Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          1,646        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          1,646                    2020  2020                                    
 
VERSION  VERSFMT                       Version Number                           
                          1,646                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,005        001-999           Survey-reported event                   
                            637        C001-C999         Event created from claim                
                              4        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            637                          Missing                                 
                             21        ER                Emergency Room                          
                            968        IP                Inpatient                               
                             13        IU                Institutional utilization               
                              7        OP                Outpatient                              
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            469                       .  Missing                                 
                          1,177        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                              1                       D  Don't Know                              
                          1,645        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                             17                       D  Don't Know                              
                          1,629        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                            124                       D  Don't Know                              
                              2                       R  Refused                                 
                          1,520        01-31             Day of month                            
 
D_ENDYY  EVYY                          Event end year                           
                              2                       D  Don't Know                              
                              7                       .  Inapplicable                            
                              1                       R  Refused                                 
                          1,636        Range of values   Year                                    
 
D_ENDMM  EVMM                          Event end month                          
                             20                       D  Don't Know                              
                              7                       .  Inapplicable                            
                              1                       R  Refused                                 
                          1,618        01-12             Month                                   
 
D_ENDDD  EVDD                          Event end day                            
                            119                       D  Don't Know                              
                              7                       .  Inapplicable                            
                              2                       R  Refused                                 
                          1,518        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            469                       1  Survey only                             
                            637                       2  Claims only                             
                            540                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                            475        C                 Community                               
                              1        D                 Deemed community                        
                              1        F                 Facility                                
                              4        H                 Hospice                                 
                          1,165        I                 Inpatient                               
 
AMTTOT   MONYFMT                       Total payment                            
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                          1,115                       0  Not Imputed                             
                            531                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                          1,646                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                          1,627                       0  Not Imputed                             
                             19                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                          1,531                       0  Not Imputed                             
                            115                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                          1,436                       0  Not Imputed                             
                            210                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                          1,259                       0  Not Imputed                             
                            387                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                          1,207                       0  Not Imputed                             
                            439                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                          1,567                       0  Not Imputed                             
                             79                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                          1,560                       0  Not Imputed                             
                             86                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                          1,590                       0  Not Imputed                             
                             56                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                          1,570                       0  Not Imputed                             
                             76                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                          1,606                       0  Not Imputed                             
                             40                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                          1,579                       0  Not Imputed                             
                             67                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                          1,624                       0  Not Imputed                             
                             22                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                          1,624                       0  Not Imputed                             
                             22                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                          1,646        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                          1,406                       0  Not Imputed                             
                            240                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                          1,310                       0  Not Imputed                             
                            336                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                          1,646        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                          1,397                       0  Not Imputed                             
                            249                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                          1,294                       0  Not Imputed                             
                            352                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                          1,646        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                          1,646                       0  Not Imputed                             
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                          1,639                       0  Not Imputed                             
                              7                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       Number of diagnosis codes on claim       
                            469                       .  Inapplicable/Missing                    
                          1,177        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-10 diag code                 
                            469                          Missing                                 
                          1,177        Range of Codes    ICD Code                                
 
POAIND   POAFMT                        Present on admission indicator           
                            469                       .  Missing                                 
                             25                       0  No codes present on admission           
                          1,152                       1  At least 1 code present on admis        
 
E1DGNSCD $ECDFMT                       First E-CODE from claim                  
                          1,407                          Missing                                 
                            239        Range of Codes    E-Code                                  
 
DRG      $DRGFMT                       Diagnosis related group from claim       
                            469                          Missing                                 
                          1,177        Range of Codes    DRG                                     
 
IPPRJCNT NUM3FMT                       Number of procedure codes on claim       
                            469                       .  Inapplicable/Missing                    
                            533                       0  None                                    
                            644        Range of values   Number                                  
 
PRCDRCD1 $PRCDRFM                      First procedure codes on claim           
                          1,002                          Missing                                 
                            644        Range of Codes    Procedure Code                          
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            469                          Missing                                 
                          1,177        Provider ID       Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            469                       .  Inapplicable/Missing                    
                            491                       1  Discharged to home/self care            
                             16                       2  Discharged to other short-term hospital 
                            224                       3  Discharged to skilled nursing facility  
                             25                       4  Discharged to intermediate care facility
                              3                       5  Disch to another type of institution    
                            232                       6  Discharged to home care of organized HMO
                              7                       7  Left against medical advice/stopped care
                             57                      20  Expired (did not recover Christian Sci) 
                              2                      30  Still patient                           
                             21                      50  Hospice - home                          
                             25                      51  Hospice - medical facility              
                              6                      61  Disch w/i facility to swing-bed SNF     
                             53                      62  Disch inp rehab; inc distinct hosp      
                              5                      63  Disch to long term care hospital        
                              3                      64  Disch cert nursing; Mcaid, not Mcare    
                              4                      65  Disch to psychiatric hosp or unit       
                              1                      81  Disch to home/self-care: planned readmit
                              1                      83  Disch to SNF: planned readmit           
                              1                      95  Disch to other: planned                 
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            469                       .  Inapplicable/Missing                    
                             29                       0  None                                    
                          1,148        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                            960                       0  Event not provided by MCO/HMO           
                            686                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            240                       .  Missing                                 
                          1,373                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             33                       1  Survey Only w/Medicare Payment (not MA) 
 
