|
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 |
|
|