Global: ^SRT

FileMan FileNo	FileMan Filename	Package
139.5	SURGERY TRANSPLANT ASSESSMENTS	Surgery

Package	Total	Routines
Surgery	35	SROPDEL SROPRE0 SRTPASS SRTPCOM SRTPDONR SRTPHRT1 SRTPHRT5 SRTPHRT6 SRTPKID1 SRTPLIV1 SRTPLIV7 SRTPLST SRTPLSTP SRTPLUN1 SRTPLUN5 SRTPNEW SRTPPAS SRTPRACE SRTPRH SRTPRH2 SRTPRK SRTPRK2 SRTPRLI SRTPRLI2 SRTPRLU SRTPRLU2 SRTPSITE SRTPSS SRTPTM1 SRTPTM2 SRTPTMIT SRTPTRAN SRTPUTL SRTPUTLC SRTPVAN

Package	Total	Routines
Surgery	42	SROPDEL SRTPDONR SRTPHRT1 SRTPHRT2 SRTPHRT3 SRTPHRT4 SRTPHRT5 SRTPHRT6 SRTPKID1 SRTPKID2 SRTPKID3 SRTPKID4 SRTPKID6 SRTPLIV1 SRTPLIV2 SRTPLIV3 SRTPLIV4 SRTPLIV5 SRTPLIV6 SRTPLIV7 SRTPLUN1 SRTPLUN2 SRTPLUN3 SRTPLUN5 SRTPNEW SRTPRACE SRTPRH SRTPRH1 SRTPRH2 SRTPRK SRTPRK1 SRTPRK2 SRTPRK3 SRTPRLI SRTPRLI1 SRTPRLI2 SRTPRLU SRTPRLU1 SRTPRLU2 SRTPUTL SRTPUTLC SRTPVAN

Package	Total	FileMan Files
Kernel	1	INSTITUTION(#4)[63]
Registration	1	VA PATIENT(#2)[.01]
Surgery	1	SURGERY(#130)[2]

Fields, Total: 189


This is the name of the patient.
Indicate date organ transplant was completed.
This is the case in the SURGERY file associated with this file entry.  This field is entered if the transplant was done in a VA medical center. This field will remain blank if the transplant was done in a non-VA facility.
The VACO ID is a unique identifier provided centrally for each patient undergoing a transplant.  This field is required for creating a Transplant Assessment.


permit ABO incompatible and cross match positive renal transplants.
This is the ABO blood type of the organ recipient.
Indicate date entered on UNOS Waiting List for Transplant.
This is the Recipient CMV status field. The field will capture the cytomegalovirus (CMV) serologic status of the transplant recipient.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
The Transplant comments include additional information not available elsewhere on this form. This field has a limit of 130 characters.
physician.
Acute Liver Failure is when a patient develops encephalopathy within 8 weeks of an onset of illness or as documented by an attending physician.
Indicate presence or history of lung cancer with pathology report confirming diagnosis as documented by attending physician.
in medical record.
attending physician.
Bronchiectasis is an abnormal destruction and dilation of the large airways; or a diagnosis of bronchiectasis documented by an attending physician.
Glomerular Sclerosis/Nephritis is kidney disease involving primarily the glomeruli.

Cirrhosis characterized by hepatitis B surface antibody, hepatitis surface antigen, and hepatitis B core antibody positive and pathology of cirrhosis on liver biopsy.
imaging studies; an alpha-fetoprotein level of >200 ng/ml; an arteriogram confirming a tumor; a biopsy confirming HCC; chemoembolization of lesion, radio frequency, cryo, or chemical ablation of the lesion; or diagnosis of
HCV Cirrohosis (Hepatitis C) is characterized by hepatitis C antibody positive and/or PCR positive for HCV RNA and pathology of cirrhosis on liver biopsy.

interstitial lung disease documented by an attending physician.
glomerular basement membrane.
Indicate yes if one of the following diagnoses is recorded in patient's medical record: hemachromatosis, alpha1 antitrypsin deficiency, Wilson's, Banti's, lupoid.
documented in the medical record.

This is Polycystic Disease status of the organ recipient.  Polycystic Disease is a condition in which multiple cysts on the kidneys cause the kidneys to fail.
Primary Biliary Cholangitis or Cirrhosis is an autoimmune liver disease where over time an antibody created within the body attacks and destroys the bile ducts in the liver.
Indicate whether a diagnosis of Primary Sclerosing Cholangitis is documented in the medical record.
ability to transfer oxygen into the bloodstream. Indicate if patient has diagnosis of pulmonary fibrosis documented in the medical record.
Indicate if patient has diagnosis of pulmonary hypertension with Mean PA pressure > 35 mmHg documented in medical record.
This is the Renal Cancer status of the organ recipient.  Renal Cancer is malignant neoplasm of the kidney.
concurrently with involvement of the lungs or other organs.

Indicate donor's gender as "M" if male, "F" if female.
This is the age of the donor at the time of organ harvest. Field will be automatically calculated and filled if DONOR DATE OF BIRTH entered. Enter NS for NO STUDY if the donor's age cannot be determined.
Narrowing or occlusion of the bile ducts either extrahepatic  (for choledochocholedochostomy or choledochojejunostomy) or intrahepatic, seen on MRCP, ERCP, or PTC or as documented in the medical record.
This is the ABO blood type of the organ donor.
Indicate whether the donor tested positive or negative to Cytomegalovirus.
prospective lung transplants recipients. Indicate patient Lung Allocation Score at Listing with UNOS. Enter a number between 0 and 100.
prospective lung transplants recipients. Indicate patient Lung Allocation Score at Transplant with UNOS. Enter a number between 0 and 100.
documented in the UNOS data base. Enter a number between 6 and 40.
Actual Model of End Stage Liver Disease score using the laboratory values of bilirubin, creatinine, and INR at the time of listing and as documented in the UNOS data base. Enter a number between 6 and 40.
documented in the UNOS data base. Enter a number between 6 and 40.
Actual Model of End Stage Liver Disease score using the laboratory values of bilirubin, creatinine, and INR at the time of transplant and as documented in the UNOS data base. Enter a number between 6 and 40.
In addition, bile leak can be identified  as documented in the medical record.
Indicate the UNOS (United Network for Organ Sharing database) status at the time the transplant procedure was performed.
Indicate the UNOS (United Network for Organ Sharing database) status at the time the heart transplant procedure was listed.
Diabetic Retinopathy is damage to the blood vessels in the retina as a consequence of diabetes mellitus. Enter YES if organ recipient is diagnosed with this condition. Otherwise, enter NO.
autonomic neuropathy (autonomic nervous system) or as defined by the attending physician.
Any documented cardiac abnormality (i.e. EKG abnormality, fixed or reversible defects, cardiac disease on heart catheterization, hypertension, and hyperlipidemia).
Indicate if the patient required an inotropic agent (dobutamine, milrinone, levophed, etc.) to maintain adequate cardiac output while awaiting a donor heart.
This is the name of the institution credited for performing this transplant.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
the recipient's serum.
Transplanted organ was harvested from a deceased donor. Acceptable answers include DCD (Donor after Cardiac Death), ECD (Extended Criteria Donor), SCD (Standard Criteria Donor), ECD-DCD, and No Study.
Enter the donor's date of birth between December 31, 1870 and today's date.
catheterization measurement.
between commas can be from 0 to 9999.
between commas can be from 0 to 9999.
Indicate if the patient has Pulmonary Hypertension or an Elevated PAP not reversible by sodium nitroprusside (Nipride).
Indicate the presence of liver disease such as positive HCV, Hep BsAg, or documented cirrhosis in organ transplant recipient.
predicted.
hallucinogens, marijuana, alcohol or other substances.
The pulmonary arterial vasculopathy associated with elevated pulmonary artery pressure (mean > 35mmHg) and as a consequence of severe hepatic dysfunction or as documented in the medical record.
The presence of upper gastrointestinal bleeding from esophageal or gastric varices any time in the patient's medical history.
This is Pre-transplant Malignancy status of the organ recipient.  Pre-transplant Malignancy is any history of solid organ, blood cell, or lymph node malignancy prior to kidney transplantation.
Indicate if the patient has any neoplasm or tumor of the skin that is biopsy-proven to be malignant prior to organ transplant.
Indicate if patient has history of solid organ, blood cell, or lymph node malignancy (other than skin) prior to organ transplantation.
methamphetamines, cocaine, hallucinogens, marijuana, alcohol or other substances.
The presence of infection related to the diseased biliary tract in the native liver at the time of liver transplantation. The infection would be manifest as cholangitis, bacteremia, or biliary sepsis.
Enter warm ischemia time for organ in minutes as written on transplant data sheet or operative note. This is defined by the time that the donor organ is off ice until the time of reperfusion.
History of new onset of hepatic encephalopathy, recurrent hepatic encephalopathy, or a state of ongoing, continued hepatic encephalopathy as documented in the medical record.
ice.
The presence of ascites fluid (presence of fluid accumulation in the peritoneal cavity noted on physical exam, abdominal ultrasound, or abdominal CT/MRI) at any time in the patient's medical history.
Enter the total ischemia time for organ in minutes which is the sum of warm ischemia time and cold ischemia time.
scheduled appointments and laboratory draws when requested.
Patient who has had previous substance abuse with opioids and is currently prescribed methadone by a physician or methadone clinic. This patient would be yes for drug abuse variable as well.
This is the Post Transplant Prophylaxis for TB/Antimycobacterial Treatment status of a patient receiving any tuberculosis or antimycobacterial drugs continuously post operatively for at least 30 days.
A diagnosis of acute rejection as made by pathologic evaluation of allograft biopsy or a diagnosis of acute rejection as documented in the medical record.
disorder leads to end-stage renal disease, the patient must go on dialysis or receive a kidney transplant.
hyperkalemia with or without acidosis and progressive chronic renal failure and neurotoxicity manifest primarily as tremors and headache.
toxic manifestations appear to occur in a fairly predictable sequence related to lithium concentrations. Thirst and polyuria may be followed by increased drowsiness, ataxia, tinnitus and blurred vision, indicating early
increasingly larger amounts of residual urine are left behind. Infection is frequently associated with the residual urine. This can be transmitted to the upper urinary tracts, with ensuing hydroureter, hydronephrosis and
Hepatitis or cirrhosis due to immune cell attack of the liver causing inflammation and or cell death; or diagnosis of autoimmune  hepatitis documented in medical record.
Cryptogenic Cirrhosis is cirrhosis of the liver by biopsy with no specific etiology for the cirrhosis.
The diagnosis of chronic rejection as made by pathologic evaluation or a diagnosis of chronic rejection documented in the medical record.
Thrombosis of the liver allograft hepatic artery documented by ultrasound duplex, angiogram, or another vascular imaging study; or a diagnosis of hepatic artery thrombosis documented in the medical record.
Transplanted organ was harvested from a living donor.
for 'No Study/Unknown' is also allowed.

A diagnosis of secondary sclerosing cholangitis in medical record.
Hepatitis and or necrosis of the liver due to a known hepatotoxic agent or diagnosis of toxic exposure causing liver failure as documented in medical record.
Enter YES if organ recipient is HIV positive on laboratory test or HIV positive as documented in the medical record. Otherwise, enter NO.
This is the Post Transplant Prophylaxis for CMV/Antiviral Treatment status of a patient who is receiving ganciclovir, valganciclovir, or acyclovir continuously post operatively for at least 30 days.
This is the Post Transplant Prophylaxis for PCP/Antibacterial Treatment status of a patient receiving septra/bactrim, pentamidine, or dapsone continuously post operatively for at least 30 days.
Thrombosis of the liver allograft portal vein documented by ultrasound duplex, angiogram, or CT angiogram or MRI; or a diagnosis of portal vein thrombosis as documented in the medical record.
If the patient was diagnosed with any other form of cardiomyopathy that is not listed elsewhere on this form, specify details into the comment field.
Indicate the presence of lung disease such as documented COPD, pulmonary hypertension, or interstitial disease in organ transplant recipient.
Renal dysfunction is evidenced by a serum creatinine results over 1.5 mg/dl.
Indicate the presence of infection in recipient of the target organ or system requiring antibiotic treatment.
more units of packed red blood cell in the postoperative period including hanging blood from the OR that is finished outside of the OR. If the patient receives shed blood, autologous blood, cell saver blood or pleurovac

CUMULATIVE, not necessarily consecutive.  Ventilator-assisted respirations can be via endotracheal tube, nasotracheal tube, or tracheostomy tube.
completely closed and within 30 days of surgery.  (YES/NO) If patient had cardiac arrest requiring CPR, indicate
record.
Indicate if there was any new objective neurologic deficit lasting > 72 hours with onset immediately post-operatively or occurring within the 30 days after surgery.
hospitalization. Do not include drug-induced coma (e.g. Propofol drips, etc.)

muscle layers) of the incision and at least one of the following:
level using the criteria below:
This field documents returns to the operating room including all surgical procedures that required the patient to be taken to the surgical operating room for intervention of any kind.
Documentation of a sudden change in behavior due to an excessive electrical activity in the brain or the diagnosis of seizure in the medical record.
often results in shortness of breath. Indicate if the patient has a diagnosis of emphysema documented by an attending physician.
If the patient was diagnosed with any other condition that is not listed elsewhere on this form, specify details into the comment field. Free text field will have a limit of 50 characters.
appropriate even if the pump is only used for a short time perioperatively. A "yes" response, however, is only correct if the patient did not enter the operating room with this same mechanical circulatory support, and the
usually performed in the course of a normal day in a person's life'. ADLs include: bathing, feeding, dressing, toileting, and mobility. Report the corresponding level of self-care for activities of daily living
revascularization procedure(s) on vessels to legs, and/or absent or diminished pulses in legs, and/or angiographic evidence of noniatrogenic peripheral arterial obstruction greater than or equal to 50% of luminal diameter.
This is the date of Graft Failure and return to maintenance dialysis after successful kidney transplant. System will also accept an entry for NS (No Study)
transplant.
information is not available.
this information is not available.
(enteric).
Glucose is blood sugar. Blood glucose helps measure pancreas function. Enter the blood glucose level of the organ recipient after transplant.
information is not available.
Lipase is a fat digesting enzyme. It is primarily made in the pancreas. Enter the blood lipase level of the organ recipient after transplant.  Enter NS to represent "No Study" if this information is not available.
Insulin is a hormone made by the islet cells in the pancreas. It controls sugar in the blood by moving it into the cells where it can be used for energy. Indicate if insulin treatment was necessary after the transplant.
Oral hypoglycemics are oral medications taken to lower blood glucose levels. Indicate if oral hypoglycemics were administered to lower blood glucose levels after the transplant.
Indicate the Panel Reactive Antibody of organ recipient at time of listing with UNOS. PRA represents the percent of the U.S. population that the anti-human antibody in the organ recipient's blood reacts with.
Indicate the Panel Reactive Antibody of organ recipient at time of transplant. PRA represents the percent of the U.S. population that the anti-human antibody in the organ recipient's blood reacts with.

Preoperative loss of blood necessitating a minimum of 5 units of whole blood/packed red cells transfused during the 72 hours prior to surgery including any blood transfused in the emergency room.
insulin or an oral hypoglycemic agent to prevent a hyperglycemic/metabolic acidosis. If the patient is on both Oral and Insulin therapy, indicate Insulin therapy. Indicate the one most appropriate response.
CICSP Definition (2004): Indicate if there was any re-exploration of the thorax for suspected bleeding within 30 days of surgery.
Amiodarone is an antiarrhythmic agent used for various types of tachyarrhythmias, both ventricular and supraventricular arrhythmias. Indicate if the patient has a history of current or past use of Amiodarone.
Indicate if the patient has heparin sensitivity.
elevated cholesterol levels.
Indicate if the patient had rapid beating of the heart-paroxysmal tachycardia originating in an ectopic focus in the ventricle.
Indicate if the patient has ever received a transfusion of blood and/or blood products.
Indicate the patient's Serum Creatinine result (mg/dl) preoperatively evaluated closest to transplant surgery but not greater than 72 hours before surgery.
Indicate whether the patient was diagnosed with dilated cardiomyopathy (DCM) as characterized by dilation and impaired contraction of one or both ventricles - generally with an ejection fraction < 40%
Indicate if patient was diagnosed with coronary plaque formation or endothelial inflammation of the lining of the coronary arteries.
Indicate if the patient was diagnosed with ischemic cardiomyopathy, primarily due to fixed or non-fixed ischemic damage of the myocardium.
Indicate if the patient was diagnosed with myocardial disease due to chronic alcoholism.
Indicate if the patient was diagnosed with valvular cardiomyopathy thought to be secondary to valvular disease, usually of the aortic or mitral valve.
Indicate if the patient was diagnosed with idiopathic cardiomyopathy.
Coxsackievirus, Influenza virus, Adenovirus, Echovirus, Cytomegalovirus, and Human Immunodeficiency Virus.
Indicate if the patient was diagnosed with cardiac failure in the period before, during, or after pregnancy and delivery.
after Vasodilation is obtained.
obtained.
Indicate the most recent pre-transplant Left Ventricular Ejection Fraction as measured by MUGA scan or Echocardiogram.
Indicate the most recent T-cell and B-cell pre-transplant Percent Reactive Antibodies as measured by flow cyometry.
surgery are acceptable if they are obtained prior to anesthesia induction. If no right heart catheterization performed, entering "NS" for "No Study/Unknown" is also allowed.
prior to surgery. PAW pressures obtained in the operating room prior to surgery are acceptable if they are obtained prior to anesthesia induction. If no right heart or transseptal catheterization performed, entering "NS"
Indicate the amount of forced expiratory volume in one second from the most recent pulmonary function test prior to surgery. Enter 'NS' for No Study if there has been no FEV1 measured in the year preceding surgery.
If the patient has died, this is the date of death.  Enter NA if DATE OF DEATH is not applicable.
is found, please record according to the most conservative (most recent) quit date:
typical rise and fall in biochemical markers, 2) cardiac pain, 3) typical ECG changes (new Q-waves, ST segment elevation or depression). In the absence of the above supporting data, a clear statement or diagnosis of prior
30 days prior to current surgery).  Both on and off-pump cardiac surgical procedures should be considered.  Count all surgical procedures performed during separate hospital admissions (not the number of grafts, and not
surgical repair (e.g., carotid endarterectomy), and/or greater than or equal to 50% obstruction of luminal diameter documented by contrast angiography or duplex ultrasound examination.  (NOTE: Stroke should be broadly
as the inability of the heart to pump a sufficient quantity of blood to meet the metabolic needs of the body or can do so only at increased ventricular filling pressure. Common manifestations are identified:
Indicate if the patient was administered nitroglycerin intravenously within 48 hours prior to surgery.
Indicate if the patient has used a digitalis preparation (digoxin, Lanoxin, digitoxin, etc.) within the two weeks prior to surgery.
Indicate if the patient has used any diuretic preparation within the two weeks prior to surgery.

'COMPLETED'.  After the assessment is transmitted, this field will be automatically updated to 'TRANSMITTED'.
The Transplant Type is the name of the organ transplanted. This field only allows selection of KIDNEY, LIVER, LUNG, or HEART.
This determines whether the assessment will be  re-transmitted.  It will automatically be set to '1' when a transmitted assessment is updated to an INCOMPLETE status to edit and re-transmit.
This is the date (or date/time) that this surgery risk assessment was transmitted.
This field indicates whether the transplant was performed in VA facility or Non-VA facility.
Indicate date that patient began renal replacement therapy due to renal failure. System will also accept an entry for NS (No Study).
This is the date of the retransmission if this assessment has been retransmitted to the national database. If there was no retransmission of this assessment, this is the date of the original transmission.
Indicate if a procedure to cut into the trachea and insert a tube to overcome tracheal obstruction or to facilitate extended mechanical ventilation was performed within 30 days postoperatively.
Indicate if the patient developed a bacterial infection involving the sternum or deep to the sternum requiring drainage and anti-microbial therapy diagnosed within 30 days after surgery.
ultrafiltration.
'OTHER.'
of a perioperative occurrence of the surgery (e.g., mediastinitis).
Plasmapheresis is the procedure of removing, treating, and returning of plasma from blood circulation. It is an extracorporeal therapy.

Field #	Name	Loc	Type	Details
.01	PATIENT	0;1	POINTER TO VA PATIENT FILE (#2)	**********************REQUIRED FIELD********************** VA PATIENT(#2) LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter the name of the patient.` DESCRIPTION: This is the name of the patient. CROSS-REFERENCE: `139.5^B` 1)= S ^SRT("B",$E(X,1,30),DA)="" 2)= K ^SRT("B",$E(X,1,30),DA) RECORD INDEXES: `AE (#150), AF (#151)`
1	DATE OF TRANSPLANT	0;2	DATE	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S %DT="EP" D ^%DT S X=Y K:X<1 X` LAST EDITED: `SEP 29, 2008` HELP-PROMPT: `Enter Date of Transplant.` DESCRIPTION: Indicate date organ transplant was completed. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `139.5^ADT^MUMPS` 1)= D ADT^SRTPUTL 2)= D KADT^SRTPUTL The ADT cross reference on the TRANSPLANT DATE field uses the 'inverse' date/time format to sort and to display cases by inverse chronological order. CROSS-REFERENCE: `139.5^AC^MUMPS` 1)= S ^SRT("AC",X,DA)=$P(^SRT(DA,0),"^") 2)= K ^SRT("AC",X,DA) The AC cross reference on the DATE OF TRANSPLANT field is used to sort entries by date of transplant for reports.
2	SURGERY CASE	0;3	POINTER TO SURGERY FILE (#130)	SURGERY(#130) LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter the matching case in the SURGERY file (#130).` DESCRIPTION: This is the case in the SURGERY file associated with this file entry. This field is entered if the transplant was done in a VA medical center. This field will remain blank if the transplant was done in a non-VA facility. WRITE AUTHORITY: ^ NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
3	VACO ID	.01;11	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:+X'=X!(X>999999)!(X<1)!(X?.E1"."1N.N) X D:$D(X) CHK^SRTPNEW` LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter the VACO ID number provided by VA Central Office.` DESCRIPTION: The VACO ID is a unique identifier provided centrally for each patient undergoing a transplant. This field is required for creating a Transplant Assessment. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` RECORD INDEXES: `AE (#150)`
4	RECIPIENT HEIGHT	0;4	FREE TEXT	INPUT TRANSFORM: `S:X="NS"!(X="ns") X="NS" Q:X="NS" K:+X>300!(+X<0) X D H^SROAMEAS` OUTPUT TRANSFORM: `S Y=$S(Y="NS":"NO STUDY",Y["C":+Y_" CM.",+Y:Y_" INCHES",1:Y)` LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter Recipient height.` DESCRIPTION: `Indicate the Recipient's height in either inches (in) or centimeters (cm) based upon an actual measurement (if possible) or based on the Recipient's estimate.` The measurement should be entered in inches (48 to 86) or centimeters (122 to 218). If you are entering the patient's height in centimeters, enter 'C' after the number of centimeters. Your answer should be in one of the following two formats. 68 (representing inches) 173C (representing centimeters) Enter NS for NO STUDY if the patient's height cannot be determined. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
5	RECIPIENT WEIGHT	0;5	FREE TEXT	INPUT TRANSFORM: `S:X="NS"!(X="ns") X="NS" Q:X="NS" K:X>700!(X<0) X D W^SROAMEAS` OUTPUT TRANSFORM: `S Y=$S(Y="NS":"NO STUDY",Y["K":+Y_" KG",+Y:Y_" LBS.",1:Y)` LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter Recipient weight.` DESCRIPTION: `Indicate the Recipient's most recent weight before surgery in either pounds (lbs) or kilograms (kg) based upon an actual measurement (if possible) or based on the Recipient's estimate.` The weight should be entered in pounds (50 to 700) or kilograms (23 to 318). If you are entering the patient's weight in kilograms, enter 'K' after the number of kilograms. Your answer should be in one of the following formats. 178 (weight in pounds) 80K (weight in Kilograms) Enter NS for NO STUDY if the patient's weight cannot be determined. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
9	RECIPIENT IVIG	0;9	SET	'1' FOR BEFORE TRANSPLANT; '2' FOR AFTER TRANSPLANT; '3' FOR BOTH; '4' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter status as IVIG Recipient.` DESCRIPTION: `Indicate if transplant recipient receives intravenous immunoglobulin (IVIG). IVIG is used to treat acute humoral rejection after organ transplantation. IVIG is also used to reduce antibody titers prophylactically to` permit ABO incompatible and cross match positive renal transplants.
10	RECIPIENT ABO BLOOD TYPE	0;10	SET	'A' FOR A; 'B' FOR B; 'AB' FOR AB; 'O' FOR O; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the ABO blood type of the organ recipient.` DESCRIPTION: This is the ABO blood type of the organ recipient.
11	DATE PLACED ON WAITING LIST	0;11	DATE	INPUT TRANSFORM: `S %DT="EXP" D ^%DT S X=Y K:X<1 X` LAST EDITED: `JUL 16, 2008` HELP-PROMPT: `Enter the date that the patient was placed on the waiting list.` DESCRIPTION: Indicate date entered on UNOS Waiting List for Transplant. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
12	RECIPIENT CMV	0;12	SET	'+' FOR POSITIVE; '-' FOR NEGATIVE; LAST EDITED: `MAY 28, 2008` HELP-PROMPT: `Enter the CMV status of transplant recipient.` DESCRIPTION: This is the Recipient CMV status field. The field will capture the cytomegalovirus (CMV) serologic status of the transplant recipient.
13	RECIPIENT HLA-A TYPING	0;13	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-A typing of the organ recipient.` DESCRIPTION: `This is the HLA-A typing status of the organ recipient. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
14	RECIPIENT HLA-B TYPING	0;14	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-B typing of the organ recipient.` DESCRIPTION: `This is the HLA-B typing status of the organ recipient. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
15	RECIPIENT HLA-C TYPING	0;15	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-C typing of the organ recipient.` DESCRIPTION: `This is the HLA-C typing status of the organ recipient. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
16	RECIPIENT HLA-BW TYPING	0;16	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-BW typing of the organ recipient.` DESCRIPTION: `This is the HLA-BW typing status of the organ recipient. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
17	RECIPIENT HLA-DR TYPING	0;17	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-DR typing of the organ recipient.` DESCRIPTION: `This is the HLA-DR typing status of the organ recipient. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
18	RECIPIENT HLA-DQ TYPING	0;18	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-DQ typing of the organ recipient.` DESCRIPTION: `This is the HLA-DQ typing status of the organ recipient. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
19	TRANSPLANT COMMENTS	.02;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>130!($L(X)<1) X` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter additional comments as necessary for transplant assessments.` DESCRIPTION: The Transplant comments include additional information not available elsewhere on this form. This field has a limit of 130 characters.
20	ACETAMINOPHEN TOXICITY	.1;1	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Acetaminophen Toxicity status of the organ recipient.` DESCRIPTION: `Acetaminophen Toxicity is a condition as defined by development of encephalopathy within 8 weeks of onset of illness and an acetaminophen level exceeding 4000 units/liter or diagnosis as documented by an attending` physician.
21	ACUTE LIVER FAILURE	.1;2	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Acute Liver Failure status of the organ recipient.` DESCRIPTION: Acute Liver Failure is when a patient develops encephalopathy within 8 weeks of an onset of illness or as documented by an attending physician.
22	LUNG CANCER	.1;3	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the lung cancer status of the organ recipient.` DESCRIPTION: Indicate presence or history of lung cancer with pathology report confirming diagnosis as documented by attending physician.
23	ALCOHOLIC CIRRHOSIS	.1;4	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter the Alcoholic Cirrhosis status of the organ recipient.` DESCRIPTION: `Continued alcohol abuse in many patients will result in the development of alcoholic cirrhosis which causes permanent scarring of the liver. Answer "YES" if a diagnosis of Alcoholic cirrhosis is documented by a physician` in medical record.
24	ALPHA 1 ANTI-TRYPSIN DEF	.1;5	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Alpha 1 Anti-Trypsin Deficiency status of the organ recipient.` DESCRIPTION: `Alpha 1 Anti-Trypsin Deficiency is the genetic predisposition to produce the protein (alpha1-antitrypsin) that helps protect the lungs. Indicate if patient has diagnosis of alpha-1 anti-trypsin deficiency documented by an` attending physician.
25	BRONCHIECTASIS	.1;6	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Bronchiectasis status of the organ recipient.` DESCRIPTION: Bronchiectasis is an abnormal destruction and dilation of the large airways; or a diagnosis of bronchiectasis documented by an attending physician.
26	GLOMERULAR SCLEROSIS/NEPHRITIS	.1;7	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the Glomerular Sclerosis/Nephritis diagnosis status of the organ recipient.` DESCRIPTION: Glomerular Sclerosis/Nephritis is kidney disease involving primarily the glomeruli.
27	GRAFT FAILURE	.1;8	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `MAY 28, 2008` HELP-PROMPT: `Enter Graft Failure status of the organ recipient.` DESCRIPTION: `For kidney transplants, Graft Failure is documented return to maintenance dialysis after a successful kidney transplant.` For liver transplants, graft failure is failure of transplanted liver caused by the etiologic factor for which the original transplant was performed or the diagnosis of graft failure from recurrent disease documented in the medical record.
28	HBV CIRRHOSIS (HEPATITIS B)	.1;9	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the HBV Cirrhosis (hepatitis B) status of the organ recipient.` DESCRIPTION: Cirrhosis characterized by hepatitis B surface antibody, hepatitis surface antigen, and hepatitis B core antibody positive and pathology of cirrhosis on liver biopsy.
29	HCC (HEPATOCELLULAR CA)	.1;10	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the HCC (Hepatocellular CA) status of the organ recipient.` DESCRIPTION: `HCC (Hepatocellular carcinoma) is characterized by the presence of a lesion on two separate liver imaging studies and at least one of the following: a vascular blush corresponding to the area of suspicion seen on other` imaging studies; an alpha-fetoprotein level of >200 ng/ml; an arteriogram confirming a tumor; a biopsy confirming HCC; chemoembolization of lesion, radio frequency, cryo, or chemical ablation of the lesion; or diagnosis of hepatocellular carcinoma documented in medical record or explant pathology showing hepatocellular carcinoma.
30	HCV CIRRHOSIS (HEPATITIS C)	.1;11	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the HCV Cirrohosis (hepatitis C) status of the organ recipient.` DESCRIPTION: HCV Cirrohosis (Hepatitis C) is characterized by hepatitis C antibody positive and/or PCR positive for HCV RNA and pathology of cirrhosis on liver biopsy.
31	DONOR HEIGHT	1;2	FREE TEXT	INPUT TRANSFORM: `S:X="NS"!(X="ns") X="NS" Q:X="NS" K:+X>300!(+X<0) X D H^SROAMEAS` OUTPUT TRANSFORM: `S Y=$S(Y="NS":"NO STUDY",Y["C":+Y_" CM.",+Y:Y_" INCHES",1:Y)` LAST EDITED: `JUL 17, 2008` HELP-PROMPT: `Enter donor height.` DESCRIPTION: `Indicate the Donor's height in either inches (in) or centimeters (cm) based upon an actual measurement (if possible) or based on estimate.` The measurement should be entered in inches (48 to 86) or centimeters (122 to 218). If you are entering the donor's height in centimeters, enter 'C' after the number of centimeters. Your answer should be in one of the following two formats. 68 (representing inches) 173C (representing centimeters) Enter NS for NO STUDY if the donor's height cannot be determined. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
32	INTERSTITIAL LUNG DISEASE	.1;13	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Interstitial Lung Disease status of the organ recipient.` DESCRIPTION: `Interstitial Lung Disease (ILD) refers to a group of lung diseases which affect the alveolar epithelium, pulmonary capillary endothelium, basement membrane, perivascular and perilymphatic tissues; or a diagnosis of` interstitial lung disease documented by an attending physician.
33	MEMBRANOUS NEPHROPATHY	.1;14	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Membranous Nephropathy status of the organ recipient.` DESCRIPTION: `This is the Membranous Nephropathy status of the organ recipient. Membranous Nephropathy is a kidney disorder resulting in disruption of kidney function because of inflammation of the glomerulus and changes in the` glomerular basement membrane.
34	METABOLIC	.1;15	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Metabolic status of the organ recipient.` DESCRIPTION: Indicate yes if one of the following diagnoses is recorded in patient's medical record: hemachromatosis, alpha1 antitrypsin deficiency, Wilson's, Banti's, lupoid.
35	NASH	.1;16	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Non-alcoholic steatohepatitis status of the organ recipient.` DESCRIPTION: `Non-alcoholic steatohepatitis (or non-alcoholic fatty liver disease) - hepatitis or cirrhosis diagnosed by liver biopsy pathology or a diagnosis of non-alcoholic steatohepatitis (or non-alcoholic fatty liver disease)` documented in the medical record.
36	DONOR WEIGHT	1;3	FREE TEXT	INPUT TRANSFORM: `S:X="NS"!(X="ns") X="NS" Q:X="NS" K:X>700!(X<0) X D W^SROAMEAS` OUTPUT TRANSFORM: `S Y=$S(Y="NS":"NO STUDY",Y["K":+Y_" KILOGRAMS",+Y:Y_" LBS.",1:Y)` LAST EDITED: `JUL 17, 2008` HELP-PROMPT: `Enter donor weight.` DESCRIPTION: `Indicate the Donor's most recent weight before surgery in either pounds (lbs) or kilograms (kg) based upon an actual measurement (if possible) or based on estimate.` The weight should be entered in pounds (50 to 700) or kilograms (23 to 318). If you are entering the donor's weight in kilograms, enter 'K' after the number of kilograms. Your answer should be in one of the following formats. 178 (weight in pounds) 80K (weight in Kilograms) Enter NS for NO STUDY if the donor's weight cannot be determined. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
37	POLYCYSTIC DISEASE	.1;18	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Polycystic Disease status of the organ recipient.` DESCRIPTION: This is Polycystic Disease status of the organ recipient. Polycystic Disease is a condition in which multiple cysts on the kidneys cause the kidneys to fail.
38	PRIMARY BILIARY CHOLANGITIS	.1;19	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Primary Biliary Cholangitis (PBC) status of the organ recipient.` DESCRIPTION: Primary Biliary Cholangitis or Cirrhosis is an autoimmune liver disease where over time an antibody created within the body attacks and destroys the bile ducts in the liver.
39	PRIMARY SCLEROSING CHOLANGITIS	.1;20	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter the Primary Sclerosing Cholangitis status of the organ recipient.` DESCRIPTION: Indicate whether a diagnosis of Primary Sclerosing Cholangitis is documented in the medical record.
40	PULMONARY FIBROSIS	.1;21	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Pulmonary Fibrosis status of the organ recipient.` DESCRIPTION: `Pulmonary Fibrosis involves scarring of the lung. Gradually, the air sacs of the lungs become replaced by fibrotic tissue. When the scar forms, the tissue becomes thicker causing an irreversible loss of the tissue's` ability to transfer oxygen into the bloodstream. Indicate if patient has diagnosis of pulmonary fibrosis documented in the medical record.
41	PULMONARY HYPERTENSION	.1;22	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `MAY 29, 2008` HELP-PROMPT: `Enter the Pulmonary Hypertension status of the organ recipient.` DESCRIPTION: Indicate if patient has diagnosis of pulmonary hypertension with Mean PA pressure > 35 mmHg documented in medical record.
42	RENAL CANCER	.1;23	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 21, 2008` HELP-PROMPT: `Enter the Renal Cancer status of the organ recipient.` DESCRIPTION: This is the Renal Cancer status of the organ recipient. Renal Cancer is malignant neoplasm of the kidney.
43	SARCOIDOSIS	.1;24	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Sarcoidosis status of the organ recipient.` DESCRIPTION: `Indicate if the patient was diagnosed with clinical manifestations of cardiac sarcoidosis, which is dependent upon the location and extent of granulomatous inflammation. Cardiac involvement may precede, follow, or occur` concurrently with involvement of the lungs or other organs.
44	DONOR RACE	44;0	SET Multiple #139.544	139.544
45	DONOR GENDER	1;5	SET	'M' FOR MALE; 'F' FOR FEMALE; LAST EDITED: `MAY 29, 2008` HELP-PROMPT: `Enter the Donor Gender.` DESCRIPTION: Indicate donor's gender as "M" if male, "F" if female.
46	DONOR AGE	1;6	FREE TEXT	INPUT TRANSFORM: `S:X="NS"!(X="ns") X="NS" Q:X="NS" K:+X'=X!(X>135)!(X<0) X D Y^SRTPUTL` OUTPUT TRANSFORM: `S Y=$S(Y="NS":"NO STUDY",Y:+Y_" YEARS",1:Y)` LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter the age of the donor.` DESCRIPTION: This is the age of the donor at the time of organ harvest. Field will be automatically calculated and filled if DONOR DATE OF BIRTH entered. Enter NS for NO STUDY if the donor's age cannot be determined. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
47	BILIARY STRICTURE	.1;26	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Biliary Stricture status of the organ recipient.` DESCRIPTION: Narrowing or occlusion of the bile ducts either extrahepatic (for choledochocholedochostomy or choledochojejunostomy) or intrahepatic, seen on MRCP, ERCP, or PTC or as documented in the medical record.
48	DONOR ABO BLOOD TYPE	1;8	SET	'A' FOR A; 'B' FOR B; 'AB' FOR AB; 'O' FOR O; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the ABO blood type of the organ donor.` DESCRIPTION: This is the ABO blood type of the organ donor.
49	DONOR CMV	1;9	SET	'+' FOR POSITIVE; '-' FOR NEGATIVE; LAST EDITED: `MAY 06, 2008` HELP-PROMPT: `Enter the CMV status of transplant donor.` DESCRIPTION: Indicate whether the donor tested positive or negative to Cytomegalovirus.
50	LAS SCORE AT LISTING	0;19	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1.N) X` LAST EDITED: `APR 30, 2008` HELP-PROMPT: `Enter the LAS Score at Listing.` DESCRIPTION: `Lung allocation score (LAS) is a calculated value which is used by the United Network for Organ Sharing (UNOS) based upon a number of factors including age, geographic distance, lab test results, and disease diagnosis for` prospective lung transplants recipients. Indicate patient Lung Allocation Score at Listing with UNOS. Enter a number between 0 and 100.
51	LAS SCORE AT TRANSPLANT	0;20	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1.N) X` LAST EDITED: `APR 30, 2008` HELP-PROMPT: `Enter the LAS Score at Transplant.` DESCRIPTION: `Lung allocation score (LAS) is a calculated value which is used by the United Network for Organ Sharing (UNOS) based upon a number of factors including age, geographic distance, lab test results, and disease diagnosis for` prospective lung transplants recipients. Indicate patient Lung Allocation Score at Transplant with UNOS. Enter a number between 0 and 100.
52	MELD SCORE AT LISTING	0;21	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>40)!(X<6)!(X?.E1"."1.N) X` LAST EDITED: `APR 30, 2008` HELP-PROMPT: `Enter the MELD Score at Listing.` DESCRIPTION: `Biologic Model of End Stage Liver Disease score plus the extra points as defined by UNOS (for example, for HCC or an appeal has been made for higher MELD score due to other clinical entities) at time of listing and as` documented in the UNOS data base. Enter a number between 6 and 40.
53	BIOLOGIC MELD SCORE AT LISTING	0;22	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>40)!(X<6)!(X?.E1"."1.N) X` LAST EDITED: `APR 30, 2008` HELP-PROMPT: `Enter the Biologic MELD Score at Listing.` DESCRIPTION: Actual Model of End Stage Liver Disease score using the laboratory values of bilirubin, creatinine, and INR at the time of listing and as documented in the UNOS data base. Enter a number between 6 and 40.
54	MELD SCORE AT TRANSPLANT	0;23	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>40)!(X<6)!(X?.E1"."1.N) X` LAST EDITED: `APR 30, 2008` HELP-PROMPT: `Enter the MELD Score at Transplant.` DESCRIPTION: `Biologic Model of End Stage Liver Disease score plus the extra points as defined by UNOS (for example, for HCC, or an appeal has been made for higher MELD score due to other clinical entities) at time of transplant and as` documented in the UNOS data base. Enter a number between 6 and 40.
55	BIOLOGIC MELD SCORE AT TRANSP	.01;10	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>40)!(X<6)!(X?.E1"."1N.N) X` LAST EDITED: `MAY 14, 2008` HELP-PROMPT: `Enter the Biologic MELD Score at Transplant.` DESCRIPTION: Actual Model of End Stage Liver Disease score using the laboratory values of bilirubin, creatinine, and INR at the time of transplant and as documented in the UNOS data base. Enter a number between 6 and 40.
56	BILE LEAK	.11;20	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Bile Leak status of the organ recipient.` DESCRIPTION: `Evidence of extravasation of bile from the biliary tree by a cholangiogram. The contrast imaging studies to obtain a cholangiogram include: ERCP, PTC, MRCP, or tube cholangiogram. A HIDA scan can also reveal a bile leak.` In addition, bile leak can be identified as documented in the medical record.
57	UNOS STATUS AT TIME OF TRANSP	.01;9	SET	'A' FOR 1A; 'B' FOR 1B; '2' FOR 2; LAST EDITED: `MAY 29, 2008` HELP-PROMPT: `Enter the UNOS Status at the time of Transplant.` DESCRIPTION: Indicate the UNOS (United Network for Organ Sharing database) status at the time the transplant procedure was performed.
58	UNOS STATUS AT TIME OF LISTING	0;8	SET	'A' FOR 1A; 'B' FOR 1B; '2' FOR 2; '7' FOR 7 - ON HOLD; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the UNOS Status at the time of listing.` DESCRIPTION: Indicate the UNOS (United Network for Organ Sharing database) status at the time the heart transplant procedure was listed.
59	DIABETIC RETINOPATHY	.5;1	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter YES if organ recipient is diagnosed with diabetic retinopathy.` DESCRIPTION: Diabetic Retinopathy is damage to the blood vessels in the retina as a consequence of diabetes mellitus. Enter YES if organ recipient is diagnosed with this condition. Otherwise, enter NO.
60	DIABETIC NEUROPATHY	.5;2	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Diabetic Neuropathy status of the organ recipient.` DESCRIPTION: `Enter the Diabetic Neuropathy status of the organ recipient. Diabetic Neuropathy is damage to the nervous system as a consequence of diabetes mellitus which can include peripheral neuropathy (sensory nervous system) or` autonomic neuropathy (autonomic nervous system) or as defined by the attending physician.
61	CARDIAC DISEASE	.5;3	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `MAY 29, 2008` HELP-PROMPT: `Enter the presence of Cardiac Disease (CAD, AF, EF<50%) in organ recipient.` DESCRIPTION: Any documented cardiac abnormality (i.e. EKG abnormality, fixed or reversible defects, cardiac disease on heart catheterization, hypertension, and hyperlipidemia).
62	INOTROPE DEPENDENT PRE-TRANSP	.5;4	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Indicate whether the patient required an inotropic agent.` DESCRIPTION: Indicate if the patient required an inotropic agent (dobutamine, milrinone, levophed, etc.) to maintain adequate cardiac output while awaiting a donor heart.
63	DIVISION	8;1	POINTER TO INSTITUTION FILE (#4)	INSTITUTION(#4) LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter the name of the division associated with this transplant.` DESCRIPTION: This is the name of the institution credited for performing this transplant.
64	DONOR HLA-A TYPING	1;10	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-A typing of the organ donor.` DESCRIPTION: `This is the HLA-A typing status of the organ Donor. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
65	DONOR HLA-B TYPING	1;11	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-B typing of the organ donor.` DESCRIPTION: `This is the HLA-B typing status of the organ Donor. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
66	DONOR HLA-C TYPING	1;12	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-C typing of the organ donor.` DESCRIPTION: `This is the HLA-C typing status of the organ Donor. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
67	DONOR HLA-BW TYPING	1;13	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-BW typing of the organ donor.` DESCRIPTION: `This is the HLA-BW typing status of the organ Donor. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
68	CROSSMATCH D/R	3;7	SET	'+' FOR POSITIVE; '-' FOR NEGATIVE; LAST EDITED: `MAY 06, 2008` HELP-PROMPT: `Enter status of Crossmatch between donor and recipient.` DESCRIPTION: `Crossmatch is pretransfusion testing or compatibility testing. It is a series of procedures used to give an indication of blood group compatibility between the donor and the recipient and to detect irregular antibodies in` the recipient's serum.
69	DECEASED DONOR	3;1	SET	'1' FOR DCD (Donor after Cardiac Death); '2' FOR ECD (Extended Criteria Donor); '3' FOR SCD (Standard Criteria Donor); '4' FOR ECD-DCD; 'NS' FOR NO STUDY; LAST EDITED: `SEP 11, 2008` HELP-PROMPT: `Enter the type of the deceased donor.` DESCRIPTION: Transplanted organ was harvested from a deceased donor. Acceptable answers include DCD (Donor after Cardiac Death), ECD (Extended Criteria Donor), SCD (Standard Criteria Donor), ECD-DCD, and No Study.
70	DONOR DATE OF BIRTH	1;1	DATE	INPUT TRANSFORM: `S %DT="EP" D ^%DT S X=Y K:1701231>X!(DT` `LAST EDITED: JUN 09, 2008` `HELP-PROMPT: Enter the Donor Date Of Birth.` `DESCRIPTION:` `Enter the donor's date of birth between December 31, 1870 and today's date.` `NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `FIELD INDEX: AGE (#465) MUMPS IR ACTION` `Short Descr: Update the Donor Age field` `Description: The AGE cross reference on the DONOR DATE OF BIRTH field stuffs the DONOR AGE field with calculated Donor's Age.` `Set Logic: D AGE^SRTPUTL Q` `Set Cond: S X=((X1(1)'=X2(1))&(X2(1)'=""))` `Kill Logic: D KAGE^SRTPUTL Q` `Kill Cond: Q` `X(1): DONOR DATE OF BIRTH (139.5,70) (forwards)`
71	ELEVATED PAP	.55;2	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Elevated PAP status of the lung recipient.` DESCRIPTION: `Elevated pulmonary artery pressure (PAP) may indicate left-to-right shunt, LV failure, mitral stenosis or pulmonary hypertension. Indicate if patient has an Elevated PAP. Mean PA pressure of > 35 mmHg for right heart` catheterization measurement.
72	DONOR HLA-DQ TYPING	1;14	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-DQ typing of the organ donor.` DESCRIPTION: `This is the HLA-DQ typing status of the organ Donor. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
73	DONOR HLA-DR TYPING	1;15	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X I $D(X) D HLA^SRTPUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the HLA-DR typing of the organ donor.` DESCRIPTION: `This is the HLA-DR typing status of the organ Donor. It is Human Leukocyte Antigen (HLA) typing - described as A, B, C, BW, DQ, & DR locus. Acceptable answers are numerical in the format of #,#,# or #,#. The numbers` between commas can be from 0 to 9999. NS (No Study) is also an acceptable response for heart transplants assessments. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
74	PULMONARY HYPER/ELEVATED PAP	.5;5	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `MAY 29, 2008` HELP-PROMPT: `Enter the status of Pulmonary Hypertension / Elevated PAP not reversible.` DESCRIPTION: Indicate if the patient has Pulmonary Hypertension or an Elevated PAP not reversible by sodium nitroprusside (Nipride).
75	LIVER DISEASE	.5;6	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter the presence of Liver Disease (Hep C+, Hep B+, cirrhosis) in organ recipient.` DESCRIPTION: Indicate the presence of liver disease such as positive HCV, Hep BsAg, or documented cirrhosis in organ transplant recipient.
76	COPD	.5;7	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter status of COPD.` DESCRIPTION: `Indicate if the patient has chronic obstructive pulmonary disease (COPD) resulting in functional disability, and/or hospitalization, and/or requiring chronic bronchodilator therapy, and/or an FEV1 of less than 75% of` predicted.
77	DONOR SUBSTANCE ABUSE	1;4	SET	'Y' FOR YES; 'N' FOR NO; 'NS' FOR NO STUDY; LAST EDITED: `MAY 19, 2008` HELP-PROMPT: `Enter the Donor Substance Abuse status of the organ donor.` DESCRIPTION: `This is any documented history of illicit or recreational drug abuse of the donor. The route may be intravenous, subcutaneous, intranasal, oral, or inhaled. The drugs may include opioids, methamphetamines, cocaine,` hallucinogens, marijuana, alcohol or other substances.
78	PORTO PULMONARY HYPERTENSION	.5;9	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Porto Pulmonary Hypertension status of the organ recipient.` DESCRIPTION: The pulmonary arterial vasculopathy associated with elevated pulmonary artery pressure (mean > 35mmHg) and as a consequence of severe hepatic dysfunction or as documented in the medical record.
79	BLEEDING ESOPH/GASTRIC VARICES	.5;10	SET	'B' FOR BLEEDING; 'NB' FOR NOT BLEEDING; 'N' FOR NO; LAST EDITED: `MAY 29, 2008` HELP-PROMPT: `Enter the History of Bleeding Esophageal and/or Gastric Varices status of the organ recipient.` DESCRIPTION: The presence of upper gastrointestinal bleeding from esophageal or gastric varices any time in the patient's medical history.
80	PRE-TRANSPLANT MALIGNANCY	.5;11	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Pre-transplant Malignancy status of the organ recipient.` DESCRIPTION: This is Pre-transplant Malignancy status of the organ recipient. Pre-transplant Malignancy is any history of solid organ, blood cell, or lymph node malignancy prior to kidney transplantation.
81	PRE-TRANSPLANT SKIN MALIGNANCY	.5;12	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter the status of the history of pre-transplant skin malignancy of the organ recipient.` DESCRIPTION: Indicate if the patient has any neoplasm or tumor of the skin that is biopsy-proven to be malignant prior to organ transplant.
82	OTHER PRE-TRANS MALIGNANCY	.5;13	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the history of other pre-transplant malignancy status (other than skin) of the organ recipient.` DESCRIPTION: Indicate if patient has history of solid organ, blood cell, or lymph node malignancy (other than skin) prior to organ transplantation.
83	RECIPIENT SUBSTANCE ABUSE	.5;14	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `MAY 29, 2008` HELP-PROMPT: `Enter the Recipient Substance Abuse status of the organ recipient.` DESCRIPTION: `Indicate if there is any documented history of illicit or recreational drug abuse by the organ recipient. The route may be intravenous, subcutaneous, intranasal, oral, or inhaled. The drugs may include opioids,` methamphetamines, cocaine, hallucinogens, marijuana, alcohol or other substances.
84	ACTIVE INFECTION FOR PSC	.5;15	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the status of active infection in liver.` DESCRIPTION: The presence of infection related to the diseased biliary tract in the native liver at the time of liver transplantation. The infection would be manifest as cholangitis, bacteremia, or biliary sepsis.
85	WARM ISCHEMIA TIME FOR ORGAN	3;4	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>3000)!(X<0)!(X?.E1"."1.N) X` LAST EDITED: `AUG 27, 2008` HELP-PROMPT: `Enter the warm ischemia time for organ in minutes (0-3000).` DESCRIPTION: Enter warm ischemia time for organ in minutes as written on transplant data sheet or operative note. This is defined by the time that the donor organ is off ice until the time of reperfusion. RECORD INDEXES: `AD (#149)`
86	ACUTE/CHRONIC ENCEPHALOPATHY	.5;17	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Acute or Chronic Encephalopathy status of the organ recipient.` DESCRIPTION: History of new onset of hepatic encephalopathy, recurrent hepatic encephalopathy, or a state of ongoing, continued hepatic encephalopathy as documented in the medical record.
87	COLD ISCHEMIA TIME FOR ORGAN	3;5	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>6000)!(X<0)!(X?.E1"."1.N) X` LAST EDITED: `AUG 27, 2008` HELP-PROMPT: `Enter the cold ischemia time for organ in minutes (0-6000).` DESCRIPTION: `Enter cold ischemia time for organ in minutes as written on transplant data sheet or operative note. This is defined by the time that the donor organ is cross-clamped to the time that the donor organ is removed from the` ice. RECORD INDEXES: `AD (#149)`
88	HISTORY OF ASCITES	.5;19	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter 'YES' if the organ recipient has a history of fluid accumulation in the peritoneal cavity.` DESCRIPTION: The presence of ascites fluid (presence of fluid accumulation in the peritoneal cavity noted on physical exam, abdominal ultrasound, or abdominal CT/MRI) at any time in the patient's medical history.
89	TOTAL ISCHEMIA TIME FOR ORGAN	3;6	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1.N) X` LAST EDITED: `AUG 27, 2008` HELP-PROMPT: `Enter the total ischemia time for organ in minutes (0-9999).` DESCRIPTION: Enter the total ischemia time for organ in minutes which is the sum of warm ischemia time and cold ischemia time. TECHNICAL DESCR: If both the Warm and Cold Ischemia fields contain values, the "AD" cross reference populates this field with the sum of their values.
90	NON-COMPLIANCE (MED AND DIET)	.5;21	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Indicate if organ recipient is non-compliant regarding medication and/or diet.` DESCRIPTION: `Enter the non-compliance (medication and diet) status of the organ recipient. This refers to documented history of nonadherence/noncompliance to medical regimens such as diet, exercise, monitoring blood sugars, attending` scheduled appointments and laboratory draws when requested.
91	ON METHADONE	.5;22	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Methadone status of the organ recipient.` DESCRIPTION: Patient who has had previous substance abuse with opioids and is currently prescribed methadone by a physician or methadone clinic. This patient would be yes for drug abuse variable as well.
92	POST-TX PROPHYLAXIS - TB	.5;23	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Post Transplant Prophylaxis for TB/Antimycobacterial Treatment status of the patient.` DESCRIPTION: This is the Post Transplant Prophylaxis for TB/Antimycobacterial Treatment status of a patient receiving any tuberculosis or antimycobacterial drugs continuously post operatively for at least 30 days.
94	REJECTION	.11;19	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter status of organ rejection in patient.` DESCRIPTION: A diagnosis of acute rejection as made by pathologic evaluation of allograft biopsy or a diagnosis of acute rejection as documented in the medical record.
95	IGA NEPHROPATHY	.1;17	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the IgA Nephropathy status of organ recipient.` DESCRIPTION: `IgA Nephropathy is a kidney disorder caused by deposits of the protein immunoglobulin A (IgA) inside the glomeruli within the kidney. The chronic kidney disease may progress over a period of 10 to 20 years. If this` disorder leads to end-stage renal disease, the patient must go on dialysis or receive a kidney transplant.
96	CALCINEURIN INHIBITOR TOXICITY	.11;4	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the Calcineurin Inhibitor Toxicity status of transplant recipient` DESCRIPTION: `Cyclosporin and tacrolimus are calcineurin inhibitors and are widely used as immunosuppressive therapy. Among the toxicities of the calcineurin inhibitor class are nephrotoxicity manifest as acute renal failure,` hyperkalemia with or without acidosis and progressive chronic renal failure and neurotoxicity manifest primarily as tremors and headache.
97	LITHIUM TOXICITY	.11;9	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the status of Lithium Toxicity for organ recipient.` DESCRIPTION: `Mild to moderate acute toxic reactions may occur at lithium drug concentrations from 1.5 - 2 mmol/L, and moderate to severe reactions at concentrations above 2 mmol/L. In patients with normal renal clearance the acute` toxic manifestations appear to occur in a fairly predictable sequence related to lithium concentrations. Thirst and polyuria may be followed by increased drowsiness, ataxia, tinnitus and blurred vision, indicating early intoxication. As intoxication progresses the following manifestations may be encountered: confusion, increasing disorientation, muscle twitchings, hyperreflexia, nystagmus, seizures, diarrhea, vomiting, and eventually coma and death. Long term lithium use can also cause nephrogenic diabetes insipidus and a chronic tubulointersitial nephritis with progressive chronic kidney disease leading to ESRD.
98	OBSTRUCTIVE UROPATHY FROM BPH	.11;10	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter status of Obstructive Uropathy from BPH.` DESCRIPTION: `Obstructive uropathy from BPH is a non-cancerous enlargement of the prostate gland causing obstruction to the free flow of urine due to narrowing of the urethra. As obstruction progresses, the bladder decompensates,` increasingly larger amounts of residual urine are left behind. Infection is frequently associated with the residual urine. This can be transmitted to the upper urinary tracts, with ensuing hydroureter, hydronephrosis and progressive renal damage and if untreated to ESRD.
99	AUTOIMMUNE HEPATITIS	.11;11	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUN 04, 2008` HELP-PROMPT: `Enter the Autoimmune Hepatitis status of the organ recipient.` DESCRIPTION: Hepatitis or cirrhosis due to immune cell attack of the liver causing inflammation and or cell death; or diagnosis of autoimmune hepatitis documented in medical record.
100	CRYPTOGENIC CIRRHOSIS	.11;12	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Cryptogenic Cirrhosis status of the organ recipient.` DESCRIPTION: Cryptogenic Cirrhosis is cirrhosis of the liver by biopsy with no specific etiology for the cirrhosis.
101	CHRONIC REJECTION	.11;13	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Chronic Rejection status of the organ recipient.` DESCRIPTION: The diagnosis of chronic rejection as made by pathologic evaluation or a diagnosis of chronic rejection documented in the medical record.
102	HEPATIC ARTERY THROMBOSIS	.11;14	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Hepatic Artery Thrombosis status of the organ recipient.` DESCRIPTION: Thrombosis of the liver allograft hepatic artery documented by ultrasound duplex, angiogram, or another vascular imaging study; or a diagnosis of hepatic artery thrombosis documented in the medical record.
103	LIVING DONOR	3;2	SET	'R' FOR RELATED; 'U' FOR UNRELATED; 'NS' FOR NO STUDY; LAST EDITED: `MAY 15, 2008` HELP-PROMPT: `Enter the type of the living donor.` DESCRIPTION: Transplanted organ was harvested from a living donor.
104	DONOR WITH MALIGNANCY	3;3	SET	'Y' FOR YES; 'N' FOR NO; 'NS' FOR NO STUDY; LAST EDITED: `MAY 19, 2008` HELP-PROMPT: `Enter the status of the Donor with Malignancy.` DESCRIPTION: `Indicate if the donor has or has a history of a cancer, neoplasm, or tumor that grows in an uncontrolled manner, invading nearby tissue and metastasizing (spreading) to other sites through the bloodstream. Entering 'NS'` for 'No Study/Unknown' is also allowed.
105	PRIMARY NON-FUNCTION	.11;16	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter the Primary Non-Function of Liver status for the organ recipient.` DESCRIPTION: `Primary Non-Function is defined as failure in the function of the liver allograft within 7 days of liver transplantation as defined by 1) or 2):` 1) AST > 4999 and one or both of the following: an INR >2.4, acidosis, defined as having an arterial pH < 7.31 or venous pH of 7.25 and/or lactate > 3.9 mMol/L; 2) anhepatic candidate; or diagnosis of primary non-function documented in the medical record.
106	SECOND SCLEROSING CHOLANGITIS	.11;17	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Secondary Sclerosing Cholangitis (SSC) status of the organ recipient.` DESCRIPTION: A diagnosis of secondary sclerosing cholangitis in medical record.
107	TOXIC EXPOSURE	.11;18	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Toxic Exposure status of the organ recipient.` DESCRIPTION: Hepatitis and or necrosis of the liver due to a known hepatotoxic agent or diagnosis of toxic exposure causing liver failure as documented in medical record.
108	HIV POSITIVE	.5;8	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter YES if organ recipient is HIV positive.` DESCRIPTION: Enter YES if organ recipient is HIV positive on laboratory test or HIV positive as documented in the medical record. Otherwise, enter NO.
109	POST-TX PROPHYLAXIS - CMV	.5;20	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Post Transplant Prophylaxis for CMV/Antiviral Treatment status of the patient.` DESCRIPTION: This is the Post Transplant Prophylaxis for CMV/Antiviral Treatment status of a patient who is receiving ganciclovir, valganciclovir, or acyclovir continuously post operatively for at least 30 days.
110	POST-TX PROPHYLAXIS - PCP	.55;1	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Post Transplant Prophylaxis for PCP/Antibacterial Treatment status of the patient.` DESCRIPTION: This is the Post Transplant Prophylaxis for PCP/Antibacterial Treatment status of a patient receiving septra/bactrim, pentamidine, or dapsone continuously post operatively for at least 30 days.
111	PORTAL VEIN THROMBOSIS	.11;21	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Portal Vein Thrombosis status of the organ recipient.` DESCRIPTION: Thrombosis of the liver allograft portal vein documented by ultrasound duplex, angiogram, or CT angiogram or MRI; or a diagnosis of portal vein thrombosis as documented in the medical record.
112	OTHER CARDIOMYOPATHY	.11;15	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>60!($L(X)<1) X` LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter description of other cardiomyopathy. Your answer must be 1-60 characters.` DESCRIPTION: If the patient was diagnosed with any other form of cardiomyopathy that is not listed elsewhere on this form, specify details into the comment field.
113	LUNG DISEASE	.55;3	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUN 04, 2008` HELP-PROMPT: `Record the presence or absence of lung disease (COPD, Pulmonary HTN, Interstitial Disease) in organ recipient.` DESCRIPTION: Indicate the presence of lung disease such as documented COPD, pulmonary hypertension, or interstitial disease in organ transplant recipient.
114	RENAL IMPAIRMENT	.55;4	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Renal Impairment (Serum Creatinine >1.5) status.` DESCRIPTION: Renal dysfunction is evidenced by a serum creatinine results over 1.5 mg/dl.
115	INFECTION REQ ANTIBIOTICS	.5;16	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the pre-transplant status of infection requiring antibiotics of the organ recipient.` DESCRIPTION: Indicate the presence of infection in recipient of the target organ or system requiring antibiotic treatment.
116	BLEEDING/TRANSFUSIONS	10;1	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter status of Bleeding/Transfusions for organ recipient.` DESCRIPTION: `Any transfusion (including autologous) of packed red blood cells or whole blood given from the time the patient leaves the operating room up to and including 72 hours postoperatively. Report as an occurrence for five or` more units of packed red blood cell in the postoperative period including hanging blood from the OR that is finished outside of the OR. If the patient receives shed blood, autologous blood, cell saver blood or pleurovac postoperatively, this is counted if greater than four units. The blood may be given for any reason.
117	PNEUMONIA	10;2	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter status of Pneumonia for organ recipient.` DESCRIPTION: `Report patients with evidence of pneumonia at the time the patient is brought to the OR. Patients with pneumonia must meet ONE of the following two criteria:` Criterion 1. Rales or dullness to percussion on physical examination of chest AND any of the following: a. New onset of purulent sputum or change in character of sputum b. Organism isolate from blood culture c. Isolation of pathogen from specimen obtained by transtracheal aspirate, bronchial brushing, or biopsy OR Criterion 2. Chest radiographic examination shows new or progressive infiltrate, consolidation, cavitation, or pleural effusion AND any of the following: a. New onset of purulent sputum or change in character of sputum b. Organism isolated from blood culture c. Isolation of pathogen from specimen obtained by transtracheal aspirate, bronchial brushing, or biopsy d. Isolation of virus or detection of viral antigen in respiratory secretions e. Diagnostic single antibody titer (IgM) or fourfold increase in paired serum samples (IgG) for pathogen f. Histopathologic evidence of pneumonia
118	ON VENTILATOR >48 HOURS	10;3	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter if patient remained on ventilator greater than 48 hours after transplant.` DESCRIPTION: `NSQIP Definition (2004): Total duration of ventilator-assisted respirations during postoperative hospitalization was >48 hours. This can occur at any time during the 30-day period postoperatively. This time assessment is` CUMULATIVE, not necessarily consecutive. Ventilator-assisted respirations can be via endotracheal tube, nasotracheal tube, or tracheostomy tube. CICSP Definition (2007): Indicate if the total duration of ventilator-assisted respiration within 30 days post-operatively was greater than or equal to 48 hours.
119	CARDIAC ARREST REQ CPR	10;4	SET	'N' FOR NO; 'I' FOR INTRAOPERATIVELY; 'P' FOR POSTOPERATIVELY; LAST EDITED: `AUG 11, 2008` HELP-PROMPT: `Enter if patient suffered Cardiac Arrest Requiring CPR.` DESCRIPTION: `CICSP Definition (2004): Indicate if there was any cardiac arrest requiring external or open cardiopulmonary resuscitation (CPR) occurring in the operating room, ICU, ward, or out-of-hospital after the chest had been` completely closed and within 30 days of surgery. (YES/NO) If patient had cardiac arrest requiring CPR, indicate whether the arrest occurred intraoperatively or postoperatively. Indicate the one appropriate response: - intraoperatively: occurring while patient was in the operating room - postoperatively: occurring after patient left the operating room NSQIP Definition (2006): The absence of cardiac rhythm or presence of chaotic cardiac rhythm that results in loss of consciousness requiring the initiation of any component of basic and/or advanced cardiac life support. Patients with AICDs that fire but the patient does not lose consciousness should be excluded.
120	PSYCHOSIS	.11;22	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Psychosis status of the organ recipient.` DESCRIPTION: `Documentation in the medical record of a mental state involving a loss of contact with reality that may include hallucinations, delusional beliefs, or personality changes or the diagnosis of psychosis in the medical` record.
121	STROKE/CVA	10;6	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter status of Stroke/CVA for organ recipient.` DESCRIPTION: Indicate if there was any new objective neurologic deficit lasting > 72 hours with onset immediately post-operatively or occurring within the 30 days after surgery.
122	COMA > 24 HOURS POSTOP	10;7	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 10, 2008` HELP-PROMPT: `Enter YES if the patient has significantly impaired level of consciousness > or = 24 hours postoperatively.` DESCRIPTION: `NSQIP Definition (2004): Patient is unconscious, postures to painful stimuli, or is unresponsive to all stimuli (exclude transient disorientation or psychosis) for greater than 24 hours during postoperative` hospitalization. Do not include drug-induced coma (e.g. Propofol drips, etc.) CICSP Definition (2006): Indicate if postoperatively within 30 days of surgery there was a significantly decreased level of consciousness (exclude transient disorientation or psychosis) for greater than or equal to 24 hours as evidenced by lack of response to deep, painful stimuli.
123	SUPERFICIAL INCISIONAL SSI	10;8	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Indicate if the patient has been diagnosed with a Superficial Incisional Surgical Site Infection (SSI).` DESCRIPTION: `NSQIP Definition (2004): Superficial incisional SSI is an infection that occurs within 30 days after the operation and infection involves only skin or subcutaneous tissue of the incision and at least one of the following:` - Purulent drainage, with or without laboratory confirmation, from the superficial incision. - Organisms isolated from an aseptically obtained culture of fluid or tissue from the superficial incision. - At least one of the following signs or symptoms of infection: pain or tenderness, localized swelling, redness, or heat and superficial incision is deliberately opened by the surgeon, unless incision is culture-negative. - Diagnosis of superficial incisional SSI by the surgeon or attending physician. Do not report the following conditions as SSI: - Stitch abscess (minimal inflammation and discharge confined to the points of suture penetration). - Infected burn wound. - Incisional SSI that extends into the fascial and muscle layers (see deep incisional SSI).
124	DEEP INCISIONAL SSI	10;9	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Indicate if the patient has been diagnosed with a Deep Incisional Surgical Site Infection (SSI)` DESCRIPTION: `NSQIP Definition (2004): Deep Incision SSI is an infection that occurs within 30 days after the operation and the infection appears to be related to the operation and infection involved deep soft tissues (e.g., fascial and` muscle layers) of the incision and at least one of the following: - Purulent drainage from the deep incision but not from the organ/space component of the surgical site. - A deep incision spontaneously dehisces or is deliberately opened by a surgeon when the patient has at least one of the following signs or symptoms: fever (>38 C), localized pain, or tenderness, unless site is culture-negative. - An abscess or other evidence of infection involving the deep incision is found on direct examination, during reoperation, or by histopathologic or radiologic examination. - Diagnosis of a deep incision SSI by a surgeon or attending physician. Note: - Report infection that involves both superficial and deep incision sites as deep incisional SSI. - Report an organ/space SSI that drains through the incision as a deep incisional SSI.
125	SYSTEMIC SEPSIS	10;10	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Indicate if the patient has been diagnosed with a systemic sepsis.` DESCRIPTION: `NSQIP Definition (2007): Sepsis is a vast clinical entity that takes a variety of forms. The spectrum of disorders spans from relatively mild physiologic abnormalities to septic shock. Please report the most significant` level using the criteria below: 1. Sepsis: Sepsis is the systemic response to infection. Report this variable if the patient has clinical signs and symptoms of SIRS. SIRS is a widespread inflammatory response to a variety of severe clinical insults. This syndrome is clinically recognized by the presence of two or more of the following: - Temp >38 degrees C or <36 degrees C - HR >90 bpm - RR >20 breaths/min or PaCO2 <32 mmHg(<4.3 kPa) - WBC >12,000 cell/mm3, <4000 cells/mm3, or >10% immature (band) forms - Anion gap acidosis: this is defined by either: [Na + K] - [Cl + HCO3 (or serum CO2)]. If this number is greater than 16, then an anion gap acidosis is present. or Na - [Cl + HCO3 (or serum CO2)]. If this number is greater than 12, then an anion gap acidosis is present. and one of the following: - positive blood culture - clinical documentation of purulence or positive culture from any site thought to be causative 2. Severe Sepsis/Septic Shock: Sepsis is considered severe when it is associated with organ and/or circulatory dysfunction. Report this variable if the patient has the clinical signs and symptoms of SIRS or sepsis AND documented organ and/or circulatory dysfunction. Examples of organ dysfunction include: oliguria, acute alteration in mental status, acute respiratory distress. Examples of circulatory dysfunction include: hypotension, requirement of inotropic or vasopressor agents. * For the patient that had sepsis preoperatively, worsening of any of the above signs postoperatively would be reported as a postoperative Examples: A patient comes into the emergency room with signs of sepsis - WBC 31, Temperature 104. CT shows an abdominal abscess. He is given antibiotics and is then taken emergently to the OR to drain the abscess. He receives antibiotics intraoperatively. Postoperatively his WBC and Temperature are trending down. POD#1 WBC 24, Temp 102 POD#2 WBC 14, Temp 100 POD#3 WBC 10, Temp 99 This patient does not have postoperative sepsis as his WBC and Temperature are improving each postoperative day. Patient comes into the ER with s/s of sepsis - WBC 31, Temp 104. CT shows an abdominal abscess. He is given antibiotics and is taken emergently to the OR to drain the abscess. He receives antibiotics intraoperatively. Postoperatively his WBC and Temp are as follows: POD#1 WBC 28, Temp 103 POD#2 WBC 24, Temp 102.6 POD#3 WBC 22, Temp 102 POD#4 WBC 21, Temp 101.6 POD#5 WBC 30, Temp 104 This patient does have postoperative sepsis because on postoperative day #5, his WBC and Temperature increase. The patient is having worsening of the defined signs of sepsis.
126	RETURN TO SURGERY W/I 30 DAYS	10;11	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter YES/NO whether Returned to Surgery within 30 Days.` DESCRIPTION: This field documents returns to the operating room including all surgical procedures that required the patient to be taken to the surgical operating room for intervention of any kind.
127	SEIZURES	.11;23	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Seizures status of the organ recipient.` DESCRIPTION: Documentation of a sudden change in behavior due to an excessive electrical activity in the brain or the diagnosis of seizure in the medical record.
128	EMPHYSEMA	.1;12	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter status of emphysema in organ recipient.` DESCRIPTION: `Emphysema is a chronic obstructive pulmonary disease that is caused by loss of elasticity of the lung tissue from destruction of structures supporting the alveoli and/or destruction of capillaries feeding the alveoli which` often results in shortness of breath. Indicate if the patient has a diagnosis of emphysema documented by an attending physician.
129	OTHER DIAGNOSIS	.1;25	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>50!($L(X)<1) X` LAST EDITED: `APR 30, 2008` HELP-PROMPT: `Enter description of other Diagnosis.` DESCRIPTION: If the patient was diagnosed with any other condition that is not listed elsewhere on this form, specify details into the comment field. Free text field will have a limit of 50 characters.
130	NEW MECHANICAL CIRCULATORY	10;5	SET	'N' FOR NO; 'I' FOR INTRAOPERATIVELY; 'P' FOR POSTOPERATIVELY; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Indicate if patient required New Mechanical Circulatory Support after transplant.` DESCRIPTION: `CICSP Definition (2004): Indicate if the patient left the operating room suite with or required post-op placement of a new IABP, ECMO, or VAD for circulatory support within 30 days perioperatively. A "yes" response is` appropriate even if the pump is only used for a short time perioperatively. A "yes" response, however, is only correct if the patient did not enter the operating room with this same mechanical circulatory support, and the device insertion occurred AFTER the induction of anesthesia. If patient had/required new mechanical circulatory support, indicate whether the placement occurred intraoperatively or postoperatively. Indicate the one appropriate response: - intraoperatively: occurring while patient was in the operating room. - postoperatively: occurring after patient left the operating room. A "no" response is appropriate if the circulatory support device was placed as a prophylaxis before the induction of anesthesia; however, if it was placed for any reason after the induction of anesthesia, then a "yes" response is appropriate. A "no" response is also appropriate if the primary operation is to insert a ventricular assist device.
131	PREOP FUNCTIONAL HEALTH STATUS	.5;18	SET	'I' FOR INDEPENDENT; 'P' FOR PARTIALLY DEPENDENT; 'T' FOR TOTALLY DEPENDENT; 'U' FOR UNKNOWN; LAST EDITED: `JUL 17, 2008` HELP-PROMPT: `Enter the level of self care that summarizes the patient's status prior to surgery.` DESCRIPTION: `NSQIP Definition (2008): This is a question that focuses on the patient's abilities to perform activities of daily living (ADLs) in the 30 days prior to surgery. Activities of daily living are defined as 'the activities` usually performed in the course of a normal day in a person's life'. ADLs include: bathing, feeding, dressing, toileting, and mobility. Report the corresponding level of self-care for activities of daily living demonstrated by this patient at the time the patient is being considered as a candidate for surgery (which should be no longer than 30 days prior to surgery). If the patient's status changes prior to surgery, that change should be reflected in your assessment. For this time point, report the level of functional health status as defined by the following criteria. (1) Independent: The patient does not require assistance from another person for any activities of daily living. This includes a person who is able to function independently with prosthetics, equipment, or devices. (2) Partially dependent: The patient requires some assistance from another person for activities of daily living. This includes a person who utilizes prosthetics, equipment, or devices but still requires some assistance from another person for ADLs. (3) Totally dependent: The patient requires total assistance for all activities of daily living. (4) Unknown: If unable to ascertain the functional status for the time point of 'prior to the current illness' only, report as unknown. All patients with psychiatric illnesses should be evaluated for their ability to function with or without assistance with ADLs just as the non-psychiatric patient. For instance, if a patient with schizophrenia is able to care for him/herself without the assistance of nursing care, he/she is considered independent.
132	PERIPHERAL VASCULAR DISEASE	.5;25	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter status of Peripheral Vascular Disease.` DESCRIPTION: `Indicate if the patient has peripheral vascular disease, defined as disease of the arteries to legs below bifurcation of aorta manifested by exertional claudication, and/or ischemic rest pain, and/or prior` revascularization procedure(s) on vessels to legs, and/or absent or diminished pulses in legs, and/or angiographic evidence of noniatrogenic peripheral arterial obstruction greater than or equal to 50% of luminal diameter.
133	GRAFT FAILURE DATE	10;13	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X,%DT="EXP" D ^%DT S X=Y K:Y<1 X S:SRX="NS"!(SRX="ns") X="NS"` OUTPUT TRANSFORM: `S Y(0)=Y D DATE^SROAUTL` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter the date of Graft Failure.` DESCRIPTION: This is the date of Graft Failure and return to maintenance dialysis after successful kidney transplant. System will also accept an entry for NS (No Study) NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
134	PANCREAS	11;1	SET	'S' FOR SPK; 'P' FOR PAK; 'N' FOR NO STUDY; LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter type of pancreas transplant.` DESCRIPTION: `Occasionally, the kidney is transplanted together with the pancreas. SPK is a simultaneous pancreas transplant and kidney transplant. Both organs would be from the same donor. PAK is a pancreas transplant after a kidney` transplant.
135	GLUCOSE AT TIME OF LISTING	11;2	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter value of Glucose at Time of Listing.` DESCRIPTION: `Glucose is blood sugar. Blood glucose helps measure pancreas function. This is the blood glucose level of organ recipient at the time of listing as a transplant candidate. Enter NS to represent "No Study" if this` information is not available. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
136	C-PEPTIDE AT TIME OF LISTING	11;3	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>9)!(X<1)!(X?.E1"."2.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter value of C-peptide at Time of Listing.` DESCRIPTION: `C-peptide is a peptide which is made when proinsulin is split into insulin and c-peptide. Proinsulin is released from the pancreas into the blood in response to a rise in serum glucose. Enter NS to represent "No Study" if` this information is not available. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
137	PANCREATIC DUCT ANASTOMOSIS	11;4	SET	'B' FOR BLADDER; 'E' FOR ENTERIC; 'NS' FOR NO STUDY; LAST EDITED: `JUN 04, 2008` HELP-PROMPT: `Enter type of Pancreatic Duct Anastomosis.` DESCRIPTION: `The pancreatic duct anastomosis refers to the anastomosis of the duodenal pouch, which is connected to the pancreas, for drainage of the digestive enzymes. The anastomosis will be to the bladder, or to the intestine` (enteric).
138	GLUCOSE POST TRANSPLANT	11;5	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter value of Glucose Post Transplant.` DESCRIPTION: Glucose is blood sugar. Blood glucose helps measure pancreas function. Enter the blood glucose level of the organ recipient after transplant. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
139	AMYLASE POST TRANSPLANT	11;6	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter value of Amylase Post Transplant.` DESCRIPTION: `Amylase is an enzyme produced by the pancreas to help digest carbohydrates. It is measured by a blood level. Enter the blood amylase level of the organ recipient after transplant. Enter NS to represent "No Study" if this` information is not available. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
140	LIPASE POST TRANSPLANT	11;7	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter value of Lipase Post Transplant.` DESCRIPTION: Lipase is a fat digesting enzyme. It is primarily made in the pancreas. Enter the blood lipase level of the organ recipient after transplant. Enter NS to represent "No Study" if this information is not available. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
141	INSULIN REQ POST TRANSPLANT	11;8	SET	'Y' FOR YES; 'N' FOR NO; 'NS' FOR NO STUDY; LAST EDITED: `MAY 20, 2008` HELP-PROMPT: `Enter status of Insulin Required Post Transplant.` DESCRIPTION: Insulin is a hormone made by the islet cells in the pancreas. It controls sugar in the blood by moving it into the cells where it can be used for energy. Indicate if insulin treatment was necessary after the transplant.
142	ORAL HYPOGLYCEMICS/POST TRANS	11;9	SET	'Y' FOR YES; 'N' FOR NO; 'NS' FOR NO STUDY; LAST EDITED: `JUN 04, 2008` HELP-PROMPT: `Enter status of Oral Hypoglycemics Required Post Transplant.` DESCRIPTION: Oral hypoglycemics are oral medications taken to lower blood glucose levels. Indicate if oral hypoglycemics were administered to lower blood glucose levels after the transplant.
143	PRA AT LISTING	.01;3	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<0)!(X?.E1"."1.N) X` LAST EDITED: `APR 30, 2008` HELP-PROMPT: `Enter a number between 0-99 representing the PRA at Listing of organ recipient with UNOS.` DESCRIPTION: Indicate the Panel Reactive Antibody of organ recipient at time of listing with UNOS. PRA represents the percent of the U.S. population that the anti-human antibody in the organ recipient's blood reacts with.
144	PRA AT TRANSPLANT	.01;4	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter a number between 0-99 representing the PRA at time of transplant.` DESCRIPTION: Indicate the Panel Reactive Antibody of organ recipient at time of transplant. PRA represents the percent of the U.S. population that the anti-human antibody in the organ recipient's blood reacts with.
145	HYPERTENSION REQUIRING MEDS	.55;5	SET	'Y' FOR YES; 'N' FOR NO; 'NS' FOR NO STUDY; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter status of Hypertension Requiring Meds.` DESCRIPTION: `Hypertension is characterized by high blood pressure repeatedly exceeding 140 over 90mm Hg - a systolic pressure above 140 with a diastolic pressure above 90.` For heart transplant assessments, indicate if the patient has a documented history of hypertension with or without current treatment of antihypertensive medication(s).
146	TRANSFUSION >4 RBC UNITS	.55;6	SET	'Y' FOR YES; 'N' FOR NO; 'NS' FOR NO STUDY; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter YES if the patient required a transfusion of more than 4 units in 72 hours prior to surgery.` DESCRIPTION: Preoperative loss of blood necessitating a minimum of 5 units of whole blood/packed red cells transfused during the 72 hours prior to surgery including any blood transfused in the emergency room.
147	DIABETES MELLITUS	.55;7	SET	'N' FOR NO; 'D' FOR DIET; 'O' FOR ORAL; 'I' FOR INSULIN; LAST EDITED: `JUL 22, 2008` HELP-PROMPT: `Enter status of Diabetes Mellitus.` DESCRIPTION: `Indicate if the patient has diabetes treated with diet, oral, and/or insulin therapy. Diabetes is defined as a metabolic disorder of the pancreas whereby the individual requires daily dosages of exogenous parenteral` insulin or an oral hypoglycemic agent to prevent a hyperglycemic/metabolic acidosis. If the patient is on both Oral and Insulin therapy, indicate Insulin therapy. Indicate the one most appropriate response. No - no diagnosis of diabetes. Diet - a diagnosis of diabetes that is controlled by diet alone in the two weeks preceding surgery (the only prescribed treatment has been diabetic relief). Oral - a diagnosis of diabetes requiring therapy with an oral hypoglycemic agent in the two weeks preceding surgery. Insulin - a diagnosis of diabetes requiring daily insulin therapy in the two weeks preceding surgery. SCREEN: `S DIC("S")="I $$F147^SRTPUTL($G(SRTPP,DA))"` EXPLANATION: `Screen out DIET for Lung, Liver, and Kidney`
148	REOPERATION FOR BLEEDING	10;12	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter if patient required Reoperation for Bleeding.` DESCRIPTION: CICSP Definition (2004): Indicate if there was any re-exploration of the thorax for suspected bleeding within 30 days of surgery.
149	AMIODARONE USE	.55;8	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter status of Amiodarone Use.` DESCRIPTION: Amiodarone is an antiarrhythmic agent used for various types of tachyarrhythmias, both ventricular and supraventricular arrhythmias. Indicate if the patient has a history of current or past use of Amiodarone.
150	HEPARIN SENSITIVITY	.55;9	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the status of Heparin Sensitivity.` DESCRIPTION: Indicate if the patient has heparin sensitivity.
151	HYPERLIPIDEMIA HISTORY	.55;10	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the status of Hyperlipidemia History.` DESCRIPTION: `Indicate if the patient has a history of elevated cholesterol, as defined as a fasting LDL level > 160 mg/dL, a fasting triglyceride level > 200 mg/dL, or current/past use of drugs (statins, niacin, fibrates) to treat` elevated cholesterol levels.
152	VENTRICULAR TACHYCARDIA	.55;11	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the status of Ventricular Tachycardia.` DESCRIPTION: Indicate if the patient had rapid beating of the heart-paroxysmal tachycardia originating in an ectopic focus in the ventricle.
153	PRIOR BLOOD TRANSFUSION	.55;12	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the status of Prior Blood Transfusion.` DESCRIPTION: Indicate if the patient has ever received a transfusion of blood and/or blood products.
154	CREATININE ON TRANSPLANT DAY	.55;13	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>9)!(X<.1)!(X?.E1"."2.N) X` LAST EDITED: `JUN 30, 2008` HELP-PROMPT: `Enter Creatinine results.` DESCRIPTION: Indicate the patient's Serum Creatinine result (mg/dl) preoperatively evaluated closest to transplant surgery but not greater than 72 hours before surgery.
155	DILATED CARDIOMYOPATHY	.1;27	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the status of Dilated Cardiomyopathy in organ recipient.` DESCRIPTION: Indicate whether the patient was diagnosed with dilated cardiomyopathy (DCM) as characterized by dilation and impaired contraction of one or both ventricles - generally with an ejection fraction < 40%
156	CORONARY ARTERY DISEASE	.11;1	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the status of Coronary Artery Disease.` DESCRIPTION: Indicate if patient was diagnosed with coronary plaque formation or endothelial inflammation of the lining of the coronary arteries.
157	ISCHEMIC CARDIOMYOPATHY	.11;2	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter the Ischemic Cardiomyopathy status of the organ recipient.` DESCRIPTION: Indicate if the patient was diagnosed with ischemic cardiomyopathy, primarily due to fixed or non-fixed ischemic damage of the myocardium.
158	ALCOHOLIC CARDIOMYOPATHY	.11;3	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the Alcoholic Cardiomyopathy status of the organ recipient.` DESCRIPTION: Indicate if the patient was diagnosed with myocardial disease due to chronic alcoholism.
159	VALVULAR CARDIOMYOPATHY	.11;5	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 07, 2008` HELP-PROMPT: `Enter the Valvular Cardiomyopathy status of the organ recipient.` DESCRIPTION: Indicate if the patient was diagnosed with valvular cardiomyopathy thought to be secondary to valvular disease, usually of the aortic or mitral valve.
160	IDIOPATHIC CARDIOMYOPATHY	.11;6	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Idiopathic Cardiomyopathy status of the organ recipient.` DESCRIPTION: Indicate if the patient was diagnosed with idiopathic cardiomyopathy.
161	VIRAL CARDIOMYOPATHY	.11;7	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Viral Cardiomyopathy status of the organ recipient.` DESCRIPTION: `Indicate if the patient was diagnosed with viral cardiomyopathy. Viral infection is the most common cause of myocarditis and has been implicated in the development of DCM. Viruses known to involve the myocardium include` Coxsackievirus, Influenza virus, Adenovirus, Echovirus, Cytomegalovirus, and Human Immunodeficiency Virus.
162	PERIPARTUM CARDIOMYOPATHY	.11;8	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the Peripartum Cardiomyopathy status of the organ recipient.` DESCRIPTION: Indicate if the patient was diagnosed with cardiac failure in the period before, during, or after pregnancy and delivery.
163	PVR BEFORE VASODILATION	.01;5	NUMBER	INPUT TRANSFORM: `D PVR^SRTPUTL` LAST EDITED: `MAY 19, 2008` HELP-PROMPT: `Enter PVR Before Vasodilation in Woods Unit.` DESCRIPTION: `Indicate the patient's Pulmonary Vascular Resistance measured in Woods Units before vasodilation in numerical format of #.# . Entering "NS" for "No Study/Unknown" is also allowed, if not applicable and PVR (wood units)` after Vasodilation is obtained. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
164	PVR AFTER VASODILATION	.01;6	NUMBER	INPUT TRANSFORM: `D PVR^SRTPUTL` LAST EDITED: `JUN 04, 2008` HELP-PROMPT: `Enter PVR After Vasodilation in Woods Unit.` DESCRIPTION: `Indicate the patient's Pulmonary Vascular Resistance measured in Woods Units after vasodilation. Entering "NS" for "No Study/Unknown" is also allowed, if not applicable and PVR (wood units) before Vasodilation is` obtained. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
165	LVEF%	.01;7	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1.N) X` OUTPUT TRANSFORM: `S Y=$S(+Y:Y_" %",1:Y)` LAST EDITED: `MAY 14, 2008` HELP-PROMPT: `Enter LVEF (Left Ventricular Ejection Fraction) percentage.` DESCRIPTION: Indicate the most recent pre-transplant Left Ventricular Ejection Fraction as measured by MUGA scan or Echocardiogram.
166	PRA%	.01;8	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100)!(X<0)!(X?.E1"."1.N) X` OUTPUT TRANSFORM: `S Y=$S(+Y:Y_" %",1:Y)` LAST EDITED: `MAY 14, 2008` HELP-PROMPT: `Enter PRA (Panel Reactive Antibody) percentage.` DESCRIPTION: Indicate the most recent T-cell and B-cell pre-transplant Percent Reactive Antibodies as measured by flow cyometry.
167	PA SYSTOLIC PRESSURE	0;6	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>150)!(X<-30)!(X?.E1"."1N.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUN 18, 2008` HELP-PROMPT: `Enter PA Systolic Pressure from -30 to 150 mm HG.` DESCRIPTION: `For patients having a right heart catheterization, indicate the patient's pulmonary artery (PA) systolic pressure at the catheterization most recent prior to surgery. PA pressures obtained in the operating room prior to` surgery are acceptable if they are obtained prior to anesthesia induction. If no right heart catheterization performed, entering "NS" for "No Study/Unknown" is also allowed. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
168	PAW MEAN PRESSURE	0;7	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>80)!(X<-15)!(X?.E1"."1N.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUN 18, 2008` HELP-PROMPT: `Enter PAW Mean Pressure from -15 to 80 mm HG.` DESCRIPTION: `For patients having a right heart catheterization, indicate the patient's mean pulmonary artery wedge (PAW) [also called pulmonary capillary] pressure or left atrial pressure measured at the catheterization most recent` prior to surgery. PAW pressures obtained in the operating room prior to surgery are acceptable if they are obtained prior to anesthesia induction. If no right heart or transseptal catheterization performed, entering "NS" for "No Study/Unknown" is also allowed. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
169	FEV1	.55;14	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X K:+X'=X!(X>9.9)!(X<1)!(X?.E1"."2.N) X S:SRX="NS"!(SRX="ns") X="NS"` LAST EDITED: `JUN 19, 2008` HELP-PROMPT: `Enter value of FEV1 in Liters.` DESCRIPTION: Indicate the amount of forced expiratory volume in one second from the most recent pulmonary function test prior to surgery. Enter 'NS' for No Study if there has been no FEV1 measured in the year preceding surgery. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
170	DATE OF DEATH	10;19	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X,%DT="EPT" D ^%DT S X=Y K:Y<1!(DT` `OUTPUT TRANSFORM: S Y(0)=Y D DATE^SROAUTL` `LAST EDITED: JUL 09, 2008` `HELP-PROMPT: Enter the date that the patient died.` `DESCRIPTION:` `If the patient has died, this is the date of death. Enter NA if DATE OF DEATH is not applicable.` `NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
171	CURRENT SMOKER	.55;15	SET	'1' FOR NEVER A SMOKER; '2' FOR WITHIN 2 WEEKS OF SURGERY; '3' FOR 2 WEEKS TO 3 MONTHS PRIOR TO SURGERY; '4' FOR >3 MONTHS PRIOR TO SURGERY (REMOTE SMOKER); LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter Current Smoker status.` DESCRIPTION: `Indicate the patient's smoking status from information from the patient, or the chart, that best describes the patient's use of tobacco in any form (pipe, cigar, cigarette, tobacco chew). If more than one representation` is found, please record according to the most conservative (most recent) quit date: 1 = Never a Smoker 2 = Smoking w/i 2 weeks prior to surgery 3 = Smoking w/i 2 weeks to 3 months prior to surgery 4 = Remote Smoker (more than 3 months prior to surgery)
172	PRIOR MI	.55;16	SET	'0' FOR NONE; '1' FOR LESS THAN OR EQUAL 7 DAYS OF SURG; '2' FOR GREATER THAN 7 DAYS PRIOR TO SURG; LAST EDITED: `AUG 11, 2008` HELP-PROMPT: `Enter the category that most accurately reflects the patient's most recent Myocardial Infarction.` DESCRIPTION: `Indicate whether the patient has a history of a non-Q-wave or Q-wave myocardial infarction as diagnosed in his or her medical records. Myocardial infarction may be indicated by the presence of one of the following: 1)` typical rise and fall in biochemical markers, 2) cardiac pain, 3) typical ECG changes (new Q-waves, ST segment elevation or depression). In the absence of the above supporting data, a clear statement or diagnosis of prior myocardial infarction in the chart will suffice; however, the patient's statement, "I've had a heart attack" is insufficient evidence. Indicate the one appropriate response: None - The patient has never had a previous Myocardial Infarction. <=7 days of surg - The patient had a previous Myocardial Infarction within 7 days prior to surgery. >7 days prior to surg - The patient had a Myocardial Infarction more than 7 days prior to surgery." The field for PRIOR MI shall be added to the data entry option for Non-VA heart transplant assessments.
173	NUM OF PRIOR HEART SURGERIES	.55;17	SET	'0' FOR None; '1' FOR 1; '2' FOR 2; '3' FOR 3; '>' FOR >3; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter Number of Prior Heart Surgeries.` DESCRIPTION: `Indicate the number of previous heart surgeries the patient has had upon current admission, by referencing the patient history. The prior heart surgery/ies would have occurred during a separate hospitalization (more than` 30 days prior to current surgery). Both on and off-pump cardiac surgical procedures should be considered. Count all surgical procedures performed during separate hospital admissions (not the number of grafts, and not additional procedures performed during the same admission due to a postoperative occurrence). Indicate the one appropriate response: 0, 1, 2, 3, >3.
174	CEREBRAL VASCULAR DISEASE	.55;18	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter status of Cerebral Vascular Disease.` DESCRIPTION: `Indicate if the patient has cerebral vascular disease, defined as disease of the arteries to the head manifested by previous stroke (cerebral vascular accident), and/or transient ischemic attack (TIA), and/or prior` surgical repair (e.g., carotid endarterectomy), and/or greater than or equal to 50% obstruction of luminal diameter documented by contrast angiography or duplex ultrasound examination. (NOTE: Stroke should be broadly interpreted to include intracerebral or subarachnoid bleeding.)
175	CONGESTIVE HEART FAILURE	.55;19	SET	'1' FOR Class I; '2' FOR Class II; '3' FOR Class III; '4' FOR Class IV; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter class of Congestive Heart Failure (NYHA Functional Class).` DESCRIPTION: `Indicate whether the patient has congestive heart failure if the patient chart or patient self-report indicates a history of congestive heart failure within the 30 days before surgery. Congestive heart failure is defined` as the inability of the heart to pump a sufficient quantity of blood to meet the metabolic needs of the body or can do so only at increased ventricular filling pressure. Common manifestations are identified: From the history: 1) Abnormal limitation in exercise tolerance due to dyspnea, fatigue or angina. 2) Orthopnea (dyspnea on lying supine). 3) Paroxysmal nocturnal dyspnea (PND) - awakening from sleep with dyspnea which is relieved by assuming an upright posture). From the physical examination: 4) Increased jugular venous pressure. 5) Pulmonary rales on physical examination. From the chest x-ray: 6) Cardiomegaly, and 7) Pulmonary vascular engorgement. The New York Heart Association functional classification is commonly used as a subjective assessment of the severity of congestive heart failure. If none of the above manifestations have been present or congestive heart failure is not mentioned as an active problem in the 30 days before surgery, indicate Class I. Any mention of above manifestations requires the indication of a stage other than Class I. Indicate the one most appropriate response: Class I - cardiac disease, no symptoms of abnormal fatigue, dyspnea, or angina. Class II - slight limitation of physical activity by fatigue, dyspnea , or angina. The patient gets unusual fatigue, dyspnea, and/or angina only upon performing more strenuous activities, such as climbing two or more flights of stairs without stopping. Class III - marked limitation of physical activity by fatigue, dyspnea, or angina. The patient gets unusual fatigue, dyspnea, and/or angina upon performing ordinary activities, such as walking several blocks or climbing a flight of stairs. Class IV - symptoms at rest and/or inability to carry out any physical activity without symptoms of fatigue, dyspnea or angina. The patient has symptoms of unusual fatigue, dyspnea, and/or angina at rest or when performing minimal activity, such as walking across the room.
176	IV NTG WITHIN 48 HOURS	.55;20	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Did patient receive intravenous (IV) nitroglycerin (NTG) within 48 hours preceding surgery?` DESCRIPTION: Indicate if the patient was administered nitroglycerin intravenously within 48 hours prior to surgery.
177	CURRENT DIGOXIN USE	.55;21	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter status of Current Digoxin Use.` DESCRIPTION: Indicate if the patient has used a digitalis preparation (digoxin, Lanoxin, digitoxin, etc.) within the two weeks prior to surgery.
178	CURRENT DIURETIC USE	.55;22	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter status of Current Diuretic Use.` DESCRIPTION: Indicate if the patient has used any diuretic preparation within the two weeks prior to surgery.
179	PREOP CIRCULATORY DEVICE	.55;23	SET	'N' FOR NONE; 'I' FOR IABP; 'V' FOR VAD; 'A' FOR ARTIFICIAL HEART; 'O' FOR OTHER; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Enter status of Preoperative Use of New Mechanical Circulatory Device within 2 Weeks of Surgery.` DESCRIPTION: `Indicate whether there was any use of any device to assist ventricular function at the time the patient presents for surgery. Indicate the one appropriate response:` None - No New Mechanical Circulatory Device was placed. IABP - An intra-aortic balloon pump was placed to assist ventricular function. VAD - A ventricular assist device (e.g., LVAD, BIVAD) was placed to assist ventricular function. Artificial Heart - An artificial heart was placed to assist ventricular function. Other - Another type of Mechanical Circulatory Device was placed.
181	ASSESSMENT STATUS	RA;1	SET	'I' FOR INCOMPLETE; 'C' FOR COMPLETE; 'T' FOR TRANSMITTED; LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter the current status of this transplant assessment.` DESCRIPTION: `This is the current status of the surgery risk assessment. When creating a new assessment, the status will automatically be entered as 'INCOMPLETE'. Upon completion of the assessment, this field will be updated to` 'COMPLETED'. After the assessment is transmitted, this field will be automatically updated to 'TRANSMITTED'. RECORD INDEXES: `AF (#151)`
182	TRANSPLANT TYPE	RA;2	SET	'K' FOR KIDNEY; 'LI' FOR LIVER; 'LU' FOR LUNG; 'H' FOR HEART; LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `The Transplant Type is the name of the organ transplanted.` DESCRIPTION: The Transplant Type is the name of the organ transplanted. This field only allows selection of KIDNEY, LIVER, LUNG, or HEART. RECORD INDEXES: `AF (#151)`
183	RE-TRANSMISSION	RA;3	SET	'0' FOR NOT RE-TRANSMITTED; '1' FOR RE-TRANSMITTED; LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter 1 if this assessment will be re-transmitted.` DESCRIPTION: This determines whether the assessment will be re-transmitted. It will automatically be set to '1' when a transmitted assessment is updated to an INCOMPLETE status to edit and re-transmit.
184	DATE TRANSMITTED	RA;4	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `FEB 25, 2008` HELP-PROMPT: `Enter the Date that this Assessment was transmitted.` DESCRIPTION: This is the date (or date/time) that this surgery risk assessment was transmitted.
185	VA/NON VA INDICATOR	RA;5	SET	**********************REQUIRED FIELD********************** 'V' FOR VA; 'N' FOR NON-VA; LAST EDITED: `JUL 08, 2008` HELP-PROMPT: `Indicate whether the transplant was performed in a VA or Non-VA facility.` DESCRIPTION: This field indicates whether the transplant was performed in VA facility or Non-VA facility.
187	DATE STARTED DIALYSIS	.01;1	FREE TEXT	INPUT TRANSFORM: `N SRX S SRX=X,%DT="EP" D ^%DT S X=Y K:Y<1 X S:SRX="NS"!(SRX="ns") X="NS"` OUTPUT TRANSFORM: `S Y(0)=Y D DATE^SROAUTL` LAST EDITED: `AUG 27, 2008` HELP-PROMPT: `Enter the date patient began dialysis.` DESCRIPTION: Indicate date that patient began renal replacement therapy due to renal failure. System will also accept an entry for NS (No Study). NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
188	DATE OF LAST TRANSMISSION	RA;8	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:X<1 X` LAST EDITED: `MAY 22, 2008` HELP-PROMPT: `(No range limit on date)` DESCRIPTION: This is the date of the retransmission if this assessment has been retransmitted to the national database. If there was no retransmission of this assessment, this is the date of the original transmission. CROSS-REFERENCE: `139.5^AT^MUMPS` 1)= D AT^SRTPUTL 2)= D KAT^SRTPUTL This MUMPS type cross-reference is used for sorting transmitted assessed cases and excluded cases by the DATE OF LAST TRANSMISSION field.
189	TRACHEOSTOMY	10;14	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `JUL 09, 2008` HELP-PROMPT: `Enter status of Tracheostomy for organ recipient.` DESCRIPTION: Indicate if a procedure to cut into the trachea and insert a tube to overcome tracheal obstruction or to facilitate extended mechanical ventilation was performed within 30 days postoperatively.
190	MEDIASTINITIS	10;15	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter status of Mediastinitis for organ recipient.` DESCRIPTION: Indicate if the patient developed a bacterial infection involving the sternum or deep to the sternum requiring drainage and anti-microbial therapy diagnosed within 30 days after surgery.
191	RENAL FAILURE REQ. DIALYSIS	10;16	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter if patient suffered renal failure requiring dialysis.` DESCRIPTION: `NSQIP Definition (2007): In a patient who did not require dialysis preoperatively, worsening of renal dysfunction postoperatively requiring hemodialysis, peritoneal dialysis, hemofiltration, hemodiafiltration or` ultrafiltration. TIP: If the patient refuses dialysis the answer is YES to this variable, because he/she did require dialysis. CICSP Definition (2004): Indicate if the patient developed new renal failure requiring dialysis or experienced an exacerbation of preoperative renal failure requiring initiation of dialysis (not on dialysis preoperatively) within 30 days postoperatively. (Dialysis includes continuous venous to venous hemodialysis [CVVHD], continuous venous to arterial hemodialysis [CVAHD], and peritoneal. It does not include ultrafiltration.)
192	PERIOPERATIVE MI	10;17	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Enter Perioperative MI status of organ recipient.` DESCRIPTION: `NSQIP Definition (2004): A new transmural acute myocardial infarction occurring during surgery or within 30 days following surgery as manifested by new Q-waves on ECG. Non-Q-wave infarctions should be entered under` 'OTHER.' CICSP Definition (2007): Indicate the presence of a peri-operative MI if at least one of the following criteria occurs either intraoperatively or postoperatively within 30 days: 1. Evolutionary ST-segment elevations 2. Development of new Q-waves in two or more contiguous ECG leads 3. New or presumably new LBBB pattern on the ECG.
193	OPERATIVE DEATH	10;18	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `APR 08, 2008` HELP-PROMPT: `Indicate if patient died within 30 days of transplant surgery.` DESCRIPTION: `Indicate if the patient died within the 30 days after surgery in or out of the hospital regardless of cause; or within the index hospitalization regardless of cause; or patient died greater than 30 days as a direct result` of a perioperative occurrence of the surgery (e.g., mediastinitis).
197	PLASMAPHERESIS	.01;2	SET	'1' FOR BEFORE TRANSPLANT; '2' FOR AFTER TRANSPLANT ; '3' FOR BOTH; '4' FOR NO; LAST EDITED: `APR 09, 2008` HELP-PROMPT: `Enter the status of Plasmapheresis treatment for organ recipient.` DESCRIPTION: Plasmapheresis is the procedure of removing, treating, and returning of plasma from blood circulation. It is an extracorporeal therapy.

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Package: Surgery

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Directly Accessed By Routines, Total: 35

Accessed By FileMan Db Calls, Total: 42

Pointer To FileMan Files, Total: 3

Fields, Total: 189