77 Ill. Adm. Code 1010.APPENDIX E
E Universal Dataset (UDS) Data Elements
Section 1010.APPENDIX E
Universal Dataset (UDS)
Data Elements
1. Facility identifier (federal
tax identification number/Department assigned/NPI)
2. Patient sex
3. Admission/visit type
4. Admission/visit source
5. Length of stay (in whole
days) (inpatient only)
6. Patient discharge status
7. Principal diagnosis code
and up to 14 secondary codes
8. Principal procedure code
and up to 9 secondary codes
9. DRG (or successor
category grouping) code inpatient/APC outpatient
10. MDC (or successor) code
inpatient/body system outpatient
11. Total charges
12. Room/board charges
(inpatient only)
13. Ancillary charges
14. Anesthesiology
charges
15. Pharmacy charges
16. Radiology charges
17. Clinical lab charges
18. Labor/delivery
charges (inpatient only)
19. Operating room
charges
20. Oncology charges
21. Other charges
22. Combined bill
indicator (inpatient only)
23. Primary health plan
type
24. Secondary health plan
type
25. Tertiary health plan
type
26. Patient county
27. Patient planning area
28. Patient Health
Service Area
29. Hospital Health
Service Area
30. Patient age (in whole
years or days if less than one year)
31. Admission date
(CCYYMMD)
32. Patient zip code (zip
may be masked when hospital/zip cell size less than 10)
33. Newborn birth weight
in grams
34. Do Not Resuscitate
(DNR) (inpatient only)
35. Hospitalization
employment related
36. Admitting diagnosis
code
37. Diagnosis present at
admission for each diagnosis code (inpatient only)
38. Ecodes (when present)
39. Number of days
between admission and primary procedure (inpatient only)
(if present)
40. Row ID (when
necessary: provides linkage to Revenue Code Dataset)