Data Dictionary for TIEDI field entry
Heart TCR– you will need the Listing Packet, SW note, most recent labs at time of listing
- Name and Address will Auto-Populate
- Is patient waiting in permanent ZIP code Yes or No
- Choose No only if the patient had to relocate
- Look at the address listed in TR
- Ethnicity/Race
- Should Auto-Populate
- Info comes from TR in the demographics and that info came from the SW note
- Citizenship – get from the SW note
- Highest Education Level – get from the SW note
- Medical Condition at Time of Listing
- In Intensive Care Unit
- Hospitalized but not in ICU
- Not Hospitalized
- Patient on Life Support Yes or No
Yes = Extra Corporeal Membrane Oxygenation, IABP, Prostaglandins, Intravenous Inotropes (ie amiodarone, dopamine, dobutamine, milronone, etc), Inhaled NO, Ventilator, Other
Other = LVAD, AICD, TAH
- Patient on Ventricular Assist Device
- Will need the Brand of Device
- Brand will be in the surgeons note
- Functional Status
- 1A = 20%
- EVERYONE else is 40%
- Physical Capacity- All are LIMITY MOBILITY
- Working For Income – Yes or No
- Yes – Full-time, Part-time, etc
- No – Why, disability, medical condition, personal choice, etc
- Get info from SW note
12Previous Transplants – should auto-populate but info can be found in clinic note
- Previous Pancreas Islet Infusion – NO, and Jenna will let you know if anyone has.
- Source of Payment – Info from Insurance in TR
- Medicare = Medicare Fee For Service
- Medi-Cal = Public Insurance- Other Government
- Ht/Wt/ ABO will Auto-Populate
- Primary Diagnosis info from the CMY note
- Ischemic CMY = Coronary Artery Disease (CAD)
- Diabetes – Info from the CMY note
- Dialysis – Mark yes if the patient has EVER had dialysis or CRRT
- Peptic Ulcer Disease- Info from the CMY note
- Angina – Info from the CMY note
- Drug Treated Systemic Hypertension – YES to ALL our patients
- Symptomatic Cerebrovascular Disease, Symptomatic Peripheral Vascular Disease, Drug Treated COPD, Pulmonary Embolism, Any previous Transfusions (CABG patients), Any previous malignancies – ALL INFO CAN BE FOUND IN CMY NOTE.
- Most Recent Serum Creatinine (at the time of listing)
- Total Serum Albumin (must fill this in even though it is not red starred)
- Sudden Death Yes or No
- Yes if the patient has ever had CARDIAC ARREST
- Antiarrhythmic - Almost if not ALL our patients are on some kind of antiarrhythmic
- Amiodarone Yes or No – Look in the CMY note for med list
- Implantable Defibrillator Yes or No – Look in CMY note
- Infection Requiring IV Drug Therapy 2 wks prior to Listing – If patient had ID consult etc, don’t spend too much time trying to dig this up.
- Exercise Oxygen Consumption – CPX study and they want the VO2 max, if the CPX was done than it will probably be on the patient’s Eval Work-Up sheet
- Most Recent Hemodynamics (at the time of listing)
- Get from the Wait List
- Get from the RHC report
- Get from the CMY note
- Mark yes if pt was on inotropes/vasodilators during the test, usually these patients are and you already answered the inotrope question at question 7.
- History of Cigarette Use Yes or No – Info from the SW note, also want pack years which is also in SW note.
- Other tobacco use – cigars, smokeless, Ecigs, Vapping, etc.
- Prior Cardiac Surgery - Yes or No – info from the CMY note
- If patient had a TAH or LVAD that is considered a heart surgery and is included.
- Prior Lung Surgery (non-transplant) Yes or No and what kind (thoracotomy, lobectomy, pneumonectomy, etc.)
- Then hit VALIDATE and you’re done.
- Throw away the listing pact EXCEPT for the FOA (forms of acknowledgement)
- Place FOA in the FOA folder in the file cabinet.