The definitions in this section apply throughout this
chapter, unless the context clearly requires otherwise:
(1) "CHARS" means comprehensive hospital
abstract reporting system.
"CHARS Companion Guide" means the written technical guidelines
for creating and submitting hospital patient discharge data from the hospital
to the department or the department's designee as required for CHARS.
(3) "CHARS Procedure Manual"
means the written instructions for reporting hospital discharge data to the
(4) "Custom data file"
means a specialized patient discharge data file created and released by the
department upon request of an individual. Custom data file does not mean
standard data file.
means a data file containing multiple patient discharge records submitted to
the department as required for CHARS.
(6) "Data use agreement" means a signed
agreement with the department for transmitting, receiving and using records
containing individually identifiable or potentially identifiable health
information. The agreement specifies, at a minimum, what information will be
exchanged, the conditions or restrictions under which the information will be
used and protected, restrictions on redisclosure of data and restrictions on
attempts to locate information associated with a specific individual.
(7) "Department" means Washington state
department of health.
"Designee" means a private entity contracted by the department to perform data
collection on behalf of the department as authorized by
(9) "Diagnosis-related groups (DRG)" is a
classification system that groups hospital patients according to principal and
secondary diagnosis, presence or absence of a surgical procedure, age, presence
or absence of significant comorbidities or complications, and other relevant
(10) "Direct patient
identifier" means information that identifies a patient.
(11) "Discharge data" means a collection of
patient records in which each record represents a single patient discharged
from the hospital following an inpatient or observation stay.
(12) "Government agencies" include state
boards, commissions, committees, departments, educational institutions, or
other state agencies which are created by or pursuant to statute, other than
courts and the legislature; county or city agencies, federally recognized
tribes and tribal organizations, and United States federal agencies.
(13) "Hospital" means any health care
institution licensed under chapter 70.41 RCW or a psychiatric hospital licensed
under chapter 71.12 RCW.
"Human research review board" is the standing institutional review board
operating under chapter 42.48 RCW.
(15) "Indirect patient identifier" means
information that may identify a patient when combined with other
Management and Budget" means a body within the Executive Office of the
President of the United States which is tasked with coordinating United States
Federal agencies and can be found at http://www.whitehouse.gov/omb
(17) "Patient discharge" means the
termination of an in-patient admission or observation stay, including an
admission as a result of a birth, in a Washington hospital.
(18) "Research" means a systematic
investigation, including research development, testing, and evaluation,
designed to develop or contribute to generalizable knowledge. Activities that
meet this definition constitute research for purposes of this rule, whether or
not they are conducted or supported under a program that is considered research
for other purposes.
data file" means the routine patient discharge data file created and released
by the department, and does not mean custom data file.
(20) "State" means Washington state unless
data set" means the uniform billing data element specifications developed by
the National Uniform Billing Committee which can be found at