Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 1010 - HEALTH CARE DATA COLLECTION AND SUBMISSION CODE
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)
