Community Medical Center

End-of-Day Medical Discharge Summary Report

For Date of Service Ending January 1, 2010
Report Writer Name: Jadzia Taylor
Date of Report: 3/11/2015
Case #

1
2
3
4
5
6
7
8
9
10

CMC_Department_Code_Description
CELL DROPDOWN MENU)

(USE

Admit Date

Discharge Date

Medical Record #

Principal Diagnosis

1/2/2010

1/7/2010

25502981

001 Medical Department

Pneumonia

1/3/2010

1/7/2010

2682966

002 Surgical Department

Right-Sided trigeminal neuralgia

1/2/2010

1/7/2010

3111689

001 Medical Department

Amyloidosis

12/20/2009

1/7/2010

3643690

008 Other

Prematurity, RDS

1/7/2010

1/7/2010

3233313

004 Emergency Department

Periumbilical Laceration

1/7/2010

1/7/2010

3111692

004 Emergency Department

Multiple Lacerations

1/7/2010

1/7/2010

3554331

005 Catheterization Laboratory

Primary Cardiomyopathy

1/7/2010

1/7/2010

3231411

004 Emergency Department

Allergic reaction/Lumbar strain/ Local urticaria

1/7/2010

1/7/2010

3100753

008 Other

Normal colonic mucosa through the cecum

1/7/2010

1/7/2010

3111696

003 Ambulatory Surgery Center

Kidney Stones

nity Medical Center

cal Discharge Summary Report
vice Ending January 1, 2010

Discharge_Disposition_Code (USE CELL DROPDOWN MENU)

01Discharged to home or self care (routine discharge)
01Discharged to home or self care (routine discharge)
20Expired (or did not recover - Religious Non Medical Health Care Patient)
01Discharged to home or self care (routine discharge)
01Discharged to home or self care (routine discharge)
07Left against medical advice or discontinued care
03Discharged/transferred to SNF with Medicare certification in anticipation of
covered skilled care
01Discharged to home or self care (routine discharge)
01Discharged to home or self care (routine discharge)
01Discharged to home or self care (routine discharge)

CMC_Department_Code_Description
001 Medical Department
002 Surgical Department
003 Ambulatory Surgery Center
004
005
006
007
008

Emergency Department
Catheterization Laboratory
Endoscopy Procedure Center
Medical Clinic
Other

Discharge_Disposition_Code
01Discharged to home or self care (routine discharge)
02Discharged/transferred to a short-term general hospital for inpatient care.
03Discharged/transferred to SNF with Medicare certification in anticipation of covered skilled care

06Discharged/transferred to home under care of organized home health service organization in antici
07Left against medical advice or discontinued care
08Reserved for National Assignment
09Admitted as an inpatient to this hospital
20Expired (or did not recover - Religious Non Medical Health Care Patient)
21-29 Reserved for National Assignment
30Still patient or expected to return for outpatient services
31-39 Reserved for National Assignment
40Expired at home (Hospice claims only)

41Expired in a medical facility, such as a hospital, SNF, ICF or freestanding hospice (Hospice claims o
42Expired - place unknown (Hospice claims only)
43Discharged/transferred to a federal health care facility.
44-49 Reserved for national assignment
50Discharged/transferred to Hospice - home
51Discharged/transferred to Hospice - medical facility
52-60 Reserved for national assignment
61Discharged/transferred within this institution to a hospital based Medicare approved swing bed.

62Discharged/transferred to an inpatient rehabilitation facility including distinct part units of a hospita

63Discharged/transferred to long term care hospitals

64Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicar
65Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital.
66Discharged/transferred to a Critical Access Hospital (CAH)
67-99 Reserved for national assignment