
File HOSPITAL_REVIEW(356.1) Data List
| REVIEW DATE |
TRACKING ID |
DAY FOR REVIEW |
SEVERITY OF ILLNESS |
INTENSITY OF SERVICE |
CRITERIA MET IN 24 HOURS |
SPECIALTY FOR REVIEW |
SPECIALIZED UNIT SI |
SPECIALIZED UNIT IS |
PROVIDER INTERVIEWED? |
ADMISSION DECISION INFLUENCED |
D/C SCREENS MET |
SPECIAL CARE D/C SCREENS MET |
SI/IS APPLY ALL DAYS |
ACTIVE |
NEXT REVIEW DATE |
REVIEW STATUS |
TYPE OF REVIEW |
REVIEW METHODOLOGY |
REVIEW COPIED FROM |
DATE ENTERED |
ENTERED BY |
LAST EDIT ON |
LAST EDITED BY |
DATE COMPLETED |
COMPLETED BY |
ADD NEXT REVIEW |
NEXT REVIEW EXACTLY THE SAME |
ADDITIONAL REVIEWS REQUIRED |
ACUTE CARE DISCHARGE DATE |
UTILIZATION REVIEW COMMENTS |
REASON FOR NON-ACUTE ADMISSION |
REASON FOR NON-ACUTE DAYS |
PATIENT |