End_of_Day_Report 9-11-2023-1 (3)

Community Medical Center End-of-Day Medical Discharge Summary Report For Date of Service Ending January 1, 2010 Report Writer Name:__________Samantha Siedschlag______ Date of Report:_____________10/29/2023________________ Case # Admit Date Discharge Date Medical Record # Principal/Primary Discharge Diagnosis 1 1/2/2010 1/7/2010 25502981 001 Medical Department 2 1/3/2010 1/7/2010 2682966 002 Surgical Department 3 1/2/2010 1/7/2010 3111689 001 Medical Department Amyloidosis 4 12/20/2009 1/7/2010 3643690 008 Other 5 1/7/2010 1/7/2010 3233313 004 Emergency Department 1.5 cm periumbilical laceration 6 1/7/2010 1/7/2010 3111692 004 Emergency Department 7 1/7/2010 1/7/2010 3554331 005 Catheterization Laboratory 8 1/7/2010 1/7/2010 3231411 004 Emergency Department 9 1/7/2010 1/7/2010 3100753 006 Endoscopy Procedure Center 10 1/7/2010 1/7/2010 3111696 003 Ambulatory Surgery Center Kidney stones CMC_Department_Code_Description (USE CELL DROPDOWN MENU) Pneumonia, Right Lower Lobe, due to Group A Strep Pneumonia Recurrent resistant right-sided trigeminal neuralgia Respiratory distress syndrome, Apnea and bradycardia (drug treated), Jaundice due to prematurity, Hypocalcemia (<7.0), Premature rupture of membranes, Multiple stab wounds to following areas: right hand and right thigh, Drug screen positive for cocaine, Self inflicted laceration Primary cardiomyopathy with chest pain, Hypertension Allergic reaction, Lumbar strain, Local urticaria Occult Blood, and History of inflammatory bowel disease

01Discharged to home or self care (routine discharge) 01Discharged to home or self care (routine discharge) 01Discharged to home or self care (routine discharge) 01Discharged to home or self care (routine discharge) 07Left against medical advice or discontinued 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) Discharge_Disposition_Code (USE CELL DROPDOWN MENU) 41Expired in a medical facility, such as a hospital, SNF, ICF or freestanding hospice (Hospice claims only) 64Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare

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 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 on 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 06Discharged/transferred to home under care of organized home health service organization in anticip covered skills care