Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                          1,378        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                          1,378                    2022  2022                                    
 
VERSION     VERSFMT                    Version Number                                    
                          1,378                       1  Version 1                               
 
EVNTNUM     $EVNTNUM                   Unique event identifier                           
                            925        001-999           Survey-reported event                   
                            446        C001-C999         Event created from claim                
                              7        U001-U999         Event created from survey-reported event
 
OREVTYPE    $EVNTTYP                   Original reported event type                      
                            446                          Missing                                 
                             18        ER                Emergency Room                          
                            817        IP                Inpatient                               
                             34        IU                Institutional utilization               
                             63        OP                Outpatient                              
 
CLAIMID     CLAIMID                    1st Claim this survey event matched to            
                            477                       .  Missing                                 
                            901        Range of values   Claim ID                                
 
D_BEGYY     EVYY                       Event begin year                                  
                              3                       N  Not ascertained                         
                          1,375        Range of values   Year                                    
 
D_BEGMM     EVMM                       Event begin month                                 
                              9                       D  Don't Know                              
                              7                       N  Not ascertained                         
                          1,362        01-12             Month                                   
 
D_BEGDD     EVDD                       Event begin day                                   
                             97                       D  Don't Know                              
                             11                       .  Inapplicable                            
                             20                       N  Not ascertained                         
                          1,250        01-31             Day of month                            
 
D_ENDYY     EVYY                       Event end year                                    
                              1                       D  Don't Know                              
                             47                       .  Inapplicable                            
                              2                       N  Not ascertained                         
                          1,328        Range of values   Year                                    
 
D_ENDMM     EVMM                       Event end month                                   
                             14                       D  Don't Know                              
                             47                       .  Inapplicable                            
                              2                       N  Not ascertained                         
                          1,315        01-12             Month                                   
 
D_ENDDD     EVDD                       Event end day                                     
                             95                       D  Don't Know                              
                             47                       .  Inapplicable                            
                              2                       N  Not ascertained                         
                              1                       R  Refused                                 
                          1,233        01-31             Day of month                            
 
SOURCE      SRCE                       Source of event: survey, claim, or both?          
                            477                       1  Survey only                             
                            446                       2  Claims only                             
                            455                       3  Both survey & claims                    
 
SITCODE     $SITCODE                   Community or facility setting?                    
                            490        C                 Community                               
                              3        D                 Deemed community                        
                              1        F                 Facility                                
                              7        H                 Hospice                                 
                            876        I                 Inpatient                               
                              1        S                 SNF                                     
 
AMTTOT      MONYFMT                    Total payment                                     
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT     IMPFLAG                    Imputation flag: total payment                    
                            826                       0  Not Imputed                             
                            552                       1  Imputed by hotdeck                      
 
AMTCOV      MONYFMT                    Portion of total pay cov by Medicare              
                              3                       .  Inapplicable/Missing                    
                          1,375        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV     MONYFMT                    Portion of total pay not cov by Medicare          
                              3                       .  Inapplicable/Missing                    
                          1,375        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE     MONYFMT                    Amount paid by Medicare FFS                       
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE    IMPFLAG                    Imputation flag: SOP Medicare FFS                 
                          1,376                       0  Not Imputed                             
                              2                       1  Imputed by hotdeck                      
 
IMPACARE    IMPFLAG                    Imputation flag: Amt Medicare FFS                 
                          1,365                       0  Not Imputed                             
                             13                       1  Imputed by hotdeck                      
 
AMTCAID     MONYFMT                    Amount paid by Medicaid                           
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID    IMPFLAG                    Imputation flag: SOP Medicaid                     
                          1,310                       0  Not Imputed                             
                             68                       1  Imputed by hotdeck                      
 
IMPACAID    IMPFLAG                    Imputation flag: Amt Medicaid                     
                          1,214                       0  Not Imputed                             
                            164                       1  Imputed by hotdeck                      
 
AMTMADV     MONYFMT                    Amount paid by Medicare MCO/HMO                   
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV    IMPFLAG                    Imputation flag: SOP Medicare MCO/HMO             
                          1,138                       0  Not Imputed                             
                            240                       1  Imputed by hotdeck                      
 
IMPAMADV    IMPFLAG                    Imputation flag: Amt Medicare MCO/HMO             
                          1,072                       0  Not Imputed                             
                            306                       1  Imputed by hotdeck                      
 
AMTHMOP     MONYFMT                    Amount paid by private MCO/HMO                    
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP    IMPFLAG                    Imputation flag: SOP Priv MCO/HMO                 
                          1,340                       0  Not Imputed                             
                             38                       1  Imputed by hotdeck                      
 
IMPAHMOP    IMPFLAG                    Imputation flag: Amt Priv MCO/HMO                 
                          1,336                       0  Not Imputed                             
                             42                       1  Imputed by hotdeck                      
 
AMTPRVE     MONYFMT                    Amt paid by priv ins (employer spons)             
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE    IMPFLAG                    Imputation flag: SOP priv ins-employer            
                          1,318                       0  Not Imputed                             
                             60                       1  Imputed by hotdeck                      
 
IMPAPRVE    IMPFLAG                    Imputation flag: Amt priv ins-employer            
                          1,283                       0  Not Imputed                             
                             95                       1  Imputed by hotdeck                      
 
AMTPRVI     MONYFMT                    Amt paid by priv ins (indiv purch)                
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI    IMPFLAG                    Imputation flag: SOP priv ins-indiv purch         
                          1,345                       0  Not Imputed                             
                             33                       1  Imputed by hotdeck                      
 
IMPAPRVI    IMPFLAG                    Imputation flag: Amt priv ins-indiv purch         
                          1,315                       0  Not Imputed                             
                             63                       1  Imputed by hotdeck                      
 
AMTPRVU     MONYFMT                    Amt paid by priv ins (unknown purch)              
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU    IMPFLAG                    Imputation flag: SOP priv ins-unknown             
                          1,372                       0  Not Imputed                             
                              6                       1  Imputed by hotdeck                      
 
IMPAPRVU    IMPFLAG                    Imputation flag: Amt priv ins-unknown             
                          1,372                       0  Not Imputed                             
                              6                       1  Imputed by hotdeck                      
 
AMTOOP      MONYFMT                    Amount paid by person/family                      
                          1,378        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP     IMPFLAG                    Imputation flag: SOP paid by pers/fam             
                          1,138                       0  Not Imputed                             
                            240                       1  Imputed by hotdeck                      
 
IMPAOOP     IMPFLAG                    Imputation flag: Amt paid by pers/fam             
                          1,067                       0  Not Imputed                             
                            311                       1  Imputed by hotdeck                      
 
AMTDISC     MONYFMT                    Amount of uncollected SP liability                
                          1,378        Range of values   Amount as $$$$$$.CC                     
         Notes:  This includes sequestration reduction
 
IMPSDISC    IMPFLAG                    Imputation flag: SOP of uncoll liab               
                          1,042                       0  Not Imputed                             
                            336                       1  Imputed by hotdeck                      
 
IMPADISC    IMPFLAG                    Imputation flag: Amt of uncoll liab               
                            887                       0  Not Imputed                             
                            491                       1  Imputed by hotdeck                      
 
AMTOTH      MONYFMT                    Amt paid by other sources (includes VA)           
                          1,378        Range of values   Amount as $$$$$$.CC                     
         Notes:  This field also includes VA payments
 
IMPSOTH     IMPFLAG                    Imputation flag: SOP other sources                
                          1,375                       0  Not Imputed                             
                              3                       1  Imputed by hotdeck                      
 
IMPAOTH     IMPFLAG                    Imputation flag: Amt other sources                
                          1,368                       0  Not Imputed                             
                             10                       1  Imputed by hotdeck                      
 
DGNCNT      NUM3FMT                    Number of diagnosis codes on claim                
                            477                       .  Inapplicable/Missing                    
                            901        Range of values   Number                                  
 
PRINDIAG    $DIAGFMT                   Primary ICD-10 diag code                          
                            477                          Missing                                 
                            901        Range of Codes    ICD Code                                
 
POAIND      POAFMT                     Present on admission indicator                    
                            477                       .  Missing                                 
                             24                       0  No codes present on admission           
                            877                       1  At least 1 code present on admis        
 
E1DGNSCD    $ECDFMT                    First E-CODE from claim                           
                          1,165                          Missing                                 
                            213        Range of Codes    E-Code                                  
 
DRG         $DRGFMT                    Diagnosis related group from claim                
                            477                          Missing                                 
                            901        Range of Codes    DRG                                     
 
IPPRJCNT    NUM3FMT                    Number of procedure codes on claim                
                            477                       .  Inapplicable/Missing                    
                            343                       0  None                                    
                            558        Range of values   Number                                  
 
PRCDRCD1    $PRCDRFMT                  First procedure codes on claim                    
                            820                          Missing                                 
                            558        Range of Codes    Procedure Code                          
 
PROV        $FIDFMT                    Medicare provider number from claim               
                            477                          Missing                                 
                            901        Provider ID       Provider Number                         
 
STATUS      STATUS                     Beneficiary status as of claim thru date          
                            477                       .  Inapplicable/Missing                    
                            369                       1  Discharged to home/self care            
                             33                       2  Discharged to other short-term hospital 
                            175                       3  Discharged to skilled nursing facility  
                             17                       4  Discharged to intermediate care facility
                            178                       6  Discharged to home care of organized HMO
                              4                       7  Left against medical advice/stopped care
                             34                      20  Expired (did not recover Christian Sci) 
                              6                      30  Still patient                           
                              1                      43  Disch/Transferred to a Fed Hospital     
                             18                      50  Hospice - home                          
                             12                      51  Hospice - medical facility              
                              4                      61  Disch w/i facility to swing-bed SNF     
                             36                      62  Disch inp rehab; inc distinct hosp      
                              7                      63  Disch to long term care hospital        
                              1                      64  Disch cert nursing; Mcaid, not Mcare    
                              1                      65  Disch to psychiatric hosp or unit       
                              1                      70  Disch to other institution, no code     
                              1                      82  Disch to shrt term hosp: planned readmit
                              1                      86  Disch to home health: planned readmit   
                              2                      95  Disch to other: planned                 
 
UTLZNDAY    NUM3FMT                    Number of covered days of care                    
                            477                       .  Inapplicable/Missing                    
                             39                       0  None                                    
                            862        Range of values   Number                                  
 
MCOHMO      HMO                        Event provided by an MCO/HMO?                     
                            888                       0  Event not provided by MCO/HMO           
                            490                       1  Event provided by MCO/HMO               
 
SOWMP       SOWMP                      Survey Only with Medicare Not MA Payment Flag     
                            190                       .  Missing                                 
                          1,172                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             16                       1  Survey Only w/Medicare Payment (not MA) 
 
