Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 1010 - HEALTH CARE DATA COLLECTION AND SUBMISSION CODE
Appendix G - State Ambulatory Surgery Dataset (SASDS) Data Elements
1. Age in years at admission/visit
2. Age in days (when age < 1 year)
3. Age in months (when age < 11 years)
4. Admission/visit month
5. Admission/visit source (uniform)
6. Admission/visit type
7. Admission/visit day is a weekend
8. Anesthesiology charges
9. Pharmacy charges
10. Radiology charges
11. Clinical lab charges
12. Operating room/surgical suite charges
13. Oncology charges
14. Other charges
15. Disposition of patient (uniform)
16. Discharge quarter
17. Data source hospital identifier
18. Principal diagnosis
19. Up to 14 secondary diagnoses
20. CCS: principal diagnosis
21. CCS: up to 14 secondary diagnoses
22. Indicator of sex
23. APC code
24. Body system affected by condition/injury
25. Number of diagnoses on this record
26. Number of procedures on this record
27. Primary expected health plan identifier (uniform)
28. Secondary expected health plan identifier (uniform)
29. Principal procedure code (if present)
30. Up to 9 secondary procedure codes (if present)
31. CCS: principal procedure (if present)
32. CCS: up to 9 secondary procedures (if present)
33. Total charges (as received from source)
34. Calendar year of discharge
35. Patient zip code (uniform)
36. Patient county code (uniform)
37. Race
38. Ethnicity
39. Hospitalization employment related
40. State of accident
41. Reason for visit
42. Ecodes (when present)
43. Row ID (when necessary: provides linkage to Revenue Code Dataset)
