Length of stay (LOS_X) is calculated by subtracting the admission date (ADATE) from the discharge date (DDATE). Same-day stays are therefore coded as 0. Leave days are not subtracted. Before edit checks are performed, LOS and LOS_X have the same value. If LOS is set to inconsistent (.C), the value of LOS_X is retained. LOS_X may contain negative or excessively large values.

LOS_X is not equal to the calculated value in the following cases:

• LOS_X is set to the supplied length of stay if the length of stay cannot be calculated (ADATE and/or DDATE is missing or invalid). Note: If the supplied length of stay codes same-day stays as 1 or subtracts leave days, then the supplied length of stay is NOT used.
• LOS_X is missing (.) if the length of stay cannot be calculated and the supplied length of stay is missing.
• LOS_X is invalid (.A) if
  • it is greater than the maximum value allowed during HCUP processing (the maximum allowed in the 1988-1997 data is 32,767; the maximum allowed beginning in the 1998 data is 20 years)
  • - or -
  • the length of stay cannot be calculated and the supplied length of stay is nonnumeric.
• An invalid calculated LOS_X is not replaced by the supplied length of stay.
• If the data source does not supply either admission date (ADATE) and discharge date (DDATE), or length of stay, then beginning in the 1998 data LOS_X is not present on the HCUP files. In the 1988-1997 data, LOS_X is retained on the HCUP files and is set to unavailable from source (.B).

The reported length of stay was not used when LOS_X could not be calculated because Alaska coded same-day stays with a value of 1.

Only the calculated length of stay could be used to assign LOS_X because Arkansas did not report length of stay.

Beginning in 1995, the source reports same-day stays as zero days so the supplied length of stay was used to assign LOS_X when length of stay could not be calculated from dates. Prior to 1995, the reported length of stay was not used when LOS_X could not be calculated because Arizona coded same-day stays with a value of 1 and subtracted days of absence from LOS.

Beginning with 2005, reported length of stay is no longer supplied.

Beginning in 2007, the reported length of stay was used when LOS could not be calculated during the HCUP processing.

The reported length of stay was not used when LOS_X could not be calculated because Colorado:

• coded same-day stays with the value 1 and
• subtracted days of absence.

Length of stay could not be calculated from dates since Connecticut did not report full admission and discharge dates. During HCUP processing, the reported length of stay and a flag which indicates same-day stays were used to assign LOS_X. If the same-day flag was not coded, the reported length of stay was retained as supplied (i.e., if the reported length of stay was 1, and the same-day flag is not coded, then LOS_X is set to 1 and not reset to 0).

Beginning in 2004, Florida provided admission date (ADATE) and discharge date (DDATE) the supplied length of stay was used when LOS and LOS_X could not be calculated from the supplied dates. In 2000-2003, the supplied length of stay was used to assign LOS and LOS_X because Florida did not provide the admission and discharge date necessary for calculating length of stay. The supplied length of stay was coded according to the HCUP standard that assigns a length of stay of zero (0) to same day stays.

In 1997-1999, the coding of LOS and LOS_X is inconsistent with the coding of length of stay in other states. Florida provided the reported length of stay but not the admission and discharge date necessary for calculating LOS_X. Florida codes same-day stays as LOS_X=1; the HCUP standard coding of same-day stays is LOS_X=0. Usually 2% of a states' discharges are same-day stays.

Prior to 1997, the supplied length of stay was not used when length of stay could not be calculated because Florida:

• coded same-day stays with the value 1 and
• subtracted days of absence.

Beginning with the 2001 data, Georgia supplied admission and discharge dates for calculating LOS for almost all discharges. The reported length of stay was only used to assign LOS when dates were unavailable. Prior to 2001, the reported length of stay was not used when LOS could not be calculated because Georgia coded same-day stays with a value of 1.

Only the calculated length of stay could be used to assign LOS_X because Hawaii did not supply reported length of stay.

The supplied length of stay was not used when length of stay could not be calculated because Illinois coded same-day stays with a value of 1.

Length of stay was calculated during the HCUP processing.

Prior to 2007, the reported length of stay was not used when LOS could not be calculated because Iowa coded same-day stays with a value of 1.

Beginning in 2007, the reported length of stay was used when LOS could not be calculated during the HCUP processing.

Only the calculated length of stay could be used to assign LOS_X because Indiana codes same day stays with a value of 1.

The reported length of stay was not used when length of stay could not be calculated because Kansas coded same-day stays with a value of 1.

Beginning with the 2007 data, Kentucky supplied admission and discharge dates for calculating LOS for all discharges. The reported length of stay was only used to assign LOS when dates were unavailable. Prior to 2007, the reported length of stay was not used when LOS could not be calculated because Kentucky coded same-day stays with a value of 1.

The reported length of stay was not used when LOS_X could not be calculated because Louisiana did not code same day stays as 0.

The supplied length of stay was not used when LOS could not be calculated because Massachusetts:

• coded same-day stays with the value 1 and
• subtracted days of absence.

Prior to 2001, length of stay could not be calculated from dates because Michigan did not report admission or discharge dates. During HCUP processing, only the reported length of stay could be used to assign LOS.

Caution: If LOS_X = 365, then the stay may be longer than a year. Michigan uses the value 365 for stays that are greater than equal 364 days.

Mississippi coded 0 for the patients admitted and discharged in the same day or patients who died after admission.

Beginning with the 2007 data, Missouri supplied admission and discharge dates for calculating LOS for all discharges. The reported length of stay was only used to assign LOS when dates were unavailable. Prior to 2007, the reported length of stay was not used when LOS could not be calculated because Kentucky coded same-day stays with a value of 1. The appropriate edit check for consistency of reported and calculated length of stay could not be performed.

The reported length of stay was not used when LOS_X could not be calculated because Nebraska coded same-day stays with the value 1.

Only the calculated length of stay could be used to assign LOS_X because Nevada codes same day stays with a value of 1.

Only the calculated length of stay could be used to assign LOS_X because New Hampshire codes same day stays with a value of 1.

The original New Mexico inpatient file contained outpatient records from HOSPID=35020. During the creation on the 2011 Mew Mexico SID these outpatient records, identified by a length of stay of 0 days, were excluded. This approach also eliminated any inpatient discharges with same day stays for this hospital. Any analysis using the 2011 New Mexico SID should be aware that this hospital is missing information on same day stays.

The assignment of LOS and LOS_X varies by year in New York:

• Beginning in 2000 data, the length of stay (LOS and LOS_X) in New York was calculated from the admission and discharge dates. Because New York masked the dates on AIDS/HIV* records, the calculated length of stay was missing. During HCUP processing, other information provided by New York was used to determine LOS and LOS_X when the calculated length of stay was missing. The length of stay provided by New York (which did not include leave days), total leave days, and a flag that indicates a same day stay were used to determine a length of stay that was consistent with the coding of length of stay on other HCUP records.



• In the 1998-1999 data purchased from NTIS, the length of stay (LOS and LOS_X) in New York was calculated from the admission and discharge dates. Because New York masked the admission and discharge dates on AIDS/HIV* records, LOS and LOS_X was missing (.) on these discharges. An updated version of the 1998-1999 data is available through the HCUP Central Distributor with LOS and LOS_X coded on the New York AIDS/HIV* records. The updated version has LOS and LOS_X calculated using the method described for the 2000 data.
  
  In the 1998-1999 data purchased from HCUP Central Distributor, the length of stay (LOS and LOS_X) in New York was calculated using the method described for the 2000 data.



• In the 1988-1997 HCUP data, LOS and LOS_X could not be calculated from dates because New York did not report full admission and discharge dates. During HCUP processing, the length of stay provided by New York was used to assign LOS and LOS_X. The length of stay provided by New York was adjusted during HCUP processing to be consistent with the coding of length of stay in other states.

*The HCUP data elements LOS and LOS_X are missing (.) for AIDS/HIV patients. Beginning with the 2005 New York identifies AIDS/HIV records by ICD-9-CM diagnosis code or DRG:

• An admitting, principal or any secondary diagnosis of "042", "043", "044", "7958", "27910", "27919", "2793", "1363", "79571", "07951", "07952", "07953", "V017" or "V08".
• A DRG of 488 through 490 or 700 through 716.

*For 1998- 2004 data, New York identifies AIDS/HIV records by ICD-9-CM diagnosis code or DRG:

• An admitting, principal, or secondary diagnosis of "042" "043" "044" "7958" "27910", "27919", "2793", "1363", "79571", "07951", "07952", "07953" or "V08".
• A DRG of 488 "HIV with Extensive Operating Room Procedure", 489 "HIV with Major related condition", or 490 "HIV with or without Other Related Condition".

Please note that the admitting diagnosis is not retained in the HCUP databases.

Beginning with the 2007 data, North Carolina supplied admission and discharge dates for calculating LOS for almost all discharges. The reported length of stay was only used to assign LOS when dates were unavailable. Prior to 2007, the reported length of stay was not used when LOS could not be calculated because North Carolina coded same-day stays with a value of 1.

Only the calculated length of stay could be used to assign LOS_X because Ohio codes same day stays with a value of 1.

Prior to 1994, the reported length of stay was assigned to LOS_X if dates were not available. However, the coding of same day stay varies: some Oregon hospitals report discharges on the day of admission as one day stay (LOS_X=1), in addition to reporting same day stays as zero days (LOS_X=0).

Beginning in 1994, the reported length of stay was not used when length of stay could not be calculated from dates because Oregon coded all same-day stays as one day (LOS_X=1).

Beginning in 2007, the reported length of stay was used if the calculated LOS was missing.

Prior to 1997, the reported length of stay was not used when length of stay could not be calculated because Pennsylvania coded same-day stays with the value 1.

Beginning in 1997, Pennsylvania reports same-day stays as zero days. The supplied length of stay was used to assign LOS_X when length of stay could not be calculated from dates.

Beginning in 2008, only the supplied length of stay was used to assign LOS_X because Pennsylvania did not supply admission or discharge date.

The reported length of stay was not used when LOS_X could not be calculated because South Carolina coded same-day stays with a value of 1.

Prior to 2007, only the calculated length of stay could be used to assign LOS_X because South Dakota codes same day stays with a value of 1.

Beginning in 2007, regardless if same day stays are coded with a value of 1, the source provided length of stay is used when LOS could not be calculated from dates.

Only the calculated length of stay could be used to assign LOS_X because Tennessee did not report length of stay.

The reported length of stay was not used when LOS_X could not be calculated because Texas coded same-day stays with the value 1.

Prior to 2004, the reported length of stay was not used when LOS could not be calculated because Utah coded same-day stays with a value of 1. Beginning in 2004, Utah coded same day stays with a value of 0.

The reported length of stay was not used when LOS_X could not be calculated because Vermont coded same-day stays with the value 1.

Beginning in data year 2010, Washington provided only length of stay to HCUP and not the admission and discharge dates. The provided length of stay was used for the HCUP data elements LOS and LOS_X. Washington codes same days stays with the value of 1, instead of 0. This is different than other HCUP databases.

Prior to data year 2012, the length of stay was calculated from admission and discharge dates.

Beginning in 2001, West Virginia provides LOS_X.

Prior to 2001, only the calculated length of stay was used to assign LOS_X because West Virginia did not provide the reported length of stay.

For 1988-1994, the reported length of stay was not used when LOS could not be calculated because Wisconsin subtracted leave days and coded length of stay greater than 999 days as 999 days. Beginning with 1995, length of stay was not supplied. From 1995 - 2006, Wisconsin did not consistently supply length of stay - only the calculated length of stay was used to assign LOS and LOS_X. Beginning in 2007, we used the supplied length of stay to assign LOS and LOS_X when these fields could not be calculated from dates.