Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          2,235        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          2,235                    2016  2016                                    
 
VERSION  VERSFMT                       Version Number                           
                          2,235                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          1,434        001-999           Survey-reported event                   
                            799        C001-C999         Event created from claim                
                              2        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                            799                          Missing                                 
                             37        ER                Emergency Room                          
                          1,355        IP                Inpatient                               
                             17        IU                Institutional utilization               
                             27        OP                Outpatient                              
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                            458                       .  Missing                                 
                          1,777        Range of values   Claim ID                                
 
EVBEGYY  EVYY                          Event begin year                         
                          2,235        Range of values   Year                                    
 
EVBEGMM  EVMM                          Event begin month                        
                              4                       R  Refused                                 
                          2,231        01-12             Month                                   
 
EVBEGDD  EVDD                          Event begin day                          
                              1                       .  Inapplicable                            
                            105                       R  Refused                                 
                          2,129        01-31             Day of month                            
 
EVENDYY  EVYY                          Event end year                           
                             20                       .  Inapplicable                            
                          2,215        Range of values   Year                                    
 
EVENDMM  EVMM                          Event end month                          
                             20                       .  Inapplicable                            
                              8                       R  Refused                                 
                          2,207        01-12             Month                                   
 
EVENDDD  EVDD                          Event end day                            
                             20                       .  Inapplicable                            
                            106                       R  Refused                                 
                          2,109        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                            458                       1  Survey only                             
                            799                       2  Claims only                             
                            978                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                            457        C                 Community                               
                              2        F                 Facility                                
                              6        H                 Hospice                                 
                          1,764        I                 Inpatient                               
                              5        IH                Inpatient Hospice                       
                              1        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                          1,515                       0  Not Imputed                             
                            720                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                          2,235                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare            
                          2,206                       0  Not Imputed                             
                             29                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                          2,058                       0  Not Imputed                             
                            177                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                          1,885                       0  Not Imputed                             
                            350                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                          1,950                       0  Not Imputed                             
                            285                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                          1,844                       0  Not Imputed                             
                            391                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                          2,156                       0  Not Imputed                             
                             79                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                          2,139                       0  Not Imputed                             
                             96                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                          2,153                       0  Not Imputed                             
                             82                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                          2,116                       0  Not Imputed                             
                            119                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                          2,105                       0  Not Imputed                             
                            130                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                          2,044                       0  Not Imputed                             
                            191                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                          2,184                       0  Not Imputed                             
                             51                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                          2,184                       0  Not Imputed                             
                             51                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                          2,235        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                          2,037                       0  Not Imputed                             
                            198                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                          1,884                       0  Not Imputed                             
                            351                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                          2,235        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                          1,320                       0  Not Imputed                             
                            915                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                            984                       0  Not Imputed                             
                          1,251                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                          2,235        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                          2,231                       0  Not Imputed                             
                              4                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                          2,221                       0  Not Imputed                             
                             14                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       Number of diagnosis codes on claim       
                            458                       .  Inapplicable/Missing                    
                          1,777        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-9 diag code                  
                            458                          Missing                                 
                          1,777        Range of Codes    ICD Code                                
 
POAIND   POAFMT                        Present on admission indicator           
                            458                       .  Missing                                 
                             41                       0  No codes present on admission           
                          1,736                       1  At least 1 code present on admis        
 
E1DGNSCD $ECDFMT                       First E-CODE from claim                  
                          1,918                          Missing                                 
                            317        Range of Codes    E-Code                                  
 
DRG      $DRGFMT                       Diagnosis related group from claim       
                            458                          Missing                                 
                          1,777        Range of Codes    DRG                                     
 
IPPRJCNT NUM3FMT                       Number of procedure codes on claim       
                            458                       .  Inapplicable/Missing                    
                            839                       0  None                                    
                            938        Range of values   Number                                  
 
PRCDRCD1 $PRCDRFM                      First procedure codes on claim           
                          1,297                          Missing                                 
                            938        Range of Codes    Procedure Code                          
 
PROV     $FIDFMT                       Medicare provider number from claim      
                            458                          Missing                                 
                          1,777        Provider Number   Provider Number                         
 
STATUS   STATUS                        Beneficiary status as of claim thru date 
                            458                       .  Inapplicable/Missing                    
                            761                       1  Discharged to home/self care            
                             43                       2  Discharged to other short-term hospital 
                            396                       3  Discharged to skilled nursing facility  
                             32                       4  Discharged to intermediate care facility
                            300                       6  Discharged to home care of organized HMO
                              2                       7  Left against medical advice/stopped care
                             61                      20  Expired (did not recover Christian Sci) 
                              2                      30  Still patient                           
                              2                      43  Disch/Transferred to a Fed Hospital     
                             41                      50  Hospice - home                          
                             37                      51  Hospice - medical facility              
                             14                      61  Disch w/i facility to swing-bed SNF     
                             56                      62  Disch inp rehab; inc distinct hosp      
                             10                      63  Disch to long term care hospital        
                              3                      64  Disch cert nursing; Mcaid, not Mcare    
                             10                      65  Disch to psychiatric hosp or unit       
                              3                      70  Disch to other institution, no code     
                              2                      81  Disch to home/self-care: planned readmit
                              1                      83  Disch to SNF: planned readmit           
                              1                      90  Disch to inp rehab fac: planned readmit 
 
UTLZNDAY NUM3FMT                       Number of covered days of care           
                            458                       .  Inapplicable/Missing                    
                             44                       0  None                                    
                          1,733        Range of values   Number                                  
 
COINDAY  NUM3FMT                       Total number of coinsurance days         
                            458                       .  Inapplicable/Missing                    
                          1,774                       0  None                                    
                              3        Range of values   Number                                  
 
LRDAYS   NUM3FMT                       Number of lifetime reserve days used     
                            458                       .  Inapplicable/Missing                    
                          1,776                       0  None                                    
                              1        Range of values   Number                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                          1,439                       0  Event not provided by MCO/HMO           
                            796                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                            314                       .  Missing                                 
                          1,871                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                             50                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
