Code Status interpretation

[rthomble]

There are 6 levels of code status in CHARTEVENTS:

Comfort Measures
CPR Not Indicated
Do Not Intubate
Do Not Resuscitate
Full Code
Other/Remarks

I'd like to know how to interpret "CPR Not Indicated" and "Other/Remarks"

CPR Not Indicated could mean:

"The patient chose to not have the caregivers use CPR, but intubation is ok."
"The patient chose to not have caregivers use CPR or intubation" and is functionally no different than DNR
"The caregiver has decided that this patient is not a suitable candidate for CPR" (ie - a futility case)

Other/Remarks could mean:
"The patient has a complex case that cannot be coded. More info is in the notes"
"The patient has a complex case that cannot be coded, but we are providing no additional information"
"We don't know the patient's code status."
Something else?

What is the correct interpretation of these code statuses?

[alistairewj]

CPR not indicated specifies that chest compressions should not be performed. This still allows both pharmaceutical and shock (e.g. a defibrillator) to resuscitate a patient. It's also worth noting that DNR does not necessarily indicate that the patient should not be intubated. A patient who is DNR could still be intubated. DNI indicates that they should not be.

Other/Remarks could mean two things: (i) other, in which case we are not sure what the code status is (but it is probably detailed in the notes), similar to your suggestions, or (ii) a textual comment (a remark) is provided with this row which provides free-text detail about the code status. Unfortunately, it frequently contains PHI, and so it is not currently included in MIMIC-III, but including it is on the roadmap.