N.Y. Comp. Codes R. & Regs. tit. 10, Appendices, app C-3

Current through Register Vol. 46, No. 43, October 23, 2024
Appendix C-3

(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

1. Coding Method
2. Medical Record Number
3. Admitting Number
4. Admit Date
5. Admit Hour
6. Admit Status
7. ZIP Code
8. County Code
9. Age
10. Sex
11. Race
12. Birthweight, Admit Weight or Readmit Weight, as Appropriate, for Neonates
13. SPARCS Hospital Identification Number
14. License Number of Attending Physician
15. License Number of Operating Physician
16. License Number of Other Physician
17. Admitting Diagnosis Code
18. Principal Diagnosis Code
19. Principal Procedure Code
20. Date of Principal Procedure
21. Other Diagnosis Code (8 occurrences)
22. Other Procedure Code (5 occurrences)
23. Other Procedure Date (5 occurrences)
24. Length of Stay Indicator
25. Discharge Date
26. Discharge Hour
27. Disposition of Patient
28. Type Alternate Care Required
29. Date Alternate Care Required
30. Transfer Status
31. Primary Reimbursement
32. Secondary Reimbursement
33. Total Acute Certified Days Used
34. Transaction Code
35. Leave of Absences Days
36. Certified Alternate Care Days
37. Admitting Source
38. Ethnicity
39. Date of Birth
40. Exempt Unit Indicator
41. Mother's Medical Record Number
42. Cause of Injury
43. Place of Injury
44. Other Diagnosis Code Indicator (8 occurrences)
45. Prehospital Care Report Number

N.Y. Comp. Codes R. & Regs. tit. 10, Appendices, app C-3