Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          2,415        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          2,415                    2017  2017                                    
 
VERSION  VERSFMT                       Version Number                           
                          2,415                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,623        001-999           Survey-reported event                   
                            788        C001-C999         Event created from claim                
                              4        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            788                          Missing                                 
                             34        ER                Emergency Room                          
                          1,517        IP                Inpatient                               
                             21        IU                Institutional utilization               
                             55        OP                Outpatient                              
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            575                       .  Missing                                 
                          1,840        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                             35                       N  Not ascertained                         
                          2,380        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                              2                       D  Don't Know                              
                             35                       N  Not ascertained                         
                              9                       R  Refused                                 
                          2,369        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                             19                       D  Don't Know                              
                              7                       .  Inapplicable                            
                             35                       N  Not ascertained                         
                             75                       R  Refused                                 
                          2,279        01-31             Day of month                            
 
D_ENDYY  EVYY                          Event end year                           
                              4                       D  Don't Know                              
                             42                       .  Inapplicable                            
                          2,369        Range of values   Year                                    
 
D_ENDMM  EVMM                          Event end month                          
                             13                       D  Don't Know                              
                             42                       .  Inapplicable                            
                              2                       R  Refused                                 
                          2,358        01-12             Month                                   
 
D_ENDDD  EVDD                          Event end day                            
                             74                       D  Don't Know                              
                             42                       .  Inapplicable                            
                             11                       R  Refused                                 
                          2,288        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            575                       1  Survey only                             
                            788                       2  Claims only                             
                          1,052                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              1        B                 Both community & facility               
                            577        C                 Community                               
                              2        D                 Deemed community                        
                              1        G                 Deemed facility                         
                              3        H                 Hospice                                 
                          1,824        I                 Inpatient                               
                              6        IH                Inpatient Hospice                       
                              1        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                          1,771                       0  Not Imputed                             
                            644                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                          2,415                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare            
                          2,380                       0  Not Imputed                             
                             35                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                          2,229                       0  Not Imputed                             
                            186                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                          2,083                       0  Not Imputed                             
                            332                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                          2,083                       0  Not Imputed                             
                            332                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                          1,966                       0  Not Imputed                             
                            449                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                          2,339                       0  Not Imputed                             
                             76                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                          2,314                       0  Not Imputed                             
                            101                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                          2,341                       0  Not Imputed                             
                             74                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                          2,285                       0  Not Imputed                             
                            130                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                          2,315                       0  Not Imputed                             
                            100                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                          2,259                       0  Not Imputed                             
                            156                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                          2,373                       0  Not Imputed                             
                             42                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                          2,373                       0  Not Imputed                             
                             42                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                          2,415        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                          2,149                       0  Not Imputed                             
                            266                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                          2,011                       0  Not Imputed                             
                            404                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                          2,415        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                          1,464                       0  Not Imputed                             
                            951                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                          1,127                       0  Not Imputed                             
                          1,288                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                          2,415        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                          2,413                       0  Not Imputed                             
                              2                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                          2,391                       0  Not Imputed                             
                             24                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       Number of diagnosis codes on claim       
                            575                       .  Inapplicable/Missing                    
                          1,840        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-9 diag code                  
                            575                          Missing                                 
                          1,840        Range of Codes    ICD Code                                
 
POAIND   POAFMT                        Present on admission indicator           
                            575                       .  Missing                                 
                             46                       0  No codes present on admission           
                          1,794                       1  At least 1 code present on admis        
 
E1DGNSCD $ECDFMT                       First E-CODE from claim                  
                          2,084                          Missing                                 
                            331        Range of Codes    E-Code                                  
 
DRG      $DRGFMT                       Diagnosis related group from claim       
                            575                          Missing                                 
                          1,840        Range of Codes    DRG                                     
 
IPPRJCNT NUM3FMT                       Number of procedure codes on claim       
                            575                       .  Inapplicable/Missing                    
                            883                       0  None                                    
                            957        Range of values   Number                                  
 
PRCDRCD1 $PRCDRFM                      First procedure codes on claim           
                          1,458                          Missing                                 
                            957        Range of Codes    Procedure Code                          
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            575                          Missing                                 
                          1,840        Provider Number   Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            575                       .  Inapplicable/Missing                    
                            755                       1  Discharged to home/self care            
                             45                       2  Discharged to other short-term hospital 
                            442                       3  Discharged to skilled nursing facility  
                             35                       4  Discharged to intermediate care facility
                              1                       5  Disch to another type of institution    
                            322                       6  Discharged to home care of organized HMO
                             14                       7  Left against medical advice/stopped care
                             70                      20  Expired (did not recover Christian Sci) 
                              2                      30  Still patient                           
                              4                      43  Disch/Transferred to a Fed Hospital     
                             25                      50  Hospice - home                          
                             31                      51  Hospice - medical facility              
                             15                      61  Disch w/i facility to swing-bed SNF     
                             54                      62  Disch inp rehab; inc distinct hosp      
                             13                      63  Disch to long term care hospital        
                              5                      64  Disch cert nursing; Mcaid, not Mcare    
                              2                      65  Disch to psychiatric hosp or unit       
                              5                      70  Disch to other institution, no code     
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            575                       .  Inapplicable/Missing                    
                             46                       0  None                                    
                          1,794        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                          1,567                       0  Event not provided by MCO/HMO           
                            848                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            315                       .  Missing                                 
                          2,033                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             67                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
