Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.): SECTION 4 - ED ARRIVAL AND FIRST ASSESSMENT DATA: 4.11 FIRST ED ACUITY ASSESSMENT PRACTITIONER TYPE

Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)

SECTION 4 - ED ARRIVAL AND FIRST ASSESSMENT DATA

		4.01 DATE/TIME FIRST DOCUMENTED IN ED
		4.02 MODE OF TRANSPORT TO ED
		4.03 EMS UNIT THAT TRANSPORTED ED PATIENT
		4.04 EMS AGENCY THAT TRANSPORTED ED PATIENT
		4.05 SOURCE OF REFERRAL TO ED
		4.06 CHIEF COMPLAINT
		4.07 INITIAL ENCOUNTER FOR CURRENT INSTANCE OF CHIEF COMPLAINT
		4.08 FIRST ED ACUITY ASSESSMENT
		4.09 DATE/TIME OF FIRST ED ACUITY ASSESSMENT
		4.10 FIRST ED ACUITY ASSESSMENT PRACTITIONER ID
		4.11 FIRST ED ACUITY ASSESSMENT PRACTITIONER TYPE
		4.12 FIRST ED RESPONSIVENESS ASSESSMENT
		4.13 DATE/TIME OF FIRST ED RESPONSIVENESS ASSESSMENT
		4.14 FIRST ED GLASGOW EYE OPENING
		4.15 FIRST ED GLASGOW VERBAL COMPONENT ASSESSMENT
		4.16 FIRST ED GLASGOW MOTOR COMPONENT ASSESSMENT
		4.17 DATE/TIME OF FIRST ED GLASGOW COMA SCALE ASSESSMENT
		4.18 FIRST ED SYSTOLIC BLOOD PRESSURE
		4.19 DATE/TIME OF FIRST ED SYSTOLIC BLOOD PRESSURE
		4.20 FIRST ED DIASTOLIC BLOOD PRESSURE
		4.21 FIRST ED HEART RATE
		4.22 FIRST ED HEART RATE METHOD
		4.23 DATE/TIME OF FIRST ED HEART RATE
		4.24 FIRST ED RESPIRATORY RATE
		4.25 DATE/TIME OF FIRST ED RESPIRATORY RATE
		4.26 FIRST ED TEMPERATURE READING
		4.27 FIRST ED TEMPERATURE READING ROUTE
		4.28 DATE/TIME OF FIRST ED TEMPERATURE READING
		4.29 MEASURED WEIGHT IN ED
		4.30 PREGNANCY STATUS REPORTED IN ED
		4.31 DATE OF LAST TETANUS IMMUNIZATION
		4.32 MEDICATION ALLERGY REPORTED IN ED

4.11 FIRST ED ACUITY ASSESSMENT PRACTITIONER TYPE

Definition

Profession or occupation and specialty or subspecialty of practitioner who first assesses patient’s acuity in ED.

Uses

The identification of the type of practitioner who first assesses the patient’s acuity in the ED is needed for direct patient care, continuity of care, quality-of-care monitoring, health care administration, reimbursement, and research.

Discussion

The Insurance Subcommittee of the Accredited Standards Committee X12 is developing a provider taxonomy in conjunction with the Health Care Financing Administration's (HCFA) implementation of the National Provider System

(Accredited Standards Committee X12, 1997). The taxonomy classifies practitioners by their occupation or service group and their specialty. The taxonomy permits further specification within specialties, such as subspecialty or age focus (e.g., adolescents). Until the taxonomy is implemented, a local system may be used to encode practitioner type.

Data Type (and Field Length)

CE - coded element (60).

Repetition

No.

Field Values

Component 1 is the code indicating the practitioner type.
Component 2 is the practitioner type descriptor.
Component 3 is the coding system identifier.
Components 4 - 6 can be used for an alternate code, descriptor, and coding system identifier.

Example:

Component 1 = 163WE003N
Component 2 = Registered nurse, emergency
Component 3 = X12

When no coding system exists, enter data in the following manner:

Component 1 = " "
Component 2 = Registered nurse, emergency

If the practitioner type is unknown, enter data in the following manner:

Component 1 = Unknown

Data Standards or Guidelines

None.

Other References

Accredited Standards Committee X12 Provider Taxonomy, Version 2.0 (ASC X12, 1997).