Glossary of Terms

Location Requirement ID Definition
Global All Patients All patients are displayed when included in the search, regardless of status.
Global CMS Administrator The CMS Administrator will have view, investigate, reassign and escalate access for notifications and accretions and read access to patient data.
Global CMS Facility Editor The CMS Facility Editor will have view, accept, reject, investigate and escalate access for notifications and accretions and read, create and update access to patient data.
Global CMS Viewer The CMS Viewer will have read only access to CROWNWeb data.
Global Current Patients Only those patients who are considered current will be included with the search results.
Global Dialysis Facility/Center Patients Only dialysis facility or in center patients will be included with the search results.
Global Discharged Patients Only patients that have been discharged will be included with the search results.
Global Facility Administrator Facility Administrator will have view, investigate and escalate access for notifications and accretions and read access to patient data. The Facility Administrator has the authority to change the role for any user within his/her scope and grant access to facility(s) within his/her scope.
Global Facility Assigned Displays facility(s)to an end user (as determined by their User Role and Scope).
Global Facility Available The display of facility(s) available to assign to the user.
Global Facility Batch The Facility Batch user will have access to read, update and create.
Global Facility Editor Facility Editor will have view, accept, reject, investigate and escalate access for notifications and accretions and read, create and update access to patient data.
Global Facility Editor Facility Editor will have view, accept, reject, investigate and escalate access for notifications and accretions and read, create and update access to patient data.
Global Facility Viewer Facility Viewer will have read only access to CROWNWeb data.
Global Facility Viewer Facility Viewer will have access to read only.
Global Filter The ability to enter specific criteria in order to search and display patients when performing the PART Verification.
Global Home Patients Only Home based patients will be included with the search results.
Global Logout The ability for a user to exit CROWNWeb.
Global Network Administrator Network Administrator will have view, investigate, reassign and escalate access for notifications and accretions and read access to patient data.
Global Network Facility Editor Network Facility Editor will have view, accept, reject, investigate and escalate access for notifications and accretions and read, create and update access to patient data.
Global Network Patient Editor Network Patient Editor will have view, accept, reject, investigate, reassign and escalate access for notifications and accretions and read, create, update and delete access to patient data.
Global Network Viewer Network Viewer will have read only access to CROWNWeb data.
Global New Patients Only those patients who are new will be included with the search results.
Global No PART >30 Days Only those patients who have not been verified by PART for more than 30 days will be displayed.
Global Roles Available Displays all roles that can be assigned for the end user.
Global System Administrator The System Administrator will have view, accept, reject, investigate, reassign, and escalate access for notifications and accretions and read, create and update access to patient data.
Global Time Out A 15-minute count-down that identifies the time a user has left in the system prior to automatically being logged out.
Global Transient Patients Only those patients who are expected to be managed by a facility for 13 treatments or fewer, or 30 days or less and who are not at a home facility and are considered transient will be included with the search results
Global User ID The ability to enter a User ID to conduct a search for User Name return.
Global User Last Name The ability to look up user last name to assign role(s) or scope(s).
Global User Name List The display of unassigned and assigned users as determined by the end user role and scope.
Global User Role Assigned Displays roles assigned to the selected user.
Global Verification Date The date that the patient record was verified either through the PART User Interface or via Batch submission.
Global Verify All/None Checkbox A checkbox that allows a user to select all or none of the patients displayed on-screen while performing the PART Verification.
Global Verify By The user who provides patient record verification through the PART Single User Interface.
Global Verify Each Patient Checkbox A checkbox that allows a user to check or select a particular patient from the PART Verification list.
Global QualityNet Identity Management System (QIMS) The QualityNet Identity Management System (QIMS) provides an identity and access management system integrated with a two-factor solution. QIMS ensures secure, distributed, consistent account management, and authentication services for applications requiring multifactor authentication. This security service is applied in a consistent manner and CROWNWeb uses this security method.
Global Use Date Range The date range entered or selected that identifies the 'Begin' and 'End' date.
Global Date Range From -> To The start date entered or selected by user when the end date is an undefined future date.
Patient Tables 042 Other AIDS nephropathy is the kidney damage caused in the patients suffering from AIDS.
Patient Information 1 - Medicaid Medicaid is the United States health program for certain people and families with low incomes and resources. It is a means-tested program that is jointly funded by the state and federal governments and is managed by the states
Patient Tables 100 Hypoglycemia Abnormal decrease of sugar in the blood.
Patient Tables 101 Hyperglycemia Abnormal increase of sugar in the blood.
Patient Tables 102 Diabetic coma A coma that develops in severe and inadequately treated cases of diabetes mellitus which is any of various abnormal conditions characterized by the secretion and excretion of excessive amounts of urine.
Patient Tables 103 Hyperthyroidism The condition produced by excessive functional activity of the thyroid gland.
Patient Tables 104 Withdrawal from dialysis/uremia Waste products that accumulate in the blood that are normally eliminated in the urine producing a severe toxic condition and usually occurs in patients with severe kidney disease after they have withdrawn from dialysis.
Patient Tables 1890 Other Renal tumor (malignant) is a cancerous disease of the kidneys whose symptoms include back pain; swelling in the feet, hands or fact; nausea; bloody or dark-colored urine; and a change in how often your urinate
Patient Tables 1899 Other Urinary tract tumor (malignant): a cancerous, abnormal growth of body tissue found in the urinary tract.
Patient Information 2 - DVA The US Department of Veterans Affairs provides patient care and federal benefits to veterans and their dependents.
Patient Tables 20280 Other Lymphoma of kidneys
Patient Tables 20300 Other Multiple myeloma: a group of abnormal plasma cells (myeloma cells) multiplies, raising the number of plasma cells to a higher than normal level.
Patient Tables 20308 Other Other immuno proliferative neoplasms (including light chain nephropathy)
Patient Tables 2230 Other Urologic Renal tumor (benign): refers to noncancerous abnormal growths of the kidney that do not metastasize or spread to the rest of the body. Though they are not life-threatening in themselves, complications may arise if the tumor press on vital organs in the course of their growth
Patient Tables 2239 Other Urologic Urinary tract tumor (benign): do not grow into surrounding tissue
Patient Tables 23 Myocardial infarction, acute Damage to an area of heart muscle that is deprived of oxygen, usually due to blockage of a diseased coronary artery, typically accompanied by chest pain radiating down one or both arms, the severity of the attack varying with the extent and location of the damage.
Patient Tables 23951 Other Renal tumor (unspecified)
Patient Tables 23952 Other Urinary tract tumor (unspecified)
Patient Tables 24 Hyperkalemia An abnormally high concentration of potassium in the blood.
Patient Tables 25 Pericarditis, incl. Cardiac tamponade Inflammation of the pericardium, the membranous sac enclosing the heart, including mechanical compression of the heart by large amounts of fluid or blood within the pericardial space that limits the normal range of motion and function of the heart.
Patient Tables 25040 Diabetes Diabetes with renal manifestations Type 2
Patient Tables 25041 Diabetes Diabetes with renal manifestations Type 1
Patient Tables 26 Atherosclerotic heart disease A form of arteriosclerosis, or degenerative changes in the arteries, characterized by thickening of the vessel walls and accumulation of calcium with consequent loss of elasticity and lessened blood flow, characterized by the deposition of plaques containing cholesterol and lipids on the innermost layer of the walls of large- and medium-sized arteries.
Patient Tables 27 Cardiomyopathy Any of various structural or functional abnormalities of the cardiac muscle, usually characterized by loss of muscle efficiency and sometimes heart failure.
Patient Tables 2700 Other Cystinosis: a condition in which the body accumulates the amino acid cystine (a building block of proteins) within cells. Excess cystine forms crystals that can build up and damage cells. These crystals negatively affect many systems in the body, especially the kidneys and eyes.
Patient Tables 2718 Other Primary oxalosis: an overproduction of oxalic acid. Oxalosis is a widespread deposition of calcium oxalate crystals in the kidneys, bones, arterial media, and myocardium, with increased urinary excretion of oxalate.
Patient Tables 2727 Other Fabry's disease: a fat storage disorder caused by a deficiency of an enzyme involved in the biodegradation of lipids.
Patient Information 2728-Serum Albumin (g/dl) The serum albumin value (g/dl) for the patient with the value and date being within 45 days prior to the first dialysis treatment or kidney transplant.
Patient Tables 27410 Other Gouty nephropathy: a disorder characterised by the high levels of uric acid in the urine, which leads to rapid worsening of the kidney function
Patient Information 2746 Practitioner UPIN The CROWNWeb Unique Physician Identification Number (UPIN) for the attending physician.
Patient Information 2746 Submit Date The most recent date the patient record for the form 2746 was submitted.
Patient Tables 27549 Other Other disorders of calcium metabolism
Patient Tables 2773 Other Amyloidosis: a disease that occurs when substances called amyloid proteins build up in your organs. Amyloid is an abnormal protein usually produced by cells in your bone marrow that can be deposited in any tissue or organ.
Patient Tables 28 Cardiac arrhythmia An abnormal rate of muscle contractions in the heart.
Patient Tables 28260 Other Sickle cell disease/anemia: autosomal recessive genetic blood disorder with incomplete dominance, characterized by red blood cells that assume an abnormal, rigid, sickle shape. An autosome is a chromosome that is not a sex chromosome, that identifies if there is an equal number of copies of the chromosome in males and females
Patient Tables 28269 Other Sickle cell trait and other sickle cell (HbS/Hb other)
Patient Tables 28311 Other Hemolytic uremic syndrome: a condition that results from the abnormal premature destruction of red blood cells.
Patient Tables 2870 Other Henoch-Schonlein syndrome: a clinical syndrome characteristic skin rash, abdominal colic, joint pain and glomerulonephritis.
Patient Tables 29 Cardiac arrest, cause unknown Abrupt temporary or permanent cessation of the heartbeat with an unknown cause.
Patient Information 3 - Medicare Medicare is a social insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over; to those who are under 65 and are permanently physically disabled or who have a congenital physical disability; or to those who meet other special criteria.
Patient Tables 30 Valvular heart disease Any disease process involving one or more of the valves of the heart.
Patient Tables 31 Pulmonary edema due to exogenous fluid An abnormal accumulation of fluid in the lungs.
Patient Tables 32 Congestive Heart Failure Heart failure in which the heart is unable to maintain adequate circulation of blood in the tissues of the body or to pump out the venous blood returned to it by the venous circulation.
Patient Tables 33 Septicemia due to internal vascular access Invasion and persistence of pathogenic bacteria in the blood-stream due to complications of the internal vascular access.
Patient Tables 34 Septicemia due to vascular access catheter Invasion and persistence of pathogenic bacteria in the blood-stream due to complications from the vascular access catheter.
Patient Tables 35 Pulmonary embolus The obstruction of pulmonary arteries, usually by detached fragments of a clot from a leg or pelvic vein.
Patient Tables 36 Cerebrovascular accident including intracranial hemorrhage A sudden loss of brain function caused by a blockage or rupture of a blood vessel to the brain including the escape of blood within the cranium due to the loss of integrity of vascular channels and frequently leading to formation of a hematoma.
Patient Tables 37 Ischemic brain damage/Anoxic encephalopathy A patient who has sustained brain damage due to lack of oxygen.
Patient Tables 38 Hemorrhage from transplant site An escape of blood from the blood vessels, especially when excessive, at the site of transplantation.
Patient Tables 39 Hemorrhage from vascular access An escape of blood from the blood vessels, especially when excessive, at the site of vascular access.
Patient Information 4 - Medicare Advantage Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the original Medicare plan (Parts A and B). Medicare Part A is hospital insurance that helps cover inpatient care in hospitals, skilled nursing facility, hospice, and home health care. Medicare Part B helps cover medically-necessary services like doctors' services, outpatient care, home health services, and other medical services.
Patient Tables 40 Hemorrhage from dialysis circuit An escape of blood from the blood vessels, especially when excessive, resulting from dialysis circuit.
Patient Tables 40391 Hypertension Hypertension: Unspecified with renal failure
Patient Tables 41 Hemorrhage from ruptured vascular aneurysm An escape of blood from the blood vessels, especially when excessive, resulting from a localized, blood-filled dilation of a blood vessel caused by disease or weakening of the vessel wall.
Patient Tables 42 Hemorrhage from surgery (not 38, 39, or 41) An escape of blood from the blood vessels, especially when excessive, resulting from surgical complications.
Patient Tables 43 Other hemorrhage (not 38-42. 72) An escape of blood from the blood vessels, especially when excessive, resulting from any other condition not already listed.
Patient Tables 44 Mesenteric infarction/ischemic bowel Inflammation and injury of the small intestine result from inadequate blood supply.
Patient Tables 4401 Hypertension Renal artery stenosis: the narrowing of the renal artery, most often caused by atherosclerosis or fibromuscular dysplasia. This narrowing of the renal artery can impede blood flow to the target kidney
Patient Tables 4460 Other Polyarteritis: a vasculitis of medium & small-sized arteries, which become swollen and damaged from attack by rogue immune cells. Vasculitis refers to a heterogeneous group of disorders that are characterized by inflammatory destruction of blood vessels
Patient Tables 44620 Other Other Vasculitis and its derivatives
Patient Tables 44621 Glomerulonephritis Goodpasture's syndrome: rare disease characterized by glomerulonephritis and hemorrhaging of the lungs
Patient Tables 4464 Other Wegener's granulomatosis: a form of vasculitis (inflammation of blood vessels) that affects the nose, lungs, kidneys and other organs. Due to its end-organ damage, it is life-threatening and requires long-term immunosuppression.
Patient Tables 45 Peritoneal access infectious complication, bacterial Peritoneal access complication due to bacterial infection.
Patient Tables 46 Peritoneal access infectious complication, fungal Peritoneal access complication due to fungal infection.
Patient Tables 47 Peritonitis (complication of peritoneal dialysis) Inflammation of the peritoneum, the serous membrane lining the abdominal cavity.
Patient Tables 48 Central nervous system infection (brain, abscess, meningitis, encephalitis, etc.) An infection of the part of the nervous system comprising the brain and spinal cord including a brain abscess, an abscess caused by inflammation and collection of infected material, meningitis, infection caused inflammation of the membranes that surround the brain or spinal cord, encephalitis, inflammation of the brain, etc.
Patient Information 5 - Employer Group Health Insurance A policy that is purchased by a business or company owner and is being offered to its eligible workers and most of the time to the workers' family member as a benefit of working for that company.
Patient Tables 51 Septicemia due to peripheral vascular disease, gangrene Invasion and persistence of pathogenic bacteria in the blood-stream due to local death of soft tissues from loss of blood supply.
Patient Tables 52 Septicemia, other Other form of invasion and persistence of pathogenic bacteria in the blood-stream not already listed.
Patient Tables 5724 Other Hepatorenal syndrome: a life-threatening medical condition that consists of rapid deterioration in kidney function in individuals with cirrhosis or fulminant liver failure. Fulminant is any event or process that occurs suddenly and quickly, and is intense and severe to the point of lethality.
Patient Tables 5800 Glomerulonephritis Post infectious GN, SBE: frequently is related to infection by Streptococcus pyogenes in pharynx or skin. Streptococcus pyogenes is a bacterium that causes the formation of pus or of fatal septicemias.
Patient Tables 58089 Other Acute interstitial nephritis: affecting the interstitium of the kidneys surrounding the tubules.
Patient Tables 5820 Glomerulonephritis Other proliferative GN: is characterised by increased number of cells in the glomerulus (hypercellular). A glomerulus is a capillary tuft that is involved in the first step of filtering blood to form urine.
Patient Tables 5821 Glomerulonephritis Focal Glomerulonephritis, focal sclerosing GN: a kidney disease in which the kidneys’ ability to remove excess fluids and waste is damaged. This disease is characterized by focal areas of glomerular tissue thickening and hardening that spreads gradually to other parts of the kidney. Eventually this condition results in kidney failure.
Patient Tables 5829 Glomerulonephritis Glomerulonephritis (GN) (histologically not examined).
Patient Tables 5830 Other Radiation nephritis: is kidney damage caused by ionizing radiation.
Patient Tables 5831 Glomerulonephritis Membranous nephropathy: is a kidney disorder which involves changes and inflammation of the structures inside the kidney that help filter waste and fluids.
Patient Tables 58321 Glomerulonephritis Membranoproliferative GN type 1, diffuse MPGN: an uncommon cause of chronic nephritis that occurs primarily in children and young adults.
Patient Tables 58322 Glomerulonephritis Dense deposit disease, MPGN type 2.
Patient Tables 5834 Glomerulonephritis With lesion of rapidly progressive GN.
Patient Tables 5836 Other Tubular necrosis (no recovery).
Patient Tables 58381 Glomerulonephritis IgA nephropathy, Berger's disease (proven by immunofluorescence).
Patient Tables 58382 Glomerulonephritis IgM nephropathy (proven by immunofluorescence).
Patient Tables 58389 Other Chronic interstitial nephritis.
Patient Tables 5839 Other Drash syndrome, mesangial sclerosis: characterized by abnormal kidney function (congenital nephropathy), a cancerous tumor of the kidney and disorders of sexual development in affected males.
Patient Tables 58391 Other Secondary GN, other.
Patient Tables 58392 Other Nephropathy due to heroin abuse and related drugs.
Patient Tables 5900 Other Urologic Chronic pyelonephritis, reflux nephropathy: In reflux nephropathy, this means that urine passes back up from the bladder towards the kidneys instead of coming out of the body. Nephropathy is a medical term for kidney disease. Reflux nephropathy is sometimes also called just “reflux” and an older name for the same condition is “chronic pyelonephritis”.
Patient Tables 5909 Other Nephropathy caused by other agents.
Patient Tables 5920 Other Urologic Nephrolithiasis: is the process of forming a kidney stone, a stone in the kidney (or lower down in the urinary tract).
Patient Tables 5929 Other Urologic Urolithiasis: is the condition where urinary calculi are formed or located anywhere in the urinary system.
Patient Tables 59381 Hypertension Renal artery occlusion.
Patient Tables 59383 Hypertension Cholesterol emboli, renal emboli.
Patient Tables 59389 Other Other renal disorders.
Patient Tables 5996 Other Urologic Acquired obstructive uropathy.
Patient Information 6 - Other The patient has other medical coverage assisting in expenses related to hospital, prescription, etc.
Patient Tables 61 Cardiac infection (endocarditis) A heart infection including inflammation of the lining of the heart and its valves.
Patient Tables 62 Pulmonary infection (pneumonia, influenza) A lung infection including inflammation of one or both lungs, in which the air sacs (alveoli) become filled with liquid, which renders them useless for breathing.
Patient Tables 63 Abdominal infection (peritonitis (not comp of PD), perforated bowl, diverticular disease, gallbladder) An infection of the portion of the body between the thorax and pelvis, containing the stomach, intestines, liver and other organs.
Patient Tables 64 Hepatitis B A sometimes fatal hepatitis caused by a double-stranded DNA virus that tends to persist in blood serum and is transmitted especially by contact with infected blood or by contact with other infected bodily fluids.
Patient Tables 64620 Other Post partum renal failure.
Patient Tables 65 Other viral hepatitis Any hepatitis that is not B or C.
Patient Tables 66 Liver-drug toxicity Damage to the liver that is chemically induced.
Patient Tables 67 Cirrhosis A chronic disease of the liver characterized by the replacement of normal tissue with fibrous, or scar, tissue and the loss of functional liver cells.
Patient Tables 68 Polycystic liver disease Disorder characterized by many cists of various sizes scattered throughout the liver.
Patient Tables 69 Liver failure, cause unknown or other Loss of liver function with a cause that is not already listed or the cause is not nown.
Patient Information 7 - None The patient does not have medical coverage.
Transfer Files Batch 7 - None The patient does not have medical coverage.
Patient Tables 70 Genito-urinary infection (urinary tract infection, pyelonephrisis, renal abscess) Infection of the reproductive organs and the urinary system.
Patient Tables 7100 Other Lupus erythematosus, (SLE nephritis): is a category for a collection of diseases with similar underlying problems with immunity (autoimmune disease).
Patient Tables 7101 Other Scleroderma: a chronic systemic autoimmune disease (primarily of the skin) characterized by fibrosis (or hardening), vascular alterations and autoantibodies.
Patient Tables 72 Gastro-intestinal hemorrhage An escape of blood from the blood vessels in the gastrointestinal tract from the pharynx to the rectum.
Patient Tables 73 Pancreatitis Inflammation of the pancreas occurring when enzymes that digest food are activated in the pancreas instead of the small intestine.
Patient Tables 75 Perforation of peptic ulcer An erosion of the mucous membrane of the lower esophagus, stomach, or duodenum caused in part by the corrosive action of the gastric juice that creates a hole, or one of a series of holes, through the lining of the organ. The duodenum is a short part of the small intestine that connects to the stomach.
Patient Tables 7530 Other Renal hypoplasia, dysplasia, oligonephronia.
Patient Tables 75313 Cystic Kidney Polycystic kidneys, adult type (dominant).
Patient Tables 75314 Cystic Kidney Polycystic, infantile (recessive).
Patient Tables 75316 Cystic Kidney Medullary cystic disease, including nephronophthisis.
Patient Tables 75321 Other Congenital obstruction of ureterpelvic junction.
Patient Tables 75322 Other Congenital obstruction of uretrovesical junction.
Patient Tables 75329 Other Other Congenital obstructive uropathy.
Patient Tables 7533 Other Congenital nephrotic syndrome: is an inherited disorder characterized by protein in the urine and swelling of the body.
Patient Tables 75671 Other Prune belly syndrome.
Patient Tables 7595 Other Tuberous sclerosis: a rare genetic disease that causes noncancerous (benign) tumors to grow in many parts of the body such as the skin, brain and kidneys.
Patient Tables 7598 Other Hereditary nephritis, Alport's syndrome: inherited form of kidney inflammation (nephritis). It is caused by a mutation in a gene for a protein in connective tissue, called collagen.
Patient Tables 75989 Other Other (congenital malformation syndromes).
Patient Tables 76 Perforation of bowel (not 75) A rupture in the intestines caused especially by accident or disease.
Patient Tables 77 Hypokalemia An abnormally low concentration of potassium in the blood.
Patient Tables 78 Hypernatremia The presence of an abnormally high concentration of sodium in the blood.
Patient Tables 79 Hyponatremia The presence of an abnormally low concentration of sodium in the blood.
Patient Tables 7999 Unknown Etiology uncertain.
Patient Tables 80 Bone marrow depression Abnormal condition of the bone marrow in which it is unable to produce normal amounts of red blood cells (RBCs), white blood cells (WBCs) and platelets.
Patient Tables 81 Cachexia/failure to thrive Patients with a general physical reduction in vitality, strength and malnutrition usually associated with chronic disease whose current weight is significantly below other patients of similar age and sex.
Patient Tables 82 Malignant disease, patient ever on Immunosuppressive therapy A disease tending to have a destructive clinical course due to the patient having been on an Immunosuppressive therapy.
Patient Tables 83 Malignant disease (not 82) A disease tending to have a destructive clinical course.
Patient Tables 84 Dementia, incl. dialysis dementia, Alzheimer's A neurological syndrome with deterioration of intellectual faculties, such as memory, concentration and judgment that is sometimes accompanied by emotional disturbance and personality changes, marked especially by motor and speech disturbance, progressive dementia, seizures and Alzheimer's disease.
Patient Tables 85 Seizures A sudden episode of transient neurologic symptoms such as involuntary muscle movements, sensory disturbances and altered consciousness.
Patient Tables 8660 Other Traumatic or surgical loss of kidney(s).
Patient Tables 87 Chronic obstructive lung disease (COPD) Any of several pulmonary diseases, especially emphysema, in which chronic airway obstruction causes respiratory abnormalities, including shortness of breath and/or slowed rate of exhalation.
Patient Tables 88 Complications of surgery Death as an outcome of complication that arose during surgery.
Patient Tables 89 Air embolism Obstruction of blood circulation by air that has gained entrance to veins or arteries.
Patient Tables 90 Accident related to treatment Accidental death caused by an accident that occurred during and related to the patient's treatment.
Patient Tables 91 Accident unrelated to treatment Accidental death caused by an accident that occurred anytime excluding the patient's treatment.
Patient Tables 92 Suicide The act or an instance of taking one's own life voluntarily and intentionally.
Patient Tables 93 Drug overdose (street drugs) The ingestion or application of an illicit drug or other substance in quantities greater than are recommended or generally practiced.
Patient Tables 94 Drug overdose (not 92 or 93) The ingestion or application of a prescribed drug or other substance in quantities greater than are recommended or generally practiced.
Patient Tables 95 Acidosis An abnormal increase in the acidity of body fluids, caused either by accumulation of acids or by depletion of bicarbonates. Bicarbonates is a radical group HCO3 or a compound, such as sodium bicarbonate.
Patient Tables 96 Adrenal insufficiency A destructive disease marked by deficient adrenocortical secretion and characterized by extreme weakness, loss of weight, low blood pressure, gastrointestinal disturbances and brownish pigmentation of the skin and mucous membranes. Adrenocortical pertains to or is derived from the cortex of the adrenal gland.
Patient Tables 9659 Other Analgesic abuse: refers to damage induced by excessive use of combinations of these medications, especially combinations that include analgesic medication.
Patient Tables 97 Hypothyroidism The condition produced by a deficiency of thyroid secretion.
Patient Tables 98 Other cause of death Any other cause of death not listed.
Patient Tables 9849 Other Lead nephropathy: results attributed from lead exposure where the kidney is the main route by which lead is eliminated. Lead is absorbed by the proximal tubular cells of the renal tubules, where it binds to specific lead-binding proteins.
Patient Tables 99 Unknown Death has occurred resulting from an unknown cause.
Patient Tables 99680 Other Complications of transplanted organ unspecified.
Patient Tables 99681 Other Complications of transplanted kidney.
Patient Tables 99682 Other Complications of transplanted liver.
Patient Tables 99683 Other Complications of transplanted heart.
Patient Tables 99684 Other Complications of transplanted lung.
Patient Tables 99685 Other Complications of transplanted bone marrow.
Patient Tables 99686 Other Complications of transplanted pancreas.
Patient Tables 99687 Other Complications of transplanted intestine.
Patient Tables 99689 Other Complications of other specified transplanted organ.
Patient Information Access Type for First Outpatient Dialysis The vascular access information as to the type of access used (AVF, graft, catheter (including port device) or other type of access.
Patient Information Acute The patient is not chronic ESRD and is not receiving a regular course of dialysis treatment.
Patient Information Admit Date The date of the patient's first dialysis treatment or home training date at the facility. This date may also represent the Date Patient Started Chronic Dialysis at Current Facility on the 2728.
Patient Information Admit Reason The reason a patient was admitted to care at a facility.
Patient Information Admit/Discharge Submit Date The most recent date the patient Admit or Discharge record was submitted.
Patient Information Adult GFR Lab Method The lab method used to calculate the Adult GFR. This is determined by the creatinine measurement method.
Patient Information Age Began ESRD The age that the patient began ESRD as a chronic dialysis patient or by receiving a transplant, whichever occurred first.
Patient Information Alcohol Dependence A diagnosis describing an individual compulsively and excessively uses alcohol despite significant areas of dysfunction, evidence of physical dependence and/or related hardship.
Patient Information Amputation The surgical removal of all or part of a limb, an organ or projecting part or process of the body.
Patient Information Atherosclerotic Heart Disease, ASHD The hardening of the arteries due to a build up inside the coronary arteries of cholesterol, fatty acids calcium, tissue and cells.
Patient Information Attending Physician First Name The attending physician’s legal first name.
Patient Information Attending Physician Last Name The attending physician’s legal last name.
Patient Information Attending Physician Personnel Unique Identifier The CROWNWeb Unique Physician Identification Number (UPIN) for the attending physician.
Patient Information Attending Physician Phone Number The attending physician’s business phone number.
Patient Information Attending Practitioner Name The attending practitioner's legal last name.
Patient Information Attending Practitioner National Provider Identifier (NPI) A unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
Patient Information Attending Practitioner UPIN The CROWNWeb Unique Physician Identification Number (UPIN) for the attending physician.
Transfer Files Batch AVF (Arteriovenous Fistula) An abnormal connection of an artery and a vein. The blood bypasses the capillaries and tissues and returns to the heart.
Patient Information Back-up Hemodialysis The patient is temporarily using the facility as a back-up hemodialysis treatment.
Patient Information Bedside IDMS Traceable Schwartz Equation The use of isotope dilution mass spectroscopy in calibrating the measurements of serum creatinine when employing the serum creatinine (mg/dL), the child's height(cm) and a constant to estimate the glomerular filtration rate (GFR).
Patient Information Bromcresol Green (BCG) A visual pH indicator dye used in testing for serum albumin concentration levels. It binds quantitatively with human albumin for maximum absorption.
Patient Information Bromcresol Purple (BCP) A visual pH indicator dye used in testing for serum albumin concentration levels. It binds quantitatively with human serum albumin forming a stable complex with maximum absorption.
Patient Information CAPD Continuous Ambulatory Peritoneal Dialysis (CAPD) is a peritoneal dialysis method used during the day by keeping two liters of fluid in the abdomen at all times, exchanging the fluids four to six times per day.
Transfer Files Batch Catheter In hemodialysis, either a temporary, uncuffed catheter designed for short-term venous access of up to three weeks and made of stiff materials such as polyurethane or polyvinyl or a tunneled catheter which is a central venous catheter typically placed in the superior vena cava. A PD catheter is a synthetic tube surgically inserted with one end into the abdomen and the other end protruding from the skin.
Patient Information CCPD Continuous Cycling Peritoneal Dialysis (CCPD) is a peritoneal dialysis method used during the night by a cycler loaded with solution bags which is connected to the PD catheter just before going to sleep with the cycler making 4-6 exchanges automatically.
Patient Information Cerebrovascular Disease, CVA, TIA A group of brain dysfunctions related to disease of the blood vessels supplying the brain. CVA (Cerebrovascular Accident) is a stroke or sudden diminution or loss of consciousness, sensation and voluntary motion caused by rupture or obstruction (as by a clot) of a blood vessel of the brain. TIA (Transient Ischemic Attack) is a temporary blockage of the blood supply to the brain caused by a blood clot and usually lasting ten minutes or less, during which dizziness, blurring of vision, numbness on one side of the body and other symptoms of a stroke may occur.
Patient Information Chronic Obstructive Pulmonary Disease Any of several pulmonary diseases in which chronic airway obstruction causes respiratory abnormalities including shortness of breath and slowed rate of exhalation.
Patient Information Claim Number N/A Patient's Medicare Claim Number is not applicable. The Patient's Medicare Claim Number is the patient's current Medicare health insurance claim number (HICN) which is a unique identifier of a beneficiary usually consisting of the nine-digit Social Security number (SSN) and two-character code (BIC) that stores the relationship between the beneficiary and the primary holder of the associated SSN.
Patient Information Co-Morbid Conditions Existing simultaneously with and usually independently of another medical condition.
Patient Information Completed VR The patient completed the vocational rehabilitation program.
Patient Information Congestive Heart Failure The inability of the heart to pump enough blood to avoid congestion in the tissues of the body.
Patient Information Converted from Legacy The patient's race and ethnicity was converted from a legacy or previous software program.
Patient Information CROWN Facility Unique Identifier The CROWNWeb Unique identifier for the facility.
Patient Information CROWN Personnel Unique Identifier CROWNWeb unique identifier for personnel.
Patient Information CROWN Unique Patient Identifier (UPI) The CROWNWeb Unique identifier for the patient.
Patient Information Current Age The patient's current age if the patient is living or age at the time of the patient's death.
Patient Information Current Medical Coverage The patient's current medical coverage status.
Patient Information Currently in VR The patient is currently participating in a vocational rehabilitation program.
Patient Information Date Attending Physician Signed Form The date that the attending physician signed the form.
Patient Information Date of Birth Range The range of patient's date of birth or a specific date.
Patient Information Date of Death Range The range of patient's date of death or a specific date.
Patient Information Date of Most Recent Transplant The date of the patient's most recent kidney transplant if applicable, or if the field contains "Unknown" it means the date of the most recent transplant is not known.
Patient Information Date Patient Admitted for Transplant The date the patient was admitted as an inpatient to a hospital in preparation for, or anticipation of, a kidney transplant.
Patient Information Date Patient Started Chronic Dialysis at Current Facility The date of the patient's first dialysis treatment or home training date at the facility. In cases where the patient transferred to the current dialysis facility, this date will be after the date in field 24 (Date Regular Chronic Dialysis Began) of the Initial 2728.
Patient Information Date Regular Chronic Dialysis Began The date that the patient started a regular course of dialysis or the date a patient returned to dialysis after a transplant failed.

Note: The beginning of the regular course of dialysis is counted from the beginning of the regularly scheduled dialysis necessary for the treatment of ESRD regardless of the dialysis setting. The date of the first dialysis treatment after the physician has determined that this patient has ESRD and has written a prescription for a regular course of dialysis is the Date Regular Chronic Dialysis Began regardless of whether this prescription was implemented in a hospital/inpatient, outpatient, or home setting and regardless of any acute treatments received prior to the implementation of the prescription. If the patient was re-entering the Medicare program, this is the beginning date of the current ESRD episode or event. The note in the Remarks section (item 53) may say that the patient has restarted dialysis.
Patient Information Date Return to Dialysis after Failed Transplant The date a patient returned to a regular course of dialysis after a failed transplant; or if patient did not stop dialysis post transplant, the transplant date.
Patient Information Date Training Began The date the patient began self-care dialysis or transplant training.
Patient Information Date Training Physician Signed Form The date that the training physician signed the form.
Patient Information Death Form Signed Date The date the 2746 form was signed.
Patient Information Deceased The door was deceased at the time of the transplant event.
Patient Information Declines VR The patient declines the vocational rehabilitation program.
Patient Information Diabetes, currently on insulin Currently using, typically by injection, any of several commercial preparations of a polypeptide hormone that regulates the metabolism of glucose and other nutrients, each of which allows a particular rate of absorption into the system.
Patient Information Diabetes, on oral medications Currently using, by oral ingestion, any of several commercial preparations that stimulate the beta cells of the pancreas to release more insulin.
Patient Information Diabetes, without medications The patient has diabetes but is not currently using any medications for treatment.
Patient Information Diabetic Retinopathy A blood vessel disorder of the retina occurring as a complication of poorly controlled diabetes mellitus, often leading to blindness.
Patient Information Dialysis After Transplant Failed The patient being admitted to the facility is being enrolled back in to dialysis treatment after a failed kidney transplant.
Patient Information Dialysis Facility A center approved by Medicare to provide dialysis services to ESRD patients.
Patient Information Dialysis Facility CROWN Unique Facility Identifier The CROWNWeb Unique identifier for dialysis facilities.
Patient Information Dialysis In Support of Transplant The patient is temporarily receiving hemodialysis at a transient facility in support of a kidney transplant.
Patient Information Dialysis Unit The dialysis unit ensures the availability of ESRD treatment to meet the needs of dialysis patients
Patient Information Did transplant patient resume chronic maintenance dialysis prior to death? Whether or not the patient resumed outpatient dialysis prior to death.
Patient Information Disaster A disaster has occurred that has forced the patient to temporarily undergo hemodialysis treatments at a facility other than the home facility.
Patient Information Discharge Date The date that the facility discharges the patient.
Patient Information Discharge Reason The medical reason a patient was discharged from care at a facility.
Patient Information Discontinue The patient has discontinued dialysis treatment.
Patient Information Discontinue Request of Patient/Family The patient's treatment was discontinued at their own request or at the request of his/her family.
Patient Information Drug Dependence The dependency on illicit drugs or those not legally permitted or authorized.
Patient Information Dry weight The weight at the end of a dialysis treatment in pounds (lb) or kilograms (kg) below which the patient often develops symptoms of hypotension.
Patient Information Effective Date (Change) Date that all changes to the patient record become effective.
Patient Information Employed Full Time A form of employment that carries 40 hours or greater as defined by the employer and is eligible for company paid benefits.
Patient Information Employed Part Time A form of employment that carries fewer hours per week, usually 30 hours or less and is not eligible for company paid benefits.
Patient Information ESA Received Whether an Erythropoietin Stimulating Agent (ESA), such as Exogenous erythropoietin (EPO) or equivalent, was received by the patient prior to ESRD therapy. Erythropoietin is a hormonal substance that is formed in the kidney and stimulates red blood cell formation. Erythropoietin Stimulating Agent (ESA) is agent similar to the cytokine (erythropoietin) that stimulates red blood cell production. The Exogenous erythropoietin (EPO) is an ESA agent used to increase the volume of red blood cells.
Patient Information ESA Time Frame in Months Timeframe the patient was administered the ESA (EPO or equivalent) prior to ESRD therapy.
Patient Information Facility "Doing Business As" (DBA) Name The dialysis facility's Doin Business As (DBA) name where the patient is receiving care.
Patient Information Facility Adult GFR Default The default adult GFR Lab Method that is assigned to a facility as the generally used method.
Patient Information Facility CCN The dialysis facility's CMS Certification Number (CCN), the identification number that is linked to the facility's Medicare provider agreement, where the patient is receiving care.
Patient Information Facility DBA Name The dialysis facility's Doing Business As (DBA) name where the patient is receiving care. The name under which your facility does business; can differ from the Legal Name of the facility.
Patient Information Facility Maintenance The patient's home facility is under maintenance forcing the patient to temporarily relocate to another facility.
Patient Information Facility NPI A unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
Patient Information Facility Pediatric GFR Default The default pediatric GFR Lab Method that is assigned to a facility as the generally used method.
Patient Information Filter Used to filter a GAP patient search by a time frame.
Patient Information First ESRD Treatment The date of first ESRD treatment (dialysis or transplant) received.
Patient Information Following acute medical complication The patient's renal replacement therapy was discontinued due to an acute medical complication.
Patient Information Following chronic failure to thrive The patient's renal replacement therapy was discontinued due to significant signs of decline and weight loss which cannot be attributed to a single condition.
Patient Information Following HD and/or PD access failure The patient's renal replacement therapy was discontinued due to a failure of access for either HD or PD treatment.
Patient Information Following transplant failure The patient's renal replacement therapy was discontinued after a failed transplant.
Patient Information Form Type Indicator The type of CMS-2728 (Medicare Initial, Re-entitlement or Supplemental Entitlement and/or Patient Registration) form being submitted for the patient.
Patient Information Glomerular Filtration Rate (GFR) The volume of water filtered out of the plasma through glomerular capillary walls into Bowman's capsules per unit of time, which is used as an estimate of kidney function using a routine measurement of serum creatinine.

Note:The system generated estimate of kidney function using the Modification of Diet in Renal Disease (MDRD) GFR calculation (NNN.NN) using age, race, gender, and serum creatinine. Calculation formulas used:
For patients 19 years of age or older: GFR = 186 x (Serum Creatinine lab value)-1.154 x (age)-0.203 x (0.742 if Gender = Female) x (1.210 if Race = Black)

For patients 18 years of age or under: GFR = k x Height (in cm) / Serum Creatinine lab value, where k=0.45 (age < 1.5), k=0.55 (1.5 = age < 13 or if Female), k=0.70 (age = 13 and if Male)
Transfer Files Batch Graft A surgical procedure in which the surgeon connects an artery to a vein using a small synthetic tube.
Patient Information HbA1c A form of hemoglobin (HbA1c) which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
Patient Information HbA1c Collection Date The date of blood collection to determine the patient's HbA1c level. HbA1c is a laboratory test showing the amount of sugar in the blood over 3 months.
Patient Information HDL Cholesterol The lipid profile reading for high density lipoproteins, also known as HDL, which are molecules consisting of cholesterol and protein that carry cholesterol back from tissues or organs to the liver, where cholesterol will be degraded or recycled; considered "good cholesterol."
Patient Information HDL Cholesterol Collection Date The date of blood collection to determine the patient's HDL Cholesterol level.
Patient Information Hemodialysis A process that cleans the blood of waste products bypassing the blood through an artificial kidney, or dialyzer.
Patient Information Hemoglobin (g/dl) An iron-containing respiratory pigment of vertebrate red blood cells that functions primarily in the transport of oxygen from the lungs to the tissues of the body. Hemoglobin in humans is present normally in blood to the extent of 14 to 16 grams in 100 milliliters (g/dl), and that is determined in blood either colorimetrically or by quantitative estimation of the iron present.
Patient Information Hemoglobin Collection Date The date of blood collection to determine the patient's hemoglobin level.
Patient Tables Hepatitis C Hepatitis caused by a single-stranded RNA virus of the family Flaviviridae (species Hepatitis C virus of the genus Hepacivirus) that tends to persist in the blood serum and is usually transmitted by infected blood (as by injection of an illicit drug, blood transfusion, or exposure to blood or blood products) and that accounts for most cases of non-A, non-B hepatitis.
Patient Information History of Hypertension A record of past events that detail abnormally high blood pressure, especially in the arteries.
Patient Information Home A place of residence in which an individual or family can rest and store personal property.
Patient Information Home Maintenance The patient's home is under maintenance requiring him/her to temporarily locate to a different facility.
Patient Information Homemaker A term for the management of a home, otherwise known as housework, housekeeping or household management (the act of overseeing the organizational, financial, day-to-day operations of a house or estate, and the managing of other domestic concerns).
Patient Information Hospice A health-care facility for the terminally ill that emphasizes pain control and emotional support for the patient and family, typically refraining from taking extraordinary measures to prolong life.
Patient Information Hospice Care Prior to Death Indicates whether the patient was receiving Hospice care prior to death.
Patient Information Hospital An institution for health care providing patient treatment by specialized staff and equipment, and often, but not always providing for inpatient care or longer-term patient stays.
Patient Information IDMS-traceable MDRD Study Equation A method of estimating GFR once the lab begins using a creatinine method that has it's calibration traced to isotope dilution mass spectrometry. During the transition to IDMS-traceable calibration, methods that produce results that have acceptable bias when compared to an IDMS-traceable method also should use the IDMS-traceable MDRD Study equation. An example of the study equation: Conventional units
GFR (mL/min/1.73 m2) = 175 x (Scr)-1.154 x (Age)-0.203 x (0.742 if female) x (1.212 if African American)
SI units
GFR (mL/min/1.73 m2) = 175 x (Scr/88.4)-1.154 x (Age)-0.203 x (0.742 if female) x (1.212 if African American)
Patient Information Inability to Ambulate A patient who lacks the ability to walk about or move from place to place.
Patient Information Inability to Transfer The patient is not able to shift position or location.
Patient Information Informed of Kidney Transplant Options Indicates whether or not the patient has been informed of his/her options for receiving a kidney transplant.
Patient Information Initial Form filed for patients for whom a regular course of dialysis has been prescribed by a physician because they have reached that stage of renal impairment that a kidney transplant or regular course of dialysis is necessary to maintain life or for all patients who initially receive a kidney transplant instead of a course of dialysis.
Patient Information Institutionalized To place in or commit to an institution (as a nursing home or hospital) offering specialized care.
Patient Information Institutionalized - Assisted Living A system of housing and limited care that is designed for senior citizens who need some assistance with day-to-day activities that usually includes private quarters, meals, personal assistance, housekeeping aid, monitoring of medications and nurses' visits.
Patient Information Institutionalized - Nursing Home A privately operated establishment where maintenance and personal or nursing care are provided for persons who are unable to care for themselves properly.
Patient Information Institutionalized - Other Institution Any other institution of specialized care not listed.
Patient Information Involuntary The patient was involuntarily discharged from the facility.
Patient Information Involuntary Discharge Subcategory The reason stated for the involuntary discharge.
Patient Information Isotope dilution mass spectrometry (IDMS) A method of determining glucose in whole blood. The following is the IDMS-traceable MDRD Study equation (for creatinine methods calibrated to an IDMS reference method): GFR (mL/min/1.73 m2) = 175 x (Scr)-1.154 x (Age)-0.203 x (0.742 if female) x (1.212 if African American)
Patient Information Kidney Dietician Indicator Indication of whether the patient was under the care of a kidney dietitian, someone that monitors the patient's nutritional health and makes recommendations to help the patient balance nutrition, prior to ESRD therapy.
Patient Information Kidney Dietician Time Frame in Months The timeframe, in months, when the patient was under a kidney dietitian's care prior to ESRD therapy.
Patient Information Lab Method The laboratory method performed through blood collection that is used for obtaining serum albumin values.
Patient Information Lack of payment Patient was involuntarily discharged from the facility due to lack of payment.
Patient Information Last Facility The 'Doing Business As' (DBA) facility where the patient was last admitted prior to discharge.
Patient Information Last Treatment Date The patient's last treatment date if renal replacement therapy was discontinued.
Patient Information LDL Cholesterol The lipid profile reading for low density lipoproteins, or LDL, which is a combination of a cholesterol and a protein that circulates through the body and carries cholesterol from the liver and small intestine to other tissues and cells in the body that need it; considered "bad cholesterol."
Patient Information LDL Cholesterol Collection Date The date of blood collection to determine the patient's LDL Cholesterol level.
Patient Information Living Related The donor was living and related to the transplant recipient.
Patient Information Living Unrelated The donor was living and unrelated to the transplant recipient.
Patient Information Long Term Care Facility A system of housing and care for patients requiring more complete care or care that involves nursing therapies may need long-term care
Patient Information Lost to Follow Up The patient has stopped arriving for scheduled treatments with no prior notification.
Patient Information Mailing Address equal Physical Address The patient’s mailing address is the same as the physical address.
Patient Information Malignant Neoplasm, Cancer A tumor that is malignant or cancerous and tends to spread to other parts of the body.
Patient Information Maturing AVF Present This is used to indicate whether or not a maturing fistula (AVF) was present prior to ESRD therapy when AVF was not selected as the access used on first outpatient dialysis.
Patient Information Maturing Graft Present This is used to indicate whether or not a maturing graft was present prior to ESRD therapy when a fistula (AVF) was not selected as the access used on first outpatient dialysis.
Patient Information Medical Leave of Absence A term used to describe a period of time that one is to be away from his/her primary job while maintaining the status of employee.
Patient Information Medicare Application An indication of whether or not the patient is applying for ESRD Medicare.
Patient Information Merged Patient Status Whether or not a patient is active after the merge or unmerge is complete.
Patient Information Modification of Diet in Renal Disease (MDRD) A method of calculating GFR from creatinine measurements. The following is a sample calculation: MDRD-1 equation: GFR (expressed in ml/min/1.73 m2)=170×[plasma creatinine]-0.999×[age]-0.176×[0.762 if patient is female]×[1.180 if patient is black]×[SUN]-0.170×[albumin]+0.318
Patient Information Name of Enrolled/Principal Tribe Indicates the patient's enrolled/principal tribe if the box was checked under race stating patient is an American Indian/Alaska Native.
Patient Information Name of Preparation Hospital The name of the hospital where patient was admitted as an inpatient in preparation for, or anticipation of, a kidney transplant prior to the date of the actual transplantation.
Patient Information Name of Transplant Hospital The "Doing Business As" (DBA) name of the transplant hospital where the patient received a kidney transplant on the date in item 28.
Patient Information Needs Assistance with Daily Activities The patient is in need of assistance with normal day to day activities.
Patient Information Nephrologist Indicator Indication of whether the patient was under the care of a nephrologist prior to ESRD therapy or not. A Nephrologist is a medical specialist concerned with the kidneys and especially with their structure, functions, or diseases.
Patient Information Nephrologist Time Frame in Months The timeframe, in months, when the patient was under a nephrologists' care prior to ESRD therapy.
Patient Information New ESRD Patient The patient being admitted to the facility is new to ESRD with their information having never been entered at any other facility.
Patient Information Non-Adherence Patient was involuntarily discharged from the facility due to non-adherence.
Patient Information None The patient does not have any co-morbid conditions.
Patient Information Non-Renal Congenital Abnormality A defect that is present at birth that is not associated with the kidneys.
Patient Information Not eligible for VR The patient is not eligible for a vocational rehabilitation program.
Patient Information Not in School The patient is not enrolled in an education program.
Patient Information Not Self Reported The patient was not asked for race and ethnicity information, the facility will fill the data in for the patient.
Patient Information Nursing Home A privately operated establishment where maintenance and personal or nursing care are provided for persons who are unable to care for themselves properly.
Patient Information Original Schwartz Equation Employs the serum creatinine (mg/dL), the child's height(cm) and a constant to estimate the glomerular filtration rate (GFR)
Patient Information Other The patient was discharged from the facility and plans to receive chronic dialysis in prison or another country.
Transfer Files Batch Other (Type of Training) Any other type of self-dialysis training not already listed.
Patient Information Other Cardiac Disease Any other heart related disease that is not listed.
Transfer Files Batch Other type of access (Vascular) Any other type of vascular access not listed.
Patient Information Patient + 4 Zip Code (Mailing) The +4 code that follows the zip code for the patient's mailing address.
Patient Information Patient + 4 Zip Code (physical) The +4 code that follows the zip code for the patient's physical address.
Patient Information Patient Address (Mailing) The mailing address of the patient.
Patient Information Patient Address (Physical) The physical street address of the patient.
Patient Information Patient Cell Phone Number The patient's cell phone number.
Patient Information Patient Chooses Not To Support The patient was asked and they declined to provide the information, therefore the facility will fill in the data.
Patient Information Patient City (Mailing) The mailing city of the patient.
Patient Information Patient City (Physical) The city in which the patient lives.
Patient Information Patient Country/Area of Origin or Ancestry The patient's country of birth or origin.
Patient Information Patient County (Physical) The county in which the patient’s physical address is located (US Only).
Patient Information Patient Current Employment Status The patient's current employment status as of the date of the clinic visit.
Patient Information Patient Current School Status Indicates the patient’s current school status.
Patient Information Patient Current Vocational Rehabilitation Status Indicates whether the patient is currently enrolled in vocational rehabilitation.
Patient Information Patient Date of Birth The patient's date of birth.
Patient Information Patient Date of Death The patient's date of death.
Patient Information Patient Do Not Contact The patient does not want to be provided with mailings or materials from the Network or other entities.
Patient Information Patient E-Mail Address The patient's e-mail address.
Patient Information Patient Ethnicity Indicates the patient's ethnic background; relating to or characteristic of a human group having racial, religious, linguistic and certain other traits in common.
Patient Information Patient First Name The patient's current legal first name.
Patient Information Patient Height Indicates the most recent recorded height of the patient in inches (in) or centimeters (cm) depending on the unit of measurement selected, rounded to the nearest unit of measurement, or if an amputee, most recent recorded height before amputation.
Patient Information Patient Home Phone Number The patient's home phone number.
Patient Information Patient Last Name The patient's current legal last name.
Patient Information Patient Medicare Claim Number The patient's current Medicare health insurance claim number (HICNUM) which is a unique identifier of a beneficiary usually consisting of the nine-digit Social Security number (SSN) and two-character code (BIC) that stores the relationship between the beneficiary and the primary holder of the associated SSN.
Patient Information Patient Merge Date The date on which the patient merged was completed.
Patient Information Patient Middle Initial The patient's current legal middle initial.
Patient Information Patient Other Cause of Death The specifics behind a patient's cause of death when "other cause of death" is selected.
Patient Information Patient Place of Death Indicates the location of the patient at the time of death. If the field contains "Other", it means the patient died in transit or on arrival (DOA).
Patient Information Patient Primary Cause of Death The code that represents primary cause of death for the patient from the ESRD Death Notification List of Causes. The codes listed are current as of the OMB 0938-0048 version of the CMS-2746-U2 form dated 08/06.
Patient Information Patient Prior Employment Status (6 Months Prior) Indicates the patient's employment status 6 months prior to renal failure.
Patient Information Patient Race Indicates the patient's race(s) based on Federal racial categories. This is a classification of humans into large and distinct populations or groups by factors such as heritable characteristics or geographic ancestry, but also often influenced by and correlated with traits such as appearance, culture, ethnicity, and socio-economic status. Frequently genetic markers are used and is based on Federal racial categories.
Patient Information Patient Secondary Cause of Death Indicator Indicates whether there was a secondary cause of death for the patientand, and, if Yes, specifies one or more codes from the ESRD Death Notification List of Causes.
Patient Information Patient Sex/Gender The gender of the patient.
Patient Information Patient Sign Date The date that the patient signed the form.
Patient Information Patient Social Security Number A nine-digit number issued to U.S. citizens, permanent residents and temporary (working) residents.
Patient Information Patient State of Residence The patient's state for his/her mailing address.
Patient Information Patient State of Residence (Mailing) The patient's state for his/her mailing address.
Patient Information Patient State of Residence (Physical) The patient's state of physical residence.
Patient Information Patient Street Address (Mailing) The mailing address of the patient.
Patient Information Patient Submit Date Most recent date the patient record was submitted.
Patient Information Patient Suffix The patient’s last name suffix, if there is one.
Patient Information Patient Transient + 4 Zip Code The transient +4 code that follows the zip code for the patient's mailing address.
Patient Information Patient Transient City The patient's transient city for his/her mailing address.
Patient Information Patient Transient Contact Phone Number The patient's transient phone number for contact.
Patient Information Patient Transient State of Residence The patient's transient state for his/her mailing address.
Patient Information Patient Transient Street Address The patient's transient street address for his/her mailing address.
Patient Information Patient Transient Zip Code The Patient's transient zip code for his/her mailing address.
Patient Information Patient Work Phone Number The patient's work phone number.
Patient Information Patient Work Phone Number Extension The extension number for the patient’s work phone number, if any.
Patient Information Patient Zip Code (Mailing) The patient's mailing zip code.
Patient Information Patients Included in Search Whether the search should be run with all patients, or filtered by those living or those deceased.
Patient Information Patient's Modality At Time of Death The patient's mode of long-term treatment that he/she was undergoing on the date of death.
Patient Information Patient's Self Reporting of Race and Ethnicity Whether a patient's race and ethnicity was or was not self reported.
Patient Information Pediatric GFR Lab Method The lab method used to calculate the Pediatric GFR. This is determined by the creatinine measurement method. (lab specific)
Patient Information Person Completing Form 2746 First Name The person completing the 2746 form's legal first name.
Patient Information Person Completing Form 2746 Last Name The person completing the 2746 form’s legal last name.
Patient Information Physical harm Patient was involuntarily discharged from the facility for causing physical harm.
Patient Information Physical threat Patient was involuntarily discharged from the facility for making physical threats.
Patient Information Preparation Hospital CMS Certification Number (CCN) The CCN, the identification number that is linked to the facility's Medicare provider agreement, of the hospital where the patient was admitted as an inpatient in preparation for, or anticipation of, a kidney transplant prior to the date of the actual transplantation.
Patient Information Preparation Hospital CROWN Unique Facility Identifier The CROWNWeb unique identifier for the facility preparing the patient for a kidney transplant.
Patient Information Preparation Hospital Provider Number The provider number (identification number that is linked to the facility's Medicare provider agreement) of the hospital where the patient was admitted as an inpatient in preparation for, or anticipation of, a kidney transplant prior to the date of the actual transplantation.
Patient Information Preparation Hospital Provider Number (NPI) The provider number (identification number that is linked to the facility's Medicare provider agreement) of the hospital where the patient was admitted as an inpatient in preparation for, or anticipation of, a kidney transplant prior to the date of the actual transplantation.
Patient Information Primary Cause of Renal Failure Code The code that is used to identify the primary cause of end stage renal disease for the patient and a description of the chief cause of the patient's renal failure. The ICD-9 codes listed are current as of the OMB 0938-0046 version of the CMS-2728-U3 form dated 03/06.
Patient Information Primary Dialysis Setting The anticipated setting of long term dialysis treatment for the patient.
Patient Information Primary Dialysis Setting After Failed Transplant The anticipated setting of long term dialysis treatment for the patient.
Patient Information Primary Type of Dialysis The anticipated course of long term dialysis treatment for the patient.

Note: If the patient is or was on regular dialysis, this is the patient's anticipated long-term primary type of dialysis. If the primary type of dialysis is Hemodialysis, these are the number of sessions per week and the number of hours per session the patient received Hemodialysis. If the Other button was checked, it was to report IPD (Intermittent Peritoneal Dialysis) and any new method for dialysis that may have been developed prior to the renewal of this form by the Office of Management and Budget (OMB).
Patient Information Primary Type of Treatment The anticipated (Current, not backup) long-term primary type of treatment for this patient.
Patient Information Property damage / theft Patient was involuntarily discharged from the facility for damaging the property or for stealing from the facility.
Patient Information Provider Name and Address The dialysis facility's Doing Business As (DBA) name and physical address where the patient is receiving care.
Patient Information Provider Number The dialysis facility's CMS Certification Number (CCN), the identification number that is linked to the facility's Medicare provider agreement, where the patient is receiving care.
Patient Information Reason Patient Discontinued Renal Replacement Therapy Indicates the patient's reason for discontinuation of renal replacement therapy prior to the patient's death.
Patient Information Reasons Patient Not Informed If a No was entered in Item 26 to indicate the patient was not informed of his/her transplant options these are the reasons why a kidney transplant is not an option for this patient at this time and thus was not informed of kidney transplant options.
Patient Information Recover Function The patient has recovered kidney function and no longer needs dialysis.
Patient Information Re-entitlement Form filed for beneficiaries who stopped dialysis for more than 12 months, have had their Medicare ESRD benefits terminated and now returned to dialysis or received a kidney transplant, or for beneficiaries who have already been entitled to ESRD Medicare benefits and those benefits were terminated because their coverage stopped 3 years post transplant but now are again applying for Medicare ESRD benefits because they returned to dialysis or received another kidney transplant.
Patient Information Referred to VR The patient been referred to a vocational rehabilitation program.
Patient Information Rehab Center Place that provides a program for rehabilitating especially drug or alcohol abusers.
Patient Information Remarks Any miscellaneous remarks (text) from the Physician, facility, or ESRD Network.
Patient Information Renal replacement therapy discontinued Whether the patient's renal replacement therapy was discontinued prior to the patient's death.
Patient Information Reported by Family Member The patient was asked for race and ethnicity information and a family member provided the information. The facility filled in the data on behalf of the patient.
Patient Information Restart The patient being admitted to the facility had previously stopped dialysis treatment and is now resuming dialysis treatment.
Patient Information Retired (Disability) The point in which a person stops employment completely due to a condition or function judged to be significantly impaired relative to the usual standard of an individual or group.
Patient Information Retired due to Age/Preference The point in which a person stops employment completely due to advanced age or preference.
Patient Information School Full Time The patient is enrolled in a full educational program as defined by the educational administration.
Patient Information Select One Allows the searching of an entire network or a single facility for a GAP patient.
Patient Information Self Reported by Patient The patient was asked for race and ethnicity information and the facility filled in the data on behalf of the patient.
Patient Information Serum Albumin The patient's serum albumin count (g/dL) in the format N.N and the date the test was taken. This test was completed within 45 days prior to the first dialysis treatment or within 45 days prior to receiving a kidney transplant.

Note: Any of numerous simple heat-coagulable water-soluble proteins that occur in blood plasma, or serum, muscle, the whites of eggs, milk, and other animal substances and in many plant tissues and fluids. In humans, serum albumin is the most abundant protein found in blood plasma and is measured as a value in grams per 100 milliliters (g/dl).
Patient Information Serum Albumin Collection Date The date of blood collection to determine the patient's serum albumin level.
Patient Information Serum Albumin Lower Limit The lower limit of the normal range for serum albumin from the laboratory which performed the serum albumin test entered in 19a.1
Patient Information Serum Creatinine A useful test to evaluate kidney function through creatinine levels found in the blood.
Patient Information Serum Creatinine (mg/dl) The patient's serum creatinine count (mg/dL) and the date the test was taken. This test was completed within 45 days prior to the date the patient started chronic treatment in a dialysis facility or within 45 days prior to receiving a kidney transplant.

Note: A useful test to evaluate kidney function through creatinine levels found in the blood. Creatinine is a compound formed from breakdown of creatine found in muscle, blood, and urine.
Patient Information Serum Creatinine Collection Date The date of blood collection to determine the patient's serum creatinine level.
Patient Information Sessions per Week The number of hemodialysis sessions a patient receives per week.
Patient Information Setting Used to identify the patient's primary dialysis setting.
Patient Information SSN N/A Patient's Social Security Number (SSN) is not applicable. A SSN is a nine-digit number issued to U.S. citizens, permanent residents and temporary (working) residents.
Patient Information Student A student is a learner, or someone who attends an educational institution.
Patient Information Submit Date The most recent date the patient registration Form CMS-2728 was submitted.
Patient Information Supplemental Form filed for a patient that has received a transplant or trained for self-care dialysis within the first 3 months of the first date of dialysis and initial form was submitted.
Patient Information Time Per Session The time (in minutes) delivered per session for hemodialysis patients.
Patient Information Tobacco Use (current smoker) The use of any of several plants belonging to the genus Nicotiana, of the nightshade family, whose leaves are prepared for smoking or chewing or as snuff.
Patient Information Total Cholesterol A total cholesterol reading represents the total amount of cholesterol, consisting of LDL, HDL and Triglycerides, circulating in your blood at the time of the test.
Patient Information Total Cholesterol Collection Date The date of blood collection to determine the patient's Total Cholesterol level.
Patient Information Toxic Nephropathy Kidney damage caused by the effects of a nephrotoxin, a cytotoxin that is destructive to kidney cells, where the most common symptoms are dysfunction and then necrosis of the proximal tubules, sometimes progressing to renal failure. Necrosis refers to the premature death of cells and living tissue. Proximal tubals is the portion of the duct system of the kidney.
Patient Information Training The patient is temporarily using a transient facility while undergoing training.
Patient Information Training Completion Date The date the patient completed or is expected to complete self-dialysis training and begin to self-dialyze on a regular basis.
Patient Information Training Completion Indicator Whether or not the physician certifies that the patient has, or is expected to, complete the training successfully and self-dialyze on a regular basis.
Patient Information Training Facility "Doing Business As" (DBA) Name The Doing Business As (DBA) name of the facility furnishing self-care dialysis training.
Patient Information Training Facility CROWN Unique Facility Identifier The CROWNWeb unique identifier for the self-dialysis training facility.
Patient Information Training Physician First Name The training practitioner's first name.
Patient Information Training Physician Last Name The training practitioner's last name.
Patient Information Training Physician UPIN The CROWNWeb Unique Physician Identification Number (UPIN) for the training physician.
Patient Information Training Provider Number The Provider Number (identification number that is linked to the facility's Medicare provider agreement) of the training facility.
Patient Information Transfer The patient has transferred to another facility.
Patient Information Transfer Discharge Subcategory The type of facility that the discharging facility believes will provide future care.
Patient Information Transfer In The patient being admitted to the facility is a transfer patient from another facility.
Patient Information Transient Reason The reason for a patient's transient status being yes.
Patient Information Transient Status A patient who is expected to be managed by the facility for fewer than 30 days or 13 treatments. Any temporary admission to a facility for a short duration means admitting the patient as Transient. This allows the patient to remain admitted to the home facility in CROWNWeb, while visiting another facility for treatment.
Patient Information Transplant - Deceased The door was deceased at the time of the transplant event
Patient Information Transplant - Living Related The donor was living and related to the transplant recipient
Patient Information Transplant - Living Unrelated The donor was living and unrelated to the transplant recipient
Patient Information Transplant Date The date of the patient's most recent kidney transplant(s).
Patient Information Transplant Hospital CMS Certification Number (CCN) The CCN, the identification number that is linked to the facility's Medicare provider agreement, of the transplant hospital where the patient received a kidney transplant.
Patient Information Transplant Hospital CROWN Unique Facility Identifier The CROWNWeb unique identifier for the facility performing the transplant.
Patient Information Transplant Hospital Medicare Provider Number The Medicare Provider Number (number that identifies the facility with the Medicare program) of the transplant hospital where patient received a kidney transplant on the date in item 28.
Patient Information Transplant Hospital Medicare Provider Number (NPI The Medicare Provider Number (number that identifies the facility with the Medicare program) of the transplant hospital where patient received a kidney transplant.
Patient Information Transplant in US The patient was discharged from the facility to receive a transplant within the United States.
Patient Information Transplant Outside US The patient was discharged from the facility to receive a transplant outside the United States.
Patient Information Transplant Status The current status of the patient's kidney transplant.
Patient Information Travel The patient has traveled away from home and requires a transient facility to maintain dialysis treatments.
Patient Information Treatment Start Date The date of the patient's treatment setting or type, which is also known as the patient's modality. This date may reflect the patient's admit date to the facility or the date that the patient's treatment type or setting has changed while under the care of the facility.
Patient Information Treatment Submit Date The most recent date the patient’s treatment record was submitted.
Patient Information Triglycerides The lipid profile reading for triglycerides, which are a type of fat circulating in the blood accounting for the majority of the circulating blood fats.
Patient Information Triglycerides Collection Date The date of blood collection to determine the patient's Lipid Profile Triglycerides level.
Patient Information Type of Donor The type of donor (Deceased, Living Related or Living Unrelated) the kidney was received from.
Patient Information Type of Hemo Training The type of self-dialysis hemodialysis training (Home or In center) the patient began.
Patient Information Type of Training Indicates the type of self-dialysis training the patient began.

Note: If the Hemodialysis box was checked, the entry in the box next to it indicates the type of self-care hemodialysis training the patient began.
Patient Information Type of transplant received Indicates the type of transplant the patient received.
Patient Information Unemployed Without a job; out of work.
Patient Information Unknown The type of donor is unknown.
Patient Information Verbal / written abuse Patient was involuntarily discharged from the facility for verbal or written abuse.
Patient Information Verbal / written threat Patient was involuntarily discharged from the facility for verbal or written threats.
Patient Information Was graft functioning (patient not on dialysis) at time of death? Indicates whether or not the graft was functioning (patient not on dialysis) at the time of death.
Patient Information Near Match - In Scope Patients are those where one or more patient identifiers (Social Security Number, Medicare Claim Number, First Name, Last Name, Gender and Date of Birth) are a close match to the patient being admitted
Patient Information Near Match – Out of Scope Patients are those where one or more patient identifiers (Social Security Number, Medicare Claim Number, First Name, Last Name, Gender and Date of Birth) are a close match to the patient being admitted, but the patient is NOT at a facility that the user has scope over.
Patient Information Exact Match CROWNWeb identifies a patient already in the system as being an exact match to the patient currently being entered.
Patient Information Exact Match Within Scope If the exact match is within the user’s scope, CROWNWeb displays the patient record BEFORE allowing you to admit the patient.
1. For a Transfer In, the system disallows the admission with an error message because the patient has already been admitted to the facility with the same Admit Reason, -or-
2. For New to ESRD, an error message displays that an exact match patient has already been admitted as New to ESRD. You will not be allowed to admit the patient.
Patient Information Exact Match Out of Scope If the exact match is out of the user’s scope (not in a facility that the user has access to), CROWNWeb displays a confirmation box and asks if the user wishes to admit the identified patient.
~ If the user clicks on Accept, the Admit a Patient - Add Treatment Information screen displays.
~ Enter treatment information for the patient, and click Next.
~ The Edit Patient Attributes screen displays.
~ The message “This Patient was an exact match for the New Patient info you entered.” displays.
~ Scroll down the screen and click Submit.
Patient Information PART (Patient Attributes and Related Treatment) PART (Patient Attributes and Related Treatment) data is a set of patient personal information and treatment history obtained from data entered on the Admit/Discharge, Patient Attributes, and Dialysis Treatment Information screens. This screen replaces the Patient Activity Report (PAR).
Clinical PD % Body Weight A measure calculating the percent of Lean Body Weight where the following calculation is used:
Male = (1.10 x Weight(kg)) - 128 ( Weight2/(100 x Height(m)
Women = (1.07 x Weight(kg)) - 148 ( Weight2/(100 x Height(m)
Vascular Access Access Physical Examination Indicates whether or not a physical examination of the access was performed, during and after cannulation (abnormalities such as persistent swelling, prolonged bleeding after needle withdrawal or altered characteristics of pulse or thrill in the outflow vein).
Vascular Access Access Physical Examination Frequency Indicates the frequency by which an access physical examination was performed.
Vascular Access Access Type for Dialysis Indicates the type of access used for dialysis on the reported dialysis session date.
Clinical Both HD & PD Admission Date The date a dialysis patient was admitted to the hospital.
Clinical Both HD & PD Admission Diagnosis The initial diagnosis under which dialysis patient was admitted to hospital.
Clinical Both HD & PD Admission From Dialysis Facility A patient was admitted into the hospital directly from a dialysis facility.
Clinical Both HD & PD Advanced Directives Possible patient advanced resuscitation directives.
Clinical Both HD & PD All Hospital Visits A patient who was hospitalized or went to the hospital emergency room.
Clinical Both HD & PD Antibiotic Dose The dose of antibiotic administered to the patient.
Clinical Both HD & PD Antibiotic Frequency The antibiotic dosage frequency;
~ QID (Four times a day)
~ TID (Three times a day)
~ BID (Two times a day)
~ Daily (Once a day)
~ Weekly (Once a week)
~ Other
Clinical Both HD & PD Antibiotic Name Name of antibiotic agent administered.
Clinical Both HD & PD Antibiotic Route How the prescribed antibiotics are administered.
Clinical Both HD & PD Antibiotics therapy was not prescribed The patient was not prescribed antibiotic therapy.
Clinical Both HD & PD Antibiotics Therapy was prescribed The patient was prescribed antibiotic therapy.
Clinical Both HD & PD Anti-HBc (Antibody to hepatitis B core antigen) Detects the presence of both IgM (one of the five major classes of immunoglobulins; involved in fighting blood infections and in triggering production of immunoglobulin G) and IgG (one of the five major classes of immunoglobulins; the main antibody defense against bacteria) antibody to hepatitis B core antigen.
Clinical Both HD & PD Anti-HBs (Antigen to hepatitis B surface antigen) An antibody to the surface antigen of the hepatitis B virus; indicative of either active immunity to the hepatitis B virus as a result of prior infection or passive immunity from the presence of hepatitis B immunoglobulin in the blood.
Vascular Access Arteriovenous Fistula An abnormal connection of an artery and a vein. The blood bypasses the capillaries and tissues and returns to the heart.
Vascular Access Arteriovenous Graft Created through a surgical procedure in which the surgeon connects an artery to a vein using a small synthetic tube.
Vascular Access AV Fistula Combined with a Catheter A type of vascular access where one needle was in an AV Fistula and one lumen of a catheter during the dialysis session. Fistula refers to a surgical connection between an artery and a vein just beneath the skin of an arm or a leg.
Vascular Access AV Fistula Combined with an AV Graft A type of vascular access where one needle was in an AV Fistula and one needle in an AV Graft during the dialysis session. Fistula refers to a surgical connection between an artery and a vein just beneath the skin of an arm or a leg.
Vascular Access AV Fistula Only (with 2 Needles) A type of vascular access where both needles were placed in the AV Fistula during the dialysis session. Fistula refers to a surgical connection between an artery and a vein just beneath the skin of an arm or a leg.
Vascular Access AV Fistula State Indicates the present state of the patient's AV Fistula during the reporting period, if present.
Vascular Access AV Graft Combined with a Catheter A type of vascular access where one needle was in an AV Graft and a lumen of a catheter during the dialysis session. Graft refers to a piece of artificial vessel that can be used to create an access; one end of the graft is connected to an artery, the other to a vein.
Vascular Access AV Graft Only (with 2 Needles) A type of vascular access where both needles were placed in an AV Graft during the dialysis session. Graft refers to a piece of artificial vessel that can be used to create an access; one end of the graft is connected to an artery, the other to a vein.
Vascular Access AV Graft State Indicates the present state of the patient's AV Graft during the reporting period, if present.
Vascular Access AVF Creation Date The date of AVF creation.
Vascular Access AVF Usable Date This is the date the current facility began using the access. It cannot be prior to the patient’s Admit Date—it must be on or after the Admit Date.
Clinical Both HD & PD BID The prescribed dosage is two times a day.
Clinical Both HD & PD Blood Culture Date The date a blood culture was performed.
Clinical Both HD & PD Blood Culture Result The result of a test to detect infection in blood.
Clinical PD Body Surface Area (BSA) The measured or calculated surface of a human body.
Clinical PD Body Surface Area (BSA) Corrected Indicates the method by which body surface area (BSA) was calculated and if the creatinine clearance was corrected for body surface area, using standard methods. The recommended method of calculation is the Mosteller formula:
BSA (m2) = ( [Height(cm) x Weight(kg) ]/ 3600 )½ e.g. BSA = SQRT( (cm*kg)/3600 ) or in inches and pounds: BSA (m2) = ( [Height(in) x Weight(lbs) ]/ 3131 )½
Clinical PD Body Surface Area (BSA) Method Indicates the method by which body surface area (BSA) was calculated and if the creatinine clearance was corrected for body surface area, using standard methods. The Mosteller formula is the recommenced method used in calculating Body Surface Area.
In example: BSA (m2) = ( [Height(cm) x Weight(kg) ]/ 3600 )½ e.g. BSA = SQRT( (cm*kg)/3600 ) or in inches and pounds: BSA (m2) = ( [Height(in) x Weight(lbs) ]/ 3131 )½
Clinical Both HD & PD Bromcresol Green (BCG) A visual pH indicator dye used in testing for serum albumin concentration levels. It binds quantitatively with human albumin for maximum absorption.
Clinical Both HD & PD Bromcresol Purple (BCP) A visual pH indicator dye used in testing for serum albumin concentration levels. It binds quantitatively with human serum albumin forming a stable complex with maximum absorption.
Clinical HD BUN Post-Dialysis The patient's Blood Urea Nitrogen value after the completion of the dialysis treatment.
Clinical HD BUN Pre-Dialysis Blood Urea Nitrogen (mg/dL): The concentration of nitrogen in the blood in the form of urea, indicating kidney function.
Clinical Both HD & PD Calcijex (Calcitriol, Ergocalciferol, Cholecalciferol) Indicated in the management of hypocalcemia in patients undergoing chronic renal dialysis. It has been shown to significantly reduce elevated parathyroid hormone levels. Reduction of PTH has been shown to result in an improvement in renal osteodystrophy.
Clinical Both HD & PD Calderol Assists the body in maintaining proper levels of calcium and phosphorus and maintain healthy bones.
Clinical Both HD & PD Cardiovascular Cardiovascular refers to the heart (cardio) and the blood vessels (vascular). The cardiovascular system includes arteries, veins, arterioles, venules, and capillaries.
Vascular Access Catheter Only A type of vascular access where dialysis treatment was provided using only a Catheter. Catheter refers to a tube that is inserted into a body cavity, duct or vessel; allows drainage or injection of fluids or access by surgical instruments.
Clinical Both HD & PD Change in Left Ventricular Hypertrophy A change in a left ventricular hypertrophy which is is the thickening of the myocardium (muscle) of the left ventricle of the heart.
Clinical PD Clinic Weight The patient's weight in pounds (lb) or kilograms (kg) during a clinic visit, with abdomen empty, at the time a PD adequacy measurement was performed.
Clinical PD Clinic Weight Unit of Measurement The unit of measure in pounds (lb) or kilograms (kg) used to indicate clinic weight.
Clinical HD Constant Dialysate Sodium An indicator that a patient was prescribed Constant Dialysate Sodium.
Clinical Both HD & PD Corrected Serum Calcium Indicates the pre-dialysis serum calcium value, corrected for sub-lower limit results of Serum Albumin from the same set of collected blood in milligrams per deciliter.
Clinical Both HD & PD Corrected Serum Calcium Collection Date The date the corrected serum calcium value was collected.
Clinical PD Creatinine Clearance All measurements of peritoneal solute clearance should be obtained when the patient is clinically stable and at least 1 month after resolution of an episode of peritonitis. More frequent measurements of either peritoneal urea clearance or RKF should be obtained when clinically indicated.
Clinical PD Creatinine Clearance Method Indicates the 24 hr dialysate creatinine at the time the PD adequacy measurement was performed.
Clinical Both HD & PD Daily The prescribed dosage is once a day.
Clinical Both HD & PD Darbepoetin Alfa Darbepoetin Alfa stimulates erythropoiesis (increases red blood cell levels) and is used to treat anemia, commonly associated with chronic renal failure and cancer chemotherapy.
Clinical Both HD & PD Date Access Infection Confirmed The date an infection was clinically established.
Vascular Access Date Access Type for Dialysis Changed Indicates the date the pre-populated access type for dialysis was changed to the present access type.
Clinical Both HD & PD Date Antibiotic Prescribed The date an antibiotic was prescribed.
Clinical Both HD & PD Date ESA Prescription Changed Indicates the date that the value of ESA Prescribed actually changed (prescription began or ended).
Vascular Access Date of Newly Suspected Infection The date a new vascular access infection was suspected.
Clinical PD Date of PD Adequacy Measurement The date when PD adequacy measurement was performed.
Vascular Access Date of Reported Dialysis Session The date of the referenced dialysis session when supplying patient vascular access details.
Clinical Both HD & PD Date Patient Education on Sodium Restriction The date last sodium restriction patient education was given for the reduction in the patient's amount of daily ingested intake of sodium.
Clinical HD Delivered Minutes of BUN Hemodialysis Session The actual delivered time of hemodialysis in minutes (NNN format at session) during a session when Blood Urea Nitrogen (BUN) was drawn. The valid range is from 60 - 600.
Clinical Both HD & PD Delta D3 Important for the absorption of calcium from the stomach and for the functioning of calcium in the body; used to treat or prevent many conditions caused by a lack of vitamin D, especially conditions of the skin or bones.
Clinical Both HD & PD DHT Dihydrotachysterol (DHT) is used to treat hypocalcemia and hypoparathyroidism .
Clinical Both HD & PD DHT Intensol A form of vitamin D needed by the body to keep bones and teeth healthy as well as assisting in absorbtion and use calcium more efficiently.
Clinical PD Dialysate Creatinine The 24 hr dialysate creatinine at the time a PD adequacy measurement was performed,in grams per deciliter.
Clinical HD Dialysate Sodium Concentration Whether a prescribed dialysate sodium concentration exceeded 138 mEq/L for any dialysis session during the month. Dialysate Sodium is sodium given to a patient while on dialysis.
Clinical PD Dialysate Urea Nitrogen The 24 hr dialysate urea nitrogen at the time a PD adequacy measurement was performed, in grams per deciliter.
Clinical PD Dialysate Volume The 24 hour dialysate volume (prescribed and ultrafiltration) at the time a PD adequacy measurement was performed.
Vascular Access Dialysis Access Infection Type The type of dialysis access with which an infection is associated.
Clinical Both HD & PD Discharge Date The date the patient was discharged from the facility.
Clinical Both HD & PD Discharge Diagnosis The dialysis patient's diagnosis at time of hospital discharge.
Clinical Both HD & PD DNI The "do not intubate" is a legal document protecting the patient's right to withhold the insertion of a tube through the mouth or nose and into the lung should breathing become difficult.
Clinical Both HD & PD DNR The "do not resuscitate" is a legal document protecting the patient's right to withhold CPR or advanced cardiac life support should their heart stop or they stop breathing.
Vascular Access Doppler Whether or not duplex Doppler ultrasound was performed with the surveillance of AV graft.
Vascular Access Doppler Frequency Indicates the frequency by which duplex Dopler ultrasound was performed.
Clinical Both HD & PD Drisdol Is a fat-soluble vitamin that helps the body absorb calcium and phosphorus.
Clinical Both HD & PD Dry weight order An order to reach a desired weight at the end of a dialysis treatment below which the patient often develops symptoms of hypotension (low blood pressure).
Clinical PD Dubois & Dubois The formula used in calculating Body Surface Area: In example, BSA (m2) = 0.20247 x Height(m) 0.725 x Weight(kg) 0.425
A variation of DuBois and DuBois that gives virtually identical results is:
BSA (m2) = 0.007184 x Height(m) 0.725 x Weight(kg) 0.425
Clinical Both HD & PD Echocardiogram Date The date a patient had an ultrasound image of the heart that demonstrates the size, motion and composition of cardiac structures and is used to diagnose various abnormalities of the heart including valvular dysfunction, abnormal chamber size, congenital heart disease, and cardiomyopathy (echocardiogram) performed.
Clinical Both HD & PD Endocrine The internal production of secretions that are distributed in the body by way of the bloodstream.
Clinical Both HD & PD Enhanced Chemiluminescence Immunoassay (CIA) Established as one of the best alternatives to conventional radioimmunoassay for the quantitation of low concentrations of analytes in complex samples.
Clinical Both HD & PD Enzyme Immunoassay (EIA) A test used to detect and quantify the presence of an antibody or an antigen molecules involved in biological processes, specifically processes related to cancer and autoimmune disorders.
Clinical Both HD & PD Epoetin Alfa Epoetin alfa is a man-made, injectable drug for treating anemia.
Clinical Both HD & PD Epoetin Beta Epoetin Beta is used to treat anemia, commonly associated with chronic renal failure and cancer chemotherapy.
Clinical Both HD & PD Erythropoiesis-Stimulating Agent (ESA) An agent similar to the cytokine (erythropoetin) that stimulates red blood cell production.
Clinical Both HD & PD ESA Agent Erythropoiesis-Stimulating Agents (ESA) are man-made forms of the protein human erythropoietin. ESAs are given to patients with low red blood counts due to kidney failure or due to side effects from other drugs, or given to patients scheduled for certain types of elective surgery.
Clinical Both HD & PD ESA Monthly Dose The Erythropoiesis-Stimulating Agent (ESA) prescribed dosage for a given month. Consistent with reporting ESA Agents on claims, facilities should enter the total ESA monthly dose administered to a dialysis patient for the reporting month. For oral ESA Agents prescribed to peritoneal dialysis patients treated out of center, the prescribed monthly dose should be entered.
Clinical Both HD & PD ESA Prescribed Indicates whether or not a patient has a current prescription for an erythropoiesis-stimulating agent (ESA), such as EPO or equivalent, any time during the month.
Clinical Both HD & PD ESA Prescription Stop Date The date the patient stopped taking the Erythropoiesis-Stimulating Agent (ESA) prescription.
Clinical Both HD & PD ESA Route The route of administration prescribed for Erythropoiesis-Stimulating Agent (ESA) as either Intravenous Push (IVP) or Subcutaneous (SC).
Clinical Both HD & PD Exclusion Type The reason a vaccination was not administered.
Clinical Both HD & PD Ferrous Fumarate (Feostat, Femiron) A reddish orange to red-brown powder used orally in the treatment of iron-deficiency anemia.
Clinical Both HD & PD Ferrous Gluconate A yellowish gray or pale greenish yellow powder or granules used as a hematinic in the treatment of iron-deficiency anemia.
Clinical Both HD & PD Ferrous Sulfate An astringent iron salt obtained usually in the form of its pale green crystalline hydrate and used in medicine chiefly for treating iron-deficiency anemia.
Clinical Both HD & PD Ferrous Sulfate (Feosol, FerIron) An astringent iron salt obtained usually in the form of its pale green crystalline hydrate and used in medicine chiefly for treating iron-deficiency anemia.
Clinical Both HD & PD Gastrointestinal The digestive tract where the stomach and intestine are affected; gastrointestinal distress.
Clinical Both HD & PD Genitourinary Relating to, affecting the genital and urinary organs or their functions.
Vascular Access Graft Survey Indicates whether not routine surveillance of AV graft for access dysfunction was performed.
Clinical Both HD & PD HBsAg (Hepatitis B surface antigen) The earliest indicator of the presence of acute infection. Also indicative of chronic infection. Test is useful in the differential diagnosis of hepatitis. Patients who are negative for HBsAg may still have acute type B viral hepatitis.
Clinical Both HD & PD Hectorol A synthetic vitamin D2 important for the absorption of calcium ftom the stomach and for the functioning of calcium in the body. Also used for reduction of elevation intact patathryoid hormone.
Clinical Both HD & PD Hectorol (Doxercalciferol) A synthetic vitamin D2 important for the absorption of calcium ftom the stomach and for the functioning of calcium in the body. Also used for reduction of elevation intact patathryoid hormone.
Clinical Both HD & PD Hemoglobin An iron-containing respiratory pigment of vertebrate red blood cells that functions primarily in the transport of oxygen from the lungs to the tissues of the body. Hemoglobin in humans is present normally in blood to the extent of 14 to 16 grams in 100 milliliters (g/dl), and that is determined in blood either colorimetrically or by quantitative estimation of the iron present.
Clinical Both HD & PD Hemoglobin Collection Date The date of blood collection to determine the patient's hemoglobin level.
Clinical Both HD & PD Hepatitis B Booster 1 - 4 Date Hepatitis B Boosters were administered.
Clinical Both HD & PD Hepatitis B Exclusion Reason The reason why a specific vaccination was not administered .
Clinical Both HD & PD Hepatitis B Test Type A patient's Hepatitis B Test type. Hepatitis B is a liver infection caused by a virus transmitted by contaminated blood.
Clinical Both HD & PD Hepatitis B Vaccination 1 - 4 Date of the Hepatitis B Vaccination.
Clinical Both HD & PD Hepatitis C Screening Test The type of Hepatitis C Screening Tests for Antibody to hepatitis C virus (HCV) (anti-HCV) administered.
Clinical Both HD & PD Hepatitis C Screening Test Date The date of blood collection to determine the patient's Hepatitis c levels.
Clinical Both HD & PD Home Blood Pressure Status The patient's home blood pressure status.
Clinical Both HD & PD Home Blood Pressure Values Provided Blood pressure values that were recorded at home by the patient then provided to the dialysis unit.
Clinical Both HD & PD Hospital Discharge Date The date a dialysis patient was discharged from the hospital.
Clinical Both HD & PD Hospitalization Due to Presumptive Diagnosis Whether or not a patient was hospitalized due to a presumptive diagnosis. A presumptive diagnosis is expected to develop in a particular direction under normal conditions.
Clinical PD Hume A measure calculating lean body mass using height and weight where the following calculation is used:
Male TBW = (0.194786 x height) + (0.296785 x weight) - 14.012934
Female TBW = (0.34454 x height) + (0.183809 x weight) - 35.270121
Clinical Both HD & PD ICD Codes A medical classification that provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease.
Clinical Both HD & PD IgM Anti-HBc (antibody subclass of anti-HBc) An indicator of previous infection and a reliable marker for acute disease in hepatitis B viral infection.
Clinical Both HD & PD IM (Intramuscular) The administration of a medication from a syringe directly into a muscle.
Clinical Both HD & PD Indicate Organism(s) of Positive Culture The name/type of the organism that resulted in a positive culture.
Clinical Both HD & PD Infection Hospitalization Date Date the patient was hospitalized due to the infection on antibiotics.
Clinical Both HD & PD Infection Requires Hospitalization An infection that requires the patient to be hospitalized.
Clinical Both HD & PD Influenza Vaccination Date The most recent date the patient's received an influenza vaccination.
Clinical Both HD & PD Intact PTH Test used to help diagnose reasons for a low or high calcium level and to help distinguish between parathyroid-related and non-parathyroid-related causes.
Clinical HD Interdialytic Time The time in days, hours and minutes from the end of the last Hemodialysis session to the beginning of the current Hemodialysis session.
Vascular Access Intra-Access Flow Indicates whether or not surveillance of AV graft was performed with intra-access flow.
Vascular Access Intra-Access Flow Frequency Indicates the frequency by which intra-access flow is measured.
Clinical HD Intravenous (IV) Iron The type of Intravenous (IV) Iron prescribed.
Clinical HD Intravenous (IV) Iron Dose The Intravenous (IV) Iron prescribed dosage or changed dosage.
Clinical HD Intravenous (IV) Iron Prescribed If patient has a current prescription for IV iron during the month.
Clinical Both HD & PD Intravenous Push (IVP) The administration of a medication from a syringe directly into a vein.
Clinical Both HD & PD Iron Dextran A dark brown, slightly viscous liquid complex of ferric hydroxide and dextran for intravenous or intramuscular use for the treatment of patients with documented iron deficiency.
Clinical Both HD & PD Iron Saturation (TSAT) Percentage The pre-dialysis % transferrin (TSAT) (iron) saturation value. TSAT is a plasma protein that transports iron through the blood to the liver, spleen and bone marrow.
Clinical Both HD & PD Iron Saturation (TSAT) Percentage Collection Date The date of testing for a patient's pre-dialysis % transferrin (TSAT) (iron) saturation level. TSAT is a plasma protein that transports iron through the blood to the liver, spleen and bone marrow.
Clinical HD Iron Sucrose A complex of ferric hydroxide in sucrose, used intravenously to treat iron deficiency anemia in hemodialysis patients receiving supplemental erythropoietin therapy.
Clinical Both HD & PD Iron Sucrose (Venofer) A complex of ferric hydroxide in sucrose, used intravenously to treat iron deficiency anemia in hemodialysis patients receiving supplemental erythropoietin therapy.
Clinical Both HD & PD IV (Intravenous) The administration of a medication from a syringe directly into a vein.
Clinical HD Kt/V Kt/V is a number used to quantify hemodialysis and peritoneal dialysis treatment adequacy. K is the dialyzer clearance of urea, t is the dialysis time, and V is the volume of distribution of urea, approximately equal to patient's total body water. (K x t) can be thought of as the mL or L of fluid (blood in this case) cleared of urea (or any other solute) during the course of a single treatment.
Clinical HD Kt/V Hemodialysis Indicates the Single Pool Kt/V value for Hemodialysis in the format N.NN. The valid range is from 0.50 - 2.50
Clinical HD Kt/V Hemodialysis Method The facility's default method that their laboratory normally uses to calculate the HD Kt/V.
Clinical PD Kt/V Peritoneal Dialysis The Kt/V urea (dialysate and urine clearance) at the time the Kt/V PD adequacy measurement was performed.
Clinical PD Kt/V Peritoneal Dialysis Method - [V Method] Indicates the method used to calculate Single Pool Kt/V value for peritoneal dialysis in grams per deciliter.
Vascular Access Maturing AVF Present? Indicates whether or not a maturing AVF is present during which time an alternate access type is used.
Vascular Access Maturing Graft Present? Indicates whether or not a maturing graft was present at the last treatment of the month.
Clinical Both HD & PD Medication Allergies Medications a patient may be allergic to.
Vascular Access Method of Identifying Vascular Access Infection Indicates how the vascular access infection was identified.
Clinical Both HD & PD Musculoskeletal Relating to or involving both musculature and skeleton.
Clinical Both HD & PD Name of Hospital The name of the hospital where the patient is being treated.
Clinical Both HD & PD Negative Culture The result of a blood culture test did not detect an infection in the blood.
Clinical Both HD & PD Neurological Relating to the nerves and the nervous system, especially of the diseases affecting them.
Vascular Access New Suspected Infection Whether the patient is suspected of having a new infection.
Clinical Both HD & PD No Known Allergies A history of patient allergy is not known.
Clinical HD Non-Oral Vitamin D Analog The type of prescribed non-oral Vitamin D Analog.
Clinical HD Non-Oral Vitamin D Analog Dose The prescribed Non-Oral Vitamin D Analog Dose.
Clinical HD Non-Oral Vitamin D Analog Prescribed A patient having Vitamin D Analog prescribed in a non-oral dose.
Clinical HD Non-Oral Vitamin D Analog Route The route of administration prescribed for Non-Oral Vitamin D Analog either Intravenous Push (IVP) or Subcutaneous (SC).
Clinical Both HD & PD Normalized Protein Catabolic (nPCR) Rate A formula commonly used to assess dietary protein intake in dialysis patients as a means towards determining nutritional adequacy.
Clinical Both HD & PD Normalized Protein Catabolic (nPCR) Rate Collection Date The date of the patient's Protein Catabolic (nPCR) Rate collection.
Clinical Both HD & PD Not Applicable This test does not apply to the patient.
Clinical Both HD & PD Not sent to hospital directly from dialysis facility The patient was not sent directly sent to the hospital.
Clinical Both HD & PD Oral The administration of a medication by oral ingestion.
Clinical Both HD & PD Oral (PO) Iron The type of prescribed Oral (PO) Iron.
Clinical Both HD & PD Oral (PO) Iron Dose The Oral (PO) Iron prescribed dosage or changed dosage.
Clinical Both HD & PD Oral (PO) Iron Prescribed A patient having Oral (PO) Iron prescribed.
Clinical Both HD & PD Oral Vitamin D Analog The type of prescribed Oral Vitamin D Analog.
Clinical Both HD & PD Oral Vitamin D Analog Dosage The prescribed Oral Vitamin D Analog dose.
Clinical Both HD & PD Oral Vitamin D Analog Prescribed A patient having Oral Vitamin D Analog prescribed.
Clinical Both HD & PD Other Admission Diagnosis Any 'Other' initial diagnosis under which a dialysis patient was admitted to a hospital (not in the Hospital Admission Diagnosis selection list).
Clinical Both HD & PD Other Antibiotic Dose The 'Other' dosage of antibiotics administered (not mg or g in the Antibiotic Dose selection list).
Clinical Both HD & PD Other Antibiotic Frequency Other frequency of antibiotic dosage administration.
Clinical Both HD & PD Other Antibiotic Route Other route that the prescribed antibiotics are administered .
Clinical Both HD & PD Other ESA Agent Any 'other' ESA Agent prescribed for the patient not listed in the ESA Agent list.
Clinical Both HD & PD Other ESA Monthly Dose Any 'other' dosage other than the selections given in the ESA Monthly Dose dropdown for a given month.
Clinical Both HD & PD Other Hepatitis B Test Type The patient's other Hepatitis B Test type that is not available in the Hepatitis B Screening Tests selection list.
Clinical Both HD & PD Other Hepatitis C Screening Test The 'other' type of Hepatitis C Screening Tests for Antibody to HCV (anti-HCV) administered, when the correct test used is not available in the Hepatitis C Screening Tests selection list.
Clinical HD Other Intravenous (IV) Iron The Intravenous (IV) Iron prescription agent other than the medications in the Intravenous Iron selection list.
Clinical HD Other Intravenous (IV) Iron Dose The 'Other' Intravenous (IV) Iron prescribed dosage or changed dosage (not mg or gas in the IV Iron Dose selection list).
Clinical Both HD & PD Other Medication Allergies Medications a patient may be allergic to other than the ones previously listed.
Clinical Both HD & PD Other Oral (PO) Iron The 'Other' type of Oral (PO) Iron is prescribed and not included in the Oral Iron selection list.
Clinical Both HD & PD Other Oral (PO) Iron Dose The 'Other' Oral Iron prescribed dosage or changed dosage not in the Oral Iron Dose selection list.
Clinical Both HD & PD Other Oral Vitamin D Analog The 'Other' Non-Oral Vitamin D Analog (not included in the Non-Oral Vitamin D Analog selection list).
Clinical Both HD & PD Other Serum Parathyroid Hormone Type The 'Other' type of Serum Parathyroid Hormone (an option not included in the Pre-Dialysis Serum PTH Type selection list).
Clinical Both HD & PD Other Source of Admission Information Any 'other' source of patient information provided at time of hospital admission.
Vascular Access Other Source of Vascular Infection Indicates the 'Other' source of vascular infection (not included in the Source of Vascular Infection selection list)
Clinical Both HD & PD Outpatient Antibiotics Administered If a prescription antibiotic therapy was initiated within the month.
Clinical Both HD & PD Patient Height The most recent recorded height of the patient, or if an amputee, most recent recorded height before amputation.
Clinical Both HD & PD Patient Height Unit of Measure The unit of measure in centimeters (cm) or inches (in) used to indicate the patient's height.
Clinical Both HD & PD PD - Catheter A Synthetic tube surgically inserted with one end into the abdomen and the other end protruding from the skin.
Vascular Access PD - Catheter A synthetic tube surgically inserted with one end into the abdomen and the other end protruding from the skin.
Clinical PD Peritoneal Dialysate Culture Result Indicates if the infection was confirmed by a positive dialysate culture or if the culture was negative.
Clinical Both HD & PD Pneumococcal Vaccination Year The year of the patient's Pneumococcal (Pneumonia) vaccination.
Clinical Both HD & PD Pneumococcal Exclusion Reason Reason(s) for the patient not receiving a Pneumococcal Immunization.
Vascular Access Port Access Only A vascular access device consists of a valve and cannula that subcutaneously implanted and is accessed by dialysis needles.
Clinical Both HD & PD Positive Culture The result of a blood culture test detected an infection in the blood.
Clinical HD Post-dialysis Target Weight for Session A prescribed target weight to be achieved during a dialysis session.
Clinical HD Post-Dialysis Weight The patient's weight measurement taken after the completion of dialysis treatment.
Clinical HD Post-dialysis Weight Assessment Date The date of a patient's last formal post dialysis weight assessment.
Clinical HD Post-Dialysis Weight Unit of Measure The unit of measure in pounds (lb) or kilograms (kg) indicating the patient's weight after dialysis treatment.
Clinical HD Pre-Dialysis Weight The patient's weight measurement taken before the start of dialysis treatment.
Clinical HD Pre-Dialysis Weight Unit of Measure The unit of measure in pounds (lb) or kilograms (kg) indicating the patient's weight before dialysis treatment.
Clinical Both HD & PD Presence of Abnormal Breath Sounds A presence of abnormal breath sounds detected through a lung examination.
Clinical Both HD & PD Presence of Edema The presence of an accumulation of an excessive amount of watery fluid in cells, tissues or body cavities.
Clinical Both HD & PD Presence of Left Ventricular Hypertrophy A presence of a left ventricular hypertrophy which is is the thickening of the myocardium (muscle) of the left ventricle of the heart.
Clinical Both HD & PD QID The prescribed dosage is four times a day.
Clinical Both HD & PD Radioimmunoassay A procedure that measures minute amounts of a substance, such as a hormone or drug, by quantitating the binding, or the inhibition of binding, of a radiolabeled substance to an antibody.
Clinical Both HD & PD Recombinant Immunoblot Assay (RIBA) Test that confirms positive test result where recombinant HCV antigens are applied separately onto special paper strips and used to detect the presence and specificity of antibody present in the test serum.
Clinical Both HD & PD Residual Renal Function Renal urea clearance and renal creatinine clearance derived from 24-hour urinary volumes.
Clinical PD Residual Renal Function Assessed in Calculating Kt/V? Indicates whether or not the standard process of assessing Residual Renal Function was performed when the weekly Kt/V was calculated.
Clinical Both HD & PD Respiratory Affecting respiration or the organs used in respiration.
Clinical PD Result of Peritoneal Dialysis Effluent Analysis The results of peritoneal dialysis effluent analysis support the presence of infection.
Clinical Both HD & PD Resuscitation To revive from apparent death or from unconsciousness.
Clinical Both HD & PD Reticulocyte Hemoglobin (CHr) The reticulocyte (immature red blood cell that appears especially during regeneration of lost blood) hemoglobin content (CHr) provides a measure of iron available to immature red blood cells recently produced by the bone marrow.
Clinical Both HD & PD Reticulocyte Hemoglobin (CHr) Collection Date The date of testing for pre-dialysis reticulocyte hemoglobin content (CHr) value.
Clinical Both HD & PD Rocaltrol A synthetic vitamin D analog which is active in the regulation of the absorption of calcium from the gastrointestinal tract and its utilization in the body.
Clinical Both HD & PD Sent to hospital directly from dialysis facility The patient was directly referred to the hospital.
Clinical Both HD & PD Serum Albumin Any of numerous simple heat-coagulable water-soluble proteins that occur in blood plasma or serum, muscle, the whites of eggs, milk, and other animal substances and in many plant tissues and fluids.
In humans, serum albumin is the most abundant protein found in blood plasma and is measured as a value in grams per 100 milliliters (g/dl).
Clinical Both HD & PD Serum Albumin Collection Date The date of blood collection to determine the patient's serum albumin level.
Clinical Both HD & PD Serum Albumin Lab Method Indicates the serum albumin lab method used to measure its concentration.
Clinical Both HD & PD Serum Albumin Lower Limit Indicates the serum albumin lower limit of the normal range limits for the laboratory which performed the serum albumin test in grams per deciliter.
Clinical PD Serum BUN Indicates the serum post BUN value (Blood Urea Nitrogen: The concentration of nitrogen in the blood in the form of urea, indicating kidney function) at the time a PD adequacy assessment was performed, in grams per deciliter.
Clinical Both HD & PD Serum Creatinine Indicates the patient's serum creatinine count in milligrams per deciliter.

Note: A useful test to evaluate kidney function through creatinine levels found in the blood. Creatinine is a compound formed from breakdown of creatine found in muscle, blood, and urine.
Clinical Both HD & PD Serum Creatinine Collection Date The date of blood collection to determine the patient's serum creatinine level.
Clinical Both HD & PD Serum Ferritin Ferritin is a protein found inside cells that stores iron. A ferritin test indirectly measures the amount of iron in your blood and the amount of ferritin in your blood (serum ferritin level ng/mL) and is directly related to the amount of iron stored in your body.
Clinical Both HD & PD Serum Ferritin Collection Date The date of blood collection to determine the patient's pre-dialysis serum ferritin concentration value.
Clinical Both HD & PD Serum Parathyroid Hormone (PTH) Value The pre-dialysis serum Parathyroid Hormone Value (PTH).
Clinical Both HD & PD Serum Parathyroid Hormone Type The type of Serum Parathyroid Hormone test.
Clinical Both HD & PD Serum Phosphorus This test determines the phosphorus levels in the patien'ts blood before pre-dialysis treatment.
Clinical Both HD & PD Serum Phosphorus Collection Date The date of blood collection to determine the patient's serum phosphorus level.
Clinical Both HD & PD Signs of Soft tissue Infection A patient had signs of soft tissue infection including pus OR exudates, and at least two of the following: redness, pain or swelling.
Clinical Both HD & PD Site Influenza Vaccination Received If Influenza Vaccination was received in or out of the home dialysis facility.
Clinical Both HD & PD Site of Dialysis Access Infection The dialysis access type which an infection is associated with.
Clinical Both HD & PD Sodium Ferric Gluconate Provides iron to replenish hemoglobin and depleted iron stores used in the treatment of iron deficiency anemia in patients undergoing chronic hemodialysis and supplemental erythropoietin.
Clinical HD Sodium Profiling/Modeling Prescribed Indicates whether a patient was prescribed sodium profiling or sodium modeling. Sodium profiling is a method employed to avoid unwanted side effects of hemodialysis therapy by deliberately changing the sodium concentration in dialysis fluid during the course of a dialysis session. Sodium modeling is a simplified mathematical method to describe quantitatively the fluid exchange in the body caused by changes in extracellular sodium concentration. The method is based on calculation of area under the curve (AUC) by using the trapezoidal rule. The precision of prediction depends on the number of data points. The method is exemplified for 2 dosage forms that are designed to release the drug over a 12-hour period.
Clinical Both HD & PD Source of Admission Information The source of the patient information provided at time of hospital admission.
Vascular Access Source of Vascular Infection Identifies the source of the vascular infection.
Vascular Access Static Venous Pressure Indicates whether or not static venous pressure was performed with the surveillance of AV graft.
Vascular Access Static Venous Pressure Frequency Indicates the frequency by which static venous pressure was measured.
Clinical Both HD & PD Subcutaneous (SC) The administration of a medication from a syringe directly under the skin.
Clinical Both HD & PD Symptoms of Clinical Sepsis Patient had symptoms of clinical sepsis. For instance fever [>38 ?C], rigors, blood pressure drop, alternate blood pressure drop, or altered mental status associated with a severe infection caused by pathogenic organisms, especially bacteria, in the blood or tissues.
Clinical PD TBW Total Body of Water.
Clinical Both HD & PD Temporary, Uncuffed Catheter Designed for short-term venous access of up to three weeks and made of stiff materials such as polyurethane or polyvinyl.
Vascular Access Temporary, Uncuffed Catheter Designed for short-term venous access of up to three weeks and made of stiff materials such as polyurethane or polyvinyl.
Clinical Both HD & PD TID The prescribed dosage is three times a day.
Clinical Both HD & PD Transplant Referral Whether or not a patient was referred for transplant.
Clinical Both HD & PD Transplant Waiting list Whether or not a patient is on a transplant waiting list.
Clinical Both HD & PD Tunneled Catheter A central venous catheter typically placed in the superior vena cava by puncturing the internal jugular vein in the neck and then advancing the catheter downwards towards the chest. The catheter is left in place so that scar tissue forms and anchors the catheter in place.
Vascular Access Tunneled Catheter A central venous catheter typically placed in the superior vena cava by puncturing the internal jugular vein in the neck and then advancing the catheter downwards towards the chest. The catheter is left in place so that scar tissue forms and anchors the catheter in place.
Clinical Both HD & PD Uncorrected Serum Calcium The raw pre-dialysis serum calcium value, not corrected for sub-Lower Limit results of the Serum Albumin from same set of collected blood, collected in milligrams per deciliter.
Clinical Both HD & PD Uncorrected Serum Calcium Collection Date The date the uncorrected serum calcium value was collected.
Clinical Both HD & PD Unknown The result of a blood culture test detected an unknown infection.
Clinical Both HD & PD Urea A nitrogenous compound occurring in urine and other body fluids as a product of protein metabolism.
Clinical PD Urine Creatinine The 24 hr urine creatinine at the time a PD adequacy measurement was conducted, in grams per deciliter.
Clinical PD Urine Urea Nitrogen The 24 hr urine urea nitrogen at the time a PD adequacy measurement was conducted, in grams per deciliter.
Clinical PD Urine Volume The 24 hr urine volume, if performed, at the time a PD adequacy measurement was performed.
Clinical Both HD & PD Vascular Access Related The circulatory site that allows the connection between the patient's circulation and the dialyzer.
Clinical Both HD & PD Vitamin D2 Ensures the absorption of calcium happens in the body producing healthy bones, teeth and to help fight high blood pressure. Vitamin D2 may also help in the fight against osteoporosis and autoimmune diseases.
Clinical Both HD & PD Vitamin D3 Useful in the absorbtion of calcium to build stong bones and reduction of inflammation.
Clinical PD Watson A measure calculating lean body mass using height and weight where the following calculation is used:
Male TBW = 2.447 - (0.09156 x age) + (0.1074 x height) + (0.3362 x weight)
Female TBW = -2.097 + (0.1069 x height) + (0.2466 x weight)
Clinical Both HD & PD Weekly The prescribed dosage is once a week.
Clinical PD Weekly Kt/V Peritoneal Dialysis The weekly Kt/V urea (dialysate and urine clearance) at the time the Weekly Kt/V PD adequacy measurement was performed.
Clinical Both HD & PD Zemplar Treatment of hyperparathyroidism due to chronic renal failure. It causes less elevation of calcium than calcitriol, another vitamin D analogue and is associated with a lower mortality rate than calcitriol in patients on long-term dialysis.
Clinical Both HD & PD Zemplar (Paricalcitol) Treatment of hyperparathyroidism due to chronic renal failure. It causes less elevation of calcium than calcitriol, another vitamin D analogue and is associated with a lower mortality rate than calcitriol in patients on long-term dialysis.
Facility % Body Weight A measure calculating the percent of Lean Body Weight where the following calculation is used:
Male = (1.10 x Weight(kg)) - 128 ( Weight2/(100 x Height(m)
Women = (1.07 x Weight(kg)) - 148 ( Weight2/(100 x Height(m)
Facility 2744 Survey Period Comments Error and warning messages, as well as manually entered comments, are displayed on the electronic version of the 2744.
Facility Accept Accept will overwrite data in CROWNWeb and accept the REMIS data
Facility Accretions Accretions are alerts sent by the REMIS application. An accretion will be sent when patient data exists within REMIS however, a match of patient data cannot be found within CROWNWeb.
Facility Acute Providing short term care to a patient.
Facility Additional Services Offered (Non-Medicare) A list of additional or non-certified services the facility offers.
Facility Air force A national organization conducting aerial warfare or a tactical force which is an operational formation within a national air force.
Facility AM or PM The day or nocturnal hour segment.
Facility Army A land-based military of a nation or state; also may include other branches of the military such as the air force via means of aviation corps who do not disband during times of peace.
Facility Attestation Performance Year The year that is being measured by the ESRD QIP. The value will be the same for every record in the file, equal to the prior calendar year. An attestation is an affirmation of true or genuine information.
Facility Authorized Batch Submitting Organization The specified Batch Submitting Organization who is on the facility's Delegation of Authority form.
Facility Back-up Facility #1 CMS Certification Number (CCN) The primary back-up facility's CMS Certification Number (CCN), the identification number that is linked to the facility's Medicare provider agreement.
Facility Back-up Facility #1 CROWN Unique Facility Identifier CROWNWeb unique facility identifier for the facility's primary back-up facility.
Facility Back-up Facility #1 DBA Name The "doing business as" (DBA) name of the facility's primary back-up facility.
Facility Back-up Facility #1 National Provider Identifier (NPI) The NPI, a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS), of the facility's primary back-up facility.
Facility Back-up Facility #2 CMS Certification Number (CCN) The secondary back-up facility's CMS Certification Number (CCN), the identification number that is linked to the facility's Medicare provider agreement.
Facility Back-up Facility #2 CROWN Unique Facility Identifier CROWNWeb unique facility identifier for the facility's secondary back-up facility.
Facility Back-up Facility #2 DBA Name The "doing business as" (DBA) name of the facility's secondary back-up facility.
Facility Back-up Facility #2 National Provider Identifier (NPI) The NPI, a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS), of the facility's secondary back-up facility.
Facility CAPD Self Training The number of patients who are participating in a CAPD training program as of the end of the survey period. CAPD (Continuous Ambulatory Peritoneal Dialysis) is a peritoneal dialysis method used during the day by keeping two liters of fluid in the abdomen at all times, exchanging the fluids four to six times per day.
Facility CCPD Self Training The number of patients who are participating in a CCPD training program as of the end of the survey period. CCPD (Continuous Cycling Peritoneal Dialysis) is a peritoneal dialysis method used during the night by a cycler loaded with solution bags which is connected to the PD catheter just before going to sleep with the cycler making 4-6 exchanges automatically.
Facility Certification Type The Certification code assigned to the CMS Certification Number in OSCAR (Online Survey, Certification and Reporting).
Facility Certified Number of Stations The total number of Medicare certified stations located at the facility.
Facility Comments - Notifications Accretions The ability to enter comments for notifications and accretions.
Facility Count of Full Time APN Open Positions The number of Full Time APN (Advanced Practice Nurse) Open Positions.
Facility Count of Full Time APN Staff Positions The number of Full Time APN (Advanced Practice Nurse) Staff Positions.
Facility Count of Full Time Dietitian Open Positions The number of Full Time Dietitian Open Positions.
Facility Count of Full Time Dietitian Staff Positions The number of Full Time Dietitian Staff Positions.
Facility Count of Full Time LPN/LVN Open Positions The number of Full Time LPN/LVN (Licensed Practical Nurse)/(Licensed Vocational Nurse) Open Positions.
Facility Count of Full Time LPN/LVN Staff Positions The number of Full Time LPN/LVN (Licensed Practical Nurse)/(Licensed Vocational Nurse) Staff Positions.
Facility Count of Full Time PCT Open Positions The number of Full Time PCT (Patient Care Technician) Open Positions.
Facility Count of Full Time PCT Staff Positions The number of Full Time PCT (Patient Care Technician) Staff Positions.
Facility Count of Full Time RN Open Positions The number of Full Time RN (Registered Nurse) Open Positions.
Facility Count of Full Time RN Staff Positions The number of Full Time RN (Registered Nurse) Staff Positions.
Facility Count of Full Time Social Worker Open Positions The number of Full Time Social Worker Open Positions.
Facility Count of Full Time Social Worker Staff Positions The number of Full Time Social Worker Staff Positions.
Facility Count of Part Time APN Open Positions The number of Part Time APN (Advanced Practice Nurse) Open Positions.
Facility Count of Part Time APN Staff Positions The number of Part Time APN (Advanced Practice Nurse) Staff Positions.
Facility Count of Part Time Dietitian Open Positions The number of Part Time Dietitian Open Positions.
Facility Count of Part Time Dietitian Staff Positions The number of Part Time Dietitian Staff Positions.
Facility Count of Part Time LPN/LVN Open Positions The number of Part Time LPN/LVN (Licensed Practical Nurse)/(Licensed Vocational Nurse) Open Positions.
Facility Count of Part Time LPN/LVN Staff Positions The number of Part Time LPN/LVN (Licensed Practical Nurse)/(Licensed Vocational Nurse) Staff Positions.
Facility Count of Part Time PCT Open Positions The number of Part Time PCT (Patient Care Technician) Open Positions.
Facility Count of Part Time PCT Staff Positions The number of Part Time PCT (Patient Care Technician) Staff Positions.
Facility Count of Part Time RN Open Positions The number of Part Time RN (Registered Nurse) Open Positions.
Facility Count of Part Time RN Staff Positions The number of Part Time RN (Registered Nurse) Staff Positions.
Facility Count of Part Time Social Worker Open Positions The number of Part Time Social Worker Open Positions.
Facility Count of Part Time Social Workers Staff Positions The number of Part Time Social Workers Staff Positions.
Facility CROWN Facility Unique Identifier Unique characters that are system-generated and used in CROWNWeb to identify facilities.
Facility Date Closed The date the facility closed permanently (not a temporary closure due to a disaster).
Facility Date Opened The date the facility opened.
Facility Daugirdas II An algebraic formula used in estimating Kt/V with Kt/V = -ln (C1/C0 - 0.008 * t) + (4 - 3.5 * C1/C0) * UF/W where C0 = pre-dialysis blood urea nitrogen (BUN; mg/dl), C1 = post-dialysis BUN (mg/dl), t = session duration (hours), UF = ultra filtration volume (kg), and W = post dialysis weight (kg).
Facility Days notification accretion open The number of days the Notification or Accretion record has been open (aging number).
Facility Depner A method of measuring dialysis adequacy with stdKt/V = (((10080*(1-e^-eKt/V))/t)/(((1-e^-eKtV)/spKt/V) + 10080/(N*t) - 1)) where stdKt/V is the standardized Kt/V, spKt/V is the single-pool Kt/V, computed as described in Kt/V section using a simplified equation or ideally, using urea modeling, and eKt/V is the equilibrated Kt/V, computed from the single-pool Kt/V (spKt/V) and session length (t) .
Facility Derived from URR, no patient weight The fractional reduction in blood urea nitrogen during a single hemodialysis session, expressed as a percent, measured to assess adequacy of hemodialysis.
Facility Dialysis Center A center performing the removal of waste and excess fluid from the blood.
Facility Dialysis Facility: Non-Hospital A dialysis facility, not located within a hospital, performing the removal of waste and excess fluid from the blood.
Facility Dialysis Facility: Hospital A dialysis facility, located in a hospital, performing the removal of waste and excess fluid from the blood.
Facility Dialysis Patients Awaiting Transplants The number of dialysis patients awaiting transplants.
Facility Dialysis Time Period The time period by which a patient's dialysis is determined.
Facility Discrepancy Type The type of discrepancy, either a notification or accretion, generated from REMIS.
Facility DME Supplier A company supplying durable medical equipment.
Facility Dubois & Dubois The formula used in calculating Body Surface Area: In example, BSA (m2) = 0.20247 x Height(m) 0.725 x Weight(kg) 0.425
A variation of DuBois and DuBois that gives virtually identical results is: BSA (m2) = 0.007184 x Height(m) 0.725 x Weight(kg) 0.425
Facility Effective Date The effective date of facility's change in ownership.
Facility Electronic 2744 Status Whether or not the form has been accepted or rejected.
Facility Electronic 2744 Version The electronic 2744 collects information concerning treatment trends, utilization of services and patterns of practice in treating ESRD patients.
Facility Employed Full Time A form of employment that carries 40 hours or greater as defined by the employer and eligible for company paid benefits.
Facility Employed Part Time A form of employment that carries fewer hours per week, usually 30 hours or less and is not eligible for company paid benefits.
Facility Expected Self Care Setting The type of setting in which a patient will be performing dialysis.
Facility Facility "Doing Business As" (DBA) Name The facility's name under with they are conducting business.
Facility Facility + 4 Zip Code (Mailing) The +4 code that follows the zip code for the facility's mailing address.
Facility Facility + 4 Zip Code (Physical) The +4 code that follows the zip code for the facility's physical address.
Personnel Facility CCN The dialysis facility's CMS Certification Number (CCN), the identification number that is linked to the facility's Medicare provider agreement, where the patient is receiving care.
Facility Facility City (Mailing) The city in which the facility's mailing address is located.
Facility Facility City (Physical) The physical city in which the facility is located.
Facility Facility Close Time The time that the facility closes each day of the week.
Facility Facility County (Mailing) This denotes that the facility DBA name is the same as the facility's legal name.
Facility Facility County (Physical) The county in which the facility's physical address is located.
Personnel Facility DBA Name The dialysis facility's Doing Business As (DBA) name where the patient is receiving care.
Facility Facility DBA Name Same as Legal Name A checkbox indicating the Facility DBA Name is the same as Legal Name.
Facility Facility Default Body Surface Area Method The method by which Body Surface Area was calculated.
Facility Facility Default Kt/V HD Method The facility's default method that their laboratory normally uses to calculate the HD Kt/V.
Facility Facility Default Kt/V PD Method The facility's default method that their laboratory normally uses when calculating the volume for PD (Peritoneal Dialysis) Kt/V.
Facility Facility Default Patient Height Unit of Measure The facility's default unit of measurement in inches (in) or centimeters (cm) for patient height.
Facility Facility Default Patient Weight Unit of Measure The facility's default unit of measurement in pounds (lb) or kilograms (kg) for patient weight.
Facility Facility Default Pre Pump Pressure Frequency The facility's frequency for measuring the pre-pump pressure before the HD session.
Facility Facility Default Residual Renal Function Assessed in Calculating Kt/V? Whether or not the standard process of assessing Residual Renal Function was performed when the weekly Kt/V was calculated.
Facility Facility Default Vascular Access Physical Examination Frequency The facility's frequency for examining the access method.
Facility Facility E-Mail The facility's primary e-mail address.
Facility Facility Fax Number The facility's main fax number.
Facility Facility Legal Name The facility's legal name.
Facility Facility Not Open The facility is not open for business or treatment.
Personnel Facility NPI A unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
Facility Facility Open Time The time that the facility opens each day of the week.
Facility Facility Phone Number The facility's main phone number.
Facility Facility Phone Number Extension The extension number for the facility's main phone number.
Facility Facility Primary Contact E-Mail The primary contact personnel's preferred e-mail address.
Facility Facility Primary Contact First Name The primary contact personnel's legal first name.
Facility Facility Primary Contact Last Name The primary contact personnel's legal last name.
Facility Facility Primary Contact Phone Number The primary contact personnel's business phone number.
Facility Facility Primary Contact Phone Number Extension The extension number for the primary contact personnel's business phone number.
Facility Facility State (Mailing) The state in which the facility's mailing address is located.
Facility Facility State (Physical) The state in which the facility’s physical address is located.
Facility Facility Status Indicates whether facility is open or closed.
Facility Facility Street Address (Mailing) The facility's mailing street address.
Facility Facility Street Address (Physical) The physical street address of the facility.
Facility Facility Submit Date The date in which the most recent facility record was submitted.
Facility Facility Website The facility's website address (URL).
Facility Facility Zip Code (Mailing) The zip code for the facility's mailing address.
Facility Facility Zip Code (Physical) The zip code of the facility's physical address.
Facility Free-Standing An independent facility that is not owned or affiliated with a hospital.
Facility Hemodialysis In center Dialysis Treatments Count The number of patients that have Hemodialysis In center Dialysis Treatment counted within the Survey Period.
Facility Hemodialysis Self Training The number of patients who are participating in a self hemodialysis training program as of the end of the survey period.
Facility hh Hours are between 01 - 12.
Facility Home CAPD The number of patients who are on CAPD at home at the end of the survey period. CAPD (Continuous Ambulatory Peritoneal Dialysis) is a peritoneal dialysis method used during the day by keeping two liters of fluid in the abdomen at all times, exchanging the fluids four to six times per day.
Facility Home CCPD The number of patients who are on CCPD at home as of the end of the survey period. CCPD (Continuous Cycling Peritoneal Dialysis) is a peritoneal dialysis method used during the night by a cycler loaded with solution bags which is connected to the PD catheter just before going to sleep with the cycler making 4-6 exchanges automatically.
Facility Home Deaths The number of home dialysis patients who died during the survey period.
Facility Home Discontinue The number of chronic home patients who had been dialyzing at home that permanently discontinued dialysis during the survey period.
Facility Home Hemodialysis The number of patients who were hemodialyzing at home at the end of the survey period.
Facility Home Hemodialysis Day The number of home hemodialysis patients who are dialyzing during the day for more than 4 times per week.
Facility Home Hemodialysis Nocturnal The number of home hemodialysis patients who are dialyzing nocturnally for three or more dialysis treatments per week with each treatment being of longer duration than conventional hemodialysis (usually between six to eight hours). Nocturnal dialysis is typically performed in the evening or at night, allowing patients the opportunity to sleep during the treatment. Nocturnal dialysis may be a service provided in-center at the outpatient dialysis facility or in the patient's home.
Facility Home Other (Dialysis) The number of patients who are on another type of home dialysis at the end of the survey period.
Facility Home Other (LTFU) The number of patients followed by the facility, who had been dialyzing at home and removed from the facility’s rolls where the current status is unknown. LTFU (Lost To Follow Up) occurs when a patient has stopped arriving for scheduled treatments with no prior notification, and of whom current status is unknown.
Facility Home Patients Receiving Care Beginning of Survey Period The number of home patients dialyzing in the facility at the beginning of the survey period.
Facility Home Received Transplant The number of home patients who received a kidney transplant during the survey period.
Facility Home Recovered Function The number of home patients who recovered their native kidney function and stopped chronic home dialysis during the survey period.
Facility Home Restarted The number of in center patients who restarted home dialysis during the survey period.
Facility Home started first time ever The number of newly diagnosed, stabilized ESRD home patients who completed the self-dialysis training course during the survey period.
Facility Home Transfer The number of home patients who are now permanently followed by different home dialysis program.
Facility Home Transferred The number of home patients who transferred from another facility for ongoing medical supervision and responsibility during the survey period.
Facility Home Transplant Return The number of home patients returning to home dialysis after transplant failure, during the survey period.
Facility Homemaker A term for the management of a home, otherwise known as housework, housekeeping or household management (the act of overseeing the organizational, financial, day-to-day operations of a house or estate, and the managing of other domestic concerns).
Facility Hospital CCN A secondary identification number that is linked to the facility's Medicare provider agreement where the patient is receiving care, that may be assigned to a hospital which defines its ESRD services as a hospital.
Facility Hospital-Based A unit that is owned, operated and physically located inside the central hospital campus.
Facility Hume A measure calculating lean body mass using height and weight where the following calculation is used:
Male TBW = (0.194786 x height) + (0.296785 x weight) - 14.012934
Female TBW = (0.34454 x height) + (0.183809 x weight) - 35.270121
Facility ICAHPS Attestation Exclusion Reason The reason why the facility selected "N/A" as the ICAHPS Survey Attestation Indicator.
Facility ICAHPS Survey Attestation Indicator “Y” indicates that the facility attested to administering the ICAHPS Survey for the performance year. “N” indicates that the facility responded negatively to the attestation in CROWNWeb. “NA” (Not Applicable) indicates that the facility attested that the survey does not apply to their patient population.
Facility In center Deaths The number of in center dialysis patients who died during the survey period.
Facility In center Discontinue The number of chronic patients who had been dialyzing in center that permanently discontinued dialysis during the survey period.
Facility In center Hemodialysis The number of patients who were receiving staff-assisted hemodialysis or performing in center self-hemodialysis, at the end of the survey period.
Facility In center Hemodialysis Day The number of in center hemodialysis patients who are dialyzing during the day for more than 4 times per week.
Facility In center Hemodialysis Nocturnal The number of in center hemodialysis patients who are dialyzing nocturnally for three or more dialysis treatments per week with each treatment being of longer duration than conventional hemodialysis (usually between six to eight hours). Nocturnal dialysis is typically performed in the evening or at night, allowing patients the opportunity to sleep during the treatment. Nocturnal dialysis may be a service provided in-center at the outpatient dialysis facility or in the patient's home.
Facility In center Other (Dialysis) The number of patients who were receiving dialysis, other than hemodialysis at the end of the survey period.
Facility In center Other (LTFU) The number of patients dialyzing in center, left the dialysis program, and whose current status is unknown to the facility. LTFU (Lost To Follow Up) occurs when a patient has stopped arriving for scheduled treatments with no prior notification, and of whom current status is unknown.
Facility In center Patients Receiving Care Beginning of Survey Period The number of in center patients dialyzing in the facility at the start of the survey period.
Facility In center Received Transplant The number of in center patients who received a kidney transplant during the survey period.
Facility In center Recovered Function The number of in center patients who recovered their native kidney function and stopped chronic in center dialysis during the survey period.
Facility In center Restarted The number of in center patients who restarted in center dialysis during the survey period.
Facility In center Transfer The number of in center dialysis patients permanently transferring to another dialysis facility for their ongoing dialysis during the survey period.
Facility In center Transferred The number of in center patients who transferred from another dialysis facility, were admitted during the survey period and who continue regular dialysis at the selected facility.
Facility In center Transplant Return The number of in center patients returning to in center dialysis after transplant failure during the survey period.
Facility Initial Certification Date The date the facility was initially certified by Medicare.
Facility Inpatient Care Only A facility performing inpatient care, routine and emergency dialysis.
Facility Location Type The type of location where services are provided.
Facility Mailing Address equal Physical Address This denotes that the mailing address is the same as the physical address.
Facility Managed By The company or entity who manages the facility; may not be the same as ownership.
Facility Medical Leave of Absence A term used to describe a period of time that one is to be away from his/her primary job while maintaining the status of employee.
Facility Medicare Medicare is a social insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over; to those who are under 65 and are permanently physically disabled or who have a congenital physical disability; or to those who meet other special criteria.
Facility Medicare Application Pending The number of patients who had a Medicare application pending at the end of the survey period.
Facility Medicare Certified Services Offered A list of the Medicare-certified services the facility offers.
Facility Medicare Coverage The patient is eligible for Medicare coverage
Facility Medicare Enrolled The number of patients enrolled in Medicare at the end of the survey period.
Facility Medicare Enrollment Status The status of a patient's Medicare eligibility.
Facility Medicare Enrollment Status Date The status date of Medicare enrollment for a patient.
Facility Military An organization authorized by its greater society to use lethal force, usually including use of weapons, in defending its country by combating actual or perceived threats.
Facility Mineral Metabolism Monitoring Attestation Indicator An attestation of “Y” confirms that the facility attested to successfully monitoring bone mineral metabolism (serum calcium and phosphorus) for the performance year. The attestation of “N” indicates that the facility either did not provide this attestation, or responded negatively to the attestation in CROWNWeb.
Facility mm Minutes are in 15 minute increments (00, 15, 30 or 45).
Facility National Provider Identifier (NPI) The facility's National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
Facility Navy A branch of a nation's armed forces principally designated for naval and amphibious warfare; namely, lake- or ocean-borne combat operations and related functions.
Facility Network Facility Code The ESRD Network assigned and maintained facility code.
Facility Network Number The ESRD Network where the facility resides.
Facility No Medicare Coverage The patient does not have Medicare coverage.
Facility Non Dialysis Patients Awaiting Transplants The number of non-dialysis patients awaiting transplants.
Facility Non Medicare Eligible The number of patients who were not enrolled in Medicare and did not have Medicare applications pending at the end of the survey period.
Facility Notification Accretion Status The action that is being taken by the end user for the specific notification or accretion.
Facility Notification and Accretion ID A unique ID assigned for Notifications and Accretions.
Facility Notifications Notifications are alerts sent by the Renal Management Information System (REMIS) application. A notification will be sent when there is a discrepancy between CROWNWeb information and the data in REMIS such as a different spelling of the patient name or different Social Security Number (SSN).
Facility Number of Isolation Stations The total number of isolation stations located at a facility.
Facility Number of Shifts The number of dialysis shifts the facility offers each day of the week.
Facility Organization Facility Code The facility code assigned by the facility's Corporate Organization, if one was assigned.
Facility Other An other type of provider not listed.
Facility Other In center Dialysis Treatments Count The number of patients that have Other In center Dialysis Treatment counted within the Survey Period.
Facility Other Managed By An alternative affiliation managing the facility that was not included in the standard list of affiliations.
Facility Other Owned By An alternative company or facility who owns the facility that was not included in the standard list of affiliations.
Facility Other Owner Another dialysis organization that has part ownership of the facility.
Facility Other Owner Affiliation Another dialysis organization that has part ownership of the facility, and the value is not contained within the standard affiliations.
Facility Other Self Training The number of patients who are participating in a self dialysis training program.
Facility Owned By The company or entity who owns the facility.
Facility Patient Age Eighteen thru Fifty-four The number of dialysis patients, ages 18 through 54, dialyzing at the selected facility at of end of survey period, were .
Facility Patient Citizenship Status The status of the patient's citizenship of the United States.
Facility US Citizen Person who has US citizenship.
Facility Non US Citizen Person who does not have US citizenship and does not live here.
Facility Foreign National US Resident Person who resides in the US, but is not a citizen, and does not have a visa or green card.
Facility US Resident Person who resides in the US, but is not a citizen. They have a visa or green card.
Facility Patient Citizenship Status Date The patient's status date for citizenship.
Facility Patient Current Employment Status The patient's current employment status.
Facility Patient Employment Status Date The date of the patient's employment status.
Facility Patient School Status Date The date of the patient's student status for the 2744 survey period.
Facility Patient Transplants The number of transplant patients who received a kidney transplant at the selected facility during the survey period.
Facility Patient Vocational Rehabilitation Status Date The date of the patient's Vocational Rehabilitation status. Vocational Rehabilitation is a federal-state program that works with people who have physical or mental disabilities to prepare for, gain or retain employment.
Facility Patients Attending School The number of patients, ages 18 through 54, who are attending school either full-time or part time, who were enrolled in any formal education or training program.
Facility Patients Employed The number of patients, ages 18 through 54, who are employed either full-time or part-time receiving taxable wages from an employer or who are self-employed and paid taxes on earnings.
Facility Pending Certification A certification request has been submitted and is pending approval.
Facility Personnel + 4 Zip Code (Mailing) The personnel's preferred mailing +4 zip code.
Personnel Personnel + 4 Zip Code (Physical) The +4 code that follows the zip code for the Personnel'sphysical address.
Personnel Personnel Address (Physical) The personnel's physical street address.
Personnel Personnel Alternate E-Mail Address The alternamet email address for the Personnel's, if any.
Personnel Personnel Cell Phone Number The personnel's cell phone number.
Personnel Personnel City (Physical) The physical city in which the personnel is located.
Personnel Personnel County (Physical) The county in which the Personnel's physical address is located.
Facility Personnel E-Mail Indicates the personnel's preferred e-mail address.
Personnel Personnel E-Mail Address The personnel's e-mail address.
Personnel Personnel Fax Number The personnel's fax number.
Personnel Personnel First Name The personnel's first name.
Personnel Personnel Home Phone Number The personnel's home phone number.
Personnel Personnel Last Name The personnel's last name.
Personnel Personnel Middle Initial The personnel's middle initial.
Personnel Personnel State (Physical) The state in which the Personnel's physical address is located.
Personnel Personnel Work Phone Number The Personnel's work phone number.
Personnel Personnel Work Phone Number Extension The extension number for the Personnel's work phone number, if any.
Facility Personnel Zip Code (Mailing) The personnel's preferred mailing zip code.
Facility Prison A location of state confinement or captivity.
Facility Profit Status Whether or not the facility is for profit or not for profit.
Facility Program Type Indicates whether or not the facility is a transplant or dialysis facility.
Facility Provider Street Address The provider's physical street address.
Facility Provider Use Type The type of program for which the facility has been certified.
Facility Reassign "Reassign" allows facilities to transfer a discrepancy to their network or networks; or to assign it to other networks and facilities.
Facility Reject Reject will not update any information, keeps CROWNWeb data.
Facility REMIS comments The comments submitted from REMIS.
Facility REMIS Create Date The date the notification and/or accretion was generated in REMIS.
Facility REMIS DOB The patient's DOB (date of birth) in REMIS.
Facility REMIS DOD The patient's DOD (date of death) in REMIS.
Facility REMIS EFF Date The effective date for which patient information was submitted from REMIS.
Facility REMIS first name The patient's first name in REMIS.
Facility REMIS HIC The patient's HICNUM in REMIS.
Facility REMIS Idnum The patient ID within CROWNWeb ID that has been captured in the REMIS notification or accretion.
Facility REMIS Modality The modality received from REMIS. Modality refers to the dialysis treatment type.
Facility REMIS Most Recent Setting Date The REMIS modality start date, passed from REMIS.
Facility REMIS Netnumb The Network number listed in the REMIS data (notification or accretion).
Facility REMIS Pat ID The patient ID within REMIS available to reference REMIS data when needed.
Facility REMIS Primary Provider The primary provider provided by REMIS.
Facility REMIS Gender (Sex) The patient's gender information in REMIS.
Facility REMIS Source The source where REMIS receives the data that is being passed on.
Facility REMIS SSN The patient's social security number in REMIS.
Facility REMIS State The patient's state within REMIS.
Facility REMIS SurName The patient's last name in REMIS.
Facility REMIS Transplant Date The patient's transplant date in REMIS.
Facility REMIS Transplant Fail Date The patient's transplant fail date in REMIS.
Facility REMIS Zip The patient's Zip Code within REMIS.
Facility Retired (Disability) The point in which a person stops employment completely due to disability.
Facility Retired due to Age/Preference The point in which a person stops employment completely due to advanced age or preference.
Facility Satellite A facility owned and operated by a hospital but is located away from the central hospital campus.
Facility Special Purpose A stand-alone facility or vacation camp existing in emergency sitiations where treatment is provided to transient patients for a short period of time.
Facility Special Purpose Facility A facility performing emergency dialysis and services to patients who would be unable to obtain treatment in a geographic locality.
Facility Student A student is a learner, or someone who attends an educational institution.
Facility Survey Period Begin Date The starting date within a range of dates for system generated entries and manual entries for the electronic 2744.
Facility Survey Period End Date The end date within a range of dates for system generated entries and manual entries for the electronic 2744.
Facility Total Facility Transplants A total number of all facility transplants.
Facility Total Home Dialysis The total number of patients who are in home status as of the end of the survey period .
Facility Total In center Dialysis The total number of patients whose status is in center status at the end of the survey period.
Facility Total Number of Stations Available The total number of stations available for use at the facility.
Facility Total Patients The total number of patients registered at the facility at the end of the survey period.
Facility Total Patients Receiving Care Beginning of Survey Period A total number of patients that is the same as the number of patients on the facility’s register at the start of the survey period.
Facility Transfer Notification Accretion The ability to transfer a notification or an accretion to a network and/or facility.
Facility Transplant & Dialysis Center A center performing both transplant and dialysis patient services.
Facility Transplant Center A center performing a transfer of organ or tissue from one part of the body to another, or from one person or animal to another.
Facility Transplant Patients Deceased Donor The number of kidney transplants where the donor is deceased, performed at a given facility during survey period.
Facility Transplant Patients Living Related Donor The number of living related donor kidney transplants performed at a given facility during the survey period.
Facility Transplant Patients Living Unrelated Donor The number of unrelated kidney transplants where the donor is living, performed at a given facility during the survey period.
Facility Transplant Patients Medicare Enrolled The number of transplant patients enrolled in Medicare, during the survey period.
Facility Transplant Patients Medicare Pending The number of transplant patients with pending Medicare applications, during the survey period.
Facility Transplant Patients Non-Medicare Non US Res The number of transplant patients that were not enrolled in Medicare, did not have Medicare applications pending and were neither a US Citizen or a US Resident during the survey period.
Facility Transplant Patients Non-Medicare US Res The number of transplant patients who were not enrolled in Medicare nor have Medicare applications pending during the survey period and are a US citizen or a foreign national US resident.
Facility UKM Urea Kinetic Modeling calculates changes in the patient's blood urea level during dialysis treatment.
Facility Under investigation "Under investigation" is a place holder identifying the notification or accretion is being worked on.
Facility Unemployed Without a job; out of work.
Facility VA A government-run military veteran benefit system with Cabinet-level status.
Facility Vocational Rehabilitation Services The number of dialysis patients age 18 - 54 who are receiving or have received Vocational Rehabilitation Services (public or private) at the end of the survey period.
Facility Watson A measure calculating lean body mass using height and weight where the following calculation is used:
Male TBW = 2.447 - (0.09156 x age) + (0.1074 x height) + (0.3362 x weight)
Female TBW = -2.097 + (0.1069 x height) + (0.2466 x weight)