Data Documentation

Standardized Patient Assessment Data Elements (SPADE)
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For most files, a table of variables will display below, with links to the variable definitions. If no table displays, or if you need additional information for a specific variable, please see the CCW website. Data documentation is available for all files and codebooks for many.

If you are unable to locate the information you need, please contact ResDAC.

NumberSAS NameVariable Name
1 PTID Best Identifier for Merging (PTID)
2 ROWID Best Identifier for Merging (ROWID)
3 STARTDATE StartDate
4 MARKETGROUP         Group of Patient Either A or B
5 DISPOSITION Disposition at Discharge
6 MARKET_ID MarketID: metropolitan location region
7 SITE_ID Site ID
8 SURVEYTYPE SurveyType
9 RNID RNID
10 FSID FSID
11 DATASOURCE Admission/Discharge/NonCommunicative/5day/7Day Assessment
12 PTTYPE PtType is Whether Communicative or NonCommunicative
13 SETTING Setting
14 URBANICITY Facility location in urban versus nonurban
15 REGION Facility Geopgraphic region in Northwest, South, Midwest or West
16 OWNERSHIP Facility ownership is for-profit versus non-profit
17 SIZE Facility episodes per year (# of discharges for IRFs and LTCHs, # of stays for
18 SIZELARGE       Facility episodes is above/at (1), or below setting-type median(0)
19 AGE Age
20 FEMALE If female
21 IRR Part of the IRR Population (just counting FS)
22 LENGTH_OF_STAY Length of Stay in Days
23 HEARING Ability to hear (a1)
24 VISION Ability to see (a2)
25 SPEECH_CLARITY Speech clarity (Marketgroup A) / Not used in (Marketgroup B) (a3)
26 EXPRESS_IDEAS1 Ability to express ideas & wants (Marketgroup A) / Not used in (Marketgroup B)
27 UNDERSTAND_VERBAL1 Understanding verbal content (Marketgroup A) / Not used in Marketgroup B (a5)
28 EXPRESS_IDEAS2 Expresses ideas & wants (Marketgroup B) / Not used in Marketgroup A (a6)
29 UNDERSTAND_VERBAL2 Understands verbal content (Marketgroup B) / Not used in Marketgroup A (a7)
30 A_SECTION_TIME Minutes to complete section A
31 NOTES_A_HEAR_VISION Hearing Vision Expression Understand Section Notes
32 REPEATED_WORDS # of words repeated after 1st attempt (b1a)
33 RECALL_YEAR Patient able to recall current year (b1b)
34 RECALL_MONTH Patient able to recall current month (b1c)
35 RECALL_DAY Patient able to recall current day of week (b1d)
36 RECALL_SOCK Recalls sock (b1e)
37 RECALL_BLUE Recalls blue (b1f)
38 RECALL_BED Recalls bed (b1g)
39 BIMS_TOTAL Brief Interview for Mental Status
40 BIMSCAT BIMS impairment category
41 B1_SECTION_TIME Minutes to complete section B1
42 NOTES_B1_RECALL Brief Interview for Mental Status Section Notes
43 GENERAL_HEALTH PROMIS® Global health: General health (c1a)
44 QUALITY_LIFE PROMIS® Global health: Quality of life (c1b)
45 PHYSICAL_HEALTH PROMIS® Global health: Physical health (c1c)
46 MENTAL_HEALTH PROMIS® Global health: Mental health (c1d)
47 SOCIAL_SATISFAXN PROMIS® Global health: Social satisfaction (c1e)
48 SOCIAL_ACTIVITIES Ability to be carry out social activities and responsibilities (c1f)
49 PHYSICAL_ACTIVITIES PROMIS® Global health: Able to carry out physical activities (c1g)
50 EMOTIONAL_PROBS PROMIS® Global health: How often bothered by emotional problems past 7 days (Ma
51 RATE_FATIGUE PROMIS® Global health: Rate fatigue past 7 days (Marketgroup A)/ 3 days (Marketg
52 RATE_AVERAGE Rate pain past 7 days (Marketgroup A)/ 3 days (Marketgroup B)  (0-10) (c1j)
53 MH_TOTAL PROMIS® Global Mental Health total score
54 MH_TSCORE PROMIS® Global Mental Health T-Score
55 PH_TOTAL PROMIS® Global Physical Health total score
56 PH_TSCORE PROMIS® Global Physical Health T-Score
57 C_SECTION_TIME Minutes to complete PROMIS® Global health Section
58 NOTES_C_GLOBAL_HEALTH PROMIS® Global health Section Notes
59 ANY_PAIN Any pain past 3 days (Marketgroup A)/ 5 days (Marketgroup B) (d1)
60 OFTEN_PAIN How often experienced pain past 3 days (Marketgroup A)/ 5 days (Marketgroup B)?
61 PAIN_AND_SLEEP How often pain made it hard to sleep past 3 days (Marketgroup A)/ 5 days (Marketgroup B)? (d3)
62 REHAB_THERAPY Offered rehab therapies past 3 days? (Marketgroup A)/ 5 days (Marketgroup B) (d4a)
63 PAIN_LIMIT_REHAB  How often limited rehab due to pain past 3 days (Marketgroup A)/ 5 days (Marketgroup B)? (d4b)
64 PAIN_LIMIT_ACTIV How often limited daily activities due to pain past 3 days (Marketgroup A)/ 5 days (Marketgroup B)? (d4c)
65 PAIN_WORST Rate worst pain past 3 days (Marketgroup A)/ 5 days (Marketgroup B) (d5)
66 RELIEF_DUE_TX How much pain relief due to tx and/or rx past 3 days (Marketgroup A)/ 5 days (Marketgroup B)? (d6)
67 D_SECTION_TIME Minutes to complete Pain Section
68 NOTES_D_PAIN Pain Section Notes
69 PHQ_INTEREST PHQ© Sx: little interest or pleasure in doing things past 2 weeks (e1a1)
70 PHQ_FREQ_INTEREST PHQ© Freq: how often do you have little interest or pleasure in doing things past 2 weeks? (e1a2)
71 PHQ_DEPRESSED PHQ© Sx: feeling down, depressed, hopeless past 2 weeks? (e1b1)
72 PHQ_FREQ_DEPRESSED PHQ© Freq: how often are you feeling down, depressed, hopeless past 2 weeks? (e1b2)
73 PHQ_SLEEP PHQ© Sx: too little/too much sleep past 2 weeks?  (e1c1)
74 PHQ_FREQ_SLEEP PHQ© Freq: how often are you bothered by too little/too much sleep past 2 weeks? (e1c2)
75 PHQ_TIRED PHQ© Sx: being tired / no energy past 2 weeks? (e1d1)
76 PHQ_FREQ_TIRED PHQ© Freq: how oftern are you bothered by being tired / no energy past 2 weeks?
77 PHQ_APPETITE PHQ© Sx: poor appetite or overeating past 2 weeks? (e1e1)
78 PHQ_FREQ_APPETITE  PHQ© Freq: how often are you bothered by poor appetite or overeating past 2 weeks? (e1e2)
79 PHQ_FEEL_BAD PHQ© Sx: feel bad about self past 2 weeks? (e1f1)
80 PHQ_FREQ_FEEL_BAD PHQ© Freq: how often do you feel bad about self past 2 weeks? (e1f2)
81 PHQ_CONCENTRATE PHQ© Sx: trouble concentrating past 2 weeks? (e1g1)
82 PHQ_FREQ_TROUBLE PHQ© Freq: how often are you bothered by trouble concentrating past 2 weeks? (e1g2)
83 PHQ_SLOWLY PHQ© Sx: moving or speaking slowly or being restless past 2 weeks? (e1h1)
84 PHQ_FREQ_SLOWLY PHQ© Freq: how often have you been bothered by moving or speaking slowly or being figety or restless? (e1h2)
85 PHQ_SUICIDAL PHQ© Sx: suicidal thoughts past 2 weeks? (e1i1)
86 PHQ_FREQ_SUICIDAL PHQ© Freq: how often are you bothered by suicidal thoughts past 2 weeks? (e1i2)
87 PHQ9_SUM Sum of symptom FREQuencies (PHQ9) e1a2-e1i2
88 PHQ9_CAT PHQ-9 depression classification
89 PHQ9_ELIG Eligible for PHQ-9 per PHQ-2
90 PHQ2_SUM PHQ-2 total score
91 E1_SECTION_TIME Minutes to complete PHQ© Section
92 NOTES_PHQ_E1 PHQ© Section  Notes
93 OFTEN_WORTHLESS PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup
94 OFTEN_NOTHING PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B) have you felt: nothing to look forward to? (e2b)
95 OFTEN_HELPLESS PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B) have you felt: helpless? (e2c)
96 OFTEN_SAD PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B) have you felt: sad? (e2d)
97 OFTEN_LONELY PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B) have you felt: sad? (e2d)
98 OFTEN_DEPRESSED PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B) have you felt: depressed? (e2f)
99 OFTEN_NO_LIVING PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B) have you felt: no reason for living? (e2g)
100 OFTEN_HOPELESS  PROMIS® Depression: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B) have you felt: hopeless? (e2h)
101 DEP_TOTAL                        PROMIS® Depression Total score
102 DEP_TSCORE  PROMIS® Depression T-Score
103 E2_SECTION_TIME Minutes to complete PROMIS® Depression Section E2
104 NOTES_E2_PROMIS_DEP PROMIS® Depression Section Notes
105 OFTEN_WORRIED PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you felt worried? (e3a)
106 OFTEN_OVERWHELMED PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you overwhelmed by worries? (e3b)
107 OFTEN_NO_ATTENTION PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you had trouble paying attention? (e3c)
108 OFTEN_NERVOUS PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you felt nervous? (e3d)
109 OFTEN_DIF_CALMING PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you had difficulty calming down? (e3e)
110 OFTEN_ANXIETY PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you focused on anxiety? (e3f)
111 OFTEN_ANXIETY_HELP PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you felt a need for help w/anxiety? (e3g)
112 OFTEN_PANIC PROMIS® Anxiety: How often past 7 days (Marketgroup A)/ 3 days (Marketgroup B): have you had sudden feelings of panic? (e3h)
113 ANX_TOTAL PROMIS® Anxiety Total score
114 ANX_TSCORE PROMIS® Anxiety T-Score
115 E3_SECTION_TIME Minutes to complete PROMIS® Anxiety Section
116 NOTES_E3_PROMIS_ANXIETY   PROMIS® Anxiety Section Notes
117 FAMILY_IN_ON_CARE      How impt to have family or close person  involved in care? (f1)
118 INFO_ON_TX  How much do you prefer to know about your condition & tx? (f2)
119 F_SECTION_TIME  Minutes to complete Care Preferences Section
120 NOTES_F_CARE_PREF  Care Preferences Section Notes
121 BLADDER_INCONTX_3D  Any bladder incontinent events past 3 days? (g1a)
122 BLADDER_INCONTX_SIZE How big a problem are bladder incontinent events? (g1b)
123 G_SECTION_TIME Minutes to complete Continence Section
124 NOTES_G_INCONTX Continence Section Notes
125 BOWEL_INCONTX_3D   Any bowel incontinent events past 3 days? (g2a)
126 BOWEL_INCONTX_SIZE How big a problem are bowel incontinent events? (g2b)
127 G2_SECTION_TIME Minutes to complete Bowel Incontinent Events Section
128 MENTAL_STATUS Evidence of change in mental status from baseline? (b2a)
129 INATTENTION Did patient have difficulty focusing attention? (b2b)
130 DISORGANIZED Was patients thinking disorganized or incoherent? (b2c)
131 ALT_CONSCIOUS Did patient have altered consciousness? (b2d)
132 B2_SECTION_TIME Minutes to complete Cognition II section
133 NOTES_B2_COGNITIVE Cognition II Section Notes
134 PHYS_DIRECTED_OTHERS Physical behavioral symptoms directed towards others (h1a)
135 VERB_DIRECTED_OTHERS Verbal behavioral symptoms directed towards others (h1b)
136 BEH_DIRECTED_OTHERS  Other behavioral symptoms directed towards others (h1c)
137 PT_AT_RISK  Did behavioral symptoms put patient at risk? (h2a)
138 INTERFERE_CARE Did behavioral symptoms interfere w/care? (h2b)
139 INTERFERE_PT Did behavioral symptoms interfere w/patient participation? (h2c)
140 OTHERS_AT_RISK Did behavioral symptoms put others at risk? (h3a)
141 INTRUDE_PRIVACY Did behavioral symptoms intrude on privacy of others? (h3b)
142 DISTRUPT_CARE Did behavioral symptoms disrupt care for others? (hca)
143 REJECT_CARE  Did patient reject evaluation or care? (h4)
144 H_SECTION_TIME Minutes to complete Behavioral Signs & Symptoms Section
145 NOTES_H_BEHAVIOR Behavioral Signs & Symptoms Section Notes
146 ANTICOAGULANTS Is patient taking: anticoagulants? (i1a1)
147 ANTIPLATELETS Is patient taking: antiplatelets? (i1a2)
148 HYPOGLYCEMICS Is patient taking: hypoglycemics? (i1a3)
149 OPIOIDS Is patient taking: opioids? (i1a4)
150 ANTIPSYCHOTICS  Is patient taking: antipsychotics? (i1a5)
151 ANTIMICROBIALS  Is patient taking: antimicrobials? (i1a6)
152 INDICTN_ANTICOAGULANTS Indication noted for all meds in class: anticoagulants? (i1b1)
153 INDICTN_ANTIPLATELETS  Indication noted for all meds in class: antiplatelets? (i1b2)
154 INDICTN_HYPOGLYCEMICS  Indication noted for all meds in class: hypoglycemics? (i1b3)
155 INDICTN_OPIOIDS   Indication noted for all meds in class: opioids? (i1b4)
156 INDICTN_ANTIPSYCHOTICS Indication noted for all meds in class: antypsychotics? (i1b5)
157 INDICTN_ANTIMICROBIALS Indication noted for all meds in class: antimicrobials? (i1b6)
158 DISCREPNCY_NTICOAGULANTS  Discrepancies identified: anticoagulants? (i1c1)
159 DISCREPNCY_ANTIPLATELETS Discrepancies identified: antiplatelets? (i1c2)
160 DISCREPNCY_HYPOGLYCEMICS Discrepancies identified: hypoglycemics? (i1c3)
161 DISCREPNCY_OPIOIDS Discrepancies identified: opioids? (i1c4)
162 DISCREPNCY_ANTYPSYCHOTICS Discrepancies identified: antIpsychotics? (i1c5)
163 DISCREPNCY_ANTIMICROBIALS Discrepancies identified: antimicrobials? (i1c6)
164 ADDRESSED_ANTICOAGULANTS Discrepancies addressed by involving patient or patients caregiver: anticoagula
165 ADDRESSED_ANTIPLATELETS  Discrepancies addressed by involving  patient or patients caregiver: antiplatel
166 ADDRESSED_HYPOGLYCEMICS Discrepancies addressed by involving  patient or patients caregiver:  hypoglyce
167 ADDRESSED_OPIOIDS Discrepancies addressed by involving  patient or patients caregiver: opioids? (i1d4)
168 ADDRESSED_ANTIPSYCHOTICS Discrepancies addressed by involving  patient or patients caregiver:  antypsych
169 ADDRESSED_ANTIMICROBIALS Discrepancies addressed by involving patient: antimicrobials? (i1d6)
170 DOC_IN_ANTICOAGULANTS  Discrepancies communicated to doctor w/in 24 hrs: anticoagulants? (i1e1)
171 DOC_IN_ANTIPLATELETS   Discrepancies communicated to doctor w/in 24 hrs: antiplatelets? (i1e2)
172 DOC_IN_HYPOGLYCEMICS Discrepancies communicated to doctor w/in 24 hrs: hypoglycemics? (i1e3)
173 DOC_IN_OPIOIDS   Discrepancies communicated to doctor w/in 24 hrs: opioids? (i1e4)
174 DOC_IN_ANTIPSYCHOTICS  Discrepancies communicated to doctor w/in 24 hrs: antipsychotics? (i1e5)
175 DOC_IN_ANTIMICROBIALS Discrepancies communicated to doctor w/in 24 hrs: antimicrobials? (i1e6)
176 ACTIONS_ANTICOAGULANTS  Recommended discrepancy actions carried out w/in 24 hrs: anticoagulants (i1f1)?
177 ACTIONS_ANTIPLATELETS Recommended discrepancy actions carried out w/in 24 hrs: antiplatelets? (i1f2)
178 ACTIONS_HYPOGLYCEMICS  Recommended discrepancy actions carried out w/in 24 hrs: hypoglycemics? (i1f3)
179 ACTIONS_OPIOIDS Recommended discrepancy actions carried out w/in 24 hrs: opioids? (i1f4)
180 ACTIONS_ANTIPSYCHOTICS Recommended discrepancy actions carried out w/in 24 hrs: antypsychotics? (i1f5)
181 ACTIONS_ANTIMICROBIAL Recommended discrepancy actions carried out w/in 24 hrs: antimicrobials? (i1f6)
182 RECONCILED_PATIENT Reconciled Rx list communicated to: patient/caregiver? (i1g_1)
183 RECONCILED_PRESCRIBERS Reconciled Rx list communicated to: prescribers?  (i1g_2)
184 RECONCILED_PHARMACY Reconciled Rx list communicated to: pharmacy? (i1g_3)
185 RECONCILED_NONE Reconciled Rx list communicated to: none? (i1g_4)
186 I_SECTION_TIME Minutes to complete Medical Reconciliation Section
187 NOTES_I_MEDICAL Medical Reconciliation Section Notes
188 HEALTH_AGENT Does patient have Health Care Agent? (f3)
189 HEALTH_AGENT_SPECIFY If yes: Specify type of legal documentation
190 F3_SECTION_TIME Minutes to complete Advanced Care Directives
191 NOTES_F3_DIRECTIVE  Advanced Care Directives Section Notes
192 D1_INDWELL_URETHRAL Day 1st noted use of bladder appliance: indwelling urethral catheter (g3a1)
193 D1_INDWELL_OTHER_CATH  Day 1st noted use of bladder appliance: other indwelling catheter (g3a2)
194 D1_EXTERNAL_CATH Day 1st noted use of bladder appliance: external catheter (g3a3)
195 D1_UROSTOMY  Day 1st noted use of bladder appliance: urostomy (g3a4)
196 D1_INTERMNT_CATH   Day 1st noted use of bladder appliance: intermittent catheterization (g3a5)
197 D1_OTHER_CATH Day 1st noted use of bladder appliance: other (g3a6)
198 D1_USE_CATH_NOTES  Day 1st noticed use of bladder appliance, notes. (g3a)
199 D1_CATHETER_PLACED Day 1st noted catheter placed while patient was in current setting (g3b)
200 CATH_PLACED_NOTES  Was catheter placed while patient was in current setting, notes (g3b)
201 CATH_REASON_D1 Primary reason catheter was put in place, day 1 (g3c)
202 CATH_REASON_D1_OTHER Primary reason catheter was put in place, day 1, other explain (g3c)
203 CATH_REASON_D3 Primary reason catheter was put in place, day 3 (g3c)
204 CATH_REASON_D3_OTHER Primary reason catheter was put in place, day 3, other explain (g3c)
205 CATH_REASON_D5 Primary reason catheter was put in place, day 5 (g3c)
206 CATH_REASON_D5_OTHER Primary reason catheter was put in place, day 5 other explain (g3c)
207 CATH_REASON_D7 Primary reason catheter was put in place, day 7 (g3c)
208 CATH_REASON_D7_OTHER Primary reason catheter was put in place, day 7, other explain (g3c)
209 CATH_REASON_NOTES  Primary reason catheter was put in place, notes (g3c)
210 D1_WHETHER_NEED Day 1st noted whether patient need assistance to manage bladder appliance (g3d)
211 BLADDER_APPLNCE_NOTES Does patient need assistance to manage bladder appliance, notes (g3d)
212 BLADDER_EVENTS_D1 Frequency of bladder incontinent events, day 1 (g4)
213 BLADDER_EVENTS_D3  Frequency of bladder incontinent events, day 3 (g4)
214 BLADDER_EVENTS_D5 Frequency of bladder incontinent events, day 5 (g4)
215 BLADDER_EVENTS_D7 Frequency of bladder incontinent events, day 7 (g4)
216 BLADDER_INC_EVENTS_NOTES  Frequency of bladder incontinent events, notes
217 INDWELLING_NOTES Patient use indwelling or external bowel appliance, notes (g5a)
218 D1_USE_INDWELLING     Day 1st noted use of indwelling or external bowel appliance (g5a)
219 D1_BOWEL_APPLNCE  Day 1st noted if bowel appliance placed while patient was in current setting (g
220 BOWEL_APPLNCE_PLACED_NOTES  Was bowel appliance placed while patient was in current setting, notes (g5b)
221 D1_HELP_BOWEL_APPLNCE Day 1st noted if patient need assistance to manage bowel appliance (g5c)
222 BOWEL_APPLNCE_ASSIST_NOTES Does patient need assistance to manage bowel appliance, notes (g5c)
223 BOWEL_EVENTS_D1 Frequency of bowel incontinent events, day 1 (g6)
224 BOWEL_EVENTS_D3  Frequency of bowel incontinent events, day 3 (g6)
225 BOWEL_EVENTS_D5 Frequency of bowel incontinent events, day 5 (g6)
226 BOWEL_EVENTS_D7  Frequency of bowel incontinent events, day 7 (g6)
227 BOWEL_EVENTS_NOTES Frequency of bowel incontinent events, notes (g6)
228 D1_PARENTERAL_IV  Day 1st noted nutritional approach performed: parenteral/IV (j1a)
229 D1_FEEDING_TUBE Day 1st noted nutritional approach performed: feeding tube (j1b)
230 D1_MECH_ALTERED_DIET Day 1st noted nutritional approach performed: mechanically altered diet (j1c)
231 D1_THERAPEUTIC_DIET Day 1st noted nutritional approach performed: therapeutic diet (j1d)
232 NOTES_J1_NUTR Nutritional Approaches Section  Notes
233 D1_CHEMOTHERAPY Day 1st noted treatment performed: Chemotherapy (j2a)
234 D1_CHEMO_IV Day 1st noted chemo treatment performed: IV (j2a2a)
235 D1_CHEMO_ORAL Day 1st noted chemo treatment performed: oral (j2a3a)
237 D1_RADIATION  Day 1st noted treatment performed: Radiation (j2b)
238 NOTES_J2_CANCER Cancer Treatment Section Notes
239 D1_TX_O2 Day 1st noted treatment performed: Oxygen Therapy (j2c)
240 D1_O2_INTERMITTENT Day 1st noted type of O2 therapy performed: intermittent (j2c2a)
241 D1_O2_CONTINUOUS Day 1st noted type of O2 therapy performed: continuous (j2c3a)
242 D1_O2_HIGH_CONCENTRATE Day 1st noted type of O2 therapy performed: high-concentration (j2c4a)
243 D1_TX_SUCTIONING Day 1st noted treatment performed: Suctioning (j2d)
244 D1_SUCTION_SCHEDULED Day 1st noted type of suctioning performed: scheduled (j2d2a)
245 D1_SUCTION_AS_NEEDED Day 1st noted type of suctioning performed: as needed (j2d3a)
246 NOTES_J2_RESP Respiratory Treatment Section Notes 1
247 D1_TRACH_CARE Day 1st noted treatment performed: Tracheostomy Care (j2e)
248 D1_IMV Day 1st noted treatment performed: Invasive Mechanical Ventilator (j2f)
249 D1_NIMV  Day 1st noted treatment performed: Non-invasive Mechanical Ventilator (j2g)
250 D1_BIPAP Day 1st noted type of NIMV performed: BiPAP (j2g2a)
251 D1_CPAP  Day 1st noted type of NIMV performed: CPAP (j2g3a)
252 NOTES_J2_RESP2 Respiratory Treatment Section Notes 2
253 D1_IV Day 1st noted other tx performed: IV Meds (j2h)
254 D1_IV_ANTIBIOTICS Day 1st noted type of IV meds given: antibiotics (j2h3a)
255 D1_IV_ANTICOAG Day 1st noted type of IV meds given: anticoagulation (j2h4a)
256 D1_IV_OTHER Day 1st noted type of IV meds given: other (j2h10a)
257 D1_TRANSFUSIONS  Day 1st noted other tx performed: Transfusions (j2i)
258 D1_DIALYSIS  Day 1st noted other tx performed: Dialysis (j2j)
259 D1_HEMODIALYSIS Day 1st noted type of dialysis performed: hemodialysis (j2j2a)
260 D1_PERITONEALDIALYSIS  Day 1st noted type of dialysis performed: peritoneal (j2j3a)
261 NOTES_J2_OTHERTX  Other Treatment Section Notes 1
262 D1_OTHER_TX Day 1st noted other tx performed: IV Access (j2k)
263 D1_IV_PERIPHERAL Day 1st noted type of IV access: peripheral IV (j2k2a)
264 D1_IV_MDILINE  Day 1st noted type of IV access: midline (j2k3a)
265 D1_IV_CENTRALINE  Day 1st noted type of IV access: central line (j2k4a)
266 D1_IV_ACCESS_OTHER Day 1st noted type of IV access: other (j2k10a)
267 NOTES_J2_OTHERTX2  Other Treatment Section Notes 2
268 J_SECTION_TIME  Minutes to complete Special Services, Treatments & Interventions Section
269 SHORT_TERM_NC Short term memory ok (b3a)
270 LONG_TERM_NC  Longterm memory ok (b3b)
271 RECALL_SEASON_NC Is the patient normally able to recall: current season (b3c1)
272 RECALL_ROOM_NC  Is the patient normally able to recall: location of own room (b3c2)
273 RECALL_STAFF_NC  Is the patient normally able to recall: staff names & faces (b3c3)
274 RECALL_LOCATION_NC Is the patient normally able to recall: that they are in a care facility (b3c4)
275 MAKE_DECISIONS_NC  Ability to make decisions regarding everyday tasks (b3d)
276 TIME_B3_MENTAL_STAT_NC Minutes to complete Staff Assessment of Mental Status Section (non-communicative)
277 NOTES_B3_MENTAL_STAT_NC          Staff Assessment of Mental Status Section Notes (non-communicative)
278 DISTRESS_NONVERBAL_NC  Observed pain or distress: non-verbal sounds (d7)
279 DISTRESS_COMPLAINTS_NC           Observed pain or distress: vocal complaints (d7)
280 DISTRESS_EXPRESSIONS_NC Observed pain or distress: facial expressions (d7)
281 DISTRESS_MOVEMENTS_NC Observed pain or distress: body movements or postures (d7)
282 DISTRESS_OBSERVED_NC Observed pain or distress: none observed or documented (d7)
283 PAIN_COMPLAINTS_NC     Frequency of patient complaints or evidence of pain past 3 days (d8)
284 PAIN_DIMINISH_NC  Did indicators of pain resolve/diminish with rx or tx (d9)
285 DNC_SECTION_TIME Time to complete Pain II Section section (non-communicative)
286 NOTES_D_PAIN_NC  DNC-Pain and Distress Section Notes (non-communicative)
287 LITTLE_INTEREST_NC  Sx present: little interest or pleasure (e4a1, non-communicative)
288 FREQ_LITTLE_INTEREST_NC Sx freq: little interest or pleasure (e4a2, non-communicative)
289 DEPRESSED_NC   Sx present: feeling down,depressed,hopeless (e4b1, non-communicative)
290 FREQ_DEPRESSED_NC Sx freq: feeling down,depressed,hopeless (e4b2, non-communicative)
291 SLEEP_TROUBLE_NC Sx present: too little/too much sleep (e4c1, non-communicative)
292 FREQ_SLEEP_TROUBLE_NC  Sx freq: too little/too much sleep (e4c2, non-communicative)
293 TIRED_NC Sx present: tired / no energy (e4d1, non-communicative)
294 FREQ_TIRED_NC Sx freq: tired / no energy (e4d2, non-communicative)
295 POOR_APPETITE_NC  Sx present: poor appetite or overeating (e4e1, non-communicative)
296 FREQ_POOR_APPETITE_NC Sx freq: poor appetite or overeating (e4e2, non-communicative)
297 FEEL_BAD_NC  Sx present: feel bad about self (e4f1, non-communicative)
298 FREQ_FEEL_BAD_NC Sx freq: feel bad about self (e4f2, non-communicative)
299 CONCENTRATE_TROUBLE_NC Sx present: trouble concentrating (e4g1, non-communicative)
300 FREQ_CONCENTRATE_TROUBLE_NC  Sx freq: trouble concentrating (e4g2, non-communicative)
301 MOVING_SLOWLY_NC                 Sx present: moving or speaking slowly (e4h1, non-communicative)
302 FREQ_MOVING_SLOWLY_NC  Sx freq: moving or speaking slowly (e4h2, non-communicative)
303 SUICIDAL_THOUGHTS_NC Sx present: suicidal thoughts (e4i1, non-communicative)
304 FREQ_SUICIDAL_THOUGHTS_NC        Sx freq: suicidal thoughts (e4i2, non-communicativ)
305 SX_SHORT_TEMPER_NC               Sx present: short-tempered (e4j1, non-communicative)
306 SX_FREQ_SHORT_TEMPERED_NC        Sx freq: short-tempered (e4j2, non-communicative)
307 SUM_PHQ9_NC  Sum of symptom frequencies (PHQ9, non-communicative)
308 SUM_PHQ9_NCCAT PHQ-9 depression classification for PHQ-9 OV (non-communicative)
309 E4_SECTION_TIME   Minutes to complete Mood II Section  (non-communicative)
310 NOTES_E4_MOOD_NC  Mood II Section Notes (non-communicative)