/* Published: 03/11/2024 */ /************************** COMMENTS *******************************/ /* THIS INPUT STATMENT IS FOR THE 2022 SEER-MEDICARE LINKAGE. */ /***********************************************************************/ /*************** IMPORTANT PROGRAMING NOTES ************************/ /* TO IDENTIFY CLAIMS PER PATIENT */ /* */ /* The Patient ID and ENC_JOIN_KEY (column 18/16) should be used to */ /* identify all the records for each claim per patient. Both are */ /* needed to identify a claim. */ /***********************************************************************/ /* Six segments are provided for the HHA claims files: base (claims), */ /* revenue, condition, occurrence, span and value. */ /* The Patient ID and ENC_JOIN_KEY (column 18) should be used to merge */ /* these files. */ /***********************************************************************/ /* If you are using PC SAS to read in these files you will have to */ /* un-zip the files first and use the un-zipped filename statement, */ /* rather than using the zipped files and statement. */ /***********************************************************************/ *filename hhabase '/directory/hha2019.base.enc.txt'; /* reading in an un-zipped file* / *filename hhabase pipe 'gunzip -c /directory/hha2019.base.enc.txt.gz'; /* reading in a zipped file */ *filename hhabase pipe 'gunzip -c /directory/hha*.base.enc.txt.gz'; /* using wildcard to match multiple files */ options nocenter validvarname=upcase; data hhabase_enc; infile hhabase lrecl=592 missover pad; input @001 patient_id $char15. /* Patient ID (for either Cancer or Non-Cancer Patients) */ @016 SAMPLE_GROUP $char2. @018 ENC_JOIN_KEY $char15. /* Encrypted */ @033 CLM_TYPE_CD $char4. @037 CLM_FROM_DT $char8. /* YYMMDD8 */ @045 CLM_THRU_DT $char8. /* YYMMDD8 */ @053 SRVC_MONTH $char6. @059 CLM_CHRT_RVW_SW $char1. @060 CLM_CNTL_NUM $char23. @083 CLM_ORIG_CNTL_NUM $char23. @106 CLM_FINL_ACTN_IND $char1. @107 CLM_LTST_CLM_IND $char1. @108 EDPS_CREATE_DT $char8. @116 CLM_RCPT_DT $char8. @124 CLM_FAC_TYPE_CD $char1. @125 CLM_SRVC_CLSFCTN_TYPE_CD $char1. @126 CLM_FREQ_CD $char1. @127 CNTRCT_NUM $char5. @132 CNTRCT_PBP_NUM $char3. @135 CLM_MDCL_REC $char1. @136 ORG_NPI $char10. /* Encrypted */ @146 ORG_TXNMY_CD $char10. @156 RNDRNG_PHYSN_NPI $char10. /* Encrypted */ @166 RFRG_PHYSN_NPI $char10. /* Encrypted */ @176 AT_PHYSN_NPI $char10. /* Encrypted */ @186 AT_PHYSN_TXNMY_CD $char10. @196 OP_PHYSN_NPI $char10. /* Encrypted */ @206 OT_PHYSN_NPI $char10. /* Encrypted */ @216 CLM_ADMSN_DT $char8. /* YYMMDD8 */ @224 PTNT_DSCHRG_STUS_CD $char2. @226 BENE_DSCHRG_DT $char8. /* YYMMDD8 */ @234 PRNCPAL_DGNS_CD $char7. @241 ICD_DGNS_CD1 $char7. @248 ICD_DGNS_CD2 $char7. @255 ICD_DGNS_CD3 $char7. @262 ICD_DGNS_CD4 $char7. @269 ICD_DGNS_CD5 $char7. @276 ICD_DGNS_CD6 $char7. @283 ICD_DGNS_CD7 $char7. @290 ICD_DGNS_CD8 $char7. @297 ICD_DGNS_CD9 $char7. @304 ICD_DGNS_CD10 $char7. @311 ICD_DGNS_CD11 $char7. @318 ICD_DGNS_CD12 $char7. @325 ICD_DGNS_CD13 $char7. @332 ICD_DGNS_CD14 $char7. @339 ICD_DGNS_CD15 $char7. @346 ICD_DGNS_CD16 $char7. @353 ICD_DGNS_CD17 $char7. @360 ICD_DGNS_CD18 $char7. @367 ICD_DGNS_CD19 $char7. @374 ICD_DGNS_CD20 $char7. @381 ICD_DGNS_CD21 $char7. @388 ICD_DGNS_CD22 $char7. @395 ICD_DGNS_CD23 $char7. @402 ICD_DGNS_CD24 $char7. @409 ICD_DGNS_CD25 $char7. @416 CLM_1ST_DGNS_E_CD $char7. @423 ICD_DGNS_E_CD1 $char7. @430 ICD_DGNS_E_CD2 $char7. @437 ICD_DGNS_E_CD3 $char7. @444 RSN_VISIT_CD1 $char7. @451 RSN_VISIT_CD2 $char7. @458 RSN_VISIT_CD3 $char7. @465 CLM_OBSLT_DT $char8. /* YYMMDD8 */ @503 CLM_BPRVDR_USPS_STATE_CD $char2. @505 CLM_BPRVDR_ADR_ZIP_CD $char9. /* Encrypted */ @544 CLM_SUBSCR_USPS_STATE_CD $char2. @546 CLM_SUBSCR_ADR_ZIP_CD $char9. /* Encrypted */ @555 BENE_CNTY_CD $char3. @558 BENE_STATE_CD $char2. @560 BENE_MLG_CNTCT_ZIP_CD $char9. /* Encrypted */ @569 GNDR_CD $char1. @570 BENE_RACE_CD $char1. @571 DOB_YEAR $char4. @579 BENE_MDCR_STUS_CD $char2. @581 TAX_NUM $char10. /* Encrypted */ @591 BENE_STATE $char2. ; label patient_id = "Patient ID" SAMPLE_GROUP = "CCW Beneficiary Random Sample Group" ENC_JOIN_KEY = "Unique Encounter Join Key" CLM_TYPE_CD = "Claim Type Code" CLM_FROM_DT = "Claim From Date" CLM_THRU_DT = "Claim Through Date" SRVC_MONTH = "Service Month" CLM_CHRT_RVW_SW = "Claim Chart Review Switch" CLM_CNTL_NUM = "Claim Control Number" CLM_ORIG_CNTL_NUM = "Claim Original Control Number" CLM_FINL_ACTN_IND = "Claim Final Action Indicator" CLM_LTST_CLM_IND = "Latest Claim Indicator" EDPS_CREATE_DT = "Encounter Data Processing System (EDPS) Create Date" CLM_RCPT_DT = "Claim Receipt Date" CLM_FAC_TYPE_CD = "Claim Facility Type Code" CLM_SRVC_CLSFCTN_TYPE_CD = "Claim Service classification Type Code" CLM_FREQ_CD = "Claim Frequency Code" CNTRCT_NUM = "Medicare Part C Contract Number" CNTRCT_PBP_NUM = "Medicare Part C Plan Benefit Package (PBP) Number" CLM_MDCL_REC = "Claim Medical Record Number" ORG_NPI = "Organization NPI Number" ORG_TXNMY_CD = "Organization Taxonomy Code" RNDRNG_PHYSN_NPI = "Claim Rendering Physician NPI Number" RFRG_PHYSN_NPI = "Claim Referring Physician NPI Number" AT_PHYSN_NPI = "Claim Attending Physician NPI Number" AT_PHYSN_TXNMY_CD = "Claim Attending Physician Taxonomy Code" OP_PHYSN_NPI = "Claim Operating Physician NPI Number" OT_PHYSN_NPI = "Claim Other Physician NPI Number" CLM_ADMSN_DT = "Claim Admission Date" PTNT_DSCHRG_STUS_CD = "Patient Discharge Status Code" BENE_DSCHRG_DT = "Beneficiary Discharge Date" PRNCPAL_DGNS_CD = "Claim Principal Diagnosis Code" ICD_DGNS_CD1 = "Claim Diagnosis Code 1" ICD_DGNS_CD2 = "Claim Diagnosis Code 2" ICD_DGNS_CD3 = "Claim Diagnosis Code 3" ICD_DGNS_CD4 = "Claim Diagnosis Code 4" ICD_DGNS_CD5 = "Claim Diagnosis Code 5" ICD_DGNS_CD6 = "Claim Diagnosis Code 6" ICD_DGNS_CD7 = "Claim Diagnosis Code 7" ICD_DGNS_CD8 = "Claim Diagnosis Code 8" ICD_DGNS_CD9 = "Claim Diagnosis Code 9" ICD_DGNS_CD10 = "Claim Diagnosis Code 10" ICD_DGNS_CD11 = "Claim Diagnosis Code 11" ICD_DGNS_CD12 = "Claim Diagnosis Code 12" ICD_DGNS_CD13 = "Claim Diagnosis Code 13" ICD_DGNS_CD14 = "Claim Diagnosis Code 14" ICD_DGNS_CD15 = "Claim Diagnosis Code 15" ICD_DGNS_CD16 = "Claim Diagnosis Code 16" ICD_DGNS_CD17 = "Claim Diagnosis Code 17" ICD_DGNS_CD18 = "Claim Diagnosis Code 18" ICD_DGNS_CD19 = "Claim Diagnosis Code 19" ICD_DGNS_CD20 = "Claim Diagnosis Code 20" ICD_DGNS_CD21 = "Claim Diagnosis Code 21" ICD_DGNS_CD22 = "Claim Diagnosis Code 22" ICD_DGNS_CD23 = "Claim Diagnosis Code 23" ICD_DGNS_CD24 = "Claim Diagnosis Code 24" ICD_DGNS_CD25 = "Claim Diagnosis Code 25" CLM_1ST_DGNS_E_CD = "First Claim Diagnosis E Code" ICD_DGNS_E_CD1 = "Claim Diagnosis E Code 1" ICD_DGNS_E_CD2 = "Claim Diagnosis E Code 2" ICD_DGNS_E_CD3 = "Claim Diagnosis E Code 3" RSN_VISIT_CD1 = "Reason for Visit Diagnosis Code 1" RSN_VISIT_CD2 = "Reason for Visit Diagnosis Code 2" RSN_VISIT_CD3 = "Reason for Visit Diagnosis Code 3" CLM_OBSLT_DT = "Claim Obsolete Date" CLM_BPRVDR_USPS_STATE_CD = "Billing Provider Address - USPS State Code" CLM_BPRVDR_ADR_ZIP_CD = "Billing Provider Address - ZIP Code" CLM_SUBSCR_USPS_STATE_CD = "Medicare Subscriber Address - USPS State Code" CLM_SUBSCR_ADR_ZIP_CD = "Medicare Subscriber Address - ZIP Code" BENE_CNTY_CD = "Beneficiary County Code from Claim (SSA)" BENE_STATE_CD = "Beneficiary Residence (SSA) State Code" BENE_MLG_CNTCT_ZIP_CD = "Beneficiary ZIP Code of Residence" GNDR_CD = "Gender Code" BENE_RACE_CD = "Race Code" DOB_YEAR = "Year of Birth" BENE_MDCR_STUS_CD = "Beneficiary Medicare Status Code" TAX_NUM = "Provider Tax Number" BENE_STATE = "Beneficiary State Postal Code" ; run; proc contents data=hhabase_enc position; Title 'proc contents, HHA Base Encounter file'; run; *filename hhareven '/directory/hha2019.revenue.enc.txt'; /* reading in an un-zipped file* / *filename hhareven pipe 'gunzip -c /directory/hha2019.revenue.enc.txt.gz'; /* reading in a zipped file */ *filename hhareven pipe 'gunzip -c /directory/hha*.revenue.enc.txt.gz'; /* using wildcard to match multiple files */ options nocenter validvarname=upcase; data hharevenue_enc; infile hhareven lrecl=154 missover pad; input @001 patient_id $char15. /* Patient ID (for either Cancer or Non-Cancer Patients) */ @016 ENC_JOIN_KEY $char15. /* Encrypted */ @031 CLM_TYPE_CD $char4. @035 CLM_LINE_NUM $char13. @048 CLM_THRU_DT $char8. /* YYMMDD8 */ @056 REV_CNTR $char4. @060 REV_CNTR_FROM_DT $char8. /* YYMMDD8 */ @068 REV_CNTR_THRU_DT $char8. /* YYMMDD8 */ @076 REV_CNTR_UNIT_CNT $char8. @084 HCPCS_CD $char5. @089 HCPCS_1ST_MDFR_CD $char2. @091 HCPCS_2ND_MDFR_CD $char2. @093 HCPCS_3RD_MDFR_CD $char2. @095 REV_CNTR_IDE_NDC_UPC_NUM $char24. @119 REV_CNTR_NDC_QTY 10.3 @129 REV_CNTR_NDC_QTY_QLFR_CD $char2. @131 REV_CNTR_RNDRNG_PHYSN_NPI $char10. /* Encrypted */ @141 LINE_LTST_CLM_IND $char1. @142 LINE_NUM_ORIG $char13. ; label patient_id = "Patient ID" ENC_JOIN_KEY = "Unique Encounter Join Key" CLM_TYPE_CD = "Claim Type Code" CLM_LINE_NUM = "Claim Line Number" CLM_THRU_DT = "Claim Through Date" REV_CNTR = "Revenue Center Code" REV_CNTR_FROM_DT = "Revenue Center From Date" REV_CNTR_THRU_DT = "Revenue Center Thru Date" REV_CNTR_UNIT_CNT = "Revenue Center Unit Count" HCPCS_CD = "HCFA Common Procedure Coding System (HCPCS) Code" HCPCS_1ST_MDFR_CD = "HCPCS Initial Modifier Code" HCPCS_2ND_MDFR_CD = "HCPCS Second Modifier Code" HCPCS_3RD_MDFR_CD = "HCPCS Third Modifier Code" REV_CNTR_IDE_NDC_UPC_NUM = "Revenue Center IDE, NDC, or UPC Number" REV_CNTR_NDC_QTY = "Revenue Center National Drug Code (NDC) Quantity" REV_CNTR_NDC_QTY_QLFR_CD = "Revenue Center NDC Quantity Qualifier Code" REV_CNTR_RNDRNG_PHYSN_NPI = "Revenue Center Rendering Physician NPI" LINE_LTST_CLM_IND = "Line Latest Claim Indicator" LINE_NUM_ORIG = "Original Claim Line Number" ; run; proc contents data=hharevenue_enc position; Title 'proc contents, HHA Revenue Encounter file'; run; *filename hhacond '/directory/hha2019.condition.enc.txt'; /* reading in an un-zipped file* / *filename hhacond pipe 'gunzip -c /directory/hha2019.condition.enc.txt.gz'; /* reading in a zipped file */ *filename hhacond pipe 'gunzip -c /directory/hha*.condition.enc.txt.gz'; /* using wildcard to match multiple files */ options nocenter validvarname=upcase; data hhacondition_enc; infile hhacond lrecl=38 missover pad; input @01 patient_id $char15. /* Patient ID (for either Cancer or Non-Cancer Patients) */ @16 ENC_JOIN_KEY $char15. /* Encrypted */ @31 CLM_TYPE_CD $char4. @35 RLT_COND_CD_SEQ $char2. @37 CLM_RLT_COND_CD $char2. ; label patient_id = "Patient ID" ENC_JOIN_KEY = "Unique Encounter Join Key" CLM_TYPE_CD = "Claim Type Code" RLT_COND_CD_SEQ = "Claim Related Condition Code Sequence" CLM_RLT_COND_CD = "Claim Related Condition Code" ; run; proc contents data=hhacondition_enc position; Title 'proc contents, HHA Condition Encounter file'; run; *filename hhaoccur '/directory/hha2019.occurrence.enc.txt'; /* reading in an un-zipped file* / *filename hhaoccur pipe 'gunzip -c /directory/hha2019.occurrence.enc.txt.gz'; /* reading in a zipped file */ *filename hhaoccur pipe 'gunzip -c /directory/hha*.occurrence.enc.txt.gz'; /* using wildcard to match multiple files */ options nocenter validvarname=upcase; data hhaoccurrence_enc; infile hhaoccur lrecl=46 missover pad; input @001 patient_id $char15. /* Patient ID (for either Cancer or Non-Cancer Patients) */ @16 ENC_JOIN_KEY $char15. /* Encrypted */ @31 CLM_TYPE_CD $char4. @35 RLT_OCRNC_CD_SEQ $char2. @37 CLM_RLT_OCRNC_CD $char2. @39 CLM_RLT_OCRNC_DT $char8. /* YYMMDD8 */ ; label patient_id = "Patient ID" ENC_JOIN_KEY = "Unique Encounter Join Key" CLM_TYPE_CD = "Claim Type Code" RLT_OCRNC_CD_SEQ = "Claim Related Occurrence Code Sequence" CLM_RLT_OCRNC_CD = "Claim Related Occurrence Code" CLM_RLT_OCRNC_DT = "Claim Related Occurrence Date" ; run; proc contents data=hhaoccurrence_enc position; Title 'proc contents, HHA Occurrence Encounter file'; run; *filename hhaspan '/directory/hha2019.span.enc.txt'; /* reading in an un-zipped file* / *filename hhaspan pipe 'gunzip -c /directory/hha2019.span.enc.txt.gz'; /* reading in a zipped file */ *filename hhaspan pipe 'gunzip -c /directory/hha*.span.enc.txt.gz'; /* using wildcard to match multiple files */ options nocenter validvarname=upcase; data hhaspan_enc; infile hhaspan lrecl=54 missover pad; input @01 patient_id $char15. /* Patient ID (for either Cancer or Non-Cancer Patients) */ @16 ENC_JOIN_KEY $char15. /* Encrypted */ @31 CLM_TYPE_CD $char4. @35 RLT_SPAN_CD_SEQ $char2. @37 CLM_SPAN_CD $char2. @39 CLM_SPAN_FROM_DT $char8. /* YYMMDD8 */ @47 CLM_SPAN_THRU_DT $char8. /* YYMMDD8 */ ; label patient_id = "Patient ID" ENC_JOIN_KEY = "Unique Encounter Join Key" CLM_TYPE_CD = "Claim Type Code" RLT_SPAN_CD_SEQ = "Claim Related Span Code Sequence" CLM_SPAN_CD = "Claim Occurrence Span Code" CLM_SPAN_FROM_DT = "Claim Occurrence Span From Date" CLM_SPAN_THRU_DT = "Claim Occurrence Span Through Date" ; run; proc contents data=hhaspan_enc position; Title 'proc contents, HHA SPAN Encounter file'; run; *filename hhavalue '/directory/hha2019.value.enc.txt'; /* reading in an un-zipped file* / *filename hhavalue pipe 'gunzip -c /directory/hha2019.value.enc.txt.gz'; /* reading in a zipped file */ *filename hhavalue pipe 'gunzip -c /directory/hha*.value.enc.txt.gz'; /* using wildcard to match multiple files */ options nocenter validvarname=upcase; data hhavalue_enc; infile hhavalue lrecl=38 missover pad; input @01 patient_id $char15. /* Patient ID (for either Cancer or Non-Cancer Patients) */ @16 ENC_JOIN_KEY $char15. /* Encrypted */ @31 CLM_TYPE_CD $char4. @35 RLT_VAL_CD_SEQ $char2. @37 CLM_VAL_CD $char2. ; label patient_id = "Patient ID" ENC_JOIN_KEY = "Unique Encounter Join Key" CLM_TYPE_CD = "Claim Type Code" RLT_VAL_CD_SEQ = "Claim Related Value Code Sequence" CLM_VAL_CD = "Claim Value Code" ; run; proc contents data=hhavalue_enc position; Title 'proc contents, HHA Value Encounter file'; run;