NJDDCS VERSION 2 DATA DICTIONARY And DATA EXTRACT FILE LAYOUT Version 17.3 Table of Contents Introduction ......................................................................................................................... 5 Accident State ................................................................................................................. 6 Acute Days ...................................................................................................................... 7 Admission Hour .............................................................................................................. 8 Admission/Start of Care Date (Admission Date)............................................................ 9 Admitting Diagnosis Code ............................................................................................ 10 APC Code ..................................................................................................................... 11 Attending Physician National Provider Identifier (NPI) .............................................. 12 Attending Physician State License Number ................................................................. 13 Baby’s Birthweight in Grams ....................................................................................... 14 Condition Codes............................................................................................................ 15 Discharge Date+ ............................................................................................................ 20 Discharge Hour ............................................................................................................. 21 DRG 1 ........................................................................................................................... 22 DRG 2 ........................................................................................................................... 23 DRG Number (Hospital DRG) ..................................................................................... 24 Estimated Amount Due from Patient ............................................................................ 25 Estimated Amount Due from All Payers ...................................................................... 26 External Cause of Injury Code(s) (E-Codes) ................................................................ 27 Grouper Patient Type 1 ................................................................................................. 28 Grouper Return Code 1 ................................................................................................. 29 Grouper Return Code 2 ................................................................................................. 30 HCPCS Code ................................................................................................................ 31 HCPCS Modifier 1 ........................................................................................................ 32 HCPCS Modifier 2 ........................................................................................................ 33 HCPCS Modifier 3 ........................................................................................................ 34 HCPCS Modifier 4 ........................................................................................................ 35 Hospital Provider Number ............................................................................................ 36 I/O (Inpatient/Outpatient) Indicator+ ............................................................................ 37 Length of Stay (LOS).................................................................................................... 38 MDC 1 .......................................................................................................................... 39 MDC 2 .......................................................................................................................... 40 Medical Record Number ............................................................................................... 41 Mother’s Medical Record Number ............................................................................... 42 Non-Acute Days............................................................................................................ 43 Occurrence Codes and Dates ........................................................................................ 44 Occurrence Span Codes and Dates ............................................................................... 47 Operating Physician National Provider Identifier (NPI) .............................................. 49 Operating Physician State License Number ................................................................. 50 Other Diagnosis Codes ................................................................................................. 51 Other Operating Physician National Provider Identifier (NPI) .................................... 52 Other Operating Physician State License Number ....................................................... 53 Patient Control Number ................................................................................................ 54 NJDDCS V2 Data Dictionary i Version 17.3 (07/01/1 7) Patient Discharge Status (Discharge [Patient] Status Code)......................................... 55 Patient Type Flag .......................................................................................................... 57 Patient’s Age in Days.................................................................................................... 58 Patient’s Age in Years .................................................................................................. 59 Patient’s City ................................................................................................................. 60 Patient’s Country .......................................................................................................... 61 Patient’s Date of Birth .................................................................................................. 68 Patient’s Ethnicity Code ............................................................................................... 69 Patient’s Full Name....................................................................................................... 70 Patient’s Gender ............................................................................................................ 71 Patient’s Marital Status ................................................................................................. 72 Patient’s Occupation+ .................................................................................................... 73 Patient’s Primary Language Spoken+ ........................................................................... 75 Patient’s Race................................................................................................................ 78 Patient’s Reason for Visit ............................................................................................. 79 Patient’s Relationship to Primary Insured .................................................................... 80 Patient’s Relationship to Secondary Insured ................................................................ 81 Patient’s Residence Code+ ............................................................................................ 82 Patient’s Social Security Number ................................................................................. 98 Patient’s State................................................................................................................ 99 Patient’s Street Address .............................................................................................. 102 Patient’s Zip Code....................................................................................................... 103 Payer Codes (Primary, Secondary, Tertiary) .............................................................. 104 Point of Origin Code (Admission Source Type)......................................................... 111 Present on Admission (POA) Indicator ...................................................................... 112 Primary Insured’s ID Number .................................................................................... 113 Principal Diagnosis Code ............................................................................................ 114 Priority Type of Visit (Admission/Visit Type) ........................................................... 115 Procedure Codes ......................................................................................................... 116 Procedure Code Dates ................................................................................................. 117 Readmission Code+ ..................................................................................................... 118 Record Number ........................................................................................................... 119 Referring Physician National Provider Identifier (NPI) ............................................. 120 Referring Physician State License Number ................................................................ 121 Rendering Physician National Provider Identifier (NPI) ............................................ 122 Rendering Physician State License Number