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Appendix X-Unscheduled/Scheduled Admission Conversion Algorithm

Type of Admission

New Definition Effective 10/1/2007
Point of Origin
(Previously named Source of Admission)
Unscheduled/Scheduled Admission
Converted Value
1 = Emergency 1 = Unscheduled
2 = Urgent 1 = Unscheduled
3 = Elective 2 = Scheduled
4 = Newborn 1 = Normal Delivery (Discontinued 10/1/07) 2 = Scheduled
4 = Newborn 2 = Premature Delivery (Discontinued 10/1/07) 1 = Unscheduled
4 = Newborn 3 = Sick Baby (Discontinued 10/1/07) 2 = Scheduled
4 = Newborn 4 = Extramural Birth (Discontinued 10/1/07) 1 = Unscheduled
4 = Newborn 5 = Born Inside of this Hospital (Effective 10/1/07) 2 = Scheduled
4 = Newborn 6 = Born Outside of this Hospital (Effective 10/1/07) 2 = Scheduled
5 = Trauma 1 = Unscheduled
9 = Information not Available 1 = Physician Referral/Non-Health Facility Point of Origin 1 = Unscheduled
9 = Information not Available 2 = Clinic 2 = Scheduled
9 = Information not Available 3 = HMO 2 = Scheduled
9 = Information not Available 4 = Transfer From a Hospital (Different Facility) 2 = Scheduled
9 = Information not Available 5 = Transfer From a Skilled Nursing Facility 2 = Scheduled
9 = Information not Available 6 = Transfer From Another Health Care Facility 2 = Scheduled
9 = Information not Available 7 = Emergency Room 2 = Scheduled
9 = Information not Available 8 = Court/Law Enforcement 2 = Scheduled
9 = Information not Available 9 = Transfer From a Hospital (Different Facility) 1 = Unscheduled
9 = Information not Available A = Transfer from a Rural Primary Care Hospital (Discontinued 10/1/2007) 1 = Unscheduled
9 = Information not Available D = Transfer from One Distinct Unit of the Hospital to another Distinct Unit of the Same Hospital 2 = Scheduled
9 = Information not Available E = Transfer from Ambulatory Surgery Center (Effective 10/1/2007) 1 = Unscheduled
9 = Information not Available F = Transfer from Hospice and is Under a Hospice Plan of Care or Enrolled in a Hospice Program (Effective 10/1/2007) 2 = Scheduled

Summary

  1. If the Type of Admission is 1 (Emergency), 2 (Urgent) or 5 (Trauma), then the Unscheduled/ Scheduled Admission should be coded as 1 (Unscheduled).

  2. If the Type of Admission is 3 (Elective), then the Unscheduled/ Scheduled Admission should be coded as 2 (Scheduled).

  3. If the Type of Admission is 4 (Newborn) or 9 (Information not Available), then the Source of Admission field is used to determine the appropriate coding value for the Unscheduled / Scheduled Admission as outlined in the above table.
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