Primary Provider

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Primary Provider

Description

This phenotype determines the anesthesia attending and other non-attending anesthesia providers who were signed in for the longest duration of a case.

Limitation

Limited to proper sign in documentation. Fellow sign ins are handled differently at individual sites. Many sites will not document the level of resident - please see the logic section of this document.

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

Enumeration

Value	Value Code	Definition

Return Columns

Name	Data Type

Granularity

Logic

This phenotype returns the attending anesthesiologist and non-attending anesthesia providers who were signed into a case for the longest duration between the following times:

Start
- Patient In Room. If not available, then
- Induction End. If not available, then
- Anesthesia Start
End
- Patient out of room. If not available, then
- Anesthesia End

Each return has a unique combination of case ID, provider ID, provider role concept ID, and a Staff Type. We are only returning anesthesia provider concept IDs (not surgical):

Can return more than one type of non-attending provider based one what providers were participating in the case and how long they were signed in.

Example 1) A case may have an attending and two residents that all participate for the same length of time - attending and the two residents are returned.

Example 2) A case may have an attending, a resident, and an anesthesia assistant - all are returned.

Staff MPOG Concept IDs

6000 Staff Level - Anesthesia Attending
6001 Staff Level - Anesthesia Resident CA1
6002 Staff Level - Anesthesia Resident CA2
6003 Staff Level - Anesthesia Resident CA3
6004 Staff Level - Anesthesia Resident - Unspecified Year
6005 Staff Level - Anesthesia CRNA
6010 Staff Level - Anesthesia Assistant
6013 Staff Level - Anesthesia Technician
6014 Staff Level - Anesthesia Fellow