Inpatient Output Data Element Alphabetic Listing

Select Data Element Number or Name for definitions, codes and values, and edit applications.

NOTE:  Bolded and UPPER CASE are IDENTIFYING DATA ELEMENTS [see "Data Protection Review Board (DPRB)]

Number Name
139 Abortion Flag
49 Accident Related Code
50 ACCIDENT RELATED DATE
64 Accommodation Code, UB-92
61 Accommodations Days
60-64 Accommodations Information Group Definition
60 Accommodations Rate
62 Accommodations Total Charges
63 Accommodations Total Non-Covered Charges
33 Address - Patient City
34 Address - Patient County Code
36 & 37 Address - Patient Postal Service Zip Code and EXTENSION CODE
31 ADDRESS - PATIENT RESIDENCE - ADDRESS LINE 1
32 ADDRESS - PATIENT RESIDENCE ADDRESS - ADDRESS LINE 2
35 Address - Patient State
5 ADMISSION - DATE/START OF CARE
14 Admission - Hour
13 Admission - Source
12 Admission - Type
27 Admission - Unscheduled/Scheduled
128 Admit Weekday
76 Admitting Diagnosis Code/Patient's Reason for Visit
71 After Anesthesia Indicator (1-14)
94 Age
130 Age in Days
112 Age Warning Flag
138 AIDS/HIV Flag
18-20 Alternate Care Data Information Group Definition
44 Alternate Level of Care Days
65 Ancillary Revenue Code - Inpatient
65-67 Ancillary Services Information Group Definition - Inpatient
66 Ancillary Total Charges - Inpatient
67 Ancillary Total Non-Covered Charges - Inpatient
84 ATTENDING/EMERGENCY DEPARTMENT PHYSICIAN 1 STATE LICENSE NUMBER
11 BIRTH DATE (PATIENT)
59 Blood Furnished Amount
122 Continuation Record Type Flag
3 CONTROL NUMBER (PATIENT)
41 Covered Days
19 DATE ALTERNATE CARE REQUIRED
107 Date Processed
69 Diagnosis Code (1-14) (Other)
68 Diagnosis Code (Principal/Primary)
69-71 Diagnosis Information Group Definition (Other)
70 Diagnosis Present on Admission Indicator (1-14) (Other)
6 & 7 DISCHARGE DATE
17 Discharge Hour
136-137 Discharge Number Information Group
137 Discharge Sequential Number
129 Discharge Weekday
136 Discharge Year
22 Disposition or Patient Status (New York State)
113 Do Not Resuscitate Indicator
95 DRG (Current Federal)
97 DRG (Current New York)
103 DRG (New Federal)
105 DRG (New New York)
99 DRG (Prior Federal)
101 DRG (Prior New York)
110 DRG Number Billed
120 Emergency Department Indicator
85 EMERGENCY DEPARTMENT PHYSICIAN 2 STATE LICENSE NUMBER (OPERATING)
86 EMERGENCY DEPARTMENT PHYSICIAN 3 STATE LICENSE NUMBER (OTHER)
26 Ethnicity (Patient)
81 Exempt Unit Indicator
77 External Cause-of-Injury Code
140 Facility Name
135 File Type
124 Health Service Area Code
123 Hospital County Code
65 Inpatient Ancillary Revenue Code
65-67 Inpatient Ancillary Services Information Group Definition
66 Inpatient Ancillary Total Charges
67 Inpatient Ancillary Total Non-Covered Charges
45 Leave of Absence Days
93 Length of Stay
108 Log Number
96 MDC (Current Federal)
98 MDC (Current New York)
104 MDC (New Federal)
106 MDC (New New York)
100 MDC (Prior Federal)
102 MDC (Prior New York)
4 MEDICAL RECORD NUMBER
80 Method of Anesthesia Used
23 MOTHER'S MEDICAL RECORD NUMBER FOR NEWBORN CHILD
21 NEONATE BIRTH WEIGHT
131 Newborn Flag
116 NON-ACUTE CARE FROM DATE
115-117 Non-Acute Care Group Definition
117 NON-ACUTE CARE THRU DATE
115 Non-Acute Care Type
42 Non-Covered Days
125 Operating Certificate Number
85 OPERATING/EMERGENCY DEPARTMENT PHYSICIAN 2 STATE LICENSE NUMBER
69 Other Diagnosis Code (1-14)
69-71 Other Diagnosis Information Group Definition
70 Other Diagnosis Present on Admission Indicator (1-14)
74 Other Procedure Code (1-14)
75 OTHER PROCEDURE DATE (1-14)
74-75 Other Procedure Information Group Definition
86 OTHER/EMERGENCY DEPARTMENT PHYSICIAN 3 STATE LICENSE NUMBER
11 PATIENT BIRTH DATE
3 PATIENT CONTROL NUMBER
26 Patient Ethnicity
25 Patient Race
10 Patient Sex
22 Patient Status or Disposition (New York State)
40 Payer Identification Number
38 Payment Code - Source
38-45 Payment Information Group Definition - Source
78 Place of Injury E-Code
82 Placement of Bed Indicator
39 POLICY NUMBER
134 Post-Op Days
132 Pre-Admit Indicator (1-5)
24 PRE-HOSPITAL CARE REPORT NUMBER
133 Pre-Op Days
70 Present on Admission Indicator (1-14) (Other)
72 Principal Procedure Code
73 PRINCIPAL PROCEDURE DATE
68 Principal/Primary Diagnosis Code
72 Procedure Code (Principal)
74 Procedure Code (1-14) (Other)
79 Procedure Coding Method
73 PROCEDURE DATE (PRINCIPAL)
75 PROCEDURE DATE (1-14) (OTHER)
118 Procedure Date Warning Flag
132-134 Procedure Days Information Group
74-75 Procedure Information Group Definition (Other)
43 Provider Identification Number
25 Race (Patient)
9 Record Sequence Count
8 Record Sequence Number
58 Recurring Monthly Income Amount or Surplus, Catastrophic
57 Recurring Monthly Income Code or Surplus, Catastrophic
29 Reimbursement Other 1 (Expected)
30 Reimbursement Other 2 (Expected)
28 Reimbursement - Principal (Expected)
114 Residence Indicator
126 Same Day Discharge Indicator
127 Service Category Code
10 Sex (Patient)
13 Source of Admission
38 Source of Payment Code
38-45 Source of Payment Information Group Definition
119 SPARCS Accommodation Group Definition
109 SPARCS Collector Code
2 SPARCS Identification Number
1 SPARCS Region
51 Special Program (DIS)
52 Special Program (FP)
53 Special Program (PHC)
54 Special Program (SFP)
15 STATEMENT COVERS PERIOD FROM DATE
16 STATEMENT COVERS PERIOD THRU DATE
22 Status or Disposition (New York State)
58 Surplus, Catastrophic or Recurring Monthly Income Amount
57 Surplus, Catastrophic or Recurring Monthly Income Code
87 Total Accommodations Charges
88 Total Accommodations Non-Covered Charges
83 Total Acute Certified Days
20 Total Alternate Level of Care Days
89 Total Ancillary Charges
90 Total Ancillary Non-Covered Charges
91 Total Charges
46 Total Leave of Absence Days
92 Total Non-Covered Charges
48 Transaction Code
12 Type of Admission
18 Type of Alternate Care Required
47 Type of Bill
64 UB-92 Accommodation Code
111 UNIQUE PERSONAL IDENTIFIER
27 Unscheduled/Scheduled Admission
56 Workers' Compensation/No Fault Amount
55 Workers' Compensation/No Fault Indicator
Revised 01/2006