NASS Description of Data Elements

DISPUNIFORM - Disposition of patient, uniform coding

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DISPUNIFORMindicates the disposition of the patient at discharge (routine, transfer to another hospital, died, etc.). To ensure uniformity of coding across data sources, DISPUNIFORMcombines 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.

DISPUB04 and 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 DISPUB04 map to the values of DISPUNIFORM:

Coding of DISPUB04 into DISPUNIFORM
DISPUB04		DISPUNIFORM
Value	Description	Value	Description
1	Discharged to Home or Self Care (Routine Discharge)	1	Routine
21	Court/Law Enforcement
30	Still a patient (allowable value for outpatient data starting in data year 2016)
81	Discharged to Home or Self Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
87	Discharged/Transferred to Court/Law Enforcement with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
2	Discharged/transferred to a Short-Term Hospital for Inpatient Care	2	Transfer to Short-term Hospital
5	Effective 10/1/07: Discharged/transferred to a Designated Cancer Center or Children's Hospital
9	Admitted as an inpatient to this hospital - valid only on outpatient data
43	Discharged/transferred to a Federal Health Care Facility
66	Discharged/transferred to a Critical Access Hospital (CAH)
82	Discharged/Transferred to a Short Term General Hospital for Inpatient Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
85	Discharged/Transferred to a Designated Cancer Center or Children's Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
88	Discharged/Transferred to a Federal Health Care Facility with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
94	Discharged/Transferred to a Critical Access Hospital (CAH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
3	Discharged/transferred to a Skilled Nursing Facility (SNF)	5	Transfer Other: Includes Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), Another Type of Facility
4	Discharged/transferred to an Intermediate Care Facility (ICF)
5	Effective prior to 10/1/07: Discharged/transferred to another type of institution not defined elsewhere
51	Hospice - Medical Facility
61	Discharged/transferred to a Hospital-Based Medicare approved Swing Bed
62	Discharged/transferred to an Inpatient Rehabilitation Facility (IRF) including Rehabilitation Distinct part unit of a hospital
63	Discharged/transferred to a Medicare certified Long Term Care Hospital (LTCH)
64	Discharged/transferred to a Nursing Facility certified by Medicaid, but not certified by Medicare
65	Discharged/transferred to a Psychiatric Hospital or Psychiatric distinct part unit of a hospital
69	Discharged/transferred to a Designated Disaster Alternative Care Site (Effective 10/1/13)
70	Effective 10/1/07: Discharged/transferred to another type of institution not defined elsewhere
83	Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
84	Discharged/Transferred to a Facility that Provides Custodial or Supportive Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
89	Discharged/Transferred to a Hospital-based Medicare Approved Swing Bed with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
90	Discharged/Transferred to an Inpatient Rehabilitation Facility (IRF) including Rehabilitation Distinct Part Units of a Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
91	Discharged/Transferred to a Medicare Certified Long Term Care Hospital (LTCH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
92	Discharged/Transferred to a Nursing Facility Certified Under Medicaid but not Certified Under Medicare with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
93	Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
95	Discharged/Transferred to Another Type of Health Care Institution not Defined Elsewhere in the Code List with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
6	Discharged/transferred to Home under care of Organized Home Health Service Organization	6	Home Health Care (HHC)
8	Home IV Provider
50	Hospice-Home
86	Discharged/Transferred to a Home Under Care of Organized Home Health Service Organization with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)
7	Left Against Medical Advice or Discontinued Care	7	Against Medical Advice (AMA)
20	Expired	20	Died
40	Expired at home	99	Discharge alive, destination unknown
41	Expired in a Medical Facility
42	Expired - place unknown
99	Discharged alive, destination unknown
.	Missing	.	Missing
.A	Invalid	.A	Invalid

The next 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
		21	Discharged/transferred to court/law enforcement
		99	Discharged alive, destination unknown, beginning in 2001
		.	Missing
		.A	Invalid

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NASS Description of Data Elements