Medical University of South Carolina Clinical Data Warehouse for Research DATA DICTIONARY FOR BIOREPOSITORY Report Counts DATA ELEMENTS Avg LOS Diagnosis Count Expired Patient Count Expired Patient Percent Lab Result Count Max Lab Result Max LOS Median LOS Micro Result Count Min Lab Result Min LOS Patient Count Patient Visit Count Procedure Count ReAdmit Encounters ReAdmit Percent Rx Admin Count Rx Order Count SampleID Count December 20, 2012 Contains the available metrics (count, percent, minimum, maximum, average) SOURCE SYSTEM DESCRIPTION Average length of stay meeting the filter Keane (Oacis) criteria. The number of diagnoses meeting the filter Keane (Oacis) criteria. The number of expired patients meeting the Keane (Oacis) filter criteria. The percent of expired patients meeting the Keane (Oacis) filter criteria. The denominator is all patients meeting the filter criteria. The number of lab results meeting the Cerner (Oacis) selection criteria. Maximum laboratory result meeting the filter Cerner (Oacis) criteria. Maximum length of stay meeting the filter Keane (Oacis) criteria. Median length of stay meeting the filter Keane (Oacis) criteria. The number of microbiology tests or Cerner (Oacis) procedures meeting the selection criteria. Minimum laboratory result meeting the filter Cerner (Oacis) criteria. Minimum length of stay meeting the filter Keane (Oacis) criteria. Number of patients meeting the filter criteria. Keane (Oacis) Number of visits or individual encounters Keane (Oacis) meeting the filter criteria. Number of procedures meeting the filter Keane (Oacis) criteria. [CDW] (based on Keane) Number of readmission visits meeting the filter criteria. The readmit logic is based on rules that the patient returns within a short time period for the same or closely related diagnosis. Percent of readmission visits meeting the filter [CDW] (based on Keane) criteria. The denominator is all patients meeting the filter criteria. Number of administered prescriptions McKesson AdminRx (Oacis) meeting filter criteria. Number of ordered prescriptions meeting the McKesson Pharmacy Mgmt filter criteria. System (Oacis) Biobank (TissueMetrix) The number of distinct samples (specimens) meeting the filter criteria. Version 1.0 1|P a g e Report Attributes DATA ELEMENTS Admit Year Available Quantity Collect Site Code Collect Site Description Collection Year Diagnosis (all) Diagnosis (Principal) Discharge Year Disease Code Disease Code Description Lab Results (all) Micro Results (all) Patient Class (I/E/O) Patient Current Age (years) December 20, 2012 Contains the available columns or fields that appear on the report. The order of selection is the order of appearance. The up/down arrows to the right can be used to manage the order. SOURCE SYSTEM DESCRIPTION Year of admission date for inpatients. Year Keane (Oacis) of the visit or encounter for outpatients and emergency patients. Biobank (TissueMetrix) Available quantity. If 0, there is no more tissue left. Biobank (TissueMetrix) International Classification of Diseases for Oncology Site Code for the body location where the tissue sample was collected. Examples C18.7, C71.0, C42.0 Biobank (TissueMetrix) International Classification of Diseases for Oncology Site Description for the body location where the tissue sample was collected. Sigmoid NOS, Thalamus, Blood Biobank (TissueMetrix) Calendar year when the sample was collected. Principal and non-Principal diagnoses for a 3M (KeaneOacis) patient over all admissions. Depending upon filter criteria, a patient can be included in multiple rows on the report. Principal diagnosis for a patient per 3M (KeaneOacis) admission. Depending upon filter criteria, a patient can be included in multiple rows on the report. Year of discharge date for patient Keane (Oacis) encounter/visit. Biobank (TissueMetrix) International Classification of Diseases for Oncology Morphology Code for the body location where the tissue sample was collected. Examples M-8260/3, M-8815/0. Biobank (TissueMetrix) International Classification of Diseases for Oncology Morphology Description for the body location where the tissue sample was collected. Example Papillary renal cell carcinoma (C64.9), Solitary fibrous tumor Observed results for a lab test. Typically, this Cerner (Oacis) column is used with a filter. Values are textual. Microbiology test name. Typically, this column Cerner (Oacis) is used with a filter. Values are text. Examples are INFLUENZA A DETECTION ANTIGEN TEST, ROTAVIRUS ANTIGEN TEST, BONE MARROW CULTURE, etc. Patient classification as follows: Keane (Oacis) I – Inpatient E – Emergency O – Outpatient Current age of patient based on birth date. Keane (Oacis) Version 1.0 2|P a g e DATA ELEMENTS Patient Ethnicity (stats) Patient Ethnicity Patient Gender (stats) Patient Gender Procedure (all) Rx Admin Name Rx Admin Drug Major Class Rx Admin Drug Minor Class Rx Admin Drug Sub-Minor Class Sample Type Sample Type Description December 20, 2012 DESCRIPTION In the MUSC [CDW] the ethnicity is really race. Patient Ethnicity (stats) depicts the race information with numeric codes. Numeric codes are: 1 – Black or African American 2 – White or Caucasian 3 – Hispanic 4 – Native American or Alaskan Native 5 – Asian 6 – Other race than White, Black, Native American, Asian In the MUSC [CDW] the ethnicity is really race. Codes are: B – Black or African American W – White or Caucasian L – Hispanic I – Native American or Alaskan Native – Asian U – Other race than White, Black, Native American, Asian The gender of the patient. Values are 2=Male 1=Female 0=Unknown The gender of the patient. Values are M=Male F=Female U=Unknown The ICD 9 procedure code and description. The name of the administered drug. Examples include ABACAVIR, ABACAVIR ORAL, etc. The major classification for the administered drug. Examples include ANTI-INFECTIVE AGENTS, SYSTEMIC; HEMATOLOGICAL AGENTS; CENTRAL NERVOUS SYSTEM AGENTS; etc. The minor classification for the administered drug. Examples include ACIDIFYING AGENTS; ADRENOCORTICAL STEROIDS; AGENTS FOR ACTIVE IMMUNIZATION; AGENTS FOR GLAUCOMA; etc. The sub minor classification for the administered drug. Examples include ACE INHIBITORS, ALPHA-GLUCASIDASE, AMINOPENICILLINS, etc. Classification code of the tissue sample. Example TP, BC Classification description of the tissue sample. Example Tumor Primary, Buffy Code Version 1.0 SOURCE SYSTEM [CDW] (based on Keane) Keane (Oacis) [CDW] (based on Keane) Keane (Oacis) 3M (KeaneOacis) McKesson AdminRx (Oacis) [CDW] (based on McKesson AdminRxOacis) [CDW] (based on McKesson AdminRxOacis) [CDW] (based on McKesson AdminRxOacis) Biobank (TissueMetrix) Biobank (TissueMetrix) 3|P a g e Report Filters DATA ELEMENTS Admit_Age_Yrs Admit Year Available Quantity Collect Site Code Collect Site Description Diagnosis (ICD9) Diagnosis Groupings Discharge Year Disease Code Disease Code Description Lab Result Type Micro Result Type DATA ELEMENTS December 20, 2012 Contains the available filters for a report. DESCRIPTION SOURCE SYSTEM Age in years at admission for inpatients. Age in year at the time of visit or encounter for outpatients and emergency patients. Year of admission date for inpatients. Year of the visit or encounter for outpatients and emergency patients. Available quantity. If 0, there is no more tissue left. International Classification of Diseases for Oncology Site Code for the body location where the tissue sample was collected. Examples C18.7, C71.0, C42.0 International Classification of Diseases for Oncology Site Description for the body location where the tissue sample was collected. Sigmoid NOS, Thalamus, Blood The ICD 9 diagnosis code. The filter displays the code and the description. Examples include 0010:CHOLERA D/T VIB CHOLERAE; 0019: CHOLERA NOS; etc. The ICD 9 groupings for diagnoses. The filter displays the diagnosis code range and description. Examples include 0010139: Infectious and Parasitic Diseases; 140-239.9: Neoplasms; etc. Year of discharge date for inpatients. Year of the visit or encounter for outpatients and emergency patients. [CDW] (based on Keane) International Classification of Diseases for Oncology Morphology Code for the body location where the tissue sample was collected. Examples M-8260/3, M-8815/0. International Classification of Diseases for Oncology Morphology Description for the body location where the tissue sample was collected. Example Papillary renal cell carcinoma (C64.9), Solitary fibrous tumor Biobank (TissueMetrix) The MUSC assigned service code for the laboratory procedure or test. Examples include *CD3; THYROXINE INDEX, FREE (FTI); PROTEIN, URINE; PROTEIN, 24 HOUR URINE; PT; etc. The MUSC assigned service code for the microbiology procedure or test. Examples include *C RSV:RESPIRATORY SYNCYTIAL VIRUS IS; AFB S:AFB SUSCEPTIBILITY; AFB SMO: AFB SMEAR ONLY; etc. Cerner (Oacis) DESCRIPTION Version 1.0 Keane (Oacis) Biobank (TissueMetrix) Biobank (TissueMetrix) Biobank (TissueMetrix) 3M (KeaneOacis) [CDW] (based on 3MKeaneOacis) Keane (Oacis) Biobank (TissueMetrix) Cerner (Oacis) SOURCE SYSTEM 4|P a g e Principal Diagnosis (ICD) Procedure Groupings Procedure (ICD9) Rx Admin Major Rx Admin Minor Rx Admin Name Rx Admin Sub-Minor Sample Category Sample Category Description Sample Type Sample Type Description December 20, 2012 The ICD 9 diagnosis codes. The filter displays the code and the description. Examples include 0010:CHOLERA D/T VIB CHOLERAE; 0019: CHOLERA NOS; etc. The ICD 9 groupings for procedures. The filter displays the range and description. Examples include 01-05.9:Operations on the Nervous System; 0607.99:Operations on the Endocrine System;08-16.99: Operations on the Eye; etc. The ICD 9 procedure code. The major classification for the administered drug. Examples include ANTI-INFECTIVE AGENTS, SYSTEMIC; HEMATOLOGICAL AGENTS; CENTRAL NERVOUS SYSTEM AGENTS; etc. The minor classification for the administered drug. Examples include ACIDIFYING AGENTS; ADRENOCORTICAL STEROIDS; AGENTS FOR ACTIVE IMMUNIZATION; AGENTS FOR GLAUCOMA; etc. The name of the administered drug. Examples include ABACAVIR, ABACAVIR ORAL, etc. The sub minor classification for the administered drug. Examples include ACE INHIBITORS, ALPHA-GLUCASIDASE, AMINOPENICILLINS, etc. 3M (KeaneOacis) Classification code of the tissue sample. Example N, D Classification description of the tissue sample. Example Normal, Diseased Sample classification code of the tissue sample. Example TP, BC Sample classification description of the tissue sample. Example Tumor Primary, Buffy Code Biobank (TissueMetrix) Version 1.0 [CDW] (based on 3MKeaneOacis) 3M (KeaneOacis) [CDW] (based on McKesson AdminRxOacis) [CDW] (based on McKesson AdminRxOacis) McKesson AdminRx (Oacis) [CDW] (based on McKesson AdminRxOacis) Biobank (TissueMetrix) Biobank (TissueMetrix) Biobank (TissueMetrix) 5|P a g e