Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59B - Cost Management and Control › Chapter 59B-9 - PATIENT DATA COLLECTION, AMBULATORY SURGERY AND EMERGENCY DEPARTMENT › Section 59B-9.038 - Ambulatory Data Elements, Codes and Standards

Current through Reg. 50, No. 138; July 16, 2024
All data elements and data element codes listed below shall
				  be reported. All facilities submitting data in compliance with Rules 59B-9.030
				  through 59B-9.039, F.A.C., shall report
				  the following required data elements as stipulated by the Agency.
(1) AHCA Facility Number. An identification
				number assigned by the Agency for reporting purposes. The number must match the
				facility number recorded on the header record. A valid identification number
				must be between one (1) digit and eight (8) digits. A required entry.
(2) Patient Control Number. An alpha-numeric
				code containing standard letters or numbers assigned by the facility as a
				unique identifier for each record submitted in the reporting period to
				facilitate retrieval of individual's account of services (accounts receivable)
				containing the financial billing records and any postings of payment. The
				'Patient Control Number' is defined as 'Record id' in the schema. Up to twenty
				four (24) characters. Duplicate patient control numbers are not permitted. The
				facility must maintain a key list to locate actual records upon request by the
				Agency. A required field.
(3)
				Medical or Health Record Number. An alpha-numeric code assigned to the
				patient's medical or health record by the facility. The medical/health record
				number references a file that contains the history of treatment. It should not
				be substituted for the Patient Control Number which is the financial record
				associated with a visit. Up to twenty four (24) characters. A required
				field.
(4) Patient Social Security
				Number. The social security number (SSN) of the patient. A nine digit field to
				facilitate retrieval of individual case records, to be used to track multiple
				patient visits, and for medical research. Reporting 777777777 is acceptable for
				those patients where efforts to obtain the SSN have been unsuccessful or the
				patient is under two (2) years of age and does not have a SSN or for patients
				who are non-U.S. citizens who have not been issued SSNs. If only the last four
				digits of a patients SSN are known, report 77777XXXX where XXXX represent the
				last known four digits of the patient SSN. The last four digit SSN format must
				be used only when the full SSN is unknown and not as a substitute for all nine
				digit SSN's. A required entry.
(5)
				Patient Ethnicity. Self-designated by the patient, patient's parent or
				guardian. Use "Unknown" where efforts to obtain the information from the
				patient or from the patient's parent or guardian have been unsuccessful. The
				patient's ethnic background shall be reported as one choice from the following
				list of alternatives. A required entry. Must be a two (2) digit code as
				follows:
(a) E1 = Hispanic or Latino. A person
				of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish
				culture or origin, regardless of race.
(b) E2 = Non-Hispanic or Latino. A person not
				of any Spanish culture or origin.
(c) E7 = Unknown.