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 NUMERIC No
This item is used in dialysis regulatory reporting. It stores the dialysis patient's admission facility ID.
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:
IncenterHemodialysis
HomeHemodialysis
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
DialysisUnit
Home
Other
NursingHome
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
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
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:
AccessFailure
TransplantFailure
ChronicFailure
MedicalComplication
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:
LivingRelated
LivingUnrelated
Deceased
Unknown
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 VARCHAR No
This item is used in dialysis regulatory reporting. It stores the dialysis patient's treatment provider ID.