Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                            620        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                            620                    2019  2019                                    
 
VERSION  VERSFMT                       Version Number                           
                            620                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                            307        001-999           Survey-reported event                   
                            311        C001-C999         Event created from claim                
                              2        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            311                          Missing                                 
                             36        IP                Inpatient                               
                            273        IU                Institutional utilization               
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            190                       .  Missing                                 
                            430        Range of values   Claim ID                                
 
CLMCNT   NUM3FMT                       Number of claims matched to this event   
                            190                       0  None                                    
                            430        Range of values   Number                                  
 
D_BEGYY  EVYY                          Event begin year                         
                             20                       N  Not ascertained                         
                            600        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                              5                       D  Don't Know                              
                             20                       N  Not ascertained                         
                            595        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                             45                       D  Don't Know                              
                             21                       N  Not ascertained                         
                            554        01-31             Day of month                            
 
D_ENDYY  EVYY                          Event end year                           
                              6                       N  Not ascertained                         
                            614        Range of values   Year                                    
 
D_ENDMM  EVMM                          Event end month                          
                              6                       D  Don't Know                              
                              6                       N  Not ascertained                         
                            608        01-12             Month                                   
 
D_ENDDD  EVDD                          Event end day                            
                             39                       D  Don't Know                              
                              6                       N  Not ascertained                         
                              1                       R  Refused                                 
                            574        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            190                       1  Survey only                             
                            311                       2  Claims only                             
                            119                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              3        B                 Both community & facility               
                            162        C                 Community                               
                              1        D                 Deemed community                        
                              3        F                 Facility                                
                             10        H                 Hospice                                 
                              6        I                 Inpatient                               
                            435        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                            361                       0  Not Imputed                             
                            259                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                            620        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                            620        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                            620                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                            608                       0  Not Imputed                             
                             12                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                            547                       0  Not Imputed                             
                             73                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                            512                       0  Not Imputed                             
                            108                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                            551                       0  Not Imputed                             
                             69                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                            542                       0  Not Imputed                             
                             78                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                            609                       0  Not Imputed                             
                             11                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                            608                       0  Not Imputed                             
                             12                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                            602                       0  Not Imputed                             
                             18                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                            601                       0  Not Imputed                             
                             19                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                            599                       0  Not Imputed                             
                             21                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                            593                       0  Not Imputed                             
                             27                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                            590                       0  Not Imputed                             
                             30                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                            590                       0  Not Imputed                             
                             30                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                            620        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                            453                       0  Not Imputed                             
                            167                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                            375                       0  Not Imputed                             
                            245                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                            620        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                            494                       0  Not Imputed                             
                            126                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                            347                       0  Not Imputed                             
                            273                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                            620        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                            611                       0  Not Imputed                             
                              9                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                            610                       0  Not Imputed                             
                             10                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       UNIQUE diagnosis codes for event         
                            190                       .  Inapplicable/Missing                    
                            430        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-9 diag code from 1st claim   
                            190                          Missing                                 
                            430        Range of Codes    ICD Code                                
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            190                          Missing                                 
                            430        Provider ID       Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            190                       .  Inapplicable/Missing                    
                            137                       1  Discharged to home/self care            
                             70                       2  Discharged to other short-term hospital 
                              6                       3  Discharged to skilled nursing facility  
                              7                       4  Discharged to intermediate care facility
                              7                       5  Disch to another type of institution    
                             48                       6  Discharged to home care of organized HMO
                              2                       7  Left against medical advice/stopped care
                             15                      20  Expired (did not recover Christian Sci) 
                            135                      30  Still patient                           
                              1                      51  Hospice - medical facility              
                              1                      64  Disch cert nursing; Mcaid, not Mcare    
                              1                      70  Disch to other institution, no code     
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            190                       .  Inapplicable/Missing                    
                             46                       0  None                                    
                            384        Range of values   Number                                  
 
COINDAY  NUM3FMT                       Total number of coinsurance days         
                            190                       .  Inapplicable/Missing                    
                            219                       0  None                                    
                            211        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                            419                       0  Event not provided by MCO/HMO           
                            201                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            185                       .  Missing                                 
                            413                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             22                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
