_DEATH_CAUSE_C_NAME
21 | OTHER_DEATH_CAUSE | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores a dialysis patient's cause of death if primary or secondary cause of death indicates other cause of death.
22 | WAS_DIA_TREAT_DISCON_YN | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates whether or not renal therapy was discontinued prior to a patient's death.
May contain organization-specific values: No
Category Entries:
No
Yes
23 | DLYS_TRT_DISCH_RSN_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores the reason for discontinuing renal therapy prior to a patient's death.
May contain organization-specific values: No
Category Entries:
Access Failure
Transplant Failure
Chronic Failure
Medical Complication
Other
24 | LAST_TREATMENT_DATE | DATETIME | No |
This item is used in CMS death form 2746 reporting. It stores the date of last dialysis treatment if renal therapy was discontinued prior to a patient's death.
25 | DIA_CMS_DISC_REQUEST_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores whether or not the discontinuation of renal therapy occurred after patient or family request.
May contain organization-specific values: Yes
Category Entries:
Yes
No
Unknown
NA
26 | TRANSPLANT_DATE_UKNWN_YN | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates whether the date of an expired patient's most recent kidney transplant is unknown.
The category values for this column were already listed for column: WAS_DIA_TREAT_DISCON_YN
27 | LAST_KIDNEY_TRANSPLANT_DATE | DATETIME | No |
This item is used in CMS death form 2746 reporting. It stores an expired dialysis patient's most recent kidney transplant date.
28 | DIA_CMS_DEATH_TXP_TYPE_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It stores the most recent kidney transplant type that a dialysis patient received before death.
May contain organization-specific values: No
Category Entries:
Living Related
Living Unrelated
Deceased
Unknown
Multi-organ
Paired Exchange
29 | GRAFT_FUNC_DEATH_DIA_CMS_YNU_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates whether or not a functioning graft was present at the time of a patient's death.
May contain organization-specific values: Yes
Category Entries:
Yes
No
Unknown
30 | WAS_TRT_RESUMED_DIA_CMS_YNU_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates whether an expired patient, prior to death, resumed renal therapy after receiving a transplant.
The category values for this column were already listed for column: GRAFT_FUNC_DEATH_DIA_CMS_YNU_C_NAME
31 | RECV_HOSPIC_CARE_DIA_CMS_YNU_C_NAME | VARCHAR | No |
This item is used in CMS death form 2746 reporting. It indicates whether or not a dialysis patient was receiving hospice care prior to death.
The category values for this column were already listed for column: GRAFT_FUNC_DEATH_DIA_CMS_YNU_C_NAME
32 | TREATMENT_PROV_ID_PROV_NAME | VARCHAR | No |
The name of the service provider. This item may be hidden in a public view of the CLARITY_SER table.
33 | PAT_HAD_TRANSPLANT_C_NAME | VARCHAR | No |
Indicates whether the patient ever received a kidney transplant for this form. 'Y' indicates the patient received at least one kidney transplant. 'N' indicates the patient did not receive a kidney transplant. 'UNKNOWN' or NULL indicates that it is not known whether the patient received a kidney transplant prior to death.
May contain organization-specific values: No
Category Entries:
Yes
No
Unknown
34 | WAS_ACUTE_DIALYSIS_RECEIVED_C_NAME | VARCHAR | No |
Indicates whether the patient received a short-term (acute) course of dialysis prior to death for this form. 'Y' indicates that the patient received a short-term (acute) course of dialysis prior to death. 'N' indicates that the patient did not receive a short-term (acute) course of dialysis prior to death. 'UNKNOWN' or NULL indicate that it is not known whether the patient received a short-term (acute) course of dialysis prior to death.
The category values for this column were already listed for column: PAT_HAD_TRANSPLANT_C_NAME
35 | DIAL_DISC_HOSPICE_REL_YN | VARCHAR | No |
Indicates whether the patient's dialysis treatment was discontinued related to hospice care for this form. 'Y' indicates that the patient's dialysis treatment was discontinued related to hospice care. 'N' or NULL indicate that the patient's dialysis treatment was not discontinued or treatment was discontinued, but not related to hospice care.
The category values for this column were already listed for column: WAS_DIA_TREAT_DISCON_YN