DISCHARGE ABSTRACT DATABASE (HOSPITAL SEPARATIONS) DATA FILE CHECKLIST



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DISCHARGE ABSTRACT DATABASE (HOSPITAL SEPARATIONS) DATA FILE CHECKLIST Submit this completed form to the email address: HealthDataHA@gov.bc.ca Questions about the request process or any part of this application may be directed to the email address above. MINISTRY OF HEALTH USE ONLY File Number ISP Appendix Date Received PROJECT TITLE APPLIES TO COHORT(S) DATE RANGE From (yyyy/mm/dd) To (yyyy/mm/dd) OTHER DATE RANGE AND FILTERING CRITERIA DISCHARGE ABSTRACTS DATABASE HOSPITAL SEPARATIONS (April 1, 1991 onwards) Includes discharges, transfers and deaths of in-patients from acute care hospitals in BC, including day surgeries. Fields are available in all years unless otherwise noted. Note: Files are grouped into fiscal years by separation date, not the date of admission. Abortion procedures, including those conducted in concert with other procedures, are unavailable from all applicable files. This is in accordance with BC Freedom of Information and Protection of Privacy Act. The data dictionary for the DAD variables in this checklist are available at www.gov.bc.ca/health/forms/5429datadictionary.pdf Fiscal Year File Year DATA VARIABLES VARIABLE NAMES REASON FOR REQUEST Client Study ID Project-specific identification Client Gender Date of birth (YYYYMM) Client HA Client HSDA PHNNUM GENDER DOB CLIENT_HA CLIENT_HSDA HLTH 5429 2015/12/07 PAGE 1 OF 7

Client Local Health Area Code (LHA 3) Client FSA LHA3 CLIENT_FSA BC hospital, OR BC hospital (unencrypted) (HOSP) Rationale describing why this field is required must be supplied before it will be considered for release. Level of care Admission date and time Discharge date and time Admit category Ambulance flag ( The definition of this field changed in 2001. Prior to 2001, the field ambulanc was a flag (1 or blank) indicating whether an ambulance was used. Also pre-2001, a second field ambtype was used to indicate the type of ambulance. From 2001 forward only one field is used to satisfy both purposes.) Entry code (91/92 Exit code (91/92 00/01) Operative death code (91/92 00/01) Supplemental death code (91/92 00/01) Discharge (separation) disposition (01/02 Death in special care unit indicator (01/02 Acute/rehab days Alternate level of care (ALC) length of stay Chronic behaviour disorder unit days Intensive care unit days Rehabilitation days Total length of stay HOSP LEVEL ADDATE SEPDATE ADMIT AMBULANC ENTRY EXIT OPDEATH SUPDEATH SEPDISP SCUDEATH AR_DAYS ALCDAYS CBDDAYS ICUDAYS REHABDAY TDAYS BC hospital transferred from, OR HLTH 5429 2015/12/07 PAGE 2 OF 7

BC hospital transferred from Rationale describing why this field is required must be supplied before it will be considered for release. HOSPFROM BC Hospital transferred to, OR BC Hospital transferred to Rationale describing why this field is required must be supplied before it will be considered for release. Level from (91/92 to 00/01) Level to ( 91/92 to 00/01) BC care level from (01/02 BC care level to) (01/02 Service transfer sub-service (subserv 1-3) (91/92 Service transfer days (1 to 3) (91/92 Main patient service Provider 1 (most responsible physician) Provider 1 (most responsible physician) service [Note: Not the same as registered specialty] Diagnosis codes (max. 16 (ICD9 codes) for 91/92 00/01; max 25 (ICD10-CA codes) for 01/02 (Note: - must be used with diagnosis type, below) Diagnosis type (max. of 16 for 91/92 00/01; 25 for 01/02 Diagnostic short list (based on ICD9 coding) (91/92-00/01) Diagnostic short code (based on ICD10-CA coding) (01/02 Pre-admit co-morbidity (-first diagnosis type 1 based on ICD9 coding) (91/92 06/07) First E-code (cause of injury) (ICD9 for 91/92 00/01; ICD10-CA for 01/02 forward ) Second E-code (cause of injury) (ICD9 for 91/92 00/01; ICD10-CA for 01/02 HOSPTO LEVLFROM LEVLTO BCLVLFRM BCLVLTO SERV1-3 DAYS1-3 PATSERV RESPPHY DOC_SPEC DIAG1-16 (91/92-00/01; DIAG1-25 (01/02-06/07); DIAGX1-25 (01/02 DTYP1-16 / DTYP1-25 DSL DSC PREADMIT ECODE1 (91/92 00/01) ECODEX1 (01/02 ECODE2 (91/92 00/01) HLTH 5429 2015/12/07 PAGE 3 OF 7

ICD10-CA injury code (01/02 Procedure code (CCP) (max. of 10 in 91/92 00/01) Intervention code (CCI) (max. of 20 codes) (01/02 Procedure on admission day indicator Procedure / intervention starting and ending dates (max. of 10 in 91/92 00/01; and 20 in 01/02 Procedure / intervention starting and ending times (max. of 20 codes) (09/10 Procedure short list (based on CCP coding) (91/92 00/01) Intervention short list (based on CCI coding) (01/02 Intervention provider (procedure surgeon) ( max. of 10 in 91/92 00/01; and 20 in 01/02 Intervention provider s service (max. of 10 in 91/92 00/01; and 20 in 01/02 Intervention (procedure) anaesthetist (max. of 10 in 91/92 00/01; and 20 in 01/02 Intervention (procedure) anaesthetic (max. of 10 in 91/92 00/01; and 20 in 01/02 Mother listed on newborn record (97/98. Mnpatnum is the cross-reference field (01/02 Gestational age (94/95 06/07) Infant birth weight Neonatal Intensive Care Unit Level 2 days (93/94 CDS00T98 (01/02 PROC1-10 ICODE1-20 SDSURG PDATE1-10 (91/92 00/01) PDATE1-20 (01/02 08/09) ISTARTDATE1-20 (09/10 IENDDATE1-20 (09/10 ISTARTTIME1-20 IENDTIME1-20 SSL ISL SURG1-20 SRV1-20 ANAS1-20 ANA1-20 M_PHN* MNPATNUM GESTAGE BIRTHWT NICU_L2 (93/94 07/08) NICUL2DAYS (08/09 HLTH 5429 2015/12/07 PAGE 4 OF 7

Neonatal Intensive Care Unit Level 3 days (93/94 NICU_L3 (93/94 07/08) NICUL3DAYS (08/09 Medical Intensive Care Nursing Unit days (01/02 Surgical Intensive Care Nursing Unit days (01/02 Trauma Intensive Care Nursing Unit days (01/02 Combined Medical/Surgical Intensive Care Nursing Unit days (01/02 Burn Intensive Care Nursing Unit days 01/02 Cardiac Intensive Care Nursing Unit days (01/02 Coronary Intensive Care Nursing Unit days Neonatal Intensive Care Nursing Unit days (01/02 Neurosurgery Intensive Care Nursing Unit days (01/02 Pediatric Intensive Care Nursing Unit days (01/02 Respirology Intensive Care Nursing Unit days (01/02 Step-down Medical Unit days (01/02 Combined Medical /Surgical Step Down Unit days (01/02 Province issuing health care (91/92 Institution for out of province facilities (91/92 Province code (location of hospital) (91/92 Responsibility for payment Third party liability form MEDDAYS SURGDAYS TRAUDAYS COMBDAYS BURNDAYS CARDDAYS CCUDAYS NEONDAYS NEURDAYS PEDIDAYS RESPDAYS SMEDDAYS COMBSDUDAYS HCNPROV OOPHOSP HOSPPROV RFP TRDPARTY HLTH 5429 2015/12/07 PAGE 5 OF 7

CIHI CMG WITH COMPLEXITY GROUPER VARIABLES/DAY PROCEDURES GROUP NOTE: Case-mix products, such as Case Mix Group+ (CMG+) and the Comprehensive Ambulatory Classification System (CACS), are methodologies for grouping acute care episodes captured in CIHI s databases. For a detailed description of these products, please visit thecihi webpage at http://www.cihi.ca/cihi-ext-portal/internet/en/tabbedcontent/standards+and+data+submission/standards/case+mix/cihi010690. The methodologies for selecting cases into standardized categories as well as the RIW calculations are constantly changing. Only the last five years of hospitalization data are regrouped with the latest grouper year methodology, thus the years prior to that (6+) have the old grouper year methodologies. CIHI advises that grouper methodologies cannot be compared. Consequently, grouper values derived from different grouper year methodologies cannot be analyzed together. This may lead to longitudinal data sets that span multiple grouper year methodologies that cannot be compared. However, with a judicious selection of groupers, MoH can minimize the of grouper year methodologies by not using the latest grouper methodology, thus providing more opportunity for comparison across years. Please select the grouper type required (any of this selection is associated with the Methodology Year variable, which also needs to be selected): Latest grouper(s) MoH selected grouper for improved comparison. DATA VARIABLES VARIABLE NAMES REASON FOR REQUEST Methodology Year CIHI case mix group (CMG) (91/92 00/01) CIHI major clinical category (MCC) (91/92 00/01) CIHI CMG complexity/ co-morbidity level (91/92 00/01) CIHI expected length of stay (ELOS) (91/92 00/01) CIHI resource intensity weighting (RIW) value (91/92 00/01) CIHI day procedure group (DPG) weight (91/92 06/07) DPG RIW+ (01/02 10/11) Day Procedure Group (01/02 10/11) Major Clinical Category (MCC+) (01/02 Case Mix Group (CMG+) (01/02 Comorbidity level (01/02 Inpatient RIW+ (01/02 ELOS days (01/02 Inpatient RIW atypical code (01/02 CACS Code Label (08/09 CACS RIW (08/09 Cardioversion flag (01/02 GRPR_MTHD_LABEL CMGX_CMG_LABEL / CCMG01 CMGX_MCC_LABEL / MCC01 CMGX_PLX_LVL_LABEL / LVL01 CMGX_EXPCT_STAY_DAY / ELOS01 CMGX_RIW / CRIW01 DPGCCP_RIW / DPG01 DPGP_RIW / DRIW01 DPGP_DPG_LABEL, CMGP_MCC_LABEL CMGP_CMG_LABEL CMGP_COMRBY_LVL_ LABEL CMGP_RIW CMGP_EXPCT_STAY_DAYS CMGP_RIW_ATPCL_LABEL CACS_CD_LABEL CACS_RIW CMGP_FI_ CARDIOVERSION_ HLTH 5429 2015/12/07 PAGE 6 OF 7

Cell saver flag (01/02 CMGP_FI_CELL_SAVER_ Chemotherapy flag (01/02 Dialysis flag (01/02 Heart resuscitation flag (01/02 Mechanical ventilation ge 96 hours flag (01/02 Mechanical ventilation lt 96 hours flag (01/02 Feeding tube flag (01/02 Paracentesis flag (01/02 Parenteral nutrition flag (01/02 Pleurocentesis flag (01/02 Radiotherapy flag (01/02 Tracheostomy flag (01/02 Vascular access device flag (01/02 Biopsy flag (09/10 Endoscopy flag (09/10 Pre-delivery days flag (09/10 Additional DAD variables CMGP_FI_CHEMO_ CMGP_FI_DIALTSIS_ CMGP_FI_HRT_RESUSC_ CMGP_FI_VENTLN_ GE_96_ CMGP_FI_VENTLN_LT_96_ CMGP_FI_FEEDING_ TUBE_ CMGP_FI_PARACNTS_ CMGP_FI_PARNTRL_ NUTR_ CMGP_FI_PLEUROCNTS_ CMGP_FI_ RADIOTHERAPY_ CMGP_FI_ TRACHEOSTOMY_ CMGP_FI_VASCLR_ ACCESS_DEVC_ CMGP_FI_BIOPSY_ CMGP_FI_ENDOSCOPY_ CMGP_FI_PRE_DLVRY_ DAYS_ Please provide a detailed list of variables, description and rationale in a separate document (blank checklist available). The Ministry will assess the availability upon request. HLTH 5429 2015/12/07 PAGE 7 OF 7