Healthcare Cost and Utilization Project (HCUP) KID Notes

KID Description of Data Elements

The KID is set of longitudinal hospital inpatient databases included in the HCUP family. These databases are created by AHRQ through a Federal-State-Industry partnership.

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DISPUniform - Disposition of patient, uniform coding

Documentation Sections:

DISPUniform indicates the disposition of the patient at discharge (routine, transfer to another hospital, died, etc.). To ensure uniformity of coding across data sources, DISPUniform combines detailed categories in the more general groups. For example,

Transfers to facilities other than short-term hospitals (skilled nursing facilities, intermediate care facilities, and other type of facilities) are coded as DISPUniform = 5.
Transfers to Home Health Care (including IV providers and Hospice home care) are coded as DISPUniform = 6.

DISPUB92 has more detailed categories for transfers and Home Health Care and distinguishes patients that died in the hospital from those that died outside of the hospital. The following table lists how the values of DISPUB92 map to the values of DISPUniform:

Coding of DISPUB92 into DISPUniform
DISPUB92		DISPUniform
Value	Description	Value	Description
1	Routine	1	Routine
71	Another institution for outpatient services. Value was added beginning in the 2000 HCUP data.
72	This institution for outpatient services. Value was added beginning in the 2000 HCUP data.
2	Short-term Hospital	2	Transfer to Short-term Hospital
9	Admitted as an inpatient to this hospital. Valid only on outpatient data. Value was added beginning in the 2001 HCUP data.
43	Federal health facility
3	Skilled Nursing Facility (SNF)	5	Transfer Other: Includes Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), Another Type of Facility
4	Intermediate Care Facility (ICF)
5	Another Type of Facility
51	Hospice - Medical Facility
61	Within this institution to a hospital-based Medicare approved swing bed. Value was added beginning in the 2000 HCUP data.
62	Discharge, transferred to another rehabilitation facility including rehabilitation distinct part units of a hospital. Value was added beginning in 2001 HCUP data.
63	Discharge, transferred to a long term care hospital swing bed. Value was added beginning in the 2001 HCUP data.
64	Discharge, transferred to a nursing facility certified by Medicaid, but not certified by Medicare. Value was added beginning in the 2002 HCUP data.
65	Discharge, transferred to a psychiatric hospital or psychiatric distinct unit of a hospital. Value was added beginning in the 2004 HCUP data.
6	Home Health Care (HHC)	6	Home Health Care (HHC)
8	Home IV Provider
50	Hospice-Home
7	Against Medical Advice (AMA)	7	Against Medical Advice (AMA)
20	Died in Hospital	20	Died
40	Died at Home. Prior to the 2001 data, value 40 "Died at Home" was mapped to missing (.).	99	Discharge alive, destination unknown. Value was added beginning in the 2001 data.
41	Died in Medical Facility. Prior to 2001 data, value 41 "Died in Medical Facility" was mapped to missing (.).
42	Died, place unknown. Prior to the 2001 data, value 42 "Died, place unknown" was mapped to missing (.).
99	Discharged alive, destination unknown. Value was added beginning in the 2001 data.
.	Missing	.	Missing
.A	Invalid	.A	Invalid

DISP_X retains the disposition of patient as provided by the data source.

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Uniform Values

Variable	Description	Value	Value Description
DISPUniform	Disposition of patient, uniform coding	1	Routine
		2	Transfer to short-term hospital
		5	Transfer other: includes Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), and another type of facility
		6	Home Health Care (HHC)
		7	Against medical advice (AMA)
		20	Died in hospital
		99	Discharged alive, destination unknown, beginning in 2001
		.	Missing
		.A	Invalid

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State Specific Notes

California

California
DISP_X		DISPUniform
Value	Description	Value	Description
01	Routine (Home)	1	Routine
09	Prison/Jail	1	Routine
02	Acute care (within this hospital)	2	Transfer to short-term hospital
05	Acute care (another hospital)	2	Transfer to short-term hospital
03	Other care (within this hospital)	5	Transfer other: includes skilled nursing facility, intermediate care facility, and other types of facility
04	Skilled nursing/Intermediate care (within this hospital)
06	Other care (another hospital)
07	Skilled nursing/Intermediate care (another hospital)
08	Residential care facility
12	Home Health Services	6	Home health care
10	Against medical advice	7	Against medical advice
11	Died	20	Died in hospital
13	Other (beginning in 2001)	99	Discharged alive, destination unknown (beginning in 2001 data)
00, Blank	Missing	.	Missing (includes died outside of hospital)
Any values not documented by the data source		.A	Invalid
There is not enough detail in the coding of DISP_X to code the HCUP variable DISPUB92.
Beginning in 2001, the DISP_X value of "13" (Other) will be mapped to the HCUP DISPUniform value of "99" (Discharged alive, destination unknown). This change more accurately reflects the documentation provided by California as "Other" does not pertain to "Another Hospital". Prior to 2001, DISP_X value "13" was mapped to the DISPUniform value "5" (Transfer other).

Maryland

Many DISP_X values are eliminated in 2006.

Maryland
(Beginning in 2006)
DISP_X		DISPUniform
Value	Description	Value	Description
01	Home or self-care (Valid through 6/05)	1	Routine
60	Home or self care (beginning 7/05)	1	Routine
05	Acute care general hospital (Valid through 6/05)	2	Transfer to short-term hospital
13	Transfer to nursing facility (Valid through 6/05)	5	Transfer other: includes skilled nursing facility, intermediate care facility, and other types of facility
21	Acute care unit from on-site rehabilitation (beginning 7/05)
22	Chronis unit from on-site rehabilitation unit (beginning 7/05)
23	On-site rehabilitation unit from chronic care unit (beginning 7/05)
24	Chronic unit from acute care unit (beginning 7/05)
25	Acute care unit from chronic care unit (beginning 7/05)
26	On-site psychiatric unit from acute care unit (beginning 7/05)
27	Acute care unit from on-site psychiatric unit (beginning 7/05)
28	On-site subacute (beginning 7/05)
40	Another acute care hospital (beginning 7/05)
41	A rehabilitation hospital or rehab. unit of another hospital (beginning 7/05)
42	A psychiatric hospital or an off-site psych. unit of another hospital (beginning 7/05)
43	A chronic hospital (beginning 7/05)
44	A nursing facility (beginning 7/05)
45	A subacute facility (beginning 7/05)
46	Other health care facility (beginning 7/05)
62	Nursing home (beginning 7/05)
61	Home Under the care of a home health agency (beginning 7/05)	6	Home health care
71	Left against medical advice (beginning 7/05)	7	Against medical advice
70	Expired (beginning 7/05)	20	Died
--	�	99	Discharged alive, destination unknown, beginning in 2001
09, Blank	Unknown (Valid through 6/05)	.	Missing (includes died outside of hospital)
99	Unknown (beginning 7/05)	.	Missing (includes died outside of hospital)
�	�	.A	Invalid
Any values not documented by the data source
There is not enough detail in the coding of DISP_X to code the HCUP variable DISPUB92.

Maryland

Maryland
(Prior to 2006)
DISP_X		DISPUniform
Value	Description	Value	Description
01	Home or self-care (Valid through 6/05)	1	Routine
60	Home or self care (beginning 7/05)	1	Routine
05	Acute care general hospital (Valid through 6/05)	2	Transfer to short-term hospital
06	Other health care facility (Valid through 6/05)	5	Transfer other: includes skilled nursing facility, intermediate care facility, and other types of facility
10	Rehabilitation facility (Valid through 6/05)
11	Rehabilitation unit of other hospital (Valid through 6/05)
12	On-site distinct rehabilitation unit (Valid through 6/05)
13	Transfer to nursing facility (Valid through 6/05)
14	On-site psychiatric unit (inpatient only) (Valid through 6/05)
15	On-site sub-acute unit (inpatient only) (Valid through 6/05)
16	Other sub-acute care facility (inpatient only) (Valid through 6/05)
21	Acute care unit from on-site rehabilitation (beginning 7/05)
22	Chronis unit from on-site rehabilitation unit (beginning 7/05)
23	On-site rehabilitation unit from chronic care unit (beginning 7/05)
24	Chronic unit from acute care unit (beginning 7/05)
25	Acute care unit from chronic care unit (beginning 7/05)
26	On-site psychiatric unit from acute care unit (beginning 7/05)
27	Acute care unit from on-site psychiatric unit (beginning 7/05)
28	On-site subacute (beginning 7/05)
40	Another acute care hospital (beginning 7/05)
41	A rehabilitation hospital or rehab. unit of another hospital (beginning 7/05)
42	A psychiatric hospital or an off-site psych. unit of another hospital (beginning 7/05)
43	A chronic hospital (beginning 7/05)
44	A nursing facility (beginning 7/05)
45	A subacute facility (beginning 7/05)
46	Other health care facility (beginning 7/05)
62	Nursing home (beginning 7/05)
03	Home health care (Valid through 6/05)	6	Home health care
61	Home Under the care of a home health agency (beginning 7/05)	6	Home health care
08	Left against medical advice (Valid through 6/05)	7	Against medical advice
71	Left against medical advice (beginning 7/05)	7	Against medical advice
07	Died (Valid through 6/05)	20	Died
70	Expired (beginning 7/05)	20	Died
--	�	99	Discharged alive, destination unknown, beginning in 2001
09, Blank	Unknown (Valid through 6/05)	.	Missing (includes died outside of hospital)
99	Unknown (beginning 7/05)	.	Missing (includes died outside of hospital)
02	Do not use (Valid through 6/05)	.A	Invalid
04	Do not use (Valid through 6/05)	.A	Invalid
Any values not documented by the data source
There is not enough detail in the coding of DISP_X to code the HCUP variable DISPUB92.

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Internet Citation: HCUP KID Description of Data Elements. Healthcare Cost and Utilization Project (HCUP). April 2008
Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/db/vars/dispuniform/kidnote.jsp.

Last modified 4/2/08