msqc v2 data import - michigan surgical quality...

File ConstructionThe MSQC 2.0 submission consists of the following data tables, which can also be sent as their equivalent in .csv format for comma separated file transmissions (all within a single zip file), or as an Access 97 or newer database with tables named as below.

Name DescriptionError: Reference source not found Colectomy Information

Concurrent procedures for a specific caseDischarge InformationPresentation to ED/Urgent Care (w/in 30 days postop)Readmission within 30 daysReturn to Operating Room after discharge30 day follow-up information

Hospital_Surgeons (Discontinued) Hospital’s surgeons (Discontinued)Hysterectomy InformationHysterectomy postop Complications Information

Other Procedures Other procedures for a specific casePatient demographicsAntibiotics givenPerioperative care factors

Error: Reference source not found Postoperative care factorsICU Admission After Surgery

Error: Reference source not found Postoperative occurrences for a specific operationPostopLab Postoperative Lab valuesPreop Preoperative Risk Factors

Preoperative Lab ValuesStudies Main Studies Table

Surgical factors

Colectomy Colectomy Information

Column Name Type DescriptionCasenum int The case number as submitted on the oplog_request.

Bowel_Prep int Indicate any Mechanical Bowel Prep ordered preoperatively.

ID Description0 No1 Yes2 Exception

Bowel_Prep_Mag_Citrate bit Mechanical Bowel Prep Mag Citrate.

ID Description0 No1 Yes

Bowel_Prep_Fleet_Phospho bit Mechanical Bowel Prep Fleet Phospho-soda.


Bowel_Prep_Fleet_Enema bit Mechanical Bowel Prep Fleet enema(s).


Bowel_Prep_PEG bit Mechanical Bowel Prep PEG (GoLYTELY, Nu-Lytely, etc.)


Column Name Type DescriptionBowel_Prep_Oral_Antibiotics bit Mechanical Bowel Prep Oral antibiotics.


Bowel_Prep_Other_Unknown bit Mechanical Bowel Prep Other Unknown.


Bowel_Prep_Other_Specified bit Mechanical Bowel Prep Other Specified.


Bowel_Prep_None_Ordered bit Mechanical Bowel Prep None Ordered.


Bowel_Prep_Information_Unavailable bit Mechanical Bowel Prep Information Unavailable.


Bowel_Prep_Oral_Abx_Ordered int Mechanical Bowel Prep Oral Antibiotics(s) Ordered as part of Bowel Prep


Entereg_Preop int Entereg was administered preoperatively.


Column Name Type DescriptionEntereg_Preop_Dosage int Entereg Dosage preoperatively.

Range: 1 to 36 mgEntereg_Preop_Date datetime Entereg date given preoperatively.

Format: mm/dd/yyyy hh:mm:ssAnastomotic_Leak int Anastomotic leak was present within 30 days of the

primary operative procedure.

ID Description0 Not Selected1 None2 Antibiotics Only3 Percutaneous Drainage4 Reoperation - New Anastomosis5 Reoperation - Proximal Diversion6 Reoperation - End Stoma7 Not Applicable

Entereg_Postop int Entereg was administered postoperatively.


Entereg_Postop_Dosage int Entereg Dosage postoperatively.Range: 1 to 36 mg

Entereg_Postop_Start_Date datetime Entereg start date given postoperatively.Format: mm/dd/yyyy

Entereg_Postop_End_Date datetime Entereg end date given postoperatively.Format: mm/dd/yyyy

Adenocarcinoma int Primary, invasive adenocarcinoma is the diagnosis.


Tumor_Stage_T int The spread of cancer to nearby tissue.ID Description0 Not Selected1 TX - Primary tumor cannot be

assessed

Column Name Type Description2 T0 - No evidence of primary tumor3 Tis - Carcinoma in situ:

intraepithelial or invasion of lamina propria

4 T1 - Tumor invades submucosa5 T2 - Tumor invades muscularis

propria6 T3 - Tumor invades through the

muscularis propria into the pericolorectal tissues

7 T4a - Tumor penetrates to the surface of the visceral peritoneum

8 T4b - Tumor directly invades or is adherent to other organs or structures

Tumor_Stage_N int The spread of cancer to nearby lymph nodes.

ID Description0 Not Selected1 NX - Regional lymph nodes cannot

be assessed2 N0 - No regional lymph node

metastasis3 N1 - Metastasis in 1-3 regional

lymph nodes4 N1a - Metastasis in one regional

lymph node5 N1b - Metastasis in 2-3 regional

lymph nodes6 N1c - Tumor deposit(s) in the

subserosa, mesentery, or nonperitonealized pericolic or perirectal tissues without regional nodal metastasis

7 N2 - Metastasis in four or more regional lymph nodes

8 N2a - Metastasis in 4-6 regional lymph nodes

9 N2b - Metastasis in seven or more

Column Name Type Descriptionregional lymph nodes

Tumor_Stage_M int Metastasis.

ID Description0 Not Selected1 MX - Cannot be assessed2 M0 - No distant metastasis3 M1 - Distant metastasis4 M1a - Metastasis confined to one

organ or site (eg, liver, lung, ovary, nonregional node)

5 M1b - Metastases in more than one organ/site or the peritoneum

Total_Lymph_Nodes_Examined int The number of lymph nodes examined.Range: 0 to 99 or blank if unknown

Positive_Surgical_Margin int The positive proximal, distal or radial margin.


TME_Grade int The TME (Total Mesorectal Excision) grade.

ID Description0 Not Selected1 Grade 3 - Good2 Grade 2 - Moderate3 Grade 1 - Poor4 Graded, but described only as

“Intact” or “Complete”5 "Graded, but described only as

“Not Intact” or “Incomplete”6 Not graded

Mesorectal_Excision int Mesorectal Excision.


Column Name Type DescriptionBowel_Anastomosis int The bowel was divided and an anastomosis (including

type) was performed.

ID Description0 Not Selected1 Stapled with an EEA (or circular)

stapler (end-to-end)2 Stapled with an EEA (or circular)

stapler (side-to-end)3 Stapled with an EEA (or circular)

stapler (with pouch or coloplasty created)

4 Stapled with a GIA stapler (side-to-side)

5 Hand-sutured through the abdomen

6 Hand-sutured through the anus7 No anastomosis was performed

(e.g. for abdominoperineal resection (APR) or Hartmann's procedure, no anastomosis is done)

Ostomy int An ostomy was performed.

ID Description0 Not Selected1 Documentation of ileostomy being

performed2 Documentation of a colostomy

being performed3 No documentation of either an

ileostomy or coloctomy being performed

4 N/A: Not applicable - Principal Operative Procedure did not involve creation of an ostomy

Preop_CEA_Level float Carcinoembryonic Antigen (CEA)Blank if Unknown

Preop_CEA_Date datetime Carcinoembryonic Antigen (CEA)date.

Column Name Type DescriptionFormat: mm/dd/yyyy

Preop_CEA_Date_Unknown bit Carcinoembryonic Antigen (CEA)Date unknown.

Preop_Cancer_Symptoms int Preoperative Cancer symptoms.


Preop_Metastatic_Cancer_Liver bit Documentation of metastatic cancer in the liver preoperatively.


Preop_Metastatic_Cancer_Lungs bit Documentation of metastatic cancer in the lung(s) preoperatively.


Preop_Metastatic_Cancer_Pelvis bit Documentation of metastatic cancer in the pelvis or retroperitoneum preoperatively.


Preop_Metastatic_Cancer_Other bit Documentation of metastatic cancer in a location other than liver, lung(s), and pelvis or retroperitoneum preoperatively.


Column Name Type DescriptionPreop_Metastatic_Cancer_Undocumented bit No documentation of metastatic cancer identified

preoperatively.

ID Description

0 No1 Yes

Preop_Staging_Test int Documentation of a preoperative trans-rectal or endorectal ultrasound or MRI of the abdomen or pelvis (for characterizing the tumor).

ID Description0 Not Selected1 Documentation of a trans-rectal

ultrasound (TRUS) or endorectal ultrasound (ERUS or EUS) preoperatively

2 Documentation of an MRI of the abdomen or pelvis (for characterizing the tumor) preoperatively

3 Documentation of both a trans-rectal or endorectal ultrasound (TRUS or ERUS/EUS) and an MRI of the abdomen or pelvis (for characterizing the tumor) preoperatively

4 Documentation of a staging test for the primary tumor is present but only test results, not the type of test, are noted

Column Name Type Description5 No documentation of either a

TRUS/ERUS or MRI of the abdomen or pelvis (for characterizing the tumor) having been performed preoperatively

Preop_Staging_Test_Stage_T int Preoperative T-Stage test.

ID Description0 Not Selected1 TX2 T03 Tis4 T15 T26 T37 T4a8 T4b9 Unknown

Preop_Staging_Test_Stage_N int Preoperative N-Stage test.

ID Description0 Not Selected1 Positive (or N1)2 Negative (or N0)3 Unknown

Preop_Intraop_Radiation_Therapy int The patient received radiation therapy prior to the principal operative procedure.


Preop_WOCN_Referral int The patient was seen by a Wound, Ostomy and Continence Nurse (WOCN), or other like provider, prior to the principal operative procedure.

ID Description0 No

Column Name Type Description1 Yes2 Not Applicable

Preop_Ostomy_Marked int The patient’s ostomy site was marked prior to the principal operative procedure.

ID Description0 No1 Yes2 Not Applicable

Rectal Cancer Location (Preop) int The location of a rectal tumor may be referenced.

ID Description0 Not Selected1 Upper 1/3rd of the rectum2 Middle 1/3rd of the rectum3 Lower 1/3rd of the rectum

Permanent_Colostomy_Reason int Documentation of why a sphincter preserving operation was not performed.

ID Description0 No1 Yes2 Not Applicable

Concurrent_Procedures Concurrent procedures for a specific case

Column Name Type DescriptionCasenum int The case number as submitted on the oplog_request.Linenum int A sequential counter for the number of concurrent

procedures for this case. (1 – 10)Procs varchar(512) The CPT description for this specific concurrent procedure.CPT varchar(6) The valid CPT code for this specific concurrent procedure.

Discharge Discharge Information

Column Name Type DescriptionCaseNum int The case number as submitted on the oplog_request.

Discharge_Destination int Indicate whether the patient was discharged to home or to another type of facility.

ID Description0 Not Selected1 Discharged to home care/self care

(CMS #01)2 Disch/transf to short term hospital

for inpatient care (CMS #02)3 Disch/transf to skilled nursing

facility (SNF) (CMS #03)4 Disch/transf to long term care

hospital (CMS #63)5 Hospice - home (CMS #50)6 Hospice - medical facility (certified)

providing hospice care (CMS #51)7 Disch/transf to home care of

organized home health service in anticipation of covered skilled care (CMS #06)

8 Disch/transf to inpatient rehab, incl. rehab distinct part unit of a hospital (CMS #62)

9 Left against medical advice (AMA) or discontinued care (CMS #07)

10 Expired (CMS # 20)11 N/A - Pt still in hospital >30 days12 Discharged/transferred to a

psychiatric hospital or psychiatric distinct part unit of a hospital (CMS #65)

13 Discharged/transferred to another type of health care institution not defined elsewhere in this code list

Column Name Type Description(CMS # 70)

Still_In_Hospital int If patient has a continuous stay in the acute care setting > 30 days after the surgery, select ‘YES’. However, if the patient was discharged from the acute care setting, but remained in the hospital (rehab or hospice unit), select ‘NO’, since the stay in the acute care setting was no longer continuous.


Death int Any death occurring either intraoperatively or within the 30 days following the principal operative procedure, regardless of cause, in or out of the hospital. Note whether the death was during the intraoperative or postoperative time period (within 30 days).

ID Description0 Not Selected1 Yes - died intraop2 Yes - died within 30 days postop3 No

Death_Date datetime Date of Patient's death.Format: mm/dd/yyyy

Death_Date_Unknown bit Date of Death Unknown.


Presentation_ED_Within30 int Did the patient present to an ED or urgent care clinic within 30 days of the principal operative procedure?

ID Description

Column Name Type Description0 No1 Yes2 Unknown

Readmission_Within30 int Was the patient readmitted as an inpatient to an acute care hospital within 30 days of the principal operative procedure?

ID Description0 No1 Yes2 Unknown

Reoperaton_Within30 int Did the patient return to the OR within 30 days of the principal operative procedure?


Discharge_PresentationToEDPresentation to ED/Urgent Care (w/in 30 days postop)

Column Name Type DescriptionCaseNum int The case number as submitted on the oplog_request.LineNumber Integer A sequential counter for the number of presentations to ED for this case. ( 1 – 10)

PatientInED_Date datetime The patient in ED date.Required if PatientInED_Date_Unknown is null or 0.Format: mm/dd/yyyy

PatientInED_Date_Unknown bit A flag indicating that the patient in ED date is unknown.Required if PatientInED_Date is null.


PatientInED_Visit_Type int The type of visit that occurred:

ID Description0 Not Selected1 ED2 Urgent Care

PatientInED_ICD9 varchar(10) The valid ICD-9 code.PatientInED_ICD9_Description varchar(64) The ICD-9 description.

Discharge_ReadmissionReadmission within 30 days

Column Name Type DescriptionCaseNum int The case number as submitted on the oplog_request.LineNumber int A sequential counter for the number of readmissions for this case. (1 – 10)

Readmission_Date datetime The readmission date. Required if Readmission_Date_Unknown is null or 0.

Format: mm/dd/yyyyReadmission_Date_Unknown bit A flag indicating that the readmission date is unknown.

Required if Readmission_Date is null.


Readmission_ICD9 varchar(10) The valid ICD-9 code.Readmission_ICD9_Description varchar(64) The ICD-9 description.Readmission_Planned_At_Principal_Procedure

bit A flag indicating that the reoperation was planned at the time of the principal procedure.


Discharge_ReoperationReturn to Operating Room after discharge

Column Name Type DescriptionCaseNum int The case number as submitted on the oplog_request.LineNumber int A sequential counter for the number of reoperations for this case. (1 – 10)

Reoperation_Date datetime The reoperation date.Format: mm/dd/yyyy

Reoperation_Date_Unknown bit A flag indicating that the reoperation date is unknown.


Reoperation_CPT varchar(10) The valid CPT code for this specific reoperation procedure.Reoperation_CPT_Description varchar(128) The CPT description for this specific reoperation procedure.Reoperation_ICD9 varchar(10) The valid ICD-9 code Reoperation_ICD9_Description varchar(64) The ICD-9 description.Reoperation_Planned_At_Principal_Procedure

bit A flag indicating that the reoperation was planned at the time of the principal procedure.


Follow30 30 day follow-up information


Followed_For_30_Days int A flag indicating that the case was able to be followed for 30 days.


Days_Followed int If Followed_For_30_Days is NO, then enter the number of days followed.Range: 0 - 29

Phone bit Follow-up obtained by phone.


Phone_Attempts int Number of attempt to obtain follow-up by phone.Range: 1 - 10

Letter bit Follow-up obtained by letter.


Letter_Attempts int Number of attempt to obtain follow-up by letter.Range: 1 - 10

Documentation bit Follow-up obtained by documentation.


Other bit Follow-up obtained by other method.


Comments varchar(1024) Follow-up comments

Hospital_Surgeons THIS TABLE IS DISCONTINUED. YOU DO NOT NEED TO SEND THIS TABLE.Hospital’s surgeons

Column Name Type DescriptionSite int Hospital’s site number.Surgeon_ID varchar(10) Unique surgeon NPI.

Surgeon_First_Name varchar(40) Surgeon’s first name.

Surgeon_Middle_Initial varchar(1) Surgeon’s middle initial.Surgeon_Last_Name varchar(40) Surgeon’s last name.Surgeon_Specialty_ID int Surgical Specialty

ID Description0 Not Selected1 General Surgery2 General Surgery - Acute Care3 General Surgery - Colorectal4 General Surgery - Endocrine5 General Surgery - Hepatobiliary/Pancreatic6 General Surgery - Minimally Invasive7 General Surgery - Oncology8 General Surgery - Transplant9 General Surgery - Trauma10 Gynecology/OB-GYN11 Gynecology - Minimally Invasive12 Gynecology - Oncology13 Gynecology - Urogynecology14 Vascular15 Cardiac/Cardiothoracic16 Neurosurgery17 Orthopedics18 Otolaryngology/ENT19 Plastics20 Thoracic21 Urology

Hysterectomy Hysterectomy Information


Specialty_Obstetrician_Gynecologist bit Surgical Subspecialty option


Specialty_Gynecologic_Oncologist bit Surgical Subspecialty option


Specialty_Urogynecologist bit Surgical Subspecialty option


Specialty_Reproductive_Endo_Infertility bit Surgical Subspecialty option


Specialty_Maternal_Fetal_Medicine bit Surgical Subspecialty option


Specialty_General_Surgeon bit Surgical Subspecialty option


Column Name Type DescriptionSpecialty_Other bit Surgical Subspecialty option


Prior_Abdominal_Surgery int History of any gastrointestinal operations.


Prior_Pelvic_Surgery int History of any surgery or procedure involving gynecologic organs.


Parity int Number of children a woman has given birth to. Mutually exclusive with Parity_Not_Available.

Range: 0 to 30.Parity_Not_Available bit Parity information not available.

Mutually exclusive with Parity.


Indication_Uterine_Bleeding bit Indication for Procedure - Abnormal uterine bleeding (includes menorrhagia).


Indication_Cervical_Dysplasia bit Indication for Procedure - Cervical dysplasia.


Column Name Type DescriptionIndication_Cancer_Endrometrium bit Indication for Procedure - Cancer – endometrium.


Indication_Cancer_Uterine bit Indication for Procedure - Cancer – uterine (sarcoma).


Indication_Cancer_Cervix bit Indication for Procedure - Cancer – cervix.


Indication_Cancer_Ovary bit Indication for Procedure - Cancer – ovary.


Indication_Hyperplasia_with_Atypia bit Indication for Procedure - Endometrial hyperplasia (simple or complex with atypia).


Indication_Hyperplasia_No_Atypia bit Indication for Procedure - Endometrial hyperplasia (simple or complex without atypia).


Indication_Endometriosis bit Indication for Procedure - Endometriosis (including Adenomyosis).

Column Name Type DescriptionID Description0 No1 Yes

Indication_Family_History bit Indication for Procedure - Family history of breast, ovary, or cancer syndrome involving reproductive organs.


Indication_Gender_Transition bit Indication for Procedure - Gender transition.


Indication_Pelvic_Inflammatory_Disease bit Indication for Procedure - Pelvic Inflammatory disease.


Indication_Pelvic_Mass bit Indication for Procedure - Pelvic Mass (Adnexal Mass).


Indication_Chronic_Pelvic_Pain bit Indication for Procedure - Chronic Pelvic Pain.


Column Name Type DescriptionIndication_Obstetric_Hemorrhage bit Indication for Procedure - Obstetric hemorrhage.


Indication_Pelvic_Organ_Prolapse bit Indication for Procedure - Pelvic organ prolapse (includes cystocele, enterocele, rectocele, procidentia).


Indication_Placenta_Previa bit Indication for Procedure - Placenta previa, accreta, increta or percreta.


Indication_Uterine_Fibroids bit Indication for Procedure - Uterine fibroids (leiomyomata).


Indication_PersonalHx_Cancer bit Indication for Procedure - Personal history/Prophylactic for other cancer/malignancy.


Alternative_Treatment int Method(s) considered or used to attempt to manage the symptoms/condition before the decision for hysterectomy.

ID Description0 No

Column Name Type Description1 Yes

Alternative_Hormonal_Therapy int Alternative_Treatment - Hormonal therapy.

ID Description0 Not Selected1 Declined2 Contraindicated3 Failed

Alternative_Pain_Management int Alternative_Treatment - Pain management.


Alternative_Progesterone_IUD int Alternative_Treatment - Progesterone IUD.


Alternative_Endometrial_Ablation int Alternative_Treatment - Endometrial ablation.


Alternative_Hysteroscopic_Surgery int Alternative_Treatment - Hysteroscopic/D&C surgery.


Alternative_Uterine_Embolization int Alternative_Treatment - Uterine Artery Embolization.

Column Name Type Description


Alternative_Vaginal_Pessary int Alternative_Treatment - Vaginal_Pessary.


Alternative_Non_Hormonal_TX int Alternative_Treatment - Non-Hormonal Medical Therapy.


Alternative_Treatment_Not_Described bit Alternative_Treatment - Discussed but not described.


Alternative_Treatment_Not_Documented bit Alternative_Treatment - Not documented.


Workup_PapSmear_Within_3Yrs int Work-up for Hysterectomy - Pap smear within 3 years.


Column Name Type DescriptionWorkup_EndoBiopsy_Within_1Yr int Work-up for Hysterectomy - Endometrial Biopsy or tissue

sampling within 1 yr.

ID Description0 No1 Yes2 Attempted, but unsuccessful

Pelvic_Inflammatory_Disease int Pelvic inflammatory disease (PID) is reported.


Pelvic_Inflammatory_Disease_Type int Pelvic inflammatory disease type.

ID Description0 Not Selected1 Inflammation only2 Tubo-ovarian abscess

Endometriosis int Endometriosis is listed as a postoperative diagnosis.


Endometriosis_Genital_Tract bit Endometriosis - Genital tract (uterus, tubes, and ovaries).


Endometriosis_Pelvis bit Endometriosis - Pelvis (cul-de-sac, pelvic peritoneum, utero-sacral ligaments).


Endometriosis_Bladder bit Endometriosis - Bladder/Ureter.

ID Description

Column Name Type Description0 No1 Yes

Endometriosis_Bowel bit Endometriosis - Bowel (large or small bowel, rectum).


Endometriosis_Peritoneal_Implants bit Endometriosis - Peritoneal implants outside the pelvis/omentum.


Endometriosis_Other bit Endometriosis - Other.


Endometriosis_Other_Description varchar(40) Endometriosis – Other description.

Endometriosis_Not_Recorded bit Endometriosis - Not recorded.


Cervix_Removal int Cervix was amputated from the vagina.


Column Name Type DescriptionCervix_Removal_Method int Description of how the cervix was amputated from the

vagina.

ID Description0 Not Selected1 Scalpel/scissors (no energy source)2 Cautery (e.g. mono or bi-polar,

Gyrus PK, Ligasure)3 Ultrasonic (e.g. Harmonic,

Autosonix, Sonosurg, Ultracision)4 Smart Electrode Technology (e.g.

SurgRxEnSeal System)5 Other6 Blended technology (e.g. cautery +

ultrasonic)

Vaginal_Cuff_Suture

Note: For cases prior to 10/1/2014

int Suture used to close the vaginal cuff.

ID Description0 Not Selected1 Polyglactin (Vicryl)2 Polydioxanone (PDS)3 V-loc4 Not closed, left open5 Other6 Not documented

Vaginal_Cuff_Standard_Desc

Note: For cases 10/1/2014 or later

varchar(100) Suture used to close the vaginal cuff - Other Standard Suture description.

Vaginal_Cuff_Barbed


bit Suture used to close the vaginal cuff - Other Barbed Suture.


Column Name Type DescriptionVaginal_Cuff_Barbed_Desc


varchar(100) Suture used to close the vaginal cuff - Other Barbed Suture description.

Cystoscopy int Any description of cystoscopy to confirm bladder integrity and efflux of urine from the ureteral orifices in the Operative Report.


Bleeding_Barrier int Description of coagulative product, hemostatic matrix or adhesion barrier.


Bleeding_Barrier_Seprafilm_Interceed bit Bleeding/adhesion barrier - Seprafilm/Interceed.


Bleeding_Barrier_Floseal_Surgiflo bit Bleeding/adhesion barrier - Floseal/Surgiflo.


Bleeding_Barrier_Surgicel bit Bleeding/adhesion barrier - Surgicel.


Bleeding_Barrier_Gelfoam bit Bleeding/adhesion barrier - Gelfoam.

ID Description0 No


Bleeding_Barrier_Other bit Bleeding/adhesion barrier - Other.


Intraop_Complications int Any injuries to the bowel, bladder, ureters, vascular structures, hemorrhage, unaccounted for foreign body, etc., that occurred during the principal procedure.


Intraop_Complication_Bowel_Injury bit Intraoperative complications - Bowel injury.


Intraop_Complication_Bowel_Thickness int Intraoperative complications - Bowel injury - Full thickness.


Intraop_Complication_Bladder_Injury bit Intraoperative complications - Bladder injury.


Intraop_Complication_Bladder_Thickness int Intraoperative complications - Bladder injury - Full thickness.


Intraop_Complication_Ureter_Injury bit Intraoperative complications - Ureter injury.


Intraop_Complication_Vascular_Injury bit Intraoperative complications - Vascular injury.


Intraop_Complication_Hemorrhage bit Intraoperative complications -.


Intraop_Complication_Foreign_Body bit Intraoperative complications - Unaccounted for foreign body


Intraop_Complication_Other bit Intraoperative complications - Other.


Abdominal_Disease int Presence of Gross Abdominal Disease.


Abdominal_Disease_Size int Presence of Gross Abdominal Disease - Size.

ID Description0 Not Selected1 less than 1cm2 1-2 cm3 greater than 2 cm

Column Name Type Description4 visible tumor, NOS

Abdominal_Disease_Loc_Lymph_Nodes bit Location of Gross Abdominal Disease - lymph nodes.


Abdominal_Disease_Loc_Bowel_Serosa bit Location of Gross Abdominal Disease - bowel serosa.


Abdominal_Disease_Loc_Bowel_Mesentery bit Location of Gross Abdominal Disease - bowel mesentery.


Abdominal_Disease_Loc_Liver bit Location of Gross Abdominal Disease - liver.


Abdominal_Disease_Loc_Spleen bit Location of Gross Abdominal Disease - spleen.


Abdominal_Disease_Loc_Diaphragm bit Location of Gross Abdominal Disease - diaphragm.


Abdominal_Disease_Loc_Pelvis bit Location of Gross Abdominal Disease - pelvis.


Column Name Type DescriptionAbdominal_Disease_Loc_Retroperitoneal bit Location of Gross Abdominal Disease - Retroperitoneal.


Abdominal_Disease_Loc_Not_Described bit Location of Gross Abdominal Disease - not described.


Abdominal_Disease_Loc_Abdomin_Wall bit Location of Gross Abdominal Disease - Abdominal Wall.


Residual_Disease int Presence of Gross Residual Disease.


Residual_Disease_Size int Presence of Gross Residual Disease - Size.

ID Description0 Not Selected1 less than 1cm2 1-2 cm3 greater than 2 cm4 visible tumor, NOS

Residual_Disease_Loc_Lymph_Nodes bit Location of Gross Residual Disease - lymph nodes.


Residual_Disease_Loc_Bowel_Serosa bit Location of Gross Residual Disease - bowel serosa.

ID Description0 No


Residual_Disease_Loc_Bowel_Mesentery bit Location of Gross Residual Disease - bowel mesentery.


Residual_Disease_Loc_Liver bit Location of Gross Residual Disease –liver.


Residual_Disease_Loc_Spleen bit Location of Gross Residual Disease - spleen.


Residual_Disease_Loc_Diaphragm bit Location of Gross Residual Disease - diaphragm.


Residual_Disease_Loc_Pelvis bit Location of Gross Residual Disease - pelvis.


Residual_Disease_Loc_Retroperitoneal bit Location of Gross Residual Disease - Retroperitoneal.


Residual_Disease_Loc_Not_Described bit Location of Gross Residual Disease - not described.


Column Name Type DescriptionResidual_Disease_Loc_Abdomin_Wall bit Location of Gross Residual Disease - Abdominal Wall.


Specimen_Weight float Specimen weight.

Range: 4 to 45 Gestation WeeksRange: 5.00 to 10000.00 Grams

Blank if unknown.

Specimen_Weight_Unit int Specimen weight unit.

ID Description1 Grams2 Gestation Weeks

Specimen_Type int Specimen type.

ID Description1 Uterine2 Uterine + adnexa (including tubes

and ovaries)3 Unavailable

Tumor_Cervix_Cancer_Uterine_Corpus bit Tumor Pathology – Cervix - Cancer from uterine corpus (e.g. extension from endometrium).


Tumor_Cervix_Dysplasia_CIN1 bit Tumor Pathology – Cervix - Cervical dysplasia (CIN1).


Column Name Type DescriptionTumor_Cervix_Dysplasia_CIN2_CIN3 bit Tumor Pathology – Cervix - Cervical dysplasia (CIN2 or 3).


Tumor_Cervix_Cervicitis bit Tumor Pathology – Cervix - Cervicitis.


Tumor_Cervix_Cancer_Squamous_Cell bit Tumor Pathology – Cervix - Cervical Cancer - squamous cell.


Tumor_Cervix_Cancer_Adenocarcinoma bit Tumor Pathology – Cervix - Cervical Cancer – adenocarcinoma.


Tumor_Cervix_Hyperplasia bit Tumor Pathology – Cervix - Hyperplasia.


Tumor_Cervix_Leiomyoma bit Tumor Pathology – Cervix - Leiomyoma.


Tumor_Cervix_Metastatic_Gyn bit Tumor Pathology – Cervix - Metastatic gyn.

ID Description0 No


Tumor_Cervix_Metastatic_Non_Gyn bit Tumor Pathology – Cervix - Metastatic non-gyn.


Tumor_Cervix_Nabothian_Cysts bit Tumor Pathology – Cervix - Nabothian cysts.


Tumor_Cervix_Normal bit Tumor Pathology – Cervix - Normal (unremarkable, may include “no dysplasia”).


Tumor_Cervix_Not_Described bit Tumor Pathology – Cervix - Not described.


Tumor_Cervix_Polyp bit Tumor Pathology – Cervix - Polyp (endocervical).


Tumor_Cervix_Prolapse_Changes bit Tumor Pathology – Cervix - Prolapse changes (hyperkeratosis, parakeratosis).


Column Name Type DescriptionTumor_Cervix_Other bit Tumor Pathology – Cervix - Other.


Tumor_Cervix_Other_Description varchar(40) Tumor Pathology – Cervix – Other Description.Tumor_Endo_Abnormal_Placentation bit Tumor Pathology - Endometrium - Abnormal placentation

(accreta).


Tumor_Endo_Inactive_Atrophic bit Tumor Pathology - Endometrium - Inactive or atrophic (“resting”).


Tumor_Endo_Endometritis bit Tumor Pathology - Endometrium - Endometritis.


Tumor_Endo_Endometrial_Cancer bit Tumor Pathology - Endometrium - Endometrial cancer.


Tumor_Endo_Hyper_Simple_No_Atypia bit Tumor Pathology - Endometrium - Hyperplasia, simple without atypia.


Tumor_Endo_Hyper_Simple_Atypia bit Tumor Pathology - Endometrium - Hyperplasia, simple with atypia.


Tumor_Endo_Hyper_Complex_No_Atypia bit Tumor Pathology - Endometrium - Hyperplasia, complex without atypia.


Tumor_Endo_Hyper_Complex_Atypia bit Tumor Pathology - Endometrium - Hyperplasia, complex with atypia.


Tumor_Endo_Metaplasia bit Tumor Pathology - Endometrium - Metaplasia.


Tumor_Endo_Metastatic_Gyn bit Tumor Pathology - Endometrium - Metastatic gyn.


Tumor_Endo_Metastatic_Non_Gyn bit Tumor Pathology - Endometrium - Metastatic non-gyn.


Tumor_Endo_Normal_Unremarkable bit Tumor Pathology - Endometrium - Normal/unremarkable (may include no hyperplasia, no atypia).


Column Name Type DescriptionTumor_Endo_Not_Described bit Tumor Pathology - Endometrium - Not described.


Tumor_Endo_Polyps bit Tumor Pathology - Endometrium - Polyps.


Tumor_Endo_Proliferative bit Tumor Pathology - Endometrium - Proliferative.


Tumor_Endo_Secretory_Progestin_Effect bit Tumor Pathology - Endometrium - Secretory or Progestin effect.


Tumor_Endo_Other bit Tumor Pathology - Endometrium - Other.


Tumor_Endo_Other_Description varchar(40) Tumor Pathology – Endometrium – Other Description.

Tumor_Myometrium_Abnormal_Placentation bit Tumor Pathology - Myometrium/Uterus - Abnormal placentation (increta, percreta).


Column Name Type DescriptionTumor_Myometrium_Adenomyosis bit Tumor Pathology - Myometrium/Uterus - Adenomyosis.


Tumor_Myometrium_Cancer bit Tumor Pathology - Myometrium/Uterus - Cancer – extension of endometrial cancer into myometrium.


Tumor_Myometrium_Leiomyoma bit Tumor Pathology - Myometrium/Uterus - Leiomyoma.


Tumor_Myometrium_Metastatic_Gyn bit Tumor Pathology - Myometrium/Uterus - Metastatic gyn.


Tumor_Myometrium_Metastatic_Non_Gyn bit Tumor Pathology - Myometrium/Uterus - Metastatic non-gyn.


Tumor_Myometrium_Normal_Unremarkable bit Tumor Pathology - Myometrium/Uterus - Normal (unremarkable).


Column Name Type DescriptionTumor_Myometrium_Not_Described bit Tumor Pathology - Myometrium/Uterus - Not described.


Tumor_Myometrium_Prolapse_Changes bit Tumor Pathology - Myometrium/Uterus - Prolapse changes.


Tumor_Myometrium_Uterine_Corpus bit Tumor Pathology - Myometrium/Uterus - Uterine corpus (Sarcoma).


Tumor_Myometrium_Other bit Tumor Pathology – Myometrium/Uterus - Other.


Tumor_Myometrium_Other_Description varchar(40) Tumor Pathology – Myometrium/Uterus – Other Description.

Tumor_Ovary_Adenocarcinoma bit Tumor Pathology - Ovary - Adenocarcinoma (includes serous, mucinous, endometrioid, clear cell, Brenner).


Tumor_Ovary_Adenocarcinoma_Gyn bit Tumor Pathology - Ovary - Adenocarcinoma (metastatic gyn).

ID Description0 No


Tumor_Ovary_Adenocarcinoma_Non_Gyn bit Tumor Pathology - Ovary - Adenocarcinoma (metastatic non-gyn).


Tumor_Ovary_Cancer bit Tumor Pathology - Ovary - Cancer – low malignant potential.


Tumor_Ovary_Cyst_Benign bit Tumor Pathology - Ovary - Cyst - benign (simple, hemorrhagic, corpus luteum, inclusion cysts).


Tumor_Ovary_Cystadenoma bit Tumor Pathology - Ovary - Cystadenoma (includes benign tumors such as mucinous, serous, and cystadenofibroma).


Tumor_Ovary_Endometrioma bit Tumor Pathology - Ovary - Endometrioma.


Tumor_Ovary_Fibroma bit Tumor Pathology - Ovary - Fibroma.


Tumor_Ovary_Germ_Cell_Benign bit Tumor Pathology - Ovary - Germ cell tumors – benign

Column Name Type Description(mature, dermoid or teratoma).


Tumor_Ovary_Germ_Cell_Malignant bit Tumor Pathology - Ovary - Germ cell tumors – malignant (immature).


Tumor_Ovary_Normal bit Tumor Pathology - Ovary - Normal (includes atrophic, senescent, unremarkable).


Tumor_Ovary_Not_Described bit Tumor Pathology - Ovary - Not described / absent.


Tumor_Ovary_Stromal_Hyperplasia bit Tumor Pathology - Ovary - Stromal hyperplasia.


Tumor_Ovary_Sex_Cord_Stromal_Neoplasms bit Tumor Pathology - Ovary - Sex-cord/stromal Neoplasms (e.g. Fibrosarcoma, Granulosa cell, Sertoli-Leydig cell, Sclerosing stromal tumor).


Tumor_Ovary_Thecoma bit Tumor Pathology - Ovary - Thecoma.


Tumor_Ovary_Tubo_Ovarian_Abscess bit Tumor Pathology - Ovary - Tubo-ovarian abscess.


Tumor_Ovary_Other bit Tumor Pathology - Ovary - Other.


Tumor_Ovary_Other_Description varchar(40) Tumor Pathology – Ovary – Other Description.

Tumor_Fallopian_Tube_Adenocarcinoma bit Tumor Pathology - Fallopian Tube - Adenocarcinoma.


Tumor_Fallopian_Tube_Benign_Cyst bit Tumor Pathology - Fallopian Tube - Benign cyst (simple, hemorrhagic, corpus luteum).


Tumor_Fallopian_Tube_Hematosalpinx bit Tumor Pathology - Fallopian Tube - Hematosalpinx.


Tumor_Fallopian_Tube_Hydrosalpinx bit Tumor Pathology - Fallopian Tube - Hydrosalpinx.


Tumor_Fallopian_Tube_Metastatic_Gyn bit Tumor Pathology - Fallopian Tube - Metastatic gyn.


Tumor_Fallopian_Tube_Metastatic_Non_Gyn bit Tumor Pathology - Fallopian Tube - Metastatic non-gyn.


Tumor_Fallopian_Tube_Normal bit Tumor Pathology - Fallopian Tube - Normal/unremarkable.


Tumor_Fallopian_Tube_Not_Described bit Tumor Pathology - Fallopian Tube - Not described.


Tumor_Fallopian_Tube_Paratubal_Cyst bit Tumor Pathology - Fallopian Tube - Paratubal cyst.


Tumor_Fallopian_Tube_Pyosalpinx bit Tumor Pathology - Fallopian Tube - Pyosalpinx.


Tumor_Fallopian_Tube_STIC bit Tumor Pathology - Fallopian Tube - STIC (serous intraepithelial carcinoma).


Tumor_Fallopian_Tube_Other bit Tumor Pathology - Fallopian Tube - Other.


Tumor_Fallopian_Tube_Other_Description varchar(40) Tumor Pathology – - Fallopian Tube – Other Description.

Endometrial_Cancer_Staging int Endometrial cancer present.


Endo_Cancer_Histologic_Subtype int Endometrial Cancer Staging - Histologic Subtype.

ID Description0 Not Selected1 Endometrioid endometrial

adenocarcinoma2 Uterine papillary serous

adenocarcinoma3 Clear cell4 Carcinosarcoma (MMMT)5 Mucinous6 Metastatic7 Other

Endo_Cancer_Tumor_Size_Smallest int Endometrial Cancer Staging - Tumor Size (dimension in cms) – Smallest.

ID Description0 Not Selected1 0-22 3-53 6-8

Column Name Type Description4 Greater than 8 cm

Endo_Cancer_Tumor_Size_Middle int Endometrial Cancer Staging - Tumor Size (dimension in cms) – Middle.

ID Description0 Not Selected1 0-22 3-53 6-84 Greater than 8 cm

Endo_Cancer_Tumor_Size_Largest int Endometrial Cancer Staging - Tumor Size (dimension in cms) – Largest.

ID Description0 Not Selected1 0-22 3-53 6-84 Greater than 8 cm

Endo_Cancer_Overall_FIGO_Grade int Endometrial Cancer Staging - Overall (FIGO) Grade.

ID Description0 Not Selected1 12 23 3

Column Name Type DescriptionEndo_Cancer_Myoinvasive int Endometrial Cancer Staging - Myoinvasive.


Endo_Cancer_Invasion_Depth int Endometrial Cancer Staging - Depth of Invasion/Total Uterine Thickness.

ID Description1 None2 Less than 50%3 Greater than or equal to 50%

Endo_Cancer_Cervix_Involved int Endometrial Cancer Staging - Cervix Involved.


Endo_Cancer_Lymph_Para_Aortic_Positive int Endometrial Cancer Staging - Lymph Nodes - Para-Aortic – Number of Positive.

Range: 0 to 1000Endo_Cancer_Lymph_Para_Aortic_Total int Endometrial Cancer Staging - Lymph Nodes - Para-Aortic

–Total.

Range: 0 to 1000

Column Name Type DescriptionEndo_Cancer_Lymph_Pelvic_Positive int Endometrial Cancer Staging - Lymph Nodes - Pelvic –

Number of Positive.

Range: 0 to 1000

Endo_Cancer_Lymph_Pelvic_Total int Endometrial Cancer Staging - Lymph Nodes - Pelvic –Total.

Range: 0 to 1000Endo_Cancer_Vascular_Space_Involvement int Endometrial Cancer Staging - Vascular Space

Involvement.


Endo_Cancer_Metastatic_Retroperitoneal bit Endometrial Cancer Staging - Other Metastatic Sites - Retroperitoneal lymph nodes.


Endo_Cancer_Metastatic_Bowel bit Endometrial Cancer Staging - Other Metastatic Sites - Bowel.


Endo_Cancer_Metastatic_Bladder bit Endometrial Cancer Staging - Other Metastatic Sites - Bladder.


Endo_Cancer_Metastatic_Liver bit Endometrial Cancer Staging - Other Metastatic Sites - Liver.

ID Description

Column Name Type Description0 No1 Yes

Endo_Cancer_Metastatic_Omentum bit Endometrial Cancer Staging - Other Metastatic Sites - Omentum.


Endo_Cancer_Metastatic_Peritoneal bit Endometrial Cancer Staging - Other Metastatic Sites - Peritoneal surfaces.


Endo_Cancer_Metastatic_Ovaries bit Endometrial Cancer Staging - Other Metastatic Sites - Ovaries.


Endo_Cancer_Metastatic_Fallopian_Tubes bit Endometrial Cancer Staging - Other Metastatic Sites - Fallopian tubes.


Endo_Cancer_Metastatic_Uterine_Serosa bit Endometrial Cancer Staging - Other Metastatic Sites - Uterine serosa.


Endo_Cancer_Metastatic_Parametrium bit Endometrial Cancer Staging - Other Metastatic Sites - Parametrium.

ID Description0 No


Endo_Cancer_Metastatic_Other bit Endometrial Cancer Staging - Other Metastatic Sites - Other.


Endo_Cancer_Metastatic_None bit Endometrial Cancer Staging - Other Metastatic Sites - None.


Endo_Cancer_Resection_Margins_Involved int Endometrial Cancer Staging - Resection Margins Involved.


Endo_Cancer_Metastatic_Disease int Endometrial Cancer Staging - Metastatic disease.


Endo_Cancer_Metastatic_Preop_Imaging bit Endometrial Cancer Staging - Metastatic disease - Preoperative Imaging.


Endo_Cancer_Metastatic_Biopsies bit Endometrial Cancer Staging - Metastatic disease - Biopsies.


Hysterectomy_Postop_Complications Hysterectomy_Postop_Complications Information

Column Name Type DescriptionCaseNum int The case number as submitted on the oplog_request.LineNum int A sequential counter for the number of postoperative

complications for this case. Category int The type of postoperative complication that occurred.

ID Description0 Not Selected1 Gynecologic - Cuff infection2 Gynecologic - Pelvic abscess3 Gynecologic - Vaginal cuff dehiscence4 Urinary - Ureteral obstruction5 Urinary - Vesico-vaginal fistula6 Urinary - Uretero-vaginal fistula7 Gastrointestinal - Rectovaginal fistula8 Gastrointestinal - Intestinal obstruction9 Gastrointestinal - Anastomotic leak10 Nerve Injury - Upper extremity11 Nerve Injury - Lower extremity12 Nerve Injury - Pudendal13 Nerve Injury - Lumbosacral plexus14 Other

Date_Noted datetime Date complication was noted. Format: mm/dd/yyyy

Other_Description varchar(40) Description for Other Complication.Comments varchar(500) Free Text

Other_Procedures Other procedures for a specific case


Casenum int The case number as submitted on the oplog_request.Linenum int A sequential counter for the number of Other procedures for this case. (1-10)

Procs varchar(512) The CPT description for the other procedure.CPT varchar(6) CPT Code for the other procedure.

Patients Patient demographics

Column Name Type Description MRN varchar(50) The medical record number.

Site int Hospital’s site number.DOB datetime Date of birth, 18 years or older.

Format: mm/dd/yyyyFirst_Name varchar(40) Patient's first name. Last_Name varchar(40) Patient's last name.Middle_Initial varchar(1) Patient's middle initial.Sex int Patient's gender.

ID Description1 Male2 Female

Race int Patient's race.

ID Description0 Not Selected10 White20 Black or African American30 American Indian or Alaska Native40 Native Hawaiian or Pacific Islander50 Asian70 Unknown

Address varchar(50) Patient's address. Address2 varchar(50) Patient's address. City varchar(25) Patient's cityState varchar(2) Patient's state abbreviation.

0-Not SelectedZip varchar(10) Patient's zip codeCountry varchar(3) Patient's three letter abbreviation country code

0-Not Selected

County varchar(25) Patient's international prefecture/county. Used with international addresses only.Phone varchar(10) Patient's phone number.

Column Name Type DescriptionEmail varchar(50) Patient's email address.

Insurance int Patient’s primary insurance payer for this admission.

ID Description0 Not Selected1 Medicare2 Medicare + Medicare

Supplemental Plan/Medigap Insurance

3 Medicaid4 Medicare AND Medicaid5 Blue Cross Blue Shield of Michigan

(BCBSM)6 Private Insurance, incl. HMO plans7 Other8 Self-Pay9 Uninsured10 International Patient11 Medicare Advantage - Blue Cross

Blue Shield of Michigan (BCBSM)12 Medicare Advantage - Blue Care

Network (BCN)13 Medicaid – HMOs14 Blue Care Network (BCN)15 Private Insurance, excluding HMOs

Ethnicity_Hispanic int Patient’s Hispanic ethnicity.


DeadDate datetime Date of death. Format: mm/dd/yyyy

Periop_AntibioticsAntibiotics given

Column Name Type DescriptionCasenum int The case number as submitted on the oplog_request.LineNumber int A sequential counter for the number of antibiotics for this case. (1 – 75)

Antibiotic_Name_ID int Antibiotic name ID.

ID Description0 Not Selected1 ampicillin/sulbactam (Unasyn)2 Ancef (cefazolin)3 Azactam (aztreonam)4 aztreonam (Azactam)5 cefazolin (Ancef, Kefzol)6 Cefotan (cefotetan)7 cefotetan (Cefotan)8 cefoxitin (Mefoxin)9 Ceftin (cefuroxime)10 cefuroxime (Ceftin)11 Cleocin (clindamycin)12 clindamycin (Cleocin)13 ertapenem (Invanz)14 Flagyl (metronidazole)15 Garamycin (gentamicin)16 gentamicin (Garamycin)17 Invanz (ertapenem)18 Kefzol (cefazolin)19 Levaquin (levofloxacin)20 levofloxacin (Levaquin)21 Mefoxin (cefoxitin)22 metronidazole (Flagyl)23 Unasyn (ampicillin/sulbactam)25 amikacin (Amikin)26 Amikin (amikacin)27 ampicillin (Totacillin N)28 Avelox (moxifloxacin)29 Bactrim

(sulfamethoxazole/trimethoprim)

Column Name Type Description30 cefadroxil (Ultracef)31 cefepime (Maxipime)32 Cefizox (ceftizoxime)33 cefmetazole (Zefazone)34 cefotaxime (Claforan)35 ceftizoxime (Cefizox)36 ceftriaxone (Rocephin)37 Cipro (ciprofloxacin)38 ciprofloxacin (Cipro)39 Claforan (cefoxtaxime)40 Factive (gemifloxacin)41 Floxin (ofloxacin)42 gemifloxacin (Factive)43 imipenem/cilastatin (Primaxin)44 kanamycin (Kantrex)45 Kantrex (kanamycin)46 lomefloxacin (Maxaquin)47 Maxaquin (lomefloxacin)48 Maxipime (cefepime)49 meropenem (Merrem)50 Merrem (meropenem)51 moxifloxacin (Avelox)52 Nebcin (tobramycin)53 netilmicin (Netromycin)54 Netromycin (netilmicin)55 ofloxacin (Floxin)56 piperacillin/tazobactam (Zosyn)57 Primaxin (imipenem/cilastin)58 Rocephin (ceftriaxone)59 sulfamethoxazole/trimethoprim

(Bactrim)60 tigecycline (Tygacil)61 tobramycin (Nebcin)62 Totacillin N (ampicillin)63 Tygacil (tigecycline)64 Ultracef (cefadroxil)65 vancomycin66 Zefazone (cefmetazole)

Column Name Type Description67 Zosyn (piperacillin/tazobactam)68 Zinacef (cefuroxime)69 Cubicin (daptomycin)

Antibiotic_Other_Name varchar(50) Antibiotic Name. Entered if not in the Antibiotic_Name_ID List.

Antibiotic_Dosage real Antibiotic dosage amount.

Antibiotic_Unit_ID int Antibiotic dosage unit.

ID Description0 Not Selected1 mg2 g

Antibiotic_Start_Date datetime Antibiotic start date and time.Format: mm/dd/yyyy hh:mm:ss

Antibiotic_DateTime_Unknown bit Antibiotic start date and time unknown.


Periop_Care_Factors Perioperative care factors


Anesthesiologist_ID varchar(10) ID of the primary anesthesiologist, up to 10 characters.Anesthesia_Assistant_ID int An anesthesiology resident or a CRNA assisted the primary anesthesiologist.


Anesthesia_Technique_ID int Principal Anesthesia Technique.

ID Description0 Not Selected1 General2 Neuraxial3 Local/MAC

ASA_Class_ID int ASA Classification, ASA 6 are excluded and should not be entered.

ID Description0 Not Selected1 ASA 12 ASA 23 ASA 34 ASA 45 ASA 57 None assigned

Nerve_Block int The patient has received a regional nerve block.


Epidural_Use int An epidural was placed for pain control.


Column Name Type DescriptionPeriop_VTE_Prophylaxis int Exception to VTE Prophylaxis.


Periop_VTE_Heparin bit Heparin Administered.


Periop_VTE_LMWH bit Low Molecular Weight Heparin (LMWH) Administered.


Periop_VTE_AntiCoag bit Other anticoagulant Administered.


Periop_VTE_SCD bit Sequential Compression Device (SCD) Administered.


Periop_VTE_None bit None Administered.


Antibiotic_Exception int Exception to antibiotics.


Antibiotic_Administered int Antibiotics administered.


Intraop_Glucose_Lowest int Lowest glucose measured during the intraop period.Range: 1 – 3000Blank if unknown

Intraop_Glucose_Highest int Highest glucose measured during the intraop period.Range: 1 – 3000Blank if unknown

Intraop_Glucose_Measurements int Number of intraoperative glucose measurements.Range: 0 – 35Blank if unknown

Intraop_Insulin int Primary method of insulin administration.

ID Description0 Not Selected1 None2 IV Insulin Infusion3 IV Bolus4 Subcutaneous Insulin5 Other

Intraop_Warming int An active warming device was used.


Intraop_Temperature decimal(5,1) The lowest temperature measured during the intraop period.Range: Celsius: 30 - 42Range: Fahrenheit: 86 - 107.6Blank if unknown

Intraop_Temperature_Unit int Intraop temperature unit.

ID Description1 Fahrenheit2 Celsius

Intraop_Use_Vasopressor int Administration of Vasopressor/Inotropic medications during the intraop period.


Fluid_Balance_In_Crystalloid_Total int Fluid Balance In: Total crystalloid fluid in mL.0 if unknown

Fluid_Balance_In_Colloid_Total int Fluid Balance In: Total colloid fluid in mL.0 if unknown

Fluid_Balance_In_PRBC_Units int Fluid Balance In:Units of packed red blood cells (PRBC).Range: 0 - 2000 if unknown

Fluid_Balance_In_Cell_Total int Fluid Balance In:Total cell saver in mL.0 if unknown

Fluid_Balance_In_FFP_Units int Fluid Balance In: Units of fresh frozen plasma (FFP).Range: 0 – 2000 if unknown

Fluid_Balance_In_Platelets_Units int Fluid Balance In: Units of platelets.Range: 0 - 2000 if unknown

Fluid_Balance_In_Cryo_Units int Fluid Balance In: Units of cryoprecipitate.Range: 0 - 2000 if unknown

Fluid_Balance_In_Other_Total int Fluid Balance In: Other inputs (TPN, lipids, etc.)0 if unknown

Fluid_Balance_Out_EBL_Total int Fluid Balance Out: Total estimated blood loss (EBL) in mL.0 if unknown

Fluid_Balance_Out_Urine_Total int Fluid Balance Out: Urine output in mL.0 if unknown

Fluid_Balance_Out_Urine_Catheter int Presence of an indwelling urinary catheter in the OR.


Fluid_Balance_Out_Other_Total int Fluid Balance Out: Other output (ascites, g-tube, drains) in mL.0 if unknown

Postop_Temperature decimal(5,1) First recorded temperature within 15 minutes of the "Patient Out of Room Time".Range: Celsius: 30 - 42Range: Fahrenheit: 86 - 107.6Blank if unknown

Postop_Temperature_Unit int Postop temperature unit.

ID Description1 Fahrenheit2 Celsius

Patient_In_Room_DateTime datetime Patient In Room Date and Time.Format: mm/dd/yyyy hh:mm:ss

Procedure_Start_DateTime datetime Procedure/Surgery Start Date and Time.Format: mm/dd/yyyy hh:mm:ss

Procedure_Finish_DateTime datetime Procedure/Surgery Finish Date and Time.Format: mm/dd/yyyy hh:mm:ss

Patient_Out_Room_DateTime datetime Patient Out of Room Date and Time.Format: mm/dd/yyyy hh:mm:ss

PACU_Left_DateTime datetime Date and Time patient actually leaves PACU.Format: mm/dd/yyyy

Patient_To_ICU_From_OR bit Patient straight to ICU/SICU from OR.


Postop_Care_Factors Postoperative care factors


Postop_VTE_Prophylaxis int Exception to VTE Prophylaxis.


HeparinBID bit Heparin BID administered.


HeparinBID_DateTime datetime Heparin BID administered date and time.Format: mm/dd/yyyy hh:mm:ss

HeparinTID bit Heparin TID administered.


HeparinTID_DateTime datetime Heparin TID administered date and time.Format: mm/dd/yyyy hh:mm:ss

LMWH bit Low Molecular Weight Heparin (LMWH) administered.


LMWH_DateTime datetime Low Molecular Weight Heparin (LMWH) administered date and time.Format: mm/dd/yyyy hh:mm:ss

Other_AntiCoag bit Other anticoagulant administered.


Column Name Type DescriptionOther_AntiCoag_DateTime datetime Other anticoagulant administered date and time.

Format: mm/dd/yyyy hh:mm:ss

SCD bit Sequential Compression Device (SCD) administered.


SCD_DateTime datetime Sequential Compression Device (SCD) administered date and time.Format: mm/dd/yyyy hh:mm:ss

VTE_Propohylaxis_None bit None administered.


Glucose_Management_POD1_None bit No glycemic control ordered on POD 1.


Glucose_Management_POD1_IVInsulin bit IV Insulin Infusion glycemic control ordered on POD 1.


Glucose_Management_POD1_SubInsulin_Basal

bit Subcutaneous Insulin - Basal/Bolus glycemic control ordered on POD 1.


Glucose_Management_POD1_SubInsulin_Sliding

bit Subcutaneous Insulin - Sliding Scale glycemic control ordered on POD 1.


Glucose_Management_POD1_Other bit Other glycemic control ordered on POD 1.



Glucose_Management_POD1_NA bit Glycemic control ordered on POD 1 not applicable.


Pain_Management_POD1_IM_Narcotics bit IM/IV Narcotics postoperative pain management ordered on POD 1.


Pain_Management_POD1_PO_Narcotics bit PO Narcotics postoperative pain management ordered on POD 1.


Pain_Management_POD1_PCA bit PCA postoperative pain management ordered on POD 1.


Pain_Management_POD1_PCEA bit Patient Controlled Epidural Analgesia (PCEA) postoperative pain management ordered on POD 1.


Pain_Management_POD1_NSAID bit IV/PO NSAIDs postoperative pain management ordered on POD 1.


Column Name Type DescriptionPain_Management_POD1_Acetaminophin

bit Acetaminophen (po, IV, rectal) postoperative pain management ordered on POD 1.


Pain_Management_POD1_Local bit Continuous local anesthetic device (e.g. On-Q® device) postoperative pain management ordered on POD 1.


Pain_Management_POD1_Epidural_Analgesia

bit Postoperative pain management Epidural analgesia dosed by anesthesia/pain management service on POD 1.


Pain_Management_POD1_No_Order bit Postoperative pain management ordered on POD 1 None Ordered.


Pain_Management_POD1_NA bit Postoperative pain management ordered on POD 1 not applicable.


PainScore_POD1 int Pain Score on POD 1.Scale: 0-10Blank if unknown

PainScore_POD1_Status int Pain Score status on POD 1.

ID Description1 Not Applicable

Column Name Type Description2 Not Available

PainScore_POD2 int Pain Score on POD 2.Scale: 0-10Blank if unknown

PainScore_POD2_Status int Pain Score status on POD 2.

ID Description1 Not Applicable2 Not Available

Indwelling_Catheter int Indwelling Urinary Catheter Present Postop.

ID Description0 No1 Yes2 Exception

Indwelling_Catheter_Discontinued bit Indwelling Urinary Catheter Discontinuation.


Indwelling_Catheter_Discontinued_Date datetime Catheter discontinued date.Format: mm/dd/yyyy

Indwelling_Catheter_Discontinued_Date_Unknown

bit Catheter discontinued date unknown.


Patient_Sent_Home_With_Catheter bit Patient Discharged With Catheter.


ICU_Admission_After_Surgery int ICU Admission After Surgery.

ID Description0 No

Column Name Type Description1 Yes2 Unknown

Postop_Care_Factors_ReadmissionICU Admission After Surgery

Column Name Type DescriptionCaseNum int The case number as submitted on the oplog_request.LineNumber int A sequential counter for the number of ICU admissions for this case. (1-10)

Admitted_Date datetime Date admitted to ICU.Required if Admitted_Date_Unknown is null or 0.Format: mm/dd/yyyy

Admitted_Date_Unknown int ICU admit date unknown.Required if Admitted_Date is null.


Discharge_Date datetime Date discharged from ICU.Required if Discharge_Date_Unknown is null or 0.Format: mm/dd/yyyy

Discharge_Date_Unknown int ICU discharge date unknown.Required if Discharge_Date is null.


Admission_Type int ICU admission type.

ID Description0 Not Selected1 Planned2 Unplanned

Postop_Occurrences Postoperative occurrences for a specific operation

Column Name Type DescriptionCaseNum int The case number as submitted on the oplog_request.LineNum int A sequential counter for the number of postoperative occurrences for this case.

Category int The type of postoperative occurrence that occurred.

ID Description0 Not Selected1 Superficial Incisional SSI2 Deep Incisional SSI3 Organ/Space SSI4 Pneumonia5 Unplanned Intubation - Intraop6 Unplanned Intubation - Postop7 Pulmonary Embolism8 Acute Renal Insufficiency and/or Failure9 Urinary Tract Infection (UTI) - SUTI10 Urinary Tract Infection (UTI) - CAUTI11 Stroke/CVA12 Cardiac Arrest req. CPR - Intraop13 Cardiac Arrest req. CPR - Postop14 Myocardial Infarction - Intraop15 Myocardial Infarction - Postop16 Cardiac Arrhythmias17 Transfusions w/in first 72 hrs postop18 Deep Vein Thrombosis req. Therapy19 Sepsis20 Severe Sepsis21 C-difficile22 Central Line-Associated Bloodstream Infection (CLABSI)

Date_Noted datetime Date occurrence was noted. Format: mm/dd/yyyy

Number_Of_Units int Number of RBC Units given.Required for Category 17.Range: 1 – 200 units

Comments varchar(500) Free Text

PostopLab Postoperative Lab valuesNote: All lab dates must be greater than the operation date but no more than 30 days after the surgery. All lab dates are required when a lab value exists and is not equal to blank.

Column Name Type DescriptionCaseNum Text The case number as submitted on the oplog_request.

HCreatinine float Highest Serum CreatinineRange: 0.01 – 100Blank if unknown

HCreatinine_Date datetime Date of Highest Serum Creatinine.Format: mm/dd/yyyy

LHematocrit float Lowest Hematocrit Range: 0.01 - 500Blank if unknown

LHematocrit_Date datetime Date of Lowest Hematocrit.Format: mm/dd/yyyy

Glucose1 float Glucose POD 1Range: 1 - 3000Blank if unknown

Glucose1_Date datetime Date of glucose POD 1.Format: mm/dd/yyyy

Glucose2 float Glucose POD 2Range: 1 - 3000Blank if unknown

Glucose2_Date datetime Date of glucose POD 2.Format: mm/dd/yyyy

HGlucose float Glucose (Highest w/in first 72 hrs after surgery end)Range: 1 - 3000Blank if unknown

HGlucose_Date datetime Date of Glucose Glucose (Highest w/in first 72 hrs after surgery end).Format: mm/dd/yyyy

TroponinI float Highest Troponin I Range: 0 – 300Blank if unknown

TroponinI_DATE datetime Date of Highest Troponin I.Format: mm/dd/yyyy

Column Name Type DescriptionTroponinT float Highest Troponin T

Range: 0 – 300Blank if unknown

TroponinT_DATE datetime Date of Highest Troponin T.Format: mm/dd/yyyy

PREOPPreoperative Risk Factors


Diabetes int Diabetes Mellitus

ID Description0 Not Selected1 No diagnosis of diabetes2 Diabetes controlled by diet alone3 Non-insulin4 Insulin

Smoker_Non_Cigarette int Tobacco use within 1 year - non-cigarette.


Smoker int Tobacco use within 1 year – cigarette.


Packs float Pack-year cigarette historyRange: 0.0 – 400.0Blank if unknown

ETOH int ETOH > 2 drinks/day in the 2 weeks prior to admission.


Column Name Type DescriptionDyspnea int Dyspnea prior to current illness.

ID Description0 Not Selected1 No dyspnea2 Upon moderate exertion3 At rest

Functional_Status int Functional Health Status prior to surgery.

ID Description0 Not Selected1 Independent2 Partially dependent3 Totally dependent4 Unknown

Ventilator int Ventilator dependent.


COPD int Chronic obstructive pulmonary disease.


Pneumonia int Current Pneumonia.


Sleep_Apnea int Patient’s level of sleep apnea.

ID Description0 Not Selected1 Level 12 Level 2

Column Name Type Description3 Level 3

Ascites int Ascites within 30 days prior to surgery.

ID Description0 Not Selected1 No2 Preop3 Intraop

Cirrhosis int There is documentation of cirrhosis.


CHF int Congestive Heart Failure within 30 days prior to surgery.


Arrhythmias int Patient has a history of preoperative dysrhythmia.


Coronory_Artery int Patient has a history of coronary artery disease (CAD).


Hypertension int Patient has hypertension.


Beta_Blocker int Patient has regularly used Beta Blocker.


Statin int Patient has regularly used Statin.


Peripheral_Vascular_Disease int Patient has a history of peripheral vascular disease .


DVT int Patient has a history of venous thromboembolism, including pulmonary embolus, or deep vein thrombosis.


Family_DVT int Family has a history of venous thromboembolism, including pulmonary embolus, or deep vein thrombosis.


Dialysis int Currently req. or on dialysis.

ID Description0 No


UTI int Urinary Tract Infection w/in 1 week.

ID Description0 Not Selected1 No2 SUTI3 CAUTI

Cancer int Disseminated cancer.


HIV int HIV/AIDS.


Open_Wound int Open wound w/ or w/out infection.


Chronic_Condition int Steroids/Immunosuppressive Meds for chronic condition.


Body_Weight_Loss int > 10% loss of body weight 6 mos. prior to surgery


Column Name Type DescriptionBleeding_Disorder int Any condition that places the patient at risk for excessive bleeding.


Preop_Transfusion int Preoperative loss of blood necessitating any transfusion.


RBC_Units int Any RBCs w/in 72 hrs. prior to surgeryRange: 1 - 200

Preop_Sepsis int Indicate the presence of sepsis or severe sepsis within the 48 hours prior to surgery.

ID Description0 Not Selected1 No2 Sepsis3 Severe Sepsis

Height float The patient’s most recent height before surgery.Range: 40 in - 96 in or 102 cm - 244 cmBlank if unknown

Height_Unit int Unit of height.

ID Description1 In2 cm

Weight float The patient’s most recent weight before surgery.Range: 60 lbs. - 1400 lbs. or 27 Kg - 635 KgBlank if unknown

Weight_Unit int Unit of weight.

ID Description1 Lbs2 Kg

PreopLab Preoperative Lab ValuesNOTE all lab dates must be less than the operation date but no more than 90 days prior to surgery. All lab dates are required when the lab value exists and is not equal to Blank


Creatinine float Serum Creatinine Range: 0.01 – 100Blank if unknown

Creatinine_Date datetime Date of Serum Creatinine Format: mm/dd/yyyy

Albumin float Albumin Range: 0.01 – 500Blank if unknown

Albumin_Date datetime Date of Albumin Format: mm/dd/yyyy

Bilirubin float Total Bilirubin Range: 0.01 – 100Blank if unknown

Bilirubin_Date datetime Date of Total Bilirubin Format: mm/dd/yyyy

BloodGlucose float Blood Glucose Range: 1 – 3000Blank if unknown

BloodGlucose_Date datetime Date of Blood Glucose Format: mm/dd/yyyy

Hemoglobin float Hemoglobin A1C Range: 1 – 60Blank if unknown

Hemoglobin_Date datetime Date of Hemoglobin A1C Format: mm/dd/yyyy

WBC float WBC Range: 0.01 – 500 Blank if unknown

WBC_Date datetime Date of WBC Format: mm/dd/yyyy

HCT datetime Hematocrit Range: 0.01 – 500 Blank if unknown

Column Name Type DescriptionHCT_Date datetime Date of Hematocrit

Format: mm/dd/yyyyPlateCount float Platelet Count

Range: 0.01 – 1500 Blank if unknown

PlateCount_Date datetime Date of Platelet Count Format: mm/dd/yyyy

Lactate float Lactate/Lactic Acid Range: 0.01 – 150Blank if unknown

Lactate_Date datetime Date of Lactate/Lactic Acid Format: mm/dd/yyyy

INR float INR Range: 0.01 – 25Blank if unknown

INR_Date datetime Date of INR Format: mm/dd/yyyy

STUDIESMain Studies table


Site int Hospital’s site number.

STATUS varchar(1) The status of the case. LEAVE THIS AS NULL IN DATA TRANSMISSION

ID DescriptionI IncompleteT TransmittedL Locked

INPUT_DATE datetime The date the case was created. LEAVE THIS AS NULL IN DATA TRANSMISSIONCOMPLETE_DATE datetime The date the case was completed.OP_Date datetime The date that the principal operative procedure was performed.

Format: mm/dd/yyyy CPT_Description varchar(512) The CPT description for the principal procedure performed for this case.CPT_Code varchar(10) The CPT code for the principal procedure performed for this case.ICD9_Code varchar(10) The post-operative ICD9 code for this case.Surgeon_ID varchar(10) NPI of attending surgeon, up to 10 characters.Surgical_Priority int Indicate the surgical priority of the patient prior to the principal operative

procedure.

ID Description0 Not Selected1 Emergent2 Urgent3 Elective

Admission_Source int Source of Admission.

ID Description0 Not Selected1 Admission from home/facility which was home2 Admission from skilled care facility3 Admission from YOUR hospital's Emergency Department (ED)

Column Name Type Description4 Transfer from an outside Emergency Department (ED)5 Transfer from another acute care hospital (inpatient)6 Transfer from another type of healthcare facility not already listed

Admit_Date datetime Hospital admission dateFormat: mm/dd/yyyy.

Discharge_Date datetime Hospital discharge date and time.Format: mm/dd/yyyy hh:mm:ss

Encounter_Number varchar(100) Optional number for hospitals to use for internal tracking.Tracking_Number varchar(50) Optional number for hospitals to use for internal tracking.Oversampled bit Indicates a case has been oversampled


Outside_Regular_Sampling bit Indicates a new cohort case is outside of the regular MSQC sampling.


Surgery_FactorsSurgical factors


Wound_Classification int Indicate the wound classification assigned to the case by the primary surgeon.

ID Description0 Not Selected1 Clean2 Clean/Contaminated3 Contaminated4 Dirty/Infected

Skin_Antisepsis int Skin Antisepsis/Skin Prep.

ID Description0 Not Selected1 Povidone-iodine2 Chlorhexidine - alone3 Chlorhexidine with alcohol4 Iodine with alcohol stick prep5 Pcmx6 Isopropyl Alcohol99 Other95 Information Missing98 Not Available90 Not Applicable

Surgical_Approach int Indicate the approach taken by the surgeon to perform the principal operative procedure.

ID Description0 Not Selected1 Open2 Laparoscopic3 Laparoscopic, Hand-Assisted (does not include laparoscopic

hand-assisted vaginal hysterectomy)4 Laparoscopic, Converted to Open5 Robotic (including robotic-assisted vaginal hysterectomy)6 Robotic, Converted to Open

Column Name Type Description7 Laparoscopic, Single Port (SIL)8 Open Endo9 Percutaneous Endo10 Percutaneous Endo, converted to Open Endo11 Vaginal12 Vaginal, lap-assisted13 Other (e.g. anal, transanal, transoral, etc.)

Presence_Adhesions int Indicate the severity of adhesions encountered at surgery.

ID Description0 Not Selected1 None/mild2 Moderate3 Severe

Presence_Drains int Note the presence of any drains placed at the end of surgery.

ID Description0 Not Selected1 No drain in place2 Subcutaneous drain(s) in place3 Intracavitary drain(s) in place4 Both subcutaneous & intracavitary drains in place

Surgical_Wound_Closure int Indicate the degree of wound closure performed during the principal operative procedure.

ID Description0 Not Selected1 Full wound closure2 Partial wound closure3 No wound closure4 Not Applicable

Local_Anesthesia_Infiltrated int Local Anesthesia Infiltrated at incision sites.


msqc v2 data import - michigan surgical quality...

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