| NHSN_ORGID | ENCOUNTER_ID | PT_CONTROL_NUM | PRESENT_ON_ADM | ADM_DIAG | TYPE_BILL | STMT_FROM_DATE | STMT_THRU_DATE | ADM_DATE | ADM_HOUR | ADM_TYPE | POINT_ORIGIN_CODE | DIS_DATE | DIS_HOUR | DIS_DISP_CODE | COND_CODE | PAYER_NAME_1 | HLTH_PLAN_ID_NUM_1 | PAYER_NAME_2 | HLTH_PLAN_ID_NUM_2 | PAYER_NAME_3 | HLTH_PLAN_ID_NUM_3 |
| NHSN_ORGID | PT_MRN | PT_CONTROL_NUM | PT_NAME_FIRST | PT_NAME_MIDDLE | PT_NAME_LAST | PT_SSN | PT_ETHNICITY | PT_RACE | MARITAL_STATUS | PT_ADDRESS | PT_ADDRESS_CITY | PT_ADDRESS_STATE | PT_ADDRESS_ZIP | PT_DOB | PT_SEXATBIRTH |
| NHSN_ORGID | PT_CONTROL_NUM | CODE_SYS_NAME | DIAGN_TYPE | PRESENT_ON_ADM | DIAG_CODE |
| NHSN_ORGID | PT_CONTROL_NUM | PROC_START_DATE | PROC_CODE | PROC_CODE_ORDER |
| NHSN_ORGID | PT_CONTROL_NUM | REV_SER_DATE | REV CODE | HCPCS_MOD_1 | HCPCS_MOD_2 | HCPCS_MOD_3 | HCPCS_MOD_4 | CPT_HCPCS |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |