Business Data Model Data Model

Entity

Entity Procedure

Description

A healthcare event that is performed as part of an encounter, which usually involves an action by a practitioner treating a patient.

For example:
Major surgery
Minor surgery
Eye refraction
Wart removal
Ear lavage

Attributes
Ambulance Transport Reason
Anesthesia
Anesthesia Minutes Val
Associated Diagnosis Code
Clinical Significance
Delivery Pattern Time Type
Derived Ind
Duration Of Visits Cnt
Duration of Visits Unit
Emergency Ind
Frequency Cnt
Image Num
Locale Country
Locale Language
Medical Effect Expected End Date
Medical Effect Expected Start Date
Medically Necessary Duplicate Procedure Reason
Oxygen Delivery Type
Oxygen Flow Rate Qty
Oxygen Flow Rate Unit Of Measure
Procedure Certification Revision Date
Procedure Code
Procedure Code Descr
Procedure Code Family
Procedure Coding Method
Procedure Functional Type
Procedure Last Certification Date
Procedure Last Service Date
Procedure Method
Procedure Minutes Val
Procedure Num
Procedure Outcome
Procedure Priority
Procedure Reason
Procedure Status
Procedure Ts
Responsivity Status
Round Trip Purpose Descr
Service Delivery Pattern
Side Effect
Stretcher Purpose Descr
Translated Procedure Code
Translated Procedure Code Descr
Translated Procedure Code Family
Translation Date
Translation Rule Applied
Translation Rule Descr
Transport Distance Qty
Transport Distance Unit Of Measure
Treatment Consent Type
Visit Cnt
X-Ray Availability Ind

Relationship
Procedure_Procedure Order_FK
Procedure_Clinical Order Item_FK
Anesthesiologist
Procedure_Encounter_FK
Procedure_Surgery Case_FK
Surgeon
Practitioner
Procedure_Patient Consent_FK
Procedure_Patient_FK
Procedure_Plan Member_FK

Generalization
Generalization1

Dependencies
NONE

Reverse Dependencies

Attribute Details

Ambulance Transport Reason

Description	Indicates the reason for an ambulance transport.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Anesthesia

Description	Identifies the anesthesia used during the procedure.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Anesthesia Minutes Val

Description	The length of time expressed in minutes that the anesthesia was administered.
Data Type	Standards - Data Domains.ddm/Data Domains/Number Small [SHORT]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Associated Diagnosis Code

Description	Identifies the diagnosis that is the primary reason this procedure was performed. Diagnosis codes are generally recorded using the International Classification of Diseases ICD-9 or ICD-10 coding systems. For example: In the US, Medicare wants to know for which diagnosis this procedure is submitted for inclusion on CMS 1500 form.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Clinical Significance

Description	A code identifying the importance or severity level of the procedure.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Delivery Pattern Time Type

Description	Indicates the time delivery pattern of the services. For example: A.M. P.M. As Directed
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Derived Ind

Description	Indicates whether the Procedure was submitted or derived.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Duration Of Visits Cnt

Description	The number of units (month, week, etc.) over which home health visits occur. For example: 1 visit every 3 days for 21 days. This element indicates the number of units, in this case - 21 days.
Data Type	Standards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Duration of Visits Unit

Description	The type of unit (month, week, etc.) used to measure the duration of visits. For example: 1 visit every 3 days for 21 days. This element indicates the type of units, in this case - days.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Emergency Ind

Description	Indicates whether emergency care was rendered in response to the sudden and unexpected onset of a medical condition, a severe injury, or an acute exacerbation of a chronic condition which was threatening to life, limb or sight.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Frequency Cnt

Description	The count of the frequency units of home health visits. For example: One visit every three days for 21 days. This element indicates the frequency, in this case three-day intervals.
Data Type	Standards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Image Num

Description	A reference pointer to an image file stored on an external system.
Data Type	Standards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Locale Country

Description	The country where the event has occurred. This indicator can be used to determe aspects of the event that are locale-specific.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Locale Language

Description	Identifies the primary language of the event. All text fields contained in the event are assumed to be in this language.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Medical Effect Expected End Date

Description	The date upon which the treatment is expected to become medically ineffective. For example: A vaccination administered on July 01, 2008 will cease to be effective in protecting the patient from July 01, 2011 (i.e. three years from administration)
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Medical Effect Expected Start Date

Description	The date upon which the treatment is expected to become medically effective. For example: A vaccination administered on July 01, 2008 will become effective in protecting the patient from July 15, 2008 (i.e. 15 days from administration) A chemotherapy cancer treatment administered from January 10, 2008 to January 31, 2008 is expected to become effective (for example, reducing cancer cell counts by more than 10%) from February 15, 2008
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Medically Necessary Duplicate Procedure Reason

Description	Indicates the reason why a duplicate procedure for the same patient within the same date of service has been determined to be medically necessary.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Oxygen Delivery Type

Description	Indicates the method used in the administration of oxygen.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Oxygen Flow Rate Qty

Description	The oxygen flow rate typically expressed in liters per minute.
Data Type	Standards - Data Domains.ddm/Data Domains/Quantity Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Oxygen Flow Rate Unit Of Measure

Description	Identifies the units in which the Oxygen Flow Rate is measured. Common Units are Liters per Minute.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Certification Revision Date

Description	The date upon which the certification for the procedure was revised.
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Code

Description	A unique code that identifies a procedure within a coding system. Standard procedure code sets include Current Procedural Terminology (CPT), SNOMED and Healthcare Common and Universal Billing (UB) Revenue codes.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	true
Is Derived	false
Is Surrogate Key	false

Procedure Code Descr

Description	A textual description of the procedure or service.
Data Type	Standards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Code Family

Description	The code set or standard coding reference that was used for specifying the procedure code. For example: Current Dental Terminology (CDT) Current Procedural Terminology (CPT) Healthcare Common Procedural Coding System (HCPCS) International Classification of Diseases (ICD9 or ICD10) Procedure Logical Observation Identifiers Names and Codes (LOINC) Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) UB Revenue
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Coding Method

Description	Identifies the code set or standardized to identify the procedure. For example: CPT ICD10-PCS UB Revenue Codes
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Functional Type

Description	Indicates the functional nature of the procedure. For example: Anesthesia Procedure for treatment (therapeutic, including operations) Surgical Procedure Invasive procedure not classified elsewhere (for example, IV, catheter, etc.) Diagnostic procedure
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Last Certification Date

Description	The date upon which the most recent certification for a procedure was completed.
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Last Service Date

Description	The date upon which a procedure was most recently carried out.
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Method

Description	Identifies the technique that is used for the procedure. For example: Finger stick Veni puncture Abdominal/ ascites effusion Biopsy Bronchial alveolar lavage (BAL) Open Laparoscopic
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Minutes Val

Description	The length of time expressed in whole minutes that the procedure took to complete.
Data Type	Standards - Data Domains.ddm/Data Domains/Number Small [SHORT]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Num

Description	Uniquely identifies a single procedure for an encounter. It is unique across all segments and messages for an encounter.
Data Type	Standards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Outcome

Description	Indicates how the procedure has affected the patient in relation to the primary condition being addressed. For example: Full recovery Improvement No Improvement Worsening condition
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Priority

Description	Identifies the significance or priority of a procedure.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Reason

Description	Indicates the reason for a procedure being carried out. A procedure can be triggered at a patient's or practitioner's request and is normally done on the basis of medical need.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Status

Description	Indicates the status of the procedure.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Procedure Ts

Description	The date and time that the procedure was performed.
Data Type	Standards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Responsivity Status

Description	Indicates how the patient is responding to the procedure performed.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Round Trip Purpose Descr

Description	A free-form description of the purpose of the ambulance transport round trip.
Data Type	Standards - Data Domains.ddm/Data Domains/Description Short [VARCHAR(150)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Service Delivery Pattern

Description	Indicates the delivery schedule pattern of the services. For example: 1st Week of the Month 1st & 3rd Weeks of the Month Monday through Friday Tuesday through Saturday Whenever Necessary
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Side Effect

Description	Indicates the degree to which any side effects of the procedure affect the patient.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Stretcher Purpose Descr

Description	A free-form description of the purpose of the use of a stretcher during ambulance service.
Data Type	Standards - Data Domains.ddm/Data Domains/Description Short [VARCHAR(150)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Translated Procedure Code

Description	A code identifying a procedure, product or service. The translated code is a code allocated to the procedure other than the original code supplied. This may be done in order to maintain consistency or to facilitate migration from one coding set to another.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Translated Procedure Code Descr

Description	A textual description of the translated procedure or service.
Data Type	Standards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Translated Procedure Code Family

Description	The code set or standard coding reference that was used for specifying the translated procedure code. For example: Current Dental Terminology (CDT) Current Procedural Terminology (CPT) Healthcare Common Procedural Coding System (HCPCS) International Classification of Diseases (ICD9 or ICD10) Procedure Logical Observation Identifiers Names and Codes (LOINC) Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) UB Revenue
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Translation Date

Description	The date upon which the translation was performed.
Data Type	Standards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Translation Rule Applied

Description	The business rule used to perform the translation.
Data Type	Standards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Translation Rule Descr

Description	A textual description of the business rule used to perform the translation.
Data Type	Standards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Transport Distance Qty

Description	Distance traveled during the ambulance transport.
Data Type	Standards - Data Domains.ddm/Data Domains/Quantity Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Transport Distance Unit Of Measure

Description	Identifies the unit of measure in which the transport distance is reported. Common Units are Miles or Kilometers.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Treatment Consent Type

Description	Indicates the type of consent that was obtained for permission to treat the patient.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Visit Cnt

Description	The number of home health visits. e.g.: 1 visit every 3 days for 21 days. This element indicates the number of visits, in this case - 1 visit.
Data Type	Standards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

X-Ray Availability Ind

Description	Indicates if X-Ray images are on file for the patient.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Relationship Details

Procedure_Procedure Order_FK

Is Identifying Relationship	false
Child Table	Procedure
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Procedure Order
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Procedure_Clinical Order Item_FK

Is Identifying Relationship	false
Child Table	Procedure
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Clinical Order Item
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Anesthesiologist

Is Identifying Relationship	false
Child Table	Procedure
Child Role Name	anesthesiologist
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Practitioner
Parent Multiplicity	ZERO_TO_MANY
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Procedure_Encounter_FK

Is Identifying Relationship	false
Child Table	Procedure
Child Role Name	is performed during
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Encounter
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Procedure_Surgery Case_FK

Is Identifying Relationship	false
Child Table	Procedure
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Surgery Case
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Surgeon

Is Identifying Relationship	false
Child Table	Procedure
Child Role Name	surgeon
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Practitioner
Parent Multiplicity	ZERO_TO_MANY
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Practitioner

Is Identifying Relationship	false
Child Table	Procedure
Child Role Name	other
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Practitioner
Parent Multiplicity	ZERO_TO_MANY
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Procedure_Patient Consent_FK

Is Identifying Relationship	false
Child Table	Procedure
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Treatment Consent
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Procedure_Patient_FK

Is Identifying Relationship	false
Child Table	Procedure
Child Role Name	performed for
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Patient
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Procedure_Plan Member_FK

Is Identifying Relationship	false
Child Table	Procedure
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Plan Member
Parent Multiplicity	ZERO_TO_ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Generalization Details

Generalization1

Supertype	Healthcare Event
Subtype	Procedure
Transform As	TABLE

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