Entity ACI Problem Procedure Extract Stage

DescriptionThis entity contains problem and procedure related attributes which reflect the data output from a Natural Language Processing Annotator.

Attributes
Admission TsAdmission Ts
Annotator CdAnnotator Cd
Annotator Version NumAnnotator Version Num
Coding Domain NmCoding Domain Nm
Coding Version NumCoding Version Num
Confidence Factor CdConfidence Factor Cd
Confidence Factor ValConfidence Factor Val
Discharge TsDischarge Ts
Document Content TextDocument Content Text
Document Location UrlDocument Location Url
Document Section CdDocument Section Cd
Document Span DateDocument Span Date
Document TsDocument Ts
Document Type CdDocument Type Cd
Encounter NumEncounter Num
Medical Record NumMedical Record Num
Normalized DescrNormalized Descr
Problem Procedure CdProblem Procedure Cd
Provider Organization Master NumProvider Organization Master Num
Responsible Practitioner Identifier NumResponsible Practitioner Identifier Num
Span Begin CntSpan Begin Cnt
Span Cover TextSpan Cover Text
Span End CntSpan End Cnt
Type IndType Ind
UMPI NumUMPI Num

Dependencies
 NONE

Reverse Dependencies
 

Attribute Details

 Admission Ts
DescriptionThe admit date/time. It is to be used if the event date/time is different than the admit date and time, i.e., a retroactive update.
This field is also used to reflect the date/time of an out-patient/emergency patient registration.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Annotator Cd
DescriptionA code representating the annotator used to extract the data.

For example:
Problem
Procedure
Medication
Data TypeStandards - Data Domains.ddm/Data Domains/Tenant Common Code [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Annotator Version Num
DescriptionA number representing the version of the Annotator used to extract the data. eg. Problem or Procedure Code.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Coding Domain Nm
DescriptionA unique name for a group or type of codes. E.g. CPT, ICD, SNOMED, RXNORM.
Data TypeStandards - Data Domains.ddm/Data Domains/Domain Name [VARCHAR(30)]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Coding Version Num
DescriptionThe designation of a unique set of codes.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Confidence Factor Cd
DescriptionThe Problem confidence factor code describes the nature of problem identification such as:
possible
rule_out
almost
at_risk
likely
negative
positive
Data TypeStandards - Data Domains.ddm/Data Domains/Tenant Common Code [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Confidence Factor Val
DescriptionRatio, out of 100, that a problem was correctly discovered in an unstructured document
Data TypeStandards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Discharge Ts
DescriptionThe discharge date/time. It is to be used if the event date/time is different than the discharge date and time, that is, a retroactive update.
This field is also used to reflect the date/time of an outpatient/emergency patient discharge.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Document Content Text
DescriptionA representation of the document analyzed by the Annotator in text format.
Data TypeStandards - Data Domains.ddm/Data Domains/Text Very Large [VARCHAR(2048)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Document Location Url
DescriptionAn URL pointing to the actual content of the message on a document management tool or other remote location.
Data TypeStandards - Data Domains.ddm/Data Domains/URL [VARCHAR(255)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Document Section Cd
DescriptionThe code identifies the section of a document such as
Complaint
Medical History
Family Medical History
Lab Results
Physical Examination etc.
Data TypeStandards - Data Domains.ddm/Data Domains/Tenant Common Code [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Document Span Date
DescriptionThe date mentioned in the Span within a document.

For example:
The patient was diagnosed with diabetes on August 14, 1996.
Data TypeStandards - Data Domains.ddm/Data Domains/Date Time [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Document Ts
DescriptionTimestamp of when the document was created.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Document Type Cd
DescriptionThe code indicates the type of document (as defined in the transcription system).
Examples include:
Autopsy report
Cardiodiagnostics
Consultation
Diagnostic imaging
Discharge summary
Emergency department report
History and physical examination
Operative report
Psychiatric consultation
Psychiatric history and physical examination
Procedure note
Progress note
Surgical pathology
Transfer summary
Data TypeStandards - Data Domains.ddm/Data Domains/Tenant Common Code [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Encounter Num
DescriptionAn identifier that uniquely defines an encounter.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Medical Record Num
DescriptionThe Medical Record Number currently used to identify the patient.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Normalized Descr
DescriptionThe description of the procedure code or problem code according to the Natural Language Processing Annotator.
Data TypeStandards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Problem Procedure Cd
DescriptionA code that uniquely identifies a Problem or Procedure code within a domain.
Data TypeStandards - Data Domains.ddm/Data Domains/Common Code [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Provider Organization Master Num
DescriptionUniversal business identifier for the Organization.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Responsible Practitioner Identifier Num
DescriptionAny unique identifier assigned by provider to the practitioner responsible for the identification of this patient's problem..
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Span Begin Cnt
DescriptionCharacter count of the location within a document where the span describing the problem/procedure begins.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Span Cover Text
DescriptionThis is the string of text within an unformatted text document that has been identified by the Natural Language Processing engine as a Span. The Span describes a data type (e.g problem, procedure).
Data TypeStandards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Span End Cnt
DescriptionCharacter count of the location within a document where the span describing the problem/procedure ends.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Type Ind
DescriptionAn indication of what type of data was identified by the annotator. E.g Procedure or Problem
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 UMPI Num
DescriptionIdentifies the universal patient identifier set in Master Data Management.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse