Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                            869        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                            869                    2015  2015                                    
 
VERSION  VERSFMT                       Version Number                           
                            869                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Event identifier                         
                            369        001-999           Survey-reported event                   
                            494        C001-C999         Event created from claim                
                              6        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            494                          Missing                                 
                             64        IP                Inpatient                               
                            311        IU                Institutional utilization               
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            189                       .  Missing                                 
                            680        Range of values   Claim ID                                
 
CLMCNT   NUM3FMT                       Number of claims matched to this event   
                            189                       0  None                                    
                            680        Range of values   Number                                  
 
EVBEGYY  EVYY                          Event begin year                         
                              3                       R  Refused                                 
                            866        Range of values   Year                                    
 
EVBEGMM  EVMM                          Event begin month                        
                             18                       R  Refused                                 
                            851        01-12             Month                                   
 
EVBEGDD  EVDD                          Event begin day                          
                             57                       R  Refused                                 
                            812        01-31             Day of month                            
 
EVENDYY  EVYY                          Event end year                           
                              6                       N  Not ascertained                         
                              2                       R  Refused                                 
                            861        Range of values   Year                                    
 
EVENDMM  EVMM                          Event end month                          
                              6                       N  Not ascertained                         
                             18                       R  Refused                                 
                            845        01-12             Month                                   
 
EVENDDD  EVDD                          Event end day                            
                              8                       N  Not ascertained                         
                             52                       R  Refused                                 
                            809        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            189                       1  Survey only                             
                            494                       2  Claims only                             
                            186                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                            162        C                 Community                               
                              1        F                 Facility                                
                             12        H                 Hospice                                 
                              5        I                 Inpatient                               
                            689        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                            528                       0  Not Imputed                             
                            341                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                            869        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                            869        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                            869                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare            
                            864                       0  Not Imputed                             
                              5                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                            769                       0  Not Imputed                             
                            100                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                            694                       0  Not Imputed                             
                            175                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                            797                       0  Not Imputed                             
                             72                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                            790                       0  Not Imputed                             
                             79                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                            846                       0  Not Imputed                             
                             23                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                            846                       0  Not Imputed                             
                             23                       1  Imputed by hotdeck                      
 
AMTVA    MONYFMT                       Amount paid by Veterans Admin            
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSVA   IMPFLAG                       Imputation flag: SOP Veterans admin      
                            868                       0  Not Imputed                             
                              1                       1  Imputed by hotdeck                      
 
IMPAVA   IMPFLAG                       Imputation flag: Amt Veterans admin      
                            868                       0  Not Imputed                             
                              1                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                            839                       0  Not Imputed                             
                             30                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                            838                       0  Not Imputed                             
                             31                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                            830                       0  Not Imputed                             
                             39                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                            826                       0  Not Imputed                             
                             43                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                            823                       0  Not Imputed                             
                             46                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                            823                       0  Not Imputed                             
                             46                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                            617                       0  Not Imputed                             
                            252                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                            496                       0  Not Imputed                             
                            373                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                            869        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                            662                       0  Not Imputed                             
                            207                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                            451                       0  Not Imputed                             
                            418                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amount paid by other sources             
                            869        Range of values   Amount as $$$$$$.CC                     
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                            849                       0  Not Imputed                             
                             20                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                            840                       0  Not Imputed                             
                             29                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       UNIQUE diagnosis codes for event         
                            189                       .  Inapplicable/Missing                    
                            680        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-9 diag code from 1st claim   
                            189                          Missing                                 
                            680        Range of Codes    ICD Code                                
 
E1DGNSCD $ECDFMT                       First E-CODE from claim                  
                            866                          Missing                                 
                              3        Range of Codes    E-Code                                  
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            189                          Missing                                 
                            680        Provider Number   Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            189                       .  Inapplicable/Missing                    
                            221                       1  Discharged to home/self care            
                            126                       2  Discharged to other short-term hospital 
                             20                       3  Discharged to skilled nursing facility  
                              7                       4  Discharged to intermediate care facility
                              4                       5  Disch to another type of institution    
                             55                       6  Discharged to home care of organized HMO
                              1                       7  Left against medical advice/stopped care
                             15                      20  Expired (did not recover Christian Sci) 
                            223                      30  Still patient                           
                              2                      50  Hospice - home                          
                              3                      51  Hospice - medical facility              
                              1                      62  Disch inp rehab; inc distinct hosp      
                              1                      65  Disch to psychiatric hosp or unit       
                              1                      66  Other destination                       
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            189                       .  Inapplicable/Missing                    
                             85                       0  None                                    
                            595        Range of values   Number                                  
 
COINDAY  NUM3FMT                       Total number of coinsurance days         
                            189                       .  Inapplicable/Missing                    
                            315                       0  None                                    
                            365        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                            615                       0  Event not provided by MCO/HMO           
                            254                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            283                       .  Missing                                 
                            566                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             20                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
