Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                            444        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                            444                    2022  2022                                    
 
VERSION     VERSFMT                    Version Number                                    
                            444                       1  Version 1                               
 
EVNTNUM     $EVNTNUM                   Unique event identifier                           
                            147        001-999           Survey-reported event                   
                            297        C001-C999         Event created from claim                
 
OREVTYPE    $EVNTTYP                   Original reported event type                      
                            297                          Missing                                 
                             26        IP                Inpatient                               
                            121        IU                Institutional utilization               
 
CLAIMID     CLAIMID                    1st Claim this survey event matched to            
                            101                       .  Missing                                 
                            343        Range of values   Claim ID                                
 
CLMCNT      NUM3FMT                    Number of claims matched to this event            
                            101                       0  None                                    
                            343        Range of values   Number                                  
 
D_BEGYY     EVYY                       Event begin year                                  
                              2                       D  Don't Know                              
                              3                       N  Not ascertained                         
                            439        Range of values   Year                                    
 
D_BEGMM     EVMM                       Event begin month                                 
                              6                       D  Don't Know                              
                              4                       N  Not ascertained                         
                            434        01-12             Month                                   
 
D_BEGDD     EVDD                       Event begin day                                   
                             24                       D  Don't Know                              
                              7                       N  Not ascertained                         
                            413        01-31             Day of month                            
 
D_ENDYY     EVYY                       Event end year                                    
                              3                       N  Not ascertained                         
                            441        Range of values   Year                                    
 
D_ENDMM     EVMM                       Event end month                                   
                              7                       D  Don't Know                              
                              3                       N  Not ascertained                         
                            434        01-12             Month                                   
 
D_ENDDD     EVDD                       Event end day                                     
                             27                       D  Don't Know                              
                              3                       N  Not ascertained                         
                            414        01-31             Day of month                            
 
SOURCE      SRCE                       Source of event: survey, claim, or both?          
                            101                       1  Survey only                             
                            297                       2  Claims only                             
                             46                       3  Both survey & claims                    
 
SITCODE     $SITCODE                   Community or facility setting?                    
                             87        C                 Community                               
                              6        H                 Hospice                                 
                              2        I                 Inpatient                               
                            349        S                 SNF                                     
 
AMTTOT      MONYFMT                    Total payment                                     
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT     IMPFLAG                    Imputation flag: total payment                    
                            207                       0  Not Imputed                             
                            237                       1  Imputed by hotdeck                      
 
AMTCOV      MONYFMT                    Portion of total pay cov by Medicare              
                            444        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV     MONYFMT                    Portion of total pay not cov by Medicare          
                            444        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE     MONYFMT                    Amount paid by Medicare FFS                       
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE    IMPFLAG                    Imputation flag: SOP Medicare FFS                 
                            444                       0  Not Imputed                             
 
IMPACARE    IMPFLAG                    Imputation flag: Amt Medicare FFS                 
                            443                       0  Not Imputed                             
                              1                       1  Imputed by hotdeck                      
 
AMTCAID     MONYFMT                    Amount paid by Medicaid                           
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID    IMPFLAG                    Imputation flag: SOP Medicaid                     
                            399                       0  Not Imputed                             
                             45                       1  Imputed by hotdeck                      
 
IMPACAID    IMPFLAG                    Imputation flag: Amt Medicaid                     
                            297                       0  Not Imputed                             
                            147                       1  Imputed by hotdeck                      
 
AMTMADV     MONYFMT                    Amount paid by Medicare MCO/HMO                   
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV    IMPFLAG                    Imputation flag: SOP Medicare MCO/HMO             
                            408                       0  Not Imputed                             
                             36                       1  Imputed by hotdeck                      
 
IMPAMADV    IMPFLAG                    Imputation flag: Amt Medicare MCO/HMO             
                            404                       0  Not Imputed                             
                             40                       1  Imputed by hotdeck                      
 
AMTHMOP     MONYFMT                    Amount paid by private MCO/HMO                    
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP    IMPFLAG                    Imputation flag: SOP Priv MCO/HMO                 
                            437                       0  Not Imputed                             
                              7                       1  Imputed by hotdeck                      
 
IMPAHMOP    IMPFLAG                    Imputation flag: Amt Priv MCO/HMO                 
                            437                       0  Not Imputed                             
                              7                       1  Imputed by hotdeck                      
 
AMTPRVE     MONYFMT                    Amt paid by priv ins (employer spons)             
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE    IMPFLAG                    Imputation flag: SOP priv ins-employer            
                            438                       0  Not Imputed                             
                              6                       1  Imputed by hotdeck                      
 
IMPAPRVE    IMPFLAG                    Imputation flag: Amt priv ins-employer            
                            438                       0  Not Imputed                             
                              6                       1  Imputed by hotdeck                      
 
AMTPRVI     MONYFMT                    Amt paid by priv ins (indiv purch)                
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI    IMPFLAG                    Imputation flag: SOP priv ins-indiv purch         
                            430                       0  Not Imputed                             
                             14                       1  Imputed by hotdeck                      
 
IMPAPRVI    IMPFLAG                    Imputation flag: Amt priv ins-indiv purch         
                            428                       0  Not Imputed                             
                             16                       1  Imputed by hotdeck                      
 
AMTPRVU     MONYFMT                    Amt paid by priv ins (unknown purch)              
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU    IMPFLAG                    Imputation flag: SOP priv ins-unknown             
                            434                       0  Not Imputed                             
                             10                       1  Imputed by hotdeck                      
 
IMPAPRVU    IMPFLAG                    Imputation flag: Amt priv ins-unknown             
                            434                       0  Not Imputed                             
                             10                       1  Imputed by hotdeck                      
 
AMTOOP      MONYFMT                    Amount paid by person/family                      
                            444        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP     IMPFLAG                    Imputation flag: SOP paid by pers/fam             
                            345                       0  Not Imputed                             
                             99                       1  Imputed by hotdeck                      
 
IMPAOOP     IMPFLAG                    Imputation flag: Amt paid by pers/fam             
                            296                       0  Not Imputed                             
                            148                       1  Imputed by hotdeck                      
 
AMTDISC     MONYFMT                    Amount of uncollected SP liability                
                            444        Range of values   Amount as $$$$$$.CC                     
         Notes:  This includes sequestration reduction
 
IMPSDISC    IMPFLAG                    Imputation flag: SOP of uncoll liab               
                            404                       0  Not Imputed                             
                             40                       1  Imputed by hotdeck                      
 
IMPADISC    IMPFLAG                    Imputation flag: Amt of uncoll liab               
                            273                       0  Not Imputed                             
                            171                       1  Imputed by hotdeck                      
 
AMTOTH      MONYFMT                    Amt paid by other sources (includes VA)           
                            444        Range of values   Amount as $$$$$$.CC                     
         Notes:  This field also includes VA payments
 
IMPSOTH     IMPFLAG                    Imputation flag: SOP other sources                
                            438                       0  Not Imputed                             
                              6                       1  Imputed by hotdeck                      
 
IMPAOTH     IMPFLAG                    Imputation flag: Amt other sources                
                            437                       0  Not Imputed                             
                              7                       1  Imputed by hotdeck                      
 
DGNCNT      NUM3FMT                    UNIQUE diagnosis codes for event                  
                            101                       .  Inapplicable/Missing                    
                            343        Range of values   Number                                  
 
PRINDIAG    $DIAGFMT                   Primary ICD-10 diag code from 1st claim           
                            101                          Missing                                 
                            343        Range of Codes    ICD Code                                
 
PROV        $FIDFMT                    Medicare provider number from claim               
                            101                          Missing                                 
                            343        Provider ID       Provider Number                         
 
STATUS      STATUS                     Beneficiary status as of claim thru date          
                            101                       .  Inapplicable/Missing                    
                             72                       1  Discharged to home/self care            
                             36                       2  Discharged to other short-term hospital 
                              4                       3  Discharged to skilled nursing facility  
                              8                       4  Discharged to intermediate care facility
                              4                       5  Disch to another type of institution    
                             13                       6  Discharged to home care of organized HMO
                              1                       7  Left against medical advice/stopped care
                             17                      20  Expired (did not recover Christian Sci) 
                            186                      30  Still patient                           
                              2                      70  Disch to other institution, no code     
 
UTLZNDAY    NUM3FMT                    Number of covered days of care                    
                            101                       .  Inapplicable/Missing                    
                             35                       0  None                                    
                            308        Range of values   Number                                  
 
COINDAY     NUM3FMT                    Total number of coinsurance days                  
                            101                       .  Inapplicable/Missing                    
                            169                       0  None                                    
                            174        Range of values   Number                                  
 
MCOHMO      HMO                        Event provided by an MCO/HMO?                     
                            356                       0  Event not provided by MCO/HMO           
                             88                       1  Event provided by MCO/HMO               
 
SOWMP       SOWMP                      Survey Only with Medicare Not MA Payment Flag     
                            237                       .  Missing                                 
                            204                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                              3                       1  Survey Only w/Medicare Payment (not MA) 
 
