Overview Top Package Entity

Dimensional Warehouse Model Data Model

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Entity OASIS Integumentary Status Snapshot

Description

A clinical observation of the patients integumentary or skin system status.

Attributes

Encounter Dk

Load Info Sk

Medicaid Ind

Medicare Ind

Patient Dk

Point Of Care Location Dk

Practitioner Dk

Pressure Ulcer Assessment Ind

Pressure Ulcer Depth Qty

Pressure Ulcer Depth UOM

Pressure Ulcer Development Risk Ind

Pressure Ulcer Identified Date

Pressure Ulcer Length Qty

Pressure Ulcer Length UOM

Pressure Ulcer Oldest NonEpithelialized Stage II

Pressure Ulcer Stage

Pressure Ulcer Stage I Cnt

Pressure Ulcer Stage II Admission Cnt

Pressure Ulcer Stage II Count

Pressure Ulcer Stage III Admission Cnt

Pressure Ulcer Stage III Cnt

Pressure Ulcer Stage II or Higher Ind

Pressure Ulcer Stage IV Admission Cnt

Pressure Ulcer Stage IV Cnt

Pressure Ulcer Status

Pressure Ulcer Unstageable I Admission Cnt

Pressure Ulcer Unstageable I Cnt

Pressure Ulcer Unstageable II Admission Cnt

Pressure Ulcer Unstageable II Cnt

Pressure Ulcer Unstageable III Admission Cnt

Pressure Ulcer Unstageable III Cnt

Pressure Ulcer Width Qty

Pressure Ulcer Width UOM

Provider Dk

Skin Lesion Or Open Wound Ind

Stasis Ulcer Cnt

Stasis Ulcer Ind

Stasis Ulcer Status

Surgical Wound Ind

Surgical Wound Status

Survey Date Dk

Survey Dk

Tenant Sk

Relationship

OASIS Integumentary Status Snapshot_Provider Dimension_FK

OASIS Integumentary Status Snapshot_Patient Dimension_FK

OASIS Integumentary Status Snapshot_Encounter Dimension_FK

OASIS Integumentary Status Snapshot_Practitioner Dimension_FK

OASIS Integumentary Status Snapshot_Survey Dimension_FK

OASIS Integumentary Status Snapshot_Point Of Care Location Dimension_FK

OASIS Integumentary Status Snapshot_Calendar Dimension_FK

Primary Key

OASIS Integumentary Status Snapshot PK

Dependencies

NONE

Reverse Dependencies

Attribute Details

 Encounter Dk

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

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 Load Info Sk

Description	The surrogate key of the load information entry describing the details regarding the loading of the row.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	false
Is Required	true
Is Derived	false
Is Surrogate Key	false

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 Medicaid Ind

Description	Indicator if respondent is classified as Medicaid recipient.
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

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 Medicare Ind

Description	Indicator if respondent is classified as Medicare recipient.
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

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 Patient Dk

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

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 Point Of Care Location Dk

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

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 Practitioner Dk

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

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 Pressure Ulcer Assessment Ind

Description	Identifies whether the home health agency care providers assessed the patient’s risk of developing pressure ulcers. CMS does not require the use of standardized tools, nor does it endorse one particular tool. This item is used to calculate process measures to capture the agency’s use of best practices following the completion of the comprehensive assessment. The best practices stated in the item are not necessarily required in the Conditions of Participation.
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

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 Pressure Ulcer Depth Qty

Description	Identifies the length, width, and depth of the pressure ulcer with the largest surface area (length x width) that is also an unhealed Stage III or IV pressure ulcer or pressure ulcer unstageable due to the presence of slough or eschar (as reported in M1308 d.2). Pressure Ulcer Depth: Depth of the same pressure ulcer; from visible surface to the deepest area | ___ | ___ | . | ___ | (cm)
Data Type	Standards - Data Domains.ddm/Data Domains/Decimal Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

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 Pressure Ulcer Depth UOM

Description	Unit of Measure for the Depth of the pressure ulcer. OASIS shows cms.
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

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 Pressure Ulcer Development Risk Ind

Description	Identifies if the patient is at risk for developing pressure ulcers.
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

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 Pressure Ulcer Identified Date

Description	Developed since the most recent SOC/ROC assessment: record date pressure ulcer first identified:
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

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 Pressure Ulcer Length Qty

Description	Identifies the length, width, and depth of the pressure ulcer with the largest surface area (length x width) that is also an unhealed Stage III or IV pressure ulcer or pressure ulcer unstageable due to the presence of slough or eschar (as reported in M1308 d.2). Pressure Ulcer Length: Longest length “head-to-toe” | ___ | ___ | . | ___ | (cm)
Data Type	Standards - Data Domains.ddm/Data Domains/Decimal Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

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 Pressure Ulcer Length UOM

Description	Unit of Measure for the Length of the pressure ulcer. OASIS shows cms.
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

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 Pressure Ulcer Oldest NonEpithelialized Stage II

Description	The intent of this item is to a) identify the oldest Stage II pressure ulcer that is present at the time of discharge and is not fully epithelialized, and b) assess the length of time this ulcer remained unhealed while the patient received care from the home health agency and c) identify patients who develop Stage II pressure ulcers while under the care of the agency.
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

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 Pressure Ulcer Stage

Description	Identifies the stage of the most problematic observable Stage 1 or higher pressure ulcer. Definitions of pressure ulcer stages derived from the National Pressure Ulcer Advisory Panel.
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

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 Pressure Ulcer Stage I Cnt

Description	Identifies the presence of Stage I pressure ulcers.
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

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 Pressure Ulcer Stage II Admission Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number of those listed that were present on admission (most recent SOC / ROC). Stage II: Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister.
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

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 Pressure Ulcer Stage II Count

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number Currently Present. Stage II: Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister.
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

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 Pressure Ulcer Stage III Admission Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number of those listed that were present on admission (most recent SOC / ROC). Stage III: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
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

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 Pressure Ulcer Stage III Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number Currently Present. Stage III: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
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

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 Pressure Ulcer Stage II or Higher Ind

Description	Identifies the presence or absence of unstageable or unhealed Stage II or higher pressure ulcers only.
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

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 Pressure Ulcer Stage IV Admission Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number of those listed that were present on admission (most recent SOC / ROC). Stage IV: Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.
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

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 Pressure Ulcer Stage IV Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number Currently Present. Stage IV: Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.
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

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 Pressure Ulcer Status

Description	Identifies the degree of closure visible in the most problematic observable pressure ulcer, stage II or higher. Please note, Stage I pressure ulcers are not considered for this item.
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

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 Pressure Ulcer Unstageable I Admission Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number of those listed that were present on admission (most recent SOC / ROC). Unstageable: Known or likely but unstageable due to non-removable dressing or device
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

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 Pressure Ulcer Unstageable I Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number Currently Present. Unstageable: Known or likely but unstageable due to non-removable dressing or device
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

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 Pressure Ulcer Unstageable II Admission Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number of those listed that were present on admission (most recent SOC / ROC). Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar.
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

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 Pressure Ulcer Unstageable II Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number Currently Present. Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar.
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

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 Pressure Ulcer Unstageable III Admission Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number of those listed that were present on admission (most recent SOC / ROC). Unstageable: Suspected deep tissue injury in evolution.
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

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 Pressure Ulcer Unstageable III Cnt

Description	Identifies the number of Stage II or higher pressure ulcers at each stage present at the time of assessment. Stage I pressure ulcers are not reported in this item. Number Currently Present. Unstageable: Suspected deep tissue injury in evolution.
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

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 Pressure Ulcer Width Qty

Description	Identifies the length, width, and depth of the pressure ulcer with the largest surface area (length x width) that is also an unhealed Stage III or IV pressure ulcer or pressure ulcer unstageable due to the presence of slough or eschar (as reported in M1308 d.2). Pressure Ulcer Width: Width of the same pressure ulcer; greatest width perpendicular to the length | ___ | ___ | . | ___ | (cm)
Data Type	Standards - Data Domains.ddm/Data Domains/Decimal Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

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 Pressure Ulcer Width UOM

Description	Unit of Measure for the Width of the pressure ulcer. OASIS shows cms.
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

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 Provider Dk

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

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 Skin Lesion Or Open Wound Ind

Description	Identifies the presence or absence of a skin lesion or open wound NOT ALREADY ADDRESSED IN PREVIOUS ITEMS that is receiving clinical assessment or intervention from the home health agency.
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

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 Stasis Ulcer Cnt

Description	Identifies the number of visible (observable) stasis ulcers.
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

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 Stasis Ulcer Ind

Description	Identifies patients with ulcers caused by inadequate venous circulation in the area affected (usually lower legs). This lesion is often associated with stasis dermatitis. Stasis ulcers DO NOT include arterial lesions or arterial ulcers. If the home health clinician conducting the assessment is not sure the wound fits the definition of a stasis ulcer, the clinician should contact the physician for clarification.
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

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 Stasis Ulcer Status

Description	Identifies the degree of healing present in the most problematic, observable stasis ulcer. The “most problematic” ulcer may be the largest, the most resistant to treatment, an ulcer that is infected, etc., depending on the specific situation.
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

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 Surgical Wound Ind

Description	Identifies the presence of any wound resulting from a surgical procedure.
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

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 Surgical Wound Status

Description	Identifies the degree of healing present in the most problematic, observable surgical wound.
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

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 Survey Date Dk

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

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 Survey Dk

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

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 Tenant Sk

Description	The surrogate key of the entry identifying the legal owner of the data.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKey	false
Is Required	true
Is Derived	false
Is Surrogate Key	false

Relationship Details

 OASIS Integumentary Status Snapshot_Provider Dimension_FK

Is Identifying Relationship	true
Child Table	OASIS Integumentary Status Snapshot
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

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 OASIS Integumentary Status Snapshot_Patient Dimension_FK

Is Identifying Relationship	true
Child Table	OASIS Integumentary Status Snapshot
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

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 OASIS Integumentary Status Snapshot_Encounter Dimension_FK

Is Identifying Relationship	true
Child Table	OASIS Integumentary Status Snapshot
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

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 OASIS Integumentary Status Snapshot_Practitioner Dimension_FK

Is Identifying Relationship	true
Child Table	OASIS Integumentary Status Snapshot
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

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 OASIS Integumentary Status Snapshot_Survey Dimension_FK

Is Identifying Relationship	true
Child Table	OASIS Integumentary Status Snapshot
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	Survey Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

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 OASIS Integumentary Status Snapshot_Point Of Care Location Dimension_FK

Is Identifying Relationship	true
Child Table	OASIS Integumentary Status Snapshot
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

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 OASIS Integumentary Status Snapshot_Calendar Dimension_FK

Is Identifying Relationship	true
Child Table	OASIS Integumentary Status Snapshot
Child Multiplicity	ZERO_TO_ONE
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

Primary Key Details

 OASIS Integumentary Status Snapshot PK

Key Attribute	Provider Dk
Key Attribute	Patient Dk
Key Attribute	Encounter Dk
Key Attribute	Practitioner Dk
Key Attribute	Survey Dk
Key Attribute	Point Of Care Location Dk
Key Attribute	Survey Date Dk

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Overview Top Package Entity

Dimensional Warehouse Model Data Model