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| This item is used in CMS registration form 2728 reporting. It stores a dialysis patient's comorbid conditions. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Congestive heart failure |
| Atherosclerotic heart disease ASHD |
| Other cardiac disease |
| Cerebrovascular disease, CVA, TIA |
| Peripheral vascular disease |
| History of hypertension |
| Amputation |
| Diabetes, currently on insulin |
| Diabetes, on oral medications |
| Diabetes, without medications |
| Diabetic retinopathy |
| Chronic obstructive pulmonary disease |
| Tobacco use (current smoker) |
| Malignant neoplasm, Cancer |
| Toxic nephropathy |
| Alcohol dependence |
| Drug dependence |
| Inability to ambulate |
| Inability to transfer |
| Needs assistance with daily activities |
| Institutionalized |
| Alternative housing arrangement - Assisted Living |
| Alternative housing arrangement - Nursing Home |
| Alternative housing arrangement - Other Institution |
| Non-renal congenital abnormality |
| None |
| Diabetes, currently use other injectable |
| Protein calorie malnutrition |
| Morbid obesity |
| Endocrine metabolic disorders |
| Intestinal obstruction/perforation |
| Chronic pancreatitis |
| Inflammatory bowel disease |
| Bone/joint/muscle infections/necrosis |
| Dementia |
| Major depressive disorder |
| Myasthenia gravis |
| Guillain-Barre syndrome |
| Inflammatory neuropathy |
| Parkinson's disease |
| Huntington's disease |
| Seizure disorders and convulsions |
| Interstitial lung disease |
| Partial-thickness dermis wounds |
| Complications of specified implanted device or graft |
| Artificial openings for feeding or elimination |
| Ped. Chronic lung disease (including dependency on CPAP and ventilators) |
| Ped. Vision impairment |
| Ped. Feeding tube dependence |
| Ped. Failure to thrive/feeding disorders |
| Ped. Congenital anomalies requiring subspecialty intervention (cardiac, orthopedic, colorectal) |
| Ped. Congenital bladder/urinary tract anomalies |
| Ped. Non-kidney solid organ |
| Ped. Stem cell transplant |
| Ped. Neurocognitive impairment |
| Ped. Global developmental delay |
| Ped. Cerebral palsy |
| Ped. Seizure disorder |
