ID

37815

Description

Sentinel: Overview and Description of the Common Data Model v7.0.0 "The primary goal ofSentinel is to build and operate a national public health surveillance system to monitor the safety of FDA-regulated medical products, including drugs, biologics, and devices. Sentinel is part of the Sentinel Initiative, the FDA’s response to a congressional mandate to create an active surveillance system using electronic health data.The Sentinel program will undertake three major types of activities: (1) prospective evaluation of accumulating experience about specific medical products and specific suspected safety problems; (2) evaluation of the impact of FDA actions (e.g., labeling changes) on medical practice and health outcomes; and (3) rapid assessment of past experience in response to FDA questions about specific exposures and outcomes." For more information about Sentinel visit the website at: www.sentinelsystem.org For comments and suggestions, please email: info@sentinelsystem.org The SCDM Encounter Table contains one record per PatID and EncounterID (which reflects a unique combination of PatID, ADate, Provider and EncType). Each encounter should have a single record in the SCDM Encounter Table. Each diagnosis and procedure recorded during the encounter should have a separate record in the Diagnosis or Procedure Tables. Multiple visits to the same provider on the same day should be considered one encounter and should include all diagnoses and procedures that were recorded during those visits. Visits to different providers on the same day, such as a physician appointment that leads to a hospitalization, should be considered multiple encounters. Rollback transactions and other adjustments should be processed before populating this table. Note: Rollback transactions and other adjustments should be processed before populating this table. This may be handled differently by Data Partners and may be affected by billing cycles.

Link

www.sentinelsystem.org

Keywords

Versions (4)
  1. 1/8/17 1/8/17 -
  2. 1/29/17 1/29/17 -
  3. 8/25/19 8/25/19 -
  4. 8/25/19 8/25/19 -
Copyright Holder

FDA's Sentinel Initiative

Uploaded on

August 25, 2019

DOI

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License

Creative Commons BY-NC-ND 3.0
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Sentinel Common Data Model Encounter

English

Sentinel Common Data Model Encounter

1 forms  
Encounter
Description

Encounter

Alias
UMLS CUI-1
C1512346
Patient ID
Description

Unique member identifier. Arbitrary person-level identifier. Used to link across tables. Note: PatID is a pseudoidentifier with a consistent crosswalk to the true identifier retained by the source Data Partner. For analytical data sets requiring patient-level data, only the pseudoidentifier is used to link across all information belonging to a patient.

Data type

text

Alias
UMLS CUI [1]
C2348585
Encounter ID
Description

Unique encounter identifier. A unique combination of PatID, ADate, Provider and EncType. Used to link the Encounter, Diagnosis, and Procedure tables. Note: Medical utilization data is captured in 3 tables: Encounter: the encounter record that characterizes the outpatient visit or hospital stay Diagnosis: the diagnosis or other clinical code(s) associated with the encounter record Procedure: the procedure code(s) associated with the encounter record These 3 tables and the Inpatient Pharmacy, Inpatient Transfusion, and Vital Signs table are linked by EncounterID. All diagnoses and procedures for an encounter should have the same EncounterID. It is allowable to have "orphan" diagnosis or procedure records with EncounterIDs that do not have a match in the Encounter table.

Data type

text

Alias
UMLS CUI [1,1]
C1512346
UMLS CUI [1,2]
C1300638
Admission Date
Description

Encounter or admission date.

Data type

date

Alias
UMLS CUI [1]
C1302393
Discharge Date
Description

Discharge date. Should be populated for all Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Data type

date

Alias
UMLS CUI [1]
C2361123
Provider ID
Description

Unique provider identifier. Provider code for the provider who is most responsible for this encounter. For encounters with multiple providers choose one so the encounter can be linked to the diagnosis and procedure tables. As with the PatID, the provider code is a pseudoidentifier with a consistent crosswalk to the real identifier. Note: The provider variable must be consistent within a health plan. An inpatient stay must only have one Provider, even if multiple providers performed procedures.

Data type

text

Alias
UMLS CUI [1,1]
C1138603
UMLS CUI [1,2]
C1300638
Zip Code
Description

Geographic location (3 digit zip code): Facility Location. Should be left blank if missing.

Data type

integer

Alias
UMLS CUI [1,1]
C1521842
UMLS CUI [1,2]
C1547538
Encounter Type
Description

Ambulatory Visit = Includes visits at outpatient clinics, same day surgeries, urgent care visits, and other same-day ambulatory hospital encounters, but excludes emergency department encounters. Emergency Department = Includes ED encounters that become inpatient stays (in which case inpatient stays would be a separate encounter). Excludes urgent care visits. ED claims should be pulled before hospitalization claims to ensure that ED with subsequent admission won't be rolled up in the hospital event. Inpatient Hospital Stay = Includes all inpatient stays, same-day hospital discharges, hospital transfers, and acute hospital care where the discharge is after the admission date. Non-Acute Institutional Stay = Includes hospice, skilled nursing facility (SNF), rehab center, nursing home, residential, overnight non-hospital dialysis and other non-hospital stays. Other Ambulatory Visit = Includes other non overnight AV encounters such as hospice visits, home health visits, skilled nursing facility visits, other non-hospital visits, as well as telemedicine, telephone and email consultations.

Data type

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Centre ID
Description

Servicing provider identifier. Local facility code that identifies hospital or clinic. Taken from facility claims. Used for chart abstraction and validation.

Data type

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1300638
Discharge Disposition
Description

Should be populated for Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Data type

text

Alias
UMLS CUI [1]
C1550390
Discharge Status
Description

Should be populated for Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Data type

text

Alias
UMLS CUI [1]
C0586514
DRG
Description

3-digit Diagnosis Related Group. Diagnosis Related Group. Should be populated for IP and IS encounter types. May be populated for ED encounter types. Should be missing for AV or OA encounters. Use leading zeroes for codes less than 100.

Data type

integer

Alias
UMLS CUI [1]
C0011928
DRG code version
Description

DRG code version. MS-DRG (current system) began on 10/1/2007. Should be populated for IP and IS encounter types. May be populated for ED encounter types. Should be missing for AV or OA encounters.

Data type

integer

Alias
UMLS CUI [1,1]
C0333052
UMLS CUI [1,2]
C0011928
Admission Source
Description

Should be populated for Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Data type

text

Alias
UMLS CUI [1]
C1959907
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Similar models

Sentinel Common Data Model Encounter

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Encounter
C1512346 (UMLS CUI-1)
PatID
Item
Patient ID
text
C2348585 (UMLS CUI [1])
EncounterID
Item
Encounter ID
text
C1512346 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
ADate
Item
Admission Date
date
C1302393 (UMLS CUI [1])
DDate
Item
Discharge Date
date
C2361123 (UMLS CUI [1])
Provider
Item
Provider ID
text
C1138603 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Facility_Location
Item
Zip Code
integer
C1521842 (UMLS CUI [1,1])
C1547538 (UMLS CUI [1,2])
Item
Encounter Type
text
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Visit Type
Code List
Encounter Type
CL Item
Ambulatory Visit (AV)
CL Item
Emergency Department (ED)
CL Item
Inpatient Hospital Stay (IP)
CL Item
Non-Acute Institutional Stay (IS)
CL Item
Other Ambulatory Visit (OA)
Facility_Code
Item
Centre ID
text
C0019994 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Item
Discharge Disposition
text
C1550390 (UMLS CUI [1])
Discharge Disposition
Code List
Discharge Disposition
CL Item
Discharged alive (A)
CL Item
Expired (E)
CL Item
Unknown (U)
Item
Discharge Status
text
C0586514 (UMLS CUI [1])
Discharge Status
Code List
Discharge Status
CL Item
Adult Foster Home (AF)
CL Item
Assisted Living Facility (AL)
CL Item
Against Medical Advice (AM)
CL Item
Absent without leave (AW)
CL Item
Expired (EX)
CL Item
Home Health (HH)
CL Item
Home / Self Care (HO)
CL Item
Hospice (HS)
CL Item
Other Acute Inpatient Hospital (IP)
CL Item
Nursing Home (Includes ICF) (NH)
CL Item
Other (OT)
CL Item
Rehabilitation Facility (RH)
CL Item
Residential Facility (RS)
CL Item
Still In Hospital (SH)
CL Item
Skilled Nursing Facility (SN)
CL Item
Unknown (UN)
DRG
Item
DRG
integer
C0011928 (UMLS CUI [1])
Item
DRG code version
integer
C0333052 (UMLS CUI [1,1])
C0011928 (UMLS CUI [1,2])
DRG version
Code List
DRG code version
CL Item
CMS-DRG (old system) (1)
CL Item
MS-DRG (current system) (2)
Item
Admission Source
text
C1959907 (UMLS CUI [1])
Admission Source
Code List
Admission Source
CL Item
Adult Foster Home (AF)
CL Item
Assisted Living Facility (AL)
CL Item
Ambulatory Visit (AV)
CL Item
Emergency Department (ED)
CL Item
Home Health (HH)
CL Item
Home / Self Care (HO)
CL Item
Hospice (HS)
CL Item
Other Acute Inpatient Hospital (IP)
CL Item
Nursing Home (Includes ICF) (NH)
CL Item
Other (OT)
CL Item
Rehabilitation Facility (RH)
CL Item
Residential Facility (RS)
CL Item
Skilled Nursing Facility (SN)
CL Item
Unknown (UN)
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