CareRequestExtension

Name	Label	Type	Description
Id	Care Request Extension ID	ID
IsDeleted	Deleted	CHECKBOX
Name	Name	TEXT(255)
RecordTypeId	Record Type ID	LOOKUP
CreatedDate	Created Date	DATETIME
CreatedById	Created By ID	LOOKUP
LastModifiedDate	Last Modified Date	DATETIME
LastModifiedById	Last Modified By ID	LOOKUP
SystemModstamp	System Modstamp	DATETIME
LastViewedDate	Last Viewed Date	DATETIME
LastReferencedDate	Last Referenced Date	DATETIME
CareRequestCaseId	Case ID	MASTER-DETAIL
CareRequestId	Care Request ID	LOOKUP
SubscriberMemberIdentifier	Subscriber Member ID	TEXT(64)
SubscriberId	Account ID	LOOKUP
IsMedicareCoverage	Medicare Coverage	CHECKBOX
RequestType	Request Type	PICKLIST
ServiceType	Service Type	TEXT(255)
ServiceLevel	Service Level	PICKLIST
NursingHomeResidentialStatus	Nursing Home Residential Status	PICKLIST
HomeHealthStartDate	Home Health Start Date	DATE
HomeHealthCertificationStartDate	Home Health Certification Start Date	DATE
HomeHealthCertificationEndDate	Home Health Certification End Date	DATE
AmbulanceTransportType	Ambulance Transport Type	PICKLIST
AmbulanceTransportReason	Ambulance Transport Reason	PICKLIST
TotalAmbulanceTransportDistance	Total Ambulance Transport Distance	NUMBER(3,2)
RequestExtensionReason	Request Extension Reason	TEXT AREA (LONG)(32000)
RequestExtnDecisionDateTime	Request Extension Decision Date	DATETIME
ReopenedById	User ID	LOOKUP
ReopenDecisionDateTime	Reopen Decision Date	DATETIME
ResolutionDescription	Resolution Description	TEXT AREA (LONG)(32000)
RequestOutcomeDesc	Request Outcome Description	TEXT AREA (LONG)(32000)
AppealEffectuationDateTime	Appeal Effectuation Date	DATETIME
IsIndependentReviewRequired	Independent Review Required	CHECKBOX
IndependentReviewDeterminationDate	Independent Review Determination Date	DATETIME
IndependentReviewSubmissionDate	Independent Review Submission Date	DATETIME
ReopenRequestOutcome	Reopen Request Outcome	PICKLIST
ReopenRequestType	Reopen Request Type	PICKLIST
PriorDischargeStatus	Prior Discharge Status	PICKLIST
RequestOutcome	Request Outcome	PICKLIST
IndependentReviewDetermination	Independent Review Determination	PICKLIST
HealthcareProviderId	Healthcare Provider ID	LOOKUP
UnitofMeasureId	Unit of Measure ID	LOOKUP
RequestingProviderId	Healthcare Provider ID	LOOKUP
ServicingProviderId	Healthcare Provider ID	LOOKUP
ServicingFacilityId	Servicing Facility ID	LOOKUP
DocumentAttachmentStatus	Document Attachment Status	PICKLIST
CaseSubStatus	Case Sub Status	PICKLIST
AuthorizationRefIdentifier	Authorization Reference Identifier	TEXT(255)
ReferenceCaseType	Reference Case Type	PICKLIST

Name	Id
Label	Care Request Extension ID
Type	ID
Required	Yes

Name	IsDeleted
Label	Deleted
Type	CHECKBOX
Required	Yes
Default value	false

Name	Name
Label	Name
Type	TEXT(255)
Required	Yes

Name	RecordTypeId
Label	Record Type ID
Type	LOOKUP
Foreign key	Yes

Name	CreatedDate
Label	Created Date
Type	DATETIME
Required	Yes

Name	CreatedById
Label	Created By ID
Type	LOOKUP
Foreign key	Yes
Required	Yes

Name	LastModifiedDate
Label	Last Modified Date
Type	DATETIME
Required	Yes

Name	LastModifiedById
Label	Last Modified By ID
Type	LOOKUP
Foreign key	Yes
Required	Yes

Name	SystemModstamp
Label	System Modstamp
Type	DATETIME
Required	Yes

Name	LastViewedDate
Label	Last Viewed Date
Type	DATETIME

Name	LastReferencedDate
Label	Last Referenced Date
Type	DATETIME

Name	CareRequestCaseId
Label	Case ID
Type	MASTER-DETAIL
Foreign key	Yes
Required	Yes

Name	CareRequestId
Label	Care Request ID
Type	LOOKUP
Foreign key	Yes

Name	SubscriberMemberIdentifier
Label	Subscriber Member ID
Type	TEXT(64)

Name	SubscriberId
Label	Account ID
Type	LOOKUP
Foreign key	Yes

Name	IsMedicareCoverage
Label	Medicare Coverage
Type	CHECKBOX
Required	Yes
Default value	false

Name	RequestType
Label	Request Type
Type	PICKLIST
Picklist values	Admission Review Health Services Review Individual Specialty Care Review Inpatient - Physical Health Review Outpatient - Physical Health Review Inpatient - Behavioral Health Review Outpatient - Behavioral Health Review Concurrent Review

Name	ServiceType
Label	Service Type
Type	TEXT(255)

Name	ServiceLevel
Label	Service Level
Type	PICKLIST
Picklist values	Emergency Elective Urgent

Name	NursingHomeResidentialStatus
Label	Nursing Home Residential Status
Type	PICKLIST
Picklist values	Transferred to Intermediate Care Facility Newly Admitted Newly Eligible No Longer Eligible Still a Resident Temporary Absence - Hospital Temporary Absence - Other Other

Name	HomeHealthStartDate
Label	Home Health Start Date
Type	DATE

Name	HomeHealthCertificationStartDate
Label	Home Health Certification Start Date
Type	DATE

Name	HomeHealthCertificationEndDate
Label	Home Health Certification End Date
Type	DATE

Name	AmbulanceTransportType
Label	Ambulance Transport Type
Type	PICKLIST
Picklist values	Initial Trip Return Trip Transfer Trip Round Trip

Name	AmbulanceTransportReason
Label	Ambulance Transport Reason
Type	PICKLIST
Picklist values	Patient was transported to nearest facility for care of symptoms, complaints, or both Patient was transported for the benefit of a preferred physician Patient was transported for the nearness of family members Patient was transported for the care of a specialist or for availability of specialized equipment Patient Transferred to Rehabilitation Facility Patient Transferred to Residential Facility

Name	TotalAmbulanceTransportDistance
Label	Total Ambulance Transport Distance
Type	NUMBER(3,2)

Name	RequestExtensionReason
Label	Request Extension Reason
Type	TEXT AREA (LONG)(32000)

Name	RequestExtnDecisionDateTime
Label	Request Extension Decision Date
Type	DATETIME

Name	ReopenedById
Label	User ID
Type	LOOKUP
Foreign key	Yes

Name	ReopenDecisionDateTime
Label	Reopen Decision Date
Type	DATETIME

Name	ResolutionDescription
Label	Resolution Description
Type	TEXT AREA (LONG)(32000)

Name	RequestOutcomeDesc
Label	Request Outcome Description
Type	TEXT AREA (LONG)(32000)

Name	AppealEffectuationDateTime
Label	Appeal Effectuation Date
Type	DATETIME

Name	IsIndependentReviewRequired
Label	Independent Review Required
Type	CHECKBOX
Required	Yes
Default value	false

Name	IndependentReviewDeterminationDate
Label	Independent Review Determination Date
Type	DATETIME

Name	IndependentReviewSubmissionDate
Label	Independent Review Submission Date
Type	DATETIME

Name	ReopenRequestOutcome
Label	Reopen Request Outcome
Type	PICKLIST
Picklist values	Upheld Overturned

Name	ReopenRequestType
Label	Reopen Request Type
Type	PICKLIST
Picklist values	Reconsideration Peer-to-Peer Review

Name	PriorDischargeStatus
Label	Prior Discharge Status
Type	PICKLIST
Picklist values	Discharged to home/self care. Discharged to home with home health. Discharged to hospice care. Discharged/transferred to SNF. Discharged/transferred to LTACC. Discharged/transferred to Psychiatric facility. Discharged/transferred to other acute care facility. Discharged to court/law enforcement. Left against medical advice (AMA). Expired

Name	RequestOutcome
Label	Request Outcome
Type	PICKLIST
Picklist values	Overturned Upheld Voided Partially Upheld Partially Pending Queued Complete Error

Name	IndependentReviewDetermination
Label	Independent Review Determination
Type	PICKLIST
Picklist values	Upheld Overturned Other

Name	HealthcareProviderId
Label	Healthcare Provider ID
Type	LOOKUP
Foreign key	Yes

Name	UnitofMeasureId
Label	Unit of Measure ID
Type	LOOKUP
Foreign key	Yes

Name	RequestingProviderId
Label	Healthcare Provider ID
Type	LOOKUP
Foreign key	Yes

Name	ServicingProviderId
Label	Healthcare Provider ID
Type	LOOKUP
Foreign key	Yes

Name	ServicingFacilityId
Label	Servicing Facility ID
Type	LOOKUP
Foreign key	Yes

Name	DocumentAttachmentStatus
Label	Document Attachment Status
Type	PICKLIST
Picklist values	Complete Incomplete

Name	CaseSubStatus
Label	Case Sub Status
Type	PICKLIST
Picklist values	New Request Pending Review More Information Required More Information Requested Schedule Peer to Peer Review Peer to Peer Review Scheduled Approved Partially Approved Denied Auto Approved

Name	AuthorizationRefIdentifier
Label	Authorization Reference Identifier
Type	TEXT(255)

Name	ReferenceCaseType
Label	Reference Case Type
Type	PICKLIST
Picklist values	Prior Case Associated Case

Name
Utilization Management

Name	Parent object	Child object	Parent object field	Child object field
ForecastContext	CareRequestExtension	AdvAcctForecastSetUse	Id	ForecastContextId
ContentContext	CareRequestExtension	AssessmentTaskContentDocument	Id	ContentContextId
FirstPublishLocation	CareRequestExtension	ContentVersion	Id	FirstPublishLocationId
ParentRecord	CareRequestExtension	DocumentChecklistItem	Id	ParentRecordId
ReferenceObject	CareRequestExtension	DocumentEnvelope	Id	ReferenceObjectId
RelatedTo	CareRequestExtension	EmailMessage	Id	RelatedToId
What	CareRequestExtension	Event	Id	WhatId
RelatedRecord	CareRequestExtension	FlowOrchestrationWorkItem	Id	RelatedRecordId
ReferenceObject	CareRequestExtension	GeneratedDocument	Id	ReferenceObjectId
Context	CareRequestExtension	GenericVisitTaskContext	Id	ContextId
What	CareRequestExtension	Task	Id	WhatId
Relation	CareRequestExtension	TaskRelation	Id	RelationId

Name	Parent object	Child object	Parent object field	Child object field
RecordType	RecordType	CareRequestExtension	Id	RecordTypeId
CreatedBy	User	CareRequestExtension	Id	CreatedById
LastModifiedBy	User	CareRequestExtension	Id	LastModifiedById
CareRequestCase	Case	CareRequestExtension	Id	CareRequestCaseId
CareRequest	CareRequest	CareRequestExtension	Id	CareRequestId
Subscriber	Account	CareRequestExtension	Id	SubscriberId
ReopenedBy	User	CareRequestExtension	Id	ReopenedById
HealthcareProvider	HealthcareProvider	CareRequestExtension	Id	HealthcareProviderId
UnitofMeasure	UnitOfMeasure	CareRequestExtension	Id	UnitofMeasureId
RequestingProvider	HealthcareProvider	CareRequestExtension	Id	RequestingProviderId
ServicingProvider	HealthcareProvider	CareRequestExtension	Id	ServicingProviderId
ServicingFacility	HealthcareFacility	CareRequestExtension	Id	ServicingFacilityId
ServicingFacility	HealthcarePractitionerFacility	CareRequestExtension	Id	ServicingFacilityId

Label	Value