/* SHORT TITLE: Codebook for Provider Billing */
********************************************************************************
* W E S T A T C O D E B O O K *
* ----------- --------------- *
* *
* STUDY OF HEALTH CARE COSTS *
* WESTAT PROVIDER SURVEY MASTER RECORD - PUBLIC USE *
* 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 MASTER RECORD - PUBLIC USE *
* 30 JUNE 1994 *
********************************************************************************
(0)
28 Jun. 1994
Record 01
STUDY OF HEALTH CARE COSTS
WESTAT PROVIDER SURVEY MASTER RECORD - PUBLIC USE
30 JUNE 1994
Question Column
Name Number(s)
________ _________
PATID 001-009 PATIENT ID NUMBER
_________________
000000001-
999999999 = RANDOMLY ASSIGNED PATIENT ID NUMBER
ULT_PA 010-016 PROVIDER ID
___________
0000001-
9999999 = RANDOMLY ASSIGNED PROVIDER ID NUMBER
PFORM 017 QUESTIONNAIRE FORM TYPE
_______________________
T = INPATIENT STAY BILLING FORM
V = AMBULATORY BILLING FORM
Y = HOME HEALTH BILLING FORM
Z = PHARMACY BILLING FORM
PRECORD 018-019 RECORD NUMBER
_____________
01 = RECORD NUMBER
PSUBREC 020-022 SUBRECORD NUMBER
________________
001-999 = SUBRECORD NUMBER
IEVENTFG 023 WAS ENTIRE RECORD IMPUTED?
___________________________
+ = INAPPLICABLE
Y = YES
(1)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
OWNSHP2 024 HOSPITAL OWNERSHIP CODE
_______________________
+ = INAPPLICABLE
1 = PUBLIC HOSPITAL/OWNERSHIP UNKNOWN
2 = PRIVATE HOSPITAL
3 = FEDERALLY OWNED
CARETYPE 025-026 TYPE OF CARE PROVIDED (DERIVED)
EACH OF THE FOUR PROVIDER BILLING SURVEY DATA FILES CONTAIN RECORDS THAT MAY REPRESENT
MORE THAN ONE TYPE OF HEALTH CARE SERVICE. FOR EXAMPLE, THE INPATIENT STAY FILE CONTAINS
INFORMATION ABOUT BOTH HOSPITAL INPATIENT AND NURSING HOME EVENTS, THE PRESCRIPTION
MEDICINE FILE INCLUDES DATA ON PRESCRIPTION MEDICATIONS AS WELL AS MEDICAL EQUIPMENT AND
SUPPLIES, AND SO ON. CARETYPE IS A DERIVED VARIABLE WHICH IS USED TO DISTINGUISH AMONG
THE VARIOUS TYPES OF SERVICES. NONRESPONSES WERE IMPUTED BY THIS CARE TYPE VARIABLE.
01 = INPATIENT STAY
02 = NURSING HOME STAY
03 = SEPARATE BILLING PROVIDER
04 = EMERGENCY ROOM
05 = HOSPITAL CLINIC
06 = COMMUNITY CLINIC
07 = PRIVATE MD
08 = MENTAL HEALTH - PSYCHIATRIST
09 = MENTAL HEALTH - SUPPORT GROUP/OTHER
10 = OTHER MEDICAL PRACTITIONER
11 = ALTERNATIVE THERAPIST
12 = DRUG/ALCOHOL TREATMENT
13 = HOME HEALTH
14 = MEDICAL EQUIPMENT/SUPPLIES
15 = PRESCRIPTION MEDICATIONS
16 = UNKNOWN
(2)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PTE_EVNT 027-029 TOTAL VISITS FOR EVENT PERIOD
_____________________________
001-999 = NUMBER
Variable Naming Conventions Key:
PTE_* = ASSIGNED TO TOTAL AMOUNT VARIABLES
PTE_I* = ASSIGNED TO IMPUTED TOTAL AMOUNT VARIABLES
PEC_* = ASSIGNED TO CHARGE VARIABLES
PEC_I* = ASSIGNED TO IMPUTED CHARGE VARIABLES
PEP_* = ASSIGNED TO SOURCE OF PAYMENT VARIABLES
PEP_I* = ASSIGNED TO IMPUTED SOURCE OF PAYMENT VARIABLES
PEN_* = ASSIGNED TO REASONS PAYMENT NOT EXPECTED VARIABLES
PEN_I* = ASSIGNED TO IMPUTED REASONS PAYMENT NOT EXPECTED VARIABLES
FLG_I* = ASSIGNED TO TYPE OF IMPUTE FLAG VARIABLES - MISCELLANEOUS DATA ELEMENTS
FGT_I* = ASSIGNED TO TYPE OF IMPUTE FLAG VARIABLES - TOTAL AMOUNT
FGC_I* = ASSIGNED TO TYPE OF IMPUTE FLAG VARIABLES - CHARGE
FGP_I* = ASSIGNED TO TYPE OF IMPUTE FLAG VARIABLES - SOURCE OF PAYMENT
FGN_I* = ASSIGNED TO TYPE OF IMPUTE FLAG VARIABLES - REASONS PAYMENT NOT EXPECTED
PRBEGIN (030-035) EVENT BEGINNING DATE
____________________
PRBEGMO 030-031 BEGIN DATE - MONTH
__________________
01-12 = MONTH
99 = NOT ASCERTAINED
PRBEGDY 032-033 BEGIN DATE - DAY
________________
01-31 = DAY
99 = NOT ASCERTAINED
PRBEGYR 034-035 BEGIN DATE - YEAR
_________________
91-92 = YEAR
99 = NOT ASCERTAINED
(3)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PRENDDT (036-041) EVENT END DATE
______________
PRENDMO 036-037 END DATE - MONTH
________________
01-12 = MONTH
99 = NOT ASCERTAINED
PRENDDY 038-039 END DATE - DAY
______________
01-31 = DAY
99 = NOT ASCERTAINED
PRENDYR 040-041 END DATE - YEAR
_______________
91-92 = YEAR
99 = NOT ASCERTAINED
NUMNIGHT 042-044 LENGTH OF STAY IN NIGHTS (DERIVED)
__________________________________
+ = INAPPLICABLE
001-998 = NUMBER OF NIGHTS
999 = NOT ASCERTAINED
ILOS2 045-047 IMPUTED LENGTH OF STAY
______________________
+ = INAPPLICABLE
001-998 = IMPUTED NUMBER OF NIGHTS
(4)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FLG_ILS2 048-050 TYPE OF IMPUTATION - LENGTH OF STAY
___________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
IMPUTATION FLAG VARIABLES (FLG_I*, FGT_I*, FGC_I*, FGP_I*, AND FGN_I*) DESCRIBE THE TYPE
OF IMPUTATION THAT WAS CONDUCTED (IF ANY) FOR A SPECIFIC VARIABLE.
THE TYPE OF IMPUTATION FLAG IS SET TO "0" WHEN NO IMPUTATION WAS DONE FOR THE SPECIFIC
VARIABLE WITH WHICH THE FLAG IS ASSOCIATED, E.G.; FLG_ILS2 = "0", MEANS THAT NUMNIGHT WAS
NOT IMPUTED ON THIS EVENT RECORD.
THE TYPE OF IMPUTATION FLAG MAY CONTAIN MULTIPLE CODES IF MORE THAN ONE TYPE OF OPERATION
WAS PERFORMED ON THE ASSOCIATED RECORD, E.G.; FGC_IPHI = "ME", MEANS THAT PEC_IPHI WAS
IMPUTED ON THE DONOR RECORD AND THAT THIS ENTIRE EVENT RECORD IS A RECIPIENT OF EVENT
IMPUTATION (IEVENTFG = Y).
[SEE USER'S GUIDE FOR DETAILS OF IMPUTATION.]
PHSTAYFG 051-054 UNIQUE IDENTIFIER LINKING INPATIENT STAY AND ER VISITS AND SBDS ASSOCIATED WITH THAT STAY
(BY DATE)
EACH INPATIENT STAY IS ASSIGNED A UNIQUE STAY NUMBER (PHSTAYFG). SIMILARLY, ALL
EMERGENCY ROOM VISITS THAT RESULTED IN AN INPATIENT ADMISSION AND SEPARATELY BILLING
PROVIDER EVENTS IN THE AMBULATORY VISIT FILE ARE ASSIGNED A UNIQUE STAY NUMBER WHICH
CORRESPONDS TO THE STAY NUMBER FOR THE ASSOCIATED INPATIENT EVENT.
+ = INAPPLICABLE
0001-9999 = STAY NUMBER
(5)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
DXCODES (055-084) DIAGNOSES CODES
NOTE ABOUT MEDICAL CODES:
MEDICAL CODES ARE STORED 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"; THE CODE "311XX" SHOULD BE READ AS "311".
TPD1 055-059 PRINCIPAL DIAGNOSIS CODE
________________________
+ = INAPPLICABLE
AAAAA-ZZZZZ = ICD - 9-CM/CODES
00000-99990 = ICD - 9-CM/CODES
99999 = NOT ASCERTAINED
TPOD1 060-064 OTHER DIAGNOSIS CODE - FIRST LISTED
___________________________________
+ = INAPPLICABLE
AAAAA-ZZZZZ = ICD - 9-CM/CODES
00000-99990 = ICD - 9-CM/CODES
TPOD2 065-069 OTHER DIAGNOSIS CODE - SECOND LISTED
____________________________________
+ = INAPPLICABLE
AAAAA-ZZZZZ = ICD - 9-CM/CODES
00000-99990 = ICD - 9-CM/CODES
TPOD3 070-074 OTHER DIAGNOSIS CODE - THIRD LISTED
___________________________________
+ = INAPPLICABLE
AAAAA-ZZZZZ = ICD - 9-CM/CODES
00000-99990 = ICD - 9-CM/CODES
(6)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
TPOD4 075-079 OTHER DIAGNOSIS CODE - FOURTH LISTED
____________________________________
+ = INAPPLICABLE
AAAAA-ZZZZZ = ICD - 9-CM/CODES
00000-99990 = ICD - 9-CM/CODES
TPOD5 080-084 OTHER DIAGNOSIS CODE - FIFTH LISTED
___________________________________
+ = INAPPLICABLE
AAAAA-ZZZZZ = ICD - 9-CM/CODES
00000-99990 = ICD - 9-CM/CODES
PROCD (085-100) PROCEDURE CODES
_______________
TPPC 085-088 PRINCIPAL PROCEDURE CODE
________________________
+ = INAPPLICABLE
AAAA-ZZZZ = PROCEDURE CODES
0001-9998 = PROCEDURE CODES
9999 = NOT ASCERTAINED
TPRO1 089-092 OTHER PROCEDURE CODE - FIRST LISTED
___________________________________
+ = INAPPLICABLE
AAAA-ZZZZ = PROCEDURE CODES
0001-9998 = PROCEDURE CODES
TPRO2 093-096 OTHER PROCEDURE CODE - SECOND LISTED
____________________________________
+ = INAPPLICABLE
AAAA-ZZZZ = PROCEDURE CODES
0001-9998 = PROCEDURE CODES
(7)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
TPRO3 097-100 OTHER PROCEDURE CODE - THIRD LISTED
___________________________________
+ = INAPPLICABLE
AAAA-ZZZZ = PROCEDURE CODES
0001-9998 = PROCEDURE CODES
(8)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PREASON 101-103 REASON FOR VISIT
________________
+ = INAPPLICABLE
001 = VISIT, NOT OTHERWISE SPECIFIED
002 = VISIT WITH LAB WORK INDICATED
003 = VISIT WITH RADIOLOGY WORK INDICATED
004 = VISIT WITH DIAGNOSTIC PROCEDURE INDICATED, INCLUDES EYE EXAM
005 = VISIT WITH THERAPY (ANY KIND) INDICATED - THIS WOULD INCLUDE INHALATION
THERAPY, TRANSFUSION THERAPY, RESPIRATOR
006 = OUTPATIENT SURGERY VISIT
007 = ER VISIT
008 = CONSULT NOT OTHERWISE SPECIFIED
009 = VISIT WITH PHYSICAL
010 = INPATIENT STAY CONSULT
011 = PSYCHIATRIC EVALUATION
101 = REGISTERED NURSE
102 = LICENSED PRACTICAL NURSE
103 = HOME HEALTH AIDE
105 = HOMEMAKER
200 = THERAPIST, IMPUTED EVENT
201 = SOCIAL WORKER/MEDICAL SOCIAL SERVICE
202 = ROUTINE HOME CARE
203 = TECHNICIAN/THERAPY/IV NOT OTHERWISE SPECIFIED
204 = IV THERAPIST
205 = PHYSICIAN
206 = EQUIPMENT RENTAL
207 = VOLUNTEER
208 = ATTENDANT
209 = CPA
210 = PHYSICAL THERAPIST
211 = SPEECH THERAPY/PATHOLOGY
212 = SUPPLIES/RX/LAB
213 = CASE MANAGEMENT
214 = HYDRATION THERAPY
215 = TPN THERAPY
216 = RESPITE CARE
217 = NURSING ON CALL
218 = COUNSELOR
219 = NUTRITIONIST
220 = RESPIRATORY THERAPY
221 = CNA
222 = ANTIBIOTIC THERAPY
223 = MEDICATION THERAPY
224 = HOME INFUSION THERAPY
225 = COMBINED SERVICES
226 = PROVIDER
(9)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
227 = MAINTENANCE THERAPY
228 = INDUCTION THERAPY
229 = HOSPICE PER DIEM
230 = ET
231 = PERSONAL CARE AIDE
232 = OCCUPATIONAL THERAPY
233 = CLERICAL
234 = RD
235 = THERAPIST, NOT OTHERWISE SPECIFIED
236 = CAPD HOME SUPPORT
991 = OTHER SPECIFIED
999 = NOT ASCERTAINED
PDRUGCD2 104-107 DRUG CODE
_________
+ = INAPPLICABLE
0001-9996 = USE CODES IN APPENDIX 26
9999 = NOT ASCERTAINED
IDRUGCD 108-111 DRUG CODE ORIGINAL/IMPUTED
__________________________
+ = INAPPLICABLE
0001-9996 = USE CODES IN APPENDIX 26
9999 = NOT ASCERTAINED
FLG_IDRG 112-114 TYPE OF IMPUTATION - DRUG CODE
______________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(10)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
ZDOSE 115-134 DRUG DOSAGE
___________
+ = INAPPLICABLE
00000000000000000000-
ZZZZZZZZZZZZZZ= VERBATIM
IDOSE 135-154 DRUG DOSAGE ORIGINAL/IMPUTED
____________________________
+ = INAPPLICABLE
00000000000000000000-
ZZZZZZZZZZZZZZ= VERBATIM
FLG_IDOS 155-157 TYPE OF IMPUTATION - DRUG DOSAGE
________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
ZQTY 158-160 QUANTITY
________
000 = QUANTITY NOT APPLICABLE
001-995 = QUANTITY
996 = 996 OR GREATER
999 = NOT ASCERTAINED
IQTY 161-163 QUANTITY ORIGINAL/IMPUTED
_________________________
000 = QUANTITY NOT APPLICABLE
001-995 = QUANTITY
996 = 996 OR GREATER
999 = NOT ASCERTAINED
(11)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FLG_IQTY 164-166 TYPE OF IMPUTATION - QUANTY
___________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PTE_CHRG 167-172 TOTAL AMOUNT CHARGED FOR EVENT
______________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PTE_ICHR 173-178 TOTAL AMOUNT CHARGED FOR EVENT ORIGINAL/IMPUTED
_______________________________________________
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGT_ICHR 179-181 TYPE OF IMPUTATION IMPUTE FLAG - TOTAL CHARGE
_____________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(12)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEC_RM 182-187 AMOUNT CHARGED - ROOM
_____________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IRM 188-193 AMOUNT CHARGED ORIGINAL/IMPUTED - ROOM
______________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IRM 194-196 TYPE OF IMPUTATION IMPUTE FLAG - ROOM
_____________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_PHIV 197-202 AMOUNT CHARGED - PHARMACY/IV SOLUTION
_____________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IPHI 203-208 AMOUNT CHARGED ORIGINAL/IMPUTED - PHARMACY/IV SOLUTION
______________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
(13)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGC_IPHI 209-211 TYPE OF IMPUTATION IMPUTE FLAG - PHARMACY/IV SOLUTION
_____________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_RAD 212-217 AMOUNT CHARGED - RADIOLOGY
__________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IRAD 218-223 AMOUNT CHARGED ORIGINAL/IMPUTED - RADIOLOGY
___________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IRAD 224-226 TYPE OF IMPUTATION IMPUTE FLAG - RADIOLOGY
__________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(14)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEC_LAB 227-232 AMOUNT CHARGED - LAB FEE
________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_ILAB 233-238 AMOUNT CHARGED ORIGINAL/IMPUTED - LAB FEE
_________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_ILAB 239-241 TYPE OF IMPUTATION IMPUTE FLAG - LAB FEE
________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_SPL 242-247 AMOUNT CHARGED - MEDICAL/SURGICAL SUPPLIES
__________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_ISPL 248-253 AMOUNT CHARGED ORIGINAL/IMPUTED - MEDICAL/SURGICAL SUPPLIES
___________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
(15)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGC_ISPL 254-256 TYPE OF IMPUTATION IMPUTE FLAG - MEDICAL/SURGICAL SUPPLIES
__________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_PRF 257-262 AMOUNT CHARGED - PROFESSIONAL FEE
_________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IPRF 263-268 AMOUNT CHARGED ORIGINAL/IMPUTED - PROFESSIONAL FEE
__________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IPRF 269-271 TYPE OF IMPUTATION IMPUTE FLAG - PROFESSIONAL FEE
_________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(16)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEC_ER 272-277 AMOUNT CHARGED - EMERGENCY ROOM
_______________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IER 278-283 AMOUNT CHARGED ORIGINAL/IMPUTED - EMERGENCY ROOM
________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IER 284-286 TYPE OF IMPUTATION IMPUTE FLAG - EMERGENCY ROOM
_______________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_OSA 287-292 AMOUNT CHARGED - AGGREGATED OTHER NOT INCLUDING ER
__________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IOSA 293-298 AMOUNT CHARGED ORIGINAL/IMPUTED - AGGREGATED OTHER NOT INCLUDING ER
___________________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
(17)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGC_IOSA 299-301 TYPE OF IMPUTATION IMPUTE FLAG - AGGREGATED OTHER NOT INCLUDING ER
__________________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_RMO 302-307 AMOUNT CHARGED - OPERATING/RECOVERY ROOM
________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IRMO 308-313 AMOUNT CHARGED ORIGINAL/IMPUTED - OPERATING/RECOVERY ROOM
_________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IRMO 314-316 TYPE OF IMPUTATION IMPUTE FLAG - OPERATING/RECOVERY ROOM
________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(18)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEC_SPLA 317-322 AMOUNT CHARGED - OTHER MEDICAL/SURGICAL SUPPLIES INCLUDING ANESTHESIA
_____________________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_ISPA 323-328 AMOUNT CHARGED ORIGINAL/IMPUTED - OTHER MEDICAL/SURGICAL SUPPLIES INCLUDING ANESTHESIA
______________________________________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_ISPA 329-331 TYPE OF IMPUTATION IMPUTE FLAG - OTHER MEDICAL/SURGICAL SUPPLIES INCLUDING ANESTHESIA
_____________________________________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_DIAG 332-337 AMOUNT CHARGED - DIAGNOSTIC TESTS
_________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IDIA 338-343 AMOUNT CHARGED ORIGINAL/IMPUTED - DIAGNOSTIC TESTS
__________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
(19)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGC_IDIA 344-346 TYPE OF IMPUTATION IMPUTE FLAG - DIAGNOSTIC TESTS
_________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_THRP 347-352 AMOUNT CHARGED - THERAPY
________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_ITHR 353-358 AMOUNT CHARGED ORIGINAL/IMPUTED - THERAPY
_________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_ITHR 359-361 TYPE OF IMPUTATION IMPUTE FLAG - THERAPY
________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
(20)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEC_AUX 362-367 AMOUNT CHARGED - AUXILIARY CHARGES
__________________________________
+ = INAPPLICABLE IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IAUX 368-373 AMOUNT CHARGED ORIGINAL/IMPUTED - AUXILIARY CHARGES
___________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IAUX 374-376 TYPE OF IMPUTATION IMPUTE FLAG - AUXILIARY CHARGES
__________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_ICU 377-382 AMOUNT CHARGED - INTENSIVE CARE UNIT
____________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IICU 383-388 AMOUNT CHARGED ORIGINAL/IMPUTED - INTENSIVE CARE UNIT
_____________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
(21)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGC_IICU 389-391 TYPE OF IMPUTATION IMPUTE FLAG - INTENSIVE CARE UNIT
____________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_MISC 392-397 AMOUNT CHARGED - MISCELLANEOUS CHARGES
______________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IMIS 398-403 AMOUNT CHARGED ORIGINAL/IMPUTED - MISCELLANEOUS CHARGES
_______________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IMIS 404-406 TYPE OF IMPUTATION IMPUTE FLAG - MISCELLANEOUS CHARGES
______________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(22)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEC_OTH 407-412 AMOUNT CHARGED - OTHER UNIDENTIFIED
___________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IOTH 413-418 AMOUNT CHARGED ORIGINAL/IMPUTED - OTHER UNIDENTIFIED
____________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IOTH 419-421 TYPE OF IMPUTATION IMPUTE FLAG - OTHER UNIDENTIFIED
___________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_FLT 422-427 AMOUNT CHARGED - FLAT FEE
_________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IFLT 428-433 AMOUNT CHARGED ORIGINAL/IMPUTED - FLAT FEE
__________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
(23)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGC_IFLT 434-436 TYPE OF IMPUTATION IMPUTE FLAG - FLAT FEE
_________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEC_MED 437-442 AMOUNT CHARGED - MEDICATION (IMPUTED IN AMBULATORY ONLY)
________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
PEC_IMED 443-448 AMOUNT CHARGED ORIGINAL/IMPUTED - MEDICATION (IMPUTED IN AMBULATORY ONLY)
_________________________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT CHARGED
999999 = NOT ASCERTAINED
FGC_IMED 449-451 TYPE OF IMPUTATION IMPUTE FLAG - MEDICATION (IMPUTED IN AMBULATORY ONLY)
________________________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(24)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PTE_PAY 452-457 TOTAL AMOUNT PAID
_________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PTE_IPAY 458-463 TOTAL AMOUNT PAID ORIGINAL/IMPUTED
__________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGT_IPAY 464-466 TYPE OF IMPUTATION - IMPUTE FLAG TOTAL AMOUNT PAID
__________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_SELF 467-472 AMOUNT PAID - SELF
__________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_ISEL 473-478 AMOUNT PAID ORIGINAL/IMPUTED - SELF
___________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
(25)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGP_ISEL 479-481 TYPE OF IMPUTATION - IMPUTE FLAG - SELF
_______________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_MEDC 482-487 AMOUNT PAID - MEDICARE/MEDICAID
_______________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IMEC 488-493 AMOUNT PAID ORIGINAL/IMPUTED - MEDICARE/MEDICAID
________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGP_IMEC 494-496 TYPE OF IMPUTATION - IMPUTE FLAG - MEDICARE/MEDICAID
____________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(26)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEP_PRVI 497-502 AMOUNT PAID - PRIVATE INSURANCE
_______________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IPRV 503-508 AMOUNT PAID ORIGINAL/IMPUTED - PRIVATE INSURANCE
________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGP_IPRV 509-511 TYPE OF IMPUTATION - IMPUTE FLAG - PRIVATE INSURANCE
____________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_PPP 512-517 AMOUNT PAID - PRE-PAID PLAN
___________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IPPP 518-523 AMOUNT PAID ORIGINAL/IMPUTED - PRE-PAID PLAN
____________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
(27)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGP_IPPP 524-526 TYPE OF IMPUTATION - IMPUTE FLAG - PRE-PAID PLAN
________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_COMM 527-532 AMOUNT PAID - COMMUNITY ORGANIZATIONS
_____________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_ICOM 533-538 AMOUNT PAID ORIGINAL/IMPUTED - COMMUNITY ORGANIZATIONS
______________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGP_ICOM 539-541 TYPE OF IMPUTATION - IMPUTE FLAG - COMMUNITY ORGANIZATIONS
__________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(28)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEP_AGN 542-547 AMOUNT PAID - AGENCY PLACEMENT
______________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IAGN 548-553 AMOUNT PAID ORIGINAL/IMPUTED - AGENCY PLACEMENT
_______________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGP_IAGN 554-556 TYPE OF IMPUTATION - IMPUTE FLAG - AGENCY PLACEMENT
___________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_PUB 557-562 AMOUNT PAID - OTHER PUBLIC
__________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IPUB 563-568 AMOUNT PAID ORIGINAL/IMPUTED - OTHER PUBLIC
___________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
(29)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGP_IPUB 569-571 TYPE OF IMPUTATION - IMPUTE FLAG - OTHER PUBLIC
_______________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_DSAB 572-577 AMOUNT PAID - DISABILITY
________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IDSA 578-583 AMOUNT PAID ORIGINAL/IMPUTED - DISABILITY
_________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGP_IDSA 584-586 TYPE OF IMPUTATION - IMPUTE FLAG - DISABILITY
_____________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(30)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEP_GRNT 587-592 AMOUNT PAID - FEDERAL GRANT
___________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IGRN 593-598 AMOUNT PAID ORIGINAL/IMPUTED - FEDERAL GRANT
____________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGP_IGRN 599-601 TYPE OF IMPUTATION - IMPUTE FLAG - FEDERAL GRANT
________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_PRTY 602-607 AMOUNT PAID - RESPONSIBLE PARTY
_______________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IPRT 608-613 AMOUNT PAID ORIGINAL/IMPUTED - RESPONSIBLE PARTY
________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
(31)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGP_IPRT 614-616 TYPE OF IMPUTATION - IMPUTE FLAG - RESPONSIBLE PARTY
____________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEP_OTH 617-622 AMOUNT PAID - OTHER
___________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PEP_IOTH 623-628 AMOUNT PAID ORIGINAL/IMPUTED - OTHER
____________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGP_IOTH 629-631 TYPE OF IMPUTATION - IMPUTE FLAG - OTHER
________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(32)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PTE_3RD 632-637 AMOUNT PAID - THIRD PARTY - PHARMACY ONLY
_________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PTE_I3RD 638-643 AMOUNT PAID ORIGINAL/IMPUTED - THIRD PARTY - PHARMACY ONLY
__________________________________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
FGT_I3RD 644-646 TYPE OF IMPUTATION - IMPUTE FLAG - THIRD PARTY - PHARMACY ONLY
______________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PTE_NPAY 647-652 AMOUNT NOT EXPECTED
___________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
PTE_INPA 653-658 AMOUNT NOT EXPECTED ORIGINAL/IMPUTED
____________________________________
+ = INAPPLICABLE
000000 = NOTHING
000001-999995 = AMOUNT
999999 = NOT ASCERTAINED
(33)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGT_INPA 659-661 TYPE OF IMPUTATION - IMPUTE FLAG - AMOUNT NOT EXPECTED
______________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
WHYNOPAY (662-721) REASON(S) WHY PAYMENTS NOT EXPECTED
___________________________________
PEN_CAID 662 REASON PAYMENTS NOT EXPECTED - MEDICAID CAPS
____________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
PEN_ICAI 663 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - MEDICAID CAPS
_____________________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
(34)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGN_ICAI 664-666 TYPE OF IMPUTATION - IMPUTE FLAG - MEDICAID CAPS
________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEN_CARE 667 REASON PAYMENTS NOT EXPECTED - MEDICARE ASSIGNMENTS
___________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
PEN_ICAR 668 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - MEDICARE ASSIGNMENTS
____________________________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
FGN_ICAR 669-671 TYPE OF IMPUTATION - IMPUTE FLAG - MEDICARE ASSIGNMENTS
_______________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(35)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEN_PRVI 672 REASON PAYMENTS NOT EXPECTED - PRIVATE INSURANCE
________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
PEN_IPRV 673 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - PRIVATE INSURANCE
_________________________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
FGN_IPRV 674-676 TYPE OF IMPUTATION - IMPUTE FLAG - PRIVATE INSURANCE
____________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEN_PAT 677 REASON PAYMENTS NOT EXPECTED - PATIENT'S ABILITY TO PAY
_______________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
PEN_IPAT 678 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - PATIENT'S ABILITY TO PAY
________________________________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
(36)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGN_IPAT 679-681 TYPE OF IMPUTATION - IMPUTE FLAG - PATIENT'S ABILITY TO PAY
___________________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEN_RES 682 REASON PAYMENTS NOT EXPECTED - RESEARCH STUDY
_____________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
PEN_IRES 683 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - RESEARCH STUDY
______________________________________________________________
+ = INAPPLICABLE
1 = CIRCLED
2 = NOT CIRCLED
9 = NOT ASCERTAINED
FGN_IRES 684-686 TYPE OF IMPUTATION - IMPUTE FLAG - RESEARCH STUDY
_________________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(37)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEN_OFF 687 REASON PAYMENTS NOT EXPECTED - WRITE OFFS
_________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
PEN_IOFF 688 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - WRITE OFFS
__________________________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
FGN_IOFF 689-691 TYPE OF IMPUTATION - IMPUTE FLAG - WRITE OFFS
_____________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEN_DSCN 692 REASON PAYMENTS NOT EXPECTED - DISCOUNTS
________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
PEN_IDSC 693 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - DISCOUNTS
_________________________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
(38)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGN_IDSC 694-696 TYPE OF IMPUTATION - IMPUTE FLAG - DISCOUNTS
____________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEN_ADJ 697 REASON PAYMENTS NOT EXPECTED - ADJUSTMENTS
__________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
PEN_IADJ 698 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - ADJUSTMENTS
___________________________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
FGN_IADJ 699-701 TYPE OF IMPUTATION - IMPUTE FLAG - ADJUSTMENTS
______________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(39)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEN_ASSN 702 REASON PAYMENTS NOT EXPECTED - ASSIGNMENTS
__________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
PEN_IASS 703 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - ASSIGNMENTS
___________________________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
FGN_IASS 704-706 TYPE OF IMPUTATION - IMPUTE FLAG - ASSIGNMENTS
______________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEN_DSAL 707 REASON PAYMENTS NOT EXPECTED - DISALLOWED
_________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
PEN_IDSA 708 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - DISALLOWED
__________________________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
(40)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
FGN_IDSA 709-711 TYPE OF IMPUTATION - IMPUTE FLAG - DISALLOWED
_____________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
PEN_HMO 712 REASON PAYMENTS NOT EXPECTED - HMO CAP
______________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
PEN_IHMO 713 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - HMO CAP
_______________________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
FGN_IHMO 714-716 TYPE OF IMPUTATION - IMPUTE FLAG - HMO CAP
__________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(41)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
PEN_RECH 717 REASON PAYMENTS NOT EXPECTED - RECHARGE
_______________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
PEN_IREC 718 REASON PAYMENTS NOT EXPECTED ORIGINAL/IMPUTED - RECHARGE
________________________________________________________
+ = INAPPLICABLE
1 = REASON RECORDED IN OTHER SPECIFIED FOR WHY PAYMENTS NOT EXPECTED
FGN_IREC 719-721 TYPE OF IMPUTATION - IMPUTE FLAG - RECHARGE
___________________________________________
0 = ITEM NOT IMPUTED
E = RESULT OF EVENT IMPUTATION (IEVENTFG = Y)
M = RESULT OF MISSING ITEM IMPUTATION
P = TOTAL CHARGE VALUE CONSIDERED A CO-PAYMENT; SET TO MISSING BUT NOT
IMPUTED
ME = RESULT OF MISSING ITEM IMPUTATION AND EVENT IMPUTATION (IEVENTFG = Y)
PM = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION PERFORMED
PE = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, EVENT
IMPUTATION PERFORMED (IEVENTFG = Y)
PME = TOTAL CHARGE CONSIDERED A CO-PAYMENT: SET TO MISSING; THEN, MISSING ITEM
IMPUTATION AND EVENT IMPUTATION PERFORMED (IEVENTFG = Y)
(42)
28 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
INDEX OF VARIABLES PAGE 001
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== C =====
CARETYPE 025-026 Record 01 002
===== D =====
DXCODES (055-084) Record 01 006
===== F =====
FGC_IAUX 374-376 Record 01 021
FGC_IDIA 344-346 Record 01 020
FGC_IER 284-286 Record 01 017
FGC_IFLT 434-436 Record 01 024
FGC_IICU 389-391 Record 01 022
FGC_ILAB 239-241 Record 01 015
FGC_IMED 449-451 Record 01 024
FGC_IMIS 404-406 Record 01 022
FGC_IOSA 299-301 Record 01 018
FGC_IOTH 419-421 Record 01 023
FGC_IPHI 209-211 Record 01 014
FGC_IPRF 269-271 Record 01 016
FGC_IRAD 224-226 Record 01 014
FGC_IRM 194-196 Record 01 013
FGC_IRMO 314-316 Record 01 018
FGC_ISPA 329-331 Record 01 019
FGC_ISPL 254-256 Record 01 016
FGC_ITHR 359-361 Record 01 020
FGN_IADJ 699-701 Record 01 039
FGN_IASS 704-706 Record 01 040
FGN_ICAI 664-666 Record 01 035
FGN_ICAR 669-671 Record 01 035
FGN_IDSA 709-711 Record 01 041
FGN_IDSC 694-696 Record 01 039
FGN_IHMO 714-716 Record 01 041
FGN_IOFF 689-691 Record 01 038
FGN_IPAT 679-681 Record 01 037
FGN_IPRV 674-676 Record 01 036
FGN_IREC 719-721 Record 01 042
FGN_IRES 684-686 Record 01 037
FGP_IAGN 554-556 Record 01 029
FGP_ICOM 539-541 Record 01 028
FGP_IDSA 584-586 Record 01 030
FGP_IGRN 599-601 Record 01 031
FGP_IMEC 494-496 Record 01 026
FGP_IOTH 629-631 Record 01 032
FGP_IPPP 524-526 Record 01 028
INDEX OF VARIABLES PAGE 002
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== F =====
FGP_IPRT 614-616 Record 01 032
FGP_IPRV 509-511 Record 01 027
FGP_IPUB 569-571 Record 01 030
FGP_ISEL 479-481 Record 01 026
FGT_ICHR 179-181 Record 01 012
FGT_INPA 659-661 Record 01 034
FGT_IPAY 464-466 Record 01 025
FGT_I3RD 644-646 Record 01 033
FLG_IDOS 155-157 Record 01 011
FLG_IDRG 112-114 Record 01 010
FLG_ILS2 048-050 Record 01 005
FLG_IQTY 164-166 Record 01 012
===== I =====
IDOSE 135-154 Record 01 011
IDRUGCD 108-111 Record 01 010
IEVENTFG 023 Record 01 001
ILOS2 045-047 Record 01 004
IQTY 161-163 Record 01 011
===== N =====
NUMNIGHT 042-044 Record 01 004
===== O =====
OWNSHP2 024 Record 01 002
===== P =====
PATID 001-009 Record 01 001
PDRUGCD2 104-107 Record 01 010
PEC_AUX 362-367 Record 01 021
PEC_DIAG 332-337 Record 01 019
PEC_ER 272-277 Record 01 017
PEC_FLT 422-427 Record 01 023
PEC_IAUX 368-373 Record 01 021
PEC_ICU 377-382 Record 01 021
PEC_IDIA 338-343 Record 01 019
PEC_IER 278-283 Record 01 017
PEC_IFLT 428-433 Record 01 023
PEC_IICU 383-388 Record 01 021
PEC_ILAB 233-238 Record 01 015
PEC_IMED 443-448 Record 01 024
INDEX OF VARIABLES PAGE 003
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== P =====
PEC_IMIS 398-403 Record 01 022
PEC_IOSA 293-298 Record 01 017
PEC_IOTH 413-418 Record 01 023
PEC_IPHI 203-208 Record 01 013
PEC_IPRF 263-268 Record 01 016
PEC_IRAD 218-223 Record 01 014
PEC_IRM 188-193 Record 01 013
PEC_IRMO 308-313 Record 01 018
PEC_ISPA 323-328 Record 01 019
PEC_ISPL 248-253 Record 01 015
PEC_ITHR 353-358 Record 01 020
PEC_LAB 227-232 Record 01 015
PEC_MED 437-442 Record 01 024
PEC_MISC 392-397 Record 01 022
PEC_OSA 287-292 Record 01 017
PEC_OTH 407-412 Record 01 023
PEC_PHIV 197-202 Record 01 013
PEC_PRF 257-262 Record 01 016
PEC_RAD 212-217 Record 01 014
PEC_RM 182-187 Record 01 013
PEC_RMO 302-307 Record 01 018
PEC_SPL 242-247 Record 01 015
PEC_SPLA 317-322 Record 01 019
PEC_THRP 347-352 Record 01 020
PEN_ADJ 697 Record 01 039
PEN_ASSN 702 Record 01 040
PEN_CAID 662 Record 01 034
PEN_CARE 667 Record 01 035
PEN_DSAL 707 Record 01 040
PEN_DSCN 692 Record 01 038
PEN_HMO 712 Record 01 041
PEN_IADJ 698 Record 01 039
PEN_IASS 703 Record 01 040
PEN_ICAI 663 Record 01 034
PEN_ICAR 668 Record 01 035
PEN_IDSA 708 Record 01 040
PEN_IDSC 693 Record 01 038
PEN_IHMO 713 Record 01 041
PEN_IOFF 688 Record 01 038
PEN_IPAT 678 Record 01 036
PEN_IPRV 673 Record 01 036
PEN_IREC 718 Record 01 042
PEN_IRES 683 Record 01 037
PEN_OFF 687 Record 01 038
PEN_PAT 677 Record 01 036
INDEX OF VARIABLES PAGE 004
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== P =====
PEN_PRVI 672 Record 01 036
PEN_RECH 717 Record 01 042
PEN_RES 682 Record 01 037
PEP_AGN 542-547 Record 01 029
PEP_COMM 527-532 Record 01 028
PEP_DSAB 572-577 Record 01 030
PEP_GRNT 587-592 Record 01 031
PEP_IAGN 548-553 Record 01 029
PEP_ICOM 533-538 Record 01 028
PEP_IDSA 578-583 Record 01 030
PEP_IGRN 593-598 Record 01 031
PEP_IMEC 488-493 Record 01 026
PEP_IOTH 623-628 Record 01 032
PEP_IPPP 518-523 Record 01 027
PEP_IPRT 608-613 Record 01 031
PEP_IPRV 503-508 Record 01 027
PEP_IPUB 563-568 Record 01 029
PEP_ISEL 473-478 Record 01 025
PEP_MEDC 482-487 Record 01 026
PEP_OTH 617-622 Record 01 032
PEP_PPP 512-517 Record 01 027
PEP_PRTY 602-607 Record 01 031
PEP_PRVI 497-502 Record 01 027
PEP_PUB 557-562 Record 01 029
PEP_SELF 467-472 Record 01 025
PFORM 017 Record 01 001
PHSTAYFG 051-054 Record 01 005
PRBEGDY 032-033 Record 01 003
PRBEGIN (030-035) Record 01 003
PRBEGMO 030-031 Record 01 003
PRBEGYR 034-035 Record 01 003
PREASON 101-103 Record 01 009
PRECORD 018-019 Record 01 001
PRENDDT (036-041) Record 01 004
PRENDDY 038-039 Record 01 004
PRENDMO 036-037 Record 01 004
PRENDYR 040-041 Record 01 004
PROCD (085-100) Record 01 007
PSUBREC 020-022 Record 01 001
PTE_CHRG 167-172 Record 01 012
PTE_EVNT 027-029 Record 01 003
PTE_ICHR 173-178 Record 01 012
PTE_INPA 653-658 Record 01 033
PTE_IPAY 458-463 Record 01 025
PTE_I3RD 638-643 Record 01 033
INDEX OF VARIABLES PAGE 005
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== P =====
PTE_NPAY 647-652 Record 01 033
PTE_PAY 452-457 Record 01 025
PTE_3RD 632-637 Record 01 033
===== T =====
TPD1 055-059 Record 01 006
TPOD1 060-064 Record 01 006
TPOD2 065-069 Record 01 006
TPOD3 070-074 Record 01 006
TPOD4 075-079 Record 01 007
TPOD5 080-084 Record 01 007
TPPC 085-088 Record 01 007
TPRO1 089-092 Record 01 007
TPRO2 093-096 Record 01 007
TPRO3 097-100 Record 01 008
===== U =====
ULT_PA 010-016 Record 01 001
===== W =====
WHYNOPAY (662-721) Record 01 034
===== Z =====
ZDOSE 115-134 Record 01 011
ZQTY 158-160 Record 01 011