|
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. |
|
|