HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Description
Fiscal Year
The Matrix presents a summary by fiscal year (based on information
reported to the Ministry for publicly funded services). Note, Hospital
services have been counted for the year they occurred, and not by year of
discharge which is the usual practice.
Personal Health Number
Personal Health Number PHN - sensitive, identifiable data element
Anonymized identifier – Study ID
Study specific anonymized Patient study id
INFORMATION ABOUT THE BC RESIDENT
Population Segments
Unique Population Segment
Previous fiscal year’s unique population
segment
Developed specifically for the Health System Matrix, Population
segmentation divides BC residents into population segments that represent
their health care needs in the year, based on diagnoses or use of specific
services over multiple or single years depending on definition.
Population segmentation: people can meet the criteria for one or more of
the 14 population segments based on diagnosis from multiple years
(chronic conditions, cancer, mental health and substance use), diagnosis in
single year (maternity and healthy newborn), use of specific service in year
indicating specific health care need (end of life, residential care, frail), or if
none of those apply, the specific types/dollar value of services used (nonuser, healthy, major condition adult, major condition <18). Everyone is also
assigned to a unique population segment that represents their 'highest'
need for health care in the year, based on a pre-set priority order (PS14 is
the highest priority).
Unique Population Segment. If the person meets the criteria for more than
1 population segment at the end of the FY, then they are assigned to the
unique population segment that represents their highest need for care
(numbering system indicates priority, with 14 being the highest priority)
Previous fiscal year's unique population segment
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Overlapping Population Segments
Description
Separate variables show all the population segments that the person
'qualifies' for in the fiscal year.
PS01 Non User. Flag indicates if person meets criteria for this pop
segment: did not qualify for PS05 or higher AND did not use any
reported service in FY. POP_SEGMENT is final unique assignment.
PS02 Healthy. Flag indicates if person meets criteria for this pop segment:
did not qualify for PS05 or higher AND used only physician care and,
AND less than $1,500 of either. POP_SEGMENT is final unique
assignment.
PS03 Adult Major Age 18+. Flag indicates if person meets criteria for this
pop segment: age 18+ AND did not qualify for PS05 or higher AND
used more than $1,500 of physician care AND Rx POP_SEGMENT is
final unique assignment.
PS04 Child AND Youth Major <18 years. Flag indicates if person meets
criteria for this pop segment: age <18 AND did not qualify for PS05
or higher, AND used more than $1,500 of physician care and Rx
PS05 Low Complex Chronic Conditions. Flag indicates if person meets
criteria for this pop segment: had 1+ specific chronic conditions
categorized as 'low'. POP_SEGMENT is final unique assignment.
PS06 Medium Complex Chronic Conditions. Flag indicates if person meets
criteria for this pop segment: had 1+ specific chronic conditions or
combinations categorized as 'medium'. POP_SEGMENT is final
unique assignment.
PS07 Mental Health and Substance Use. Flag indicates if person meets
criteria for this pop segment: hospitalized with severe MH&SU
diagnosis in 5 year period (FY and 4 years prior). POP_SEGMENT is
final unique assignment.
PS08 Maternity and Healthy Newborns. Flag indicates if person meets
criteria for this pop segment: women had maternity diagnosis, and
newborns meeting criteria of healthy. POP_SEGMENT is final unique
assignment.
PS09 Frail In The Community. Flag indicates if person meets criteria for
this pop segment: Used 1+ home support service (ADS, CSIL, AL,
CM, HS). POP_SEGMENT is final unique assignment.
PS10 High Complex Chronic Conditions without home support services
(SL22 ADS, CSIL, AL, CM, HS). Flag indicates if person meets criteria
for this pop segment: had 1+ specific chronic conditions or
combinations categorized as 'high' AND did not use home support
services. POP_SEGMENT is final unique assignment.
PS11 High Complex Chronic Conditions with home support services (SL22
ADS, CSIL, AL, CM, HS). Flag indicates if person meets criteria for this
pop segment: had 1+ specific chronic conditions or combinations
categorized as 'high' AND did use 1+ of specified home support
services. POP_SEGMENT is final unique assignment.
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Overlapping Population Segments (cont.)
Previous fiscal year’s Overlapping
Population Segments
Description
PS12
Cancer. Flag indicates if person meets criteria for this pop segment:
had cancer diagnosis in FY or prior FY. POP_SEGMENT is final
unique assignment.
PS13 Frail In Care (In Residential Care). Flag indicates if person meets
criteria for this pop segment: permanent publicly funded RC
resident or privately funded in stand-alone licensed facility.
POP_SEGMENT is final unique assignment.
PS14 End Of Life. Flag indicates if person meets criteria for this pop
segment: in PharmaCare end of life program or received palliative
services in FY. POP_SEGMENT is final unique assignment.
Single variable shows the population segment that represents their 'highest'
need for health care in the year. Priority is assigned from PS14 to PS01, in
that order.
PS01_LAST_YEAR
Non User (previous fiscal year)
PS02_LAST_YEAR
Healthy (previous fiscal year)
PS03_LAST_YEAR
Adult Major Age 18+ (previous fiscal year)
PS04_LAST_YEAR
Child and Youth Major <18 years (previous fiscal
year)
PS05_LAST_YEAR
Low Complex Chronic Conditions (previous fiscal
year)
PS06_LAST_YEAR
Medium Complex Chronic Conditions (previous
fiscal year)
PS07_LAST_YEAR
Mental Health and Substance Use (previous fiscal
year)
PS08_LAST_YEAR
Maternity and Healthy Newborns (previous fiscal
year)
PS09_LAST_YEAR
Frail In The Community (previous fiscal year)
PS10_LAST_YEAR
High Complex Chronic Conditions without home
support services (SL22 ADS, CSIL, AL, CM, HS)
(previous fiscal year)
PS11_LAST_YEAR
High Complex Chronic Conditions with home
support services (SL22 ADS, CSIL, AL, CM, HS)
(previous fiscal year)
PS12_LAST_YEAR
Cancer (previous fiscal year)
PS13_LAST_YEAR
Frail In Care (In Residential Care) (previous fiscal
year)
PS14_LAST_YEAR
End Of Life (previous fiscal year)
Demographics
5 year age group
5 year age group (0, 1-4, 5-9, 10-14, 15-19, etc.), based on end of fiscal year
5 year Matrix age group
Matrix 5 year age groups with the 15-19 age group split between
child/youth (15-17) and adult (18-19), based on end of fiscal year
Matrix Broad age groups (0-17, 18-49, 50-64, 65-74, 75-84, 85+), based on
end of fiscal year
Gender
Matrix broad age groups
Gender
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Description
Forward Sortation Area of usual
residence
First 3 digits of postal code of usual residence, based on Health Ideas Client
Roster database. Last/best address in fiscal year.
Local Health Area
Born during the fiscal year
Local Health Area of usual residence, based on Health Ideas Client Roster
database. There are 91 LHAs in BC.
http://www.bcstats.gov.bc.ca/data/pop/maps/lhamap.asp
Health Service Delivery Area of usual residence, based on Health Ideas
Client Roster database. There are 16 health services delivery areas in BC.
http://www.bcstats.gov.bc.ca/statisticsbysubject/geography/referencemap
s/Health.aspx
Health Authority of usual residence, based on Health Ideas Client Roster
database. There are 5 health authorities that serve geographic regions in
BC; Northern, Interior, Vancouver Island, Vancouver Coastal and Fraser
Health. http://www.health.gov.bc.ca/socsec/provmap.html
Born during the fiscal year, based on Health Ideas Client Roster database.
Died during the fiscal year
Died during the fiscal year, based on Health Ideas Client Roster database.
Health Service Delivery Area
Health Authority
Days alive in a fiscal year, calculated based on birth date and/or death date
in year.
Attachment to GP Group Flag. A single group of GP physicians have
Attachment to GP Group Flag
provided more than 50% of the person's care. If the person had less than 5
GP contacts in year, then attachment algorithm goes back in time
accumulating GP visits, until there are enough visits to determine
attachment. Attachment to GP Practice is calculated by the Ministry's
Primary Care program.
Attachment to GP Flag. A single GP has provided more than 50% of the
Attachment to GP Flag
person's care. If the person had less than 5 GP contacts in year, then
attachment algorithm goes back in time accumulating GP visits, until there
are enough visits to determine attachment. Attachment to GP is calculated
by the Ministry's Primary Care program.
Chronic Conditions: The Ministry’s Chronic Condition Management Registries identify people who have had specific
pattern of chronic conditions diagnoses recorded in physician MSP fee for service billings, or hospitalizations, or have
used specific prescription drugs, in the current or ANY previous years. Once added, they are not removed; the exception
is the Depression (episodic) registry which must also have active treatment in the FY.
Chronic Condition - Cystic Fibrosis (assigned to a person if claimed
Cystic Fibrosis
medication under PharmaNet plan D during that fiscal year)
Days alive in a fiscal year
Alzheimer / Dementia
Chronic Condition Registry entry date - Alzheimer/Dementia
Acute Myocardial Infarction (Heart
Attack)
Chronic Condition Registry entry date - Acute Myocardial Infarction (Heart
Attack)
Angina
Chronic Condition Registry entry date - Angina
Asthma
Chronic Condition Registry entry date - Asthma
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Description
Coronary Artery Bypass Graft (Cardiac
Intervention)
Chronic Condition Registry entry date - Coronary Artery Bypass Graft
(Cardiac Intervention)
Cardiovascular Disease
Chronic Condition Registry entry date - Cardiovascular Disease
Chronic Kidney Disease
Chronic Condition Registry entry date - Chronic Kidney Disease
COPD (Chronic obstructive pulmonary
disease)
Chronic Condition Registry entry date - COPD (Chronic obstructive
pulmonary disease)
Angiography (Cardiac Intervention)
Chronic Condition Registry entry date - Angiography (Cardiac Intervention)
Diabetes
Chronic Condition Registry entry date - Diabetes
Dialysis
Chronic Condition Registry entry date - Dialysis
Epilepsy
Chronic Condition Registry entry date - Epilepsy
Heart Failure
Chronic Condition Registry entry date - Heart Failure
Hypertension
Chronic Condition Registry entry date - Hypertension
Ischemic Heart Disease
Chronic Condition Registry entry date - Ischemic Heart Disease
Mood disorder
Chronic Condition Registry entry date - Mood disorder
Multiple Sclerosis
Chronic Condition Registry entry date - Multiple Sclerosis
Osteoarthritis
Chronic Condition Registry entry date - Osteoarthritis
Osteoporosis
Chronic Condition Registry entry date - Osteoporosis
Parkinson
Chronic Condition Registry entry date - Parkinson
Psychoses
Chronic Condition Registry entry date - Psychoses
Percutaneous Transluminal Coronary or
PCI (Cardiac Intervention)
Chronic Condition Registry entry date - Percutaneous Transluminal
Coronary or PCI (Cardiac Intervention)
Rheumatoid Arthritis
Chronic Condition Registry entry date - Rheumatoid Arthritis
Kidney Transplant
Chronic Condition Registry entry date - Kidney Transplant
Stroke
Chronic Condition Registry entry date - Stroke
Episodic Depression
Chronic Condition Registry entry date - Episodic Depression
INFORMATION BY BROAD CATEGORY OF SERVICES
Total Costs by Broad Category of Services: For 13/14, Matrix summarized $11.2 Billion out of $17.8 B in public funded
services. Note, only includes services which are reported to Ministry at the person level. Summarized Matrix services
broken into Broad Service Lines. (Users of broad services can be determined by $>0)
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Description
Total MSP/APP laboratory cost
Total cost of residential care that include HCC cost, MSP/APP cost, and
PharmaCare and estimate of Rx costs for people in RC facilities associated
with hospitals.
Total cost of emergency care, includes physician billings in MSP, estimate
value of APP shadow billings, NACRS estimate of physician cost (11/12 to ,
and estimated facility costs. NACRS began reporting ED visits in 2011/12
Total MSP/APP laboratory cost
Total MSP/APP diagnostic cost
Total MSP/APP diagnostic cost
Total hospital cost estimate
Total hospital cost estimate, excluding physician fees
Total Home & Community Care cost
estimate
Total Home & Community Care cost estimate (SL22 ADS, CSIL, AL, CM, HS,
plus SL1 home nursing and SL20 home rehab) excluding residential care cost
PharmaCare publicly paid cost
PharmaCare publicly paid cost
Total cost of residential care
Total cost of emergency care
MSP/APP physician and midwife cost excluding emergency cost, laboratory
cost, diagnostic cost, and residential care cost
Total cost (MSP rural retention cost are excluded). Includes NACRS in 2012Total cost
13 and 2013-14.
Used hospital (inpatient or day procedure patient) in fiscal year. Hospital
Used hospital
user flag. Indicates person used inpatient or day procedure services in year.
Does not include use of Emergency department.
Encounters: Total - Number of Encounters with Health Care System by broad types of services. Encounters are uniquely
counted by service line (no double counting). Services have different measures of Encounters.
Number of Emergency Department visits Number of Emergency Department visits
MSP/APP physician and midwife cost
Encounters days
Resource Intensity Weights, inpatient
Resource Intensity Weights, outpatient
Total Resource Intensity Weights
Total hospital days
Acute rehab days
Encounters days, Medical Service Plan and APP shadow billing encounters.
Visit to 2 physicians on same day in same service line = 1 encounter day;
visit to same physician on same day for 2 different service lines = 2
encounter days.
Resource Intensity Weights, inpatient. 'Adjusted' means if care crossed into
the next fiscal year, the costs were split between the 2 fiscal years, based on
dates.
Resource Intensity Weights, outpatient (day procedures reported in the
DAD)
Total Resource Intensity Weights for Inpatient and day procedures.
'Adjusted' means if care crossed into the next fiscal year, the costs were
split between the 2 fiscal years, based on dates.
Total hospital days = AR days + ALC days. 'Adjusted' means if care crossed
into the next fiscal year, the days were split between the 2 fiscal years,
based on dates.
Acute rehab days. 'Adjusted' means if care crossed into the next fiscal year,
the days were split between the 2 fiscal years, based on dates.
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Alternative level of care days
Intensive Care Unit hospital days
Number of inpatient cases
Number of outpatient cases
Description
Alternative level of care days: days that patient remains in hospital after
their need for acute care has ended. 'Adjusted' means if care crossed into
the next fiscal year, the days were split between the 2 fiscal years, based on
dates.
Intensive Care Unit hospital days. ICU days are included in AR days.
'Adjusted' means if care crossed into the next fiscal year, the days were split
between the 2 fiscal years, based on dates.
Number of inpatient cases. 'Adjusted' means if care crossed into the next
fiscal year, the case was counted in both fiscal years.
Number of outpatient (day procedure, day surgery) cases
Assisted Living, Days
Professional Services - Home Nursing Care, Community Rehabilitation, and
Other, Visits
Days of Assisted Living
Home Support, Hours
Hours of Home Support
Choice in Supports for Independent
Living, Hours
Hours of Choice in Supports for Independent Living
Adult Day Services, Days
Days of Adult Day Services
Case Management visits
Case Management visits
Residential Care, Days
Residential Care, Days. Note only Public Funded RC days are included.
Includes both short term RC (convalescent care, transitional care, respite)
and long term (permanent) residential care. Days that a person spends in RC
which is privately paid are NOT included.
Professional Services
INFORMATION BY INDIVIDUAL SERVICE LINE, COMBINING ALL TYPES OF SERVICES WITHIN SERVICE LINE
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Costs: Subtotal - Costs by Service Line
Totals
Description
Estimated value of Publicly Funded health care services summarized by
individual service lines . For example, SL04 Mental Health summarizes
physician care, hospital care and use of Plan G in Pharmacare. Note, only
includes services which are reported to Ministry at the person level. All
Service Lines.
MSP_APP_COST
DAD_ADJ_COST
NACRS_COST
ED_FACILITY_COST
PCARE_PAID
PCARE_PAID_B_EST
HCC_COST
PNET_CLAIMED
HCN_VISITS_COST
AL_DAYS_COST
HS_HOURS_COST
CSIL_HOURS_COST
ADS_DAYS_COST
CM_VISITS_COST
RC_DAYS_COST
ED_PHYSICIAN_COST
Total MSP cost that include service code 13 midwife
billings and estimated shadow billing costs (APP
records in MSP data with zero paid amounts,
estimated based on billed services and fee item
amounts).
Hospital cost (adjusted for fiscal year transitions)
Emergency department physician NACRS cost (not
found in MSP/APP)
Emergency department total FACILITY cost. (ED
visits x estimate of cost per ED visits)
PharmaCare paid amount
Estimated PharmaCare plan B (residential care)
amount for residential care patient in extended
facilities (hospitals)
Home & Community Care total cost
PharmaNet claimed amount
Cost of Professional Services - Home Nursing Care,
Community Rehabilitation, and Other
Cost of Assisted Living
Cost of Home Support
Cost of Choice in Supports for Independent Living
Cost of Adult Day Services
Cost of Case Management visits
Cost of Residential Care
Emergency department physician cost
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Users SL Total - utilization flag by
Service Line
Description
Uniquely identifies if the person used any of the services in the specific
Service Line. e.g. SL04: person may have used either physician care or
hospital care or PharmaCare Plan G, or any combination of these services
for a mental health issue. All Service Lines.
SL01 Service Line 01 - Primary Health Care flag, All data sources
SL02 Service Line 02 - Obstetrics flag, All data sources
SL03 Service Line 03 - Gynaecology, excluding Oncology flag, All data
sources
SL04 Service Line 04 - Mental Health & Substance Use flag, All data
sources
SL05 Service Line 05 - Medical Specialists flag, All data sources
SL06 Service Line 06 - Oncology flag, All data sources
SL07 Service Line 07 - Emergency flag, All data sources
SL08 Service Line 08 - In Hospital Medical flag, All data sources
SL09 Service Line 09 - Ambulatory Surgical flag, All data sources
SL10 Service Line 10 - Inpatient Elective Surgical flag, All data sources
SL11 Service Line 11 - Transplant Surgery flag, All data sources
SL12 Service Line 12 - In Patient Trauma and Emergency Surgery flag, All
data sources
SL13 Service Line 13 - Palliative Care flag, All data sources
SL14 Service Line 14 - Pathology/Laboratory flag, All data sources
SL15 Service Line 15 - Diagnostics flag, All data sources
SL16 Service Line 16 - Ambulatory Support Therapies (Dialysis) flag, All
data sources
SL17 Service Line 17 - Pharmaceuticals flag, All data sources
SL18 Service Line 18 - Anaesthesia flag, All data sources
SL19 Service Line 19 - Hospital Outpatients flag, All data sources
SL20 Service Line 20 - Physical medicine and Rehabilitation flag, All data
sources
SL22 Service Line 22 - Community Supports for Daily Living flag, All data
sources
SL24 Service Line 24 - Residential Care flag, All data sources
SL25 Service Line 25 - Paediatrics flag, All data sources
SL30 Service Line 30 - Surgery flag, All data sources
SL99 Service Line 99 - Other, Physicians flag, All data sources
INFORMATION BY INDIVIDUAL SERVICES WITHIN EACH SERVICE LINE
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Costs: Costs SL - Costs by type of service
within Service Line
Description
The Matrix summarized about $11.2 billion in publicly funded health care
costs in 13/14 out of $17.9 billion total paid by the provincial government.
Costs are for analytic purposes only. Costs are a combination of actual
publicly paid services reported to the Ministry in dollars (MSP physician
billings and PharmaCare paid claims), and estimated value of publicly
funded services which are not reported to the Ministry in dollars. Please
see the accompanying document which outlines the methodology used to
estimate unit costs.
Costs are uniquely allocated to a single service line (no double counting).
WITHIN EACH SERVICE LINE COSTS ARE SHOWN SEPARATELY FOR THE
DIFFERENT CATEGORIES OF SERVICES.
SL01_MSP_APP_COST Service Line 01 - Primary Health Care cost, Medical
Service Plan and APP shadow billing
SL01_HCN_VISITS_COST Service Line 01 - Primary Health Care cost –
Professional Services (Home Nursing Care,
Community Rehabilitation, and Other)
SL02_MSP_APP_COST Service Line 02 - Obstetrics cost, Medical Service
Plan and APP shadow billing
SL02_DAD_COST
Service Line 02 - Obstetrics cost, Hospital
SL03_MSP_APP_COST Service Line 03 - Gynaecology, excluding Oncology
cost, Medical Service Plan and APP shadow billing
SL03_DAD_COST
Service Line 03 - Gynaecology, excluding Oncology
cost, Hospital
SL04_MSP_APP_COST Service Line 04 - Mental Health & Substance Use
cost, Medical Service Plan and APP shadow billing
SL04_DAD_COST
Service Line 04 - Mental Health & Substance Use
cost, Hospital
SL04_PCMH_COST
Service Line 04 - Mental Health & Substance Use
cost, PharmaCare paid
SL04_PNMH_COST
Service Line 04 - Mental Health & Substance Use
cost, PharmaNet claimed
SL05_MSP_APP_COST Service Line 05 - Medical Specialists cost, Medical
Service Plan and APP shadow billing
SL06_MSP_APP_COST Service Line 06 - Oncology cost, Medical Service
Plan and APP shadow billing
SL06_DAD_COST
Service Line 06 - Oncology cost, Hospital
SL07_MSP_APP_COST Service Line 07 - Emergency cost, Medical Service
Plan and APP shadow billing
SL07_NACRS_COST
Service Line 07 - Emergency cost, NACRS not in
MSP/APP
SL08_DAD_COST
Service Line 08 - In Hospital Medical cost, Hospital
SL09_DAD_COST
Service Line 09 - Ambulatory Surgical cost, Hospital
SL10_DAD_COST
Service Line 10 - Inpatient Elective Surgical cost,
Hospital
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Description
Costs: Costs SL - Costs by type of service
within Service Line (cont.)
SL11_MSP_APP_COST Service Line 11 - Transplant Surgery cost, Medical
Service Plan and APP shadow billing
SL11_DAD_COST
Service Line 11 - Transplant Surgery cost, Hospital
SL12_DAD_COST
Service Line 12 - In Patient Trauma and Emergency
Surgery cost, Hospital
SL13_MSP_APP_COST Service Line 13 - Palliative Care cost, Medical
Service Plan and APP shadow billing
SL13_DAD_COST
Service Line 13 - Palliative Care cost, Hospital
SL13_PCPA_COST
Service Line 13 - Palliative Care cost, PharmaCare
paid
SL13_PNPA_COST
Service Line 13 - Palliative Care cost, PharmaNet
claimed
SL14_MSP_APP_COST Service Line 14 - Pathology/Laboratory cost,
Medical Service Plan and APP shadow billing
SL15_MSP_APP_COST Service Line 15 - Diagnostics cost, Medical Service
Plan and APP shadow billing
SL16_MSP_APP_COST Service Line 16 - Ambulatory Suport Therapies
(Dialysis) cost, Medical Service Plan and APP
shadow billing
SL16_DAD_COST
Service Line 16 - Ambulatory Support Therapies
(Dialysis) cost, Hospital
SL17_PC_COST
Service Line 17 - Pharmaceuticals cost, PharmaCare
paid
SL17_PN_COST
Service Line 17 - Pharmaceuticals cost, PharmaNet
claimed
SL18_MSP_APP_COST Service Line 18 - Anaesthesia cost, Medical Service
Plan and APP shadow billing
SL19_MSP_APP_COST Service Line 19 - Hospital Outpatients cost, Medical
Service Plan and APP shadow billing
SL20_MSP_APP_COST Service Line 20 - Physical medicine and
Rehabilitation cost, Medical Service Plan and APP
shadow billing
SL20_DAD_COST
Service Line 20 - Physical medicine and
Rehabilitation cost, Hospital
SL20_REHAB_OTHER_VISITS_COST Service Line 20 - Physical medicine and
Rehabilitation cost, Home & Community Care
(Rehab and other professional services)
SL22_AL_DAYS_COST Service Line 22 - Community Supports for Daily
Living cost, Assisted Living
SL22_HS_HOURS_COST Service Line 22 - Community Supports for Daily
Living cost, Home Support
SL22_CSIL_HOURS_COST Service Line 22 - Community Supports for Daily
Living cost, Choice in Supports for Independent
Living
SL22_ADS_DAYS_COST Service Line 22 - Community Supports for Daily
Living cost, Adult Day Services
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Description
Costs: Costs SL - Costs by type of service
within Service Line (cont.)
SL22_CM_VISITS_COST Service Line 22 - Community Supports for Daily
Living cost, Case Management
SL24_MSP_APP_COST Service Line 24 - Residential Care cost, Medical
Service Plan and APP shadow billing
SL24_PCRC_COST
Service Line 24 - Residential Care cost, PharmaCare
paid
SL24_PNRC_COST
Service Line 24 - Residential Care cost, PharmaNet
claimed
SL24_RC_DAYS_COST Service Line 24 - Residential Care cost, Residential
Care
SL25_MSP_APP_COST Service Line 25 - Paediatrics cost, Medical Service
Plan and APP shadow
SL25_DAD_COST
Service Line 25 - Paediatrics cost, Hospital
SL30_MSP_APP_COST Service Line 30 - Surgery cost, Medical Service Plan
and APP shadow
SL99_MSP_APP_COST Service Line 99 - Other, Physicians cost, Medical
Service Plan and APP shadow billing
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HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Users SL - utilization flag by type of
service within Service Line
Description
Uniquely identifies if the person used specific services in the specific Service
Line. e.g. SL04: indicates, separately, if the person used physician care or
hospital care or PharmaCare Plan G for a mental health issue.
SL01_MSP_APP
Service Line 01 - Primary Health Care flag, Medical
Service Plan and APP shadow billing
SL01_HCN
Service Line 01 - Primary Health Care flag –
Professional Services (Home Nursing Care,
Community Rehabilitation, and Other)
SL02_MSP_APP
Service Line 02 - Obstetrics flag, Medical Service
Plan and APP shadow billing
SL02_DAD
Service Line 02 - Obstetrics flag, Hospital
SL03_MSP_APP
Service Line 03 - Gynaecology, excluding Oncology
flag, Medical Service Plan and APP shadow billing
SL03_DAD
Service Line 03 - Gynaecology, excluding Oncology
flag, Hospital
SL04_MSP_APP
Service Line 04 - Mental Health & Substance Use
flag, Medical Service Plan and APP shadow billing
SL04_DAD
Service Line 04 - Mental Health & Substance Use
flag, Hospital
SL04_PCMH
Service Line 04 - Mental Health & Substance Use
flag, PharmaCare paid
SL04_PNMH
Service Line 04 - Mental Health & Substance Use
flag, PharmaNet claimed
SL05_MSP_APP
Service Line 05 - Medical Specialists flag, Medical
Service Plan and APP shadow billing
SL06_MSP_APP
Service Line 06 - Oncology flag, Medical Service Plan
and APP shadow billing
SL06_DAD
Service Line 06 - Oncology flag, Hospital
SL07_MSP_APP
Service Line 07 - Emergency flag, Medical Service
Plan and APP shadow billing
SL07_NACRS
Service Line 07 - Emergency flag, NACRS not in
MSP/APP
SL08_DAD
Service Line 08 - In Hospital Medical flag, Hospital
SL09_DAD
Service Line 09 - Ambulatory Surgical flag, Hospital
SL10_DAD
Service Line 10 - Inpatient Elective Surgical flag,
Hospital
SL11_MSP_APP
Service Line 11 - Transplant Surgery flag, Medical
Service Plan and APP shadow billing
SL11_DAD
Service Line 11 - Transplant Surgery flag, Hospital
SL12_DAD
Service Line 12 - In Patient Trauma and Emergency
Surgery flag, Hospital
SL13_MSP_APP
Service Line 13 - Palliative Care flag, Medical Service
Plan and APP shadow billing
SL13_DAD
Service Line 13 - Palliative Care flag, Hospital
SL13_PCPA
Service Line 13 - Palliative Care flag, PharmaCare
paid
13
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Users SL - utilization flag by type of
service within Service Line (cont.)
Description
SL13_PNPA
SL14_MSP_APP
SL15_MSP_APP
SL16_MSP_APP
SL16_DAD
SL17_PC
SL17_PN
SL18_MSP_APP
SL19_MSP_APP
SL20_MSP_APP
SL20_DAD
SL20_REHAB_OTHER
SL22_AL
SL22_HS
SL22_CSIL
SL22_ADS
SL22_CM
SL24_MSP_APP
Service Line 13 - Palliative Care flag, PharmaNet
claimed
Service Line 14 - Pathology/Laboratory flag, Medical
Service Plan and APP shadow billing
Service Line 15 - Diagnostics flag, Medical Service
Plan and APP shadow billing
Service Line 16 - Ambulatory Support Therapies
(Dialysis) flag, Medical Service Plan and APP shadow
billing
Service Line 16 - Ambulatory Support Therapies
(Dialysis) flag, Hospital
Service Line 17 - Pharmaceuticals flag, PharmaCare
paid
Service Line 17 - Pharmaceuticals flag, PharmaNet
claimed
Service Line 18 - Anaesthesia flag, Medical Service
Plan and APP shadow billing
Service Line 19 - Hospital Outpatients flag, Medical
Service Plan and APP shadow billing
Service Line 20 - Physical medicine and
Rehabilitation flag, Medical Service Plan and APP
shadow billing
Service Line 20 - Physical medicine and
Rehabilitation flag, Hospital
Service Line 20 - Physical medicine and
Rehabilitation flag, Home & Community Care
(Rehab and other professional services)
Service Line 22 - Community Supports for Daily
Living flag, Assisted Living
Service Line 22 - Community Supports for Daily
Living flag, Home Support
Service Line 22 - Community Supports for Daily
Living flag, Choice in Supports for Independent
Living
Service Line 22 - Community Supports for Daily
Living flag, Adult Day Services
Service Line 22 - Community Supports for Daily
Living flag, Case Management
Service Line 24 - Residential Care flag, Medical
Service Plan and APP shadow billing
14
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Users SL - utilization flag by type of
service within Service Line (cont.)
Long term residential care flag
Type of residential care
Description
SL24_PCRC
Service Line 24 - Residential Care flag, PharmaCare
paid
SL24_PNRC
Service Line 24 - Residential Care flag, PharmaNet
claimed
SL24_RC
Service Line 24 - Residential Care flag, Residential
Care
SL25_MSP_APP
Service Line 25 - Paediatrics flag, Medical Service
Plan and APP shadow billing
SL25_DAD
Service Line 25 - Paediatrics flag, Hospital
SL30_MSP_APP
Service Line 30 - Surgery flag, Medical Service Plan
and APP shadow billing
SL99_MSP_APP
Service Line 99 - Other, Physicians flag, Medical
Service Plan and APP shadow billing
Long term residential care flag. Indicates that the person was a long term
publicly funded residential care client. People who have RC_DAYS who do
not have this flag are people who only used short term residential care.
(People in Frail in Care population who do not have RC_Days are people
who use privately paid residential care in a licensed facility)
Type of residential care: Long term (permanent) care - Publicly funded in
Extended Care associated with a hospital, Publicly funded in a stand-alone
facility, Privately paid in a stand-alone facility; and short term convalescent
and transitional care
15
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Encounters SL - Encounters by Service
Line
Description
Number of Encounters with Health Care System. Encounters are uniquely
counted by service line (no double counting). Types of services have
different measures of Encounters, and are counted separately within a
service line by the category of service. Encounters cannot be summed
across different types of services (eg days, hours, visits).
SL01_MSP_APP_ENC
Service Line 01 - Primary Health Care, MSP
and APP shadow billing encounters
SL01_HCN_VISITS
Service Line 01 - Primary Health Care visitsProfessional Services (Home Nursing Care,
Community Rehabilitation, and Other)
SL02_MSP_APP_ENC
Service Line 02 - Obstetrics, MSP and APP
shadow billing encounters
SL02_DAD_ADJ_TDAYS
Service Line 02 - Obstetrics total hospital
days
SL02_DAD_ADJ_ARDAYS
Service Line 02 - Obstetrics acute rehab
days
SL02_DAD_ADJ_ALCDAYS
Service Line 02 - Obstetrics alternative level
of care days
SL02_DAD_ADJ_ICUDAYS
Service Line 02 - Obstetrics intensive care
unit days
SL02_DAD_ADJ_CASES_IP
Service Line 02 - Obstetrics of inpatient
cases
SL02_DAD_ADJ_RIWS_IP
Service Line 02 - Obstetrics inpatient
resource intensity weights
SL03_MSP_APP_ENC
Service Line 03 - Gynaecology, excluding
Oncology, MSP and APP shadow billing
encounters
SL03_DAD_ADJ_TDAYS
Service Line 03 - Gynaecology, excluding
Oncology total hospital days
SL03_DAD_ADJ_ARDAYS
Service Line 03 - Gynaecology, excluding
Oncology acute rehab days
SL03_DAD_ADJ_ALCDAYS
Service Line 03 - Gynaecology, excluding
Oncology alternative level of care days
SL03_DAD_ADJ_ICUDAYS
Service Line 03 - Gynaecology, excluding
Oncology intensive care unit days
SL03_DAD_ADJ_CASES_DS
Service Line 03 - Gynaecology, excluding
Oncology of outpatient cases
SL03_DAD_ADJ_CASES_IP
Service Line 03 - Gynaecology, excluding
Oncology of inpatient cases
SL03_DAD_ADJ_RIWS_DS
Service Line 03 - Gynaecology, excluding
Oncology outpatient resource intensity
weights
SL03_DAD_ADJ_RIWS_IP
Service Line 03 - Gynaecology, excluding
Oncology inpatient resource intensity
weights
16
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Encounters SL - Encounters by Service
Line (cont.)
Description
SL04_MSP_APP_ENC
SL04_DAD_ADJ_TDAYS
SL04_DAD_ADJ_ARDAYS
SL04_DAD_ADJ_ALCDAYS
SL04_DAD_ADJ_ICUDAYS
SL04_DAD_ADJ_CASES_DS
SL04_DAD_ADJ_CASES_IP
SL04_DAD_ADJ_RIWS_DS
SL04_DAD_ADJ_RIWS_IP
SL05_MSP_APP_ENC
SL06_MSP_APP_ENC
SL06_DAD_ADJ_TDAYS
SL06_DAD_ADJ_ARDAYS
SL06_DAD_ADJ_ALCDAYS
SL06_DAD_ADJ_ICUDAYS
SL06_DAD_ADJ_CASES_DS
SL06_DAD_ADJ_CASES_IP
SL06_DAD_ADJ_RIWS_DS
SL06_DAD_ADJ_RIWS_IP
SL07_MSP_APP_ENC
SL07_NACRS_ENC
SL08_DAD_ADJ_TDAYS
SL08_DAD_ADJ_ARDAYS
Service Line 04 - Mental Health & Substance
Use, MSP and APP shadow billing
encounters
Service Line 04 - Mental Health & Substance
Use total hospital days
Service Line 04 - Mental Health &
Substance Use acute rehab days
Service Line 04 - Mental Health &
Substance Use alternative level of care days
Service Line 04 - Mental Health & Substance
Use intensive care unit days
Service Line 04 - Mental Health & Substance
Use of outpatient cases
Service Line 04 - Mental Health & Substance
Use of inpatient cases
Service Line 04 - Mental Health & Substance
Use outpatient resource intensity weights
Service Line 04 - Mental Health & Substance
Use inpatient resource intensity weights
Service Line 05 - Medical Specialists, MSP
and APP shadow billing encounters
Service Line 06 - Oncology, MSP and APP
shadow billing encounters
Service Line 06 - Oncology total hospital
days
Service Line 06 - Oncology acute rehab days
Service Line 06 - Oncology alternative level
of care days
Service Line 06 - Oncology intensive care unit
days
Service Line 06 - Oncology of outpatient
cases
Service Line 06 - Oncology of inpatient cases
Service Line 06 - Oncology outpatient
resource intensity weights
Service Line 06 - Oncology inpatient resource
intensity weights
Service Line 07 - Emergency, MSP and APP
shadow billing encounters
Service Line 07 - Emergency encounters,
NACRS not in MSP/APP
Service Line 08 - In Hospital Medical total
hospital days
Service Line 08 - In Hospital Medical acute
rehab days
17
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Encounters SL - Encounters by Service
Line (cont.)
Description
SL08_DAD_ADJ_ALCDAYS
SL08_DAD_ADJ_ICUDAYS
SL08_DAD_ADJ_CASES_IP
SL08_DAD_ADJ_RIWS_IP
SL09_DAD_ADJ_CASES_DS
SL09_DAD_ADJ_RIWS_DS
SL10_DAD_ADJ_TDAYS
SL10_DAD_ADJ_ARDAYS
SL10_DAD_ADJ_ALCDAYS
SL10_DAD_ADJ_ICUDAYS
SL10_DAD_ADJ_CASES_IP
SL10_DAD_ADJ_RIWS_IP
SL11_MSP_APP_ENC
SL11_DAD_ADJ_TDAYS
SL11_DAD_ADJ_ARDAYS
SL11_DAD_ADJ_ALCDAYS
SL11_DAD_ADJ_ICUDAYS
SL11_DAD_ADJ_CASES_IP
SL11_DAD_ADJ_RIWS_IP
SL12_DAD_ADJ_TDAYS
SL12_DAD_ADJ_ARDAYS
SL12_DAD_ADJ_ALCDAYS
Service Line 08 - In Hospital Medical
alternative level of care days
Service Line 08 - In Hospital Medical
intensive care unit days
Service Line 08 - In Hospital Medical of
inpatient cases
Service Line 08 - In Hospital Medical
inpatient resource intensity weights
Service Line 09 - Ambulatory Surgical of
outpatient cases
Service Line 09 - Ambulatory Surgical
outpatient resource intensity weights
Service Line 10 - Inpatient Elective Surgical
total hospital days
Service Line 10 - Inpatient Elective Surgical
acute rehab days
Service Line 10 - Inpatient Elective Surgical
alternative level of care days
Service Line 10 - Inpatient Elective Surgical
intensive care unit days
Service Line 10 - Inpatient Elective Surgical
of inpatient cases
Service Line 10 - Inpatient Elective Surgical
inpatient resource intensity weights
Service Line 11 - Transplant Surgery, MSP
and APP shadow billing encounters
Service Line 11 - Transplant Surgery total
hospital days
Service Line 11 - Transplant Surgery acute
rehab days
Service Line 11 - Transplant Surgery
alternative level of care days
Service Line 11 - Transplant Surgery
intensive care unit days
Service Line 11 - Transplant Surgery of
inpatient cases
Service Line 11 - Transplant Surgery
inpatient resource intensity weights
Service Line 12 - In Patient Trauma and
Emergency Surgery total hospital days
Service Line 12 - In Patient Trauma and
Emergency Surgery acute rehab days
Service Line 12 - In Patient Trauma and
Emergency Surgery alternative level of care
days
18
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Encounters SL - Encounters by Service
Line (cont.)
Description
SL12_DAD_ADJ_ICUDAYS
SL12_DAD_ADJ_CASES_IP
SL12_DAD_ADJ_RIWS_IP
SL13_MSP_APP_ENC
SL13_DAD_ADJ_TDAYS
SL13_DAD_ADJ_ARDAYS
SL13_DAD_ADJ_ALCDAYS
SL13_DAD_ADJ_ICUDAYS
SL13_DAD_ADJ_CASES_IP
SL13_DAD_ADJ_RIWS_IP
SL14_MSP_APP_ENC
SL15_MSP_APP_ENC
SL16_MSP_APP_ENC
SL16_DAD_ADJ_TDAYS
SL16_DAD_ADJ_ARDAYS
SL16_DAD_ADJ_ALCDAYS
SL16_DAD_ADJ_ICUDAYS
SL16_DAD_ADJ_CASES_DS
SL16_DAD_ADJ_CASES_IP
SL16_DAD_ADJ_RIWS_DS
Service Line 12 - In Patient Trauma and
Emergency Surgery intensive care unit days
Service Line 12 - In Patient Trauma and
Emergency Surgery of inpatient cases
Service Line 12 - In Patient Trauma and
Emergency Surgery inpatient resource
intensity weights
Service Line 13 - Palliative Care, MSP and
APP shadow billing encounters
Service Line 13 - Palliative Care total
hospital days
Service Line 13 - Palliative Care acute rehab
days
Service Line 13 - Palliative Care alternative
level of care days
Service Line 13 - Palliative Care intensive
care unit days
Service Line 13 - Palliative Care of inpatient
cases
Service Line 13 - Palliative Care inpatient
resource intensity weights
Service Line 14 - Pathology/Laboratory, MSP
and APP shadow billing encounters
Service Line 15 - Diagnostics, MSP and APP
shadow billing encounters
Service Line 16 - Ambulatory Support
Therapies (Dialysis), MSP and APP shadow
billing encounters
Service Line 16 - Ambulatory Support
Therapies (Dialysis) total hospital days
Service Line 16 - Ambulatory Support
Therapies (Dialysis) acute rehab days
Service Line 16 - Ambulatory Support
Therapies (Dialysis) alternative level of care
days
Service Line 16 - Ambulatory Support
Therapies (Dialysis) intensive care unit days
Service Line 16 - Ambulatory Support
Therapies (Dialysis) of outpatient cases
Service Line 16 - Ambulatory Support
Therapies (Dialysis) of inpatient cases
Service Line 16 - Ambulatory Support
Therapies (Dialysis) outpatient resource
intensity weights
19
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Encounters SL - Encounters by Service
Line (cont.)
Description
SL16_DAD_ADJ_RIWS_IP
SL18_MSP_APP_ENC
SL19_MSP_APP_ENC
SL20_MSP_APP_ENC
SL20_DAD_ADJ_TDAYS
SL20_DAD_ADJ_ARDAYS
SL20_DAD_ADJ_ALCDAYS
SL20_DAD_ADJ_ICUDAYS
SL20_DAD_ADJ_CASES_IP
SL20_DAD_ADJ_RIWS_IP
SL20_REHAB_OTHER_VISITS
SL22_AL_DAYS
SL22_HS_HOURS
SL22_CSIL_HOURS
SL22_ADS_DAYS
SL22_CM_VISITS
SL24_MSP_APP_ENC
SL24_RC_DAYS
SL25_MSP_APP_ENC
SL25_DAD_ADJ_TDAYS
Service Line 16 - Ambulatory Support
Therapies (Dialysis) inpatient resource
intensity weights
Service Line 18 - Anaesthesia, MSP and APP
shadow billing encounters
Service Line 19 - Hospital Outpatients, MSP
and APP shadow billing encounters
Service Line 20 - Physical medicine and
Rehabilitation, MSP and APP shadow billing
encounters
Service Line 20 - Physical medicine and
Rehabilitation total hospital days
Service Line 20 - Physical medicine and
Rehabilitation acute rehab days
Service Line 20 - Physical medicine and
Rehabilitation alternative level of care days
Service Line 20 - Physical medicine and
Rehabilitation intensive care unit days
Service Line 20 - Physical medicine and
Rehabilitation of inpatient cases
Service Line 20 - Physical medicine and
Rehabilitation inpatient resource intensity
weights
Service Line 20 - Physical medicine and
Rehabilitation visits, Home & Community
Care (Rehab and other professional
services)
Service Line 22 - Community Supports for
Daily Living days, Assisted Living
Service Line 22 - Community Supports for
Daily Living hours, Home Support
Service Line 22 - Community Supports for
Daily Living hours, Choice in Supports for
Independent Living
Service Line 22 - Community Supports for
Daily Living days, Adult Day Services
Service Line 22 - Community Supports for
Daily Living visits, Case Management
Service Line 24 - Residential Care, MSP and
APP shadow billing encounters
Service Line 24 - Residential Care days,
Residential Care
Service Line 25 - Paediatrics, MSP and APP
shadow billing encounters
Service Line 25 - Paediatrics total hospital
days
20
HEALTH AUTHORITY APPLICATION FOR DATA FOR EVALUATION AND PLANNING PURPOSES FROM THE MINISTRY OF HEALTH
HEALTH SYSTEM MATRIX – DATA DICTIONARY
Field Name
Encounters SL - Encounters by Service
Line (cont.)
Description
SL25_DAD_ADJ_ARDAYS
SL25_DAD_ADJ_ALCDAYS
SL25_DAD_ADJ_ICUDAYS
SL25_DAD_ADJ_CASES_IP
SL25_DAD_ADJ_RIWS_IP
SL30_MSP_APP_ENC
SL99_MSP_APP_ENC
Service Line 25 - Paediatrics acute rehab
days
Service Line 25 - Paediatrics alternative
level of care days
Service Line 25 - Paediatrics intensive care
unit days
Service Line 25 - Paediatrics of inpatient
cases
Service Line 25 - Paediatrics inpatient
resource intensity weights
Service Line 30 - Surgery, MSP and APP
shadow billing encounters
Service Line 99 - Other, Physicians, MSP and
APP shadow billing encounters
21