Hospital Identifier
Unique Patient Identifier
Inpatient or Outpatient Identifier
Place of Service
Patient Name*
Patient Social Security Number*
Patient Birth Date
Patient Age
Patient Race/Ethnicity
Patient Race
Patient Ethnicity
State of Residence
ZIP Code of Residence
Census Tract of Residence
County Code (Missouri Residents)
Admission Date
Admission Hour (inpatients only)
Source of Admission/referral
(inpatients only prior to 2001)
Type of Admission (Inpatients only)
Discharge Date
(inpatients only prior to 2001)
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Discharge Hour (inpatients only)
Length of Stay
Number of Observation Units
Disposition of Patient
Medical Record Number
Diagnosis Coding Method Used
Principal Diagnosis Code
Other Diagnosis Codes
DRG (diagnosis-related group)
Principal Procedure Physician ID*
Place of Injury E-code
E-code (external cause of injury)
Procedure Coding Method Used
Principal Procedure Code and Date
Other Procedure Codes and Dates
Total Charges
Primary Source of Payment
Other Sources of Payment
Attending Physician ID*
Patient Gender
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*These fields are stored separately from the rest of the record to insure confidentiality.
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