Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         52,144        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                         52,144                    2018  2018                                    
 
VERSION  VERSFMT                       Version Number                           
                         52,144                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                         31,620        001-999           Survey-reported event                   
                         20,398        C001-C999         Event created from claim                
                            126        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                         20,398                          Missing                                 
                          2,213        ER                Emergency Room                          
                            762        IP                Inpatient                               
                         13,047        MP                Medical provider                        
                            310        OM                Other medical expense                   
                         12,743        OP                Outpatient                              
                          1,267        SD                Separately billing physician            
                          1,404        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                         17,475                       .  Missing                                 
                         34,669        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                              1                       D  Don't Know                              
                             95                       .  Inapplicable                            
                             13                       N  Not ascertained                         
                         52,035        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                            417                       D  Don't Know                              
                             95                       .  Inapplicable                            
                             13                       N  Not ascertained                         
                         51,619        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                          2,153                       D  Don't Know                              
                          6,688                       .  Inapplicable                            
                             13                       N  Not ascertained                         
                              5                       R  Refused                                 
                         43,285        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                         17,475                       1  Survey only                             
                         20,398                       2  Claims only                             
                         14,271                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              3        B                 Both community & facility               
                         46,605        C                 Community                               
                            668        D                 Deemed community                        
                          3,941        F                 Facility                                
                             28        G                 Deemed facility                         
                            152        H                 Hospice                                 
                            368        I                 Inpatient                               
                            379        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                         30,546                       0  Not Imputed                             
                         21,598                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                         52,144                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                         49,812                       0  Not Imputed                             
                          2,332                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                         47,411                       0  Not Imputed                             
                          4,733                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                         44,810                       0  Not Imputed                             
                          7,334                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                         46,119                       0  Not Imputed                             
                          6,025                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                         43,568                       0  Not Imputed                             
                          8,576                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                         50,531                       0  Not Imputed                             
                          1,613                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                         50,102                       0  Not Imputed                             
                          2,042                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                         50,406                       0  Not Imputed                             
                          1,738                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                         49,379                       0  Not Imputed                             
                          2,765                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                         49,090                       0  Not Imputed                             
                          3,054                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                         47,750                       0  Not Imputed                             
                          4,394                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                         51,750                       0  Not Imputed                             
                            394                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                         51,750                       0  Not Imputed                             
                            394                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                         52,144        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                         45,333                       0  Not Imputed                             
                          6,811                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                         42,339                       0  Not Imputed                             
                          9,805                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                         52,144        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                         32,526                       0  Not Imputed                             
                         19,618                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                         23,378                       0  Not Imputed                             
                         28,766                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                         52,144        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                         52,118                       0  Not Imputed                             
                             26                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                         51,333                       0  Not Imputed                             
                            811                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       Number of diagnosis codes on claim       
                         17,475                       .  Inapplicable/Missing                    
                         34,669        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-10 diag code                 
                         17,475                          Missing                                 
                         34,669        Range of Codes    ICD Code                                
 
PROV     $FIDFMT                       Medicare provider number from claim      
                         17,475                          Missing                                 
                         34,669        Provider ID       Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                         17,475                       .  Inapplicable/Missing                    
                             80                       0  Other destination                       
                         30,729                       1  Discharged to home/self care            
                            229                       2  Discharged to other short-term hospital 
                            185                       3  Discharged to skilled nursing facility  
                            115                       4  Discharged to intermediate care facility
                              3                       5  Disch to another type of institution    
                             63                       6  Discharged to home care of organized HMO
                             40                       7  Left against medical advice/stopped care
                             25                      20  Expired (did not recover Christian Sci) 
                          3,131                      30  Still patient                           
                             25                      43  Disch/Transferred to a Fed Hospital     
                              9                      50  Hospice - home                          
                              4                      51  Hospice - medical facility              
                             17                      62  Disch inp rehab; inc distinct hosp      
                              5                      63  Disch to long term care hospital        
                              9                      70  Disch to other institution, no code     
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                         32,563                       0  Event not provided by MCO/HMO           
                         19,581                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                          4,264                       .  Missing                                 
                         44,675                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                          3,205                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
