|
Name |
Type |
Discontinued? |
|
1 |
PROBLEM_LIST_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the problem record. |
|
|
2 |
INFECTION_SITE_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the location of an infection in the patient's body. |
May contain organization-specific values: Yes |
Category Entries: |
Wound (superficial) |
Wound (deep) |
Organ space |
Line insertion |
IV site |
Fascia |
Other |
|
|
3 |
INFECTION_SITE_OTH |
VARCHAR |
No |
|
|
|
This item allows free-text documentation of an infection site. |
|
|
4 |
ANTIBIOTICS_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient was on an antibiotic medication prior to the diagnosis. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
|
|
5 |
RECURRENT_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the diagnosis is recurrent. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
6 |
COLONOSCOPY_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient has had a colonoscopy related to the diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
7 |
MRI_DONE_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient has had an MRI related to the diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
8 |
MRI_FINDINGS_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the results of the MRI procedure related to the diagnosis. |
May contain organization-specific values: Yes |
Category Entries: |
Meningeal enhancement |
Abscess |
Parenchymal abnormality |
|
|
9 |
FOLEY_PRESENT_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient had an indwelling Foley catheter at the time of diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
10 |
HARDWARE_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient had a hardware implant at the time of diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
11 |
STENT_PRESENT_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient had a stent at the time of diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
12 |
INFILTRATION_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the type of pulmonary infiltrate due to pneumonia. |
May contain organization-specific values: Yes |
Category Entries: |
Lobar |
Nodal |
Interstitial |
Other |
|
|
13 |
LINE_PRIMARY_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the infection is a primary bloodstream infection of the central line. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
14 |
OTH_PRIMARY_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the infection is a primary bloodstream infection, but not of the central line. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
15 |
PD_RELATED_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the diagnosis is related to peritoneal dialysis (PD). |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
16 |
SBP_RELATED_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the diagnosis is related to spontaneous bacterial peritonitis (SBP). |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
17 |
ANTICOAG_PRE_DX_OTH |
VARCHAR |
No |
|
|
|
This item allows free-text documentation of anticoagulation therapy medications taken prior to the diagnosis. |
|
|
18 |
BANFF_SCORE_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks graft organ rejection grade. |
May contain organization-specific values: Yes |
Category Entries: |
Grade 1 |
2A |
Grade 3 |
0R |
1R |
2R |
3R |
CAV |
Indeterminate |
Mild |
Moderate |
Severe |
A0 |
A1 |
A2 |
A3 |
A4 |
Vascular |
AMR |
|
|
19 |
BIOPSY_DT |
DATETIME |
No |
|
|
|
This item displays the result date of the biopsy test related to the diagnosis. |
|
|
20 |
DSA_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient has donor-specific antibodies. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
21 |
FATAL_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the diagnosis was the patient's cause of death. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
22 |
MODE_OF_DX_OTH |
VARCHAR |
No |
|
|
|
This item allows free-text documentation of diagnostic techniques. |
|
|
23 |
OR_DRAIN_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient required surgical drainage. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
24 |
RETURN_TO_OR_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient returned to the OR. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
25 |
FOLEY_REMOVE_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the Foley catheter was removed. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
26 |
FOLEY_REINSERT_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the Foley catheter was reinserted. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
27 |
FOLEY_SELF_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient inserted the Foley catheter. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
28 |
GU_CONSULT_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient had a urology consult related to the diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
29 |
C4D_POS_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient tested positive for the C4d antibody. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
30 |
C4D_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the type of C4d-positive result. |
May contain organization-specific values: Yes |
Category Entries: |
Focal |
Diffuse |
|
|
31 |
CATH_REMOVE_DT |
DATETIME |
No |
|
|
|
This item displays the initial removal date of the Foley catheter. |
|
|
32 |
TRANSFUSION_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient received a blood transfusion related to the diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
33 |
BLOOD_UNITS_NUM |
INTEGER |
No |
|
|
|
This item displays how many units of blood the patient received during the blood transfusion. |
|
|
34 |
STEATOSIS_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the degree of steatosis (lipid retention) related to the diagnosis. |
May contain organization-specific values: Yes |
Category Entries: |
Mild |
Moderate |
Severe |
|
|
35 |
PV_VELO_POST_NUM |
NUMERIC |
No |
|
|
|
This item displays the velocity of the portal vein (in cm/sec) after vessel repair. |
|
|
36 |
HV_VELO_POST_NUM |
NUMERIC |
No |
|
|
|
This item displays the velocity of the hepatic vein (in cm/sec) after vessel repair. |
|
|
37 |
HEPAT_RUPTURE_YN |
VARCHAR |
No |
|
|
|
This item indicates whether the patient had a hepatic artery rupture related to the diagnosis. |
The category values for this column were already listed for column: ANTIBIOTICS_YN |
|
|
38 |
HEPATITIS_GRADE_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the grade of the patient's hepatitis infection. |
May contain organization-specific values: Yes |
Category Entries: |
Zero |
One |
Two |
Three |
Four |
|
|
39 |
HEPATITIS_STAGE_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the stage of the patient's hepatitis infection. |
May contain organization-specific values: Yes |
Category Entries: |
Zero |
One |
Two |
Three |
Four |
|
|
40 |
PRERESIST_INDEX_NUM |
NUMERIC |
No |
|
|
|
This item display the pre-resistive index of the hepatic artery. |
|
|
41 |
POSTRESIS_INDEX_NUM |
NUMERIC |
No |
|
|
|
This item displays the post-resistive index of the hepatic artery. |
|
|
42 |
INFILTRAT_TYPE_OTH |
VARCHAR |
No |
|
|
|
This item allows free-text documentation of an infiltration type. |
|
|
43 |
HEP_ARTERY_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the current status of the hepatic artery. |
May contain organization-specific values: Yes |
Category Entries: |
Patent |
Thrombosed |
Stenosed |
Other |
|
|
44 |
HEP_ART_STATUS_OTH |
VARCHAR |
No |
|
|
|
This item allows free-text documentation of a hepatic artery status. |
|
|
45 |
HV_VELO_PRE_NUM |
NUMERIC |
No |
|
|
|
This item displays the velocity of the hepatic vein (in cm/sec) before vessel repair. |
|
|
46 |
PV_VELO_PRE_NUM |
NUMERIC |
No |
|
|
|
This item displays the velocity of the portal vein (in cm/sec) before vessel repair. |
|
|
47 |
AORTIC_PERF_VOL_NUM |
NUMERIC |
No |
|
|
|
This item displays the volume of aortic perfusion in mL. |
|
|
48 |
PORTAL_PERF_VOL_NUM |
NUMERIC |
No |
|
|
|
This item displays the volume of portal perfusion in mL. |
|
|
49 |
BIL_LEAK_SITE_OTH |
VARCHAR |
No |
|
|
|
This items allows free-text documentation of a biliary leak site. |
|
|
50 |
PANC_LEAK_SITE_OTH |
VARCHAR |
No |
|
|
|
This item allows free-text documentation of a pancreatic leak site. |
|
|
51 |
HEM_SOURCE_OTH |
VARCHAR |
No |
|
|
|
This item allows free-text documentation of the hemorrhage source. |
|
|
52 |
COMPN_DOC_STAT_C_NAME |
VARCHAR |
No |
|
|
|
The status of the complication details documentation. |
May contain organization-specific values: Yes |
Category Entries: |
New |
Preliminary |
Final |
|
|
53 |
COMPN_REVIEW_SPEC_C_NAME |
VARCHAR |
No |
|
|
|
Specialty that reviewed the complication |
May contain organization-specific values: Yes |
|
|
54 |
COMPN_REVIEW_DATE |
DATETIME |
No |
|
|
|
Date the complication was reviewed |
|
|
55 |
COMPN_REVIEW_STAT_C_NAME |
VARCHAR |
No |
|
|
|
The review status of the complication |
May contain organization-specific values: Yes |
Category Entries: |
Not Reviewed |
Reviewed |
Review Not Needed |
|
|