Get 2002 Public-use Data File - Utah Department Of Health - Utah.gov - Health Utah

This guide provides detailed instructions for filling out the 2002 Public-Use Data File from the Utah Department of Health. It is designed to assist users at all experience levels in accurately completing the form online.

Follow the steps to effectively complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it in your document editor.
2. Begin with the provider identifier field. Enter the three-digit code corresponding to the hospital from which the patient was released. Refer to the detailed list provided in the document to find the correct code.
3. For the patient's age, select the appropriate category based on the patient's last birthday. Use the specified codes to classify the age range from newborn to 90+.
4. Indicate the patient's gender using the designated characters: 'M' for male, 'F' for female, and 'U' for unknown.
5. Fill in the source of admission section for non-newborn patients. Choose the correct code based on the admission source, such as referral by a physician (code 1) or emergency department referral (code 7).
6. For newborn admissions, complete the source of admission by selecting from the options about the delivery type (e.g., normal delivery, premature delivery).
7. Specify the length of stay in hours within the hospital, ensuring accuracy in this critical field.
8. Complete patient discharge status based on the circumstances of the discharge. Use the corresponding codes such as '01' for routine discharge to home.
9. Provide the patient's postal zip code. Ensure it falls within the valid range or is marked correctly if unknown.
10. Indicate the residential county of the patient by using the assigned numeric codes ranging from 1 for Box Elder to 30 for county identifications.
11. Fill in the cross-county migration status. Use 'Y' for yes if the patient is from a different county, or 'N' for no.
12. Complete marital status using the relevant codes such as 'S' for single or 'M' for married.
13. Provide the patient's race and ethnicity using the indicated codes. Ensure to classify according to the specified ethnic backgrounds.
14. Fill in the principal diagnosis code, ensuring accuracy according to the ICD-9 coding system.
15. For secondary diagnosis codes, provide as many as applicable from the listings, ensuring to adhere to the format outlined.
16. Complete the major diagnostic category as well as any procedure codes as necessary.
17. Include charges associated with the encounter; total charge and emergency department charge must be entered accurately.
18. Specify the primary, secondary, and third payer categories according to the respective insurance types applicable to the patient.
19. Indicate the patient's relationship to the insured person using the codes provided in the document.
20. Finalize the form by verifying all entries and making necessary adjustments for accuracy.
21. Once completed, users can save changes, download, print, or share the form as needed.

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