| Data Set Data Elements |
|---|
Patient History.
To carry the details of the patient history. |
|---|
| RENAL TREATMENT MODALITY CODE |
| START DATE (RENAL TREATMENT MODALITY) |
| END DATE (RENAL TREATMENT MODALITY) |
| RENAL TREATMENT MODALITY CHANGE REASON CODE |
| PROCEDURE DATE (FIRST END STAGE RENAL FAILURE TREATMENT) |
| RENAL TREATMENT PRIMARY SUPERVISION CODE |
| RENAL DIALYSIS SCHEDULE TYPE |
| PERSON DEATH DATE |
| DEATH CAUSE CODE (EUROPEAN DIALYSIS AND TRANSPLANT ASSOCIATION CLASSIFICATION) |
| DEATH CAUSE COMMENT |
Patient Diagnosis.
To carry the details of the patient diagnosis. Use European Dialysis and Transplant Association diagnosis scheme to document the primary renal disease. |
|---|
| PRIMARY RENAL DISEASE DIAGNOSIS |
| PRIMARY DIAGNOSIS DATE (RENAL DISEASE) |
| PRIMARY RENAL DISEASE TEXT |
| DIAGNOSIS INDICATOR (END STAGE RENAL FAILURE) * |
Secondary causes of end stage renal failure.
Up to 3 occurrences of secondary renal diagnosis codes are permitted. The diagnosis scheme should be used for this section as declared in the field. |
|---|
| DIAGNOSIS SCHEME IN USE (RENAL) |
| SECONDARY CAUSE OF END STAGE RENAL FAILURE |
Patient Co-morbidities.
To carry the details of the co-morbidity diagnosis at the start of renal replacement therapy. |
|---|
| CO-MORBIDITY DIABETES (RENAL CARE) * |
| DIAGNOSIS DATE (DIABETES) |
| DIABETES TYPE (RENAL CARE) |
| CO-MORBIDITY MALIGNANCY (RENAL CARE) * |
| CO-MORBIDITY ANGINA (RENAL CARE) * |
| CO-MORBIDITY LIVER DISEASE (RENAL CARE) * |
| CO-MORBIDITY CEREBROVASCULAR DISEASE (RENAL CARE) * |
| CO-MORBIDITY CHRONIC OBSTRUCTIVE PULMONARY DISEASE (RENAL CARE) * |
| CO-MORBIDITY CLAUDICATION (RENAL CARE) * |
| CO-MORBIDITY ISCHAEMIC OR NEUROPATHIC ULCERS (RENAL CARE) * |
| CO-MORBIDITY MYOCARDIAL INFARCTION MORE THAN 3 MONTHS AGO (RENAL CARE) * |
| CO-MORBIDITY MYOCARDIAL INFARCTION WITHIN LAST 3 MONTHS (RENAL CARE) * |
| CO-MORBIDITY FRACTURE (RENAL CARE) * |
Patient Procedures.
To carry the details of the procedures for the patient. This group lists certain procedures where an indicator as to whether the procedure has been carried out on the patient needs to be collected. |
|---|
| PROCEDURE NON-CORONARY ANGIOPLASTY (RENAL CARE) * |
| PROCEDURE CORONARY ANGIOPLASTY OR CORONARY ARTERY BYPASS GRAFT (RENAL CARE) * |
| PROCEDURE PARENTERAL IRON (RENAL CARE) * |
| PROCEDURE PERIPHERAL VASCULAR DISEASE AMPUTATION (RENAL CARE) * |
| PROCEDURE AMPUTATION (RENAL CARE) * |
Patient Observations.
To carry the general observations of the patient. |
|---|
| PERSON HEIGHT IN CENTIMETRES |
| OBSERVATION DATE (HEIGHT) |
| HEIGHT IN CENTIMETRES FIRST VISIT |
| PERSON WEIGHT (RENAL CARE) |
| OBSERVATION DATE (WEIGHT) |
| DIASTOLIC BLOOD PRESSURE |
| SYSTOLIC BLOOD PRESSURE |
| OBSERVATION DATE (BLOOD PRESSURE) |
| BLOOD GROUP ABO CLASSIFICATION |
| BLOOD RHESUS CLASSIFICATION |
| SMOKING STATUS (RENAL CARE) * |
| OBSERVATION DATE (SMOKING STATUS) |
| NUMBER OF YEARS SMOKED |
| CIGARETTES PER DAY |
| OBSERVATION DATE (STOPPED SMOKING) |
| ESTIMATED GLOMERULAR FILTRATION RATE |
| OBSERVATION DATE (ESTIMATED GLOMERULAR FILTRATION RATE) |
Calculated Creatinine Clearance details.
To carry the details of creatinine clearance for the patient. |
|---|
| CALCULATED CREATININE CLEARANCE TYPE |
| CALCULATED CREATININE CLEARANCE |
| OBSERVATION DATE (CALCULATED CREATININE CLEARANCE) |
| MEASURED 24HR CREATININE CLEARANCE |
| OBSERVATION DATE (MEASURED 24 HOUR CREATININE CLEARANCE) |
Measured Glomerular Filtration Rate details.
To carry the details of the Measured Glomerular Filtration Rate for the patient. |
|---|
| MEASURED GLOMERULAR FILTRATION RATE TYPE CODE |
| MEASURED GLOMERULAR FILTRATION RATE CORRECTED * |
| MEASURED GLOMERULAR FILTRATION RATE |
| OBSERVATION DATE (MEASURED GLOMERULAR FILTRATION RATE) |
Blood test observations.
To carry the details of blood tests carried out for the patient. |
|---|
| HEPATITIS B ANTIBODY STATUS (RENAL CARE) |
| OBSERVATION DATE (HEPATITIS B ANTIBODY) |
| HEPATITIS B ANTIGEN STATUS (RENAL CARE) |
| OBSERVATION DATE (HEPATITIS B ANTIGEN) |
| HEPATITIS C ANTIBODY STATUS (RENAL CARE) |
| OBSERVATION DATE (HEPATITIS C ANTIBODY) |
| HUMAN IMMUNODEFICIENCY VIRUS STATUS (RENAL CARE) |
| OBSERVATION DATE (HUMAN IMMUNODEFICIENCY VIRUS) |
| SERUM CREATININE CONCENTRATION |
| OBSERVATION DATE (SERUM CREATININE CONCENTRATION) |
| SERUM CREATININE CONCENTRATION (PRIOR END STAGE RENAL FAILURE) |
| SERUM ALBUMIN CONCENTRATION |
| OBSERVATION DATE (SERUM ALBUMIN CONCENTRATION) |
| SERUM ALUMINIUM CONCENTRATION |
| OBSERVATION DATE (SERUM ALUMINIUM CONCENTRATION) |
| SERUM BICARBONATE CONCENTRATION |
| OBSERVATION DATE (SERUM BICARBONATE CONCENTRATION) |
| BLOOD UREA CONCENTRATION |
| OBSERVATION DATE (BLOOD UREA CONCENTRATION) |
| SERUM CALCIUM CONCENTRATION |
| SERUM CALCIUM CONCENTRATION CORRECTION CODE |
| OBSERVATION DATE (SERUM CALCIUM CONCENTRATION) |
| SERUM C-REACTIVE PROTEIN CONCENTRATION |
| OBSERVATION DATE (SERUM C-REACTIVE PROTEIN CONCENTRATION) |
| HAEMOGLOBIN CONCENTRATION |
| OBSERVATION DATE (HAEMOGLOBIN CONCENTRATION) |
HbA1c CONCENTRATION (DCCT) or
HbA1c CONCENTRATION (IFCC) |
| OBSERVATION DATE (HbA1c LEVEL) |
| HbA1c ASSAY MEASUREMENT METHOD |
| HYPOCHROMIC RED CELLS PERCENTAGE |
| OBSERVATION DATE (HYPOCHROMIC RED CELLS PERCENTAGE) |
| SERUM B12 CONCENTRATION |
| OBSERVATION DATE (SERUM B12 CONCENTRATION) |
| TRANSFERRIN SATURATION |
| OBSERVATION DATE (TRANSFERRIN SATURATION) |
| RED CELL FOLATE CONCENTRATION |
| OBSERVATION DATE (RED CELL FOLATE CONCENTRATION) |
| SERUM FERRITIN CONCENTRATION |
| OBSERVATION DATE (SERUM FERRITIN CONCENTRATION) |
| CHOLESTEROL HIGH DENSITY LIPOPROTEIN CONCENTRATION |
| OBSERVATION DATE (HIGH DENSITY LIPOPROTEIN CHOLESTEROL CONCENTRATION) |
| CHOLESTEROL LOW DENSITY LIPOPROTEIN CONCENTRATION |
| OBSERVATION DATE (LOW DENSITY LIPOPROTEIN CHOLESTEROL CONCENTRATION) |
| CHOLESTEROL TOTAL CONCENTRATION |
| OBSERVATION DATE (TOTAL CHOLESTEROL CONCENTRATION) |
| SERUM INTACT PARATHYROID HORMOME CONCENTRATION |
| OBSERVATION DATE (SERUM INTACT PARATHYROID HORMONE CONCENTRATION) |
| VITAMIN D CONCENTRATION |
| OBSERVATION DATE (VITAMIN D CONCENTRATION) |
| ALKALINE PHOSPHATASE CONCENTRATION |
| OBSERVATION DATE (ALKALINE PHOSPHATASE CONCENTRATION) |
| PHOSPHATE CONCENTRATION |
| OBSERVATION DATE (PHOSPHATE CONCENTRATION) |
| SODIUM CONCENTRATION |
| OBSERVATION DATE (SODIUM CONCENTRATION) |
| TRIGLYCERIDES CONCENTRATION |
| OBSERVATION DATE (TRIGLYCERIDES CONCENTRATION) |
| SERUM POTASSIUM CONCENTRATION |
| OBSERVATION DATE (SERUM POTASSIUM CONCENTRATION) |
| URIC ACID CONCENTRATION |
| OBSERVATION DATE (URIC ACID CONCENTRATION) |
| UREA REDUCTION RATIO |
| SERUM MAGNESIUM CONCENTRATION |
| OBSERVATION DATE (SERUM MAGNESIUM CONCENTRATION) |
| GAMMA GLUTAMYL TRANSFERASE CONCENTRATION |
| OBSERVATION DATE (GAMMA GLUTAMYL TRANSFERASE CONCENTRATION) |
| BILIRUBIN CONCENTRATION |
| OBSERVATION DATE (BILIRUBIN CONCENTRATION) |
| ALANINE AMINOTRANSFERASE CONCENTRATION |
| OBSERVATION DATE (ALANINE AMINOTRANSFERASE CONCENTRATION) |
| ASPARTATE AMINOTRANSFERASE CONCENTRATION |
| OBSERVATION DATE (ASPARTATE AMINOTRANSFERASE CONCENTRATION) |
| LACTATE DEHYDROGENASE CONCENTRATION |
| OBSERVATION DATE (LACTATE DEHYDROGENASE CONCENTRATION) |