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Data Element Name:  Source of Admission / Point of Origin File Location:   Master, De-Identified, De-Identified Abbreviated
SPARCS Data Element Number:  13
Record Positions:  75 - 75 Format-Length:  A/N - 1
Effective Date:  1/1/1994 Revision Date:  October 2007
Identifying Data Element:  No

Definition:

The code that best described the origin of the patient's admission to the hospital.

Codes and Values:

     1.    1 = Non-Health Facility Point of Origin
Inpatient: The patient was admitted to this facility upon an order of a physician.
Outpatient: The patient presents to this facility with an order from a physician for services or seeks scheduled services for which an order is not required (e.g. mammography). Includes non-emergent self-referrals.

2 = Clinic
Inpatient: The patient was referred to this facility as a transfer from a freestanding or non-freestanding clinic.
Outpatient: The patient was referred to this facility for outpatient or referenced diagnostic services.

3 = Reserved for assignment by the NUBC.

4 = Transfer From a Hospital (Different Facility)
Inpatient: The patient was admitted to this facility as a hospital transfer from an acute care facility where he or she was an inpatient or outpatient.
Outpatient: The patient was transferred to this facility as an outpatient from an acute care facility.

5 = Transfer From a Skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF)
Inpatient: The patient was admitted to this facility as a transfer from a SNF or ICF where he or she was a resident.
Outpatient: The patient was referred to this facility for outpatient or referenced diagnostic services for a SNF or ICF where he or she was a resident. Note: NYS no longer uses ICF determination.

6 = Transfer From Another Health Care Facility
Inpatient: The patient was admitted to this facility as a transfer from another type of health care facility not defined elsewhere in this code list.
Outpatient: The patient was referred to this facility for services by (a physician of) another health care facility not defined elsewhere in this code list where he or she was an inpatient or outpatient.

7 = Emergency Room
Inpatient: The patient was admitted to this facility after receiving services in this facility's emergency department.
Outpatient: The patient received unscheduled services in this facility's emergency department and discharged without an inpatient admission. Includes self-referrals in emergency situations that require immediate medical attention.
Excludes: Patients who came to the emergency room from another health care facility.

8 = Court/Law Enforcement
Inpatient: The patient was admitted to this facility upon the direction of a court of law, or upon the request of a law enforcement agency representative.
Outpatient: The patient was referred to this facility upon the direction of a court of law, or upon the request of a law enforcement agency representative for outpatient or referenced diagnostic services.

9 = Information Not Available
The means by which the patient was admitted to this hospital was not known.

A = Transfer from a Rural Primary Care Hospital (Only valid for discharges prior to 10/1/2007)
The patient was admitted to this facility as a transfer from a Rural Primary Care Hospital (RPCH) where he or she was an inpatient.

D = Transfer from One Distinct Unit of the Hospital to another Distinct Unit of the Same Hospital Resulting in a Separate Claim to the Payer
Inpatient: The patient was admitted to this facility as a transfer from hospital inpatient within this facility resulting in a separate claim to the payer.
Outpatient: The patient received outpatient services in this facility as a transfer from within this hospital resulting in a separate claim to the payer.

E = Transfer from Ambulatory Surgery Center (Effective 10/1/2007)
Inpatient: The patient was admitted to this facility as a transfer from an ambulatory surgery center.
Outpatient: The patient was referred to this facility for outpatient or referenced diagnostic services from an ambulatory surgery center.

F = Transfer from Hospice and is Under a Hospice Plan of Care or Enrolled in a Hospice Program (Effective 10/1/2007)
Inpatient: The patient was admitted to this facility as a transfer from a hospice.
Outpatient: The patient was referred to this facility for outpatient or referenced diagnostic services from a hospice.

     2.    If the Type of Admission (Data Element 12) is a Newborn, "4", the following coding scheme must be used for Source of Admission:

1 = Normal Delivery (Only valid for discharges prior to 10/1/2007)

2 = Premature Delivery (Only valid for discharges prior to 10/1/2007)

3 = Sick Baby (Only valid for discharges prior to 10/1/2007)

4 = Extra Mural Birth (Only valid for discharges prior to 10/1/2007)

5 = Born Inside Hospital (Effective 10/1/2007)
A baby born inside this Hospital.

6 = Born Outside Hospital (Effective 10/1/2007)
A baby born outside of this Hospital.


Edit Applications:

  1. Must have been a valid entry.

Conversion Notes For Records Prior to 1994:

This field is the result of the interaction of 3 fields on the DDA : Admit Status, Admit Source, and Transfer Status. Below is a list of the combinations of these fields and the derived value for Source of Admission.

        Admit Status Admit Source Transfer Status Source of Admission
1-Unscheduled 1-Emergency 1-Another Acute Hosp 4-Transfer from a hospital
1 1 2-Residential HCF 5-Transfer from an SNF
1 1 3-Fac. not 1 or 2 6-Transfer from another HCF
1 1 4-Not a transfer 7-Emergency Room

1-Unscheduled 2-Outpatient 1-Another Acute Hosp 4-Transfer from a hospital
1 2 2-Residential HCF 5-Transfer from an SNF
1 2 3-Fac. not 1 or 2 6-Transfer from another HCF
1 2 4-Not a transfer 7-Emergency Room

1-Unscheduled 3-Physican 1-Another Acute Hosp 1-Physician Referral
1 3 2-Residential HCF 1
1 3 3-Fac. not 1 or 2 1
1 3 4-Not a transfer 1

1-Unscheduled 4-Other 1-Another Acute Hosp 4-Transfer from a hospital
1 4 2-Residential HCF 5-Transfer from an SNF
1 4 3-Fac. not 1 or 2 6-Transfer from another HCF
1 4 4-Not a transfer 9-Information not available

2-Scheduled 1-Emergency 1-Another Acute Hosp 7-Emergency Room
2 1 2-Residential HCF 7
2 1 3-Fac. not 1 or 2 7
2 1 4-Not a transfer 7

2-Scheduled 2-Outpatient 1-Another Acute Hosp 2-Clinical Referral
2 2 2-Residential HCF 2
2 2 3-Fac. not 1 or 2 2
2 2 4-Not a transfer 2

2-Scheduled 3-Physican 1-Another Acute Hosp 1-Physician Referral
2 3 2-Residential HCF 1
2 3 3-Fac. not 1 or 2 1
2 3 4-Not a transfer 1

2-Scheduled 4-Other 1-Another Acute Hosp 4-Transfer from a hospital
2 4 2-Residential HCF 5-Transfer from an SNF
2 4 3-Fac. not 1 or 2 6-Transfer from another HCF
2 4 4-Not a transfer 9-Information not available