UHDDS Data Elements & Definitions Questions with 100% Correct Answers | Latest Update | Verified

Qualifier for other diagnoses - A qualifier is given for each diagnosis coded under "other diagnoses" to indicate whether the onset of the diagnosis preceded or followed admission to the hospital. The option "uncertain" is permitted. Present on Admission requirement. Admission Date - Month, day, and year. Clarification is added to this data item to note that for emergency and observation type patients, the time of admission is guided by the time that the physician gives the order to admit the patient as an inpatient Date of Birth - 4 digits for year of birth, but 3 digits are adequate to capture the century Sex - Male Female Undetermined Race Ethnicity - Race: American Indian/Eskimo/Aleut Asian or Pacific Islander Black, White, Other, Race Unknown Ethnicity: Spanish/Hispanic Origin Not of Spanish/Hispanic Origin Unknown Residence - Usual residence, full address and zip code (9 digit zip code, if available) Hospital Identification - A unique institutional number across data systems, to allow for tracking and linkage of multiple records; preferably the National Provider Identifier (NPI) Type of Admission - Scheduled: defined as an arrangement with the admission office at least 24 hour prior to admission. Unscheduled: all other admissionsDischarge date - Month, day, and year Physician Identification: Attending - Each physician should have a unique identification number across all hospitals and data systems. The NPI is recommended Physician Identification - Each physician should have a unique identification number across all hospitals and data systems. Personal Identifier - A unique number identifying the patient, applicable to the individual regardless of health care source or third-party Principal Diagnosis - the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care. Qualifier: All substantiated diagnoses that affect the current hospital stay. Code to the highest degree of certainty Other Diagnosis - All conditions that coexist at the time of admission, or develop subsequently, which affect the treatment received and/or the length of stay. Diagnoses that relate to an earlier episode which ave no bearing on the current hospital stay are to be excluded. Qualifier: All substantiated diagnoses that affect the current hospital stay. Code to the highest degree of certainty. External Cause of Injury Code - The code for the external cause of injury, poisoning, or adverse effect. Hospitals should complete this item whenever there is a diagnosis of an injury, poisoning or adverse effect. Birth Weight of Neonate - The specific birth weight of the newborn, preferably recorded in grams Procedures and Dates - All significant procedures are to be reported. The date of each significan procedure is to be recorded.Significant Procedure - One that is: Surgical in nature; Carries a procedure risk; Carries an anesthetic risk; Requires specialized training. Expected source of payment - Primary source Other source(s) Other Source - other sources, if any, that are expected to be responsible for a portion of the patient's current bill. More than one can be identified