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Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 1
Ontario Renal Reporting System (ORRS) Release 6 (R6) Data Dictionary
Effective: April 1, 2017
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 2
Heading Definitions
Heading Titles Definitions
Entity Name of the business entity corresponding to the data element.
Data Element Name Data element name in the User Interface Application / Upload Tool, etc.
Data Element No. Data element number assigned for reference.
Definition Description of the data element.
Format Description of the data format (e.g. Alphanumeric, Numeric, or Character).
Completion Requirement Indicates if the field is Mandatory/Required or Optional.
Valid Values List of acceptable values for the specific data element.
Validation Rules Edit checks for the data element based on the business rules for data validation.
Purpose and Use Purpose or use of the data element (e.g. date of birth is used to determine patient’s age).
Notes Additional comments, changes to the data elements over time, etc.
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 3
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
COMMON DATA ELEMENTS for Pre-Dialysis, Chronic and Acute Patient Registration
Patient Source Record ID
1.1
Unique Identifier for a record assigned at the provider location The Record ID assigned to a record should remain unchanged throughout the entire submission process Record IDs cannot be reused within a provider location
Alphanumeric (20)
Mandatory
Combination of letters, numbers and/or special characters
To identify a unique record for matching purposes
This applies to Chronic, Acute, Pre-dialysis Registration and Treatment Events
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 4
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Source Patient ID
1.2
Unique Identifier for a Patient This is used by the provider location to uniquely identify a patient (e.g., medical record number, health care number, birth registry, etc.) The Patient ID is required in all record types It is important that the same patient identifier for a particular patient be used across all record types. For example, the same Patient ID assigned to a particular patient in a registration record must be used in all the Treatment Event records associated with that patient
Alphanumeric (20)
Mandatory To identify a unique patient
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 5
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Source Patient ID Issuing Location
1.3
The Patient ID Issuing Location indicates the location responsible for assigning the record’s Patient ID This will enable data providers to reuse the same Patient ID across provider locations
Character (3) Optional
See Appendix for 'Location Codes’, ‘IHF Location Codes’, ‘Self-Care Location Codes’ and ‘Long-Term Care (LTC) Location Codes’ Lists
This data element will be used when the same Patient ID is shared among multiple locations and/or when the same information system is used across various locations to maintain their renal patient data. For example, the same Patient ID can be used across multiple sites within the same facility
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes
Patient Location 1.4 Name of the Location
Character (4) Mandatory
See Appendix for 'Location Codes’, ‘IHF Location Codes’, ‘Self-care Location Codes’ and ‘LTC Location Codes’ lists
The record’s Location must equal the specified Location of the file
This is used to identify the treatment location
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes
Patient LastName 1.5 Patient Last Name
Character (50)
Mandatory Accepted Characters: A-Z, space, ‘ , -
‘Last Name’ field under patient identification on patient registration This field accepts only characters
This data element is a link to Patient Profile on Patient Search Results and is used to uniquely identify a patient
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 6
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Former Last Name
1.5.1 Patient's Former Last Name
Character (50)
Optional Accepted Characters: A-Z, space, ‘ , -
‘Former Last Name’ under patient identification on patient registration This field accepts only characters
NOTE: This
data element pertains ONLY to ORRS Application (Basic Facilities) This applies to Chronic, Acute, Pre-dialysis Registration and Treatment Events
Patient FirstName 1.6 Patient First Name
Character (50)
Mandatory Accepted Characters: A-Z, space, ‘ , -
‘First Name’ field under patient identification on patient registration This field accepts only characters
This data element is a link to Patient Profile on Patient Search Results and is used to uniquely identify a patient
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 7
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Health Card Number (ORRS Linking)
1.7
Patient's Health Card Number Numeric portion of the health insurance card number assigned by the provincial government Health card number is the patient's health insurance number assigned by their provincial government of residence
Alphanumeric (12)
Optional
Provincial Validation Rules AB - 9 numeric BC - 10 numeric MB - 6 or 9 numeric NB - 9 numeric NL - 12 numeric NS - 10 numeric NT - 8 alphanumeric NU - 9 numeric ON - 10 numeric PE - 8 numeric QC - 12 alphanumeric SK - 9 numeric YT - 9 numeric
‘Health Card Number’ field under patient identification on patient registration must align with provincial validation rules. Mod 10 check is for Ontario Health Card Numbers only. Note: Ontario Health Card version values are not included in this check
To support changes in the responsibility for payment over time
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes This field is only applicable to Standard facilities to support changes in the responsibility for payment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 8
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Payment Health Card Number
1.7.1
Payment Health Card Number Numeric portion of the health insurance card number assigned by the provincial government Health card number is the patient's most recent health insurance number assigned by their provincial government of residence
Alphanumeric (12)
Conditionally Mandatory
Provincial Validation Rules AB - 9 numeric BC - 10 numeric MB - 6 or 9 numeric NB - 9 numeric NL - 12 numeric NS - 10 numeric NT - 8 alphanumeric NU - 9 numeric ON - 10 numeric PE - 8 numeric QC - 12 alphanumeric SK - 9 numeric YT - 9 numeric
This field becomes mandatory if ‘Payment Health Card Number Not Available’ field’s value is identified as ‘No’
Used to identify the patient insurance status
This applies to Chronic, Acute, Pre-dialysis Registration and, Treatment Events, such as TI, TR-IN, RR, RP and F Field labelled as Health Card Number within Basic application and Payment Health Card Number within Standard upload templates
Patient Province of Health Card Number
1.8 Province of Health Card (if not Ontario)
Character (2) Mandatory
NL, PE, NS, NB,QC, ON, MB, SK,AB, BC, NT, YT, NU, CA, Not Applicable
‘Province Of Health Card Number’ field under patient identification on patient registration becomes mandatory if ‘Patient Does Not Have A HCN’ is unchecked and becomes inactive if ‘Patient Does Not Have A HCN’ field’s value is checked
Used to identify the patient insurance origin
This applies to Chronic, Acute, Pre-dialysis Registration and, Treatment Events
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 9
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Payment Health Card Number Not Available
1.9
Indicates that the patient had no health card available at the time of service
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: Y - Yes (True - HCN is not available) N - No (False - HCN is available) Blank: Required
‘Patient does not have Health Card Number” field must accept only one of the two valid values This field’s default value will be ‘Unchecked’
Data quality
This applies to Chronic, Acute, Pre-dialysis Registration, and Treatment Events
Patient Reason for No or Invalid HCN
Records dated on or after April 1, 2017 are not required to report this data element. The User Interface will be disabled and upload will reject files if there is a value in the file. Refer to ORRS R5 Technical Specifications and/or ORRS R5 Data Dictionary for data element details.
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 10
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Responsibility for Payment
1.9.2
Used to indicate the primary source responsible for payment of services
Character (2) Mandatory
01 –Provincial/territorial responsibility 02 – Workers’ Compensation Board/Workplace Safety and Insurance Board (WCB/WSIB), Workers’ Service Insurance Board or equivalent 03 – Other province/territory (resident of Canada) 04 – Department of Veteran Affairs (DVA)/Veterans Affairs Canada (VAC) 05 – First Nations and Inuit Health Branch 06 – Other federal government (Department of National Defence, Citizenship and Immigration), or penitentiary inmates 07 – Canadian resident self-pay 08 – Other countries resident self-pay
To determine the primary source for payment over the course of the CKD patient journey
This applies to Chronic, Acute, Pre-Dialysis Registration and Treatment Events: RP, RR, TI, TR-IN, F
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 11
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Date Of Birth 1.10 Patient Date of Birth
Date (10) Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
‘Date of Birth’ field’s value must be selected from the calendar provided in the application. This field’s value must be earlier (less) than the current date
Used to identify a patient and calculate age of the patient
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes
Patient Gender 1.11 Patient's gender Character (1) Mandatory M - Male F - Female O - Other
‘Gender’ field under patient identification on patient registration must be a value from a pre-populated list
Used to identify patient special demographic characteristics - gender/sex
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment Events and CKD Service Volumes
Patient Race 1.12 Patient's race Character (2)
Mandatory (for Pre-
dialysis and Chronic)
Optional
(for Acute)
1 - Caucasian 2 – Asian /Oriental 3 - Black 5 - Indian Sub-Continent 8 - Pacific Islander 9 - Native American/Aboriginal 10 - Mid-East/Arabian 11 - Latin American 12 - African Origin 98 - Unknown 99 - Other/Multiracial
‘Race’ field under patient identification on Pre-Dialysis patient registration is mandatory ‘Race’ field under patient identification on Acute & Chronic patient registration is optional
Used to identify patient special demographic characteristics - race
This applies to Chronic, Acute and Pre-dialysis Registration
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 12
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient If Other, Specify 1.13
Patient's race to be specified, if not identified from the predefined race options
Character (50)
Optional Open text field
‘If Other, Specify’ field under patient identification on patient registration must auto-refresh every time the value for ‘Race’ field is updated
Used to identify patient special demographic characteristics - race
This applies to Chronic, Acute and Pre-dialysis Registration
Patient
Aboriginal Classification
1.13.1 Type of Aboriginal classification
Character (2) Conditionally Optional
1 - First Nations 2 - Inuit 3 - Métis 99 - Other
Becomes optional on selection of “Native American/Aboriginal" in ‘Race’ field. It must be a value from a pre-populated list
Enhance ‘Race’ for capturing Aboriginal information to support access to service priority
Patient Other Aboriginal Classification
1.13.2 Type of other Aboriginal classification
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory on selection of “Other” in ‘Aboriginal Classification’. Accepted Characters: A-Z, space, ‘ , -
Enhance ‘Race’ for capturing Aboriginal information to support access to service priority
Patient Settlement Area 1.13.3
Area of settlement if ‘Native American/ Aboriginal’ is selected as Race
Character (1) Conditionally Optional
1 - On reserve 2 - Off reserve
Becomes optional on selection of “Native American/ Aboriginal” in ‘Race’ field. It must be a value from a pre-populated list
Enhance ‘Race’ for capturing Aboriginal information to support access to service priority
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 13
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Patient Address – City
1.14 Patient's current city/town of residence
Character (30)
Optional
‘City’ field under patient identification on patient registration must be a value from a pre-populated list ‘City’ field’s pre-populated list will be based on the value selected for ‘Province’ field ‘City’ field’s pre-populated list will auto-refresh every time the value for ‘Province’ field is updated
Used to identify patient special demographic characteristics -location
This applies to Chronic, Acute and Pre-dialysis Registration
Patient Patient Address – Province
1.15 Patient's province of residence
Character (2) Mandatory
NL, PE, NS, NB, QC, ON, MB, SK, AB, BC, NT, YT, NU, 99 (Out of Canada)
‘Province’ field under patient identification on patient registration must be a valid value from the pre-populated list
Used to identify patient for geographic analysis
This applies to Chronic, Acute and Pre-dialysis Registration
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 14
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Patient Address - Postal Code
1.16
Patient's postal code of their home address A postal code is a series of letters and/or digits appended to a postal address for the purpose of sorting mail Format for Canadian Postal Code: A#A#A#
Alphanumeric (6)
Mandatory A#A#A#
‘Postal Code’ field under patient identification on patient registration must accept only alpha-numeric characters. (No special characters are allowed)
Used to identify patient for geographic analysis
This applies to Chronic, Acute and Pre-dialysis Registration
Patient ORRS Patient ID 1.17
This is an ORRS system generated identifier on initial registration of the patient This is used in conjunction with other patient credentials (i.e. last name, first name, date of birth, gender and health card number) to match to a patient in ORRS
Numeric (10) Optional
Used to identify and match with a patient in ORRS
This applies to Chronic, Acute, Pre-dialysis Registration, Treatment events and CKD Service Volumes
Patient Registration Type
1.18
This indicates if this is an initial or secondary registration in ORRS and pertains to Registration (Acute, Chronic and Pre-dialysis) only
Character (1) Mandatory I - Initial Registration S - Secondary Registration
Used to identify whether the registration is initial or secondary
This applies to Chronic, Acute and Pre-dialysis Registration - ONLY for the ORRS Upload Tool (Standard facilities)
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 15
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Street Address Line 1
1.19
This is an additional address field to capture detailed address for all registration types
Alphanumeric (100)
Mandatory
Used to identify the complete address of the patient to support quality improvement initiatives
Patient Street Address Line 2
1.20
This is an additional address field to capture detailed address for all registration types
Alphanumeric (100)
Optional
Used to identify the complete address of the patient to support quality improvement initiatives
Patient Address Is Not A Private Residence
1.21
Flag to indicate that residence is not a private residence
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N - No Y - Yes
Identify patients residing in LTC homes, Rehab Facilities and/or Complex Care Centres to understand the demand for assisted dialysis given travel from LTC, CCC or Rehab to in-facility
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 16
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Type Of Residence
1.22 Residence type if not a private residence
Character (2) Conditionally Mandatory
1 - Complex Continuing Care Centre 2 - Long Term Care Home 3 - Rehab Facility 99 - Other
Becomes mandatory when the address is not a private residence. It must be a valid value from the pre-populated list
Identify patients residing in LTC homes, Rehab Facilities and/or Complex Care Centres to understand the demand for assisted dialysis given travel from LTC, CCC or Rehab to in-facility
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 17
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Patient Other Type Of Residence
1.23 Other type of residence
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory when the address is not a private residence and "99 - Other" is selected for ‘Type Of Residence’. Accepted Characters: A-Z, space, ‘ , -
Identify patients residing in LTC homes, Rehab Facilities and/or Complex Care Centres to understand the demand for assisted dialysis given travel from LTC, CCC or Rehab to in-facility
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 18
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
CHRONIC REGISTRATION
Chronic Registration
MRP 2.0
Most Responsible Physician (MRP): Nephrologist who is responsible for the care and treatment of the patient for the majority of the visit/treatment to the health care facility. The MRP assumes responsibility for any treatment provided resulting from his or her written or verbal order. If the physician is not physically present in the health care facility but provides orders for treatment, he or she will continue to be responsible for the patient’s care and should be recorded as the MRP. For chronic dialysis patient registration, the most recent MRP is the physician who provided outpatient pre-dialysis care prior to initiation of dialysis care.
Character (10) Optional
For an individual physician, the MRP is The College of Physicians and Surgeons of Ontario (CPSO) number 00000 - ‘Physician
Shared Care Model’ when a single physician is not
applicable 00002 - ‘Prior outpatient pre-dialysis care at other program’
00016 - ‘MRP Nephrologist is not in ORRS’ if physician is not available in pre-populated list 00999 - ‘No prior outpatient Nephrologist care’ if patient did not receive outpatient pre-dialysis care
ORRS Application It must be a valid value from the pre-populated list ORRS Upload Tool It must be a valid value within pre-defined back-end values
Ability to identify the Most Responsible Physician over time at key points in the patient journey
Do not report the physician that initiated acute or chronic dialysis The ORRS application provides the ability to retrieve the ‘MRP’ and ‘Date First Seen by MRP’ within your program as reported in a Treatment Event or Pre-dialysis registration (use the ‘Find Recent MRP’ button)
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 19
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Date First Seen by MRP
2.0.1
The most recent date on which the Most Responsible Physician (MRP) provided outpatient pre-dialysis care prior to dialysis initiation in either a private office or a specialty/ multidisciplinary clinic
Date (10) Conditionally Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
Becomes mandatory when MRP value is provided The Date First Seen by MRP must be greater than the patient’s Date of Birth The Date First Seen by MRP must be on or after Date First Seen By Nephrologist
To identify period of patient follow-up to support quality improvement initiatives
The ORRS application provides the ability to retrieve the ‘MRP’ and ‘Date First Seen by MRP’ within your program as reported in a Treatment Event or Pre-dialysis registration (use the ‘Find Recent MRP’ button)
Chronic Registration
Patient Transferred Into Ontario?
2.1
Indicates if the patient was transferred into Ontario
Character (1) Conditionally
Optional N – No Y – Yes
Used to identify if the patient was transferred into Ontario
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 20
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Date Of Referral To Nephrologist
2.67 The date of referral to see a Nephrologist
Date (10) Optional
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
The Date Of Referral To Nephrologist must be greater than the patient’s Date of Birth The Date Of Referral To Nephrologist must be on or before the date when the patient was first seen by a Nephrologist Date Of Referral To nephrologist will be pre-populated between the Pre-Dialysis and Chronic registrations. Because it represents the first referral date provided, the system will accept new or modified date of referral dates on only one registration. Date of referral subsequently provided on the other registration will be ignored
To track the date of referral to nephrologist on initiation of chronic dialysis to support quality improvement initiatives
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 21
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Date First Seen By Nephrologist
2.2 The date first seen by Nephrologist
Date (10) Optional
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
The date when the patient was first seen by a Nephrologist must be greater than the patient’s date of birth The date when the patient was first seen by a Nephrologist must be less than or equal to the current date
Used to identify pre-dialysis care and CKD status
Chronic Registration
Creatinine When First Seen By Nephrologist
2.3
Creatinine value at first Nephrologist visit The lab test performed at first nephrology visit The initial result for creatinine (µmol/L) when followed by Nephrologist
Numeric (4) Conditionally Mandatory
9999
IF ‘Date First Seen By Nephrologist’ is not blank THEN ‘Creatinine When First Seen By Nephrologist’ cannot be blank
Used to identify pre-dialysis care and CKD status
Chronic Registration
Patient Followed By Nephrologist Prior To Dialysis?
2.4
Patient followed by Nephrologist in an outpatient clinic prior to initiating dialysis
Character (1) Mandatory N - No Y - Yes U - Unknown
‘Patient Followed By A Nephrologist Prior To Dialysis’ field under pre-dialysis and initial blood work group on Chronic patient registration must be a value from a pre-populated list
Used to identify pre-dialysis care and CKD status
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 22
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Where Was Patient Followed?
2.5
Where the patient was seen before the start of dialysis
Character (1) Conditional
Optional
1 - Office 2 - Clinic 3 - Both
‘Where’ field under pre-dialysis and initial blood work group on Chronic patient registration must be activated only if ‘Was the patient followed by a Nephrologist” field’s value is “Yes” “Where” field under pre-dialysis and initial blood work group on Chronic patient registration must auto-refresh every time the value for “Was The Patient Followed By A Nephrologist Prior To Dialysis’ field is updated
Used to identify pre-dialysis care and CKD status
Chronic Registration
Followed In Multidisciplinary Clinic?
2.6 Patient was followed in CKD specialty clinic
Character (1) Optional N - No Y - Yes U - Unknown
‘Followed In Multidisciplinary Clinic’ field under pre-dialysis and initial blood work group on Chronic patient registration must be a value from a pre-populated list
Used to identify pre-dialysis care and CKD status
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 23
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Date Of Referral To Multidisciplinary Clinic
2.7
Date of first referral to multidisciplinary (specialty) clinic
Date (10) Optional
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
The ‘Date Of Referral To Multidisciplinary Clinic’ must be greater than patient’s Date of Birth
Used to identify pre-dialysis care and CKD status
Chronic Registration
Patient Receiving Erythropoietin Prior To Initial Dialysis?
2.8
Erythropoietin (EPO) received prior to dialysis treatment
Character (1) Optional 2 - No 3 - Unknown 4 - Yes – Eprex 5 - Yes – Aranesp 6 - Yes - Other
‘Patient Receiving Erythropoietin Prior To Initial Dialysis’ field under pre-dialysis and initial blood work group on Chronic patient registration must be a value from a pre-populated list
Used to identify patient clinical characteristics
Chronic Registration
Hemoglobin (g/L) 2.9
Hemoglobin test results prior to starting dialysis; the latest results for hemoglobin (g/L) for the patient
Numeric (3) Optional 999
‘Hemoglobin’ field’s usual range of values is 60-140 g/L (inclusive)
Used to identify patient clinical characteristics
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 24
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Hemoglobin Test Not Done
2.9.1 Flag to identify if Hemoglobin test was not done
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N- No Y -Yes
Enhance data quality for Chronic Registration lab values by providing an option to indicate whether labs were not available. Lab tests that are marked “Test Not Done”, will not appear in the missing data report
Chronic Registration
Creatinine (μmol/L)
2.10 Creatinine test result prior to starting dialysis
Numeric (4) Mandatory 9999
‘Creatinine’ field’s usual range of values is 300-1500 μmol/L (inclusive)
Used to identify patient clinical characteristics
Chronic Registration
Urea (mmol/L) 2.11
Urea test result prior to starting dialysis; the latest results for urea (mmol/L) for the patient
Numeric (3,1) Optional 999.9
‘Urea’ field’s usual range of values is 15-40 mmol/L (inclusive)
Used to identify patient clinical characteristics
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 25
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Urea Test Not Done
2.11.1 Flag to identify if Urea test was not done
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N- No Y -Yes
Enhance data quality for Chronic Registration lab values by providing an option to indicate whether labs were not available. Lab tests that are marked “Test Not Done”, will not appear in the missing data report
Chronic Registration
Serum Bicarbonate/CO2 (mmol/L)
2.12
Serum bicarbonate test result prior to starting dialysis; the latest results for Serum Bicarbonate or Serum CO2 (mmol/L) for the patient
Numeric (2) Optional 99
‘Serum Bicarbonate/CO2’ field’s usual range of values is 20-30 mmol/L (inclusive)
Used to identify patient clinical characteristics
Chronic Registration
Serum Bicarbonate/CO2 Test Not Done
2.12.1
Flag to identify if Serum Bicarbonate/CO2 test was not done
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N- No Y -Yes
Enhance data quality for Chronic Registration lab values by providing an option to indicate whether labs were not available. Lab tests that are marked “Test Not Done”, will not appear in the missing data report
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 26
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Serum Calcium (mmol/L)
2.13
Calcium test result prior to starting dialysis; the latest results for Serum Calcium (mmol/L) for the patient
Numeric (1,2) Optional 9.99
‘Serum Calcium’ field’s usual range of values is 2.20-2.60 mmol/L (inclusive) if “Corrected” is selected in drop down ‘Serum Calcium’ field’s usual range of values is 1.19-1.29 mmol/L (inclusive) if “Ionized” is selected in drop down ‘Serum Calcium’ field’s usual range of values is 2.10-2.60 mmol/L (inclusive) if “Uncorrected” is selected in drop down
Used to identify patient clinical characteristics
Chronic Registration
Serum Calcium Type
2.14 This is to identify the Serum Calcium Type
Character (1) Optional 1 - Corrected 2 - Uncorrected 3 - Ionized
Used to identify patient clinical characteristics
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Serum Calcium Test Not Done
2.14.1
Flag to identify if Serum Calcium test was not done
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N- No Y -Yes
Enhance data quality for Chronic Registration lab values by providing an option to indicate whether labs were not available. Lab tests that are marked “Test Not Done”, will not appear in the missing data report
Chronic Registration
Serum Phosphate (mmol/L)
2.15
Phosphate test result prior to starting dialysis; the latest results for serum phosphate (mmol/l) for the patient
Numeric (1,2) Optional 9.99
‘Serum Phosphate’ field’s usual range of values is 1.5-1.8 mmol/L (inclusive)
Used to identify patient clinical characteristics
Chronic Registration
Serum Phosphate Test Not Done
2.15.1
Flag to identify if Serum Phosphate test was not done
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N- No Y -Yes
Enhance data quality for Chronic Registration lab values by providing an option to indicate whether labs were not available. Lab tests that are marked “Test Not Done”, will not appear in the missing data report
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 28
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Serum Albumin (g/L)
2.16
Albumin test result prior to starting dialysis; the latest results for albumin (g/L) for the patient
Numeric (2) Optional 99
‘Serum Albumin’ field’s usual range of values is 25-50 g/L (inclusive)
Used to identify patient clinical characteristics
Chronic Registration
Serum Albumin Test Not Done
2.16.1
Flag to identify if Serum Albumin test was not done
Character (1) Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N- No Y -Yes
Enhance data quality for Chronic Registration lab values by providing an option to indicate whether labs were not available. Lab tests that are marked “Test Not Done”, will not appear in the missing data report
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 29
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Serum Parathormone (PTH)
2.17
Parathormone test result prior to starting dialysis; the latest results for serum parathormone for the patient
Numeric (3,1) Optional 999.9
‘Serum Parathormone’ field’s usual range of values is 1.3-7.6 pmol/L (inclusive) if “pmol/L” is selected in drop down. ‘Serum Parathormone’ field’s usual range of values is 18-73 ng/L (inclusive) if “ng/L” is selected in drop down. ‘Serum Parathormone’ field’s usual range of values is 10-65 pg/ml (inclusive) if “pg/ml” is selected in drop down
Used to identify patient clinical characteristics
Chronic Registration
PTH Units of Measure
2.18 Unit of Measure (Flag for the type of PTH test)
Character (1) Optional 1 - pmol/L 2 - ng/L 3 - pg/ml
Unit of measure for Serum Parathormone
Chronic Registration
PTH Test Not Done
2.19 Flag to identify if test not done
Character (1) Optional N - No Y - Yes
Used to identify if the PTH test was not done
Chronic Registration
Comments 2.20 Place to record additional comments, if any
Character (255)
Optional Open text field
This is an open text field to record additional information
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Access Used At Time Of First Dialysis
2.21
Body/venous access type used at first chronic dialysis treatment
Character (2) Mandatory
1 - Temporary catheter non-cuffed 2 - Temporary catheter cuffed 3 - Permanent catheter non-cuffed 4 - Permanent catheter cuffed 5 - AV fistula 6 - AV graft 7 - PD Catheter
‘Access Used At Time Of First Dialysis’ field under Initial & Intended Dialysis Treatment on Chronic patient registration must be a value from a pre-populated list. This is the access used to receive the dialysis treatment/modality identified in the chronic patient registration form
Used to identify the access type used at the start of chronic dialysis treatment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 31
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Dialysis Treatment Start Date
2.22 To identify start of the chronic dialysis treatment
Date (10) Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
‘Dialysis Treatment Start Date’ field under Initial & Intended dialysis treatment on Chronic patient registration must be greater than ‘Date Of Birth’ field’s value. ‘Dialysis Treatment Start Date’ field under Initial & Intended dialysis treatment on Chronic patient registration must be greater than ‘Date When Patient First Seen By Nephrologist’ field’s value ‘Dialysis Treatment Start Date’ field’s value must not occur during the month for which the census period has been closed
Used to identify length of treatment
Chronic Registration
Initial Dialysis Treatment Code
2.23 Type of Dialysis Modality
Character (3) Mandatory See ‘Treatment (Modality) Codes – Chronic Specific’ list
‘Level Of Care’ field’s value must be a valid combination in conjunction with ‘Location’ and ‘Type’ fields’ values
This is to identify and track the type of dialysis modality
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 32
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Intended Long-Term Treatment?
2.24
To identify if the initial dialysis treatment is intended long term treatment
Character (1) Optional N - No Y - Yes U - Unknown
‘Is this initial treatment intended long-term dialysis treatment for this patient’ field under Initial & Intended dialysis treatment on Chronic patient registration must be a value from a pre-populated list
Used to identify the modality of initial dialysis treatment
Chronic Registration
Reason For Not Intended Long-term Treatment
2.25
Reason why initial treatment was not intended long term treatment
Character (1) Conditionally
Optional
1 - No facilities/space available 2 - No mature access 3 - Unforeseen change in patient status leading to sudden dialysis start 4 - Other
‘If not, why not’ field under Initial & Intended dialysis treatment on Chronic patient registration will be applicable only if ‘Is this initial treatment intended long-term dialysis treatment for this patient’ field’s value is “No”
Used to identify why initial treatment was not intended for long term treatment
Chronic Registration
Other Reason For Not Intended Long-term Treatment
2.26
If not the intended treatment, specify other treatment
Character (50)
Conditionally Mandatory
Open text field
‘Other’ field under Initial & Intended dialysis treatment on Chronic patient registration will be activated only when ‘If not, why not’ field’s value is “Other”
Used to identify other treatment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 33
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Intended Long-term Treatment Code?
2.27
Type of the intended dialysis treatment. Consists of treatment location code, treatment type code and level of assistance care code. Treatment Location
Character (3) Conditionally
Optional
See Appendix for ‘Treatment (Modality) Codes – Chronic Specific’ list
“Level of Care” field’s value must be a valid combination in conjunction with “Location” and “Type” fields’ values
Used to identify intended modality treatment
Chronic Registration
Not Home HD Modality Reason 1
2.28 Reason for Not Home HD Modality
Character (2) Conditionally Mandatory
See Appendix for 'Home HD Reason Codes' list
IF Initial Dialysis Treatment Code in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home HD Modality Reason 1 cannot be blank
To identify primary reason for why not Home HD Modality
Chronic Registration
Not Home HD Modality Other Reason 1
2.29 Reason for Not Home HD Modality
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 1 = ‘55’ THEN Not Home HD Modality Other Reason 1 cannot be blank
To identify other primary reason for why not Home HD Modality
Chronic Registration
Not Home HD Modality Reason 2
2.30 Reason for Not Home HD Modality
Character (2) Conditionally
Optional
See Appendix for 'Home HD Reason Codes' list
IF Initial Dialysis Treatment Code NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home HD Modality Reason 2 must be blank
To identify secondary reason for why not Home HD Modality
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Not Home HD Modality Other Reason 2
2.31 Reason for Not Home HD Modality
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 2 = ‘55’ THEN Not Home HD Modality Other Reason 2 cannot be blank
To identify other secondary reason for why not Home HD Modality
Chronic Registration
Not Home HD Modality Reason 3
2.32 Reason for Not Home HD Modality
Character (2) Conditionally
Optional
See Appendix for 'Home HD Reason Codes' list
IF Initial Dialysis Treatment Code NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home HD Modality Reason 3 must be blank
To identify tertiary reason for why not Home HD Modality
Chronic Registration
Not Home HD Modality Other Reason 3
2.33 Reason for Not Home HD Modality
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 3 = ‘55’ THEN Not Home HD Modality Other Reason 3 cannot be blank
To identify other tertiary reason for why not Home HD Modality
Chronic Registration
Not Home PD Modality Reason 1
2.34 Reason for Not Home PD Modality
Character (2) Conditionally Mandatory
See Appendix for ‘Home PD Reason Codes’ list
IF Initial Dialysis Treatment Code in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home PD Modality Reason 1 cannot be blank
To identify primary reason for why not Home PD Modality
Chronic Registration
Not Home PD Modality Other Reason 1
2.35 Reason for Not Home PD Modality
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 1 = ‘55’ THEN Not Home PD Modality Other Reason 1 cannot be blank
To identify other primary reason for why not Home PD Modality
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Not Home PD Modality Reason 2
2.36 Reason for Not Home PD Modality
Character (2) Conditionally
Optional
See Appendix for ‘Home PD Reason Codes’ list
IF Initial Dialysis Treatment Code NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home PD Modality Reason 2 must be blank
To identify secondary reason for why not Home PD Modality
Chronic Registration
Not Home PD Modality Other Reason 2
2.37 Reason for Not Home PD Modality
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 2 = ‘55’ THEN Not Home PD Modality Other Reason 2 cannot be blank
To identify other secondary reason for why not Home PD Modality
Chronic Registration
Not Home PD Modality Reason 3
2.38 Reason for Not Home PD Modality
Character (2) Conditionally
Optional
See Appendix for ‘Home PD Reason Codes’ list
IF Initial Dialysis Treatment Code NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home PD Modality Reason 3 must be blank
To identify tertiary reason for why not Home PD Modality
Chronic Registration
Not Home PD Modality Other Reason 3
2.39 Reason for Not Home PD Modality
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 3 = ‘55’ THEN Not Home PD Modality Other Reason 3 cannot be blank
To identify other tertiary reason for why not Home PD Modality
Chronic Registration
HD Catheter Reason 1
2.40 HD Catheter Reason 1
Character (2) Conditionally Mandatory
See Appendix for ‘VA Reason Codes - Milestone 4’ list
IF Access Used at Time of First Dialysis in (1, 2, 3, 4) THEN HD Catheter Reason 1 cannot be blank
To identify primary reason for HD Catheter
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 36
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
HD Catheter Other Reason 1
2.41 HD Catheter Other Reason 1
Character (100)
Conditionally Mandatory
IF HD Catheter Reason 1 = ‘55’ THEN HD Catheter Other Reason 1 cannot be blank
To identify other primary reason for HD Catheter
Chronic Registration
HD Catheter Reason 2
2.42 HD Catheter Reason 2
Character (2) Conditionally
Optional
See Appendix for ‘VA Reason Codes - Milestone 4’ list
IF Access Used at Time of First Dialysis NOT in (1, 2, 3, 4) THEN HD Catheter Reason 2 must be blank
To identify secondary reason for HD Catheter
Chronic Registration
HD Catheter Other Reason 2
2.43 HD Catheter Other Reason 2
Character (100)
Conditionally Mandatory
IF HD Catheter Reason 2 = ‘55’ THEN HD Catheter Other Reason 2 cannot be blank
To identify other secondary reason for HD Catheter
Chronic Registration
Patient Informed About Kidney Transplantation
2.43.1
Indicate whether the patient has been informed about the option of kidney transplantation
Character (1) Mandatory N - No Y - Yes
Capture minimal data related to transplant assessment/ education
Chronic Registration
Patient a candidate for Kidney Transplantation
2.43.2
Indicate whether the patient is or will be a candidate for kidney transplantation
Character (1) Optional
N - No Y - Yes P – Not until - patient must meet following precondition(s)
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 37
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Patient not a candidate for Kidney Transplantation Reason
2.43.3
The reason why the patient is not a candidate for kidney transplantation
Character (2) Conditionally Mandatory
1 - Severe uncorrectable cardiac disease 2 - Severe uncorrectable peripheral vascular disease 3 - Short life expectancy 4 - Severe uncorrectable cognitive impairment 5 - Severe uncorrectable diagnosed psychiatric condition 6 - Severe uncorrectable impaired physical condition 7 - A cancer that makes patient permanently ineligible for transplant 8 - Patient totally unwilling to receive a transplant 99 - Other – permanent contraindication to transplant, please specify
Becomes mandatory when patient is not a candidate for kidney transplantation (2.43.2 - “N- No”)
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 38
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Patient not a candidate for Kidney Transplantation Other Reason
2.43.4
Other reason why the patient is not a candidate for kidney transplantation
Character (100)
Conditionally Mandatory
Becomes mandatory when “99 - Other – permanent contraindication
to transplant, please specify” is selected within ‘Patient not a candidate for Kidney Transplantation Reason’(2.43.2 – “N – No”)
Capture minimal data related to transplant assessment/ education
Chronic Registration
Patient not a candidate for Kidney Transplantation Preconditions
2.43.5
The precondition(s) that must be met before the patient is a candidate for kidney transplantation
Character (2) Conditionally Mandatory
50 -Must lose defined amount of weight 51 - Must show adherence 52 - Must complete cardiology assessment 99 – Other - please specify (e.g. dental work, stop smoking etc)
Becomes mandatory when patient must meet precondition(s) to be a candidate for kidney transplantation (2.43.2 – “P Not until - patient must meet following precondition(s)” )
Capture minimal data related to transplant assessment/ education
Chronic Registration
Patient not a candidate for Kidney Transplantation Other Preconditions
2.43.6
The other precondition(s) that must be met before the patient is a candidate for kidney transplantation
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory when “99 - Other” is selected within “Patient not a candidate for Kidney Transplantation Preconditions” (2.43.2 – P- Not until - patient must meet following precondition(s)”)
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 39
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Patient aware of Living Kidney Donor and willing to accept that kidney
2.43.7
The patient is aware of a family member or friend who is interested in being a living kidney donor and is willing to accept that kidney
Character (1) Optional N - No Y - Yes
Capture minimal data related to transplant assessment/ education
Chronic Registration
Patient not aware of Living Kidney Donor and / or not willing to accept that kidney Reason
2.43.8
The reason why the patient is not aware of a family member or friend who is interested in being a living kidney donor and/or is unwilling to accept that kidney
Character (2) Conditionally Mandatory
1 - Patient has not yet been informed about living donor transplant option 2 - Patient has no potential living donor 3 - Patient has potential living donor but has not yet discussed with family or friends 4 - Patient has potential living donor but patient unwilling to accept donation 5 - Patient unwilling to have any kind of kidney transplant (deceased or living donor) 99 – Other - please specify
Becomes mandatory when patient is not aware of a family member or friend who is interested in being a living kidney donor and/or is unwilling to accept that kidney (2.43.7 – “N – No”)
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 40
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Patient not aware of Living Kidney Donor and / or not willing to accept that kidney Other Reason
2.43.9
The other reason why the patient is not aware of a family member or friend who is interested in being a living kidney donor and/or is unwilling to accept that kidney
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory when “99 - Other” is selected within ‘Patient not aware of Living Kidney Donor and / or not willing to accept that kidney Reason’ (2.43.7 – “P - Not until - patient must meet following precondition(s)”)
Capture minimal data related to transplant assessment/ education
Chronic Registration
Active On Deceased Donor Transplant Waiting List
2.43.10
Flag whether the patient is currently active on the deceased donor transplant waiting list
Character (1) Optional N - No Y - Yes
Capture minimal data related to transplant assessment/ education
Chronic Registration
Not on Deceased Donor Transplant Waiting List Reason
2.43.11
The reason why the patient is not currently active on the deceased donor transplant waiting list
Character (2) Conditionally Mandatory
1 - Patient suitable and currently undergoing work-up 2 - Patient has not yet been informed about transplant 3 - Patient suitable, but unwilling at present 4 - On deceased donor list but “on hold” at present 5 - Patient pursuing living donor transplant instead 6 - Workup complete but eGFR > 15 mls/min (pre-dialysis patient only) 99 – Other – please specify
Becomes mandatory when patient is not currently active on the deceased donor transplant waiting list (2.43.10 - “N - No”)
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 41
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Not on Deceased Donor Transplant Waiting List Other Reason
2.43.12
Other reason the patient is not currently active on the deceased donor transplant waiting list
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory when “99 - Other” is selected within ‘Not On Deceased Donor Transplant Waiting List Reason’
Capture minimal data related to transplant assessment/ education
Chronic Registration
Deceased Donor Transplant Waiting List On Hold Reason
2.43.13
The reason why the patient is on the deceased donor transplant waiting list but on hold
Character (2) Conditionally Mandatory
1 - Acute illness 2 - Recent cancer diagnosis 3 - Patient choice to go on temporary hold 4 - Ongoing test requirements not met 99 – Other – please specify
Becomes mandatory when patient is on hold on deceased donor transplant waiting list (2.43.11 - Option 4)
Capture minimal data related to transplant assessment/ education
Chronic Registration
Deceased Donor Transplant Waiting List On Hold Other Reason
2.43.14
Open text field for other reason the patient is on the deceased donor transplant waiting list but on hold
Character (100)
Conditionally Mandatory
Becomes mandatory when "99 - Other” is selected within ‘Deceased Donor Transplant Waiting List On Hold Reason’
Capture minimal data related to transplant assessment/ education
Chronic Registration
Height At First Dialysis Treatment (cm)
2.44 Height (cm) of the patient at the time of dialysis
Numeric (3,3) Conditionally Mandatory
999.999
Becomes mandatory when ‘Height And/or Weight Cannot Be Provided Because Patient Is’ field is blank
Used to identify patient physical characteristics
Chronic Registration
Weight Within First Month Of Treatment (kg)
2.45
The patient's actual weight in kg during treatment for chronic renal failure
Numeric (3,3) Conditionally Mandatory
999.999
Becomes mandatory when ‘Height and/or Weight Cannot Be Provided Because Patient Is’ field is blank
Used to identify patient physical characteristics
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 42
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Height And/or Weight Cannot Be Provided Because Patient Is
2.46
Reason Height and/or Weight cannot be provided
Character (1)
Conditionally Mandatory
1 - Double leg amputee 2 - Other
Becomes mandatory if Height and/or Weight are blank
Data quality
Chronic Registration
Height And/or Weight Cannot Be Provided Because Patient Is, Other Reason
2.47
Open text field for other reason why Height and/or Weight is not available
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory if “2 - Other” is selected within ‘Height And/or Weight Cannot Be Provided Because Patient Is’ field
Used to record other reasons for missing height and/or weight
Chronic Registration
Primary Renal Disease
2.48
Primary Renal Disease (PRD) or the disease condition which caused renal failure that needed renal replacement therapy
Character (2) Optional See Appendix for 'Primary Renal Codes' list
“Primary Renal disease code” field under primary diagnosis and risk factor history on Chronic patient registration must be a value from a pre-populated list
Used to calculate End-Stage Renal Disease (ESRD) Primary Renal Disease
Chronic Registration
Other Primary Renal Disease
2.49
Other disease condition which caused renal failure - i.e. when PRDtype code=99
Character (100)
Conditional Mandatory
IF Primary Renal Disease = ‘99’ THEN Other Primary Renal Disease cannot be blank
Additional disease information
Chronic Registration
Angina? 2.50
Indicates whether patient has suffered from angina at the time of initial renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's existing specific comorbidities
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Myocardial Infarct?
2.51
Indicates whether patient has confirmed myocardial infarct on the basis of an EKG, cardiac enzymes, echocardiogram or thallium scans prior to beginning renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's existing specific comorbidities
Chronic Registration
Coronary Artery Bypass Grafts/ Angioplasty?
2.52
Indicates whether patient has had previous coronary artery bypass graft surgery prior to beginning renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's existing specific comorbidities
Chronic Registration
Recent history of Pulmonary Edema?
2.53
Congestive Heart Failure (CHF)/ Pulmonary Edema - If the patient has a recent history of pulmonary edema prior to beginning renal replacement therapy. This includes episode(s) of congestive heart failure or severe fluid overload within six months prior to start of dialysis
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's clinical characteristics
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Cerebrovascular Disease?
2.54
Cerebrovascular Disease (Stroke or Transient Ischemic Attack)- Indicates whether patient has had previous cerebrovascular event such as transient cerebral ischemic attack, carotid surgery, cerebral infarct, cerebral hemorrhage, stroke prior to beginning renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's clinical characteristics
Chronic Registration
Peripheral Vascular Disease?
2.55
Peripheral Vascular Disease (Ischemic muscle pain precipitated by exercise, amputation, gangrene) - Indicates whether patient has been described as having intermittent claudication at rest or, on exercise or, has had aorto-femoral bypass surgery prior to beginning renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's clinical characteristics
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Diabetes Type I? 2.56
Indicates whether patient had diabetes type 1 prior to beginning renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's clinical characteristics
Chronic Registration
Diabetes Type II?
2.57
Indicates whether patient was diagnosed with Type 2 diabetes prior to beginning renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's clinical characteristics
Chronic Registration
Malignancy? 2.58
Malignancy (existing prior to dialysis) - Indicates whether patient had a malignancy that existed prior to the first treatment for chronic
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's clinical characteristics
Chronic Registration
Malignancy Site 2.59
Indicates the malignancy site under primary diagnosis
Character (2) Optional See Appendix for 'Malignancy Site Codes' List
Used to identify patient's existing specific comorbidities
Chronic Registration
Other Malignancy Site
2.60 Other site of malignancy
Character (100)
Optional
Used to identify patient's existing specific comorbidities
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 46
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Chronic Obstructive Lung Disease?
2.61
Chronic Obstructive Lung Disease (COLD)/ Emphysema/ Chronic Bronchitis - Indicates whether the patient had clinically significant chronic chest disease requiring medical. Management prior to beginning renal replacement therapy; This will usually be described as chronic obstructive lung disease, chronic bronchitis or emphysema
Character (1) Optional N - No Y -Yes U - Unknown
Used to identify patient's existing specific comorbidities
Chronic Registration
Receiving Medication For Hypertension
2.62
Indicates if the patient was receiving medication such as calcium blocking agents, vasodilators, ACE inhibitors (e.g. captopril, enalapril) in order to control hypertension at the time renal replacement therapy was initiated
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's existing specific comorbidities
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 47
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Chronic Registration
Other Serious Illness?
2.63
Indicates if the patient has had any other illness, which may shorten life expectancy (e.g. aortic aneurysm, AIDS, etc.), at the time of starting renal replacement therapy
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient's existing specific comorbidities
Chronic Registration
Specified Other Serious Illness
2.64 Indicates specific other illness
Character (100)
Optional Open text field
IF Specified Serious Illness = ‘Y’ THEN Specified Other Serious Illness cannot be blank
Used to identify patient's existing specific comorbidities
Chronic Registration
Current Smoker? 2.65
Current smoker (within the last 3 months) - Indicates if the patient is a current smoker
Character (1) Optional N - No Y - Yes U - Unknown
Used to identify patient lifestyle - smoking
ACUTE REGISTRATION Treatment Information
Acute Registration - Treatment Information
Treatment Start Date
3.1 Date when treatment was started
Date (10) Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
“Treatment Start Date” field under treatment information on Acute patient registration must not be greater than “Date of Birth” field’s value
Used to identify length of treatment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 48
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Acute Registration - Treatment Information
Acute Treatment 3.2
Indicates the type of acute treatment for the patient
Character (3) Mandatory
Acute HD (AHD) CRRT-SLEDD (CSD) CRRT-CVVHD (CCV)
“Acute Treatment” field under treatment information on Acute patient registration must be a value from a pre-populated list
Used to identify the type of acute treatment the patient received and to track patient's health condition over time
Acute Registration - Treatment Information
Care Setting 3.3 Indicates the patient's care setting
Character (1)
Mandatory (Acute
Registration)
Conditionally Mandatory (Treatment
Event)
1 - Emergency Department 2 - PACU/Recovery 3 - Isolation room 4 - Inpatient care (ICU/CCU) 5 - Inpatient care (Non-critical) 6 - Inpatient care (dialysis in unit)
“Care Setting” field under treatment information on Acute patient registration must be a value from a pre-populated list
Describes settings in the hospital where acute dialysis is provided
This is common to Pre-dialysis registration and Treatment Event; NOTE:
Completion requirement is Mandatory for Pre-Dialysis Registration and Conditionally Mandatory for Treatment Event in Clinic Visits
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
PRE-DIALYSIS REGISTRATION
Pre-Dialysis Registration
MRP 4.0.1
Most Responsible Physician (MRP): Nephrologist who is responsible for the care and treatment of the patient for the majority of the visit/treatment to the health care facility. The MRP assumes responsibility for any treatment provided resulting from his or her written or verbal order. If the physician is not physically present in the health care facility but provides orders for treatment, he or she will continue to be responsible for the patient’s care and should be recorded as the MRP.
Character (10)
Optional
For an individual physician, the MRP is The College of Physicians and Surgeons of Ontario (CPSO) number 00000 - ‘Physician Shared Care Model’ when a single physician is not applicable 00016 - ‘MRP Nephrologist is not in ORRS’ if physician is not available in pre-populated list
ORRS Application It must be a valid value from the pre-populated list ORRS Upload Tool It must be a valid value within pre-defined back-end values
Ability to identify the Most Responsible Physician over time at key points in the patient journey
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Pre-Dialysis Registration
Date First Seen by MRP
4.0.1.1
The date when the Most Responsible Physician (MRP) first provided outpatient pre-dialysis care in either a private office or a specialty/ multidisciplinary clinic
Date (10) Conditionally Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
Becomes mandatory when MRP value is provided The Date First Seen by MRP must be greater than the patient’s Date of Birth The Date First Seen by MRP must be on or before the First Clinic Visit Date
To track the date first seen by MRP on initiation of outpatient pre-dialysis care to support quality improvement initiatives
Pre-Dialysis Registration
Height And/or Weight Cannot Be Provided Because Patient Is
4.0.2
Reason Height and/or Weight cannot be provided
Character (1)
Conditionally Mandatory
1 - Double leg amputee 2 - Other
Becomes mandatory if Height and/or Weight are blank
Data quality
Pre-Dialysis Registration
Height And/or Weight Cannot Be Provided Because Patient Is, Other Reason
4.0.3
Other reason why Height and/or Weight is not available
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory if “2 - Other” is selected within ‘Height And/or Weight Cannot Be Provided Because Patient Is’ field
Used to record other reasons for missing height and/or weight
Pre-Dialysis Registration
Patient Height (cm)
4.1 Height (cm) prior to starting dialysis
Numeric (3,3) Conditionally Mandatory
999.999
Becomes mandatory when ‘Height And/or Weight Cannot Be Provided Because Patient Is’ field is blank
Used to identify patient physical characteristics
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Pre-Dialysis Registration
Patient Weight (kg)
4.2
The patient's actual weight in kg at the start of the first ever dialysis, treatment for chronic renal failure; Weight (kg) prior to starting dialysis
Numeric (3,3) Conditionally Mandatory
999.999
Becomes mandatory when ‘Height And/or Weight Cannot Be Provided Because Patient Is’ field is blank
Used to identify patient physical characteristics
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 52
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Pre-Dialysis Registration
Date Of Referral To Nephrologist
4.2.1 The date of referral to see a Nephrologist
Date (10) Optional
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
The date of referral to Nephrologist must be greater than the patient’s date of birth The date of referral to Nephrologist must be on or before the date when patient was first seen by a Nephrologist Date Of referral to nephrologist will be pre-populated between the Pre-Dialysis and Chronic registrations. Because it represents the first referral date provided, the system will accept new or modified date of referral dates on only one registration. Date of referral subsequently provided on the other registration will be ignored
Enable referral wait time determination from point of pre-dialysis registration to enable earlier capture of data for patients that enter ORRS in pre-dialysis
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 53
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Pre-Dialysis Registration
First Clinic Visit Date
4.3
Date when the patient first came to the pre-dialysis clinic with the eGFR qualifier for ORRS new pre-dialysis patient registration
Date (10) Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
“First Clinic Visit Date” field’s value must be greater than “Date of Birth” field’s value. First Clinic Visit Date must be within the specified file submission period
Used to determine when the patient first came to pre-dialysis clinic for treatment and with the eGFR qualifier
Pre-Dialysis Registration
Clinic Visit Type 4.4
Type of the clinic the patient visited during pre-dialysis care
Character (1) Mandatory
1 - Regular 2 - Education 3 - Body/Vascular Access
“Clinic Visit Type” field under treatment information on Pre-dialysis patient registration must be a value from a pre-populated list IF Client Visit Type = 2, THEN Delivery Mode cannot be blank IF Client Visit Type = 3, THEN Access Visit Type cannot be blank
Used to identify the type of the clinic visit for funding purposes
1 – Regular is also captured as a Treatment Event. VR – Pre-Dialysis Clinic Visit
Pre-Dialysis Registration
Creatinine (umol/L)
4.5
Result of the Creatinine for the patient at the pre-dialysis clinic
Numeric (4) Mandatory 9999
The clinical range of values can be between 120-1500 µmoll/L
Used to calculate eGFR when patient registered as pre-dialysis patients
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 54
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Pre-Dialysis Registration
Creatinine Sample Collection Date
4.5.1
The date when the Creatinine test was administered
Date (10) Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
Sample Collection Date must be on or before the current date and greater than the patient’s date of birth
Used to calculate eGFR when patient registered as pre-dialysis patient
If Creatinine is coded as '9999 - value is unavailable' report the Pre-dialysis Clinic Visit Date as the Creatinine Sample Collection Date
Pre-Dialysis Registration
eGFR 4.6
Estimated Glomerular Filtration Rate (eGFR) may be used to identify kidney disease
This data element is not applicable in the ORRS Upload Tool.
This appears as a calculated value in the ORRS Application
Pre-Dialysis Registration
Proteinuria 4.7 Patient’s proteinuria lab result value
Numeric (4,2) Mandatory 9999.99
“Proteinuria” field’s value can be between 100 and 4000 (inclusive)
Used to measure progression of chronic kidney disease (CKD)
Pre-Dialysis Registration
Proteinuria Test Type
4.8 Proteinuria test type – fixed as ACR
Character (1) Mandatory
ORRS Application: Value fixed as “ACR” ORRS Upload Tool: Select “2 - ACR”
Used to measure progression of CKD
Pre-Dialysis Registration
Proteinuria Sample Collection Date
4.8.1
The date when the Proteinuria test was administered
Date (10) Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
Sample Collection Date must be on or before the current date and greater than the patient’s date of birth
Used to measure progression of chronic kidney disease (CKD)
If Proteinuria is coded as '9999 - value is unavailable' report the Pre-dialysis Clinic Visit Date as the Proteinuria Sample Collection Date
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 55
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Pre-Dialysis Registration
Delivery Mode 4.9 Delivery mode for Education Clinic Visit
Character (1) Conditionally Mandatory
1 - Group 2 - Individual
IF Client Visit Type = 2, THEN Delivery Mode cannot be blank
Used to identify the type of the clinic setting
Pre-Dialysis Registration
Access Visit Type
4.10
Type of access visit for Body/Vascular Access - i.e. for initial assessment or, for follow-up
Character (1) Conditionally Mandatory
1 - Initial Assessment 2 - Follow-up
IF Client Visit Type = 3, THEN Access Visit Type cannot be blank
Used to identify and track the patient's treatment access and related changes
This field is common to Pre-dialysis Registration and Treatment Events
Pre-Dialysis Registration
Initial Assessment Type
4.11 Indicates the type of assessment
Character (1) Conditionally Mandatory
1 - Pre-Dialysis Patient 2 - On dialysis at time of first visit
IF Access Visit Type = 1, THEN Initial Assessment Type cannot be blank
To determine if patient is on dialysis at first visit or is a pre-dialysis patient
This field is common to Pre-dialysis Registration and Treatment Events
Pre-Dialysis Registration
Assessment Reason
4.12 Reason for initial assessment
Character (1) Conditionally Mandatory
1 - Surgical consultation for PD access 2 - Surgical consultation for HD access 4 - Other
IF Access Visit Type = 1, THEN Initial Assessment Reason cannot be blank
To determine the reason for assessment at pre-dialysis
This field is common to Pre-dialysis Registration and Treatment Events
Pre-Dialysis Registration
Follow-up Type 4.13
Type of Follow-up for Body/Vascular Access
Character (1) Conditionally Mandatory
1 - First follow-up visit 2 - Further pre-operating assessment 3 - Complication related/challenge to maintain access 4 – Other
IF Access Visit Type = 2, THEN Follow-up Type cannot be blank
To determine and track the type of follow-up for body/vascular access
This field is common to Pre-dialysis Registration and Treatment Events
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 56
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
TREATMENT EVENT
Treatment Event
Same Day Event Order
5.1
The Same Day Event Order specifies how treatment events that occur on the same day are ordered for a given patient
Numeric (2) Optional
If the Order is not specified, incomplete or invalid, ORRS will automatically order the same day events as they are presented in the file from top to bottom for a patient. For example, the first same day event record is given a value of 1, the second a value of 2 and so forth for a given patient
To identify and track the sequence of events in a day
This field pertains ONLY to ORRS Application (Basic facilities)
Treatment Event
Treatment Event Code
5.2
Identifies the applicable treatment event for the patient - for example, Access change, Modality change, Recovered, Returning, Transplant etc
Character (6) Mandatory See Appendix for 'Treatment Event Codes' list
To identify the treatment event for the patient
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 57
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Treatment Date 5.3 Date of Treatment
Date (10) Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
The Treatment Start Date must be within the specified file submission period The Clinic Visit Date must be greater than patient’s Date of Birth
Used to identify length of treatment
Treatment Event
Treatment (Modality) Code
5.4 Type of Dialysis Modality
Character (6) Conditionally Mandatory
See Appendix for 'Treatment (Modality) Codes' (all applicable codes)
IF Treatment Event Code is not ‘NC’ THEN Treatment Code cannot be blank
Treatment Event
Reason For Change Code
5.6 Reason for treatment/status change
Character (2) Conditionally Mandatory
See Appendix for 'Reason for Change Codes' list Note: codes 18 and 20 are only applicable for a Treatment Event of ‘TO’
IF Treatment Event Code in (‘M’, ‘L-OUT’, ‘TR-OUT’, ‘TO’) THEN Reason for Change Code cannot be blank IF Treatment Event Code = ‘TO’ THEN Reason for Change Code must be in (18, 20)
Used to track reasons for treatment changes and for treatment practice analysis
Treatment Event
Other Reason For Change
5.7 Other reasons for treatment change
Character (50)
Conditionally Mandatory
Open text field
IF Reason For Change Code = ‘99’ THEN Other Reason For Change cannot be blank
To identify and track other reasons for treatment changes
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Reason For Withdrew Code
5.8 Primary reason for withdrawal
Character (2) Conditionally Mandatory
See Appendix for 'Reason for Chronic Withdrew Codes' and 'Reason for Pre-dialysis Withdrew Codes' list
IF Treatment Event Code = ‘W’ THEN Reason For Withdrew Code cannot be blank
To identify the primary reason for withdrawal
Treatment Event
Other Reason For Withdrew Code
5.9 Other reasons for withdrawal
Character (50)
Conditionally Mandatory
Open text field
IF Reason for Withdrew Code = ‘7’ THEN Other Reason For Withdrew Code cannot be blank
To identify other reasons for withdrawal
Treatment Event
Transferred From Location
5.10 The location from where the patient has moved from
Character (3) Conditionally Mandatory
See Appendix for 'Location Codes’, ‘IHF Location Codes’, ‘Self-care Location Codes’ and ‘LTC Location Codes’ lists
Used to identify patient movements and volumes by provider in different timeframes
Treatment Event
Death Type Code
5.12 Cause of Death Character (2) Conditionally Mandatory
See Appendix for 'Death Type Codes' list
IF Treatment Event Code = ‘D’ THEN Death Type Code cannot be blank
Used to analyze the major causes of death
Treatment Event
Transplant Hospital
5.13 Transplant hospital name
Character (3) Conditionally Mandatory
See Appendix for 'Hospital Codes' list
IF Treatment Event Code = ‘TX’ THEN Transplant Hospital cannot be blank
Used for transplant analysis
Treatment Event
Transplant Type 5.14 Indicates the Transplant Type
Character (3) Conditionally Mandatory
C - Cadaveric Donor (old term) D - Deceased Donor L - Living Donor UNK - Unknown
IF Treatment Event Code = ‘TX’ THEN Transplant Type cannot be blank
Used for transplant analysis
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 59
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Access Used 5.15
Indicates patient's access type used for dialysis
Character (2) Conditionally Mandatory
1 - Temporary catheter non-cuffed 2 - Temporary catheter cuffed 3 - Permanent catheter non-cuffed 4 - Permanent catheter cuffed 5 - AV fistula 6 - AV graft 7 - PD Catheter
IF Treatment Event Code = ‘AC’ THEN Access Used cannot be blank
Used to track patients' access changes
Treatment Event
Other Access Used
5.16 Other Body/venous access used
Character (1) Conditionally
Optional
1 - Temporary catheter non-cuffed 2 - Temporary catheter cuffed 3 - Permanent catheter non-cuffed 4 - Permanent catheter cuffed 5 - AV fistula 6 - AV graft 7 - PD Catheter
IF Treatment Event Code <> ‘AC’ THEN Other Access Used must be blank IF Access Used in (1, 2, 3, 4 THEN Other Access Used must be blank IF Access Used = 5 THEN Other Access Used cannot be in (5, 6) IF Access Used = 6 THEN Other Access Used cannot be 6 IF Access Used = 7 THEN Other Access Used cannot be 7
Identifies if patient has other access used. This would be considered dual access
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 60
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Dialysis Training Type
5.17 Indicates the type of home dialysis training
Character (1) Conditionally Mandatory
1 - Home Hemodialysis 2 - CAPD 3 - APD
IF Treatment Event Code in (‘TS’, ’TE’, ’RS’, ‘RE’) THEN Dialysis Training Type cannot be blank
To identify the type of home dialysis training for the patient
Treatment Event
Not Home HD Modality Reason 1
5.18
Primary reason for patient not eligible for Home HD
Character (2) Conditionally Mandatory
See Appendix for 'Home HD Reasons Code' list
IF Treatment Event Code in (‘ID3’, ‘ID6’) THEN Not Home HD Modality Reason 1 cannot be blank
To identify the primary reason for why patient is not eligible for Home HD
Treatment Event
Not Home HD Modality Other Reason 1
5.19
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 1 = ‘55’ THEN Not Home HD Modality Other Reason 1 cannot be blank
To identify other primary reason for why not Home HD Modality
Treatment Event
Not Home HD Modality Reason 2
5.20
Secondary reason for patient not eligible for Home HD
Character (2) Conditionally
Optional
See Appendix for ‘Home HD Reasons Code' list
IF Treatment Event Code not in (‘ID3’, ‘ID6’) THEN Not Home HD Modality Reason 2 must be blank
To identify secondary reason for why not Home HD Modality
Treatment Event
Not Home HD Modality Other Reason 2
5.21
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 2 = ‘55’ THEN Not Home HD Modality Other Reason 2 cannot be blank
To identify other secondary reason for why not Home HD Modality
Treatment Event
Not Home HD Modality Reason 3
5.22
Third reason for patient not eligible for Home HD
Character (2) Conditionally
Optional
See Appendix for ‘Home HD Reasons Code' list
IF Treatment Event Code not in (‘ID3’, ‘ID6’) THEN Not Home HD Modality Reason 3 must be blank
To identify tertiary reason for why not Home HD Modality
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 61
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Not Home HD Modality Other Reason 3
5.23
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 3 = ‘55’ THEN Not Home HD Modality Other Reason 3 cannot be blank
To identify other tertiary reason for why not Home HD Modality
Treatment Event
Not Home PD Modality Reason 1
5.24
Primary reason for patient not eligible for Home PD
Character (3) Conditionally Mandatory
See Appendix for ‘Home PD Reasons Code' list
IF Treatment Event Code in (‘ID3’, ‘ID6’) THEN Not Home PD Modality Reason 1 cannot be blank
To identify primary reason for why not Home PD Modality
Treatment Event
Not Home PD Modality Other Reason 1
5.25
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 1 = ‘55’ THEN Not Home PD Modality Other Reason 1 cannot be blank
To identify other primary reason for why not Home PD Modality
Treatment Event
Not Home PD Modality Reason 2
5.26
Secondary reason for patient not eligible for Home PD
Character (2) Conditionally
Optional
See Appendix for ‘Home PD Reasons Code' list
IF Treatment Event Code not in (‘ID3’, ‘ID6’) THEN Not Home PD Modality Reason 2 must be blank
To identify secondary reason for why not Home PD Modality
Treatment Event
Not Home PD Modality Other Reason 2
5.27
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 2 = ‘55’ THEN Not Home PD Modality Other Reason 2 cannot be blank
To identify other secondary reason for why not Home PD Modality
Treatment Event
Not Home PD Modality Reason 3
5.28
Third reason for patient not eligible for Home PD
Character (2) Conditionally
Optional
See Appendix for ‘Home PD Reasons Code' list
IF Treatment Event Code not in (‘ID3’, ‘ID6’) THEN Not Home PD Modality Reason 3 must be blank
To identify tertiary reason for why not Home PD Modality
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 62
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Not Home PD Modality Other Reason 3
5.29
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 3 = ‘55’ THEN Not Home PD Modality Other Reason 3 cannot be blank
To identify other tertiary reason for why not Home PD Modality
Treatment Event
HD Catheter Reason 1
5.30 Primary Reason for HD Catheter
Character (2) Conditionally Mandatory
See Appendix for ‘VA Reason Codes - Milestone 5’ list If VA3 - please refer to 'VA Milestone 5 Code' list For VA9 - please refer to 'Milestone 6 Code' list
IF Treatment Event Code in (‘VA3’, ’VA9’) THEN VA Reason 1 cannot be blank
To identify primary reason for HD Catheter
Treatment Event
HD Catheter Other Reason 1
5.31 Other Primary reason for HD Catheter
Character (100)
Conditionally Mandatory
IF VA Reason 1
= ‘47’ or ‘14’ THEN VA Other Reason 1 cannot be blank
To identify other primary reason for HD Catheter
Treatment Event
HD Catheter Reason 2
5.32 Secondary Reason for HD Catheter
Character (2) Conditionally
Optional
See Appendix for 'VA Reason Codes - Milestone 5 Code' list
IF Treatment Event Code NOT in (‘VA3’, ’VA9’) THEN VA Reason 2 must be blank
To identify secondary reason for HD Catheter
Treatment Event
HD Catheter Other Reason 2
5.33 Other Secondary Reason for Catheter
Character (100)
Conditionally Mandatory
IF VA Reason 2
= ‘47’ or ‘14’ THEN VA Other Reason 2 cannot be blank
To identify other secondary reason for HD Catheter
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Treatment Event
MRP 5.34
Most Responsible Physician (MRP): Nephrologist who is responsible for the care and treatment of the patient for the majority of the visit/treatment to the health care facility. The MRP assumes responsibility for any treatment provided resulting from his or her written or verbal order. If the physician is not physically present in the health care facility but provides orders for treatment, he or she will continue to be responsible for the patient’s care and should be recorded as the MRP.
Character (10)
Optional
For an individual physician, the MRP is The College of Physicians and Surgeons of Ontario (CPSO) number 00000 - ‘Physician Shared Care Model’ when a single physician is not applicable 00002 - ‘Prior outpatient pre-dialysis care at other program’
00016 - ‘MRP Nephrologist is not in ORRS’ if physician is not available in pre-populated list
ORRS Application It must be a valid value from the pre-populated list ORRS Upload Tool It must be a valid value within pre-defined back-end values
Ability to identify the Most Responsible Physician over time at key points in the pre-dialysis patient journey
The ORRS application provides the ability to retrieve the MRP within your program as reported in a Treatment Event or Pre-dialysis registration (use the ‘Find Recent MRP’ button) The MRP should be reported for pre-dialysis patients within the following Treatment Events: VR: Pre-
dialysis Clinic Visit VA:
Body/Vascular Access Clinic Visit VE:
Education Clinic Visit L-IN:
Location Change In TR-IN:
Hospital Transfer In TI: Transfer
Into Region
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 64
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
RR:
Returning Patient F: Failed
Transplant M: Modality
Change
Treatment Event
For IHF Patient? 5.35
Flags whether Follow-up Clinic Visit (VF) was for a patient at an Independent Health Facility (IHF)
Character (1) Conditionally
Optional
ORRS Application: Checked () Unchecked () ORRS Upload Tool: N - No Y - Yes
Applicable to Follow-up Clinic Visit events (VF)
Used to identify Follow-up Clinic Visit for IHF patients
Capture volume data at a patient level for future funding purposes
Treatment Event
Visit Type 5.36
Type of clinic the patient visited during Follow-up Clinic Visit (VF)
Character (1) Conditionally Mandatory
1 - Renal Program 2 - Independent Health Facility (IHF) 3 - Telemedicine
Becomes mandatory upon selection of Follow-up Clinic Visit (VF)
Used to identify type of clinic the patient visited during Follow-up Clinic Visit
Capture volume data at a patient level for future funding purposes
Treatment Event
Creatinine (umol/L)
5.36.1
Result of the Creatinine for the patient at the pre-dialysis clinic
Numeric (4) Mandatory 9999
The clinical range of values can be between 120-1500 µmoll/L
Used to calculate eGFR when patient registered as pre-dialysis patients
Creatinine (umol/L)
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 65
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Creatinine Sample Collection Date
5.36.2
Sample collection date for Creatinine test captured in VR clinic visit for pre-dialysis patients
Date (10) Conditionally Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
Sample Collection Date must be on or before the current date and greater than the patient’s date of birth
Used to calculate eGFR in VR clinic visit
If Creatinine is coded as '9999 - value is unavailable' report the current Pre-dialysis Clinic Visit Date as the Creatinine Sample Collection Date
Treatment Event
Proteinuria 5.37
Patient’s Proteinuria lab result captured in VR clinic visit for pre-dialysis patients
Numeric (4,2) Optional 9999.99
‘Proteinuria’ field’s value can be between 100 and 4000 (inclusive)
Used to measure progression of chronic kidney disease (CKD)
Unit of measure is ACR
Treatment Event
Proteinuria Sample Collection Date
5.39
Sample collection date for Proteinuria test captured in VR clinic visit for pre-dialysis patients
Date (10) Conditionally Mandatory
ORRS Application DD-MMM-YYYY ORRS Upload Tool DD-MM-YYYY
Sample Collection Date must be on or before the current date and greater than the patient’s date of birth
Used to measure progression of chronic kidney disease (CKD)
If Proteinuria is coded as '9999 - value is unavailable' report the current Pre-dialysis Clinic Visit Date as the Proteinuria Sample Collection Date
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 66
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Comprehensive Conservative Renal Care
4.9.1
Identification if education related to comprehensive conservative renal care (CCRC) has taken place See Appendix D for detailed definition
Character (1) Conditionally
Optional
Y - Yes N - No
Only one valid value can be selected
Used to identify if education specific to comprehensive conservative renal care has taken place
Treatment Event
Patient Informed About Kidney Transplantation
5.40
Indicate whether the patient has been informed about the option of kidney transplantation
Character (1) Conditionally Mandatory
N - No Y - Yes
Becomes mandatory on selection of “TU -Transplant Update” Treatment Event
Capture minimal data related to transplant assessment/ education
Treatment Event
Patient a candidate for Kidney Transplantation
5.41
Indicate whether the patient is or will be a candidate for kidney transplantation
Character (1) Optional
Y - Yes N - No P - Not until - patient must meet following precondition(s)
Capture minimal data related to transplant assessment/ education
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Patient not a candidate for Kidney Transplantation Reason
5.42
The reason why the patient is not a candidate for kidney transplantation
Character (2) Conditionally Mandatory
1 - Severe uncorrectable cardiac disease 2 - Severe uncorrectable peripheral vascular disease 3 - Short life expectancy 4 - Severe uncorrectable cognitive impairment 5 - Severe uncorrectable diagnosed psychiatric condition 6 - Severe uncorrectable impaired physical condition 7 - A cancer that makes patient permanently ineligible for transplant 8 - Patient totally unwilling to receive a transplant 99 - Other – permanent contraindication to
transplant, please specify
Becomes mandatory when patient is not a candidate for kidney transplantation (5.41 - “N- No”)
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 68
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Patient not a candidate for Kidney Transplantation Other Reason
5.43
Other reason why the patient is not a candidate for kidney transplantation
Character (100)
Conditionally Mandatory
Becomes mandatory when “99 - Other – permanent contraindicatio
n to transplant, please specify” is selected within ‘Patient not a candidate for Kidney Transplantation Reason’
Treatment Event
Patient not a candidate for Kidney Transplantation Preconditions
5.44
The precondition(s) required to be a candidate for kidney transplantation
Character (2) Conditionally Mandatory
50 -Must lose defined amount of weight 51 - Must show adherence 52 - Must complete cardiology assessment 99 – Other - please specify (e.g. dental work, stop smoking etc)
Becomes mandatory when patient must meet precondition(s) to be a candidate for kidney transplantation (5.41 - “P”)
Capture minimal data related to transplant assessment/ education
Treatment Event
Patient not a candidate for Kidney Transplantation Other Preconditions
5.45 Open text field for other precondition(s)
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory when “99 - Other” is selected within “Patient not a candidate for Kidney Transplantation Preconditions”
Capture minimal data related to transplant assessment/ education
Treatment Event
Patient aware of Living Kidney Donor and willing to accept that kidney
5.46 Character (1) Optional N - No Y - Yes
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 69
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Patient not aware of Living Kidney Donor and / or not willing to accept that kidney Reason
5.47 Character (2) Conditionally Mandatory
1 - Patient has not yet been informed about living donor transplant option 2 - Patient has no potential living donor 3 - Patient has potential living donor but has not yet discussed with family or friends 4 - Patient has potential living donor but patient unwilling to accept donation 5 - Patient unwilling to have any kind of kidney transplant (deceased or living donor) 99 – Other - please specify
Becomes mandatory when patient aware of Living Kidney Donor and willing to accept kidney (5.46 - “N - No”)
Capture minimal data related to transplant assessment/ education
Treatment Event
Patient not aware of Living Kidney Donor and / or not willing to accept that kidney Other Reason
5.48 Character
(100) Conditionally Mandatory
Open text field
Becomes mandatory when “99 - Other” is selected within ‘Patient not aware of Living Kidney Donor and / or not willing to accept that kidney Reason’
Capture minimal data related to transplant assessment/ education
Treatment Event
Active On Deceased Donor Transplant Waiting List
5.49
Flag whether the patient is currently active on the deceased donor transplant waiting list
Character (1) Optional N - No Y - Yes
Capture minimal data related to transplant assessment/ education
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Not On Deceased Donor Transplant Waiting List Reason
5.50
The reason why the patient is not currently active on the deceased donor transplant waiting list
Character (2) Conditionally Mandatory
1 - Patient suitable and currently undergoing work-up 2 - Patient has not yet been informed about transplant 3 - Patient suitable, but unwilling at present 4 - On deceased donor list but “on hold” at present 5 - Patient pursuing living donor transplant instead 6 - Workup complete but eGFR > 15 mls/min (pre-dialysis patient only) 99 – Other – please specify
Becomes mandatory when patient is not currently active on the deceased donor transplant waiting list (5.49 - “N - No”)
Capture minimal data related to transplant assessment/ education
Treatment Event
Not On Deceased Donor Transplant Waiting List Other Reason
5.51
Other reason the patient is not currently active on the deceased donor transplant waiting list
Character (100)
Conditionally Mandatory
Open text field
Becomes mandatory when “99 - Other” is selected within “Not on Deceased Donor Transplant Waiting List Reason”
Capture minimal data related to transplant assessment/ education
Treatment Event
Deceased Donor Transplant Waiting List On Hold Reason
5.52
The reason why the patient is on the deceased donor transplant waiting list but on hold
Character (2) Conditionally Mandatory
1 - Acute illness 2 - Recent cancer diagnosis 3 - Patient choice to go on temporary hold 4 - Ongoing test requirements not met 99 – Other – please specify
Becomes mandatory when patient is on hold on deceased donor transplant waiting list (5.50 - Option 4)
Capture minimal data related to transplant assessment/ education
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 71
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
Treatment Event
Deceased Donor Transplant Waiting List On Hold Other Reason
5.53
Other reason the patient is on the deceased donor transplant waiting list but on hold
Character (100)
Conditionally Mandatory
Becomes mandatory when "99 - Other” is selected within “Deceased Donor Transplant Waiting List On Hold Reason”
Capture minimal data related to transplant assessment/ education
VASCULAR ACCESS (VA) AND INDEPENDENT DIALYSIS (ID) ASSESSMENT
VA and ID Assessment
Source Record ID
6.1 Alphanumeric
(20) Mandatory
Must be the same Record ID used in the reported Clinic Visit Treatment Event Record, where its Treatment Event Code in (VR, VA, VE)
To identify a unique record for matching purposes
VA and ID Assessment
Update ID Assessment
6.2 Flag for assessment update
Character (1)
Mandatory (Pre-dialysis)
Optional
(Treatment Event)
N - No Y - Yes
Indicates if ID assessment update occurred
This is common to Pre-dialysis registration and Treatment Event; NOTE:
Completion requirement is Mandatory for Pre-Dialysis Registration and Optional for Treatment Event in Clinic Visits
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 72
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Update VA Assessment
6.3 Flag for assessment update
Character (1)
Mandatory (Pre-dialysis)
Optional
(Treatment Event)
N - No Y - Yes
Indicates if VA assessment update occurred
This is common to Pre-dialysis registration and Treatment Event; NOTE:
Completion requirement is MANDATORY for Pre-Dialysis Registration and OPTIONAL for Treatment Event in Clinic Visits
VA and ID Assessment
Patient Eligible For Home HD
6.4 Confirm patient is eligible for Home HD
Character (1) Conditionally Mandatory
N - No Y - Yes
IF Update ID Assessment = ‘Y’ THEN at least one of the following fields cannot be blank: - Patient Eligible for Home HD - Patient Eligible for Home PD - Patient/Family Education Provided - Patient Modality Choice
Used to calculate if assessment of eligibility of Home HD has been complete
VA and ID Assessment
Not Eligible For Home HD Reason 1
6.5
Primary reason for patient not eligible for Home HD
Character (2) Conditionally Mandatory
See Appendix for ‘Home HD Reasons Code' list
IF Patient Eligible for Home HD = ‘N’ THEN Not Eligible For Home HD Reason 1 cannot be blank
Used to classify the type of barrier for not adopting Home HD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 73
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Not Eligible For Home HD Other Reason 1
6.6
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Eligible for Home HD Reason 1 ‘55’ THEN Not Eligible For Home HD Other Reason 1 cannot be blank
Used to classify the type of barrier for not adopting Home HD
VA and ID Assessment
Not Eligible For Home HD Reason 2
6.7
Secondary reason for patient not eligible for Home HD
Character (2) Conditionally
Optional
See Appendix for ‘Home HD Reasons Code' list
IF Patient Eligible for Home HD <> ‘N’ THEN Not Eligible For Home HD Reason 2 must be blank
Used to classify the type of barrier for not adopting Home HD
VA and ID Assessment
Not Eligible For Home HD Other Reason 2
6.8
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home HD Reason 2 = ‘55’ THEN Not Eligible For Home HD Other Reason 2 cannot be blank
Used to classify the type of barrier for not adopting Home HD
VA and ID Assessment
Not Eligible For Home HD Reason 3
6.9
Third reason for patient not eligible for Home HD
Character (2) Conditionally
Optional
See Appendix for ‘Home HD Reasons Code' list
IF Patient Eligible for Home HD <> ‘N’ THEN Not Eligible For Home HD Reason 3 must be blank
Used to classify the type of barrier for not adopting Home HD
VA and ID Assessment
Not Eligible For Home HD Other Reason 3
6.10
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home HD Reason 3 = ‘55’ THEN Not Eligible for Home HD Other Reason 3 cannot be blank
Used to classify the type of barrier for not adopting Home HD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 74
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Patient Eligible For Home PD
6.11 Confirm patient is eligible for Home PD
Character (1) Conditionally Mandatory
N - No Y - Yes
IF Update ID Assessment = ‘Y’ THEN at least one of the following fields cannot be blank: - Patient Eligible For Home HD - Patient Eligible For Home PD - Patient/Family Education Provided - Patient Modality Choice
Used to calculate if assessment of eligibility of PD has been complete
VA and ID Assessment
Not Eligible For Home PD Reason 1
6.12
Primary reason for patient not eligible for Home PD
Character (2) Conditionally Mandatory
See Appendix for ‘Home PD Reasons’ code list
IF Patient Eligible for Home PD = ‘N’ THEN Not Eligible For Home PD Reason 1 cannot be blank
Used to classify the type of barrier for not adopting PD
VA and ID Assessment
Not Eligible For Home PD Other Reason 1
6.13
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Eligible for Home PD Reason 1 = ‘55’ THEN Not Eligible For Home PD Reason 1 cannot be blank
Used to classify the type of barrier for not adopting PD
VA and ID Assessment
Not Eligible For Home PD Reason 2
6.14
Secondary reason for patient not eligible for Home PD
Character (2) Conditionally
Optional
See Appendix for ‘Home PD Reasons’ code list
IF Patient Eligible for Home PD <> ‘N’ THEN Not Eligible For Home PD Reason 2 must be blank
Used to classify the type of barrier for not adopting PD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 75
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Not Eligible For Home PD Other Reason 2
6.15
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Eligible For Home PD Reason 2 = ‘55’ THEN Not Eligible For Home PD Reason 2 cannot be blank
Used to classify the type of barrier for not adopting PD
VA and ID Assessment
Not Eligible For Home PD Reason 3
6.16
Third reason for patient not eligible for Home PD
Character (2) Conditionally
Optional
See Appendix for ‘Home HD Reasons Code' list
IF Patient Eligible for Home PD <> ‘N’ THEN Not Eligible For Home PD Reason 3 must be blank
Used to classify the type of barrier for not adopting PD
VA and ID Assessment
Not Eligible For Home PD Other Reason 3
6.17
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Eligible For Home PD Reason 3 = ‘55’ THEN Not Eligible For Home PD Reason 3 cannot be blank
Used to classify the type of barrier for not adopting PD
VA and ID Assessment
Patient/Family Education Provided
6.18
Confirm patient/family education complete
Character (1) Conditionally Mandatory
ORRS Application N - No Y - Yes ORRS Upload Tool Checked - Complete Unchecked - Blank
IF Update ID Assessment = ‘Y’ THEN at least one of the following fields cannot be blank: - Patient Eligible For Home HD - Patient Eligible For Home PD - Patient/Family Education Provided - Patient Modality Choice
Used to provide the information on when education has been completed
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Patient Modality Choice
6.19 Type of Dialysis Modality
Character (3) Conditionally Mandatory
See Appendix for 'Treatment (Modality) Codes - Chronic Specific' list Barriers/ Reasons for not adopting ID or VA need to be included at 3, 6 and 9 months - see Appendix for specific triggers
IF Update ID Assessment = ‘Y’ THEN at least one of the following fields cannot be blank: - Patient Eligible for Home HD - Patient Eligible for Home PD - Patient/Family Education Provided - Patient Modality Choice
Used to report patient decision on modality choice.
VA and ID Assessment
Why Not Home HD Modality Reason 1
6.20
Primary reason for patient not eligible for Home HD
Character (2) Conditionally Mandatory
See Appendix for 'Home HD Reasons Code' list
IF Patient Modality Choice in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home HD Modality Reason 1 cannot be blank
Used to classify the type of barrier for not choosing Home HD
VA and ID Assessment
Why Not Home HD Modality Other Reason 1
6.21 Why Not Home HD Modality Other Reason 1
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 1 = ‘55’ THEN Not Home HD Modality Other Reason 1 cannot be blank
Used to classify the type of barrier for not choosing Home HD
VA and ID Assessment
Why Not Home HD Modality Reason 2
6.22 Why Not Home HD Modality Reason 2
Character (2) Conditionally
Optional
See Appendix for 'Home HD Reasons Code' list
IF Patient Modality Choice NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home HD Modality Reason 2 must be blank
Used to classify the type of barrier for not choosing Home HD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 77
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Why Not Home HD Modality Other Reason 2
6.23
Why Not Home HD Modality Other Reason 2 (open space for comments)
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 2 = ‘55’ THEN Not Home HD Modality Other Reason 2 cannot be blank
Used to classify the type of barrier for not choosing Home HD
VA and ID Assessment
Why Not Home HD Modality Reason 3
6.24
Third reason for patient not eligible for Home HD
Character (2) Conditionally
Optional
See Appendix for 'Home HD Reasons Code' list
IF Patient Modality Choice NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home HD Modality Reason 3 must be blank
Used to classify the type of barrier for not choosing Home HD
VA and ID Assessment
Why Not Home HD Modality Other Reason 3
6.25
Why Not Home HD Modality Other Reason 3 (open space for comments)
Character (100)
Conditionally Mandatory
IF Not Home HD Modality Reason 3 = ‘55’ THEN Not Home HD Modality Other Reason 3 cannot be blank
Used to classify the type of barrier for not choosing Home HD
VA and ID Assessment
Why Not Home PD Modality Reason 1
6.26
Primary reason for patient not eligible for Home PD
Character (2) Conditionally Mandatory
See Appendix for 'Home PD Reasons Code' list
IF Patient Modality Choice in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home PD Modality Reason 1 cannot be blank
Used to classify the type of barrier for not choosing PD
VA and ID Assessment
Why Not Home PD Modality Other Reason 1
6.27
Open space comment about additional reasons
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 1 = ‘55’ THEN Not Home PD Modality Other Reason 1 cannot be blank
Used to classify the type of barrier for not choosing PD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 78
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Why Not Home PD Modality Reason 2
6.28
Secondary reason for patient not eligible for Home PD
Character (2) Conditionally
Optional
See Appendix for 'Home PD Reasons Code' list'
IF Patient Modality Choice NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home PD Modality Reason 2 must be blank
Used to classify the type of barrier for not choosing PD
VA and ID Assessment
Why Not Home PD Modality Other Reason 2
6.29
Why Not Home PD Modality Other Reason 2 (Open space comment about additional reasons)
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 2 = ‘55’ THEN Not Home PD Modality Other Reason 2 cannot be blank
Used to classify the type of barrier for not choosing PD
VA and ID Assessment
Why Not Home PD Modality Reason 3
6.30
Third reason for patient not eligible for Home PD
Character (2) Conditionally
Optional
See Appendix for 'Home PD Reasons Code' list'
IF Patient Modality Choice NOT in (111, 312, 322, 332, 311, 321, 112, 211, 221, 122, 121, 131) THEN Not Home PD Modality Reason 3 must be blank
Used to classify the type of barrier for not choosing PD
VA and ID Assessment
Why Not Home PD Modality Other Reason 3
6.31
Why Not Home PD Modality Other Reason 3 (Open space comment about additional reasons)
Character (100)
Conditionally Mandatory
IF Not Home PD Modality Reason 3 = ‘55’ THEN Not Home PD Modality Other Reason 3 cannot be blank
Used to classify the type of barrier for not choosing PD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 79
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
AVF Or AVG Surgical Assessment
6.32
Confirm patient is eligible for AVF or AVG Surgical Assessment
Character (1) Conditionally Mandatory
N - No Y - Yes
IF Update VA Assessment = ‘Y’ THEN at least one of the following fields cannot be blank: - AVF Or AVG Assessment - Adequate VA Education Provided - Patient Intended Initial Access
Used to calculate if assessment of Vascular Access has been complete
VA and ID Assessment
Surgical Assessment Reason 1
6.33 Surgical Assessment Reason 1
Character (2) Conditionally Mandatory
See Appendix for 'VA Reason Codes - Milestone 1' list
IF AVF or AVG Surgical Assessment = ‘N’ THEN Surgical Assessment Reason 1 cannot be blank
Used to classify the type of barrier for not referring for surgical assessment
VA and ID Assessment
Surgical Assessment Other Reason 1
6.34 Surgical Assessment Other Reason 1
Character (100)
Conditionally Mandatory
IF Surgical Assessment Reason 1 = ‘47’
or ‘14’ THEN
Surgical Assessment Other Reason 1 cannot be blank
Used to classify the type of barrier for not referring for surgical assessment
VA and ID Assessment
Surgical Assessment Reason 2
6.35
Secondary reason for no surgical assessment
Character (2) Conditionally
Optional
See Appendix for 'VA Reason Codes - Milestone 1' list
IF AVF or AVG Surgical Assessment <> ‘N’ THEN Surgical Assessment Reason 2 must be blank
Used to classify the type of barrier for not referring for surgical assessment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 80
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
Surgical Assessment Other Reason 2
6.36
Surgical Assessment Other Reason 2 (Open space comment about additional reasons)
Character (100)
Conditionally Mandatory
IF Surgical Assessment Reason 2 = ‘47’
or ‘14’ THEN
Surgical Assessment Other Reason 2 cannot be blank
Used to classify the type of barrier for not referring for surgical assessment
VA and ID Assessment
Adequate VA Education Provided
6.37 Confirm VA education complete
Character (1) Conditionally Mandatory
N - No Y - Yes
IF Update VA Assessment = ‘Y’ THEN at least one of the following fields cannot be blank: - AVF or AVG Assessment - Adequate VA Education Provided - Patient Intended Initial Access
Used to provide the information on when education has been completed
VA and ID Assessment
Patient Intended Initial Access
6.38 Type of Intended Vascular Access
Character (1) Conditionally Mandatory
1 - Temporary catheter non-cuffed 2 - Temporary catheter cuffed 3 - Permanent catheter non-cuffed 4 - Permanent catheter cuffed 5 - AV fistula 6 - AV graft 7 - PD Catheter
IF Update VA Assessment = ‘Y’ THEN at least one of the following fields cannot be blank: - AVF or AVG Assessment - Adequate VA Education Provided - Patient Intended Initial Access
Used to report intended initial access for dialysis
VA and ID Assessment
HD Catheter Reason 1
6.39 Primary reason for using a catheter
Character (2) Conditionally Mandatory
See Appendix for 'VA Reason Codes - Milestone 3' list
IF Patient Intended Initial Access in (1, 2, 3, 4) THEN HD Catheter Reason 1 cannot be blank
Used to classify the type of barrier for not adopting AVF/AVG
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Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
VA and ID Assessment
HD Catheter Other Reason 1
6.40
HD Catheter Other Reason 1 (Open space comment about additional reasons)
Character (100)
Conditionally Mandatory
IF HD Catheter Reason 1 = ‘47’
or ‘14’ THEN HD
Catheter Other Reason 1 cannot be blank
Used to classify the type of barrier for not adopting AVF/AVG
VA and ID Assessment
HD Catheter Reason 2
6.41 Secondary reason for using a catheter
Character (2) Conditionally
Optional
See Appendix for 'VA Reason Codes - Milestone 3' list
IF Patient Intended Initial Access NOT in (1, 2, 3, 4) THEN HD Catheter Reason 2 must be blank
Used to classify the type of barrier for not adopting AVF/AVG
VA and ID Assessment
HD Catheter Other Reason 2
6.42
HD Catheter Other Reason 2 (Open space comment about additional reasons)
Character (100)
Conditionally Mandatory
IF HD Catheter Reason 2 = ‘47’
or ‘14’ THEN HD
Catheter Other Reason 2 cannot be blank
Used to classify the type of barrier for not adopting AVF/AVG
CKD SERVICE VOLUMES Captured in the Self Reporting Initiative (SRI) system and reported in ORRS at a patient level
CKD Service Volumes
Month 7.1 Month service was provided
Numeric (2) Mandatory MM Capture month service was provided
CKD Service Volumes
Year 7.2 Year service was provided
Numeric (4) Mandatory YYYY Capture year service was provided
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 82
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
CKD Service Volumes
Acute Hemodialysis Level III Treatment
7.3
Hemodialysis treatment performed on acutely ill patients in the Emergency Department, ICU, CCU, burn unit, or isolation room. May also apply to hemodialysis performed in the dialysis unit for inpatients requiring 1:1 nursing. Direct patient care staff to patient ratio is 1:1. An outpatient in a regular dialysis unit does not qualify as a Level III under any circumstance
Numeric (3) Optional 999
Capture volume data related to Acute level III treatments at a patient level for future funding reimbursement purposes
Measured by the number of treatments For further details please reference the CKD Funding Guide
CKD Service Volumes
Continuous Renal Replacement Therapy (CRRT) Treatment Days
7.4
Continuous Renal Replacement Therapy (CRRT) is performed on acutely ill patients in an ICU or equivalent area. Includes hemodialysis backup for the ICU staff for starts or restarts
Numeric (3) Optional 999
Capture volume data related to CRRT treatments at a patient level for future funding reimbursement purposes
Measured by the number of treatment days (complete or partial) For further details please reference the CKD Funding Guide
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 83
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
CKD Service Volumes
Slow Extended Duration Dialysis (SLEDD) Treatment Days
7.5
Slow extended duration dialysis (SLEDD) is performed on acutely ill patients in an ICU or equivalent area. It is performed for 8-12 hours per day using a hemodialysis machine
Numeric (3) Optional 999
Capture volume data related to SLEDD treatments at a patient level for future funding reimbursement purposes
Measured by the number of treatment days (complete or partial) For further details please reference the CKD Funding Guide
CKD Service Volumes
In-Hospital CAPD Exchanges
7.6
Manual peritoneal dialysis bag changes performed in-hospital for patients on continuous ambulatory peritoneal dialysis (CAPD)
Numeric (3) Optional 999
Capture volume data related to In-Hospital CAPD exchanges at a patient level for future funding reimbursement purposes
Measured by the number of procedures/exchanges For further details please reference the CKD Funding Guide
CKD Service Volumes
In-Hospital CCPD (APD) Treatment Days
7.7
Automated peritoneal dialysis exchanges using a continuous cycler device
Numeric (3) Optional 999
Capture volume data related to In-Hospital PD exchanges at a patient level for future funding reimbursement purposes
Measured by the number of treatment days For further details please reference the CKD Funding Guide
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 84
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
CKD Service Volumes
CAPD Training - Initial Training Days
7.8
Intensive education for a dialysis patient (with or without a family member) undertaking to learn to manage peritoneal dialysis at home. The training may occur in a patient’s home or in facility. If training occurs in a patient’s home, it is considered training and does not qualify as nurse or technician home visit hours. Incident patients only
Numeric (3) Optional 999
Capture actual home training days for future funding reimbursement purposes
For further details please reference the CKD Funding Guide
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 85
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
CKD Service Volumes
CAPD Training - Retraining Days
7.9
Intensive education for a peritoneal dialysis patient for subsequent training after the initial training is completed. The training may occur in a patient’s home or in facility. If training occurs in a patient’s home, it is considered training and does not qualify as nurse or technician home visit hours
Numeric (3) Optional 999
Capture actual home retraining days for future funding reimbursement purposes
Measured by the number of days of retraining For further details please reference the CKD Funding Guide
CKD Service Volumes
CCPD (APD) Training - Initial Training Days
7.10
Intensive education for a dialysis patient (with or without a family member) undertaking to learn to manage peritoneal dialysis at home. The training may occur in a patient’s home or in facility. If training occurs in a patient’s home, it is considered training and does not qualify as nurse or technician home visit hours
Numeric (3) Optional 999
Capture actual home training days for future funding reimbursement purposes
For further details please reference the CKD Funding Guide
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 86
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
CKD Service Volumes
CCPD (APD) Training - Retraining Days
7.11
Intensive education for a peritoneal dialysis patient for retraining. The training may occur in a patient’s home or in facility If training occurs in a patient’s home, it is considered training and does not qualify as nurse or technician home visit hours
Numeric (3) Optional 999
Capture actual home retraining days for future funding reimbursement purposes
Measured by the number of days of retraining For further details please reference the CKD Funding Guide
CKD Service Volumes
Home HD Training - Initial Nocturnal/Daily Days
7.12
Intensive education for the hemodialysis patient who will subsequently be able to manage their own treatment in the home. Incident patients only
Numeric (3) Optional 999
Capture actual home training days for future funding reimbursement purposes
For further details please reference the CKD Funding Guide
CKD Service Volumes
Home HD Training - Initial Conventional Days
7.13
Intensive education for the hemodialysis patient who will subsequently be able to manage their own treatment in the home. Incident patients only
Numeric (3) Optional 999
Capture actual home training days for future funding reimbursement purposes
For further details please reference the CKD Funding Guide
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 87
Entity Data Element
Name
Data Element
No. Definition Format
Completion Requirement
Valid Values Validation Rules Purpose and
Use Notes
CKD Service Volumes
Home HD Training - Retraining Daily/Nocturnal And Conventional Days
7.14
Intensive education period for the periodic retraining of hemodialysis patients, both daily/nocturnal and conventional, who manage their own treatment in the home
Numeric (3) Optional 999
Capture actual home retraining days for future funding reimbursement purposes
Measured by the number of days of retraining For further details please reference the CKD Funding Guide
CKD Service Volumes
Self-care HD Training – Initial Days
7.14.1
Intensive education period for the initial training of hemodialysis patients who manage their own in-facility treatment
Numeric (3) Optional 999
Capture volume data at a patient level for future funding reimbursement purposes
For further details please reference the CKD Funding Guide
CKD Service Volumes
Self-care HD - Retraining Days
7.15
Intensive education period for the retraining days of hemodialysis patients who manage their own in-facility treatment
Numeric (3) Optional 999
Capture actual home retraining days for future funding reimbursement purposes
Measured by the number of days of retraining For further details please reference the CKD Funding Guide
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 88
Appendix A: Reference Codes and Descriptions
Hospital Codes
Code Description
BMH WILLIAM OSLER HEALTH SYSTEM
CVH TRILLIUM HEALTH PARTNERS
GRH GRAND RIVER HOSPITAL CORPORATION
HRR HUMBER RIVER REGIONAL HOSPITAL
JHH ST. JOSEPH'S HEALTHCARE - HAMILTON
KGH KINGSTON GENERAL HOSPITAL
LHC LAKERIDGE HEALTH CORPORATION
LHS LONDON HEALTH SCIENCES CENTRE
NBH NORTH BAY REGIONAL HEALTH CENTRE
NHS NIAGARA HEALTH SYSTEM
OSM ORILLIA SOLDIERS' MEMORIAL HOSPITAL
OTM HALTON HEALTHCARE SERVICES
PET PETERBOROUGH REGIONAL HEALTH CENTRE
RVV RENFREW VICTORIA HOSPITAL
SAH SAULT AREA HOSPITAL
SBG LAKE OF THE WOODS HOSPITAL (KENORA)
SBK SUNNYBROOK HEALTH SCIENCES CENTRE
SGH THE SCARBOROUGH HOSPITAL
SJH ST.JOSEPH'S HEALTH CENTRE TORONTO
SMH ST. MICHAEL'S HOSPITAL
SRH HEALTH SCIENCES NORTH
TBH THUNDER BAY REGIONAL HEALTH SCIENCES CENTRE
TDH TIMMINS AND DISTRICT HOSPITAL
TOH THE OTTAWA HOSPITAL
UHN UNIVERSITY HEALTH NETWORK
WHD WINDSOR REGIONAL HOSPITAL
YCH MACKENZIE HEALTH
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 89
Location Codes
Code Description Hospital Code
ALL STEVENSON MEMORIAL (ALLISTON) OSM
ALS ADAM LINTON DIALYSIS UNIT LHS
AMG ALEXANDRA MARINE AND GENERAL HOSPITAL – GODERICH LHS
BDC BURLINGTON DIALYSIS CENTER OTM
BDD BELLEVILLE DIALYSIS CLINIC KGH
BGH THE BRANT COMMUNITY HEALTHCARE SYSTEM JHH
BHS BLUEWATER HEALTH – SARNIA LHS
BMH BRAMPTON CIVIC HOSPITAL BMH
BPH BRIDGEPOINT HEALTH SGH
CGH CORNWALL GENERAL TOH
CHA CHATHAM – KENT HEALTH ALLIANCE LHS
CNI SUNNYBROOK SATELLITE SBK
COB NORTHUMBERLAND HILLS PET
COL COLLINGWOOD GENERAL & MARINE OSM
CRC COMMUNITY RENAL CENTRE SJH
CVH TRILLIUM HEALTH PARTNERS – CREDIT VALLEY HOSPITAL CVH 1EG (December 2014 data and earlier) [HISTORICAL] TORONTO EAST GENERAL HOSPITAL EGH
EGH
(January 2015 data onwards) TORONTO EAST GENERAL HOSPITAL SMH
ETG ETOBICOKE GENERAL HOSPITAL BMH
GBH GREY-BRUCE HEALTH SERVICES – OWEN SOUND LHS
GFS FREEPORT SITE GRH
GGH GUELPH GENERAL HOSPITAL GRH
GRH GRAND RIVER HOSPITAL CORPORATION GRH
HDH HANOVER AND DISTRICT HOSPITAL LHS
HDM MUSKOKA ALGONQUIN HEALTHCARE OSM
HGH HAWKESBURY GENERAL HOSPITAL TOH
HHG HAMILTON GENERAL HOSPITAL JHH
HPH HURON PERTH HOSPS PARTNERSHIP (STRATFORD) LHS
HRR HUMBER RIVER HOSPITAL HRR
HSU SCARBOROUGH HD SATELLITE UNIT SGH 1HW (December 2014 data and earlier) [HISTORICAL] HEADWATERS HEALTH CARE CVH
HWH (January 2015 data onwards) HEADWATERS HEALTH CARE BMH
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 90
Code Description Hospital Code
JGE ST. JOSEPH’S GENERAL HOSPITAL (ELLIOTT LAKE) SRH
JHH ST. JOSEPH’S HEALTHCARE – HAMILTON JHH
JUH JURAVINSKI HOSPITAL JHH
KDH KIRKLAND AND DISTRICT HOSPITAL (KIRKLAND LAKE) SRH
KGH KINGSTON GENERAL HOSPITAL KGH
LDM LEAMINGTON SATELLITE WHD
LHC LAKERIDGE HEALTH CORPORATION LHC
LHS LONDON HEALTH SCIENCES CENTRE LHS
LIN ROSS MEMORIAL HOSPITAL (LINDSAY) PET 1LW (December 2014 data and earlier) [HISTORICAL] LAKE OF THE WOODS DISTRICT HOSPITAL SBG
LWD (January 2015 data onwards) LAKE OF THE WOODS DISTRICT HOSPITAL TBH
MFS MOOSE FACTORY – SATELLITE OF KINGSTON GENERAL HOSPITAL KGH
MHC MANITOULIN HEALTH CENTRE (LITTLE CURRENT) SRH
MNH MOUNT SINAI HOSPITAL UHN
NBH NORTH BAY REGIONAL HEALTH CENTRE NBH
NDC (December 2016 data onwards)
NAPANEE SATELLITE DIALYSIS UNIT KGH
NHS NIAGARA HEALTH SYSTEM NHS
NFS NIAGARA FALLS SITE NHS
NLT NEW LISKEARD – TEMISKAMING SRH
NWH NORTH WELLINGTON HEALTH CARE – PALMERSTON SITE GRH
NWS WELLAND SITE NHS
OAK OAK RIDGES SATELLITE YCH
OHI OTTAWA HEART INSTITUTE TOH
OSM ORILLIA SOLDIERS’ MEMORIAL HOSPITAL OSM
OTM HALTON HEALTHCARE SERVICES OTM
PCC (November 2016 data and earlier) [HISTORICAL] PROVIDENCE COMPLEX CARE KGH
PET PETERBOROUGH REGIONAL HEALTH CENTRE PET
PGG PEMBROKE GENERAL HOSPITAL RVV
PGH PENETANG GENERAL HOSPITAL OSM
PRH PRINCESS MARGARET HOSPITAL UHN
PSF PERTH AND SMITHS FALLS KGH
QCH QUEENSWAY CARLETON HOSPITAL TOH
QHB QUINTE HEALTHCARE (BANCROFT) KGH
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 91
Code Description Hospital Code
QHP QUINTE HEALTHCARE (PICTON) KGH
RCC RENAL CARE CENTRE CVH
RVH ROYAL VICTORIA HOSPITAL (BARRIE) OSM
RVS ROUGE VALLEY HEALTH SYSTEM SGH
RVV RENFREW VICTORIA HOSPITAL RVV
SAH SAULT AREA HOSPITAL SAH
SBK SUNNYBROOK HEALTH SCIENCES CENTRE SBK
SCO SISTERS OF CHARITY OF OTTAWA TOH
SGH THE SCARBOROUGH HOSPITAL SGH
SHK SENSENBRENNER HOSPITAL (KAPUSKASING) SRH
SJH ST.JOSEPH’S HEALTH CENTRE TORONTO SJH
SMB ST. FRANCIS MEMORIAL HOSPITAL (BARRY’S BAY) RVV
SMG ST. MARY’S GENERAL HOSPITAL GRH
SMH ST. MICHAEL’S HOSPITAL SMH
SOS OHSWEKEN – SIX NATIONS JHH
SRH HEALTH SCIENCES NORTH SRH
SSC STONEY CREEK JHH
SSH SOUTH STREET HOSPITAL LHS
STH SOUTHLAKE HOSPITAL YCH
TBH THUNDER BAY REGIONAL HEALTH SCIENCES CENTRE TBH
TCS CIVIC SITE TOH
TDH TIMMINS AND DISTRICT HOSPITAL TDH
TEG TORONTO GENERAL – EATON GROUND UHN
TFF FORT FRANCES TBH
TGG (March 2016 data and earlier) [HISTORICAL] TORONTO GENERAL – GERRARD GROUND UHN
TGH TORONTO GENERAL HOSPITAL UHN
TIP (March 2016 data and earlier) [HISTORICAL] TORONTO GENERAL – IN PATIENT UHN
TMH TILLSONBURG DISTRICT MEMORIAL HOSPITAL LHS
TMS TRILLIUM MISSISSAUGA SITE CVH
TOH THE OTTAWA HOSPITAL TOH
TRI TORONTO REHAB INSTITUTE UHN
TRS RIVERSIDE SITE TOH
TSL SIOUX LOOKOUT TBH
TWH TORONTO WESTERN HOSPITAL UHN
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 92
Code Description Hospital Code
TWT TRILLIUM WEST TORONTO SITE CVH
UHN (March 2016 data and earlier) [HISTORICAL] UNIVERSITY HEALTH NETWORK
UHN
VAU VAUGHAN SATELLITE YCH
WDG WINDSOR SATELLITE WHD
WGH WOODSTOCK GENERAL HOSPITAL LHS
WHD WINDSOR REGIONAL HOSPITAL WHD
WKC WESTMOUNT KIDNEY CARE CENTRE LHS
WMH WINCHESTER MEMORIAL HOSPITAL TOH
WPS WEST PARRY SOUND HEALTH CENTRE SRH
YCH MACKENZIE HEALTH YCH
YHS YEE HONG SATELLITE SGH
IHF Location Codes
Code Description
BCB BAYSHORE CENTRES - BROCKVILLE CLINIC IHF
BCS (August 2016 data and earlier) [HISTORICAL] BAYSHORE CENTRES - STONEY CREEK IHF
CEO CORNWALL EASTERN ONTARIO DIALYSIS CLINIC IHF
DMA DMC - AJAX/PICKERING
DMM DMC - MARKHAM
DMP DMC - PETERBOROUGH
LCD LION'S CAMP DORSET CORPORATION
OCD OTTAWA CARLETON DIALYSIS CLINIC IHF
Self-Care Location Codes
Code Description
SHP SHEPPARD CENTRE
SUS SUSSEX CENTRE
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 93
Long-Term Care (LTC) Location Codes
Code Description Hospital Code
LCCT LEISUREWORLD CAREGIVING CENTRE, MISSISSAUGA CVH
FHLG FOREST HEIGHTS LONG-TERM CARE CENTRE GRH
RTEG ROYAL TERRACE GRH
SHLG STIRLING HEIGHTS LONG-TERM CARE CENTRE GRH
WTLG WELLINGTON TERRACE LONG-TERM CARE HOME GRH
CCHG CARESSANT CARE - HARRISON GRH
CCFG CARESSANT CARE - FERGUS GRH
CCAG CARESSANT CARE - ARTHUR GRH
ACLH ARBOUR CREEK LONG-TERM CARE CENTRE JHH
IMAH IDLEWYLD MANOR JHH
SJLH ST. JOSEPH'S LIFECARE CENTRE JHH
JMPK THE JOHN M. PARROTT CENTRE KGH
CARK CARVETH CARE CENTRE KGH
HESL HILLSDALE ESTATES LHC
CPKL CHELSEY PARK LHS
CTEL COUNTRY TERRACE LHS
OLTL ONEIDA LONG TERM CARE HOME LHS
GPHO GROVE PARK HOME OSM
SMBO SIMCOE MANOR - BEETON OSM
TMAO TRILLIUM MANOR OSM
LCCO LEISUREWORLD CAREGIVING CENTRE, MISSISSAUGA OTM
WMAO WYNDHAM MANOR OTM MSRS MON SHEONG SCARBOROUGH LONG-TERM CARE CENTRE SGH YHCS YEE HONG CENTRE - SCARBOROUGH FINCH SGH RNHS ROCKCLIFFE NURSING HOME SGH DRSM DRS. PAUL AND JOHN REKAI CENTRE SMH SJVH ST. JOSEPH'S VILLA SRH SGVH VILLA ST. GABRIEL VILLA SRH BNHT BETHAMMI NURSING HOME TBH
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 94
Code Description Hospital Code
BMNO BAYFIELD MANOR NURSING AND RETIREMENT HOME TOH
SLRO ST. LOUIS RESIDENCE TOH
TOCU THE O'NEILL CENTRE UHN
SPHD SUN PARLOR HOME, COUNTY OF ESSEX WHD
MHRM MARIANN NURSING HOME AND RESIDENCE YCH
MSRM MON SHEONG RICHMOND HILL LONG-TERM CARE CENTRE YCH
SHAM SIMCOE MANOR HOME FOR THE AGED YCH
Treatment (Modality) Codes
Code Description Alerts/Triggers in ORRS Application
Chronic Specific Codes
040 CAPD & HD
044 CAPD & HD - Assistance
050 APD & HD
054 APD & HD - Assistance
060 (March 2017 data and earlier) PD & HD
064 (March 2017 data and earlier) PD & HD - Assistance
111 Acute Care Hospital - Conventional HD - Total Care Alert/Trigger at 3rd and 6th month
112 Acute Care Hospital - Conventional HD - Limited Self Care Alert/Trigger at 3rd and 6th month
121 Acute Care Hospital - Short Daily HD - Total Care Alert/Trigger at 3rd and 6th month
122 Acute Care Hospital - Short Daily HD - Limited Self Care Alert/Trigger at 3rd and 6th month
131 Acute Care Hospital - Slow Nocturnal HD - Total Care Alert/Trigger at 3rd and 6th month
141 Acute Care Hospital - CAPD - Total Care
151 Acute Care Hospital - APD - Total Care
171 Acute Care Hospital - Transplant - Total Care
211 Chronic Care Hospital - Conventional HD - Total Care Alert/Trigger at 3rd and 6th month
214 Chronic Care Hospital - Conventional HD - Assistance
221 Chronic Care Hospital - Short Daily HD - Total Care Alert/Trigger at 3rd and 6th month
224 Chronic Care Hospital - Short Daily HD - Assistance
241 Chronic Care Hospital - CAPD - Total Care
244 Chronic Care Hospital - CAPD - Assistance
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 95
Code Description Alerts/Triggers in ORRS Application
251 Chronic Care Hospital - APD - Total Care
254 Chronic Care Hospital - APD - Assistance
281 Chronic Care Hospital - CAPD (Nursing Home) - Total Care
284 Chronic Care Hospital - CAPD (nursing Home) - Assistance
291 Chronic Care Hospital - APD (Nursing Home) - Total Care
294 Chronic Care Hospital - APD (Nursing Home) - Assistance
311 Community Centre - Conventional HD - Total Care Alert/Trigger at 3rd and 6th month
312 Community Centre - Conventional HD - Limited Self Care Alert/Trigger at 3rd and 6th month
321 Community Centre - Short Daily HD - Total Care Alert/Trigger at 3rd and 6th month
322 Community Centre - Short Daily HD - Limited Self Care Alert/Trigger at 3rd and 6th month
332 Community Centre - Slow Nocturnal HD - Limited Self Care Alert/Trigger at 3rd and 6th month
341 Community Centre - CAPD - Total Care
351 Community Centre - APD - Total Care
412 Home - Conventional HD - Limited Self Care
413 Home - Conventional HD - Total Self Care
414 Home - Conventional HD - Assistance
422 Home - Short Daily HD - Limited Self Care
423 Home - Short Daily HD - Total Self Care
424 Home - Short Daily HD - Assistance
432 Home - Slow Nocturnal HD - Limited Self Care
433 Home - Slow Nocturnal HD - Total Self Care
434 Home - Slow Nocturnal HD - Assistance
442 Home - CAPD - Limited Self Care
443 Home - CAPD - Total Self Care
444 Home - CAPD - Assistance
452 Home - APD - Limited Self Care
453 Home - APD - Total Self Care
454 Home -APD - Assistance
Non-Chronic / Other Modality Codes
AHD Acute HD
CSD CRRT-SLEDD
CCV CRRT-CVVHD
PDS Pre-dialysis Services
NDT No Dialysis Treatment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 96
Primary Renal Disease Codes
Code Description
0 Chronic renal failure - etiology uncertain
5 Mesangial proliferative GN
6 Minimal lesion GN
7 Post strep GN
8 Rapidly progressive GN
9 Focal GN - adult
10 GN - Histologically NOT examined
11 GN - Severe nephrotic syndrome - focal sclerosis (peds)
12 GN - IgA Nephropathy (proven)
13 GN - Dense deposit disease (proven)
14 GN - Membranous nephropathy
15 GN - Mebranoproliferative mesangiocapilliary GN Type 1
16 GN - Idiopathic crescented GN (diffuse proliferative)
17 GN - Congenital nephrosis or nephrotic syndrome
19 GN - Histologically examined
20 Pyelo/Interstitial Nephritis - cause not specified
21 Pyelo/Interstitial Nephritis - neurogenic bladder
22 Pyelo/Interstitial Nephritis - cong. obstruct. uropathy
23 Pyelo/Interstitial Nephritis - acqu. obstruct. uropathy
24 Pyelo/Interstitial Nephritis - vesico-ureteric reflux
25 Pyelo/Interstitial Nephritis - urolithiasis
29 Pyelo/Interstitial Nephritis - other specified cause
30 Nephropathy - drug induced - cause not specified
31 Nephropathy - drug induced - analgesic drugs
32 Cisplatin
33 Nephropathy - drug induced - Cyclosporin A
39 Nephropathy - drug induced - other specified drug
40 Cystic Kidney disease - type unspecified
41 Polycystic Kidneys - adult type (dominant)
42 Polycystic Kidneys - infant type (recessive)
43 Medullary cystic disease - including nephronophthisis
49 Cystic Kidney disease - type specified
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 97
Code Description
50 Hereditary/Familial Nephropathy - type unspecified
51 Hereditary Nephritis - Alport's Syndrome
52 Cystinosis
53 Primary oxalosis
54 Fabry's disease
55 DRASH Syndrome
56 Sickle cell Syndrome
57 Wilm's tumour
58 Posterior urethral valves
59 Hereditary Nephropathy - other
60 Congenital renal hypoplasia - type unspecified
61 Oligomeganephronic hypoplasia
62 Segmental renal hypoplasia - Ask-Upmark kidney
63 Congenital renal dysplasia - urinary tract malformation
66 Agenesis of abdominal muscles - Prune Belly Syndrome
70 Renal Vascular disease - type unspecified
71 Renal Vascular disease - malignant hypertension NO PRD
72 Renal Vascular disease - hypertension NO PRD
73 Polyarteritis nodosa
74 Wegener's Granulomatosis
78 Atheroembolic renal disease
79 Renal Vascular disease - classified
80 Diabetes - Type I
81 Diabetes - Type II
82 Myelomatosis/Multiple myeloma
83 Amyloid
84 Lupus Erythematosus
85 Henoch-Schonlein purpura
86 Goodpasture's Syndrome
87 Scleroderma
88 Haemolytic Uraemic Syndrome (Moschcowitz)
89 Multi-system disease - other
90 Cortical or acute tubular necrosis
91 Tuberculosis
92 Gout
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 98
Code Description
93 Nephrocalcinosis & hypercalcaemic nephropathy
94 Balkan nephropathy
95 Kidney tumour
96 Traumatic or surgical loss of kidney
97 HIV nephropathy
99 Other:
NR Not reported (to date)
Malignancy Site Codes
Code Description
11 Two or more primary malignancies
20 Squamous cell carcinoma
21 Basal Cell Carcinoma
22 Squamous and basal cell carcinoma
23 Malignant Melanoma
25 Myeloma
26 Acute leukemia
27 Chronic leukemia
29 Reticulum cell sarcoma
30 Kaposi sarcoma
31 Lymphosarcoma
33 Plasma cell lymphoma
34 Hodgkin's disease
35 Lymphoreticular tumours
36 Histiocytic reticulosis
40 Lip
41 Tongue
42 Parotid
43 Oesophagus
44 Stomach
45 Colon
46 Rectum
47 Anus
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 99
Code Description
48 Liver- primary hepatoma
49 Liver- primary lymphoma
50 Gallbladder and bile duct
51 Pancreas
53 Larynx
54 Thyroid
55 Bronchus
56 Lung, Primary tumour
60 Kidney- Wilm's Tumour
61 Kidney- Hypernephroma of host kidney
62 Kidney- Hypernephroma of graft kidney
63 Renal pelvis
64 Ureter
65 Urinary bladder
66 Urethra
67 Prostate
68 Testis
69 Penis
70 Scrotum
71 Perineum
72 Vulva
73 Vagina
74 Uterus- cervix
75 Uterus- body
76 Ovary
80 Breast
81 Muscle
82 Bone
83 Brain- primary lymphoma
84 Brain- other primary tumour
85 Other tumour of central nervous system
90 Metastatic carcinoma, primary site unknown
99 Other primary tumour
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 100
Treatment Event Codes
Code Description
AC AC (Access Change)
M M (Modality Change)
R R (Recovered)
RR RR (Returning Patient)
TX TX (Transplanted)
F F (Failed Transplant)
TI TI (Transfer Into Region)
TO TO (Transfer Out of Region)
L-IN L-IN (Location Change In)
L-OUT L-OUT (Location Change Out)
TR-IN TR-IN (Hospital Transfer In)
TR-OUT TR-OUT (Hospital Transfer Out)
TS TS (Home Dialysis Training Start)
TE TE (Home Dialysis Training End)
RS RS (Home Dialysis Re-training Start)
RE RE (Home Dialysis Re-training End)
VR VR (Pre-Dialysis Clinic Visit)
VA VA (Body/Vascular Access Clinic Visit)
VE VE (Education Clinic Visit)
D D (Died)
W W (Withdrew)
X X (Lost to Follow-up)
ID3 ID3 (Independent Dialysis 3-Month Status)
ID6 ID6 (Independent Dialysis 6-Month Status)
VA3 VA3 (Vascular Access 3-Month Status)
VA9 VA9 (Vascular Access 9-Month Status)
NC No change reported for Patient in period
VF Follow-up Clinic Visit
TU Transplant Update
RP Change Responsibility for Payment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 101
Reason for Change Codes
Code Description
01 Peritonitis
02 Other abdominal complications
03 Inadequate dialysis
08 Intended Treatment
13 Not reported
14 Patient initiated - choice or unable to cope
15 HD access failure
16 Other complications related to PD
17 Cardiovascular instability
18 Resource/geographical (non-medical)
19 Requires increased care
20 Left country
11 Lost to follow-up
62 Body/Vascular Access Procedure
70 Starting dialysis
80 Exit site/tunnel Infection
81 Peritoneal dialysis catheter related problems
82 Inadequate solute clearance
83 Inadequate salt and water clearance
84 Psychological/ Social/ Financial reasons
85 Medical/ Psychiatric reasons
99 Other, specify
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 102
Reason for Chronic Withdrew Codes
Code Description
1 Psychosocial
2 Vascular (stroke, PVD, etc.)
3 Heart disease
4 Infection
5 Cancer
6 Dementia
7 Other
Reason for Pre-dialysis Withdrew Codes
Code Description
71 No treatment (comprehensive conservative renal care)
72 Discharged to general nephrology care
73 Discharged back to primary care setting
74 Transfer of care to another service
7 Other
Transplant Hospitals
Code Description
HSC HOSPITAL FOR SICK CHILDREN
JHH ST. JOSEPH'S HEALTHCARE – HAMILTON
KGH KINGSTON GENERAL HOSPITAL
LHS LONDON HEALTH SCIENCES CENTRE
SMH ST. MICHAEL'S HOSPITAL
TOH THE OTTAWA HOSPITAL
UHN UNIVERSITY HEALTH NETWORK
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 103
Death Type Codes
Code Description
0 Cause of death uncertain/not determined
2 Gastro-intestinal tumour with or without perforation
3 Infection (Bacterial)
4 Infection (Viral)
5 Infection (Fungal)
6 Cytomegalovirus
7 Epstein Barr Virus
8 Pneumocystic Carinii Pneumonia (PCP)
9 Protozoal/Parasitic infection (includes toxoplasmosis)
10 Wound infection
11 Myocardial Ischaemia and Infarction
12 Hyperkalaemia
13 Haemorrhagic Pericarditis
14 Other causes of cardiac failure
15 Cardiac arrest, cause unknown
16 Hypertensive cardiac failure
17 Hypokalaemia
18 Fluid overload
19 Acute Respiratory Distress Syndrome
20 Acute Gastroenteritis with dehydration
21 Pulmonary Embolus
22 Cerebrovascular Accident
23 Gastro-intestinal haemorrhage
24 Haemorrhage from graft site
25 Haemorrhage from vascular access or dialysis circuit
26 Ruptured Vascular Aneurysm
27 Haemorrhage from Surgery (Not codes 23, 24 or 26)
28 Other haemorrhage (Not codes 23-27)
29 Mesenteric Infarction
30 Hypertension
31 Pulmonary infection (bacterial)
32 Pulmonary infection (viral)
33 Pulmonary infection (fungal)
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 104
Code Description
34 Infections elsewhere (except Viral Hepatitis, see Codes 41-42)
35 Septicaemia/Sepsis
36 Tuberculosis (Lung)
37 Tuberculosis (elsewhere)
38 Generalized viral infection
39 Peritonitis
40 Diabetic keto acidosis (DKA)
41 Liver, due to Hepatitis B virus
42 Liver, other Viral Hepatitis
43 Liver, Drug toxicity
44 Cirrhosis (Not viral)
45 Cystic Liver Disease
46 Liver failure, cause unknown
49 Bronchiolitis Obliterans
50 Drug abuse (excludes alcohol abuse)
51 Patient refused further treatment
52 Suicide
53 Therapy ceased for any other reason
54 Alcohol abuse
55 Vascular Thrombosis
56 Pulmonary Vein Stenosis
57 Stent/balloon complication
58 Drug-related toxicity
62 Pancreatitis
63 Bone Marrow Depression
64 Cachexia
65 Unknown
66 Malignant disease possibly induced by immunosuppressive therapy - specific primary site
67 Malignant disease (not code 66) - specific primary source
68 Perforation of peptic ulcer
69 Dementia
70 Sclerosing (or Adhesive) Peritoneal Disease
71 Thrombocytopenia
72 Perforation of colon
73 Thrombosis – specify
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 105
Code Description
74 Liver, due to Hepatitis C virus
75 Drug Neurotoxicity
76 Status Epilepticus
77 Neurologic infection
81 Accident related to treatment
82 Accident unrelated to treatment
90 Multi-system failure
99 Other identified cause of death – specify
NR Not reported
Home HD Assessment Reason Codes
Code Description
1 Support not available (i.e. CCAC)
2 No LTC with hemodialysis provision
3 Unreliable / no electricity available at home
7 No Home HD program
8 Limited resources available to train patients for independent modalities (human, capacity, supplies etc. resulting in long wait list for training)
9 Acute start (initiated dialysis as an inpatient and discharged without modality education)
11 Difference in opinion within the renal team.
15 Medical contraindication
16 Psychiatric contraindication
17 Temporary medical contraindications
18 Has living donor, transplant expected soon
19 Medical or psychiatric contraindication - as a result cannot cannulate
20 Intercurrent illness requiring acute start
23 Accommodation challenges (homeless)
24 No home support
25 Home is deemed unsuitable by health care team
26 Limited space at home
27 Family does not want home dialysis (despite potential patient's choice)
28 Landlord prohibition
29 Patient feels treatment should be done by health care professionals
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 106
Code Description
30 Language barriers
31 Unable to afford the extra utility cost
32 Poor water quality (no solution available)
33 Unable to attend lengthy training sessions at centre
34 Unable to bear the cost of attending lengthy training sessions at centre (i.e. transportation, accommodations)
37 Problematic delivery of supplies
38 Unable to do home HD temporarily (moving in a few months, changing job etc.)
39 Convenient location of facility based HD
42 Fear of burdening the family
43 Is not convinced of the benefit/inconvenience ratio
44 Fear of a catastrophic event
45 Feeling too overwhelmed by acute start dialysis to consider ID
46 Other psychological factors
47 Unaware of Home HD options
48 Fear of needling
49 Cultural reasons
50 Feels Home Hemodialysis would infringe on their lifestyle (i.e. travel, swimming, sports)
51 Failed HHD training
52 cannot learn
53 Failed HHD previously
54 Conservative management
55 Other
56 In the process of switching to HHD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 107
Home PD Assessment Reason Codes
Code Description
1 Support not available (i.e. CCAC)
2 No LTC with PD provision
3 Long wait list for LTC (with PD provision)
7 No PD program
8 Limited resources available to train patients for independent modalities (human, capacity, supplies etc. resulting in long wait list for training)
9 Acute start (initiated dialysis as an inpatient and discharged without modality education)
10 Inability to get PD catheter in timely manner
11 Difference in opinion within the renal team.
15 Medical contraindications
16 Psychiatric contraindication
17 Temporary medical contraindications, e.g. PEG tube
18 Has living donor, transplant expected soon
19 Previous major abdominal surgery
20 Intercurrent illness requiring acute start
21 Large polycystic kidneys
22 Inability to establish PD access
23 Accommodation challenges (Homeless)
24 No home support
25 Home is deemed unsuitable by health care team
26 Limited space at home
27 Family does not want home dialysis (despite potential patient's choice)
29 Patient feels treatment should be done by health care professionals
30 Language barriers
31 Unable to attend lengthy training sessions at centre
34 Unable to bear the cost of attending lengthy training sessions at centre (i.e. transportation, accommodations)
37 Problematic delivery of supplies
39 Convenient location of facility based HD
42 Fear of burdening the family
43 Is not convinced of the benefit/inconvenience ratio
44 Fear of treatment
45 Feeling too overwhelmed by acute start dialysis to consider ID
46 Other psychological factors
47 Unaware of PD option
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 108
Code Description
48 Body image - does not want PD catheter
49 Cultural reasons
50 Feels Home PD would infringe on their lifestyle (i.e. travel, swimming, sports)
51 Failed PD training (unable/slow to learn)
52 cannot learn
53 Failed PD previously
54 Conservative management
55 Other
56 In the process of switching to PD
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 109
VA Assessment Reason Codes
Code Reason
Milestone 1: Eligibility cannot go for AV Assessment
9 High comorbidity risk - Life expectancy < 12 months
10 High comorbidity risk - Severe peripheral vascular disease
11 High comorbidity risk - MI in last 3-6 months
12 High comorbidity risk - LV function <20%
13 High comorbidity risk - Cognitive decline
14 High comorbidity risk - Other
15 No vessels appropriate for access - Nephrologist assessment only
19 Unexpected start for hemodialysis - Chronic kidney disease was not expected to progress
20 Unexpected start for hemodialysis - Risk of death before dialysis exceeded progression of CKD
33 Hemodialysis not intended modality - Living related transplant within 6 months
34 Hemodialysis not intended modality - Intends to start PD
30 Patient refusal - Assessed by Nephrologist but refused surgical assessment
38 Hemodialysis not intended modality- Patient chose comprehensive conservative renal care
47 Other
48 Patient awaiting recovery
Milestone 3: Intended Access if HD catheter is selected
9 High comorbidity risk - Life expectancy < 12 months
10 High comorbidity risk - Severe peripheral vascular disease
11 High comorbidity risk - MI in last 3-6 months
12 High comorbidity risk - LV function <20%
13 High comorbidity risk - Cognitive decline
14 High comorbidity risk - Other
15 No vessels appropriate for access - Nephrologist assessment only
16 No vessels appropriate for access- Surgeon assessment - US mapping/venography NOT done
17 No vessels appropriate for access - Surgeon assessment - US mapping/venography done
18 No vessels appropriate for access - Multiple failed attempts/ no other available vessels
19 Unexpected start for hemodialysis - Chronic kidney disease was not expected to progress
20 Unexpected start for hemodialysis - Risk of death before dialysis exceeded progression of CKD
33 Hemodialysis not intended modality - Living related transplant within 6 months
34 Hemodialysis not intended modality - Intends to start PD
36 Hemodialysis not intended modality - Deceased transplant expected
28 Patient refusal - Surgical assessment
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 110
Code Reason
47 Other
Milestone 4, 5, 6: Access at X - If HD Catheter is selected (X= Initial Access, 3 Month or 9 Month)
25 Modality/VA education - Not offered
26 Modality/VA education - Offered but not attended (patient refused/cancelled)
27 Modality/VA education - Attended but delay in decision making
2 AV Access not created - Not yet referred to surgeon
3 AV Access not created - Referred to surgery waiting for vessel mapping
4 AV Access not created - Referred to surgery waiting for surgical assessment
5 AV Access not created - Surgical assessment done - Waiting for VA surgery
33 Hemodialysis not intended modality - Living related transplant within 6 months
34 Hemodialysis not intended modality - Intends to start PD
35 Hemodialysis not intended modality - Initial choice was PD but failed or patient no longer suitable
36 Hemodialysis not intended modality - Deceased transplant expected
37 Hemodialysis not intended modality - Temporary transfer from PD (i.e. peritonitis, leak etc)
15 No vessels appropriate for access - Nephrologist assessment only
16 No vessels appropriate for access- Surgeon assessment - US mapping/venography NOT done
17 No vessels appropriate for access - Surgeon assessment - US mapping/venography done
18 No vessels appropriate for access - Multiple failed attempts/ no other available vessels
9 High comorbidity risk - Life expectancy < 12 months
10 High comorbidity risk - Severe peripheral vascular disease
11 High comorbidity risk - MI in last 3-6 months
12 High comorbidity risk - LV function <20%
13 High comorbidity risk - Cognitive decline
14 High comorbidity risk - Other
19 Unexpected start for hemodialysis - Chronic kidney disease was not expected to progress
20 Unexpected start for hemodialysis - Risk of death before dialysis exceeded progression of CKD
21 Unexpected start for hemodialysis - Acute event requiring urgent start dialysis
28 Patient refusal - Surgical assessment
29 Patient refusal - Patient refused further intervention
30 Patient refusal - Assessed by Nephrologist but refused surgical assessment
31 Patient cancelled/delayed surgical assessment
32 Patient cancelled/delayed surgery
40 AV access created - Failed, not amenable for intervention, not cannulated
41 AV access created - Cannulation attempted and failed
42 AV access created - Not yet mature for cannulation
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 111
Code Reason
43 AV access created - Requires 2nd stage
44 AV Access created - AV access ligated – access induced ischemia
45 AV access created - Patient refused cannulation
47 Other
48 Patient awaiting recovery
49 Patient not known to CKD clinic - acute kidney injury requiring urgent start of dialysis
50 Transplant to HD - requiring HD after failed transplant
Responsibility for Payment Codes: Code Description
01 Provincial/territorial responsibility
02 Workers' Compensation Board/Workplace Safety and Insurance Board (WCB/WSIB), Workers' Service Insurance Board or equivalent
03 Other province/territory (resident of Canada)
04 Department of Veteran Affairs (DVA)/Veterans Affairs Canada (VAC)
05 First Nations and Inuit Health Branch
06 Other federal government (Department of National Defence, Citizenship and Immigration), or penitentiary inmates
07 Canadian resident self-pay
08 Other countries resident self-pay
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 112
Appendix B: Lab Value Ranges
Element Name Unit Valid Values
Chronic Registration
Hemoglobin g/L 60 <= hemoglobin result <= 140
Creatinine μmol/L 300 <= creatinine result <= 1500
Urea mmol/L 15 <= urea result <= 40
Serum Bicarbonate / CO2 mmol/L 20 <= serum bicarbonate result <= 30
Serum Calcium (Corrected) mmol/L 2.22 <= serum calcium corrected result <= 2.60
Serum Calcium (Uncorrected) mmol/L 2.10 <= serum calcium uncorrected result <= 2.60
Serum Calcium (Ionized) mmol/L 1.19 <= serum calcium ionized result <= 1.29
Serum Phosphate mmol/L 1.50 <= serum phosphate result <= 1.80
Serum Albumin g/L 25 <= serum albumin <= 50
Serum Parathormone (PTH) pmol/L 1.30 <= serum parathormone result <= 7.60
Serum Parathormone (PTH) ng/L 18 <= serum parathormone result <= 73,
Serum Parathormone (PTH) pg/mL 10 <= serum parathormone result <= 65,
Pre-dialysis Registration
Creatinine μmol/L 300 <= creatinine result <= 1500
eGFR mls/min
eGFR lab value range validation for records dated on or after April 1, 2017 is not applicable. Refer to the ORRS R5 Technical Specifications and/or R5 Data Dictionary for lab value range details for records dated before April 1, 2017.
Proteinuria ACR 100 <= proteinuria result <= 4000
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 113
Appendix C: Height and Weight Value Ranges Element ID Element
Name Unit Age Valid Range
Chronic and Pre-dialysis
C51, D1 Height cm Less than 6 25 <= Height <= 125
6 to less than 10 75 < Height < 150
10 to less than 15 100 < Height < 200
Older than 15 120 < Height < 220
C52, D2 Weight kg Less than 4 0.454 < Weight < 30
4 to less than 9 9 < Weight < 50
9 to less than 15 20 < Weight < 100
Older than 15 35 < Weight < 160
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 114
Appendix D: Definitions
Name Description
Follow-Up Dialysis Clinic Visit for Independent Health Facility (IHF) Patient
A multi-disciplinary team clinical assessment for patients receiving regular hemodialysis at an IHF, which may include diagnostic testing, treatment and/or intervention. The visit may occur at a Regional Centre, at the IHF or via telemedicine. Measured by the number of clinic visits.
Follow-up Clinic Visit for Home Peritoneal Dialysis Patient
A multi-disciplinary team clinical assessment which may include diagnostic testing, treatment and/or intervention of the patient having peritoneal dialysis at home. The visit may occur in person or via telemedicine.
Follow-up Clinic Visit for Home Hemodialysis Patient
A multi-disciplinary team clinical assessment which may include diagnostic testing, treatment and/or intervention. The visit may occur in person or via telemedicine.
Education Clinic Visit For patients at the point of making decisions regarding dialysis modality choice or those who have started dialysis without education about modality choice, i.e., patients must be pre-dialysis (eGFR< 30) or on dialysis. These patients may also be separately followed in a pre-dialysis or nephrology clinic. Visits are dedicated to education about chronic kidney disease, its complications and treatment options. The goals are to promote patient self-management and to support informed choices on renal replacement therapy, including dialysis treatment modality. Note: Treatment Event is currently collected in ORRS
Education Clinic Visit: One-on-one Individualized Sessions
Provided as an individualized 60-minute 1:1 education session with any level nurse working in an educator capacity (e.g. Nurse Practitioner, Nurse Educator, Nurse Coordinator, Registered Nurse). This does not include the nurse providing dialysis treatment. A 60-minute education visit may be spread over a maximum of 3 encounters with the patient. However, the program should only report, and will only be reimbursed for an equivalent, one visit. Education clinic visits may be reported as follows: 1 visit = 1 encounter of 60 minutes or greater 1 visit = 2 encounters of 30 minutes or greater 1 visit = 3 encounters of 20 minutes or greater Measured by the number of visits. Note: Treatment Event is currently collected in ORRS
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 115
Name Description
Education Clinic Visit: Group Sessions
Group education sessions provided by more than 1 health care educator to a group of patients. Measured by the number of group sessions. Note: Treatment Event is currently collected in ORRS
Pre-Dialysis Clinic Visit
Interdisciplinary clinic dedicated to the optimal care of patients with a progressively declining eGFR< 30. The goal of the pre-dialysis clinic visit is to provide management to: slow progressive eGFR decline; prevent, monitor and treat the multisystem complications of CKD and co-morbid illnesses; and prepare for renal replacement therapy. Requires that patient be seen by at least 3 of following health professionals: Nurse or Physician Assistant, Dietitian, Social Worker, Pharmacist/Pharmacy Technologist, or Physician. Note: service recipients include patients with failing transplants and eGFR<30. Note: Treatment Event is currently collected in ORRS
Total Care Under full care of trained staff affiliated with a nephrology unit. Note: Care required is currently collected in ORRS
Limited Self Care Receives a minimal amount of assistance from trained staff affiliated with a nephrology unit (not including family member(s)). This level of care can be utilized when patient is undergoing home training. Note: Care required is currently collected in ORRS
Total Self Care Patient is completely responsible for his/her own treatment, with no assistance from nephrology trained staff. A patient may be classified as total self-care if he/she receives assistance from family member(s) or home care worker who is not a trained staff affiliated with a nephrology unit. Note: Care required is currently collected in ORRS
Comprehensive Conservative Renal Care (CCRC)
Comprehensive conservative renal care (CCRC) is planned holistic patient-centred care for patients with stage 5 CKD that includes the following:
Interventions to delay progression of kidney disease and minimize risk of adverse events or complications;
Shared decision-making;
Active symptom management;
Detailed communication including advance care planning;
Psychological support;
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 116
Name Description
Social and family support; and
Cultural and spiritual domains of care. Comprehensive conservative renal care is full renal care that does not include dialysis.
Being informed about comprehensive conservative renal care as a treatment option means the care team has educated the patient or has had, at a minimum, a discussion about the option of comprehensive conservative renal care with the patient. The content of the education or discussion may vary depending on the status of the patient.
Appendix E: Modality and Census Groups Modality Group Census Group Treatment (Modality Codes)
Acute Acute Dialysis AHD, CCV, CSD
Acute HD AHD
CRRT CCV, CSD
CRRT-CVVHD CCV
CRRT-SLEDD CSD
Assistance Assistance 044, 054, 064, 214, 224, 244, 254, 284, 294, 414, 424, 434, 444, 454
Chronic Care APD Assistance 254
Chronic Care Assistance 214, 224, 244, 254
Chronic Care CAPD Assistance 244
Chronic Care HD Assistance 214, 224
Chronic Care PD Assistance 244, 254
HD Assistance 214, 224, 414, 424, 434
Nursing Home PD Assistance 284, 294
PD Assistance 044, 054, 064, 244, 254, 284, 294, 444, 454
Chronic Care Chronic Care 211, 214, 224, 224, 241, 244, 251, 254, 281, 284, 291, 294
Chronic Care APD 251, 254
Chronic Care APD Assistance 254
Chronic Care APD No Assistance 251
Chronic Care CAPD 241, 244
Chronic Care CAPD Assistance 241
Chronic Care CAPD No Assistance
241
Chronic Care HD 211, 214, 221, 224
Chronic Care HD Assistance 214, 224
Chronic Care HD No Assistance 211, 221
Chronic Care PD 241, 244, 251, 254
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 117
Modality Group Census Group Treatment (Modality Codes)
Chronic Care PD Assistance 244, 254
Chronic Care PD No Assistance 241, 254
Nursing Home PD 281, 284, 291, 294
Nursing Home PD Assistance 284, 294
Nursing Home PD No Assistance 281, 291
Facility-based PD Community APD 351
Community CAPD 341
Community PD 341, 351
Facility-based APD 151, 351
Facility-based CAPD 141, 341
Facility-based PD 141, 151, 341, 351
Hospital APD 151
Hospital CAPD 141
Hospital PD 141, 151
HD Chronic Care HD 211, 214, 221, 224
Chronic Care HD Assistance 214, 224
Chronic Care HD No Assistance 211, 221
Community HD 311, 321
Community Self Care HD 312, 322, 332
HD 111, 112, 121, 122, 131, 211, 214, 221, 224, 311, 312, 321, 322, 332, 412, 413, 414, 422, 423, 424, 432, 433, 434
HD Assistance 214, 224, 414, 424, 434
HD No Assistance 111, 112, 121, 122, 131, 211, 221, 311, 312, 321, 322, 332, 412, 413, 422, 423, 432, 433
Home HD 412, 413, 414, 422, 423, 424, 432, 433, 434
Home HD Assistance 414, 424, 434
Home HD No Assistance 412, 413, 422, 423, 432, 433
Hospital Self Care HD 112, 122
Hospital Total Care Conventional/Short Daily HD
111, 121
Hospital Total Care HD 111, 121, 131
Hospital Total Care Nocturnal HD 131
Independent Dialysis Home HD 412, 413, 414, 422, 423, 424, 432, 433, 434
Home HD Assistance 414, 424, 434
Home HD No Assistance 412, 413, 422, 423, 432, 433
Home HD & PD 040, 044, 050, 054, 060, 064, 141, 151, 241, 244, 251, 254, 281, 284, 291, 294, 341, 351, 412, 413, 414, 422, 423, 424, 432, 433, 434, 442, 443, 444, 452, 453, 454
Home HD & PD Assistance 044, 054, 064, 244, 254, 284, 294, 414, 424, 434, 444, 454
Home HD & PD No Assistance 040, 050, 060, 141, 151, 241, 251, 281, 291, 341, 351, 412, 413, 422, 423, 432, 433, 442, 443, 452, 453
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 118
Modality Group Census Group Treatment (Modality Codes)
PD 040, 044, 050, 054, 060, 064, 141, 151, 241, 244, 251, 254, 281, 284, 291, 294, 341, 351, 442, 443, 444, 452, 453, 454
PD Assistance 044, 054, 064, 244, 254, 284, 294, 444, 454
PD No Assistance 040, 050, 060, 141, 151, 241, 251, 281, 291, 341, 351, 442, 443, 452, 453
No Dialysis No Dialysis NDT
PD Chronic Care APD 251, 254
Chronic Care APD Assistance 254
Chronic Care APD No Assistance 251
Chronic Care CAPD 241, 244
Chronic Care CAPD Assistance 244
Chronic Care CAPD No Assistance
241
Chronic Care PD 241, 244, 251, 254, 281, 284, 291, 294
Chronic Care PD Assistance 244, 284, 284, 294
Chronic Care PD No Assistance 241, 251, 281, 294
Community APD 351
Community CAPD 341
Community PD 341, 351
Facility-based APD 151, 351
Facility-based CAPD 141, 341
Facility-based PD 141, 151, 341, 351
Home APD 452, 453, 454
Home APD Assistance 454
Home APD No Assistance 452, 453
Home CAPD 442, 443, 444
Home CAPD Assistance 444
Home CAPD No Assistance 442, 443
Home PD 442, 443, 444, 452, 453, 454
Home PD Assistance 444, 454
Home PD No Assistance 442, 443, 452, 453
Hospital APD 151
Hospital CAPD 141
Hospital PD 141, 151
Nursing Home PD 281, 284, 291, 294
Nursing Home PD Assistance 284, 294
Nursing Home PD No Assistance 281, 291
PD 040, 044, 050, 054, 060, 064, 141, 151, 241, 244, 251, 254, 281, 284, 291, 294, 341, 351, 442, 443, 444, 452, 453, 454
PD Assistance 044, 054, 064, 244, 254, 284, 294, 444, 454
Ontario Renal Network | Effective: April 1, 2017 | ORRS R6 Data Dictionary | Released: August 8, 2016 l Revised: November 30, 2016 119
Modality Group Census Group Treatment (Modality Codes)
PD No Assistance 040, 050, 060, 341, 351, 442, 443, 452, 453
PD & HD APD & HD 050, 054
APD & HD Assistance 054
APD & HD No Assistance 050
CAPD & HD 040, 044
CAPD & HD Assistance 044
CAPD & HD No Assistance 040
PD & HD 040, 044, 050, 054, 060, 064
PD & HD Assistance 044, 054, 064
PD & HD No Assistance 040, 050, 060
PD & HD (Historic) 060, 064
PD & HD (Historic) Assistance 064
PD & HD (Historic) No Assistance 060
Pre-dialysis Pre-dialysis PDS
Transplant Transplant 171
Appendix F: Revision History
Version Date of Revision Revision Description
V2 Wednesday, November 30, 2016 Revisions Made to Existing Data Elements: Common Data Elements for Pre-Dialysis, Chronic and Acute Patient Registration
1.7 - Health Card Number (ORRS Linking)
1.7.1 - Payment Health Card Number
1.9.2 - Responsibility for Payment Treatment Events
4.9.1 - Comprehensive Conservative Renal Care
Revisions Made in Appendix A - Reference Codes and Descriptions: Location Codes
IHF Location Codes
Treatment (Modality) Codes
Reason for Pre-dialysis Withdrew Codes
VA Assessment Reason Codes
Revisions Made in Appendix D - Definitions: Comprehensive Conservative Renal Care
New: Appendix E - Modality and Census Groups
Recommended