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.
 
