RIC         1  3                                        C RIC CODE FOR FACILITY EVENT RECORD

FILEYR      4  2                                        C YY REFERENCE YEAR OF RECORD

BASEID      6  8  $BSIDFMT                              C UNIQUE IDENTIFICATION NUMBER

                               1,246             LOW-HIGH BASEID Count

STAYNUM    14  1                                        N STAY NUMBER FOR THE YEAR

REFBEGYY   15  2                                        N REF DATE BEGIN YEAR

REFBEGMM   17  2                                        N REG DATE BEGIN MONTH

REFBEGDD   19  2                                        N REF DATE BEGIN DAY

REFENDYY   21  2                                        N REF DATE END YEAR

REFENDMM   23  2                                        N REG DATE END MONTH

REFENDDD   25  2                                        N REF DATE END DAY

ADMISYY    27  2                                        N ADMISSION DATE YEAR

ADMISMM    29  2                                        N ADMISSION DATE MONTH

ADMISDD    31  2                                        N ADMISSION DATE DAY

DISCHYY    33  2                                        N PERMANENT DISCH DATE YEAR

DISCHMM    35  2                                        N PERMANENT DISCH DATE MONTH

DISCHDD    37  2                                        N PERMANENT DISCH DATE DAY

STAYDAYS   39  3                                        N NUMBER OF DAYS IN STAY

D_FACID    42  6                                        C FACILITY ID + PSU NUMBER

FACDESC    48  2  FACFMT                                N FACILITY DESCRIPTION

                                   1                   -9 NOT ASCERTAINED
                                  18                    1 HOSPITAL
                                 923                    2 NURSING HOME
                                  20                    3 RETIREMENT HOME
                                  57                    4 DOMI/PER CARE FAC
                                  38                    5 MENTAL HLTH FACLITY
                                  87                    6 INST FOR MR/DEV DISA
                                   1                    7 MENTAL HLTH CNTR
                                  19                    8 LIFE CARE/CONT CARE
                                  47                    9 ASSISTED LIVING FAC
                                   5                   10 REHAB FACILITY
                                  30                   91 OTHER PLACE (SPEC)

BEGSTAT    50  1  $BEGSTAT                              C STATUS AT BEGINNING OF STAY

                                 917                    1 CONT'D STAY FROM PRIOR YR
                                 320                    2 FIRST TIME SP IN FAC
                                   0                    3 SP CAME FROM COMM
                                   0                    4 SP CAME FROM ANOTHER FAC
                                   8                    6 2ND STAY OF 30-DAY SPLIT (IMB HOSP)
                                   1                    7 2ND STAY OF 30-DAY SPLIT (IMB DISCH)

ENDSTAT    51  1  $ENDSTAT                              C STATUS AT END OF STAY

                                  38                      UNKNOWN
                                 912                    0 SP STILL A RESIDENT
                                  22                    1 SP WAS DISCHARGED HOME
                                  41                    2 SP WAS DISCHARGED TO HOSP
                                  48                    3 SP WAS DISCHARGED TO OTH FAC
                                 171                    4 SP DIED IN FAC
                                   8                    5 STAY SPLIT BY 30-DAY HOSP
                                   1                    6 STAY SPLIT BY 30-DAY DISCH
                                   5                    9 UNKNOWN REASON FOR END OF STAY

AMTTOT     52  9                                        N TOTAL PAYMENT

AMTCARE    61  9                                        N AMOUNT PAID BY MEDICARE

AMTCAID    70  9                                        N AMOUNT PAID BY MEDICAID

AMTVA      79  9                                        N AMOUNT PAID BY VETERANS ADM

AMTPRVU    88  9                                        N AMOUNT PAID BY PRIV INS (UNKNOWN)

AMTOOP     97  9                                        N AMOUNT PAID BY PERSON/FAMILY

AMTOTH    106  9                                        N AMOUNT PAID BY OTHER SOURCES

ANCITOT   115  9                                        N ANCILLARY TOTAL PAYMENT

ANCICARE  124  9                                        N ANCILLARY AMT PAID BY MEDICARE

ANCICAID  133  9                                        N ANCILLARY AMT PAID BY MEDICAID

ANCIVA    142  9                                        N ANCILLARY AMT PAID BY VETERANS ADM

ANCIPRVU  151  9                                        N ANCILLARY AMT PAID BY PRIV INS

ANCIOOP   160  9                                        N ANCILLARY AMT PAID BY PERSON/FAMILY

ANCIOTH   169  9                                        N ANCILLARY AMT PAID BY OTHER SOURCES

TOTCARE   178  9                                        N AMT PAID BY MEDICARE FOR ALL SERVICES

TOTALL    187  9                                        N AMT ALL TOTAL (INC. MCARE SERVICES)

DENTNUM   196  3                                        N NUMBER OF DENTAL VISITS

EMNUM     199  3                                        N NUMBER OF EMERGENCY ROOM VISITS

OPNUM     202  3                                        N NUMBER OF CLINIC/OUTPATIENT VISITS

PNURSNUM  205  3                                        N NUMBER OF PRIVATE NURSING VISITS

MDNUM     208  3                                        N NUMBER OF MEDICAL DOCTOR VISITS

HPRACVIS  211  3                                        N NUMBER OF HEALTH PRACTITIONER VISITS

MHNUMVIS  214  3                                        N NUMBER OF MENTAL HEALTH PROFESS. VISITS

THNUMVIS  217  3                                        N NUMBER OF THERAPIST VISITS

OTNUMVIS  220  4                                        N NUMBER OF OTHER MEDICAL PERSON VISITS

PRNUMVIS  224  4                                        N NUMBER OF PROCEDURES

MPNUMVIS  228  3                                        N NUMBER OF OTHER MEDICAL PLACE VISITS

FAMPFLG   231  2  MOSTFMT                               N TYPE OF MD: FAMILY PHYSICIAN FLAG

                                  87                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                               1,106                    1 YES
                                  52                    2 NO

INTRNFLG  233  2  MOSTFMT                               N TYPE OF MD: INTERNIST

                                 158                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                 307                    1 YES
                                 780                    2 NO

CARDOFLG  235  2  MOSTFMT                               N TYPE OF MD: CARDIOLOGIST

                                 176                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                  24                    1 YES
                               1,045                    2 NO

NEUROFLG  237  2  MOSTFMT                               N TYPE OF MD: NEUROLOGIST

                                 175                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                  47                    1 YES
                               1,023                    2 NO

GYNFLG    239  2  MOSTFMT                               N TYPE OF MD: GYNECOLOGIST

                                 174                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                  30                    1 YES
                               1,041                    2 NO

OPTHLFLG  241  2  MOSTFMT                               N TYPE OF MD: OPTHALMOLOGIST

                                 165                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                 217                    1 YES
                                 863                    2 NO

RADIOFLG  243  2  MOSTFMT                               N TYPE OF MD: RADIOLOGIST

                                 173                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                  46                    1 YES
                               1,026                    2 NO

PROCTFLG  245  2  MOSTFMT                               N TYPE OF MD: PROCTOLOGIST

                                 178                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                   4                    1 YES
                               1,063                    2 NO

ORTHOFLG  247  2  MOSTFMT                               N TYPE OF MD: ORTHOPEDIST

                                 172                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                  91                    1 YES
                                 982                    2 NO

THORAFLG  249  2  MOSTFMT                               N TYPE OF MD: THORACIC SURGEON

                                 178                    . INAPPLICABLE
                                   1                   -9 NOT ASCERTAINED
                                   2                    1 YES
                               1,065                    2 NO

AUDIOFLG  251  2  MOSTFMT                               N TYPE OF HP: AUDIOLOGIST

                                 791                    . INAPPLICABLE
                                   5                   -9 NOT ASCERTAINED
                                  90                    1 YES
                                 360                    2 NO

OPTOMFLG  253  2  MOSTFMT                               N TYPE OF HP: OPTOMETRIST

                                 761                    . INAPPLICABLE
                                   5                   -9 NOT ASCERTAINED
                                 152                    1 YES
                                 328                    2 NO

CHIROFLG  255  2  MOSTFMT                               N TYPE OF HP: CHIROPRACTOR

                                 822                    . INAPPLICABLE
                                   4                   -9 NOT ASCERTAINED
                                   9                    1 YES
                                 411                    2 NO

PODIAFLG  257  2  MOSTFMT                               N TYPE OF HP: PODIATRIST

                                 584                    . INAPPLICABLE
                                   3                   -9 NOT ASCERTAINED
                                 620                    1 YES
                                  39                    2 NO

ENTFLG    259  2                                        N TYPE OF MD: EARS/NOSE/THROAT DOCTOR

PHARMFLG  261  2  MOSTFMT                               N TYPE OF HP: PHARMACIST

                                 806                    . INAPPLICABLE
                                   5                   -9 NOT ASCERTAINED
                                  78                    1 YES
                                 357                    2 NO

DIABSUPP  263  2  MOSTFMT                               N USED DIABETIC SUPPLIES

                               1,113                    . INAPPLICABLE
                                 133                    1 YES
                                   0                    2 NO

EYEGLASS  265  2  MOSTFMT                               N USED EYEGLASSES

                               1,139                    . INAPPLICABLE
                                 107                    1 YES
                                   0                    2 NO

HEARAID   267  2  MOSTFMT                               N USED HEARING AID

                               1,200                    . INAPPLICABLE
                                  46                    1 YES
                                   0                    2 NO

ORTHITEM  269  2  MOSTFMT                               N USED ORTHOPEDIC ITEMS

                               1,142                   -9 NOT ASCERTAINED
                                 104                    1 YES
                                   0                    2 NO

EQUIPSUP  271  2  MOSTFMT                               N USED EQUIPMENT OR SUPPLIES

                               1,245                   -9 NOT ASCERTAINED
                                   1                    1 YES
                                   0                    2 NO

OSTOMSUP  273  2  MOSTFMT                               N USED OSTOMY SUPPLIES

                               1,219                   -9 NOT ASCERTAINED
                                  27                    1 YES
                                   0                    2 NO

DIAPRSUP  275  2  MOSTFMT                               N USED DISPOSABLE DIAPERS

                                 852                   -9 NOT ASCERTAINED
                                 394                    1 YES
                                   0                    2 NO

AMBUSERV  277  2  MOSTFMT                               N USED AMBULANCE SERVICE

                                 818                    . INAPPLICABLE
                                 428                    1 YES
                                   0                    2 NO

PROSTHES  279  2  MOSTFMT                               N USED PROSTHESIS

                               1,232                    . INAPPLICABLE
                                  14                    1 YES
                                   0                    2 NO

OXYGEN    281  2  MOSTFMT                               N USED OXYGEN

                               1,246                   -9 NOT ASCERTAINED
                                   0                    1 YES
                                   0                    2 NO

TURNPOS   283  2  MOSTFMT                               N RECEIVED TURNING AND POSITIONING

                                 790                   -9 NOT ASCERTAINED
                                 456                    1 YES
                                   0                    2 NO

TUBEFEED  285  2  MOSTFMT                               N RECEIVED TUBE FEEDING

                               1,166                   -9 NOT ASCERTAINED
                                  80                    1 YES
                                   0                    2 NO

RESTRAIN  287  2  MOSTFMT                               N RECEIVED RESTRAINTS

                                 984                   -9 NOT ASCERTAINED
                                 262                    1 YES
                                   0                    2 NO

INJCTION  289  2  MOSTFMT                               N RECEIVED INJECTIONS

                                 886                   -9 NOT ASCERTAINED
                                 360                    1 YES
                                   0                    2 NO

