STANDARD DATA DICTIONARY #356.3 -- CLAIMS TRACKING SI/IS CATEGORIES FILE 3/24/25 PAGE 1
STORED IN ^IBE(356.3, (23 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains the major categories of areas that are used to address the severity of illness and intensity of service.
Specific criteria for each category must be met to address appropriateness of admission to continued stay in and discharge from
specialized units and general units.
Do Not add to or delete from this file without instructions from your ISC. Editing this file may have significant impact on the QM
national roll-up of Utilization Review information.
The contents of this file are the general categories for Intesity of Service and Severity of Illness from Interqual.
Per VHA Directive 10-93-142, this file definition should not be modified.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY: CODE (#.03), LEVEL OF CARE (#.04)
POINTED TO BY: SEVERITY OF ILLNESS field (#.04) of the HOSPITAL REVIEW File (#356.1)
INTENSITY OF SERVICE field (#.05) of the HOSPITAL REVIEW File (#356.1)
SPECIALIZED UNIT SI field (#.08) of the HOSPITAL REVIEW File (#356.1)
SPECIALIZED UNIT IS field (#.09) of the HOSPITAL REVIEW File (#356.1)
D/C SCREENS MET field (#.12) of the HOSPITAL REVIEW File (#356.1)
SPECIAL CARE D/C SCREENS MET field (#.13) of the HOSPITAL REVIEW File (#356.1)
CROSS
REFERENCED BY: NAME(B), CODE(C)
356.3,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>40!($L(X)<3)!'(X'?1P.E) X
LAST EDITED: JUN 10, 1993
HELP-PROMPT: Answer must be 3-40 characters in length.
DESCRIPTION: This is the name of the Severity of Illness (SI) or Intensity of Service (IS) general category.
Enter the name as it appears in the Interqual manual.
CROSS-REFERENCE: 356.3^B
1)= S ^IBE(356.3,"B",$E(X,1,30),DA)=""
2)= K ^IBE(356.3,"B",$E(X,1,30),DA)
356.3,.02 *GENERAL OR SPECIAL UNIT 0;2 SET
'1' FOR SPECIAL UNIT CODE;
'2' FOR GENERAL UNIT;
LAST EDITED: MAR 15, 1996
DESCRIPTION: Enter whether this criteria is for general medical surgical ward or for a specialized unit as
defined in the Interqual manual. Specialized units include not only ICU's and CCU's but some other
non-critical care units that one might not normally expect to see included in the list.
356.3,.03 CODE 0;3 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>2!($L(X)<2)!'(X?2N) X
LAST EDITED: SEP 15, 1993
HELP-PROMPT: Answer must be 2 characters in length.
DESCRIPTION: Enter the 2 digit number to assist in looking up SI/IS criteria.
Do not edit this code as it will be used in the national roll-up of QM Utilization Review data to
identify the category.
CROSS-REFERENCE: 356.3^C
1)= S ^IBE(356.3,"C",$E(X,1,30),DA)=""
2)= K ^IBE(356.3,"C",$E(X,1,30),DA)
356.3,.04 LEVEL OF CARE 0;4 SET
'1' FOR CRITICAL CARE;
'2' FOR ACUTE CARE - BODY SYSTEM;
'3' FOR ACUTE CARE - OTHER;
LAST EDITED: MAR 14, 1996
DESCRIPTION: This field stores the three levels of care for the SI/IS categories. This field is displayed as an
identifier when the SI/IS category is selected.
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):