New York Codes, Rules and Regulations
Appendix C-3 - 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

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