New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 4 - DATA REPORTING REQUIREMENTS FOR HEALTH CARE FACILITIES › Section 7.1.4.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to the definitions in the Health Information
				  System Act, Section
				  24-14A-1
				  et seq. NMSA 1978, the following terms have the following meaning for purposes
				  of this rule.
A.
Admission
				hour
coded in military time (e.g., 2:45 p.m. is represented as
				1445).
B.
Attending physician
				NPI
the national provider identifier (NPI), a unique, government-issued,
				standard identification 10-digit number for individual health care providers
				and provider organizations like clinics, hospitals, schools and group
				practices.
C.
Birth
				weight
coded in grams.
D.
Data provider
means a data source that has provided data to the
				health information system on a regular basis.
E.
Data source
has the meaning
				given in Section
				24-14A-2
				of the Health Information System Act, Section
				24-14A-1
				et seq. NMSA 1978, and includes those categories of persons or entities that
				possess health information, including any public or private sector licensed
				hospital, health care practitioner, primary care clinic, ambulatory surgery
				center, ambulatory urgent care center, ambulatory dialysis unit, home health
				agency, long-term care facility, pharmacy, third-party payer and any public
				entity that has health information
F.
Discharge hour
coded in
				military time (e.g., 2:45 p.m. is represented as 1445).
G.
1st E-code
means the first
				code for external causes of injury, poisoning, or adverse effect. If a patient
				has an injury diagnosis in a range of ICD-9-CM 800-999, e-codes are
				required.
H.
2nd
				E-code
means the second code for external causes of injury, poisoning,
				or adverse effect. If a patient has an injury diagnosis in a range of ICD-9-CM
				800-999, e-codes are required.
I.
3rd E-code
means the third code for external causes of injury,
				poisoning, or adverse effect. If a patient has an injury diagnosis in a range
				of ICD-9-CM 800-999, e-codes are required.
J.
Health care
means any care,
				treatment, service or procedure to maintain, diagnose or otherwise affect an
				individual's physical or mental condition.
K.
Health information system or
				HIS
means the health information system established by the Health
				Information System Act, Section
				24-14A-1
				et seq. NMSA 1978.
L.
Inpatient health care facility
means a hospital or other health
				facility which admits patients for overnight or longer (and therefore is
				responsible for patients' room and board) for the purpose of providing
				diagnostic treatment or other health services.
M.
Medicare provider number
means the six digit number assigned by Medicare to the data source providing
				the reported service(s).
N.
National provider identifier (NPI)
means the ten digit NPI from
				the national plan and provider enumeration system (NPPES).
O.
New Mexico state license
				number
means the four to eight digit license number issued by the New
				Mexico health department for the data source providing the reported
				service(s).
P.
Operating
				physician NPI
the national provider identifier (NPI), a unique,
				government-issued, standard identification 10-digit number for individual
				health care providers and provider organizations like clinics, hospitals,
				schools and group practices.
Q.
Outpatient health care facility
means a hospital or other health
				facility that provides ambulatory care to a patient without admitting the
				patient to the facility or providing lodging services.
R.
Patient
means a person who
				has received or is receiving health care.
S.
Patient admission date
means
				the date the patient was admitted by the provider for inpatient care. Format as
				"MMDDYYYY". For example, if the admission date was July 1, 1983, "07011983"
				would be coded.
T.
Patient
				street address
means the mailing address of the patient at the time of
				discharge including street name and number or post office box number or rural
				route number.
U.
Patient
				city
means the city of the patient's residence at the time of
				discharge.
V.
Patient
				county
means the county of the patient's residence at the time of
				discharge.
W.
Patient
				state
means the state of the patient's residence at the time of
				discharge.
X.
Patient zip
				code
means the zip code of the patient's residence at the time of
				discharge. Use either five or nine digits, e.g. 87501 or 875010968.
Y.
Patient control number
means
				the patient's unique alpha-numeric number assigned by the provider.
Z.
Patient date of birth
means
				the date of birth of the patient. Required format is "MMDDYYYY". Note that all
				four digits of year are required, e.g., "08191898" is for August 19,
				1898.
AA.
Patient discharge
				date
means the date the patient was discharged by the provider from the
				inpatient health care facility. Formatted as "MMDDYYYY".
BB.
Patient diagnosis related group
				(DRG) code
means the diagnostic related group code.
CC.
Patient EMS ambulance run
				number
means the emergency medical services ambulance run
				number.
DD.
Patient
				race
means the classification(s) of a patient's stated race to include
				one or multiple reported classifications, coded as shown below. When reporting
				multiple classifications do not use spaces or delimiters. For example, if a
				patient states that he or she is both Asian and other the race field would be
				R1R5.
(1) R1 - American Indian.
(2) R2 - Asian (including Asian Indian,
				Chinese, Filipino, Japanese, Korean and Vietnamese).
(3) R3 - Black or African American.
(4) R4 - Native Hawaiian or Pacific Islander
				(including Chamorro and Samoan).
(5) R5 - White.
(6) R6 - patient refused.
(7) R7 - unknown.
(8) R9 - other race.