Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                            472        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                            472                    2021  2021                                    
 
VERSION  VERSFMT                       Version Number                           
                            472                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                            166        001-999           Survey-reported event                   
                            306        C001-C999         Event created from claim                
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            306                          Missing                                 
                             21        IP                Inpatient                               
                            145        IU                Institutional utilization               
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            102                       .  Missing                                 
                            370        Range of values   Claim ID                                
 
CLMCNT   NUM3FMT                       Number of claims matched to this event   
                            102                       0  None                                    
                            370        Range of values   Number                                  
 
D_BEGYY  EVYY                          Event begin year                         
                              4                       D  Don't Know                              
                            468        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                              9                       D  Don't Know                              
                            463        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                             28                       D  Don't Know                              
                            444        01-31             Day of month                            
 
D_ENDYY  EVYY                          Event end year                           
                              7                       N  Not ascertained                         
                            465        Range of values   Year                                    
 
D_ENDMM  EVMM                          Event end month                          
                              3                       D  Don't Know                              
                              7                       N  Not ascertained                         
                            462        01-12             Month                                   
 
D_ENDDD  EVDD                          Event end day                            
                             24                       D  Don't Know                              
                              7                       N  Not ascertained                         
                            441        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            102                       1  Survey only                             
                            306                       2  Claims only                             
                             64                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              2        B                 Both community & facility               
                             87        C                 Community                               
                              1        F                 Facility                                
                              1        G                 Deemed facility                         
                              8        H                 Hospice                                 
                              3        I                 Inpatient                               
                            370        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                            249                       0  Not Imputed                             
                            223                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                            472        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                            472        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                            472                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                            472                       0  Not Imputed                             
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                            398                       0  Not Imputed                             
                             74                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                            318                       0  Not Imputed                             
                            154                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                            449                       0  Not Imputed                             
                             23                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                            444                       0  Not Imputed                             
                             28                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                            463                       0  Not Imputed                             
                              9                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                            462                       0  Not Imputed                             
                             10                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                            462                       0  Not Imputed                             
                             10                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                            461                       0  Not Imputed                             
                             11                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                            459                       0  Not Imputed                             
                             13                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                            459                       0  Not Imputed                             
                             13                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                            451                       0  Not Imputed                             
                             21                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                            451                       0  Not Imputed                             
                             21                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                            472        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                            344                       0  Not Imputed                             
                            128                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                            290                       0  Not Imputed                             
                            182                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                            472        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                            455                       0  Not Imputed                             
                             17                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                            450                       0  Not Imputed                             
                             22                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                            472        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                            457                       0  Not Imputed                             
                             15                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                            456                       0  Not Imputed                             
                             16                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       UNIQUE diagnosis codes for event         
                            102                       .  Inapplicable/Missing                    
                            370        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-10 diag code from 1st claim  
                            102                          Missing                                 
                            370        Range of Codes    ICD Code                                
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            102                          Missing                                 
                            370        Provider ID       Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            102                       .  Inapplicable/Missing                    
                             91                       1  Discharged to home/self care            
                             56                       2  Discharged to other short-term hospital 
                              6                       3  Discharged to skilled nursing facility  
                              5                       4  Discharged to intermediate care facility
                              1                       5  Disch to another type of institution    
                             18                       6  Discharged to home care of organized HMO
                              1                       7  Left against medical advice/stopped care
                             18                      20  Expired (did not recover Christian Sci) 
                            169                      30  Still patient                           
                              1                      50  Hospice - home                          
                              2                      64  Disch cert nursing; Mcaid, not Mcare    
                              2                      70  Disch to other institution, no code     
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            102                       .  Inapplicable/Missing                    
                             46                       0  None                                    
                            324        Range of values   Number                                  
 
COINDAY  NUM3FMT                       Total number of coinsurance days         
                            102                       .  Inapplicable/Missing                    
                            175                       0  None                                    
                            195        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                            378                       0  Event not provided by MCO/HMO           
                             94                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            239                       .  Missing                                 
                            233                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
 
