| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | entry id(+) | 0;1 | NUMERIC | B | This is a unique number assigned by the Claims Tracking entry. The first 3 characters of the number are the stations site number. | |
| .02 | site(+) | 0;2 | FREE TEXT | This is a 3 digit station number plus any modifiers. | ||
| .03 | ssn(+) | 0;3 | FREE TEXT | C | This is a nine digit Social Security Number field. | |
| .04 | admitting diagnosis(+) | 0;4 | FREE TEXT | ICD 9 Code Number | ||
| .05 | enrollement code(+) | 0;5 | FREE TEXT | This field contains the three internal enrollement sample codes (Random, Disease specific, or Local) from the Claims Tracking entry seperated by hyphens. Example: 1--, 0-3-0, 0-0-1. | ||
| .06 | admitting physician code | 0;6 | NUMERIC | Contains the Physician's IEN number from the NEW PERSON File (#200) | ||
| .07 | attending physician code | 0;7 | NUMERIC | Contains the Physician's IEN number from the NEW PERSON File (#200). | ||
| .08 | resident physician code | 0;8 | NUMERIC | Contains the Physician's IEN number from the NEW PERSON File (#200). | ||
| .09 | acute care admission date(+) | 0;9 | DATE-TIME | |||
| .1 | acute care discharge date | 0;10 | DATE-TIME | ADIS | ||
| .11 | ward(+) | 0;11 | FREE TEXT | Enter in this field the name of the ward location as selectable using bed control options in MAS. | ||
| .12 | treating specialty(+) | 0;12 | FREE TEXT | Contains the name of the facility treating specialty. Types of treating specialties may vary between Facilities. | ||
| .13 | acute admission (y/n)?(+) | 0;13 | BOOLEAN | 1:YES 0:NO | ||
| 1.01 | severity of illness | 1;1 | FREE TEXT | Enter the Severity of Illness (SI) category code that best describes the criteria met for continued stay days of care. Select the PRIMARY category for the reason. | ||
| 1.02 | intensity of service | 1;2 | FREE TEXT | Enter the Intensity of Service (IS) category code that best describes the criteria met for continued stay days of care. Select the PRIMARY category for this reason. | ||
| 1.03 | reason for non-acute admission | 1;3 | FREE TEXT | This is the external reference which is uniquely known. | ||
| 1.04 | provider interviewed (y/n)?(+) | 1;4 | BOOLEAN | 1:YES 0:NO | ||
| 1.05 | admission influenced (y/n)?(+) | 1;5 | BOOLEAN | 1:YES 0:NO | ||
| 1.06 | local, national, or both(+) | 1;6 | SET OF CODES | L:LOCAL N:NATIONAL B:BOTH | ||
| 1.07 | service(+) | 1;7 | SET OF CODES | M:MEDICINE S:SURGERY P:PSYCHIATRY NH:NHCU NE:NEUROLOGY I:INTERMEDIATE MED R:REHAB MEDICINE SCI:SPINAL CORD INJURY D:DOMICILIARY B:BLIND REHAB RE:RESPITE CARE | This field contains the Service code for the entries Admission review. | |
| 1.08 | rollup date | 1;8 | DATE-TIME | This field is for National Database use. It will hold the date of transmission to the National Database. | ||
| 1.09 | archived? | 1;9 | BOOLEAN | 0:NO 1:YES | This field is for National Database use. This field will be true on the National Database if the entry has been archived to tape. | |
| 13 | day | 13;0 | MULTIPLE | 538.113 | Contains Continued Stay Reviews. |
Not Referenced