FL AHCA Data dictionary - onetomapanalytics/Meta_Data GitHub Wiki

FL AHCA - Data dictionary

ITEM DATA ELEMENTS FILE COLUMN HEADING COMMENTS
1. System Record ID Number SYS_RECID
2. Report Year YEAR
3. Report Quarter QTR
4. AHCA Facility Number FACLNBR
5. Facility Medicare Number MCARE_NBR
6. Pro Code PRO_CODE
7. Mod Code MOD_CODE
8. Facility Region FAC_REGION
9. Facility County FAC_COUNTY
10. Patient Sex SEX
11. Patient Ethnicity ETHNICITY
12. Patient Race RACE
13. Patient Age (calculated) AGE New age indicators
14. Type of Service Code TYPE_SERV
15. Patient Discharge Status DISCHSTAT
16. Length of Stay (LOS) (calculated) LOSDAYS
17. Priority of Admission ADM_PRIOR
18. Source or Point of Origin for Admission ADMSRC
19. Condition Code CONDTN
20. Emergency Department (ED) Hour of Arrival EDHR_ARR
21. Inpatient Admission Time ADM_TIME
22. Discharge Time DIS_TIME
23. Principal Payer PAYER
24. Patient Zip Code ZIPCODE
25. Patient County PTCOUNTY
26. Patient State of Residence PTSTATE
27. Patient Country PTCOUNTRY
28. MS – DRG Code MSDRG
29. Admitting Diagnosis (revised) ADMITDIAG
30. Principal Diagnosis Code (revised) PRINDIAG
31. Other Diagnosis Code (revised) OTHDIAG1–OTHDIAG30 Occurs up to 30 times
32. Present on Admission Indicator for Principal Diagnosis Code POA_PRIN_DIAG
33. Present on Admission Indicator for Other Diagnosis Code POA1 – POA30 Occurs up to 30 times
34. External Cause of Morbidity (revised/new name) ECMORB1–ECMORB3 Occurs up to 3 times
35. Present on Admission Indicator for External Cause of Injury Code POA_ECMORB1 - POA_ECMORB3 Occurs up to 3 times
36. Principal Procedure Code (revised) PRINPROC
37. Other Procedure Code (revised) OTHPROC1–OTHPROC30 Occurs up to 30 times
38. Day of Week Admitted (calculated) WEEKDAY
39. Days to Procedure (calculated) DAYSPROC
40. Days to Other Procedures (calculated) DAYS_PROC1–DAYS_PROC30 Occurs up to 30 times
41. Room and Board Charges ROOMCHGS
42. Nursery Level I Charges NUR1CHGS
43. Nursery Level II Charges NUR2CHGS
44. Nursery Level III Charges NUR3CHGS
45. Intensive Care Charges ICUCHGS
46. Coronary Care Charges CCUCHGS
47. Pharmacy Charges PHARMCHGS
48. Medical and Surgical Supply Charges MEDCHGS
49. Oncology Charges ONCOCHGS
50. Laboratory Charges LABCHGS
51. Radiology or Other Imaging Charges RADCHGS
52. Operating Room Charges OPRMCHGS
53. Anesthesia Charges ANESCHGS
54. Respiratory Services or Pulmonary Function Charges RESPCHGS
55. Physical Therapy Charges PHYTHCHGS
56. Occupational Therapy Charges OCCUPCHGS
57. Speech Therapy Charges SPEECHGS
58. Comprehensive Rehabilitation Charges COMPREHABCHGS
59. Emergency Room Charges ERCHGS
60. Cardiology Charges CARDIOCHGS
61. Trauma Response Charges TRAUMACHGS
62. Recovery Room Charges RECOVCHGS
63. Labor Room Charges LABORCHGS
64. Treatment or Observation Room Charges OBSERCHGS
65. Behavioral Health Charges BEHAVCHGS
66. Other Charges OTHERCHGS
67. Total Gross Charges TCHGS
68. Attending Practitioner Identification Number ATTEN_PHYID
69. Attending Practitioner National Provider Identification ATTEN_PHYNPI
70. Operating or Performing Practitioner Identification Number OPER_PHYID
71. Operating or Performing Practitioner National Provider Identification OPER_PHYNPI
72. Other Operating or Performing Practitioner Identification Number OTHOPER_PHYID
73. Other Operating or Performing Practitioner National Provider Identification OTHOPER_PHYNPI

DESCRIPTION

  1. System Record ID Number
sys_recid

A unique numeric system record identification (ID) number.
(NOTE: The number is not unique to a patient.)
  1. Report Year
year

A four digit number identifying the year in which the discharges occurred. A required entry.
  1. Report Quarter
qtr

A single digit number identifying the calendar quarter in which the discharges occurred. A
required entry.
1 – January through March
2 – April through June
3 – July through September
4 – October through December
  1. AHCA Facility Number
faclnbr

An eight to ten digit hospital identification number assigned by the Agency for reporting
purposes. A required entry.
  1. Facility Medicare Number
mcare_nbr

The facility’s self reported Medicare number that should reflect the assigned number by
the Centers for Medicare and Medicaid Services.
(NOTE: The data element is effective first quarter 2010.)
  1. Procode
pro_code

The Procode is a two digit number that is assigned to the reporting facility to indicate the
facility’s type of license for patient services.
23 – Hospital
  1. Mod Code
mod_code

An alphanumeric four character code that is assigned to the facility to indicate the
specialty type of facility- (See 59A-3.252, FS. for more information).
CL01 – Class 1 Hospital – general acute care hospital with an average length of stay of
25 days or less for all beds.
CL02 – Class 2 Hospital – specialty hospital offering a range of medical services offered
by general hospitals, but restricted to a defined age or gender group of the population
which includes specialty hospitals for children or women.
CL03 – Class 3 Hospital Psychiatric – specialty psychiatric hospital offering a restricted
range of services appropriate to the diagnosis, care, and treatment of patients with specific
categories of psychiatric illnesses or disorders.
CL04 – Class 4 Hospital Intermediate Residential Treatment Facility (IRTF) –
specialty hospital which provides 24-hour care that is restricted to offering Intensive
Residential Treatment Programs for children and adolescents with psychiatric disorders.
CL06 – Class 1 Hospital Long Term Care – long term care hospital with an average
length of inpatient stay greater than 25 days for all hospital beds.
CL07 – Class 1 Hospital Rural – rural acute care hospital having 100 or fewer licensed
beds and an emergency room, pursuant to s. 395.602(2).
CL09 – Class 3 Hospital Rehabilitation – specialty rehabilitation hospital offering a
restricted range of services appropriate to the diagnoses, care, and treatment of patients
with specific categories of medical illnesses or disorders.
CL10 – Class 3 Hospital Special Medical – specialty medical hospital offering a
restricted range of services appropriate to the diagnosis, care, and treatment of patients
with specific categories of medical illnesses or disorders.

Note: This document lists data elements from Chapter 59E-7.
For more information please visit http://www.FloridaHealthFinder.gov
  1. Facility Region
fac_region

The Facility Region is a number assigned to health care facilities to indicate the facility’s
location by AHCA district (Florida Local Health Council Districts), as defined in 408.
(5), Florida Statutes (See attached description of Facility Regions).
  1. Facility County
fac_county

The Facility County is a number assigned to indicate the facility’s location by county
(See attached description of county codes).
  1. Patient Sex
sex

An alpha character code identifying the gender of the patient at admission. A required
entry.
M – Male
F – Female
U – Unknown
(NOTE: Prior to first quarter 2010, this field was titled “Patient Gender” with a single digit code 1, 2 or
3.)
(NOTE: Patient Gender, Unknown, is an acceptable reportable code effective with first quarter 1997
data)
  1. Patient Ethnicity
ethnicity

The patient’s ethnicity background shall be reported as one choice from the following list of
alternatives. A required entry.
E1 – Hispanic or Latino. A person of Mexican, Puerto Rican, Cuban, Central or South
American or other Spanish culture or origin, regardless of race.
E2 – Non-Hispanic or Latino. A person not of any Spanish culture or origin.
E7 – Unknown
(NOTE: The data element is effective first quarter 2010 .)
  1. Patient Race
race

A single digit code identifying the patient’s racial background. A required entry.
1 – American Indian or Alaska Native
2 – Asian
3 – Black or African American
4 – Native Hawaiian or Other Pacific Islander
5 – White
6 – Other
7 – Unknown
(NOTE: Prior to first quarter 2010, some codes were reflected differently. The acceptable codes
which have new descriptions were: 4 – White; 5 – White Hispanic; 6 – Black Hispanic; 7 – Other.
Patient Race Code of 8 – No Response is no longer reported as of first quarter 2010.)
(NOTE: Patient Race data is available beginning with first quarter 1992 data. The patient race field
for quarters prior to first quarter 1992 is zero filled.)
  1. Patient Age
age

The patient’s age on the admission date. (a calculated field)
(NOTE: The age data element effective first quarter 2018 includes age indicators for patients less
than one and 100 years or older.)
Age 0 = 0 to 28 days
Age 777 = 29 to364 days
Age 888 = 1 00 years and older
Age 999 = Unknown
  1. Type of Service Code
type_serv

A single digit code designating the type of discharges as either acute inpatient, long term
care, short term and long term psychiatric, or comprehensive rehabilitation. A required
entry.
1 – Inpatient/Long Term Care/Short and Long Term Psychiatric
2 – Comprehensive Rehabilitation
(N OTE: Please note verification of Type of Service “2” officially began with 2010 quarter 3 data.)
(NOTE: The data element is effective first quarter 2010 .)
  1. Patient Discharge Status
dischstat

A two digit code representing the patient’s disposition at discharge. A required entry.
01 – Discharged to home or self-care (routine discharge)
02 – Discharged or transferred to a short-term general hospital for inpatient care
03 – Discharged or transferred to a skilled nursing facility with Medicare certification in
anticipation of skilled care
04 – Discharged or transferred to an intermediate care facility
05 – Discharged or transferred to a designated cancer center or Children’s Hospital.
06 – Discharged or transferred to home under care of home health care organization
service in anticipation of skilled care
07 – Left the hospital against medical advice (AMA) or discontinued care
20 – Expired
21 – Discharged or transferred to court/law enforcement
50 – Hospice - Home
51 – Hospice Medical Facility (Certified) providing hospice level of care
62 – Discharged or transferred to an Inpatient Rehabilitation Facility (IRF) including
rehabilitation distinct part units of a hospital
63 – Discharged or transferred to a Medicare certified long term care hospital.
64 – Discharged or transferred to a Nursing Facility certified under Medicaid but not
certified under Medicare
65 – Discharged or transferred to a psychiatric hospital including psychiatric distinct part
units of a hospital
66 – Discharged or transferred to a Critical Access hospital.
70 – Discharged or transferred to another type of health care institution not defined
elsewhere in this code list.
(NOTE: Discharge status 21 is effective first quarter 2011.)
(NOTE: Discharge status 64, 66 and 70 are acceptable reporting codes effective with first quarter
2010.)
  1. Length of Stay (LOS)
losdays

Represents the number of days elapsed from the admission date to the discharge date. A
patient discharged on the same day admitted will have a length of stay of zero (0).
(a calculated field)
  1. Priority of Admission
adm_prior

A single digit code. A required entry.
1 – Emergency – The patient requires immediate medical intervention as a result of
severe, life threatening or potentially disabling conditions.
2 – Urgent – The patient requires attention for the care and treatment of a physical or
mental disorder.
3 – Elective – The patient’s condition permits adequate time to schedule the services.
4 – Newborn – A baby born within the facility or the initial admission of an extramural birth
infant to an acute care facility within 24 hours of birth, as described in subsection 59E-
7.021(7), F.A.C. Use of this code requires the use of a special Point of Origin for
Admission Code.
5 – Trauma – A patient treated as a trauma patient with or without trauma activation at a
State of Florida designated trauma center.
(NOTE: T itled “Type of Admission” prior to 2010.)
(NOTE: Type of Admission 5, was previously designated as “Other” for quarters prior to first quarter_2006. Type of Admission,” Other”, was defined as type of admission is unknown or cannot be_
determined.)
  1. Source or Point of Origin for Admission
admsrc

A two digit numeric code or one character alpha code indicating the direct source of
patient origin for the admission or visit. A required entry.
01 – Non-Health Care Facility Point of Origin – The patient was admitted to this facility.
Includes a patient coming from home or workplace
02 – Clinic or Physician’s Office – The patient was admitted to this facility from a clinic
or physician’s office
04 – Transfer from a Hospital – The patient was admitted to this facility as a transfer from
an acute care facility where the patient was an inpatient. Transfer must be from a different
hospital. Excludes transfers from hospital inpatients in the same facility.
05 – Transfer from a Skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF)
- The patient was admitted to this facility from a SNF or ICF where the patient was a
resident.
06 **–** Transfer from another health care facility – The patient was admitted to this facility
as a transfer from another type of health care facility not defined elsewhere in this code
list.
08 **–** Court/Law Enforcement The patient was admitted upon the direction of a court of
law, or upon the request of a law enforcement Agency representative. Includes transfers
from incarceration facilities.
09 **–** Information Not Available The means by which the patient was admitted to this
hospital is not known.
D **–** Transfer from one distinct unit of the hospital to another distinct unit of the
same hospital resulting in a separate claim – The patient was admitted to this facility as
a transfer from hospital inpatient within this hospital resulting in a separate claim to the
payer. For purposes of this code, “Distinct Unit” is defined as a unique unit or level of care
at the hospital requiring the issuance of a separate claim to the payer.
E **–** Transfer from an Ambulatory Surgery Center
F **–** Transfer from a hospice facility and under a hospice plan of care or enrolled in a
hospice program
Codes Required for Newborn Admissions (Priority of Admission = 4):
10 **–** Born inside this hospital
13 **–** Born outside this hospital
(NOTE: _This data element was previously titled “Source of Admission”. Admission Source 03, HMO_
Referral, is no longer used beginning first quarter 2010. Admission Source 01 was previously
defined as _“Physician Referral”._ Admission Source 05 was previously defined _as ”_ Transfer from a
_Skilled Nursing Facility”._ )
(NOTE: Admission Source 09 _was previously designated as “Other” for quarters prior to first q_ uarter
_2006. Admission Source “Other”_ was defined as means by which the patient was admitted to the
hospital is not available or is unknown. Prior to first quarter 2010, newborn codes were: 10 Normal
Delivery; 11 Premature Delivery, 12 Sick Baby, 13 Extramural Birth (outside this hospital) and 14
Other)
  1. Condition Code
condtn

A two-character code that describes patients admitted to the inpatient facility after receiving
treatment in the facility’s emergency department.
P7 – Patient received treatment in this facility’s emergency department.
00 – Not admitted through this facility’s emergency department.
NR – Not reported
(NOTE: The data element is effective first quarter 2011. It is optional for reporting in 2011 first
and second quarters and mandatory in third quarter 2011.)
  1. Emergency Department Hour of Arrival
edhr_arr

A two digit code identifying the hour on a 24-hour clock during which the patient’s
registration in the emergency department occurred. A required entry.
99 – used when patient is not admitted through the emergency department.

AM HOURS PM HOURS

00 – 12:00 midnight to 12:59:59 12 – 12:00 noon to 12:59:
01 – 01:00 to 01:59:59 13 – 01:00 to 01:59:
02 – 02:00 to 02:59:59 14 – 02:00 to 02:59:
03 – 03:00 to 03:59:59 15 – 03:00 to 03:59:
04 – 04:00 to 04:59:59 16 – 04:00 to 04:59:
05 – 05:00 to 05:59:59 17 – 05:00 to 05:59:
06 – 06:00 to 06:59:59 18 – 06:00 to 06:59:
07 – 07:00 to 07:59:59 19 – 07:00 to 07:59:
08 – 08:00 to 08:59:59 20 – 08:00 to 08:59:
09 – 09:00 to 09:59:59 21 – 09:00 to 09:59:
10 – 10:00 to 10:59:59 22 – 10:00 to 10:59:
11 – 11:00 to 11:59:59 23 – 11:00 to 11:59:
99 –^ Unknown^
  1. Inpatient Admission Time
adm_time

A two digit code identifying the hour on a 24-hour clock during which the patient’s initial
admission to the hospital occurred. A required entry.
(NOTE: The data element is effective first quarter 2010.)

AM HOURS PM HOURS

00 – 12:00 midnight to 12:59:59 12 – 12:00 noon to 12:59:
01 – 01:00 to 01:59:59 13 – 01:00 to 01:59:
02 – 02:00 to 02:59:59 14 – 02:00 to 02:59:
03 – 03:00 to 03:59:59 15 – 03:00 to 03:59:
04 – 04:00 to 04:59:59 16 – 04:00 to 04:59:
05 – 05:00 to 05:59:59 17 – 05:00 to 05:59:
06 – 06:00 to 06:59:59 18 – 06:00 to 06:59:
07 – 07:00 to 07:59:59 19 – 07:00 to 07:59:
08 – 08:00 to 08:59:59 20 – 08:00 to 08:59:
09 – 09:00 to 09:59:59 21 – 09:00 to 09:59:
10 – 10:00 to 10:59:59 22 – 10:00 to 10:59:
11 – 11:00 to 11:59:59 23 – 11:00 to 11:59:
99 –^ Unknown^
  1. Discharge Time
dis_time

A two digit code identifying the hour on a 24-hour clock during which the patient was
discharged from the discharging hospital. A required entry.
(NOTE: The data element is effective first quarter 2010.)

AM HOURS PM HOURS

00 – 12:00 midnight to 12:59:59 12 – 12:00 noon to 12:59:
01 – 01:00 to 01:59:59 13 – 01:00 to 01:59:
02 – 02:00 to 02:59:59 14 – 02:00 to 02:59:
03 – 03:00 to 03:59:59 15 – 03:00 to 03:59:
04 – 04:00 to 04:59:59 16 – 04:00 to 04:59:
05 – 05:00 to 05:59:59 17 – 05:00 to 05:59:
06 – 06:00 to 06:59:59 18 – 06:00 to 06:59:
07 – 07:00 to 07:59:59 19 – 07:00 to 07:59:
08 – 08:00 to 08:59:59 20 – 08:00 to 08:59:
09 – 09:00 to 09:59:59 21 – 09:00 to 09:59:
10 – 10:00 to 10:59:59 22 – 10:00 to 10:59:
11 – 11:00 to 11:59:59 23 – 11:00 to 11:59:
99 –^ Unknown^
  1. Principal Payer
payer

A single character upper case alpha code identifying the expected primary source of
reimbursement for services rendered based on the patient’s status at the time of reporting.
A required entry.
A – Medicare
B – Medicare Managed Care – Patients covered by Medicare Advantage plans, Medicare
HMO, Medicare PPO, Medicare Private Fee for Service or any other type of Medicare plan
where CMS is not the direct payer. (NOTE: Payer B was defined as “Medicare HMO and
Medicare PPO”, beginning first quarter 2006 through fourth quarter 2009.) (NOTE: Prior to first
quarter 2006, Payer B was defined as Medicare HMO.)
C – Medicaid
D – Medicaid Managed Care – Patients covered by Medicaid funded capitated plans.
This would include any program where the patient is enrolled in the Medicaid program but
the payment is not directly from the state of Florida Medicaid program. (NOTE: Payer D was
defined as “Medicaid HMO” prior to first quarter 2010 .)
E – Commercial Health Insurance – Patients covered by any type of private coverage,
including HMO, PPO, or self-insured plans. (NOTE: Prior to first quarter 2010, Commercial
Insurance was reported as Payer “ E ”. Commercial HMO was reported as Payer ”F” and Commercial
PPO was reported as Payer “G”.)
H – Workers’ Compensation
I – TriCare or Other Federal Government
(NOTE: Payer I was defined as “CHAMPUS” prior to first quarter 2010 .)
J – VA
K – Other State/Local Government
L – Self Pay – Patients with no insurance coverage (NOTE: Payer L was defined as Self Pay/
Under-insured prior to first quarter 2010 .)
M – Other
N – Non-Payment – Includes charity, professional courtesy, no charge, research/clinical
trial, refusal to pay/bad debt, Hill Burton free care, research/donor that is known at the time
of reporting. (NOTE: Payer N was defined as “Charity” prior to first quarter 2010.)
O – Kidcare – Includes Healthy Kids, Medikids, and Children’s Medical Services
Q – Commercial Liability Coverage – Patients whose health care is covered under a
liability policy, such as automobile, homeowners or general business. (NOTE: Payer Q is
effective first quarter 2010 .)
(NOTE: Payer N, Charity, was an acceptable reportable code effective with first quarter 1997 data
and Payer O, Kidcare, was an acceptable reportable code effective with first quarter 2003 data. In
addition, Payer L, Self Pay, was defined as Self Pay/Charity/Underinsured prior to charity receiving a
separate code.)
  1. Patient Zip Code
zipcode

The numeric five digit United States Postal Service zip code of .the patient’s address. Zip
codes are reported as indicated below for homeless patients, foreign residences, and
where efforts to obtain the information were unsuccessful. A required entry.
00000 – Unknown ZIP Code
00007 – Homeless Residence
00009 – Foreign Residence
  1. Patient County (Florida Only)
ptcounty

The county of residence for Florida patients only. The patient’s zip code is used to
reference the U.S. Postal Service database. If a zip code crosses county lines, the county
code will contain the code of the county in which the greatest portion of that zip code lies.
(a calculated field)
99 – Unknown or non-Florida patient
(See attached description of county codes)
  1. Patient State of Residence
ptstate

The patient’s state of residence. The patient’s zip code is used to reference the U.S. Postal
Service standard state or territory.(a calculated field)
XX – Unknown state of residence or not applicable.
(See attached description of state/territory codes)
  1. Patient Country
ptcountry

The country code of residence. A two digit upper case alpha code from the International
Standard for Organization country code list, ISO 3166 or latest release. A required entry.
(See attached description of country codes)
Web link: http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm
99 – Unknown
(NOTE: The data element is effective first quarter 2010.)
  1. MS-DRG Code
msdrg

A three digit number representing the assigned Medicare Severity Diagnosis Related
Group (MS-DRG). (a calculated field)
(NOTE: Effective first quarter 2010, MS - DRG is used instead of DRG.)
(NOTE: Effective fourth quarter 2007, the Medicare Severity-Diagnosis Related Group (MS-DRG), a
refinement of the Diagnosis Related Group, is reported in the DRG field. Data for 2007 quarters one
through three, as well as, prior reported years are grouped using the applicable Diagnosis Related
Group (DRG).
  1. Admitting Diagnosis
admitdiag

The diagnosis provided by the admitting physician at the time of admission which
describes the patient’s condition upon admission or purpose of admission. Must contain a
valid ICD- 10 - CM code for the reporting period. The code must be entered with use of a
decimal point that is included in the valid code and without use of a zero or zeros that are
not included in the valid code. A required entry. Alpha characters must be in upper case.
(NOTE: Prior to October 2015, the admitting diagnosis code was reported as ICD- 9 - CM. Admitting
diagnosis data is available beginning first quarter 2006.)
  1. Principal Diagnosis Code
prindiag

A valid ICD- 10 - CM diagnosis code. The principal diagnosis is the code representing the
diagnosis established, after study, to be chiefly responsible for occasioning the admission.
The code must be entered with a decimal point that is included in the valid code and
without use of a zero or zeros that are not included in the valid code. Alpha characters
must be in uppercase. A required entry.
(NOTE: Prior to October 2015, the diagnosis code was reported as ICD- 9 - CM.)
(NOTE: Prior to first quarter 2006, principal diagnosis codes did not include decimal points between
the third and fourth digit.)
  1. Other Diagnosis Code
othdiag1 - othdiag

A code representing a condition that is related to the services provided during the
hospitalization. A valid ICD- 10 - CM diagnosis code excluding external cause of morbidity
codes. The code must be entered with a decimal point that is included in the valid code
and without use of a zero or zeros that are not included in the valid code. Alpha characters
must be in upper case.
(NOTE: Prior to October 2015, the diagnosis code was reported as ICD- 9 - CM.)
(NOTE: The numbers of fields for other diagnosis codes were expanded from four to nine beginning
with first quarter 1992 data. Effective first quarter 2006, the number of fields for other diagnosis
codes expanded from nine to thirty fields. Prior to first quarter 2006, secondary diagnosis codes did
not include decimal points.)
  1. Present on Admission Indicator for Principal Diagnosis Code
poa_prin_diag

A character alpha-numeric code differentiating whether the condition represented by the
corresponding Principal Diagnosis code was present on admission or whether the
condition developed after admission as determined by the physician, medical record, or
nature of condition. A required entry.
Y – Yes – Present at time that order for inpatient admission occurs.
N – No – Not present at the time that the order for inpatient admission occurs.
U – Unknown – Documentation is insufficient to determine if condition is present on
admission.
W – Clinically Undetermined – Provider is unable to clinically determine whether the
condition was present on admission or not.
E – Exempt – The condition is exempt from POA reporting.
(NOTE: The code for “ Exempt ” prior to first quarter 2010 was “E” or the field was left blank .)
(NOTE: Present on Admission data for the principal diagnosis was voluntarily reported beginning first
quarter 2007. Beginning second quarter 2007, Present on Admission Indicator became a required
entry.)
  1. Present on Admission Indicator for Other Diagnosis Code
poa1 - poa

A character alpha code differentiating whether the condition represented by the
corresponding Other Diagnosis code (1) through (30) was present on admission or whether
the condition developed after admission as determined by the physician, medical record, or
nature of condition.
Y – Yes – Present at time that order for inpatient admission occurs.
N – No – Not present at the time that the order for inpatient admission occurs.
U – Unknown – Documentation is insufficient to determine if condition is present on
admission.
W – Clinically Undetermined – Provider is unable to clinically determine whether the
condition was present on admission or not.
E or 1 – Exempt – The condition is exempt from POA reporting.
( NOTE: The code for “Exempt” prior to first quarter 2010 was “E” or the field was left blank.)
(NOTE: Beginning first quarter 2006, Present on Admission (POA) for secondary diagnoses was
reported voluntarily. The POA was reported as a single digit or character alpha code as 1 or Y, 2 or
N, 3 or U, W, or E or blank. As of first quarter 2007, the POA became a required reported field.)
  1. External Cause of Morbidity
ecmorb 1 -
ecmorb 3

Up to 3 ICD- 10 - CM codes representing circumstances or conditions as the cause of injury,
poisoning, or other adverse effects recorded as a diagnosis. Less than three or space filled
consistent with the records of the reporting entity is permitted. Includes decimal point.
(NOTE: Titled “External Cause of Injury” prior to October 2015. The data element was reported as
ICD- 9 - CM.)
  1. Present on Admission Indicator for External Cause of Morbidity
poa_ecmorb1,
poa_ecmorb2,
poa_ecmorb 3

A character alpha code differentiating whether the condition represented by the
corresponding External Cause of Morbidity Code (1) through (3) was present on admission
or whether the condition developed after admission as determined by the physician,
medical record, or nature of condition.
Y – Yes – Present at time that order for inpatient admission occurs.
N – No – Not present at the time that the order for inpatient admission occurs.
U – Unknown – Documentation is insufficient to determine if condition is present on
admission.
W – Clinically Undetermined – Provider is unable to clinically determine whether the
condition was present on admission or not.
E or 1 – Exempt – The condition is exempt from POA reporting.

( NOTE: Titled “Present on Admission Indicator for External Cause of Injury” prior to October 2015.)
  1. Principal Procedure Code
prinproc

A valid ICD- 10 - PCS code representing the procedure most related to the principal
diagnosis.
(NOTE: Prior to October 2015, the procedure code was reported as ICD- 9 - CM.)
(NOTE: First quarter 2006 to third quarter 2015 the principal procedure code includes decimal
points.)
  1. Other Procedure Code
othproc1 -
othproc

A code representing a procedure provided during the hospitalization. A valid ICD- 10 - PCS
code.
(NOTE: Prior to October 2015, the procedure code was reported as ICD- 9 - CM.)
(NOTE: The number of fields for other procedure codes was expanded from two to nine beginning
with first quarter 1992 data. Effective first quarter 2006, the number of fields for other procedure
codes expanded from nine to thirty fields.)
(NOTE: First quarter 2006 to third quarter 2015 the procedure code includes decimal points.)
  1. Day of Week Admitted
weekday

A single digit code representing the day of the week the patient was admitted to the
hospital. (a calculated field)
1 – Monday
2 – Tuesday
3 – Wednesday
4 – Thursday
5 – Friday
6 – Saturday
7 – Sunday
  1. Days To Procedure
daysproc

Represents the number of days elapsed from the admission date to the principal procedure
date. A procedure can take place prior to the admission date. Thus, this number can be
negative (leading sign). The field will contain zeros if the procedure is performed on the
admission date. (a calculated field)
998 – The number of days to procedure is equal to or greater than 998 days.
(NOTE: Prior to first quarter 2006, the field was coded with 999 to indicate when no procedure is
performed or unable to compute days to procedure. A blank (null value) is reported when no
procedure is performed or when unable to compute days.
  1. Days To Other Procedures
daysproc1-daysproc

Represents the number of days elapsed from the admission date to the other procedure(s)
date (s) (not the principal procedure date). A procedure can take place prior to the
admission date. Thus, this number can be negative (leading sign). The field will contain
zeros if the procedure is performed on the admission date. (a calculated field)
998 – The number of days to procedure is equal to or greater than 998 days.
(NOTE: Beginning first quarter 2006, the Days To Other Procedure was collected. A blank (null
value) is reported when no procedure is performed or when unable to compute days.)

REVENUE and CHARGES (Listed below)

Indicates total charges by specific revenue code groups. A required entry. Revenue
charges are reported in dollars to the nearest whole dollar numerically without dollar signs
or commas, excluding cents. Reported as zero if no charges. Negative amounts are not
permitted unless verified separately by the reporting entity. (NOTE: Effective first quarter 2010,
the UB-04 is the revenue reference instead of the UB-92) (NOTE: Revenue charges data is available
beginning with first quarter 1992. The revenue charge fields are zero filled prior to first quarter 1992.)
  1. Room and Board Charges
roomchgs

Routine service charges incurred for accommodations. Includes Revenue Codes 110
through 169 as used in the UB-04.
  1. Nursery Level I Charges
nur1chgs

Accommodation charges for well-baby care services which include sub-ventilation care,
intravenous feedings and gavages to neonates. Includes Revenue Codes 170 and 171, or
179 if applicable as used in the UB-04. (NOTE: Prior to first quarter 2010, Level I and Level II
Nursery Charges were combined in Nursery Charges. Effective fourth quarter 2010, Nursery Level I
Charges include revenue code 179.) (NOTE: The data field includes Nursery revenue charges
beginning with first quarter 2006. The data excludes Level III Nursery Charges.)
  1. Nursery Level II Charges
nur2chgs

Accommodation charges for services which include provision of ventilator services.
Includes Revenue Codes 172, or 179 if applicable as used in the UB-04. (NOTE: Prior to first
quarter 2010, Level I and Level II Nursery Charges were combined in Nursery Charges. Effective
fourth quarter 2010, Nursery Level II Charges include revenue code 179.) (NOTE: The data field
includes Nursery revenue charges beginning with first quarter 2006. The data excludes Level III
Nursery Charges.)
  1. Nursery Level III Charges
nur3chgs

Accommodation charges for services which include continuous cardiopulmonary support
services, complex pediatric surgery, neonatal cardiovascular surgery, pediatric neurology
and neurosurgery and pediatric cardiac catheterization. Includes Revenue Code 173, 174,
or 179 if applicable as used in the UB-04. (NOTE: Effective fourth quarter 2010, Nursery Level III
Charges includes revenue codes 174 and 179.) (NOTE: Level III Nursery Charge data is reported
separately from Nursery Charges beginning with first quarter 2006.)
  1. Intensive Care Charges
icuchgs

Routine service charges for medical or surgical care provided to patients who require a
more intensive level of care than is rendered in the general medical or surgical unit.
Exclude neonatal intensive care charges reported as a Level III Nursery Charge. Includes
Revenue Codes 200 through 209 as used in the UB-04.
  1. Coronary Care Charges
ccuchgs

Routine service charges for medical care provided to patients with coronary illness that
require a more intensive level of care than is rendered in the general medical unit. Includes
Revenue Codes 210 through 219 as used in the UB-04.
  1. Pharmacy Charges
pharmchgs

Charges for medication. Includes Revenue Codes 250 through 259 and Codes 630
through 639 as used in the UB-04. (NOTE: The data field includes these codes beginning with
first quarter 2006 whereas prior to 2006 only Codes 250 through 259 were included.)
  1. Medical and Surgical Supply Charges
medchgs

Charges for supply items required for patient care. Includes Revenue Codes 270 through
279 and Codes 620 through 629 as used in the UB-04. (NOTE: The data field includes these
codes beginning with first quarter 2006 whereas prior to 2006 only Codes 270 through 279 were
included.)
  1. Oncology Charges
oncochgs

Charges for treatment of tumors and related diseases. Excludes therapeutic radiology
services reported in Radiology or Other Imaging Services. Includes Revenue Codes 280
through 289 as used in the UB-04.
  1. Laboratory Charges
labchgs

Charges for the performance of diagnostic and routine clinical laboratory tests and for
diagnostic and routine tests in tissues and culture. Includes Revenue Codes 300 through
319 as used in the UB-04.(NOTE: The data field includes these codes beginning with first quarter
2006 whereas prior to 2006 Codes 300 through 309 and Codes 310 through 319 were reported
separately.)
  1. Radiology or Other Imaging Charges
radchgs

Charges for the performance of diagnostic and therapeutic radiology services including
computed tomography, mammography, magnetic resonance imaging (MRI), nuclear
medicine, and chemotherapy administration of radioactive substances. Includes Revenue
Codes 320 through 359 and Codes 400 through 409 and Codes 610 through 619 as used
in the UB- 04. (NOTE: The data field includes these codes beginning with first quarter 2006 whereas
prior to 2006 Codes 320 through 329, Codes 330 through 339, Codes 340 through 349, Codes 350
through 359, and Codes 610 through 619 were reported separately. Codes 400 through 409 were
included in Other Charges.)
  1. Operating Room Charges
oprmchgs

Charges for the use of the operating room. Includes Revenue Codes 360 through 369 as
used in the UB-04.
  1. Anesthesia Charges
aneschgs

Charges for anesthesia services by the facility. Includes Revenue Codes 370 through 379
as used in the UB-04.
  1. Respiratory Services or Pulmonary Function Charges
respchgs

Charges for administration of oxygen, other inhalation services, and tests that evaluate the
patient’s respiratory capacities. Includes Revenue Codes 410 through 419 and Codes 460
through 469 as used in the UB-04.(NOTE: The data field includes these codes beginning with
first quarter 2006 whereas prior to 2006 Codes 410 through 419 was reported separately and Codes
460 through 469 were included in Other Charges.)
  1. Physical Therapy Charges
phythchgs

Charges for physical therapy. Includes Revenue Codes 420 through 429 as used in the
UB-04.(NOTE: Prior to first quarter 2010, Physical Therapy, Speech Therapy and Occupational
Therapy were combined in “Physical and Occupational Therapy Charges”.) (NOTE: The data field
includes these codes beginning with first quarter 2006 whereas prior to 2006 Codes 420 through 439
was reported separately and Codes 440 through 449 was included in Other Charges.)
  1. Occupational Therapy
occupchgs

Report charges for physical, occupational or speech therapy. Includes Revenue Codes
430 through 439 as used in the UB-04. (NOTE: Prior to first quarter 2010, Physical Therapy,
Speech Therapy and Occupational Therapy were combined in “Physical and Occu pational Therapy
Charges”.) (NOTE: The data field includes these codes beginning with first quarter 2006 whereas
prior to 2006 Codes 420 through 439 was reported separately and Codes 440 through 449 was
included in Other Charges.)
  1. Speech Therapy or Language Pathology Charges
speechgs

Charges for speech therapy or language pathology therapy for revenue code 440 through
449 as used in the UB-04.(NOTE: Prior to first quarter 2010, Physical Therapy, Speech Therapy
and Occupational Therapy were combined in “Physical and Occupational Therapy Charges”.)
  1. Comp Rehab Charges
comprehabchgs

Charges for comprehensive rehabilitation charges for revenue codes 0118, 0128, 0138,
0148, 0158 as used in UB-04.
(NOTE: The data element is effective first quarter 2018.)
  1. Emergency Room Charges
erchgs

Charges for medical examinations and emergency treatment. Includes Revenue Codes
450 through 459 as used in the UB-04.
  1. Cardiology Charges
cardiochgs

Facility charges for cardiac procedures rendered such as, but not limited to, heart
catheterization or coronary angiography. Includes Revenue Codes 480 through 489 as
used in the UB-04.
  1. Trauma Response Charges
traumachgs

Charges for a trauma team activation at a State of Florida licensed trauma center.
Includes Revenue Codes 680 through 689 as used in the UB-04. (NOTE: The data field
includes these codes beginning with first quarter 2006 whereas prior to 2006 Codes 680 through 689
was included in Other Charges.)
  1. Recovery Room Charges
recovchgs

Charges for the use of the recovery room. Includes Revenue Codes 710 through 719 as
used in the UB-04.
  1. Labor Room Charges
laborchgs

Charges for labor and delivery room services. Includes Revenue Codes 720 through 729
as used in the UB-04.
  1. Treatment or Observation Room Charges
obserchgs

Charges for use of a treatment room or for the room charge associated with observation
services. Includes Revenue Codes 760 through 769 as used in the UB-04.
(NOTE: The data field includes these codes beginning with first quarter 2006 whereas prior to 2006
Codes 760 through 769 was included in Other Charges.)
  1. Behavioral Health Charges
behavchgs

Charges for behavioral health treatment and services. Includes Revenue Codes 900
through 919 and Codes 1000 through 1009 as used in the UB-04.
(NOTE: The data field includes these codes beginning with first quarter 2006 whereas prior to 2006
Codes 900 through 919 and Codes 1000 through 1009 were included in Other Charges.)
  1. Other Charges
otherchgs

Other facility charges not included above. Includes charges that are not reflected in any of
the preceding specific revenue accounts in the UB-04. It does not include charges from
Revenue Codes 960 through 999 for professional fees and personal convenience items.
  1. Total Gross Charges
tchgs

The total of undiscounted charges for services rendered by the hospital excluding
professional fees. The sum of all revenue charges reported for above must equal total
gross charges plus or minus thirteen (13) dollars. Report in dollars rounded to the nearest
whole dollar, without dollar signs or commas. (NOTE: Prior to first quarter 2010, this data field
was equal to the sum of all revenue charges plus or minus ten (10) dollars.)
  1. Attending Practitioner Identification Number
atten_phyid

The Florida license number of the medical doctor, osteopathic physician, dentist, podiatrist,
chiropractor, or advanced registered nurse practitioner who had primary responsibility for
the patient’s medical care and treatment or who certified as to the medical necessity of the
services rendered. A required entry.
US9999999999 – For military physicians, medical residents or individuals not required to
obtain a NPI number.
(NOTE: Prior to first quarter 2010, this was titled “Attending Physician ID”.)
(NOTE: Unique physician identification numbers (UPIN) were accepted in this field through fourth
quarter 1996. Attending physician ID data is available beginning with first quarter 1992. The
attending physician ID field for quarters prior to first quarter 1992 is space filled.)
  1. Attending Practitioner National Provider Identification (NPI)
atten_phynpi

A unique ten (10) character identification number assigned to a provider. A required
identification number for providers in the U.S. or its territories and providers not in the U.S.
or its territories upon mandated HIPAA NPI implementation date.
9999999999 – For military physicians, medical residents or individuals not required to
obtain a NPI number.
(NOTE: The data element is effective first quarter 2010.)
  1. Operating or Performing Practitioner Identification Number
oper_phyid

The Florida license number of the medical doctor, osteopathic physician, dentist, podiatrist,
chiropractor, or advanced registered nurse practitioner who had primary responsibility for
the principal procedure performed. The operating or performing physician may be the
attending physician.
US9999999999 – For military physicians, medical residents or individuals not required to
obtain a NPI number.
(NOTE: Prior to first quarter 2010, this was titled “Other Operating or Performing Physician ID”.)
(NOTE: Unique physician identification numbers (UPIN) were accepted in this field through fourth
quarter 1996. Operating physician ID data is available beginning with first quarter 1992.The operating
physician ID field for quarter’s prior to first quarter 1992 is space filled.)
  1. Operating or Performing Practitioner National Provider Identification (NPI)
oper_phynpi

A unique ten (10) character identification number assigned to a provider who had primary
responsibility for the Principal Procedure. A required Identification number for providers in
the U.S. or its territories and providers not in the U.S. or its territories upon mandated
HIPAA NPI implementation date.
9999999999 – For military physicians, medical residents or individuals not required to
obtain a NPI number.
(NOTE: The data element is effective first quarter 2010.)
  1. Other Operating or Performing Practitioner Identification Number
othoper_phyid

The Florida license number of the medical doctor, osteopathic physician, dentist, podiatrist,
chiropractor, or advanced registered nurse practitioner who assisted the operating or
performing practitioner or performed a secondary procedure. The other operating or
performing practitioner must not be reported as the operating or performing practitioner.
The other operating or performing practitioner may be the attending practitioner.
US9999999999 – For military physicians, medical residents or individuals not required to
obtain an NPI number.
(NO TE: Prior to first quarter 2010, this was titled “Other Operating or Performing Physician”.)
(NOTE: Other Operating or Performing Physician ID data is available beginning first quarter 2006.)
  1. Other Operating or Performing Practitioner National Provider Identification (NPI)
othoper_phynpi

A unique ten character identification number assigned to a provider who had primary
responsibility for the Principal Procedure. A required Identification number for providers in
the U.S. or its territories and providers not in the U.S. or its territories upon mandated
HIPAA NPI implementation date.
9999999999 – For military physicians, medical residents or individuals not required to
obtain an NPI number.

FL AHCA - Data dictionary