Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          2,364        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          2,364                    2018  2018                                    
 
VERSION  VERSFMT                       Version Number                           
                          2,364                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,552        001-999           Survey-reported event                   
                            811        C001-C999         Event created from claim                
                              1        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            811                          Missing                                 
                             32        ER                Emergency Room                          
                          1,497        IP                Inpatient                               
                             17        IU                Institutional utilization               
                              7        OP                Outpatient                              
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            641                       .  Missing                                 
                          1,723        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                             30                       N  Not ascertained                         
                          2,334        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                             17                       D  Don't Know                              
                             30                       N  Not ascertained                         
                          2,317        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                            122                       D  Don't Know                              
                              1                       .  Inapplicable                            
                             30                       N  Not ascertained                         
                              1                       R  Refused                                 
                          2,210        01-31             Day of month                            
 
D_ENDYY  EVYY                          Event end year                           
                              2                       D  Don't Know                              
                             20                       .  Inapplicable                            
                          2,342        Range of values   Year                                    
 
D_ENDMM  EVMM                          Event end month                          
                             24                       D  Don't Know                              
                             20                       .  Inapplicable                            
                          2,320        01-12             Month                                   
 
D_ENDDD  EVDD                          Event end day                            
                            132                       D  Don't Know                              
                             20                       .  Inapplicable                            
                              1                       R  Refused                                 
                          2,211        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            641                       1  Survey only                             
                            811                       2  Claims only                             
                            912                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              1        B                 Both community & facility               
                            654        C                 Community                               
                              4        D                 Deemed community                        
                              4        H                 Hospice                                 
                          1,701        I                 Inpatient                               
 
AMTTOT   MONYFMT                       Total payment                            
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                          1,688                       0  Not Imputed                             
                            676                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                          2,364                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                          2,334                       0  Not Imputed                             
                             30                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                          2,186                       0  Not Imputed                             
                            178                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                          2,070                       0  Not Imputed                             
                            294                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                          1,966                       0  Not Imputed                             
                            398                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                          1,858                       0  Not Imputed                             
                            506                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                          2,304                       0  Not Imputed                             
                             60                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                          2,285                       0  Not Imputed                             
                             79                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                          2,302                       0  Not Imputed                             
                             62                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                          2,253                       0  Not Imputed                             
                            111                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                          2,282                       0  Not Imputed                             
                             82                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                          2,225                       0  Not Imputed                             
                            139                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                          2,313                       0  Not Imputed                             
                             51                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                          2,313                       0  Not Imputed                             
                             51                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                          2,364        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                          2,074                       0  Not Imputed                             
                            290                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                          1,940                       0  Not Imputed                             
                            424                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                          2,364        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                          1,480                       0  Not Imputed                             
                            884                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                          1,156                       0  Not Imputed                             
                          1,208                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                          2,364        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                          2,363                       0  Not Imputed                             
                              1                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                          2,337                       0  Not Imputed                             
                             27                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       Number of diagnosis codes on claim       
                            641                       .  Inapplicable/Missing                    
                          1,723        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-10 diag code                 
                            641                          Missing                                 
                          1,723        Range of Codes    ICD Code                                
 
POAIND   POAFMT                        Present on admission indicator           
                            641                       .  Missing                                 
                             41                       0  No codes present on admission           
                          1,682                       1  At least 1 code present on admis        
 
E1DGNSCD $ECDFMT                       First E-CODE from claim                  
                          2,038                          Missing                                 
                            326        Range of Codes    E-Code                                  
 
DRG      $DRGFMT                       Diagnosis related group from claim       
                            641                          Missing                                 
                          1,723        Range of Codes    DRG                                     
 
IPPRJCNT NUM3FMT                       Number of procedure codes on claim       
                            641                       .  Inapplicable/Missing                    
                            820                       0  None                                    
                            903        Range of values   Number                                  
 
PRCDRCD1 $PRCDRFM                      First procedure codes on claim           
                          1,461                          Missing                                 
                            903        Range of Codes    Procedure Code                          
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            641                          Missing                                 
                          1,723        Provider ID       Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            641                       .  Inapplicable/Missing                    
                            723                       1  Discharged to home/self care            
                             30                       2  Discharged to other short-term hospital 
                            406                       3  Discharged to skilled nursing facility  
                             31                       4  Discharged to intermediate care facility
                            311                       6  Discharged to home care of organized HMO
                             10                       7  Left against medical advice/stopped care
                             54                      20  Expired (did not recover Christian Sci) 
                              1                      30  Still patient                           
                              1                      43  Disch/Transferred to a Fed Hospital     
                             31                      50  Hospice - home                          
                             32                      51  Hospice - medical facility              
                             16                      61  Disch w/i facility to swing-bed SNF     
                             51                      62  Disch inp rehab; inc distinct hosp      
                             10                      63  Disch to long term care hospital        
                              3                      64  Disch cert nursing; Mcaid, not Mcare    
                              7                      65  Disch to psychiatric hosp or unit       
                              2                      70  Disch to other institution, no code     
                              1                      81  Disch to home/self-care: planned readmit
                              1                      83  Disch to SNF: planned readmit           
                              1                      86  Disch to home health: planned readmit   
                              1                      92  Disch to Medicaid LTCH: planned readmit 
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            641                       .  Inapplicable/Missing                    
                             50                       0  None                                    
                          1,673        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                          1,493                       0  Event not provided by MCO/HMO           
                            871                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            303                       .  Missing                                 
                          1,992                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             69                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
