Re: Information Contained in Emergency Department
Electronic Claims Attachments Proposal

The list at the end of this message shows the primary data items that
are included in HL7's HIPAA-proposed Emergency Department Claims
Attachment Additional Information Specification. [Note: The list does
not include any additional laboratory results or diagnostic studies data
that could also be communicated.]

It would be a service to our industry if you and your colleagues
would take just a few minutes and determine if the list of Attachment
data below
(a) meets your claim payment, case management, medical review, or any
other needs, or
(b) whether some items in the list may be removed [perhaps because
they aren't needed, duplicate information already available in the
claim itself, or are data readily available from other sources],
and/or
(c) some new data items should be added.

As one of the alternatives specified in the HIPAA Claims Attachments
Notice of Proposed Rule Making (NPRM), kindly submit your opinion to
www.cms.hhs.gov/regulations/ecomments . Click "Go" for CMS-0050-P,
fill in some minimal demographics on a screen, and then click
"Continue" to type up to 4,000 characters into the displayed comment
box ... and/or include a file as an attachment. If it's easiest, you
can just copy and paste the list below into the comment box, and then
mark those data items to remove and list those data items you believe
should be added. Or do the same in a file and then attach the file to
the comment box.

[Note: Due to currently ongoing maintenance activities on CMS' web
site, the above url may not take you directly to the comment inputs
screens. Should that be the situation, as described in the NPRM,
telephone Lorraine Tunis Doo at 410-786-6597 for further instructions.]

Please comment no later than 5:00 p.m. Eastern time on Monday, 23
January 2006. Thanks in advance for your participation, and feel free
to forward this message to anybody else you believe would be interested
in opining.

Dave Feinberg
Rensis Corporation [A Consulting Company]
206-617-1717
DAFeinberg@...


EMERGENCY DEPARTMENT CLAIMS ATTACHMENT DATA ITEMS

PROVIDER, PRIMARY PRACTITIONER
PROVIDER, ED PRACTITIONER
PROVIDER, ED CONSULTANT PRACTITIONER
PROVIDER, ED REFERRING PRACTITIONER
EMS TRANSPORT, ARRIVAL DATE AND TIME
EMS SYSTEM, TRANSPORT MODE
EMS SYSTEM, TRANSPORT UNIT IDENTIFIER
EMS SYSTEM, TRANSPORT AGENCY IDENTIFIER
ED REFERRAL, SOURCE
PATIENT'S REPORTED CHIEF COMPLAINT NARRATIVE
INITIAL ENCOUNTER FOR CHIEF COMPLAINT
FIRST ACUITY ASSESSMENT
FIRST RESPONSIVENESS ASSESSMENT
FIRST GLASGOW SCORE EYE OPENING
FIRST GLASGOW SCORE VERBAL
FIRST GLASGOW SCORE MOTOR
FIRST BLOOD PRESSURE
ARTERIAL SYSTEM, FIRST HEART BEAT
FIRST BREATH RATE
FIRST BODY TEMPERATURE
FIRST BODY WEIGHT
INJURY, ACTIVITY ASSOCIATED WITH
INJURY, SAFETY EQUIPMENT USED DURING
MEDICATIONS CURRENT
ED CLINICAL FINDING INFORMATION
MEDICATIONS ADMINISTERED
MEDICATIONS ED DISCHARGE
ED PROBLEM IMPRESSION NARRATIVE, MD REPORT

{source: HL7's CDAR1AIS0002R021, May 2004, Table 2.3}
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