Microsoft Word - AK_Report_Export_Documentation.doc



COMMON NULL VALUESData Format [combo] single-choice ATR ElementDefinitionFor any collection of data to be of value and reliably represent what was intended, a strong commitment must be made to ensure the correct documentation of incomplete data. The indicated null values should be applied. Field ValuesNot ApplicableNot Known/Not Recorded Screen LabelField LabelField NameUnique Record IdentifierEXP_CTRL_NUMDemographics-PatientAgeAGE_VALUEDemographics-PatientAgeAGE_VALUE_TEXTDemographics-PatientAge UnitsAGE_UNIT_AS_TEXTYearsMonthsDaysEstimated in Years/ Not Applicable? Not Known Not RecordedDemographics-PatientRacePAT_RACE01_AS_TEXT PAT_RACE02_AS_TEXTAsianNative Hawaiian or Other Pacific IslanderOther RaceAmerican IndianBlack or African AmericanWhiteAlaska Native/ Not Applicable? Not Known/Not RecordedDemographics-PatientGenderPAT_GENDER_AS_TEXTMaleFemale? Not Known/Not RecordedDemographics-PatientEthnicityPAT_ETHNIC_AS_TEXTHispanic or LatinoNot Hispanic or Latino? Not Known/Not RecordedDemographics-PatientZipPAT_ADR_ZIPDemographics-PatientZipPAT_ADR_ZIP_TEXTDemographics-PatientCityPAT_ADR_CIDemographics-PatientCountyPAT_ADR_FCO_AS_TEXTDemographics-PatientStatePAT_ADR_ST_AS_TEXTDemographics-PatientCensus Area1 Aleutians East Borough 2 Aleutians WestMunicipality of AnchorageBethelBristol Bay Borough 6 Denali BoroughDillinghamFairbanks North Star BoroughHaines BoroughJuneau BoroughKenai Peninsula Borough 12 Ketchikan GatewayBorough13 Kodiak Island Borough 14 Lake And Peninsula 15 Matanuska-SusitnaBorough 16 NomeNorth Slope BoroughNorthwest Arctic BoroughPrince Of Wales-Outer KetchikanSitka BoroughSkagway-Hoonah-AngoonSoutheast FairbanksValdez-Cordova 24 Wade HamptonWrangell-PetersburgYakutat BoroughYukon-KoyukukCensus Area Unknown 29 Outside Alaska/ Not Applicable? Not Known/Not RecordedPAT_ADR_REG_AS_TEXTDemographics-PatientCountryUSAOther/ Not Applicable? Not Known/Not RecordedPAT_ADR_CY_S_AS_TEXTDemographics - PatientAlternate Residence1, Homeless2, Undocumented Citizen3, Migrant4, Foreign Visitor/, Not Applicable?, UnknownPAT_ADR_ALT_AS_TEXTDemographics - PatientPatient StatusPrehospital UnstableER UnstablePotential UnstableStable? Not Known/Not RecordedED_COND_AS_TEXTDemographics Year Admission yearyearDemographics - PatientAge_years Patient Age Yearsage_yearsDemographics Month Admission MonthmonthDemographics - PatientSpine Spinal Injuries – All admissionSNSpineDemographics - PatientTBI TBI injury – All AdmissionBNTBIInjury – Mechanism of InjuryInjury Intent 1 (Ecode Derived)1, Intentional2, Not Intentional8, Unknown Intent9, N/A Intent0, Not DefinedET_INTENT1_AS_TEXTInjury – Mechanism of InjuryInjury Intent 2 (Ecode Derived)1, Intentional2, Not Intentional8, Unknown Intent9, N/A Intent0, Not DefinedET_INTENT2_AS_TEXTInjury-Injury InformationReport of Physical AbuseYes NoINJ_ABUSE_RP_YN_AS_TEXTInjury-Injury InformationInvestigation of Physical AbuseYes NoINJ_ABUSE_INVST_YN_AS_TEXTInjury-Injury InformationPlace of InjuryINJ_PLC_AS_TEXT0 HomeFarmMineIndustryRecreationStreetPublic BuildingResidential InstitutionOtherUnspecified/ Not ApplicableInjury-Injury InformationPlace of Injury SpecifyINJ_PLC_MEMOInjury-Injury Information ICD 10 Location Code INJ_PLC_ICD10_AS_TEXT Injury-Injury InformationWork RelatedINJ_WORK_YN_AS_TEXTInjury-Injury InformationOccupational IndustryPAT_JOB_TYPE_AS_TEXTFinance, Insurance, and Real EstateManufacturingRetail TradeTransportation and Public UtilitiesAgriculture, Forestry, FishingProfessional and Business ServicesEducation and Health ServicesConstructionGovernmentNatural Resources and MiningInformation ServicesWholesale TradeLeisure and Hospitality 14 Other Services? Not Known/Not RecordedInjury-Injury InformationOccupational Industry SpecifyPAT_JOB_TYPE_SInjury-Injury InformationOccupationBusiness and Financial Operations OccupationsArchitecture and Engineering OccupationsCommunity and Social Services OccupationsEducation, Training, and Library OccupationsHealthcare Practitioners and Technical OccupationsProtective Service OccupationsBuilding and Grounds Cleaning and MaintenanceSales and Related OccupationsFarming, Fishing, and Forestry OccupationsInstallation, Maintenance, and Repair OccupationsTransportation and Material Moving OccupationsManagement OccupationsComputer and Mathematical OccupationsLife, Physical, and Social Science OccupationsLegal OccupationsArts, Design, Entertainment, Sports, and MediaHealthcare Support OccupationsFood Preparation and Serving RelatedPersonal Care and Service OccupationsOffice and Administrative Support OccupationsConstruction and Extraction OccupationsProduction OccupationsMilitary Specific OccupationsOther? Not Known/Not RecordedPAT_JOB_AS_TEXTInjury-Injury InformationOccupation SpecifyPAT_JOB_SInjury-Injury InformationSubsistenceTrappingFishingHuntingWhalingGathering/ Not Applicable? Not Known/Not RecordedINJ_ACT_AS_TEXTInjury-Injury InformationZipINJ_ADR_ZIPInjury-Injury InformationZipINJ_ADR_ZIP_TEXTInjury-Injury InformationStreet 1INJ_ADR_S01Injury-Injury InformationStreet 2INJ_ADR_S02Injury-Injury InformationCityINJ_ADR_CIInjury-Injury InformationStateINJ_ADR_ST_AS_TEXTInjury-Injury InformationCountyINJ_ADR_FCO_AS_TEXTInjury-Injury InformationCountryCountryUSAOther/ Not Applicable ? Not Known/Not RecordedINJ_ADR_CY_S_AS_TEXTInjury-Injury InformationCaregiver at Discharge (Pediatric Only) Yes NoDIS_TO_ALT_CGVR_YN_AS_TEXTInjury-Mechanism of InjuryPrimary E-CodeINJ_ECODE01Mechanism of Injury Primary ICD 10 Mechanism INJ_ECODE_ICD10_01 Injury-Mechanism of InjuryPrimary E-Code TextINJ_ECODE01_AS_TEXTInjury-Mechanism of InjuryE-Code 1 SpecifyINJ_CAU_S01Injury-Mechanism of InjurySecondary E-CodeINJ_ECODE02Mechanism of Injury Secondary ICD 10 Mechanism INJ_ECODE_ICD10_02 Injury-Mechanism of InjurySecondary E-Code TextINJ_ECODE02_AS_TEXTInjury-Mechanism of InjuryE-Code 2 SpecifyINJ_CAU_S02Injury-Mechanism of InjuryInjury TypeBluntPenetratingBurnCold InjuryDrowning / Not ApplicableINJ_TYPE01_AS_TEXTInjury-Mechanism of InjuryActivitiy CodeINJ_EACT_AS_TEXTScreen LabelField LabelField NameInjury-Mechanism of Injury Activity Code - ICD 10 INJ_EACT_ICD10_AS_TEXT Injury-Mechanism of InjuryRestraintINJ_RESTR_AS_TEXT0 None1 Child Car Seat 2 Infant Car Seat3 Child Booster Seat 4 Lap BeltShoulder BeltLap Belt and Shoulder Belt/ Not Applicable? Not Known/Not RecordedInjury-Mechanism of InjuryAirbagAIRBAG01_AS_TEXT, AIRBAG02_AS_TEXT, AIRBAG03_AS_TEXT, AIRBAG04_AS_TEXT1 Airbag Not Deployed 2 Airbag Deployed Front 3 Airbag Deployed Side4 Airbag Deployed Other (Knee, Airbelt, Curtain, Etc.)/ Not Applicable? Not Known/Not RecordedInjury-Mechanism of InjuryEquipmentNonePersonal Floatation DeviceProtective Non-Clothing Gear (e.g., Shin Guard)Eye ProtectionHelmet (e.g., Bicycle, Skiing, Motorcycle)Protective Clothing (e.g., Padded Leather Pants)Other/ Not Applicable? Not Known/Not RecordedINJ_PDEV01_AS_TEXT INJ_PDEV02_AS_TEXT INJ_PDEV03_AS_TEXT INJ_PDEV04_AS_TEXTInjury-Mechanism of InjuryProtective Device If OtherINJ_PDEV_SInjury-Mechanism of InjuryAlaska Defined Etiology 1, Accidental Firearm2, Air & Space Transport – Airplane3, Assault/Homicide/PurposelyInflicted4, Caught In or Between Objects5, Cutting or Piercing6, Dog Bite7, Electric Current8, Explosion9, Eye Poke10, Falls – Other11, Falls – Playground12, Falls – Sports13, Fire and Flames14, Foreign Bodies/Orifice15, Hot Substance or Object16, Hypothermia / Frostbite17, Legal Interventions18, Machinery19, Motor Vehicle Non Traffic20, Motor Vehicle Non Traffic ATV21, Motor Vehicle Non Traffic SnowMachine22, Motor Vehicle Traffic23, Motorcycle24, Natural & Environmental Factors25, Operations of War26, Other27, Other Animal Injury28, Other Road Vehicle29, Other/Unspecified30, Overexertion31, Pedal Cycles32, Pedestrian33, Poisoning34, Radiation35, Railway Accidents36, Rider of Animal/Occupant ofAnimal-Drawn Vehicle37, Sledding38, Strain39, Struck by Person or Object40, Suffocation41, Suicide and Self Inflicted42, Terrorism43, Undetermined44, Vehicle Accidents NEC45, Water Transport W/O Drowning46, Water Transport-DrowningInj_mechanism1(Ecode Derived)Inj_mechanism2 (Ecode Derived)Prehospital-Scene TransportPOV Walk-InPH_POV_YN_AS_TEXTPrehospital-Scene TransportWas patient extricated?PH_EXT_YN_AS_TEXTPrehospital-Scene TransportTime required, minutesPH_EXT_MINSPrehospital-Scene TransportModeA_PHP_MODE_01 (1-15)Ground AmbulanceRotor AmbulanceLaw Enforcement/Public SafetyFixed Wing Ambulance 5 OtherHelicopter Without Medical AttendantHelicopter With Medical AttendantCommercial Air Without Medical AttendantCommercial Air With Medical AttendantWater Ambulance/ Not Applicable? Not Known/Not RecordedReferring FacilityTransfer In?IT_XFR_YN_AS_TEXTReferring FacilityReason for TransferRFS_XFR_RAT_AS_TEXTHigher Level of Care Patient Request Insurance Coverage Disaster TriageOR Availability Physician Preference OtherMedical Staff/Resources Normally Available, Not Available for This Patient: OrthoNeuro Plastics OtherDiagnostic Equipment Staffed BedOther ResourcesReferring FacilityLOSRFS_LOSReferring Facility-AssessmentGCS TotalRFAS_GCSReferring Facility-AssessmentAlcohol Use IndicatorRFS_IND_ALC_AS_TEXTNo - Not TestedNo - Confirmed by TestYes - Confirmed by Test - Trace LevelsYes - Confirmed by Test - Beyond Legal LimitSuspected - Not Tested? Not Known/Not RecordedReferring Facility-AssessmentETOH/BAC LevelRFS_ETOH_BAC_LVLReferring Facility-AssessmentETOH Test TypeRF_BAC_TYPE_AS_TEXTBreathalyzerBlood Test? Not Known/Not RecordedReferring Facility-AssessmentDrug Use Indicator1 No - Not TestedNo - Confirmed by TestYes - Confirmed by Test - Prescription DrugYes -Confirmed by Test - Illegal DrugSuspected - Not Tested? Not Known/Not RecordedRFS_IND_DRG01_AS_TEXTRFS_IND_DRG02_AS_TEXTReferring Facility-AssessmentTox Screen ResultA_RFS_RF_DRG_01 (1-15)CannabisCocainePCPBenzodiazepineBarbituratesAmphetaminesOpiatesOxycodone/ Not Applicable? Not Known/Not RecordedReferring Facility-AssessmentClinician Administered?A_RFS_RF_DCA_01 (1-15)Referring Facility-Interfacility TransportModeGround AmbulanceRotor AmbulanceLaw Enforcement/Public SafetyFixed Wing Ambulance 5 OtherHelicopter Without Medical AttendantHelicopter With Medical AttendantCommercial Air Without Medical AttendantCommercial Air With Medical AttendantWater Ambulance/ Not Applicable? Not Known/Not RecordedA_ITP_MODE_01 (1-15)ED/Resus - AdmissionDirect AdmitED_BYPASS_YN_AS_TEXTED/Resus - AdmissionTime in ED/Resus RoomED_LOSED/Resus - AdmissionSigns of LifeLIFE_SIGNS_AS_TEXT1 Arrived with No Signs of Life2 Arrived with Signs of Life? Not Known/Not RecordedED/Resus - AdmissionPost ED DispsotionED_DSP_AS_TEXTFloor bed (general admission, non specialty unit bed)Observation unit (unit that provides < 24 hour stays)Telemetry/step-down unit (less acuity than ICU)Home with Services 5 Died/Morgue/FuneralHomeOther (Jail, Institutional Care, Mental Health, Etc)Operating RoomIntensive Care Unit (ICU) 9 Home Without Services 10 Left Against MedicalAdvice11 Transferred to Another Hospital? Not Known/Not RecordedScreen LabelField LabelField NameED Resus-AssessmentGCS TotalEDAS_GCSED Resus-AssessmentAlcohol Use IndicatorED_IND_ALC_1No - Not TestedNo - Confirmed by TestYes - Confirmed by Test - Trace LevelsYes - Confirmed by Test - Beyond Legal LimitSuspected - Not Tested? Not Known/Not RecordedED Resus- AssessmentETOH/BAC LevelETOH_BAC_LVLED Resus - AssessmentETOH Test TypeED_BAC_TYPE_AS_TEXTBreathalyzerBlood Test? Not Known/Not RecordedED Resus-AssessmentDrug Use IndicatorED_IND_DRG01_1 ED_IND_DRG02_1No - Not TestedNo - Confirmed by TestYes - Confirmed by Test - Prescription DrugYes -Confirmed by Test - Illegal DrugSuspected - Not Tested? Not Known/Not RecordedED Resus- AssessmentTox Screen ResultA_ED_DRG_01 (1-15)CannabisCocainePCPBenzodiazepineBarbituratesAmphetaminesOpiatesOxycodone/ Not Applicable? Not Known/Not RecordedED Resus- AssessmentClinician Administered?A_ED_DCA_01 (1-15)Diagnoses-Injury CodingAIS VersionAIS_VERDiagnoses-Injury CodingISSISS1Diagnoses-Injury CodingISSISS_TEXTDiagnoses-Injury CodingTRISSTRISSDiagnoses-Injury Coding% TBSA 2nd or 3rd DegreeBurnedBURN_SIZEDiagnoses- Injury CodingSeverityA_AIS_SEV_01 (1-30)Diagnoses-Injury CodingNarrativeINJ_TXTDiagnoses- Injury CodingICD9A_ICD9_01 (1-30)A_NTD_ICD9__AS_TEXT Screen LabelField LabelField NameDiagnoses-Non Trauma Diagnoses ICD 10 A_NTD_ICD10_ A_NTD_ICD10__AS_TEXT Outcome-DischargeDischarge StatusDIS_STATUS_AS_TEXTAlive - YESDead - NOOutcome-DischargeDischarge Final Disposition (All Admits)dischargeOutcome-DischargeHospital DaysHOSP_DAYSOutcome-DischargeHospital DaysHOSP_DAYS_TEXTOutcome-DischargeDischarged ToDIS_DEST_11 Home, No Assistance 2 Home, Health CareAcute Care HospitalHome, Rehab Outpatient Skilled Nursing FacilityNursing HomeAssisted LivingRehab FacilityMedical Examiner/MorgueJail/PrisonUnable to Complete Treatment/AMABurn CenterMental Health Institution 14 Other? Not Known/Not RecordedOutcome- DischargeDischarge ConditionDISCOND_1Good, Returned to Previous Level of Function.Temporary Disability, Expected to Return to Previous Level of FunctionModerate Disability with Self CareSevere Disability - DependentPersistent Vegetative State/ Not Applicable? Not Known/Not RecordedOutcome-DischargeTransport ModeGround AmbulanceRotor AmbulanceLaw Enforcement/Public SafetyFixed Wing Ambulance 5 OtherHelicopter Without Medical AttendantHelicopter With Medical AttendantCommercial Air Without Medical AttendantCommercial Air With Medical AttendantWater Ambulance/ Not Applicable? Not Known/Not RecordedDT_MODE_AS_TEXTOutcome-DischargeTransfer ReasonHigher Level of Care Patient Request Insurance Coverage Disaster TriageOR Availability Physician Preference OtherMedical Staff/Resources Normally Available, Not Available for This Patient: OrthoNeuro Plastics OtherDiagnostic Equipment Staffed BedOther ResourcesDIS_RS_AS_TEXTOutcome-Discharge DisabilitiesPre Existing Feeding ScoreDI_PRE_F_AS_TEXTDependent-total HelpDependent-partial Help 3 Independent with Device 4 Independent/ Not Applicable? Not Known/Not RecordedOutcome-Discharge DisabilitiesPre Existing Locomotion ScoreDI_PRE_L_AS_TEXTDependent-total HelpDependent-partial Help 3 Independent with Device 4 Independent/ Not Applicable? Not Known/Not RecordedOutcome-Discharge DisabilitiesPre Existing Expression ScoreDI_PRE_E_AS_TEXTDependent-total HelpDependent-partial Help 3 Independent with Device 4 Independent/ Not Applicable? Not Known/Not RecordedOutcome-Discharge DisabilitiesPre Existing Disability Score TotalDI_PRE_TOutcome-Discharge DisabilitiesDischarge Feeding ScoreDI_DIS_F_AS_TEXTDependent-total HelpDependent-partial Help 3 Independent with Device 4 Independent/ Not Applicable? Not Known/Not RecordedOutcome-Discharge DisabilitiesDischarge Locomotion ScoreDI_DIS_L_AS_TEXTDependent-total HelpDependent-partial Help 3 Independent with Device 4 Independent/ Not Applicable? Not Known/Not RecordedOutcome-Discharge DisabilitiesDischarge Expression ScoreDI_DIS_E_AS_TEXTDependent-total HelpDependent-partial Help 3 Independent with Device 4 Independent/ Not Applicable? Not Known/Not RecordedOutcome-Discharge DisabilitiesDischarge Disability Score TotalDI_DIS_TOutcome-Discharge DisabilitiesGCS TotalDIS_GCSOutcome-If DeathDeath LocationDTH_LOC_AS_TEXTSceneEmergency RoomORICUFloorOther? Not Known/Not RecordedOutcome-If DeathLocation If OtherDTH_LOC_SOutcome-If DeathWas autopsy performed?AUT_YN_AS_TEXTOutcome-If DeathWas organ donation requested?ORG_STAT_YN_AS_TEXTOutcome-If DeathWas organ donation granted?ORG_GR_YN_AS_TEXTOutcome-BillingCharges BilledBILL_CHG_FACBILL_CHG_FAC_TEXTOutcome-BillingPrimary PayorMedicareMedicaidBlue Cross/Blue Shield 4 Private/CommercialInsurance5 Indian Health Services 6 Military (Active,Dependent, & VA(7 Workers Compensation 8 Auto InsuranceSelf PayOther Government (ward of state, prison)Fisherman's FundVictim's FundGeneral Relief Medical/ Not Applicable? Not Known/Not RecordedPAYOR01_AS_TEXTPAYOR02_AS_TEXTPAYOR03_AS_TEXTPAYOR04_AS_TEXT ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download