77 Ill. Adm. Code 1010.APPENDIX F
F State Inpatient Dataset (SIDS) Data Elements
Section 1010.APPENDIX F State Inpatient Dataset
(SIDS) Data Elements
1. Age in years at
admission
2. Age in days (when age
< 1 year)
3. Age in months (when age
< 11 years)
4. Admission month
5. Admission source
(uniform)
6. Admission type
7. Admission day is a
weekend
8. Room and board charges
9. Ancillary charges
10. Anesthesiology
charges
11. Pharmacy charges
12. Radiology charges
13. Clinical lab charges
14. Labor-delivery
charges
15. Operating room
charges
16. Oncology charges
17. Other charges
18. Died during
hospitalization
19. Disposition of
patient (uniform)
20. Discharge quarter
21. DRG (or successor
category grouping) code in effect on discharge date
22. Data source hospital
identifier
23. Principal diagnosis
24. Up to 14 secondary
diagnoses
25. CCS: principal
diagnosis
26. CCS: up to 14
secondary diagnoses
27. Indicator of sex
28. Length of stay (as
received from source)
29. MDC (or successor)
code in effect on discharge date
30. Number of diagnoses
on this record
31. Number of procedures
on this record
32. Primary expected
health plan identifier (uniform)
33. Secondary expected
health plan identifier (uniform)
34. Principal procedure
code (if present)
35. Up to 9 secondary
procedure codes (if present)
36. CCS: principal
procedure (if present)
37. CCS: up to 9
secondary procedures (if present)
38. Total charges (as
received from source)
39. Calendar year of
discharge
40. Patient zip code
(uniform)
41. Patient county code
(uniform)
42. Newborn birth weight
in grams
43. Do Not Resuscitate
(DNR)
44. Hospitalization
employment related
45. Admitting diagnosis
code
46. Diagnosis present at
admission for each diagnosis code
47. Ecodes (when present)
48. Number of days
between admission and primary procedure (if present)
49. Row ID (when
necessary: provides linkage to Revenue Code Dataset)