|
Name |
Type |
Discontinued? |
|
1 |
REFERRAL_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the referral record. |
|
|
2 |
GEN_RFL_SEC_SINCE_MIDNIGHT_7 |
NUMERIC |
No |
|
|
|
This contains information from generic referral time item 7. |
|
|
3 |
GEN_RFL_SEC_SINCE_MIDNIGHT_8 |
NUMERIC |
No |
|
|
|
This contains information from generic referral time item 8. |
|
|
4 |
GEN_RFL_SEC_SINCE_MIDNIGHT_9 |
NUMERIC |
No |
|
|
|
This contains information from generic referral time item 9. |
|
|
5 |
GEN_RFL_SEC_SINCE_MIDNIGHT_10 |
NUMERIC |
No |
|
|
|
This contains information from generic referral time item 10. |
|
|
6 |
RPT_REF_TO_CNTRCT_YN |
VARCHAR |
No |
|
|
|
Stores an override value that indicates the referred to provider/location/vendor/department should be considered contracted or not for Medicare Advantage ODAG reporting. If NULL, system defined logic will be used. If Y, a user marked the provider as contracted (CP in ODAG). If N, a user marked the provider as non-contracted (NCP in ODAG). |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
7 |
RPT_REF_BY_CNTRCT_YN |
VARCHAR |
No |
|
|
|
Stores an override value that indicates the referred by provider/location/department should be considered contracted or not for Medicare Advantage ODAG reporting. If NULL, system defined logic will be used. If Y, a user marked the provider as contracted (CP in ODAG). If N, a user marked the provider as non-contracted (NCP in ODAG). |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
8 |
LIVING_SITUATION_C_NAME |
VARCHAR |
No |
|
|
|
Describes who the patient or child lives with. |
May contain organization-specific values: Yes |
No Entries Defined |
|
|
9 |
FIRST_APPOINTMENT_BY_DATE |
DATETIME |
No |
|
|
|
The date that the first appointment for the referral should occur by. |
|
|
10 |
SENIORITY_DATE |
DATETIME |
No |
|
|
|
The Seniority Date for the referral which represents a 'start date' that might have been set before the referral was created. |
|
|
11 |
CASE_WORKER_NAME |
VARCHAR |
No |
|
|
|
The case manager of the child psychology case. |
|
|
12 |
CHILD_SERVICE_C_NAME |
VARCHAR |
No |
|
|
|
Indicates the child welfare service role in connection with child psychology services. |
May contain organization-specific values: Yes |
No Entries Defined |
|
|
13 |
PARENTAL_RESP_C_NAME |
VARCHAR |
No |
|
|
|
Indicates which entity has parental responsibility for the patient. |
May contain organization-specific values: Yes |
No Entries Defined |
|
|
14 |
CONSENT_TO_TREAT_STAT_C_NAME |
VARCHAR |
No |
|
|
|
Indicates the status of obtaining the patient's consent in connection with the referral's transfer of medical record information. |
May contain organization-specific values: Yes |
No Entries Defined |
|
|
15 |
FORWARDED_EVALUATION_DATE |
DATETIME |
No |
|
|
|
This date represents the date an external organization evaluated or triaged the referral before forwarding it to an Epic instance. This date represents the internal concept of Triage History Instant, for the forwarding decision done at the external organization. |
|
|
16 |
EMSG_COMM_PAT_ENC_CSN_ID |
NUMERIC |
No |
|
|
|
This item is part of a link to a communication from which the referral was created. This item contains the CSN of the contact which contains the communication. EMSG_COMM_JOB_ID (I RFL 18961) contains the communication job ID. |
|
|
17 |
EMSG_COMM_JOB_ID |
VARCHAR |
No |
|
|
|
Part of a link to a communication from which the referral was created. |
|
|
18 |
AUTHORIZED_MEDICATION_ID_MEDICATION_NAME |
VARCHAR |
No |
|
|
|
The name of this medication record. |
|
|
19 |
INITIAL_REQUEST_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The initial request type for the referral. |
May contain organization-specific values: No |
Category Entries: |
Preservice |
Retro |
Concurrent |
|
|
20 |
REF_BY_CNTRCT_AT_AUTH_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-by entities on the referral as of the last decision or the current contracted status if the referral is pending. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
21 |
REF_TO_CNTRCT_AT_AUTH_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to entities on the referral as of the last decision or the current contracted status if the referral is pending. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
22 |
REF_BY_SER_CNTRCT_AT_AUTH_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-by provider on the referral as of the last decision or the current contracted status if the referral is pending. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
23 |
REF_TO_SER_CNTRCT_AT_AUTH_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to provider on the referral as of the last decision or the current contracted status if the referral is pending. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
24 |
REF_BY_EAF_CNTRCT_AT_AUTH_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-by location on the referral as of the last decision or the current contracted status if the referral is pending. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
25 |
REF_TO_EAF_CNTRCT_AT_AUTH_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to location on the referral as of the last decision or the current contracted status if the referral is pending. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
26 |
REF_TO_VEN_CNTRCT_AT_AUTH_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to vendor on the referral as of the last decision or the current contracted status if the referral is pending. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
27 |
REF_BY_PROV_NET_LEVEL_C_NAME |
VARCHAR |
No |
|
|
|
The network status of the referred-by provider on the referral. |
May contain organization-specific values: Yes |
Category Entries: |
In Network |
Out of Network |
N/A |
|
|
28 |
REF_TO_LOCATION_NET_LEVEL_C_NAME |
VARCHAR |
No |
|
|
|
The network status of the referred-to location on the referral. |
The category values for this column were already listed for column: REF_BY_PROV_NET_LEVEL_C_NAME |
|
|
29 |
REF_TO_VENDOR_NET_LEVEL_C_NAME |
VARCHAR |
No |
|
|
|
The network status of the referred-to vendor on the referral. |
The category values for this column were already listed for column: REF_BY_PROV_NET_LEVEL_C_NAME |
|
|
30 |
REF_TO_PROV_NET_LEVEL_C_NAME |
VARCHAR |
No |
|
|
|
The network status of the referred-to provider on the referral. |
The category values for this column were already listed for column: REF_BY_PROV_NET_LEVEL_C_NAME |
|
|
31 |
REF_BY_LOCATION_NET_LEVEL_C_NAME |
VARCHAR |
No |
|
|
|
The network status of the referred-by location on the referral. |
The category values for this column were already listed for column: REF_BY_PROV_NET_LEVEL_C_NAME |
|
|
32 |
RPT_REF_BY_SER_CNTRCT_YN |
VARCHAR |
No |
|
|
|
The user override for the contracted status of the referred-by provider on the referral. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
33 |
RPT_REF_TO_SER_CNTRCT_YN |
VARCHAR |
No |
|
|
|
The user override for the contracted status of the referred-to provider on the referral. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
34 |
RPT_REF_BY_EAF_CNTRCT_YN |
VARCHAR |
No |
|
|
|
The user override for the contracted status of the referred-by location on the referral. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
35 |
RPT_REF_TO_EAF_CNTRCT_YN |
VARCHAR |
No |
|
|
|
The user override for the contracted status of the referred-to location on the referral. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
36 |
RPT_REF_TO_VEN_CNTRCT_YN |
VARCHAR |
No |
|
|
|
The user override for the contracted status of the referred-to vendor on the referral. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
37 |
RFL_AUTH_PROG_C_NAME |
VARCHAR |
No |
|
|
|
Authorization Prognosis code associated with a referral |
May contain organization-specific values: Yes |
|
|
38 |
PRINCIPAL_DX_DATE |
DATETIME |
No |
|
|
|
Specifies the diagnois date used for Prinicpal Diagnosis |
|
|
39 |
ADMISSION_SOURCE_C_NAME |
VARCHAR |
No |
|
|
|
The source from which the paitent is being admitted or referred. Only available in UM referrals. |
May contain organization-specific values: Yes |
|
|
40 |
DISCHRG_DISP_C_NAME |
VARCHAR |
No |
|
|
|
This disposition (location) of the patient after discharge. Only available in UM referrals. |
May contain organization-specific values: Yes |
|
|
41 |
FIRST_PAT_ENC_CSN_ID |
NUMERIC |
No |
|
|
|
Ths CSN of the encounter linked to the referral or auth/cert with the earliest encounter instant. |
|
|
42 |
LAST_PAT_ENC_CSN_ID |
NUMERIC |
No |
|
|
|
Ths CSN of the encounter linked to the referral or auth/cert with the latest encounter instant. |
|
|
43 |
REF_BY_CNTRCT_AT_DEC_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-by entities on the referral as of the last decision. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
44 |
REF_TO_CNTRCT_AT_DEC_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to entities on the referral as of the last decision. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
45 |
REF_BY_SER_CNTRCT_AT_DEC_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-by provider on the referral as of the last decision. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
46 |
REF_TO_SER_CNTRCT_AT_DEC_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to provider on the referral as of the last decision. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
47 |
REF_BY_LOC_CNTRCT_AT_DEC_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-by location on the referral as of the last decision. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
48 |
REF_TO_LOC_CNTRCT_AT_DEC_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to location on the referral as of the last decision. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
49 |
REF_TO_VEN_CNTRCT_AT_DEC_YN |
VARCHAR |
No |
|
|
|
The contracted status of referred-to vendor on the referral as of the last decision. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
50 |
REGION_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
51 |
MEDICAL_GROUP_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
52 |
PRIMARY_CONDITION_GROUPER_ID_GROUPER_NAME |
VARCHAR |
No |
|
|
|
|
53 |
PRIMARY_TREATMENT_GROUPER_ID_GROUPER_NAME |
VARCHAR |
No |
|
|
|
|
54 |
PRIMARY_SPECIALTY_GROUPER_ID_GROUPER_NAME |
VARCHAR |
No |
|
|
|
|
55 |
PRIMARY_SUBSPEC_GROUPER_ID_GROUPER_NAME |
VARCHAR |
No |
|
|
|
|
56 |
CONC_UM_REV_TRANS_FROM_DELE_YN |
VARCHAR |
No |
|
|
|
Indicates if the responsiblity for concurrent review of this authorization request has been transitioned from a delegate system to this UM system. |
The category values for this column were already listed for column: RPT_REF_TO_CNTRCT_YN |
|
|
57 |
MED_ESTIMATE_CSN_ID |
NUMERIC |
No |
|
|
|
This item holds the contact serial number (CSN) of the medication estimate (LME) that was linked to the associated order when this referral was created. This item is not populated for renewals. |
|
|
58 |
CLM_NET_OVRIDE_STAT_C_NAME |
VARCHAR |
No |
|
|
|
The network status to override to when adjudicating the linked claim. |
May contain organization-specific values: No |
Category Entries: |
None |
In Network |
Out of Network |
|
|
59 |
CLM_NET_OVRIDE_LVL_C_NAME |
VARCHAR |
No |
|
|
|
The network level to override to when adjudicating the linked claim. |
May contain organization-specific values: Yes |
Category Entries: |
Not Leveled |
|
|
60 |
CLM_NET_OVRIDE_RSN_C_NAME |
VARCHAR |
No |
|
|
|
The reason for override a linked claim's adjudication network. |
May contain organization-specific values: Yes |
|
|