| (36) Race--A division of patients according to traits
that are transmissible by descent and sufficient to characterize them
as distinctly human types. Hospitals shall report this data element
according to the following racial types: American Indian, Eskimo,
or Aleut; Asian or Pacific Islander; Black; White; or Other.
(37) Required minimum data set--The list of data elements
which hospitals are required to submit in a discharge claim for each
inpatient stay in the hospital. The required minimum data set is specified
in §421.9(d) of this title. This list does not include the data
elements that are required by the ANSI 837 Institutional Guide to
submit an acceptable discharge report. For example: Interchange Control
Headers and Trailers, Functional Group Headers and Trailers, Transaction
Set Headers and Trailers and Qualifying Codes (which identify which
qualify as subsequent data elements).
(38) Research data file--A customized data file, which
includes the data elements in the public use file and may include
data elements other than the required minimum data set submitted to
DSHS, except those data elements that could reasonably identify a
patient or physician. The data elements may be released to a requestor
when the requirements specified in §421.8 of this title (relating
to Hospital Discharge Data Creation) are completed.
(39) Risk adjustment--A statistical method to account
for a patient's severity of illness at the time of admission and the
likelihood of development of a disease or outcome, prior to any medical
intervention.
(40) Service Unit Indicator--An indicator derived from
submitted data (based on Bill type or Revenue Codes) and represents
the type of service unit or units (e.g., Coronary Care Unit, Detoxification
Unit, Intensive Care Unit, Hospice Unit, Nursery, Obstetric Unit,
Oncology Unit, Pediatric Unit, Psychiatric Unit, Rehabilitation Unit,
Sub acute Care Unit or Skilled Nursing Unit) where the patient received
treatment.
(41) Severity adjustment--A method to stratify patient
groups by degrees of illness and mortality.
(42) Submission--The transfer of a set of computer
records as specified in §421.9 of this title that constitutes
the discharge report for one or more hospitals.
(43) Submitter--The person or organization, which physically
prepares discharge reports for one or more hospitals and submits them
to DSHS. A submitter may be a hospital or an agent designated by a
hospital or its owner.
(44) THCIC Identification Number--A string of six characters
assigned by DSHS to identify health care facilities for reporting
and tracking purposes.
(45) Uniform facility identifier--A unique number assigned
by DSHS to each health care facility licensed in the state. For hospitals,
this will include the hospital's state license number. For hospitals
operating multiple facilities under one license number and duplicating
services, DSHS will assign a distinguishable uniform facility identifier
for each separate facility. The relationship between facility identifier
and the name and license number of the facility is public information.
(46) Uniform patient identifier--A unique identifier
assigned by DSHS to an individual patient and composed of numeric,
alpha, or alphanumeric characters, which remains constant across hospitals
and inpatient admissions. The relationship of the identifier to the
patient-specific data elements used to assign it is confidential.
(47) Uniform physician identifier--A unique identifier
assigned by DSHS to a physician or other health professional who is
reported as attending or treating a hospital inpatient and which remains
constant across hospitals. The relationship of the identifier to the
physician-specific data elements used to assign it is confidential.
The uniform physician identifier shall consist of alphanumeric characters.
(48) Validation--The process by which a provider verifies
the accuracy and completeness of data and corrects any errors identified
before certification.
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| Source Note: The provisions of this §421.1 adopted to be effective August 19, 1997, 22 TexReg 7490; amended to be effective December 29, 1997, 22 TexReg 12494; amended to be effective December 24, 2000, 25 TexReg 12430; amended to be effective July 29, 2001, 26 TexReg 5408; amended to be effective April 21, 2002, 27 TexReg 3183; amended to be effective July 6, 2003, 28 TexReg 4915; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842; amended to be effective December 27, 2007, 32 TexReg 9683; amended to be effective January 9, 2011, 35 TexReg 9743; amended to be effective December 18,2014,39TexReg 7582; amended to be effective July 5, 2017, 42 TexReg 3373; amended to be effective January 30, 2019, 44 TexReg 429 |
