Appendix A - Universal Data Set (UDS) Elements Collected by SPARCS in 1999
| Accident Related Code Accident Related Date Accommodations Days Accommodations Rate Accommodations Total Charges Accommodations Total Non-Covered Charges Admission Date Admission Hour Admitting Diagnosis Code After Anesthesia Indicator 1-14 Alternate Level of Care Days Ancillary Revenue Code Ancillary Total Charges Ancillary Total Non-Covered Charges Attending Physician State License Number Blood Furnished Code and Amount Covered Days Date Alternate Care Required Discharge Date Discharge Hour Do Not Resuscitate Indicator (DNR) DRG Number Billed Exempt Unit Indicator Expected Principal Reimbursement Expected Reimbursement Other 1 Expected Reimbursement Other 2 External Cause-of-Injury Code Leave of Absence Days Medical Record Number Method of Anesthesia Used Mother's Medical Record Number for Newborn Child Neonate Birth Weight New York State Patient Status or Disposition Non-Covered Days Operating Physician State License Number Other Diagnosis Code 1-14 Other Diagnosis Emergent Indicator, Onset 1-14 Other Physician State License Number Other Procedure Code 1-14 Other Procedure Date 1-14 Patient Birthdate Patient Control Number Patient Residence Address - Address Line 1 Patient Residence Address - Address Line 2 |
Patient Sex Patient's City Patient's County Code Patient's Ethnicity Patient's Postal Service Zip Code/Extension Code Patient's Race Patient's State Payer Identification Place-of-Injury Code Placement of Bed Indicator Policy Number Prehospital Care Report Number Principal Diagnosis Code Principal Procedure Code Principal Procedure Date Procedure Coding Method Provider Identification Number Source of Admission Source of Payment Code SPARCS Accommodation Code SPARCS Collector Code SPARCS Identification Number Special Program (DIS) Special Program (FP) Special Program (PHC) Special Program (SFP) Statement Covers Period - From Date Statement Covers Period - Thru Date Surplus, Catast., or Rec. Monthly Inc. Code/Amt Total Accommodations Charges Total Accommodations Non-Covered Charges Total Acute Certified Days Total Ancillary Charges Total Ancillary Non-Covered Charges Total Charges Total Leave of Absence Days Total Non-Covered Charges Transaction Code Type of Admission Type of Alternate Care Required Type of Bill Unique Personal Identifier Unscheduled/Scheduled Admission Workers' Compensation/No Fault Indicator/Amt |
