Previous Admit - Next Admit Allowed - 11221 / 11222
Next Admission Record Admission Reasons A=Allow N=Not Allow | |||||||
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Previous Admission Record Admit Reason | New ESRD Patient (Dialysis) | New ESRD Patient (Transplant) | Transfer In | Restart | Dialysis After Transplant Failed | Dialysis in Support of Transplant | Transplant |
New ESRD Patient (Dialysis) | N | N | A | A | N | N | A |
New ESRD Patient (Transplant) | N | N | N | N | A | A | A |
Transfer In | N | N | A | A | N | N | A |
Restart | N | N | A | A | N | N | A |
Dialysis After Transplant Failed | N | N | A | A | N | N | A |
Dialysis in Support of Transplant | N | N | N | N | A | A | A |
Transplant | N | N | N | N | A | A | A |
Test Scenario 1 | 11221 Invalid admit reason: An exact match patient was found and the admit reason selected is invalid based on the next admission record's admit reason (New ESRD Patient) |
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Org Patient ID | 1010866666 |
Baseline File Date | |
Baseline File Name | xx |
Baseline Data Submitted | Previous Admission Record Reason Code = Restart |
Change File Date | |
Change File Name | xx |
Change File Data Submitted | Next Admission Reason = New ESRD Patient |
Expected Results | This combination of Previous Admission Record Reason and Next Admission Reason Code should trigger a 11221 error based on the Patient Admit Discharge Reason rules. |
Comments | PASS - An error was triggered. |
Test Scenario 2 | 11222 Invalid admit reason: An exact match patient was found and the admit reason selected is invalid based on the previous admission record's admit reason (Dialysis After Transplant Failed). |
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Org Patient ID | 1010866666 |
Baseline File Date | 3/3/2021 |
Baseline File Name | xx |
Baseline Data Submitted | Previous Admission Record Reason Code = New ESRD Patient |
Change File Date | 3/5/2021 |
Change File Name | xx |
Change File Data Submitted | Next Admission Reason = Dialysis After Transplant Failed |
Expected Results | This combination of Previous Admission Record Reason and Next Admission Reason Code should trigger a 11222 error based on the Patient Admit Discharge Reason rules. |
Comments | PASS - An error was triggered. |
Test Scenario 3 | 11222 Invalid admit reason: An exact match patient was found and the admit reason selected is invalid based on the previous admission record's admit reason (Dialysis After Transplant Failed). |
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Org Patient ID | 1010866666 |
Baseline File Date | 3/3/2021 |
Baseline File Name | xx |
Baseline Data Submitted | Previous Admission Record Reason Code = New ESRD Patient |
Change File Date | 3/5/2021 |
Change File Name | xx |
Change File Data Submitted | Next Admission Reason = Transfer In |
Expected Results | This combination of Previous Admission Record Reason and Next Admission Reason Code should successfully process. |
Comments | PASS - No error was triggered. |
Discharge Reasons = 11225
Admission Reasons A=Allow N=Not Allow | |||||||
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Previous Admission Record Discharge Reason | New ESRD Patient (Dialysis) | New ESRD Patient (Transplant) | Transfer In | Restart | Dialysis After Transplant Failed | Dialysis in Support of Transplant | Transplant |
Acute | A | A | N | N | N | N | N |
Death | N | N | N | N | N | N | N |
Discontinue | N | N | N | A | N | N | A |
Lost to Follow Up | N | N | A | A | A | A | A |
Recover Function | N | N | N | A | N | N | A |
Involuntary | N | N | A | N | N | N | A |
Other | N | N | A | A | N | N | A |
Transplant in US | N | N | N | N | A | A | A |
Transplant Outside US | N | N | N | N | A | A | A |
Transfer | N | N | A | N | N | N | N |
Transplant Failed | N | N | N | N | A | N | A |
System Discharge | N | N | A | A | A | A | A |
Test Scenario 4 | 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 ({0}). |
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Org Patient ID | 66576789899 |
Baseline File Date | 3/3/2021 |
Baseline File Name | xx |
Baseline Data Submitted | Admit - Transfer In |
Change File Date | 3/5/2021 |
Change File Name | xx |
Change File Data Submitted | Discharge - Lost to Follow Up |
Expected Results | This combination of Previous Admission Record Reason and Admission Reason Code should successfully process. |
Comments | PASS - No error was triggered. |
Test Scenario 4 | 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 (Lost to Follow Up) |
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Org Patient ID | 66576789899 |
Baseline File Date | 3/3/2021 |
Baseline File Name | xx |
Baseline Data Submitted | Admit - New to ESRD |
Change File Date | 3/5/2021 |
Change File Name | xx |
Change File Data Submitted | Discharge - Lost to Follow Up |
Expected Results | This combination of Previous Admission Record Reason and Admission Reason Code should trigger a 11225 error based on the Previous Admission Record's Discharge Reason rules. |
Comments | PASS - An error was triggered. |