Use the following template for each issue that requires additional information from ADO. Baseline Data Submitted Change File Date Change File Name If applicable Change File Data Submitted If applicable Expected Results Comments Example: Negative Test Case Test Scenario Error Codes 11225 Invalid admit reason: An exact match patient was found and the admit reason selected is invalid based on the previous admission record's discharge reason (Transfer). Org Patient ID XXX Baseline File Date 3/3/2021 Baseline File Name xx Baseline Data Submitted Previous Admission Record Discharge Reason = (Transfer) Change File Date Change File Name xx Change File Data Submitted Admission Reason = New ESRD Patient (Transplant) Expected Results This combination of Previous Admission Record Discharge Reason and Admission Reason Code should trigger a 11225 error based on the Patient Admit Discharge Reason rules. Comments Fail. Error was not triggered. Example: Positive Test Case Test Scenario Error Codes 11225 Invalid admit reason: An exact match patient was found and the admit reason selected is invalid based on the previous admission record's discharge reason (Transfer). Org Patient ID XXX Baseline File Date 3/3/2021 Baseline File Name xx Baseline Data Submitted Previous Admission Record Discharge Reason = (Transfer) Change File Date Change File Name xx Change File Data Submitted Admission Reason = New ESRD Patient ((Dialysis) Expected Results This combination of Previous Admission Record Discharge Reason and Admission Reason Code is allowed on the Discharge Reason logic matrix. The record should successfully process. Comments Pass. Record processed successfully.Test Scenario Org Patient ID Baseline File Date Baseline File Name If applicable 3/5/2021 3/5/2021
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