| Dimensional Warehouse Model Data Model |
Description | A set of measures based on NHSN's defined dataset for dialysis related events. The dataset focuses on multiple events types such as: IV antimicrobial start; positive blood culture and pus, redness, or increased swelling at the vascular access site. |
Primary Key | |
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Dependencies | |
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Reverse Dependencies | |
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Attribute Details |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | The proportion of IV Antimicrobial Start Dialysis Events per 100 patient months Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | Number of hemodialysis outpatients with a positive blood culture and the suspected source reported as the vascular access or uncertain. Formula = (A + B) (see dependencies and their labels for measures used in the formula) |
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 |
Description | Number of hemodialysis outpatients with positive blood cultures with the suspected source reported as the vascular access or uncertain. |
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 |
Description | Number of hemodialysis outpatients with positive blood cultures. |
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 |
Description | Number of Positive Blood Cultures for hemodialysis outpatients whereby it is thought that the organism isolated is a contaminant. Contamination is considered more likely if the organism is a common commensal and is isolated from only one blood culture. |
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 |
Description | Number of Positive Blood Cultures for hemodialysis outpatients whereby a source other than a vascular access is thought to be the source of the positive blood culture. For example: A culture from another body site showing the same organism found in the blood culture. |
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 |
Description | There are three types of dialysis events: IV antimicrobial start; positive blood culture; and pus, redness, or increased swelling at the vascular access site. An additional four types of dialysis events are generated from the reported data: bloodstream infection (BSI), local access site infection (LASI), access-related bloodstream infection (ARB), and vascular access infection (VAI). The numbers of the different dialysis event types are used as the numerator for the calculation of dialysis event rates. Formula = (A + B + C) (see dependencies and their labels for measures used in the formula) |
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 |
Description | The number of patients who received maintenance hemodialysis at this location on the first two working days of the month, including transient patients regardless of access type. |
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 |
Description | The number of patients with a fistula which is a joined vein and artery making the blood vessel larger and stronger. |
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 |
Description | The number of patients with a graft which is a connected vein to an artery using a tube. |
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 |
Description | The number of patients with a non tunneled intravascular catheter that is fixed in place at the point of insertion and travels directly from the skin entry site to a vein and terminates close to the heart or one of the great vessels which is used for hemodialysis. |
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 |
Description | The number of patients with another access device used for hemodialysis e.g hybrid access. This excludes fistulas, grafts, tunneled and non-tunneled central lines. |
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 |
Description | The number of patients with a central venous catheter that travels a distance under the skin from the point of insertion before terminating at or close to the heart or one of the great vessels which is used for hemodialysis. |
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 |
Description | The number of patients who access their fistula using the button hole technique which is inserting the needles into exactly the same site at exactly the same angle. |
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 |
Description | Number of IntraVenous (IV) antimicrobial starts for hemodialysis outpatients. This is the number of occurrences where IV antibiotics or antifungals are administered in an outpatient setting, regardless of the reason for administration (i.e., include IV antimicrobial starts unrelated to vascular access problems) and regardless of the duration of treatment. This includes all IV antibiotic administrations, not just vancomycin. IV antiviral starts are not included in this figure. Report outpatient starts that are continuations of inpatient treatment. A 21 day rule applies where there must be 21 or more days from the end of the first IV antimicrobial course that was started in an outpatient setting to the beginning of a second IV antimicrobial start in an outpatient setting for two starts to be reported as separate dialysis events, even if different antimicrobials are used. If IV antimicrobials are stopped for less than 21 days and then restarted, the second start is NOT considered a new dialysis event and therefore, not reported. For outpatient IV antimicrobial starts that are continuations of inpatient treatment, consider the start day to be the first day of outpatient administration. |
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 |
Description | Number of hemodialysis outpatients with pus, redness or swelling of the vascular access site and access-related bloodstream infection is not present. |
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 |
Description | Number of Positive Blood Cultures for hemodialysis outpatients whereby there is clinical evidence of infection at another site which is thought to be the source of the positive blood culture but the site was not sampled for culture. |
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 |
Description | Number of Positive Blood Cultures for hemodialysis outpatients. This number includes all positive blood cultures from specimens collected as an outpatient or collected within one calendar day after a hospital admission, regardless of whether or not the patient received treatment. The date of a blood culture result is based on the date the blood specimen was collected, not the date the laboratory reported the result. A 21 day rule applies where there must be 21 or more days between positive blood cultures for each positive blood culture to be considered a separate dialysis event, even if organisms are different. If positive blood cultures occur less than 21 days apart, the second positive blood culture(s) is NOT considered a new dialysis event and therefore, is not reported. However, if different organisms grow from these subsequent positive blood cultures, add the new organisms to the first report. Formula = (A + B + C + D + E) (see dependencies and their labels for measures used in the formula) |
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 |
Description | Number of hemodialysis outpatients episodes where the patient has one or more symptoms of pus, greater than expected redness or greater than expected swelling at any vascular access site, regardless of whether the patient received treatment.A 21 day rule applies where there must be 21 or more days between the onset of a first episode and the onset of a second episode of pus, redness, or increased swelling at a vascular access site to be considered separate dialysis events. If an episode of pus, redness, or increased swelling at a vascular access site resolves and then recurs within 21 days of the first onset, the recurrence is NOT considered a new dialysis event and therefore, is not reported. |
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 |
Description | Number of Positive Blood Cultures for hemodialysis outpatients whereby there is insufficient evidence to decide if the positive blood culture results are vascular access related, other source related or contamination related. |
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 |
Description | Number of hemodialysis outpatients who have either a Local Access Site Infection (LASI) or an Access-Related Bloodstream (ARB) infection. |
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 |
Description | Number of Positive Blood Cultures for hemodialysis outpatients whereby the suspected source is the patient's vascular access. |
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 |
Description | Number of vascular access related events for hemodialysis outpatients episode where the outpatient has one or more symptoms of pus, greater than expected redness or greater than expected swelling at any vascular access site, regardless of whether the patient received treatment. |
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 |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | The count of hemodialysis outpatients whereby it is thought that the organism isolated is a contaminant expressed as a percentage of positive blood culture dialysis events. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The count of hemodialysis outpatients whereby a source other than a vascular access is thought to be the source of the positive blood culture expressed as a percentage of positive blood culture dialysis events. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The count of hemodialysis outpatients whereby there is clinical evidence of infection at another site which is thought to be the source of the positive blood culture but the site was not sampled for culture expressed as a percentage of positive blood culture dialysis events. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The count of hemodialysis outpatients with an uncertain source related positive blood culture events expressed as a percentage of positive blood culture dialysis events. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The count of hemodialysis outpatients with a vascular access related positive blood culture events expressed as a percentage of positive blood culture dialysis events. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | The proportion of Positive Blood Culture Dialysis Events per 100 patient months. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | The proportion of Pus, Redness or Increase Swelling At Vascular Access Site Dialysis Events per 100 patient months. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Relationship Details |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 | Medication Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 | Calendar Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 | Point Of Care Location Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 | Organization Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 | Report Catalog Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 | Diagnosis Code Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 Code Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | NHSN Dialysis Events |
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 | Provider Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Primary Key Details |
Key Attribute | Report Catalog Dk |
Key Attribute | Practitioner Dk |
Key Attribute | Medication Dk |
Key Attribute | Calendar Dk |
Key Attribute | Point Of Care Location Dk |
Key Attribute | Organization Dk |
Key Attribute | Patient Dk |
Key Attribute | Encounter Dk |
Key Attribute | Diagnosis Code Dk |
Key Attribute | Procedure Code Dk |
Key Attribute | Provider Dk |
| Dimensional Warehouse Model Data Model |