Service Information. ● Service Visit Date ● Mode of service Face-to face, telephone, etc. ● Responsibility for payment Used to exclude federal govt., WCB, etc. ● Main and secondary diagnoses ICD10-CA codes ● Main and other interventions and attributes CCI procedure codes and attributes ● Type of Anesthetic Identifies the type used for interventions (general, spinal, local, etc.) ● Provider types NACRS code assigned to provider type (MD, Dentist, RN, etc.) ● Doctor name and identifier Practitioner specific information ● Admit via Ambulance Used if a Client is brought to the service delivery site by ambulance ● Institution from and institution to Used when a Client is transferred from or to another acute care facility ● Visit disposition Discharged, admitted, left without being seen, etc. ● Gestational Age for Therapeutic Abortion Cases (applicable to pregnancy termination only) -Gestational age reported in weeks. Client Identifying Information
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