Template  PV2 - Patient Visit - Additional Information

Prior Pending Location

Accommodation Code

Admit Reason

Transfer Reason

Patient Valuables

Patient Valuables Location

Visit User Code

Expected Admit Date/Time

Expected Discharge Date/Time

Estimated Length of Inpatient Stay

Actual Length of Inpatient Stay

Visit Description

Referral Source Code

Previous Service Date

Employment Illness Related Indicator

Purge Status Code

Purge Status Date

Special Program Code

Retention Indicator

Expected Number of Insurance Plans

Visit Publicity Code

Visit Protection Indicator

Clinic Organization Name

Patient Status Code

Visit Priority Code

Previous Treatment Date

Expected Discharge Disposition

Signature on File Date

First Similar Illness Date

Patient Charge Adjustment Code

Recurring Service Code

Billing Media Code

Expected Surgery Date and Time

Military Partnership Code

Military Non-Availability Code

Newborn Baby Indicator

Baby Detained Indicator

Mode of Arrival Code

Recreational Drug Use Code

Admission Level of Care Code

Precaution Code

Patient Condition Code

Living Will Code

Organ Donor Code

Advance Directive Code

Patient Status Effective Date

Expected LOA Return Date/Time

Expected Pre-admission Testing Date/Time

Notify Clergy Code