Inpatient Discharge Reporting

California Inpatient Data Reporting Manual, 8th Edition (Rev. 1/2024)#

This manual was developed by HCAI, Information Services Division, Patient Data Section, to provide discussion of the reporting requirements and data elements addressed in the California Code of Regulations, Title 22, Division 7, Chapter 10 Health Facility Data, Article 8 Patient Data Reporting Requirements.

The purpose of the manual is to assist hospitals in California to accurately report patient information that will result in high quality data.  Policy makers, public health personnel, consumers, purchasers, payers, providers, and researchers use this data to make informed decisions on healthcare.

• Table of Contents
• Introduction
• Reporting Requirements
• Approval Criteria and Error Tolerance Level
• Requests

Definitions of Data Elements#

• Data Elements – General Information
• Abstract Record Number
• Admission Date
• Date of Birth
• Discharge Date
• Disposition of Patient
• Expected Source of Payment
• External Causes of Morbidity and Present on Admission Indicator
• Other Diagnoses and Present on Admission Indicator
• Other Procedures and Dates
• Patient Address
• Patient Social Security Number
• Preferred Language Spoken
• Prehospital Care and Resuscitation (DNR)
• Principal Diagnosis and Present on Admission Indicator
• Principal Procedure and Date
• Race
• Sex
• Source of Admission
• Total Charges
• Type of Admission

Appendices#

• Appendix A – Glossary
• Appendix B – Index