Inpatient Output Data Element Table of Contents

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