Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                            675        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                            675                    2016  2016                                    
 
VERSION  VERSFMT                       Version Number                           
                            675                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                            292        001-999           Survey-reported event                   
                            381        C001-C999         Event created from claim                
                              2        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            381                          Missing                                 
                             46        IP                Inpatient                               
                            248        IU                Institutional utilization               
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            146                       .  Missing                                 
                            529        Range of values   Claim ID                                
 
CLMCNT   NUM3FMT                       Number of claims matched to this event   
                            146                       0  None                                    
                            529        Range of values   Number                                  
 
EVBEGYY  EVYY                          Event begin year                         
                              2                       .  Inapplicable                            
                            673        Range of values   Year                                    
 
EVBEGMM  EVMM                          Event begin month                        
                              3                       R  Refused                                 
                            672        01-12             Month                                   
 
EVBEGDD  EVDD                          Event begin day                          
                             37                       R  Refused                                 
                            638        01-31             Day of month                            
 
EVENDYY  EVYY                          Event end year                           
                              5                       .  Inapplicable                            
                            670        Range of values   Year                                    
 
EVENDMM  EVMM                          Event end month                          
                              5                       N  Not ascertained                         
                              1                       R  Refused                                 
                            669        01-12             Month                                   
 
EVENDDD  EVDD                          Event end day                            
                              5                       N  Not ascertained                         
                             35                       R  Refused                                 
                            635        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            146                       1  Survey only                             
                            381                       2  Claims only                             
                            148                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                            126        C                 Community                               
                              1        D                 Deemed community                        
                              4        H                 Hospice                                 
                              9        I                 Inpatient                               
                            535        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                            394                       0  Not Imputed                             
                            281                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                            675        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                            675        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                            675                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare            
                            669                       0  Not Imputed                             
                              6                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                            596                       0  Not Imputed                             
                             79                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                            535                       0  Not Imputed                             
                            140                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                            619                       0  Not Imputed                             
                             56                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                            616                       0  Not Imputed                             
                             59                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                            659                       0  Not Imputed                             
                             16                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                            658                       0  Not Imputed                             
                             17                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                            648                       0  Not Imputed                             
                             27                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                            647                       0  Not Imputed                             
                             28                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                            635                       0  Not Imputed                             
                             40                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                            633                       0  Not Imputed                             
                             42                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                            655                       0  Not Imputed                             
                             20                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                            655                       0  Not Imputed                             
                             20                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                            675        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                            494                       0  Not Imputed                             
                            181                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                            399                       0  Not Imputed                             
                            276                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                            675        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                            535                       0  Not Imputed                             
                            140                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                            353                       0  Not Imputed                             
                            322                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                            675        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                            652                       0  Not Imputed                             
                             23                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                            645                       0  Not Imputed                             
                             30                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       UNIQUE diagnosis codes for event         
                            146                       .  Inapplicable/Missing                    
                            529        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-9 diag code from 1st claim   
                            146                          Missing                                 
                            529        Range of Codes    ICD Code                                
 
E1DGNSCD $ECDFMT                       First E-CODE from claim                  
                            672                          Missing                                 
                              3        Range of Codes    E-Code                                  
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            146                          Missing                                 
                            529        Provider Number   Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            146                       .  Inapplicable/Missing                    
                            151                       1  Discharged to home/self care            
                             86                       2  Discharged to other short-term hospital 
                             12                       3  Discharged to skilled nursing facility  
                             11                       4  Discharged to intermediate care facility
                              5                       5  Disch to another type of institution    
                             41                       6  Discharged to home care of organized HMO
                             21                      20  Expired (did not recover Christian Sci) 
                            196                      30  Still patient                           
                              4                      50  Hospice - home                          
                              1                      62  Disch inp rehab; inc distinct hosp      
                              1                      70  Disch to other institution, no code     
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            146                       .  Inapplicable/Missing                    
                             80                       0  None                                    
                            449        Range of values   Number                                  
 
COINDAY  NUM3FMT                       Total number of coinsurance days         
                            146                       .  Inapplicable/Missing                    
                            270                       0  None                                    
                            259        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                            506                       0  Event not provided by MCO/HMO           
                            169                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            254                       .  Missing                                 
                            408                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             13                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
