R426-7-3. ED Data Set  


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  • (1) All hospitals licensed in Utah shall provide patient data as identified by the Department.

    (2) This data shall be submitted at least quarterly to the Department. Corporate submittal is preferred.

    (3) The data must be submitted in an electronic format determined and approved by the Department.

    (4) If the Department determines that there are errors in the data, it may return the data to the data supplier for corrections. The data supplier shall correct the data and resubmit it to the Department within 30 days of receipt from the Department. If data is returned to the hospital for corrections, the hospital is not in compliance with this rule until corrected data is returned, accepted and approved by the Department.

    (5) The minimum required data elements include:

    Unique Patient Control Number

    Record Type

    Provider Identifier (hospital)

    Patient Social Security Number

    Patient Control Number

    Type of Bill

    Patient Name

    Patient's Address (postal zip code)

    Patient Date of Birth

    Patient's Gender

    Admission Date

    Admission Hour

    Discharge Hour

    Discharge Status

    Disposition from Hospital

    Patient's Medical Record Number

    Revenue Code 1 ("001" sum of all charges)

    Total Charges by Revenue Code 1 ("001" last total Charge Field, is sum)

    Revenue Code 2 ("450" used for record selection)

    Total Charges by Revenue Code 2 (Charges associated with code 450)

    Primary Payer Identification

    Estimated Amount Due

    Secondary Payer Identification

    Estimated Amount Due

    Tertiary Payer Identification

    Estimated Amount Due

    Patient Estimated Amount Due

    Principal Diagnosis Code

    Secondary Diagnosis Code 1

    Secondary Diagnosis Code 2

    Secondary Diagnosis Code 3

    Secondary Diagnosis Code 4

    Secondary Diagnosis Code 5

    Secondary Diagnosis Code 6

    Secondary Diagnosis Code 7

    Secondary Diagnosis Code 8

    External Cause of Injury Code (E-Code)

    Procedure Coding Method Used

    Principal Procedure

    Secondary Procedure 1

    Secondary Procedure 2

    Secondary Procedure 3

    Secondary Procedure 4, and

    Secondary Procedure 5