Easy |
Data element stored as a structured and accessible database field. |
Age stored as an integer, smoking status stored as “yes/no,” diagnosis stored as an ICD-9 code. |
Moderate |
Data element that requires the use of more than one structured database field to calculate. |
“Antibiotics administered within 60 minutes of surgical incision,” for which the antibiotics administration date/time and surgical incision date/time are needed as well as logic to compare the temporality of the events. |
Complex |
Data element stored as free-text, or that needs human interpretation to abstract. |
“Comorbidities” captured within the admission notes and stored as free-text, or an “unplanned ICU stay” for which human interpretation is needed to decide whether or not an ICU stay was planned. |