Uhdds 2026

1. Click ‘Get Form’ to open the uhdds in the editor.
2. Begin by entering the Personal Identifier, a unique number for the patient, ensuring it is consistent across all healthcare sources.
3. Fill in the Date of Birth using four digits for the year and three for the century if necessary.
4. Select the Sex and provide details on Race and Ethnicity from the provided options.
5. Input the Residence information, including full address and nine-digit zip code if available.
6. Enter Hospital Identification, which should be a unique institutional number like the Medicare provider number.
7. Record Admission Date and Type of Admission (Scheduled or Unscheduled) accurately.
8. Complete Discharge Date and Physician Identification for both Attending and Operating physicians with their unique identification numbers.
9. Document Principal Diagnosis and Other Diagnoses, ensuring to code them with high certainty.
10. Provide details on Procedures and Dates, marking significant procedures performed during hospitalization.
11. Indicate Disposition of Patient upon discharge using one of the specified options.
12. Specify Expected Source of Payment, listing primary and any other sources responsible for billing.
13. Finally, enter Total Charges billed by the hospital for this hospitalization.

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