/* SHORT TITLE: Codebook for Medical Record Abstract - HIV Checklist */
********************************************************************************
* W E S T A T C O D E B O O K *
* ----------- --------------- *
* *
* STUDY OF HEALTH CARE COSTS *
* WESTAT PROVIDER SURVEY MEDICAL ABSTRACT FORM - PUBLIC USE *
* CHECKLIST CONDITIONS *
* 30 JUNE 1994 *
********************************************************************************
********************************************************************************
* W E S T A T C O D E B O O K *
* ----------- --------------- *
* *
* STUDY OF HEALTH CARE COSTS *
* WESTAT PROVIDER SURVEY MEDICAL ABSTRACT FORM - PUBLIC USE *
* CHECKLIST CONDITIONS *
* 30 JUNE 1994 *
********************************************************************************
(0)
27 Jun. 1994
Record 01
STUDY OF HEALTH CARE COSTS
WESTAT PROVIDER SURVEY MEDICAL ABSTRACT FORM - PUBLIC USE
CHECKLIST CONDITIONS
30 JUNE 1994
Question Column
Name Number(s)
________ _________
(1)
27 Jun. 1994
Record 03
STUDY OF HEALTH CARE COSTS
WESTAT PROVIDER SURVEY MEDICAL ABSTRACT FORM - PUBLIC USE
CHECKLIST CONDITIONS
30 JUNE 1994
Question Column
Name Number(s)
________ _________
UBAT03 001-005 ALWAYS BLANK
____________
+ = ALWAYS BLANK
UPID03 006-014 PATIENT ID NUMBER
_________________
000000001-
999999999 = RANDOMLY ASSIGNED SEQUENTIAL NUMBER
UREC03 015-016 RECORD NUMBER
_____________
03 = RECORD NUMBER
USREC03 017-018 SUBRECORD NUMBER
________________
01-99 = REPEATING RECORD
UFIL103 019 FIRST FILLER ON RECORD 03
_________________________
+ = ALWAYS BLANK
THE OUTPATIENT/CLINIC RECORDS CONTAIN INFORMATION ON MEDICAL CONDITIONS COMMONLY
ASSOCIATED WITH HIV INFECTED PERSONS. FOR PURPOSES OF THIS STUDY, A CHECKLIST OF 75
CONDITIONS WAS DEVELOPED AND EACH CONDITION WAS CLASSIFIED AS ACUTE OR NON-ACUTE.
HOSPITAL OUTPATIENT, EMERGENCY ROOM CLINIC AND PHYSICIAN RECORDS WERE REVIEWED FOR ANY
MENTION OF THESE CONDITIONS.
EACH OUTPATIENT/CLINIC RECORD CONTAINS SPACE FOR 8 REPORT DATES FOR A PARTICULAR
CONDITION. IF MORE THAN 8 DATES WERE PRESENT IN THE MEDICAL DATA , ADDITIONAL DATES ARE
RECORDED ON ANOTHER RECORD. IN ADDITION, INFORMATION ON THE SAME CONDITION MAY HAVE BEEN
COLLECTED FROM MULTIPLE PROVIDERS AND APPEARS ON SEPARATE RECORDS. THEREFORE, IT IS
IMPORTANT THAT THE USER SEARCH ALL OUTPATIENT RECORDS FOR A PATIENT IF THEY ARE
INTERESTED IN OBTAINING ALL INFORMATION THAT WAS COLLECTED ON A PARTICULAR CONDITION.
(2)
27 Jun. 1994
Record 03
Question Column
Name Number(s)
________ _________
U9ACODE 020-024 CHECK LIST CONDITION
CODER: CODES ASSIGNED BY MEDICAL CODERS USING INTERNATIONAL CLASSIFICATION OF DISEASE,
9TH REVISION, CLINICAL MODIFICATION, 3RD EDITION, 1989.
NOTE ABOUT MEDICAL CODES:
MEDICAL CODES ARE STORES IN 5 COLUMN FIELDS. THE DECIMAL POINT IS IMPLIED BETWEEN THE
THIRD AND FOURTH COLUMNS. AN X OR XX AT THE END OF A MEDICAL CODE IS USED AS (A) PLACE
HOLDER(S).
FOR EXAMPLE: THE CODE "41010" SHOULD BE READ AS "410.10"; THE CODE "VF29X" SHOULD BE
READ AS "VF2.9"; AND THE CODE "311XX" SHOULD BE READ AS "311".
AAAAA-ZZZZZ = ICD - 9-CM/CODES
00001-99990 = ICD - 9-CM/CODES
UCCDATE (025-030) DATE OF DIAGNOSIS OR ONSET OF CONDITION
_______________________________________
UCCDXMO 025-026 DATE OF DIAGNOSIS OR ONSET OF CONDITION - MONTH
_______________________________________________
01-12 = MONTH
99 = NOT ASCERTAINED
UCCDXDY 027-028 DATE OF DIAGNOSIS OR ONSET OF CONDITION - DAY
_____________________________________________
01-31 = DAY
99 = NOT ASCERTAINED
UCCDXYR 029-030 DATE OF DIAGNOSIS OR ONSET OF CONDITION - YEAR
______________________________________________
47-92 = YEAR
99 = NOT ASCERTAINED
UCCRDAT1 (031-036) FIRST REPORT DATE LISTED
________________________
(3)
27 Jun. 1994
Record 03
Question Column
Name Number(s)
________ _________
UCCR1MO 031-032 FIRST REPORT DATE - MONTH
_________________________
01-12 = MONTH
99 = NOT ASCERTAINED
UCCR1DY 033-034 FIRST REPORT DATE - DAY
_______________________
01-31 = DAY
99 = NOT ASCERTAINED
UCCR1YR 035-036 FIRST REPORT DATE - YEAR
________________________
90-92 = YEAR
UCCRDAT2 (037-042) SECOND REPORT DATE LISTED
_________________________
UCCR2MO 037-038 SECOND REPORT DATE - MONTH
__________________________
+ = INAPPLICABLE, REPORTED LESS THAN 2 TIMES
01-12 = MONTH
99 = NOT ASCERTAINED
UCCR2DY 039-040 SECOND REPORT DATE - DAY
________________________
+ = INAPPLICABLE, REPORTED LESS THAN 2 TIMES
01-31 = DAY
99 = NOT ASCERTAINED
UCCR2YR 041-042 SECOND REPORT DATE - YEAR
_________________________
+ = INAPPLICABLE, REPORTED LESS THAN 2 TIMES
90-92 = YEAR
UCCRDAT3 (043-048) THIRD REPORT DATE LISTED
________________________
(4)
27 Jun. 1994
Record 03
Question Column
Name Number(s)
________ _________
UCCR3MO 043-044 THIRD REPORT DATE - MONTH
_________________________
+ = INAPPLICABLE, REPORTED LESS THAN 3 TIMES
01-12 = MONTH
99 = NOT ASCERTAINED
UCCR3DY 045-046 THIRD REPORT DATE - DAY
_______________________
+ = INAPPLICABLE, REPORTED LESS THAN 3 TIMES
01-31 = DAY
99 = NOT ASCERTAINED
UCCR3YR 047-048 THIRD REPORT DATE - YEAR
________________________
+ = INAPPLICABLE, REPORTED LESS THAN 3 TIMES
90-92 = YEAR
UCCRDAT4 (049-054) FOURTH REPORT DATE LISTED
_________________________
UCCR4MO 049-050 FOURTH REPORT DATE - MONTH
__________________________
+ = INAPPLICABLE, REPORTED LESS THAN 4 TIMES
01-12 = MONTH
99 = NOT ASCERTAINED
UCCR4DY 051-052 FOURTH REPORT DATE - DAY
________________________
+ = INAPPLICABLE, REPORTED LESS THAN 4 TIMES
01-31 = DAY
99 = NOT ASCERTAINED
UCCR4YR 053-054 FOURTH REPORT DATE - YEAR
_________________________
+ = INAPPLICABLE, REPORTED LESS THAN 4 TIMES
90-92 = YEAR
(5)
27 Jun. 1994
Record 03
Question Column
Name Number(s)
________ _________
UCCRDAT5 (055-060) FIFTH REPORT DATE LISTED
________________________
UCCR5MO 055-056 FIFTH REPORT DATE - MONTH
_________________________
+ = INAPPLICABLE, REPORTED LESS THAN 5 TIMES
01-12 = MONTH
99 = NOT ASCERTAINED
UCCR5DY 057-058 FIFTH REPORT DATE - DAY
_______________________
+ = INAPPLICABLE, REPORTED LESS THAN 5 TIMES
01-31 = DAY
99 = NOT ASCERTAINED
UCCR5YR 059-060 FIFTH REPORT DATE - YEAR
________________________
+ = INAPPLICABLE, REPORTED LESS THAN 5 TIMES
90-92 = YEAR
UCCRDAT6 (061-066) SIXTH REPORT DATE LISTED
________________________
UCCR6MO 061-062 SIXTH REPORT DATE - MONTH
_________________________
+ = INAPPLICABLE, REPORTED LESS THAN 6 TIMES
01-12 = MONTH
99 = NOT ASCERTAINED
UCCR6DY 063-064 SIXTH REPORT DATE - DAY
_______________________
+ = INAPPLICABLE, REPORTED LESS THAN 6 TIMES
01-31 = DAY
99 = NOT ASCERTAINED
(6)
27 Jun. 1994
Record 03
Question Column
Name Number(s)
________ _________
UCCR6YR 065-066 SIXTH REPORT DATE - YEAR
________________________
+ = INAPPLICABLE, REPORTED LESS THAN 6 TIMES
90-92 = YEAR
UCCRDAT7 (067-072) SEVENTH REPORT DATE LISTED
__________________________
UCCR7MO 067-068 SEVENTH REPORT DATE - MONTH
___________________________
+ = INAPPLICABLE, REPORTED LESS THAN 7 TIMES
01-12 = MONTH
99 = NOT ASCERTAINED
UCCR7DY 069-070 SEVENTH REPORT DATE - DAY
_________________________
+ = INAPPLICABLE, REPORTED LESS THAN 7 TIMES
01-31 = DAY
99 = NOT ASCERTAINED
UCCR7YR 071-072 SEVENTH REPORT DATE - YEAR
__________________________
+ = INAPPLICABLE, REPORTED LESS THAN 7 TIMES
90-92 = YEAR
UCCRDAT8 (073-078) EIGHTH REPORT DATE LISTED
_________________________
UCCR8MO 073-074 EIGHTH REPORT DATE - MONTH
__________________________
+ = INAPPLICABLE, REPORTED LESS THAN 8 TIMES
01-12 = MONTH
99 = NOT ASCERTAINED
(7)
27 Jun. 1994
Record 03
Question Column
Name Number(s)
________ _________
UCCR8DY 075-076 EIGHTH REPORT DATE - DAY
________________________
+ = INAPPLICABLE, REPORTED LESS THAN 8 TIMES
01-31 = DAY
99 = NOT ASCERTAINED
UCCR8YR 077-078 EIGHTH REPORT DATE - YEAR
_________________________
+ = INAPPLICABLE, REPORTED LESS THAN 8 TIMES
90-92 = YEAR
UFIL203 079-124 SECOND FILLER ON RECORD 03
__________________________
+ = ALWAYS BLANK
USCID03 125-131 USUAL SOURCE OF CARE PROVIDER ID
________________________________
000001-
9999999 = RANDOMLY ASSIGNED SEQUENTIAL NUMBER
UFIL303 132 THIRD FILLER ON RECORD 03
_________________________
+ = ALWAYS BLANK
(8)
27 Jun. 1994
Record 03
Question Column
Name Number(s)
________ _________
INDEX OF VARIABLES PAGE 001
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== U =====
UBAT03 001-005 Record 03 002
UCCDATE (025-030) Record 03 003
UCCDXDY 027-028 Record 03 003
UCCDXMO 025-026 Record 03 003
UCCDXYR 029-030 Record 03 003
UCCRDAT1 (031-036) Record 03 003
UCCRDAT2 (037-042) Record 03 004
UCCRDAT3 (043-048) Record 03 004
UCCRDAT4 (049-054) Record 03 005
UCCRDAT5 (055-060) Record 03 006
UCCRDAT6 (061-066) Record 03 006
UCCRDAT7 (067-072) Record 03 007
UCCRDAT8 (073-078) Record 03 007
UCCR1DY 033-034 Record 03 004
UCCR1MO 031-032 Record 03 004
UCCR1YR 035-036 Record 03 004
UCCR2DY 039-040 Record 03 004
UCCR2MO 037-038 Record 03 004
UCCR2YR 041-042 Record 03 004
UCCR3DY 045-046 Record 03 005
UCCR3MO 043-044 Record 03 005
UCCR3YR 047-048 Record 03 005
UCCR4DY 051-052 Record 03 005
UCCR4MO 049-050 Record 03 005
UCCR4YR 053-054 Record 03 005
UCCR5DY 057-058 Record 03 006
UCCR5MO 055-056 Record 03 006
UCCR5YR 059-060 Record 03 006
UCCR6DY 063-064 Record 03 006
UCCR6MO 061-062 Record 03 006
UCCR6YR 065-066 Record 03 007
UCCR7DY 069-070 Record 03 007
UCCR7MO 067-068 Record 03 007
UCCR7YR 071-072 Record 03 007
UCCR8DY 075-076 Record 03 008
UCCR8MO 073-074 Record 03 007
UCCR8YR 077-078 Record 03 008
UFIL103 019 Record 03 002
UFIL203 079-124 Record 03 008
UFIL303 132 Record 03 008
UPID03 006-014 Record 03 002
UREC03 015-016 Record 03 002
USCID03 125-131 Record 03 008
USREC03 017-018 Record 03 002
U9ACODE 020-024 Record 03 003