(cf. § 400.18[c])
Uniform Discharge Abstract Elements
Birthweight, Admit Weight or Readmit Weight as
Appropriate for Neonates
Mother's Medical Record Number for Newborn
Prehospital Care Report Number
Patient's Race
Patient's Ethnicity
Scheduled/Unscheduled Admission
Other Diagnosis Indicators (14 occurences)
Method of Anesthesia
New Diagnosis After Administration of Anesthesia
Indicators (14 occurrences)
Place of Injury Code
Exempt Unit Indicator
Placement of Bed Indicator
Expected Primary Reimbursement
Expected Reimbursement Other 1
Expected Reimbursment Other 2
Total Acute Certified Days Used
(cf. § 400.18[c])
*Uniform Discharge Abstract Elements
12. Birthweight, Admit Weight or Readmit Weight, as Appropriate, for Neonates13. SPARCS Hospital Identification Number14. License Number of Attending Physician15. License Number of Operating Physician16. License Number of Other Physician17. Admitting Diagnosis Code18. Principal Diagnosis Code19. Principal Procedure Code20. Date of Principal Procedure21. Other Diagnosis Code (8 occurrences)22. Other Procedure Code (5 occurrences)23. Other Procedure Date (5 occurrences)24. Length of Stay Indicator27. Disposition of Patient28. Type Alternate Care Required29. Date Alternate Care Required31. Primary Reimbursement32. Secondary Reimbursement33. Total Acute Certified Days Used35. Leave of Absences Days36. Certified Alternate Care Days40. Exempt Unit Indicator41. Mother's Medical Record Number44. Other Diagnosis Code Indicator (8 occurrences)45. Prehospital Care Report Number N.Y. Comp. Codes R. & Regs. tit. 10, Appendices, app C-3