Patient Care Data Entry: Optional Page > Outcome Tab

External Data

Report ID - Optional (eOutcome.04)

• The ID or number of the external report or record
• Free text field (2-100 characters)
• Used to link this patient care report to external records or registries

Type - Optional (eOutcome.03)

• The type of external report or record associated with the Report ID
• Options:
  • Disaster Tag
  • Fire Incident Report
  • Hospital-Receiving
  • Hospital-Transferring
  • Law Enforcement Report
  • Other
  • Other Registry
  • Other Report
  • Patient ID
  • Prior EMS Patient Care Report
  • STEMI Registry
  • Stroke Registry
  • Trauma Registry

Other Report Registry Type - Optional (eOutcome.05)

• Specify the type of external report/registry when "Other" or "Other Registry" is selected
• Free text field (2-50 characters)
• Only required when Other Report or Other Registry is selected in Type field

Emergency Department Outcome

Emergency Department Disposition - Required (eOutcome.01)

• The known disposition of the patient from the Emergency Department
• Options:
  • Admitted as an inpatient to this hospital
  • Deceased/Expired (or did not recover - Religious Non Medical Health Care Patient)
  • Discharged to home or self care (routine discharge)
  • Discharged/transferred to a Critical Access Hospital (CAH)
  • Discharged/transferred to a Federal Health Care Facility (e.g., VA or federal health care facility)
  • Discharged/transferred to a inpatient rehabilitation facility including distinct part units of a hospital
  • Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare
  • Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital
  • Discharged/transferred to a skilled nursing facility (SNF)
  • Discharged/transferred to an intermediate care facility (ICF)
  • Discharged/transferred to another short term general hospital for inpatient care
  • Discharged/transferred to another type of health care institution not defined elsewhere in the code list
  • Discharged/transferred to another type of institution not defined elsewhere in this code list
  • Discharged/transferred to court/law enforcement
  • Discharged/transferred to home under care of organized home health service organization in anticipation of covered skills care
  • Discharged/transferred to Hospice - home
  • Discharged/transferred to Hospice - medical facility
  • Discharged/transferred to long term care hospitals
  • Discharged/transferred within this institution to a hospital based Medicare approved swing bed
  • Left against medical advice or discontinued care
  • Still a patient or expected to return for outpatient services

Date/Time of Emergency Department Admission - Mandatory (eOutcome.18)

• The date and time when the patient was admitted to the Emergency Department

Emergency Department Procedures - Mandatory (eOutcome.09)

• Procedures performed on the patient during the emergency department visit
• Uses ICD-10 PCS (Procedure Coding System) codes
• Multiple procedures can be documented

Procedure - Mandatory (eOutcome.09)

• The specific ICD-10 PCS code for the procedure performed

Date/Time Emergency Department Procedure Performed - Optional (eOutcome.19)

• The date and time when the ED procedure was performed

Emergency Department Diagnoses - Required (eOutcome.10)

• The practitioner's description of the condition or problem that justified the ED services
• Uses ICD-10-CM (Clinical Modification) diagnosis codes
• Multiple diagnoses can be documented

Diagnosis - Required (eOutcome.10)

• The specific ICD-10-CM diagnosis code

Hospital Outcome

Date/Time of Hospital Admission - Mandatory (eOutcome.11)

• The date and time when the patient was admitted to the hospital

Hospital Disposition - Required (eOutcome.02)

• The known disposition of the patient from the hospital (if admitted)
• Options: (same list as Emergency Department Disposition)
  • Deceased/Expired (or did not recover - Religious Non Medical Health Care Patient)
  • Discharged to home or self care (routine discharge)
  • Discharged/transferred to a Critical Access Hospital (CAH)
  • Discharged/transferred to a Federal Health Care Facility (e.g., VA or federal health care facility)
  • Discharged/transferred to a inpatient rehabilitation facility including distinct part units of a hospital
  • Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare
  • Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital
  • Discharged/transferred to a skilled nursing facility (SNF)
  • Discharged/transferred to an intermediate care facility (ICF)
  • Discharged/transferred to another short term general hospital for inpatient care
  • Discharged/transferred to another type of health care institution not defined elsewhere in the code list
  • Discharged/transferred to another type of institution not defined elsewhere in this code list
  • Discharged/transferred to court/law enforcement
  • Discharged/transferred to home under care of organized home health service organization in anticipation of covered skills care
  • Discharged/transferred to Hospice - home
  • Discharged/transferred to Hospice - medical facility
  • Discharged/transferred to long term care hospitals
  • Discharged/transferred within this institution to a hospital based Medicare approved swing bed
  • Left against medical advice or discontinued care
  • Still a patient or expected to return for outpatient services

Date/Time of Hospital Discharge - Mandatory (eOutcome.16)

• The date and time when the patient was discharged from the hospital

Injury Severity Score - Optional (eOutcome.21)

• The calculated injury severity score for trauma patients
• Numeric value based on anatomic injury severity

Hospital Procedures - Mandatory (eOutcome.12)

• Hospital procedures performed on the patient during hospital admission
• Uses ICD-10 PCS codes
• Multiple procedures can be documented

Procedure - Mandatory (eOutcome.12)

• The specific ICD-10 PCS code for the hospital procedure

Date/Time Hospital Procedure Performed - Optional (eOutcome.20)

• The date and time when the hospital procedure was performed

Hospital Diagnoses - Required (eOutcome.13)

• Diagnoses associated with the hospital admission
• Uses ICD-10-CM diagnosis codes
• Multiple diagnoses can be documented

Diagnosis - Required (eOutcome.13)

• The specific ICD-10-CM diagnosis code

Usage Notes

Obtaining Outcome Data:

• Outcome information is typically obtained through follow-up with receiving hospitals
• Some systems may integrate with hospital electronic health records for automatic data retrieval
• Data may also be obtained from trauma registries, STEMI registries, or stroke registries

ICD-10 Coding:

• Procedures use ICD-10 PCS (Procedure Coding System) codes
• Diagnoses use ICD-10-CM (Clinical Modification) codes
• These codes are typically provided by hospital coding staff or physicians

Disposition Codes:

• Disposition codes follow Medicare billing standards
• Select the most specific code that describes the patient's discharge destination