Symptom Management > MDASI

Entity

Data Element

Definition

Format

Valid Values

Purpose and Use

Changes

MDASI

Medical Record Number

Patient identifier code that is unique within the healthcare facility.

CHAR 10 Alpha-numeric.

Consistent with CIHI NACRS and DAD definition and format.

MDASI

CIHI Master Number

MOHLTC Master Number identifying the hospital site where the visit occurred.

CHAR 4 Numeric.

Same as CIHI's institution Number for NACRS or DAD submissions, but does not include CIHI's provincial identifier digit. For current valid MOHLTC facility numbers, see Appendix A.

Uniquely identifies the hospital reporting this patient. Data element is configured when new sites are created on ISAAC.

MDASI

Health Card Number

Patient's most recent health insurance number assigned by their provincial government of residence.

CHAR 10 Alpha-numeric.

The following values are only to be used when unable to provide a Health Card Number.

0 = insured resident of reporting province, but HCN not available.
1 = not applicable, includes: out of province resident with unavailable HCN, Out of Country, no health insurance coverage from province of residence.

Used to further identify unique patients and link to existing databases as well as determine if same patients are being treated across CCACs and cancer centres. Will facilitate the linkage of the CCAC and hospital results. In addition, CCACs may use this number as their unique patient identifier.

MDASI

Assessment Date

Date assessment completed.

YYYYMMDD

Valid dates only.

Necessary to track patient changes over time.

MDASI

Pain

Patient perception of pain

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Fatigue

Patient perception of fatigue

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Nausea

Patient perception of nausea

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Disturbed Sleep

Patient perception of sleep

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Distressed

Patient perception of distressed

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Shortness of Breath

Patient perception of shortness breath

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Difficulty Remembering

Patient perception of remembering

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Lack of Appetite

Patient perception of appetite

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Drowsiness

Patient perception of drowsiness

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Dry Mouth

Patient perception of dry mouth

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Feeling Sad

Patient perception of sadness

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Vomiting

Patient perception of vomiting

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Anxiety

Patient perception of anxiety

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Numbness/Tingling

Patient perception of tingling

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Mucus

Patient perception of mucus

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Difficulty Swallowing/Chewing

Patient perception of swallowing

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Choking/Coughing

Patient perception of choking

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Difficulty with Voice/Speech

Patient perception of speech

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Skin pain/burning/rash

Patient perception of skin pain

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Constipation

Patient perception of constipation

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Problems with Tasting food

Patient perception of tasting food

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Mouth/ Throat

Patient perception of mouth

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Problems with Teeth/gums

Patient perception of teeth

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

General Activity

Patient perception of general activity

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Mood

Patient perception of mood

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Work

Patient perception of work

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Relations with People

Patient perception of relationships

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Walking Ability

Patient perception of ability to walk

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10

MDASI

Enjoyment of Life

Patient perception of enjoyment

CHAR 2 Numeric.

0,1,2,3,4,5,6,7,8,9,10