Table Detail Report
ENCNTR_BENEFIT_R
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Encounter Benefit Relationship table |
Definition: | This table contains specific encounter benefit-type information. We will allow encounter benefit information to be captured for each health plan. |
Table Type: | ACTIVITY |
Column Detail - ENCNTR_BENEFIT_R
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
BEG_EFFECTIVE_DT_TM | DATETIME | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
BENEFIT_PLAN_CD | DOUBLE | N | Used to specify the level of benefit information being captured. |
COINSURANCE_DAYS | DOUBLE | N | Hospital days for which the subscriber is responsible for paying, according to a fixed percentage or amount. For example, for skilled nursing facility (SNF) benefits. |
COINSURANCE_PCT | DOUBLE | N | The percentage that the covered person is responsible for paying after payment of the deductible. |
COINSURANCE_REMAIN_DAYS | DOUBLE | N | The number of hospital days remaining for which the covered person is responsible for paying, according to a fixed percentage or amount. |
COMMENT_ID | DOUBLE | N | Encntr_benefit_reltn comment identifier. |
COPAY_AMT | DOUBLE | N | The portion of a claim or medical expense that a member must pay out of pocket, such as $10 in many HMOs. |
COVERAGE_DAYS | DOUBLE | N | Hospital days that are covered under the subscriber's policy. |
COVERAGE_REMAIN_DAYS | DOUBLE | N | The remaining hospital days that are covered under the subscriber's policy. |
DATA_STATUS_CD | DOUBLE | N | Data status indicates a level of authenticity of the row data. Typically this will either be AUTHENTICATED or UNAUTHENTICATED. |
DATA_STATUS_DT_TM | DATETIME | Y | The date and time that the data_status_cd was set. |
DATA_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the data_status_cd to be set or change. |
DEDUCT_AMT | DOUBLE | N | The amount of deductible for this benefit. |
DEDUCT_MET_AMT | DOUBLE | N | The amount insurer paid toward deductible. |
DEDUCT_MET_DT_TM | DATETIME | Y | The date and time the deductible was met. |
DEDUCT_PCT | DOUBLE | N | The percentage that must be met by the patient before the insurer will begin covering the cost of care. |
DEDUCT_REMAIN_AMT | DOUBLE | N | The amount of deductible remaining to be met by the patient before the insurer will begin covering the cost of care. Will be a static, manual-entry field for this project, with plans to discuss ways to automatically decrement in the future. |
ENCNTR_BENEFIT_R_ID | DOUBLE | N | Primary Key |
ENCNTR_PLAN_RELTN_ID | DOUBLE | N | This is the value of the unique primary identifier of the encounter health plan relationship table. |
END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
INTERNAL_SEQ | DOUBLE | N | A numeric number used to represent the order in which to consider benefit information if the encounter has more than one set of benefits. |
NON_COVERAGE_DAYS | DOUBLE | N | Hospital days that are not covered under the subscriber's policy. |
ROOM_COVERAGE_AMT | DOUBLE | N | The amount allowed (covered by the insurer) for room charges, which varies based on the room type. |
ROOM_COVERAGE_AMT_QUAL_CD | DOUBLE | N | Designates the units entered in room coverage amount. |
ROOM_COVERAGE_BOARD_INCL_CD | DOUBLE | N | A y/n field indicating if room and board charges are included in the room coverage amount established by the insurer for the specific room type. |
ROOM_COVERAGE_TYPE_CD | DOUBLE | N | The room type specifically associated with the room coverage amount covered by the insurer. |
SERVICE_TYPE_CD | DOUBLE | N | Used to specify the level of benefit information being captured. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - ENCNTR_BENEFIT_R
Child Column in ENCNTR_BENEFIT_R(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | ENCNTR_PLAN_RELTN_ID | ENCNTR_PLAN_RELTN | ENCNTR_PLAN_RELTN_ID |
COMMENT_ID | LONG_TEXT | LONG_TEXT_ID |
Parent Column in ENCNTR_BENEFIT_R (PK) | Child Table Name | Child Column Name | |
---|---|---|---|
Children: | ENCNTR_BENEFIT_R_ID | ENCNTR_BENEFIT_SCH_R | ENCNTR_BENEFIT_R_ID |
ENCNTR_BENEFIT_SCH_R
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Encounter Benefit Schedules Relationship |
Definition: | This table allows the user to capture a range of entries specific for each encounter. |
Table Type: | ACTIVITY |
Column Detail - ENCNTR_BENEFIT_SCH_R
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
BEG_EFFECTIVE_DT_TM | DATETIME | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
DATA_STATUS_CD | DOUBLE | N | Data status indicates a level of authenticity of the row data. Typically this will either be AUTHENTICATED or UNAUTHENTICATED. |
DATA_STATUS_DT_TM | DATETIME | Y | The date and time that the data_status_cd was set. |
DATA_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the data_status_cd to be set or change. |
ENCNTR_BENEFIT_R_ID | DOUBLE | N | This is the value of the unique primary identifier of the encounter benefit relation table. It is an internal system assigned number. |
ENCNTR_BENEFIT_SCH_R_ID | DOUBLE | N | Primary Key |
END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
MEMBER_RESP_TYPE_CD | DOUBLE | N | The responsibility type associated with the set. |
RESP_RANGE_AMT | DOUBLE | N | The amount associated with the member responsibility type and corresponding range (if entered). |
RESP_RANGE_END_NBR | DOUBLE | N | The ending value of each range associated with the member responsibility type. |
RESP_RANGE_QUAL_CD | DOUBLE | N | Descriptor of the values entered in each range indicated in the Type start and Type end. |
RESP_RANGE_START_NBR | DOUBLE | N | The starting value of each range associated with the member responsibility type. |
RESP_TYPE_QUAL_CD | DOUBLE | N | Descriptor of the values entered in each range indicated in the Type start and Type end. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - ENCNTR_BENEFIT_SCH_R
Child Column in ENCNTR_BENEFIT_SCH_R(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | ENCNTR_BENEFIT_R_ID | ENCNTR_BENEFIT_R | ENCNTR_BENEFIT_R_ID |
ENCNTR_CATCHMENT_RELTN
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Encounter Catchment Relationship |
Definition: | The encounter-catchment relationship table contains pointers to catchment area (organization) of the patient. The kind of relationship (i.e., admission, inner Regional Support Networks (RSN), Discharge, etc.) defines how the encounter and organization are related. |
Table Type: | ACTIVITY |
Column Detail - ENCNTR_CATCHMENT_RELTN
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | N | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | N | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
BEG_EFFECTIVE_DT_TM | DATETIME | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
CATCHMENT_ORG_ID | DOUBLE | N | Identifier from the organization table of the catchment organization that administers and coordinates services for the patient during the catchment period. |
CATCHMENT_RELTN_TYPE_CD | DOUBLE | N | Identifies the type of catchment relationship (i.e., Admission, Inner Regional Support Networks, Discharge) between an encounter and the catchment area (organization). |
COUNTY_CD | DOUBLE | N | The county code is the code set value which identifies the county for the catchment area. |
ENCNTR_CATCHMENT_RELTN_ID | DOUBLE | N | This is the value of the unique primary identifier of the ENCNTR_CATCHMENT_RELTN table. It is an internal system assigned number. |
ENCNTR_ID | DOUBLE | N | This is the value of the unique primary identifier of the encounter table. It is an internal system assigned number. |
END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
LIAISON_PRSNL_ID | DOUBLE | N | Identifies the personnel of the catchment area responsible for monitoring the patient. |
OUTSIDE_CATCHMENT_IND | DOUBLE | N | Information indicating if the patient is currently outside of the catchment area. |
SUBREGION_ORG_ID | DOUBLE | N | Identifier from the organization table representing a subdivison of the catchment area region. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - ENCNTR_CATCHMENT_RELTN
Child Column in ENCNTR_CATCHMENT_RELTN(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | ENCNTR_ID | ENCOUNTER | ENCNTR_ID |
CATCHMENT_ORG_ID | ORGANIZATION | ORGANIZATION_ID | |
SUBREGION_ORG_ID | ORGANIZATION | ORGANIZATION_ID | |
LIAISON_PRSNL_ID | PRSNL | PERSON_ID |
Parent Column in ENCNTR_CATCHMENT_RELTN (PK) | Child Table Name | Child Column Name | |
---|---|---|---|
Children: | ENCNTR_CATCHMENT_RELTN_ID | ENCNTR_CATCHMENT_R_HIST | ENCNTR_CATCHMENT_RELTN_ID |
ENCNTR_CATCHMENT_R_HIST
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Encounter Catchment Relationship History |
Definition: | Used for tracking history of changes to encounter catchment relationship. |
Table Type: | ACTIVITY |
Column Detail - ENCNTR_CATCHMENT_R_HIST
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | N | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | N | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
BEG_EFFECTIVE_DT_TM | DATETIME | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
CATCHMENT_ORG_ID | DOUBLE | N | Identifier from the organization table of the catchment organization that administers and coordinates services for the patient during the catchment period. |
CATCHMENT_RELTN_TYPE_CD | DOUBLE | N | Identifies the type of catchment relationship (i.e., Admission, Inner Regional Support Networks, Discharge) between an encounter and the catchment area (organization). |
CHANGE_BIT | DOUBLE | N | Identifies which columns have had a change. |
COUNTY_CD | DOUBLE | N | The county code is the code set value which identifies the county for the catchment area. |
ENCNTR_CATCHMENT_RELTN_ID | DOUBLE | N | This is the value of the unique primary identifier of the ENCNTR_CATCHMENT_RELTN table. It is an internal system assigned number. |
ENCNTR_CATCHMENT_R_HIST_ID | DOUBLE | N | This is the value of the unique primary identifier of the ENCNTR_CATCHMENT_RELTN table. It is an internal system assigned number. |
ENCNTR_ID | DOUBLE | N | This is the value of the unique primary identifier of the encounter table. It is an internal system assigned number. |
END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
LIAISON_PRSNL_ID | DOUBLE | N | Identifies the personnel of the catchment area responsible for monitoring the patient. |
OUTSIDE_CATCHMENT_IND | DOUBLE | N | Information indicating if the patient is currently outside of the catchment area. |
PM_HIST_TRACKING_ID | DOUBLE | N | This is the value of the unique primary identifier of the pm_hist_tracking table. It is an internal system assigned number. |
SUBREGION_ORG_ID | DOUBLE | N | Identifier from the organization table representing a subdivison of thecatchment area region. |
TRACKING_BIT | DOUBLE | N | Identifies which columns are being tracked for history. |
TRANSACTION_DT_TM | DATETIME | Y | ** OBSOLETE **. Use column updt_dt_tm for any filtering/ordering query. If transaction date time is needed, it should be retrieved from pm_hist_tracking table. Note that its date may be in the past, as in before the update date time. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
Relationship Detail - ENCNTR_CATCHMENT_R_HIST
Child Column in ENCNTR_CATCHMENT_R_HIST(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | ENCNTR_CATCHMENT_RELTN_ID | ENCNTR_CATCHMENT_RELTN | ENCNTR_CATCHMENT_RELTN_ID |
ENCNTR_ID | ENCOUNTER | ENCNTR_ID | |
CATCHMENT_ORG_ID | ORGANIZATION | ORGANIZATION_ID | |
SUBREGION_ORG_ID | ORGANIZATION | ORGANIZATION_ID | |
PM_HIST_TRACKING_ID | PM_HIST_TRACKING | PM_HIST_TRACKING_ID | |
LIAISON_PRSNL_ID | PRSNL | PERSON_ID |
ENCNTR_CLASSIFICATION
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Encounter Classification |
Definition: | Stores encounter classification information |
Table Type: | ACTIVITY |
Column Detail - ENCNTR_CLASSIFICATION
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | N | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | N | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
CLASSIFICATION1_CD | DOUBLE | N | Indicates a categorization of patients having a set of shared qualities or characteristics. |
CLASSIFICATION2_CD | DOUBLE | N | Indicates a categorization of patients having a set of shared qualities or characteristics. This code set may be configured via code value grouping to be hierarchically below patient classification 1 if desired by the client. |
CLASSIFICATION3_CD | DOUBLE | N | Indicates a categorization of patients having a set of shared qualities or characteristics. This code set may be configured via code value grouping to be hierarchically below patient classification 2 if desired by the client |
CLASSIFICATION4_CD | DOUBLE | N | Indicates a categorization of patients having a set of shared qualities or characteristics. This code set may be configured via code value grouping to be hierarchically below patient classification 3 if desired by the client |
ENCNTR_CLASSIFICATION_ID | DOUBLE | N | This is the value of the unique primary identifier of the encounter table. It is an internal system assigned number. |
ENCNTR_ID | DOUBLE | N | This is the value of the unique primary identifier of the encounter table. It is an internal system assigned number. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
Relationship Detail - ENCNTR_CLASSIFICATION
Child Column in ENCNTR_CLASSIFICATION(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | ENCNTR_ID | ENCOUNTER | ENCNTR_ID |
Parent Column in ENCNTR_CLASSIFICATION (PK) | Child Table Name | Child Column Name | |
---|---|---|---|
Children: | ENCNTR_CLASSIFICATION_ID | ENCNTR_CLASSIFICTN_HIST | ENCNTR_CLASSIFICATION_ID |