Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         46,893        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                         46,893                    2016  2016                                    
 
VERSION  VERSFMT                       Version Number                           
                         46,893                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                         26,944        001-999           Survey-reported event                   
                         19,825        C001-C999         Event created from claim                
                            124        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                         19,825                          Missing                                 
                          1,990        ER                Emergency Room                          
                            730        IP                Inpatient                               
                         12,401        MP                Medical provider                        
                            232        OM                Other medical expense                   
                          9,743        OP                Outpatient                              
                          1,058        SD                Separately billing physician            
                            914        SL                Separately billing lab                  
 
CLAIMID  CLAIMID                       1st Claim this survey event matched to   
                         12,903                       .  Missing                                 
                         33,990        Range of values   Claim ID                                
 
FROMDT   MMDDYYn8                      From date on claim                       
                         12,903                       .  Inapplicable                            
                         33,990        MMDDYYYY          Date as MMDDYYYY                        
 
THRUDT   MMDDYYn8                      Thru date on claim                       
                         12,903                       .  Inapplicable                            
                         33,990        MMDDYYYY          Date as MMDDYYYY                        
 
EVBEGYY  EVYY                          Event begin year                         
                             77                       .  Inapplicable                            
                         46,816        Range of values   Year                                    
 
EVBEGMM  EVMM                          Event begin month                        
                              8                       D  Don't Know                              
                             77                       .  Inapplicable                            
                              1                       N  Not ascertained                         
                            158                       R  Refused                                 
                         46,649        01-12             Month                                   
 
EVBEGDD  EVDD                          Event begin day                          
                             84                       D  Don't Know                              
                          9,630                       .  Inapplicable                            
                          2,382                       R  Refused                                 
                         34,797        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: survey, claim, or both? 
                         12,903                       1  Survey only                             
                         19,825                       2  Claims only                             
                         14,165                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              4        B                 Both community & facility               
                         41,662        C                 Community                               
                            375        D                 Deemed community                        
                          3,946        F                 Facility                                
                             61        G                 Deemed facility                         
                            126        H                 Hospice                                 
                            365        I                 Inpatient                               
                            354        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag: total payment           
                         26,402                       0  Not Imputed                             
                         20,491                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                         46,893                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare            
                         44,992                       0  Not Imputed                             
                          1,901                       1  Imputed by hotdeck                      
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                         43,273                       0  Not Imputed                             
                          3,620                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                         40,184                       0  Not Imputed                             
                          6,709                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                         42,260                       0  Not Imputed                             
                          4,633                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                         40,734                       0  Not Imputed                             
                          6,159                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by private MCO/HMO           
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Priv MCO/HMO        
                         45,417                       0  Not Imputed                             
                          1,476                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Priv MCO/HMO        
                         44,953                       0  Not Imputed                             
                          1,940                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amt paid by priv ins (employer spons)    
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                         45,226                       0  Not Imputed                             
                          1,667                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                         44,083                       0  Not Imputed                             
                          2,810                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amt paid by priv ins (indiv purch)       
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv purch
                         44,000                       0  Not Imputed                             
                          2,893                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv purch
                         42,758                       0  Not Imputed                             
                          4,135                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amt paid by priv ins (unknown purch)     
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputation flag: SOP priv ins-unknown    
                         46,541                       0  Not Imputed                             
                            352                       1  Imputed by hotdeck                      
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                         46,541                       0  Not Imputed                             
                            352                       1  Imputed by hotdeck                      
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                         46,893        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by pers/fam    
                         40,788                       0  Not Imputed                             
                          6,105                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by pers/fam    
                         38,042                       0  Not Imputed                             
                          8,851                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected SP liability       
                         46,893        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                         28,018                       0  Not Imputed                             
                         18,875                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                         19,042                       0  Not Imputed                             
                         27,851                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                         46,893        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                         46,848                       0  Not Imputed                             
                             45                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                         46,291                       0  Not Imputed                             
                            602                       1  Imputed by hotdeck                      
 
DGNCNT   NUM3FMT                       Number of diagnosis codes on claim       
                         12,903                       .  Inapplicable/Missing                    
                         33,990        Range of values   Number                                  
 
PRINDIAG $DIAGFMT                      Primary ICD-9 diag code                  
                         12,903                          Missing                                 
                         33,990        Range of Codes    ICD Code                                
 
E1DGNSCD $ECDFMT                       First E-Code from claim                  
                         45,942                          Missing                                 
                            951        Range of Codes    E-Code                                  
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                         31,006                       0  Event not provided by MCO/HMO           
                         15,887                       1  Event provided by MCO/HMO               
 
SOWMP    SOWMP                         Survey Only with Medicare Not MA Payment 
                          4,302                       .  Missing                                 
                         39,995                       0  Not Srvy Only w/Medicare Pymnt (not MA) 
                          2,596                       1  Survey Only w/Medicare Payment (not MA) 
                 First available in 2015
 
