Global: ^IBE(356.3

Information

FileMan FileNo	FileMan Filename	Package
356.3	CLAIMS TRACKING SI/IS CATEGORIES	Integrated Billing

Description

This file contains the major categories of areas that are used to address the severity of illness and intensity of service. Specific criteria for each category must be met to address appropriateness of admission to continued stay in and discharge from specialized units and general units. Do Not add to or delete from this file without instructions from your ISC. Editing this file may have significant impact on the QM national roll-up of Utilization Review information. The contents of this file are the general categories for Intesity of Service and Severity of Illness from Interqual. Per VHA Directive 10-93-142, this file definition should not be modified.

Field #	Name	Loc	Type	Details
.01	NAME	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>40!($L(X)<3)!'(X'?1P.E) X` LAST EDITED: `JUN 10, 1993` HELP-PROMPT: `Answer must be 3-40 characters in length.` DESCRIPTION: `This is the name of the Severity of Illness (SI) or Intensity of Service (IS) general category.` `Enter the name as it appears in the Interqual manual.` CROSS-REFERENCE: `356.3^B` `1)= S ^IBE(356.3,"B",$E(X,1,30),DA)=""` `2)= K ^IBE(356.3,"B",$E(X,1,30),DA)`
.02	*GENERAL OR SPECIAL UNIT	0;2	SET	'1' FOR SPECIAL UNIT CODE; '2' FOR GENERAL UNIT; LAST EDITED: `MAR 15, 1996` DESCRIPTION: `Enter whether this criteria is for general medical surgical ward or for a specialized unit as defined in the Interqual manual. Specialized units include not only ICU's and CCU's but some other non-critical care units that` `one might not normally expect to see included in the list.`
.03	CODE	0;3	FREE TEXT	INPUT TRANSFORM: `K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>2!($L(X)<2)!'(X?2N) X` LAST EDITED: `SEP 15, 1993` HELP-PROMPT: `Answer must be 2 characters in length.` DESCRIPTION: `Enter the 2 digit number to assist in looking up SI/IS criteria.` `Do not edit this code as it will be used in the national roll-up of QM Utilization Review data to identify the category.` CROSS-REFERENCE: `356.3^C` `1)= S ^IBE(356.3,"C",$E(X,1,30),DA)=""` `2)= K ^IBE(356.3,"C",$E(X,1,30),DA)`
.04	LEVEL OF CARE	0;4	SET	'1' FOR CRITICAL CARE; '2' FOR ACUTE CARE - BODY SYSTEM; '3' FOR ACUTE CARE - OTHER; LAST EDITED: `MAR 14, 1996` DESCRIPTION: `This field stores the three levels of care for the SI/IS categories. This field is displayed as an identifier when the SI/IS category is selected.`

NAME: zGENERIC (1995 OBSOLETE)	NAME: CARDIOVASCULAR	NAME: CENTRAL NERVOUS SYSTEM/HEAD	NAME: ENDOCRINE/METABOLIC	NAME: EYE, EAR, NOSE, AND THROAT	NAME: FEMALE REPRODUCTIVE	NAME: GASTROINTESTINAL TRACT AND ABDOMEN	NAME: MUSCULOSKELETAL/SPINE
NAME: PERIPHERAL VASCULAR	NAME: PSYCHIATRIC	NAME: RESPIRATORY/CHEST	NAME: SKIN/CONNECTIVE TISSUE	NAME: MEDICAL DETOXIFICATION	NAME: GENITOURINARY	NAME: CRITICAL CARE (CARDIAC)	NAME: CRITICAL CARE (NON CARDIAC)
NAME: OBSERVATION	NAME: zREHABILITATION (1995 OBSOLETE)	NAME: zSUBSTANCE ABUSE (1995 OBSOLETE)	NAME: TELEMETRY	NAME: BLOOD/LYMPH/IMMUNE	NAME: FEMALE REPRODUCTIVE (PREGNANCY-PRETERM)	NAME: FEMALE REPRODUCTIVE (PREGNANCY-TERM)

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Package: Integrated Billing

Global: ^IBE(356.3

Information

Description

Pointed To By FileMan Files, Total: 1

Fields, Total: 4

Found Entries, Total: 23

ICR, Total: 1