Postoperative Destination

Search:

Description

This phenotype returns the Postoperative Destination Classification assigned to a case based on collation mapping of raw text and numeric values documented within the electronic medical record.

Limitation

Collation mapping is completed at the MPOG Coordinating Center. This involves manual review of notes and is subject to human error.

Data quality is limited to individual site documentation accuracy, completeness, and variable mapping, which is performed by each site, independently. MPOG, as the coordinating center, reviews data quality at each data upload and monthly via Data Diagnostics and Case Validation tools. This review, while thorough, may not contain all data elements relevant to this phenotype and thus should be carefully reviewed by the user.

Value Type

Categorical

Enumeration

Value	Value Code	Definition

Return Columns

Column Name	Data Type

Granularity

Logic

The Postoperitve Destination Classification phenotype returns a single postop destination per case based on the concept IDs and/or collation mapping of raw text/numeric values documented within the following concepts:

PACU (based on concept IDs):

50008 - AACD Patient Out of Room Date/Time
50010 - AACD Recovery Room In Date/Time
50066 - Phase I Recovery Room In Date/Time
50067 - Phase I Recovery Room Out Date/Time
50068 - Phase II Recovery Room In Date/Time
50069 - Phase II Recovery Room Out Date/Time

Manually mapped as PACU, ICU, or another destimation based on contents of the note:

50706 - Categorized note-Postoperative Recovery
50734 - Emergence-Patient recovery location
50642 - Emergence-Transported with monitors and oxygen by anesthesia personnel

If none of the concept IDs are found with the case, the phenotype returns "Missing or unknown" -999

If the concept ID is manually mapped as "Invalid" or not mapped at all, the phenotype returns "Invalid" -998

If there is a concept ID that is mapped for more than one value, the phenotype returns "Conflicting" -997

If more than one note is documented, the highest value code is chosen as the final postoperative destination