Table 1.
MPOG Minimum Data Requirement
Category | Detail |
---|---|
Identifiers held at local site | Full namea |
Date of birtha | |
Social security numbera | |
Medical record numbera | |
Other demographics | Age at date of surgery |
Gender | |
Basic case information | Admission type |
Age at the time of operation | |
Facility and operating room type | |
Primary procedure text | |
Primary diagnosis text | |
Preoperative documentation | ASA PS classification |
Height | |
Weight | |
Laboratory values taken up to 365 d before anesthesia | |
Preoperative comorbidities (cardiac, pulmonary, endocrine, renal, hepatic, and immunologic) organized within a preoperative history and physical document | |
Home medications | |
Intraoperative documentation | Case times |
Fluid inputs and outputs | |
Medication administrations | |
Observational/procedure notes | |
Point-of-care laboratory values | |
Staff tracking/sign-in/sign-out times for anesthesia attendings | |
Vital signs, machine captured minute-by-minute | |
Postoperative documentation | Laboratory values taken up to 365 d after anesthesia |
Outcomes | In-hospital all-cause mortality |
Charge capture and administration | Hospital discharge diagnoses codes |
Professional fee anesthesia billing codes |
At the time of publication, this is available online on the MPOG website: https://www.mpog.org/join/mindataelements.
Abbreviations: ASA PS, American Society of Anesthesiologists Physical Status; MPOG, Multileft Perioperative Outcomes Group; PHI, protected health information.
Identifiers are required for PHI removal; PHI is subsequently removed from patient record “before” data upload to the MPOG central repository. PHI remains stored at the local site.