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Central Distributor SASD: Description of Data Elements

 
ZIP_S - Synthetic patient zip code
 
Documentation Sections:
General Notes
Uniform Values
State Specific Notes
General Notes
 

ZIP_S contains a fixed-key (one-to-one) encryption of the patient's residential zip code (ZIP). To prevent inadvertent or intentional identification of specific patients based on the patient's residential zip code, the last 2 digits were encrypted. While it is still possible to identify the state of a patient's residence using the first three unencrypted zip code digits, ZIP_S does not allow placement of a specific patient within a narrower, zip code-based geography.

If the zip code in the HCUP outpatient surgery databases and the inpatient databases are the same, the synthetic identifier, ZIP_S is the same.

Users of the encrypted zip code data element are strictly forbidden to identify the actual zip code associated with the encrypted zip code.

The encrypted zip code (ZIP_S) contains the following special values:

  • Canadian, Mexican, and other or unspecified foreign zip codes (ZIP_S = "C", "M", or "F", respectively).
  • Invalid zip codes (ZIP = "A"). In the 1988-1992 HCUP databases, the zip code is validated against a composite list of zip codes valid as of December 1987, 1990, and 1992. Beginning in the 1993 HCUP databases, the zip code is required only to be numeric.
  • Homeless patients. In the 1988-1999 HCUP databases, (ZIP_S = " ") . Beginning in the 2000 HCUP databases, ZIP_S = "H".
 
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Uniform Values
 
VariableDescriptionValueValue Description
ZIP_SSynthetic patient zip codennnnnSynthetic zip codes
CCanada
MMexico
FOther or unspecified foreign
HHomeless (beginning with 2000 data)
BlankMissing
AInvalid
BUnavailable from source (coded 1988-1997 data only)
 
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State Specific Notes

Maine

Maine does not separately classify Canadian, Mexican, or other foreign zip codes.



Utah

Utah uses only one category for all foreign zip codes, including Canada and Mexico. These are assigned to the HCUP category for Other/Unspecified Foreign (ZIP_S = "F").

Through the 2002 data year, Utah masks zip codes under the following conditions:

  • Patients in Utah or non-Utah zip codes with less than 30 discharges in a calendar year,
  • Patients with the Major Diagnosis Code of "Human Immunodeficiency Virus Infection" (value 25), and
  • Diagnosis Related Groups "Alcohol/Drug Abuse or Dependence" (values 433-437).

Utah reports a zip code category for homeless patients. Beginning in 2000, this zip code was assigned to the HCUP category for Homeless (ZIP_S = "H"). Prior to 2000, this zip code was recoded to blank (ZIP_S = " ").


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Internet Citation: HCUP Central Distributor SASD Description of Data Elements - All States. Healthcare Cost and Utilization Project (HCUP). April 2008. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/db/vars/sasddistnote.jsp?var=zip_s.
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Last modified 4/11/08