§1010.APPENDIX F. State Inpatient Dataset (SIDS) Data Elements

1.         Age in years at admission

 

2.         Age in days (when age < 1 year)

 

3.         Age in months (when age < 11 years)

 

4.         Admission month

 

5.         Admission source (uniform)

 

6.         Admission type

 

7.         Admission day is a weekend

 

8.         Room and board charges

 

9.         Ancillary charges

 

10.         Anesthesiology charges

 

11.         Pharmacy charges

 

12.         Radiology charges

 

13.         Clinical lab charges

 

14.         Labor-delivery charges

 

15.         Operating room charges

 

16.         Oncology charges

 

17.         Other charges

 

18.         Died during hospitalization

 

19.         Disposition of patient (uniform)

 

20.         Discharge quarter

 

21.         DRG (or successor category grouping) code in effect on discharge date

 

22.         Data source hospital identifier

 

23.         Principal diagnosis

 

24.         Up to 14 secondary diagnoses

 

25.         CCS: principal diagnosis

 

26.         CCS: up to 14 secondary diagnoses

 

27.         Indicator of sex

 

28.         Length of stay (as received from source)

 

29.         MDC (or successor) code in effect on discharge date

 

30.         Number of diagnoses on this record

 

31.         Number of procedures on this record

 

32.         Primary expected health plan identifier (uniform)

 

33.         Secondary expected health plan identifier (uniform)

 

34.         Principal procedure code (if present)

 

35.         Up to 9 secondary procedure codes (if present)

 

36.         CCS: principal procedure (if present)

 

37.         CCS: up to 9 secondary procedures (if present)

 

38.         Total charges (as received from source)

 

39.         Calendar year of discharge

 

40.         Patient zip code (uniform)

 

41.         Patient county code (uniform)

 

42.         Newborn birth weight in grams

 

43.         Do Not Resuscitate (DNR)

 

44.         Hospitalization employment related

 

45.         Admitting diagnosis code

 

46.         Diagnosis present at admission for each diagnosis code

 

47.         Ecodes (when present)

 

48.         Number of days between admission and primary procedure (if present)

 

49.         Row ID (when necessary: provides linkage to Revenue Code Dataset)