Transport Ambulance Run Number (delayed indefinitely) Medical Record Number Stated Reason for (effective 10/1/02) End of Line Items Indicator Number of ED Treatment Beds at Site Number of ED-based Observation Beds at Site Total Number of ED-based Beds at Site ED Visits Admitted to Inpatient at Site – ED Visits Admitted to Outpatient Observation at Site – ED Visits All Other Outpatient ED Visits at Site – ED Visits Total Registered at Site – End of Record Indicator Number of Outpatient ED Visits Total Charges for Batch TYPE ERRORS: ‘B’ Mother’s Social Security Number Patient Race Patient Zip Code Discharge Time (effective 10/1/02) Type of Visit Source of Visit Secondary Source of Visit Other Physician Number ED Physician Number Other Caregiver Code Emergency Severity Index Homeless Indicator (effective 10/1/02) Service Line Item Race 1, 2 & Other Race Hispanic Indicator Ethnicity 1, 2 & Other Ethnicity Condition Present on Admission Primary Diagnosis, Associate Diagnoses I XIV, & Primary E-Code – Significant Procedure Date Operating Physician for Significant Procedure Permanent Patient Street Address, City/Town, State, Zip Code Patient Country Temporary Patient Street Address, City/Town, State, Zip Code
Transport Ambulance Run Number (delayed indefinitely) Medical Record Number Stated Reason for (effective 10/1/02) End of Line Items Indicator Number of ED Treatment Beds at Site Number of ED-based Observation Beds at Site Total Number of ED-based Beds at Site ED Visits – Admitted to Inpatient at Site ED Visits – Admitted to Outpatient Observation at Site ED Visits – All Other Outpatient ED Visits at Site ED Visits – Total Registered at Site End of Record Indicator Number of Outpatient ED Visits Total Charges for Batch TYPE ‘B’ ERRORS: Mother’s Social Security Number Patient Race Patient Zip Code Discharge Time (effective 10/1/02) Type of Visit Source of Visit Secondary Source of Visit Other Physician Number ED Physician Number Other Caregiver Code Emergency Severity Index Homeless Indicator (effective 10/1/02) Service Line Item Race 1, 2 & Other Race Hispanic Indicator Ethnicity 1, 2 & Other Ethnicity Condition Present on Admission Primary Diagnosis, Associate Diagnoses I – XIV, & Primary E-Code Significant Procedure Date Operating Physician for Significant Procedure Permanent Patient Street Address, City/Town, State, Zip Code Patient Country Temporary Patient Street Address, City/Town, State, Zip Code
ed-doc-manual-2012.docx