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Comprehensive Ambulatory/Professional Encounter Record - Enhanced

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Comprehensive Ambulatory/Professional Encounter Record - Enhanced
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27 July 2010









Comprehensive Ambulatory/Professional Encounter

Record (CAPER) Enhanced

for the

MHS Data Repository (MDR)

(Version 2.01.01)









Future Specification

Revision History



Version Date Originator Para/Tbl/Fig Description of Change

1.01.00 03/11/2009 Original.

1.01.01 07/31/2009 S. Rogers  Appendix 1.3  Conversion from standard APC input formats

to custom format

 Appendix 1.4  Conversion from standard APC output read

formats to custom format

 Appendix 1, Table A1.2  Modified APC input format



 Appendix 1, Table A1.3  Modified APC output format



 Appendix 1.5.  Revise application of APGs to telephone

 Appendix 2.7.g consults.

 Derive Appointment Status Type with

Appointment Data Walk-In



 Appendix 2, Table A2.  Change Enrollment DMIS ID Region from

Char(4) to Char(2)

 Clarify descriptive language for variables

CLINSTAT and CLINZIP

 Correct derivation of Appointment Status

Type.

 Rename APPTSTAT to APPTSTAT1.

 Add additional derived Appointment Status

Type that identifies a walk-in appointment by

the WALKIN flag in appointment data

 Add gender logic to application of MDC.

 Change field name for variable PRIME



 Throughout  Correct references to ―Appendix 5.

Completion Table for Appointment-Inferred

CAPERs‖

1.01.02 08/05/2009 S. Rogers  Appendix 1.1  CPT-APC format applied by CY



 Appendix 1, Table A1.1  APC variables from CHAR(4) to CHAR(5)

 Correct name of Procedure Status Indicator



 Appendix 2, Table A2.  Drop PRIME

 Add ACV Group.

1.01.03 09/15/2009 S. Rogers  Appendix 2, Table A2.  Add Sponsor Rank/ Paygrade Group.

(RANKPAY)

 Correct derivation of PATCAT to rely on

PATCAT_R rather than previously incorrectly

referenced PATCAT1.

1.01.04 10/22/2009 S. Rogers  Appendix 1.5  Correct references to values of APPTSTAT.

 Appendix 2, Table A2.  APPTSTAT1 and APPTSTAT: Correct

references to specific variable values.

 Delete variable SPONSVC.

 Clarify derivation of RSPONSVC.

1.01.05 12/17/09 S. Rogers  Appendix 2.7.a  Change references to values of INFRSADR in

the DMISID table from (1=keep, 0=omit) to

(Y=keep, N=omit).

1.01.06 01/21/10 S. Rogers  II  Administrative change to reflect weekly (vs

previous monthly) availability of appointment

file.









Version 2.01.01 MDR CAPER Enhanced - i 27 July 2010

Version Date Originator Para/Tbl/Fig Description of Change

1.01.07 02/25/10 S. Rogers  Appendix 1, Table A1.2  Change the APC grouper input file as follows:

o Change the following fields to

20090401 when ENCDATE is before

that date:

 From Date

 To Date

 Procedure Date

o Rearrange the order of Procedure

Code and Modifier fields based on 3M

changes to the grouper (V2010.0.1).



2.01.00 06/25/10 S. Rogers  Throughout  Updates for CAPER Enhanced Interim

 Some changes to Administrative section

include update to APC grouper processing

(conversion to single set of APCs, additional

fields added during existing merges (fields

highlighted), field length changes, and

change to derivation of Underwritten Region.

 Added fields formerly derived in M2

processing.

 Added all fields required to generate SADR

replacement file in CAPER Enhanced Interim

 Added the analytic processing Appendix to

add all raw and some derived and aggregate

measures.

 Updated the completion table Appendix to

include all new and changed fields

 Added a final field layout table

 Added an Appendix with list of reference

tables used in CAPER processing

 Note: All significant changes and additions

through Appendix 2 are highlighted. Only the

header line of the newly added sections

(Appendix 3+) are highlighted.









Version 2.01.01 MDR CAPER Enhanced - ii 27 July 2010

Version Date Originator Para/Tbl/Fig Description of Change

2.01.01 07/27/10 S. Rogers  Appendix 2, Para 4  Removed reference to BPACATCH.

 Table A2  Clarified derivations of MDC, SDS and

MEDFLAG for inferred CAPERs.

 Clarified derivations for PATHSSC and

PATREGN.

 Table A2.2  Corrected product line format file name.

 Table A3.2  Corrected field names used in derivation of

APCAGGWT_S.

 Appendix 5  Updates to the Final Field Layout Table:

o Corrected PROVROLE1 length and

information about APPTMTCH and

APPTTYPE

o Relabeled all Units of Care fields to Units

of Service

o Corrected labels for FPRVU9, NPRVU9 and

PERVU9

o Added APPTTYPE_R missing from the table

o Removed duplicate APPTSTAT entry.

 Reference Table Appendix  Updated the RVU table filenames to

distinguish 7-char key version from original

5-char key version (rvu7fmt.sas7bdat and

cpt7fmt.sas7bdat

 Table A2, footnote 10  Clarified source for patient name









Version 2.01.01 MDR CAPER Enhanced - iii 27 July 2010

Table of Contents



I. SOURCE .......................................................................................................... 1

II. TRANSMISSION (Format and Frequency) ............................................................ 1

III. ORGANIZATION AND BATCHING ........................................................................ 1

IV. RECEIVING FILTERS ......................................................................................... 2

V. DATA PROCESSING AND FIELD TRANSFORMATION .............................................. 2

VI. DIRECTORY LOCATION ..................................................................................... 4

VII. DATA QUALITY ................................................................................................. 4





APPENDIX 1: Application of Ambulatory Groupers and Related Fields. .............................. 6

APPENDIX 2: Administrative Text Processing Steps and Field Additions .......................... 24

APPENDIX 3: Analytic Processing and Field Additions to the CAPER-Enhanced. ................ 40

APPENDIX 4: Completion Table for Appointment-Inferred CAPERs ................................. 59

APPENDIX 5: Final Field Layout Table ........................................................................ 62

APPENDIX TBD: Provider Table ................................................................................. 78

APPENDIX TBD: SCAPERs ......................................................................................... 79

APPENDIX TBD: Reference Tables ............................................................................. 80









Version 2.01.01 MDR CAPER Enhanced - i 27 July 2010

COMPREHENSIVE AMBULATORY/PROFESSIONAL ENCOUNTER RECORD (CAPER)

ENHANCED FOR THE MDR



This specification describes the process required to convert the CAPER-Basic, as generated

through the process described in the specification ―Comprehensive Ambulatory/Professional

Encounter Record (CAPER) – Basic for the MDR‖, into the CAPER-Enhanced1. CAPER-

Enhanced will be derived from the CAPER-Basic through the processes documented through

the remainder of this specification and referred to as Blending, Administrative Processing

and Field Additions, and Analytic Processing and Field Additions.



I. SOURCE



Source Data File Purpose

CHCS/AHLTA CAPER-Basic, Master, Collection of records for encounters/professional

MDR, current (after services in near raw form, prepared in accordance

weekly update with the specification ―CAPER-Basic for the MDR‖.

processing)

MDR CAPER-Enhanced,

Master, MDR, previous

(week)

CHCS/AHLTA Appointment File, Records to supplement CAPER-Basic when an

Master, MDR appointment was identified as complete but a

CAPER not submitted.

Interim file from Cancel File, Master, Cancelled records resulting from CAPER-Basic

Processor current (week) processing that divides weekly harvests into

―keepers‖ and ―cancels‖.



II. TRANSMISSION (Format and Frequency)



The most current CAPER-Basic file as it resides in PUB/APUB is used for CAPER Enhanced

processing.‖



Table for Multiple Input Feeds

Source Data File Periodicity Format

CHCS/AHLTA CAPER-Basic Weekly SAS

CHCS/AHLTA Appointment File Weekly SAS



III. ORGANIZATION AND BATCHING



Several files result from this process, each file type organized into fiscal year files.



MDR Table Location Description

CAPER Enhanced (Interim) Interim file Contains records from the CAPER-Basic

supplemented with fields supplied through

Administrative Processing (Appendix 2).

CAPER Enhanced MDR Contains records from the interim CAPER

Enhanced file supplemented with fields

supplied through Analytic Processing

(Appendix 3).









1

This version of the CAPER Enhanced specification refers to the CAPER Interim which is generally understood to be

the SADR replacement. This specification contains some placeholder information that is expected to be completed

in CAPER Interim Plus.







Version 2.01.01 MDR CAPER Enhanced - 1 27 July 2010

Current year CAPERs are processed weekly after the Appointment Master and the CAPER

Basic.



Frequency of updates, based on CAPER encounter date:

 Current FY: Every week

 Prior FY: weekly for one quarter (October, November, and December) then

semiannually (April, October)

 All years prior to prior FY: Annually (October)

 Retrofits: On an as needed basis when data corrections or updates are required.



IV. RECEIVING FILTERS



None.



V. DATA PROCESSING AND FIELD TRANSFORMATION



Generating a CAPER-Enhanced begins with the most recent version of the CAPER-Basic

master file for the period in question2. The file and included records pass through 2

processes—Administrative and Analytic—to create the new CAPER-Enhanced master for the

MDR.3



A. Administrative Processing:



1. Records from all four input files (See I.) are uniquely identified by the key

(HOSTDMIS || APPTIDNO).



2. Blending: The Blending process combines records from the refreshed CAPER-

Basic master file with information about newly identified cancellations, the

Appointment master file, and the previous CAPER Enhanced master file to

generate a refreshed file ready for Administrative processing and records to be

maintained in the M2 Drop Dataset. The file, referred to below as the Blended

CAPER, is an interim file retained for the duration of processing only and does not

reside in PUB/APUB. The Blending process has three steps:



a. Link records in the new CAPER-Basic master to records in the CAPER-

Enhanced master on the key HOSTDMIS||APPTIDNO.



In Relation of

In CAPER Value of

CAPER- Source

Enhanced Enhanced Action

Basic Processing

Master APPTINFR

Master Dates

Remove CAPER-Enhanced

No Yes N record.

Add key to M2DROP data set.

Retain CAPER-Enhanced record

No Yes Y in Blended CAPER.

Set M2CODE = ‗ ‘.



2

Refer to the specification ―Comprehensive Ambulatory/Professional Encounter Record (CAPER) – Basic for the

MDR‖ for a complete list of variables in the CAPER-BASIC file.

3

To be clear, the process of blending the data sets together as described through the remainder of this section

implies that all interim data sets in the CAPER-Enhanced processing will have all the final fields of a CAPER-

Enhanced data set because one of the input data sets, namely the previous CAPER-Enhanced data set, already

have all variables. Consequently, the fields are not technically added later in processing. Rather, they receive

values later in processing.







Version 2.01.01 MDR CAPER Enhanced - 2 27 July 2010

In Relation of

In CAPER Value of

CAPER- Source

Enhanced Enhanced Action

Basic Processing

Master APPTINFR

Master Dates

Add CAPER-Basic record to

Yes No Blended CAPER.

Set M2CODE = ‗N‘.

Basic Retain CAPER-Basic record in

SRCPROCDATE lieu of CAPER-Enhanced

Yes Yes N > record.

Enhanced Set M2CODE =‘U‘.

SRCPROCDATE

Basic Retain CAPER Enhanced

SRCPROCDATE record.

Yes Yes N Blended CAPER file.

Blended Set APPTINFR= ‗Y‘.

SRCPROCDATE Set M2CODE= ‗U‘.









Version 2.01.01 MDR CAPER Enhanced - 3 27 July 2010

Value of Relation of

In In

Blended Source

Appointment Blended Action

CAPER Processing

Master CAPER

APPTINFR Dates

Yes Yes Y Appt CHGDATE Retain Blended CAPER record.

0 and CPTUOS_J >

13

UOSLIM_J, set CPTUOS_ J = UOSSUB_J

(Required prior to APC Grouping)

Based on encounter date (ENCDATE)

Patient Age PATAGE and birth date (PATDOB).

(Required prior to APC Grouping)

From TRICARE APC Grouping of CPT

Packaging Flag, E&M1- procedures J=1 to 13, where J=1 to 3

E&M3, Proc1-Proc 10, represents the E&M positions and J=4 to

Char(1) APCPKGJ,

as assigned by the 13 represents procedure positions.

TRICARE APC Grouper.

Populated for FY09+ only.

From TRICARE APC Grouping

Overall Claim

Char(28) CLAIM_DISP

Disposition

Populated for FY09+ only.





8

Note change of field length from previous version.







Version 2.01.01 MDR CAPER Enhanced - 10 27 July 2010

Table A1.1: Field Values Added to Blended CAPER

during Grouper and APC Format Application

Field Type SAS Name Derivation

From TRICARE APC Grouping

Claim Denial Disposition Char(1) CLAIM_DEN

Populated for FY09+ only.

From TRICARE APC Grouping of CPT

APC Procedure Edits, procedures J=1 to 13, where J=1 to 3

E&M1-E&M3, Proc1-Proc represents the E&M positions and J=4 to

Char(40) APCEDITJ

10, as assigned by the 13 represents procedure positions.

TRICARE APC Grouper.

Populated for FY09+ only.

From APG Grouping of 1st procedural

APG – Proc 1 Char(3) APG3

CPT



From APG Grouping of 2nd procedural

APG – Proc 2 Char(3) APG4

CPT



From APG Grouping of 3rd procedural

APG – Proc 3 Char(3) APG5

CPT



From APG Grouping of 4th procedural

APG – Proc 4 Char(3) APG6

CPT



APG – E&M Char(3) APG1 From APG grouping of E&M Code 1



APG – Medical Char(3) APG2 From APG Grouping of Diagnosis 1







Table A1.2: Format for Input to APC Grouper

Field Variable Conversion/Format Start Lengt Occur

or Coded Value Position h s

Record Key Part 1 HOSTDMIS 1 4 1

Record Key Part 2 APPTIDNO 5 10 1

Blank filled 15 77 1

From Date ENCDATE mmddyyyy. If ENCDATE 92 8 1

current then do;

dobdate=' ';

end;

if tmpenc > current then do;

svcdate=' ';

end;

drop current;



*

* Format sex data element for grouper.

*;



length SEXNUM $1;

if patsex='M' then

sexnum='1';

else if patsex='F' then

sexnum='2';

else

sexnum='U';



*

* Initialize data elements for grouper.

*;



length sg01-sg0&numcpt $9;







Version 2.01.01 MDR CAPER Enhanced - 21 27 July 2010

Table A1.4: Preparing Input to the APG Grouper

sg01 = left(&cptpre.1);

sg02 = left(&cptpre.4);

sg03 = left(&cptpre.5);

sg04 = left(&cptpre.6);

sg05 = left(&cptpre.7);



length UK2 $15 filler $1;

uk2='';

filler='';

MEDIPASS='0';

REFERRAL='0';

AGE='000';

DISSTAT='01';

UK1='CAPER Sched ';

TOTCHRG='000000.00';

%mend apggrp_prep;



*

* Write the variables for the APG grouper

* and create the file.

*;



%macro apggrp_put(grprin,numdx,numcpt);

PUT

@1 hostdmis $4.

@5 apptidno $10.

@31 SVCDATE $8.

@39 DOBDATE $8.

@47 AGE $3.

@50 SEXNUM $1.

@51 DISSTAT $2.

@53 MEDIPASS $1.

@54 REFERRAL $1.

@55 UK1 $15.

@70 UK2 $15.

@85 TOTCHRG $9.

%do i=1 %to &numdx;

@%eval(94+(6*(&i.-1))) dx0&i $6.

%end;

%do i=1 %to &numcpt;

@%eval(154+(9*(&i.-1))) sg0&i $9.

%end;

@423 filler $1.

;



%mend apggrp_put;









Version 2.01.01 MDR CAPER Enhanced - 22 27 July 2010

Table A1.5: Reading Output from the APG Grouper



*

* Read in the variables from the output of APG grouper.

*;



%macro apggrp_input(numcpt);

input

@1 hostdmis $char4.

@5 apptidno $char10.

@426 napg2 $char3.

@443 napg1 $char3.

@446 napg3 $char3.

@449 napg4 $char3.

@452 napg5 $char3.

@455 napg6 $char3.

;

%mend apggrp_input;





Table A1.6: Format File Excerpt for Assigning CMS APC Fields by CPT/HCPCS Codes,

mdr/ref/caper/apc/cy##q#.dyymmdd.fmt where cy ##=06 to 08



PROC FORMAT;

value $APC07C

'0001F'='00000E0000.0000'

'0005F'='00000E0000.0000'

'00100'='00000N0000.0000'

'00102'='00000N0000.0000'

'00103'='00000N0000.0000'

'00104'='00000N0000.0000'

'00120'='00000N0000.0000'

'00124'='00000N0000.0000'

'00126'='00000N0000.0000'

.

.

.

' '=' '

OTHER ='09999 0000.0000';

run;



*See the APC Tables Spec (Ambulatory Payment Classification (APC) Reference Tables for the

MHS Data Repository (MDR)) for further detail.









Version 2.01.01 MDR CAPER Enhanced - 23 27 July 2010

APPENDIX 2: Administrative Text Processing Steps and Field Additions



The following processes will be applied to the CAPER-Basic, post blending and grouping.

Variables will be added according to Table A2. Fields Added to Blended CAPER through

Administrative Text Processing.



1. MPI Merge: See the MPI specification for appending EDIPN, SPONSSN, DDS, and PARC.



2. LVM Merge: Append the Enrollment DMISID (ENRDMIS), Alternate Care Value (ACV),

Health Care Delivery Program Code (HCDPLVM), Beneficiary Category (BENCATX), PCM

ID (PCMIDLVM), Sponsor Service from DEERS (SSVCLVM), Sponsor Service Aggregate

(SAGGLVM), and TPR Eligible Flag (TPRELIG) from the longitudinal LVM for CAPER data.

(This merge occurs after the MPI merge described above and occurs on the ―whole‖

CAPER dataset, not just the newly processed records):

a. Merge to the LVM by EDIPN for the FM of the encounter date.

b. If a match is found, assign all variables as described in Table A2. (If these values are

missing/blank from LVM, then the fields remain missing/blank).



3. DMIS Merge: Merge to the MDR DMIS ID Index based on encounter date and treatment

DMIS ID to append the MEPRS Parent DMIS ID (PARMEPRS), Cost Parent DMIS ID

(PARCOST), Clinic State (CLINSTAT), Clinic Zip Code (CLINZIP), Treatment Region

(TXREG), Treatment DMIS ID HSSC Region (TXHSSC), Treatment Service (TXSVC),

Multi-Service Market Area (MSMA) and PPS Treatment Parent Site (PPS_TPS).



Merge to the MDR DMIS ID Index based on encounter date and enrollment DMIS ID

(ENRDMIS) to append the Enrollment DMIS ID Region (ENRREG), Enrollment Parent

DMIS ID (PARENR) and PPS Enrollment Parent Site (PPS_EPS).



Although the DMIS ID and CAD feed processing will be accelerated so that tables are

available by the 5th working day of the month, this may cause a one or two day delay in

throughput for the first weekly CAPER batch of the month.



4. CAD Merge: Merge to the MDR CAD based on Patient Zip, Sponsor Service, and the CAD

matching the encounter date. (If Patient Zip is not usable, the Treatment DMIS ID Zip

Code is used in its place.) The fields Patient Catchment Area (CATCH), Patient Health

Service Region (PATREGN), Beneficiary HSSC Region (PATHSSC), and PRISM Area DMIS

ID (PRISM) are added in this process.



5. Reservist Merge: Merge to the Reservist Table File by Sponsor SSN based on encounter

date. Add Reservist Special Operation Code (SOC) and Reservist Status Code (STATUS).



6. Referral File Merge: Merge to the Referral File with Treatment DMSID and Record ID in

the CAPER (DMISID and APPTIDNO) to Appointment Clinic DMISID and Associated

Record ID (APPTDMISID and APPTIEN) in the referral data. Add Referral Number

(REFNUM) and Referral Provider (REF_PROV).



7. When the master file from CAPER is complete, compare records from the appointment

file with the CAPER file to identify appointment records that are candidates for addition

to the CAPER as appointment inferred CAPERs.

a. Omit all MEPRS ―A‖ records from the appointment file before starting the merge to

CAPER process. Omit all test records from the appointment file before starting the

merge to CAPER process where test records are identified as those with MEPRS 3-

level codes other than standard codes from the EAS-IV Repository Account Subset







Version 2.01.01 MDR CAPER Enhanced - 24 27 July 2010

Definition (ASD) table or from CHCS. Omit records from the appointment data based

on the INFRSADR flag from the DMISID table (Y=keep, N=omit).

b. Merge in limited fields from appointment records (only those needed by the

processor) using HOSTDMIS and APPTIDNO as the key.

c. Only keep Appointment Records where the Appointment Status=2 (Kept), 5 (Walk-

in), 6 (Sick Call), or 7 (TCON).

d. If only in CAPER, write out the record setting the Appointment Inferred CAPER Flag

(APPTINFR)=‘N‘.

e. If in CAPER and appointment, check the count visit flag (COUNTVIS) from the

appointment file and correct its value in the CAPER, if needed.

f. If CAPER is inferred, then update with most current appointment data and set

APPTINFR=‘Y‘ and APPTPFIX=‘I‘.

g. Add the Medicare Eligibility field (MELIGAPT) from the appointment data to the

CAPER and inferred CAPER.

h. Derive a modified Appointment Status Type (APPTSTAT) that identifies as a walk-in

appointment in any record with an appointment data WALKIN =‛Y‘.

i. Add the Patient Status (PATSTAT), Appointment Type (APPTTYPE)

j. If only in appointment but not in CAPER, derive fields as noted in Appendix 4:

Completion Table for Appointment-Inferred CAPERs.



8. Add other fields as detailed in Table A2.

9. During the process, all records are tracked in such a manner that they can be identified

as new, modified, cancelled, etc. These indicators must be retained through this and the

Analytic processing.



The table below reflects the fields added to the CAPER-Basic and appearing in the CAPER-

Enhanced after Administrative Processing. Other fields may be created to facilitate

processing, but will not be retained in the public use MDR file when it is posted.









Version 2.01.01 MDR CAPER Enhanced - 25 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

Unique Patient

Char(10) EDIPN MPI See MPI specification.

Identifier

Sponsor SSN Char(9) SPONSSN MPI See MPI specification.

DEERS

Dependent Char(2) DDS MPI See MPI specification

Suffix

Person

Association Char(2) PARC MPI See MPI specification.

Reason Code

Beneficiary First

Char(20) FIRSTNAME MPI See MPI specification.10

Name

Beneficiary Last

Char(26) LASTNAME MPI See MPI specification.10

Name

Concatenate:

Beneficiary

Char(74) PATNAME MPI LAST, FIRST MIDDLE, CADENCY (e.g.,

Name

SMITH, WILLIAM ROBERT, JR).10

Enrollment

Char(4) ENRDMIS LVM From merge to LVM.

DMIS ID

Merge to LVM by EDIPN.

If there is a match to the LVM by EDIPN,

and the date of the encounter is within

the date window of a LVM segment, and

the ACV on the segment is not (―Z‖ or

blank) then set ACV to the value

contained in the enrollment segment.

Alternate Care

Char(1) ACV LVM

Value Otherwise, if LVM R_BEN_CAT_CD = ACT

or GRD, ACV = ―M‖

else ACV = blank.



Note: If using BENCATX in lieu of

R_BEN_CAT_CD, it must be done prior to

populating BENCATX with BENCAT

values. See BENCATX derivation

HCDP Code From merge to LVM.

Char(3)11 HCDPLVM LVM

from LVM

From merge to LVM as described in

Beneficiary

paragraph 2, set equal to LVM

Category from

Char(3) BENCATX LVM Beneficiary Category (R_BEN_CAT_CD).

LVM and

If no match to LVM is found, then set

BENCAT

equal to BENCAT.

PCM ID from the From merge to LVM.

Char(18) PCMIDLVM LVM

LVM Data

Sponsor Service From merge to LVM.

Char(1) SSVCLVM LVM

from DEERS

Sponsor Service

From merge to LVM.

Aggregate from Char(1) SAGGLVM LVM

LVM





10

Use the M2 Beneficiary Name reference table for the various ―name‖ components.

11

Note change in field length from previous version.







Version 2.01.01 MDR CAPER Enhanced - 26 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

Merge to LVM (VM6) and add the field

TPR Eligible Flag Char(1) TPRELIG LVM D_TPR_ELG_CD.



From merge to the DMISID Index based

Enrollment on ENRDMIS, set to MOD_REG from

Char(2) ENRREG DMIS

DMIS ID Region corresponding entry in the DMIS ID

index table

Service-designated parent of Enrollment

Parent DMIS ID

Char(4) PARENR DMIS DMIS ID (from DMISID Index) matching

(enrollment)

fiscal year based on ENRDMIS.



Parent DMIS ID Costing Parent of Treatment DMIS ID

Char(4) PARCOST DMIS

(COST) (from DMISID Index) matching FY.







Multi-Service MSMA of Treatment DMIS ID (from

Char(3) MSMA DMIS

Market Area DMISID Index) matching FY.







Parent DMIS ID MEPRS Parent of Treatment DMIS ID

Char(4) PARMEPRS DMIS

(MEPRS) (from DMISID Index) matching FY.





Treatment DMIS Treatment DMIS ID (from DMISID Index)

Char(1) TXHSSC DMIS

ID HSSC Region matching FY.



Derived from Treatment DMIS ID and

Treatment

Char(2) TXREG DMIS merge to DMISID Index: modified UBU

Region

Region where MTF is located.



Treatment Derived from Treatment DMIS ID and

Char(1) TXSVC DMIS

Service merge to DMISID Index.



CLINSTAT of Treatment DMIS ID (from

Clinic State Char(2) CLINSTAT DMIS

DMISID Index) matching FY



CLINZIP of Treatment DMIS ID (from

Clinic Zip Char(5) CLINZIP DMIS

DMISID Index) matching FY



PPS Tmt Parent Joined to the DMIS Table by FY and Tmt

Char(4) PPS_TPS DMIS

Site DMISID (DMISID).



PPS Enr Parent Joined to the DMIS Table by FY and

Char(4) PPS_EPS DMIS

Site Enrollment Site (ENRDMIS).

Catchment DMIS ID of patient residence,

based on patient Zip, sponsor service,

Patient and the CAD matching the encounter

Char(4) CATCH CAD

Catchment Area date. (If patient Zip is not usable, the

treatment MTF Zip code is used in its

place.)









Version 2.01.01 MDR CAPER Enhanced - 27 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

HSSC Region, based on Patient Zip and

Patient

―World‖ Region in the Omni-CAD File. (If

(Beneficiary) Char(1) PATHSSC CAD

patient Zip is not usable, the treatment

HSSC Region

MTF Zip code is used in its place.)

Health Service Region, based on Patient

Zip and ―World‖ Region in the Omni-CAD

Patient Health

Char(2) PATREGN CAD File (If patient Zip is not usable, the

Service Region

treatment MTF Zip code is used in its

place.)

PRISM DMIS ID of patient residence,

based on patient Zip, sponsor service,

and the Omni-CAD matching the

PRISM area Char(4) PRISM CAD

encounter date. (If patient Zip is not

usable, the treatment MTF Zip code is

used in its place.)

Merge to the Reservist Table File by

Sponsor SSN. Reservist Special

Operation is appended to the encounter

Reservist record if the encounter date occurred

Special Char(2) SOC Reservist during the time frame in which the

Operation Code beneficiary is eligible to receive TRICARE

benefits, that is, is within the begin and

end dates inclusive on a matching

Reservist Table file record..

Merge to the Reservist Table File by

Sponsor SSN. Reservist Status Code is

appended to the encounter record if the

encounter date occurred during the time

Reservist Status

Char(1) STATUS Reservist frame in which the beneficiary is eligible

Code

to receive TRICARE benefits, that is, is

within the begin and end dates inclusive

on a matching Reservist Table file

record..

Appointment

Char(1)12 PROVROLE1 =substr(PROVROLE1,1,1)

Provider Role

REFNUM_R

Referral

Char(11) (formerly No transformation.

Number, Raw

REF_NO)

Merge to referral data based on

Treatment DMSID and Record ID in the

Referral Number CAPER (DMISID and APPTIDNO) to

from Referral Char(11) REFNUM Referral Appointment Clinic DMISID and

File Associated Record ID (APPTDMISID and

APPTIEN) in the referral data.



REF_PROV_R

Referring

Char(9) (formerly No transformation.

Provider, Raw

PROVIDREF)









12

Note change in field length from previous version.





Version 2.01.01 MDR CAPER Enhanced - 28 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

Merge to referral data based on

Treatment DMISID and Record ID in the

CAPER (DMISID and APPTIDNO) to

Appointment Clinic DMISID and

Associated Record ID (APPTDMISID and

Referring

APPTIEN) in the referral data.

Provider from Char(14) REF_PROV Referral

This field is purposely longer in length

the Referral File

than needed for Direct Care providers

because Purchased Care providers will

have longer IDs.

Called REFBYPRV_ID in referral file.



Patient Status

as reported in

Appointmen From appointment data.

the Char(1) PATSTAT

t No transformation.

Appointment

Data

Medicare

Eligibility as

Appointmen From the appointment data.

reported in the Char(2) MELIGAPT

t No transformation.

Appointment

Data

APPTTYPE_R

Appointment

Char(6) (formerly No transformation.

Type Raw

APPTTYPE)

Appointment

Type from Appointmen

Char(6) APPTTYPE From the appointment data merge.

Appointment t

Data

If in CAPER and appointment, check the

count visit flag from the appointment file

Count Visit and correct its value in the CAPER, if

Char(1) COUNTVIS

Indicator needed. If CAPER is inferred, then

update with most current appointment

data.



If ACV in(‗A‘ ‗E‘ ‗H‘ ‗J‘ ) then ‗Prime‘

Else if ACV in(‗B‘ ‗F‘) then ‗Overseas

Remote‘

Else if ACV in(‗G‘ ‗L‘) then ‗Plus‘

ACV Group Char(15) ACVGROUP

Else if ACV = ‗U‘ then ‗Desig Prov‘

Else if ACV in(‗M‘ ‗Q‘) OR COMBEN= ‗4‘

then ‗Reliant‘

Else ‗Other‘









Version 2.01.01 MDR CAPER Enhanced - 29 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

Based on PATAGE:

A = 0-4

B = 5-14

C = 15-17

D = 18-24

Age Group Char(1) AGEGRP

E = 25-34

F = 35-44

G = 45-64

H = 65+

X = all others

Appointment

Y if from Appointment File

Inferred CAPER Char(1) APPTINFR

Else N

Flag

No transformation in CAPER derived

Appointment

Char(1) APPTPFIX record.

Prefix

I implies appointment inferred record.

No transformation for CAPERs or for

Appointment inferred CAPERs.

That is:

APPTSTAT1 If Appt Data Appt Stat=2 then 2 (Kept)

Appointment

Char(1) (formerly If Appt Data Appt Stat=5 then 5 (Walk-

Status Type

APPTSTAT) in)

If Appt Data Appt Stat=6 then 6 (Sick

Call)

If Appt Data Appt Stat=7 then 7 (T-Con)



For FY04:

Appointment

APPTSTAT=APPTSTAT1

Status Type

For FY05 and forward:

with Char(1) APPTSTAT

If Appt Data WALKIN=‘Y‘ then

Appointment

APPTSTAT=5;

Data Walk-In

Else APPTSTAT=APPTSTAT1.







APV=Y, when MEPRSCD=B**5 or B**7

APV Flag Char(1) APV

for TXSVC=A, F, or N.







Beneficiary Derived from patient category code using

Char(3) BENCAT

Category universal PATCAT format table









Version 2.01.01 MDR CAPER Enhanced - 30 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

Derived from PATAGE:

A = 0-4

B = 5-14

C = 15-17

D = 18-24

E = 25-34

Age Group F = 35-44

Char(1) EXPAGE

Common G = 45-64

H = 65-69

I = 70-74

J = 75-79

K = 80-84

L = 85+

X = All others



Derived from BENCATX.

1 = Dep Active Duty / Guard

Beneficiary

2 = Retired

Category Char(1) COMBEN

3 = Dep of Retired / Survivor / Other /

(common)

Unknown/Blank/IGR/IDG

4 = Active Duty Guard



For FY05+ only:

Derived from the first 5 characters of

ICD-9-CM, Diagnosis 1 (ICD1) and

application of the MDC format that

Major Diagnostic contains assignments for that FY.

Char(2) MDC

Category IF MDC = ‗98‘ THEN DO;

IF PATSEX=‘F‘ THEN MDC = ‗13‘;

ELSE IF PATSEX = ‗M‘ THEN MDC=‘12‘;

END;

This field is left blank if APPTINFR=‘Y‘.



Use first three characters of Diagnosis 1

Diagnosis Group Char(2) DXGRP (DX1).

See Table A2.1 for derivation rules.



For FY04:

For APPTINFR=Y or N:



―N‖ if MELIGAPT field is N or S.

If MELIGAPT is blank then assign

―N‖ if patient age is = 65

Otherwise, assign value ―Y‖

Medicare

Char(1) MEDFLAG

Eligibility Flag

For FY05+:

For APPTINFR=Y or N:

―Y‖ if MELIGAPT is A, AB, or B.

If MELIGAPT is blank then assign

―N‖ if patient age is = 65

Otherwise, assign value ―N‖









Version 2.01.01 MDR CAPER Enhanced - 31 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

For FY04:

If an APPT record is found then

A if MELIGAPT = A

B if MELIGAPT = B

C if MELIGAPT = AB, D, L, Q, R,

E, O, P

C if MELIGAPT = blank and age >= 65

Else N.



If an APPT record is not found then

A if MEDELIG = A

B if MEDELIG = B, B1, B2, B3

C if MEDELIG = AB, D, L, Q, R, E, O, P

Medicare

C if MEDELIG = blank and age >= 65

Eligibility

Char(1) MEDELIG2 Else N.

Derived from

MEDELIG

For FY05+:

If an APPT record is found then

A if MELIGAPT = A

B if MELIGAPT = B

C if MELIGAPT = AB

C if MELIGAPT = blank and age >= 65

Else N.

If an APPT record is not found then

A if MEDELIG = A, E, O, P

B if MEDELIG = B, B1, B2, B3

C if MEDELIG = AB, D, L, Q, R

C if MEDELIG = blank and age >= 65

Else N.

First position of MEPRS4 Code

MEPRS1 Code Char(1) MEPR1

(MEPRSCD).

First two positions of MEPRS4 Code

MEPRS2 Code Char(2) MEPR2

(MEPRSCD).

First three positions of MEPRS4 Code

MEPRS3 Code Char(3) MEPR3

(MEPRSCD)

If APPTINFR=N:

PATCAT=SUBSTR(PATCAT_R,1,3);

IF HCDPLVM IN ('401' '402' '405' '406'

'407' '408' '409' '410' '411' '412') OR

HCDPCODE_R IN ('401' '402' '405' '406'

'407' '408' '409' '410' '411' '412') THEN

DO;

Patient Category Char(3) PATCAT IF FMP='20' THEN

PATCAT=SUBSTR(PATCAT_R,1,1)||'36';

ELSE

PATCAT=SUBSTR(PATCAT_R,1,1)||'37';

END;



If APPTINFR=Y, then PATCAT= PATCAT

as reported in the Appointment Data



Derived based on Clinic (MEPRS3). See

Product Line Char(7) PRODLINE

Table A2.2.









Version 2.01.01 MDR CAPER Enhanced - 32 27 July 2010

Table A2: Field Values Added or Modified to Blended CAPER through Administrative

Text Processing

Field Type SAS Name Source Derivation

If APPTINFR=N then

=SUBSTR(RANKPAY_R,2,3)

Sponsor Rank/

Char(3) RANKPAY Else if APPTINFR=Y then

Paygrade

=SUBSTR(RANKPAY,1,3) as Reported in

the Appointment Data



Sponsor Rank Derived based on RANKPAY or PATCAT.

Char(2) RANKGRP

Group See Table A2.3.



If APV=Y and any of the APGs is of OR

Same day intensity (see Table A2.4) then SDS=Y.‘

Char(1) SDS

surgery Else SDS=N.

This field is left blank for APPTINFR=Y.

Derived from 1st character of PATCAT.

If A, C, F, M, N then retain value.

Else if B then assign O.

Recoded Else if P then assign H.

Char(1) RSPONSVC

Sponsor Service Else if R then assign 4.

Else if PATCAT is K71 or K78 then assign

4.

Else assign X.



Underwritten See TableA2.5.

Char(1) UNDFLAG

Region .







Date record was last updated during

CAPER CAPERPROCD

Char(8) CAPER-Enhanced processing.

Processing Date ATE

Format yyyymmdd.





Date record was last updated during

source data processing.

Source SRCPROCDAT PROCDATE from the CAPER-Basic if

Char(8)

Processing Date E APPTINFR is 'N', and PROCDATE from the

appointment data if APPTINFR is 'Y'.

Format yyyymmdd."

Tracks record status through process and

relative to the last record of the

particular key saved in the CAPER-

Enhanced, Master, MDR. Values are:

M2 Code Char(1) M2CODE Blank = Record exists in Master

U=Record changed and represents

update to Master

N=Record is new, not before seen in

Master.









Version 2.01.01 MDR CAPER Enhanced - 33 27 July 2010

Table A2.1: Diagnosis Group Derivation



First 3 digits Category Number Disease Category Name



001-139 1 Infections & Parasites



140-239 2 Neoplasms



240-279 3 Endocrine & Metabolism



280-289 4 Blood



290-319 5 Mental



320-389 6 Nerves and Senses



390-459 7 Circulatory System



460-519 8 Respiratory System



520-579 9 Digestive System



580-629 10 Genitourinary



630-677 11 Pregnancy and Childbirth



678-709 12 Skin



710-739 13 Musculoskeletal



740-759 14 Congenital Anomalies



760-779 15 Perinatal



780-799 16 Ill-Defined



800-999 17 Injury & Poisoning



V** 18 Supplementary Classifications



All others 19 Unknown









Version 2.01.01 MDR CAPER Enhanced - 34 27 July 2010

Table A2.2: Product Line Derivation,

mdr/ref/caper/prodlineformat/fy##.dyymmdd.fmt

Product

Full Name Description Definition

Line

BGA, BHA, BDA, BAA, BJA, BHB, BHI, BDC,

PC Primary Care

BDB, BKA, BHZ, BGZ, BHH

BLA, BEA, BEF, BEZ, BEB, BEE, BEC, BED,

ORTHO Orthopedics

BLB

MH Mental Health BFD, BFE, BFF, BFA, BFB, BFC



OBGYN Obstetrics/Gynecology BCC, BCB, BCD, BCA



OPTOM Optometry BHC, BBD



BAG, BAC, BAL, BAK, BAB, BAN, BAQ, BAS,

IMSUB Internal Medicine Subspecialty BAM, BAF, BAJ, BAO, BAH, BAE, BAU, BAT,

BAV



ER Emergency Room BIA



SURG General Surgery BBA

BBI, BBG, BBC, BBK, BBJ, BBH, BBB, BBZ,

SURGSUB Surgical Subspecialty

BBE

ENT Otolaryngology BBF



DERM Dermatology BAP



OTHER Other All other MEPRS Codes







Table A2.3: Sponsor Rank (Pay Grade) Collapsing Algorithm13



Values Rank Group

PATCAT PATCAT = A14, C14, F14, N14 CD (Cadet)

E1-E4 EJ (Enlisted, Junior)

E5-E9 ES (Enlisted, Senior)

O1-O3 OJ (Officer, Junior)

O4 – O9, 10, 11 OS (Officer, Senior)

RANKPAY

W1 – W5 WO (Warrant Officer)

CD CD (Cadet)

XX – Other (students, civil servants, unknowns

All Others (e.g., those without distinction as to whether

officer or enlisted









13

From LEVELS OF ACCESS AND MASKING in MHS Mart (M2) specification.







Version 2.01.01 MDR CAPER Enhanced - 35 27 July 2010

Table A2.4: APGs Assigned Same Day Surgery When Occurring in APV Setting



APG Description

003 Complex incision and drainage

007 Complex excision, biopsy and debridement

008 Simple excision and biopsy

009 Complex skin repairs and antegument grafts

011 Simple incision and excision of breast

012 Breast reconstruction and mastectomy

021 Complex musculoskeletal procedures excluding hand and foot

023 Complex hand and foot musculoskeletal procedures

025 Arthroscopy

030 Open or percutaneous treatment of fractures

031 Bone or joint manipulation under anesthesia

033 Arthroplasty

034 Hand and foot tenotomy

035 Arthrocentesis and ligament or tendon injection

053 Complex endoscopy of the upper airway

054 Simple endoscopy of the upper airway

055 Endoscopy of the lower airway

076 Diagnostic cardiac catheterization

077 Angioplasty and transcatheter procedures

078 Pacemaker insertion and replacement

079 Removal and revision of pacemaker and vascular device

080 Minor vascular repair and fistula construction

082 Vascular ligation

113 Anoscopy with biopsy and diagnostic proctosimoidoscopy

114 Proctosigmoidoscopy with excision or biopsy

115 Diagnostic upper gi endoscopy or intubation

116 Therapeutic upper gi endoscopy or intubation

117 Lower gastrointestinal endoscopy

118 Ercp and miscellaneous gi endoscopy procedures

119 Hernia and hydrocele procedures

120 Complex anal and rectal procedures

123 Complex laparoscopic procedures

124 Simple laparoscopic procedures

153 Complex penile procedures









Version 2.01.01 MDR CAPER Enhanced - 36 27 July 2010

Table A2.4: APGs Assigned Same Day Surgery When Occurring in APV Setting



APG Description

176 Complex female reproductive procedures

178 Dilation and curettage

179 Hysteroscopy

196 Revision and removal of neurological device

197 Neurostimulator and ventricular shunt implant

198 Nerve repair and destruction

213 Laser eye procedures

214 Cataract procedures

215 Complex anterior segment eye procedures

216 Moderate anterior segment eye procedures

218 Complex posterior segment eye procedures

221 Complex repair and plastic procedures of eye

234 Complex facial and ent procedures

235 Simple facial and ent procedures

236 Tonsil and adenoid procedures









Version 2.01.01 MDR CAPER Enhanced - 37 27 July 2010

Table A2.5: Underwritten Region Derivation

Logic

 Non-ambulatory work is not counted (based on MEPRs code, treated as not underwritten)

 Remove USTF (based on ACV code)

 Exclude Direct Care Only (based on beneficiary category)

 Remove Active Duty (based on common beneficiary code)

 Exclude Reserve Select (based on ACV code)

 Remove Medicare Eligibles (based on age as a proxy)

 Exclude Resource Sharing (based on DMISIDs beginning with 54**)

 For Regional jurisdiction, Prime beneficiaries are assigned to each contractor based on

enrollment region and enrollment DMIS ids (for the 69XXs and 79XXs ids). Non Prime

beneficiaries are assigned based on residence region.

o The new 69XX (managed care contractor) and 79XX (remote) series of enrollment

DMIS ids are being assigned to enrollment region ―00‖. Thus, those enrollment DMIS

ids must be included with the enrollment regions.



SAS Code



SAS Variable Data Element (see CAPER Detail Layout Above)

MEPRSCD MEPRS code

COMBEN Common Beneficiary Category

BENCATX Beneficiary Category

PATAGE Patient Age

ACV Alternate Care Value

ENRREG Enrollment Region – from merge to the DMISID Index based on ENRDMIS, set to

MOD_REG from corresponding entry in the DMIS ID index table

ENRDMIS Enrollment DMISID

PATREGN Patient Region

UNDRFLAG Need to Create, Temporary Underwritten Flag

UNDFLAG Need to Create – underwritten region





Undrflag=1; /* underwritten flag*/



/* Flag non underwritten beneficiaries as ―0‖. */



/* Exclude non-ambulatory workload from underwritten counts */

if substr(meprscd,1,1) NE 'B' then undrflag=0;



if acv=‘U‘ then undrflag=0; /* Exclude USTFs */

if bencatx=‘DCO‘ then undrflag=0; /* Exclude Direct Care Only */

if comben=4 then undrflag=0; /* Exclude Active Duty */

if dmisage EQ ‗H‘ then undrflag=0; /* Exclude Medicare Eligibles */

if acv='R' then undrflag=0; /* Exclude Reserve Select */



/* Exclude resource sharing, all dmisids that start with '54' from underwritten */

if substr(dmisid,1,2)='54' then undrflag=0;



/* Define Prime based on ACV */

if acv in ('A' 'D' 'E' 'B' 'F' 'H' 'J') then prime='Y';

else prime='N';



/* Define Underwritten Region */



if undrflag=1 then do; /* underwritten */

if prime='Y' then do;

if enrreg in ('01' '02' '05' '17') or enrdmis in ('6917' '7917') then undflag='N';







Version 2.01.01 MDR CAPER Enhanced - 38 27 July 2010

Table A2.5: Underwritten Region Derivation

else if enrreg in ('03' '04' '06' '18') or enrdmis in ('6918' '7918') then undflag='S';

else if enrreg in ('07' '08' '09' '10' '11' '12' '19') or enrdmis in ('6919' '7919') then

undflag='W';

else undflag=' ';

end; /* if prime */



else if prime='N' then do;

if patregn in ('01' '02' '05' '17') then undflag='N';

else if patregn in ('03' '04' '06' '18') then undflag='S';

else if patregn in ('07' '08' '09' '10' '11' '12' '19') then undflag='W';

else undflag=' ';

end; /* if not prime */

end;



else do;

undflag=' '; /* Not underwritten to any region */

end;



/* Remove AK underwritten from West */

if undflag='W' and enrdmis in ('6919' '7919') and patregn='AK' then undflag=' ';



if undflag ~in ('N' 'S' 'W') then undflag=' ';









Version 2.01.01 MDR CAPER Enhanced - 39 27 July 2010

APPENDIX 3: Analytic Processing and Field Additions to the CAPER-Enhanced.



The following analytic processes will be applied to the CAPER-Enhanced after the

Administrative Text variables are added. Variables will be added according to Table A3.3:

Fields Added to CAPER through Analytic Processing. Where SADR variables are reproduced

using only the first E&M and Procedure 1-4 CPT codes, the variable name is appended with

_S.



1. APC. Aggregate APC weight is calculated for all care as the sum of the weights for all 13

APCs (APCAGGWT). SADR-calculated aggregate APC weight (APCAGGWT_S) is

computed for all care as a sum of just the first E&M APC and the APCs for the first four

procedures. No discounting is applied for these aggregate weights.



2. APG Aggregate Weight per the SADR (APGWGT_S) reproduces SADR aggregate APG

weight on CAPERs.



3. RVUs. Apply the MDR Direct Care CPT weight table format for each of the individual CPT

codes (CPT_J, J=1 to 13). The calendar year of the encounter date determines the

weight table to use. Apply the following RVU values, keeping those marked ―for

derivation but not retained‖ only for the duration of the calculation process. A summary

of how the raw, derived and aggregate fields are derived is in Table A3.1: Relative Value

Unit Fields.



Raw measures (based on MHS-updated RVU values) using modifiers for Lab/Rad codes

but not units of service:

 Raw Work RVU, corresponding to each E&M and procedural CPT code (RRVUJ)

 Raw Facility Practice Expense RVU, corresponding to each E&M and procedural

CPT code (FPRVUJ)

 Raw Non-Facility Practice Expense RVU, corresponding to each E&M and

procedural CPT code (NPRVUJ)



Raw measures (based on MHS-updated RVU values). Do not use modifiers or units of

service. These measures are used for later derivations but are not retained (see Table

A3.2: Fields Derived but not Retained in Analytic Processing):

 Raw Work, corresponding to each E&M and procedural CPT code (RRVUBJ)

 Raw Facility Practice Expense RVU, corresponding to each E&M and procedural

CPT code (FPRVUBJ)

 Raw Non-Facility Practice Expense RVU, corresponding to each E&M and

procedural CPT code (NPRVUBJ)



Derived measure:

 Practice Expense RVU, based on Facility Flag, corresponding to each E&M and

procedural CPT code using modifiers for Lab/Rad (PERVUJ)



Aggregate measures:

 Simple Work RVU, sum of the individual Raw Work RVU without modifiers or

units of service (RRVU and RRVU_S)

 Simple Practice Expense RVU, sum of the individual Practice Expense RVUs,

Facility or Non-Facility based on Facility Flag, without modifiers or units of

service (PERVU and PERVU_S)

 Enhanced Work RVU, sum of the Work RVU, with modifiers, multiplied by the

units of service (RVU_EW and RVU_EW_S)









Version 2.01.01 MDR CAPER Enhanced - 40 27 July 2010

 Enhanced PE RVU, sum of the PE RVU, Facility or Non-Facility based on the

Facility Flag, with modifiers, multiplied by the units of service (RVU_EPE and

RVU_EPE_S)

 Enhanced Total RVU, sum of Enhanced Work and Enhanced PE RVU (RVU_ET

and RVU_ET_S)

 Individual Work RVU, discounting by 50% all but the highest RVU (without

modifiers or units of service) and summing (IWRVU and IWRVU_S)

 Organizational Work RVU, discounting by 50% all but the highest RVU

(without modifiers or units of service) and summing, accounts for multiple

providers. (OWRVU and OWRVU_S)



Table A3.1: Relative Value Unit (RVU) Fields

Use Unit Use

RVU Description Use Modifiers? of FAC_FL Comment

service? AG?

Raw Fields

Raw Work RVU for YES (for lab NO N/A MDR and M2

all CPT 8xxxx/rad 7xxxx

only, mod 26

and TC only, any

modifier

position)

Raw Facility PE RVU YES (for lab NO N/A MDR only

for all CPT 8xxxx/rad 7xxxx

only, mod 26

and TC only, any

modifier position

Raw Non-Facility PE YES (for lab NO N/A MDR only

RVU for all CPT 8xxxx/rad 7xxxx

only, mod 26

and TC only, any

modifier position

Raw Work RVU for NO NO N/A Not Retained in MDR or M2

all CPT, no modifiers

Raw Facility PE RVU NO NO N/A Not Retained in MDR or M2

for all CPT, no

modifiers

Raw Non-Facility PE NO NO N/A Not Retained in MDR or M2

RVU for all CPT, no

modifiers

Derived/Aggregate Fields

PE RVU for all CPT YES (for lab NO YES MDR and M2

8xxxx/rad 7xxxx

only, mod 26

and TC only, any

modifier position



Simple Work RVU NO NO N/A MDR and M2

Simple PE RVU NO NO YES MDR and M2



Enhanced Work RVU YES (for lab YES (using N/A MDR and M2

8xxxx/rad 7xxxx UOS limits)

only, mod 26

and TC only, any

modifier position

Enhanced PE RVU YES (for lab YES (using YES MDR and M2

8xxxx/rad 7xxxx UOS limits)







Version 2.01.01 MDR CAPER Enhanced - 41 27 July 2010

Table A3.1: Relative Value Unit (RVU) Fields

Use Unit Use

RVU Description Use Modifiers? of FAC_FL Comment

service? AG?

only, mod 26

and TC only, any

modifier position

Enhanced Total RVU YES (for lab YES (using YES Calculated as Enh Work + Enh

8xxxx/rad 7xxxx UOS limits) PE.

only, mod 26 MDR and M2

and TC only, any

modifier position

Individual Work RVU NO NO N/A 100%; 50% discounting.

MDR and M2

Organizational Work NO NO N/A Multiplied by # of qualifying

RVU providers.

MDR and M2



4. Costs. For MEPR1=B, merge to the cost masters (by cost parent (PARCOST), APG, and

fiscal year, DHP sites only (If TXSVC = A, N, F)) to append the full cost less clinician

salary, variable cost less clinician salary, and components of full/variable cost (other

labor, laboratory, radiology, other ancillary, other, and pharmacy). Merge to the cost

master matching the cost parent and fiscal year to append the full and variable clinician

salary per Organizational Work RVU. This does not apply to inferred records.



5. If only in appointment but not in CAPER (APPTINFR=Y), derive fields as noted in

Appendix 4: Completion Table for Appointment-Inferred CAPERs.



Under consideration for CAPER Interim Plus:



 Convert fields in the CAPER-Basic that describe connections between procedure and

providers to links resembling those in the SIDR.



 Generate a provider production table containing treatment DMIS, Appointment ID

number, provider, procedures, units of service, modifiers, RVUs. This table would

contain one record per appointment per provider from appointments where the

provider and procedure are linked.







Table A3.2: Fields Derived but not Retained in Analytic Processing



Field Type SAS Name Derivation

Raw MHS-updated Work RVU for CPT

procedures J=1 to 13, where J=1 to 3

represents the E&M positions and J=4 to

13 represents procedure positions.

RVU, Raw Work, E&M1-

Derived from match with the CPT Weight

E&M3 and Procedure 1- N(8) RRVUBJ

Table (format wrkyyb) based on CY of

Procedure 10, no modifiers

encounter and CPT concatenated with 2

blanks for the CPT||Modifier key.



If APPTINFR=Y, see Appendix 4









Version 2.01.01 MDR CAPER Enhanced - 42 27 July 2010

Table A3.2: Fields Derived but not Retained in Analytic Processing



Field Type SAS Name Derivation

Raw MHS-updated Facility Practice

Expense RVU for CPT procedures J=1 to

13, where J=1 to 3 represents the E&M

positions and J=4 to 13 represents

RVU, Raw Facility Practice

procedure positions.

Expense, E&M1-E&M3 and

N(8) FPRVUBJ Derived from match with the CPT Weight

Procedure 1-Procedure 10,

Table (format facyyb) based on CY of

no modifiers

encounter and CPT concatenated with 2

blanks for the CPT||Modifier key.



If APPTINFR=Y, see Appendix 4

Raw MHS-updated Non-Facility Practice

Expense RVU for CPT procedures J=1 to

13, where J=1 to 3 represents the E&M

positions and J=4 to 13 represents

RVU, Raw Non-Facility

procedure positions.

Practice Expense, E&M1-

N(8) NPRVUBJ Derived from match with the CPT Weight

E&M3 and Procedure 1-

Table (format nfacyyb) based on CY of

Procedure 10, no modifiers

encounter and CPT concatenated with 2

blanks for the CPT||Modifier key.



If APPTINFR=Y, see Appendix 4









Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

The total APG weight of the encounter,

found by adding 100% of the highest

weight APG to 50% of all other APGs

(except that the medical APG and E&M APG

Total APG Weight, per are not included except when either is the

N(8) APGWGT_S

SADR highest weight APG). Weights are obtained

from merge to APG Weight Table by APG,

FY.

Set to 0 (zero) for non ―B‖ records.

If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 43 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

J=1 to 13, where J=1 to 3 represents the

E&M positions and J=4 to 13 represents

procedure positions.



FY07-08: Appended during APC Grouper

processing using a format file. See

Appendix 1.

APC Weight, E&M1-APC

FY09+: Look up of APCJ in the APC-to-

Weight, E&M3;

N(9,4) APCWTJ APC (5-char code) TRICARE weight

APC Weight, Proc1-APC

mapping in the /mdr/ref area.

Weight, Proc10

APCWTJ = input(APCJ,APCcyqW.)

where cy is the 2-digit calendar year of the

encounter; q is the 1-digit calendar quarter

(eg., APC091W. for CY09, CQ1). See

Table A3.3a.

If APPTINFR=Y, see Appendix 4.



Populated for FY07+ only.

Sum of APCWT1-APCWT13. No

discounting.

APC Aggregate Weight N(9,4) APCAGGWT

If APPTINFR=Y, see Appendix 4.

Populated for FY07+

Sum of APCWT1, APCWT4-APCWT7. No

APC Aggregate Weight, APCAGGWT discounting.

N(9,4)

per SADR _S If APPTINFR=Y, see Appendix 4.

Populated for FY07+

FAC_FLAG='F' for any of the following:

 All A MEPRS

 B**5, B**7

 BIA

 0124 (NMC Portsmouth) and B**6

Facility/NonFacility Flag Char(1) FAC_FLAG

 Resource sharing DMISID (Branch

of Service/Authority Code in ('B' 'G'

'R' 'V' '1' '2' '3'))

Else FAC_FLAG='N'

See Table A3.3b.

Raw MHS-updated Work RVU for CPT

procedures J=1 to 13, where J=1 to 3

represents the E&M positions and J=4 to

13 represents procedure positions.

RVU, Raw Work, E&M1-

Derived from match with the CPT Weight

E&M3 and Procedure 1- N(8) RRVUJ

Table (format wrkyyb) based on CY of

Procedure 10

encounter and CPT||Modifier key derived

as described in Table A3.3c.



If APPTINFR=Y, see Appendix 4









Version 2.01.01 MDR CAPER Enhanced - 44 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Raw MHS-updated Facility Practice

Expense RVU for CPT procedures J=1 to

13, where J=1 to 3 represents the E&M

positions and J=4 to 13 represents

RVU, Raw Facility Practice procedure positions.

Expense, E&M1-E&M3 and N(8) FPRVUJ Derived from match with the CPT Weight

Procedure 1-Procedure 10 Table (format facyyb) based on CY of

encounter and CPT||Modifier key derived

as described in Table A3.3c.



If APPTINFR=Y, see Appendix 4

Raw MHS-updated Non-Facility Practice

Expense RVU for CPT procedures J=1 to

13, where J=1 to 3 represents the E&M

positions and J=4 to 13 represents

RVU, Raw Non-Facility

procedure positions.

Practice Expense, E&M1-

N(8) NPRVUJ Derived from match with the CPT Weight

E&M3 and Procedure 1-

Table (format nfacyyb) based on CY of

Procedure 10

encounter and CPT||Modifier key derived

as described in Table A3.3c.



If APPTINFR=Y, see Appendix 4

If FAC_FLAG=‖F‖ then PERVUJ = FPRVUJ

RVU, Practice Expense,

Else PERVUJ = NPRVUJ.

E&M1-E&M3 and Procedure N(8) PERVUJ

Note: If APPTINFR=Y, then inferred

1-Procedure 10

FPRVUJ and NPRVUJ must be applied first.

Raw MHS updated Work RVU, without

modifiers (RRVUBJ) summed for all CPT

RVU, Simple N(8) RRVU codes.



If APPTINFR=Y, see Appendix 4.

Raw MHS updated Work RVU, without

modifiers (RRVUBJ) summed for E&M1 and

RVU, Simple, per SADR N(8) RRVU_S Proc1-4 (CPT1 and CPT4-7).



If APPTINFR=Y, see Appendix 4.

If FAC_FLAG=‘F‘ then Raw MHS-updated

Facility Practice Expense RVUs, without

modifiers (FPRVUBJ), summed for all CPT

codes.

RVU, Simple Practice

N(8) PERVU Else Raw MHS-updated Non-Facility

Expense

Practice Expense RVUs, without modifiers

(NPRVUBJ), summed for all CPT codes.



If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 45 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

For APPTINFR=‘N‘:

If FAC_FLAG=‘F‘ then Raw MHS-updated

Facility Practice Expense RVUs, without

modifiers (FPRVUBJ), summed for all E&M

and Proc1-4 (CPT1 and CPT4-7) codes.

RVU, Simple Practice

N(8) PERVU_S Else if FAC_FLAG=‘N‘ then Raw MHS-

Expense, per SADR

updated Non-facility Practice Expense RVU,

without modifiers (NPRVUBJ), summed for

E&M1 and Proc1-4 (CPT1 and CPT4-7).



If APPTINFR=Y, see Appendix 4.

For APPTINFR=N: After unit of service

adjustments: The Work RVU, with

modifiers, per code multiplied by the units

RVU, Enhanced Work N(8) RVU_EW of service; computed as:

∑(RRVUJ*CPTUOS_J) for all J CPT Codes



For APPTINFR=Y, see Appendix 4

For APPTINFR=N: After unit of service

adjustments: The Work RVU, with

modifiers, per code multiplied by the units

RVU, Enhanced Work, per

N(8) RVU_EW_S of service; computed as:

SADR

∑(RRVUJ*CPTUOS_J) for all E&M1 and Proc

1-4 (CPT_1 and CPT_4-CPT_7)

For APPTINFR=Y see Appendix 4.

For APPTINFR=N: After unit of service

adjustments: Sum of Practice Expense

RVU, with modifiers, chosen based on

RVU, Enhanced Practice designation as facility or non-facility care,

N(8) RVU_EPE

Expense multiplied by the units of service,

computed as:

∑(PERVUJ*CPTUOS_J) for all J CPT Codes.

For APPTINFR=‘Y‘ see Appendix 4.

For APPTINFR=N: After unit of service

adjustments: Sum of Practice Expense

RVU, with modifiers, chosen based on

designation as facility or non-facility care,

RVU, Enhanced Practice

N(8) RVU_EPE_S multiplied by the units of service,

Expense, per SADR

computed as:

∑(PERVUJ*CPTUOS_J) for all E&M1 and

Proc 1-4 (CPT_1 and CPT_4-CPT_7).

For APPTINFR=‘Y‘ see Appendix 4.

Sum of RVU_EW and RVU_EPE for both

RVU, Enhanced Total N(8) RVU_ET

APPTINFR Y and N.



RVU, Enhanced Total, per Sum of RVU_EW_S and RVU_EPE_S for

N(8) RVU_ET_S

SADR both APPTINFR Y and N.

Total Raw Work RVU, without modifiers,

with discounting (100% for highest of

RVU, Individual Work N(8) IWRVU

RRVUB1-RRVUB13, 50% for remaining).

If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 46 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Total Raw Work RVU, without modifiers,

with discounting (100% for highest of

RVU, Individual Work, per

N(8) IWRVU_S RRVUB1 and RRVUB4-RRVUB7, 50% for

SADR

remaining).

If APPTINFR=Y, see Appendix 4.

Derived by multiplying discounted (100%

for highest of CPT1-CPT13, 50% for

remaining) Raw Work RVU, without

RVU, Organizational Work N(8) OWRVU modifiers (RRVUB1-RRVUB13) by the

number of qualifying providers based on

provider specialty codes (see Table A3.3d).

If APPTINFR=Y, see Appendix 4.

Derived by multiplying discounted (100%

for highest of EM1, Proc 1-4, 50% for next

4 among EM1 and Proc 1-4) MHS-updated

RVU, Organizational Work,

N(8) OWRVU_S Work RVU by the number of qualifying

Per SADR

providers (first 3 providers only) based on

provider specialty codes (see Table A3.3d).

If APPTINFR=Y, see Appendix 4.

ASC codes for CPT procedures J=1 to 13,

where J=1 to 3 represents the E&M

Ambulatory Surgical Center

positions and J=4 to 13 represents

Class (ASC) Codes, E&M1-

Char(2) ASCJ procedure positions.

E&M3 and Procedure 1-

Derived from match with the CPT Weight

Procedure 10

Table (format ascyyb) based on CY of

encounter and base CPT (no modifiers).

Sum of FCCLNSAL, FCOTHLBR, FCLAB,

FCRAD, FCOTHANC, FCOTHER, and FCRX.

Note: the individual components are

Full Cost N(8) FCOST

already discounted prior to summing.



If APPTINFR=Y, see Appendix 4.

Sum of the component (FCOTHLBR,

FCLAB, FCRAD, FCOTHANC, FCOTHER, and

FCRX) pieces derived from E&M1 APG and

most current cost masters for that FY (not

discounted).

Full Cost, E&M APG N(8) FCOST1

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, see Appendix 4.

Sum of all the component (FCOTHLBR,

FCLAB, FCRAD, FCOTHANC, FCOTHER, and

FCRX) pieces derived from the Medical APG

and most current cost masters for that FY

(not discounted).

Full Cost, Medical APG N(8) FCOST2

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 47 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Sum of all the component (FCOTHLBR,

FCLAB, FCRAD, FCOTHANC, FCOTHER, and

FCRX) pieces derived from the 1st

Procedural APG and most current cost

masters for that FY (not discounted).

Full Cost, Procedure 1 APG N(8) FCOST3

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, see Appendix 4.

Sum of all the component (FCOTHLBR,

FCLAB, FCRAD, FCOTHANC, FCOTHER, and

FCRX) pieces derived from the 2nd

Procedural APG and most current cost

masters for that FY (not discounted).

Full Cost, Procedure 2 APG N(8) FCOST4

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, set to 0 (zero).

Sum of all the component (FCOTHLBR,

FCLAB, FCRAD, FCOTHANC, FCOTHER, and

FCRX) pieces derived from the 3rd

Procedural APG and most current cost

masters for that FY (not discounted).

Full Cost, Procedure 3 APG N(8) FCOST5

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, set to 0 (zero).

Sum of all the component (FCOTHLBR,

FCLAB, FCRAD, FCOTHANC, FCOTHER, and

FCRX) pieces derived from the

4thProcedural APG and most current cost

masters for that FY (not discounted).

Full Cost, Procedure 4 APG N(8) FCOST6

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, set to 0 (zero).

Based $/Organizational Work RVU, per

SADR (OWRVU_S) by Cost Parent DMISID.

Set to 0 (zero) for non ―B‖ records and for

Full Cost, Clinician Salary N(8) FCCLNSAL

non-DHP sites (IF TXSVC ≠ A, N, F).



If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 48 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Full Cost, Laboratory N(8) FCLAB

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Full Cost, Other Ancillary N(8) FCOTHANC

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Full Cost, Other N(8) FCOTHER

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Full Cost, Other Labor N(8) FCOTHLBR

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).



If APPTINFR=Y, see Appendix 4

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Full Cost, Radiology N(8) FCRAD

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).



If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 49 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Full Cost, Pharmacy N(8) FCRX

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Sum of VCCLNSAL, VCOTHLBR, VCLAB,

VCRAD, VCOTHANC, VCOTHER, and VCRX.

Note: the individual components are

Variable Cost N(8) COST

already discounted prior to summing.



If APPTINFR=Y, see Appendix 4.

Sum of the component (VCOTHLBR,

VCLAB, VCRAD, VCOTHANC, VCOTHER,

and VCRX) pieces derived from E&M1 APG

and most current cost masters for that FY

(not discounted).

Variable Cost, E&M APG N(8) COST1

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, see Appendix 4.

Sum of all the component (VCOTHLBR,

VCLAB, VCRAD, VCOTHANC, VCOTHER,

and VCRX) pieces derived from Medical

APG and most current cost masters for

that FY (not discounted).

Variable Cost, Medical APG N(8) COST2

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, see Appendix 4.

Sum of all the component (VCOTHLBR,

VCLAB, VCRAD, VCOTHANC, VCOTHER,

and VCRX) pieces derived from 1st

Procedural APG and most current cost

Variable Cost, Procedure 1 masters for that FY (not discounted).

N(8) COST3

APG Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 50 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Sum of all the component (VCOTHLBR,

VCLAB, VCRAD, VCOTHANC, VCOTHER,

and VCRX) pieces derived from 2nd

Procedural APG and most current cost

Variable Cost, Procedure 2 masters for that FY (not discounted).

N(8) COST4

APG Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, set to 0 (zero).

Sum of all the component (VCOTHLBR,

VCLAB, VCRAD, VCOTHANC, VCOTHER,

and VCRX) pieces derived from 3rd

Procedural APG and most current cost

Variable Cost, Procedure 3 masters for that FY (not discounted).

N(8) COST5

APG Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, set to 0 (zero).

Sum of all the component (VCOTHLBR,

VCLAB, VCRAD, VCOTHANC, VCOTHER,

and VCRX) pieces derived from 4th

Procedural APG and most current cost

Variable Cost, Procedure 4 masters for that FY (not discounted).

N(8) COST6

APG Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F).

Does not include clinician salary.



If APPTINFR=Y, set to 0 (zero).

Based $/Organizational Work RVU, per

SADR (OWRVU_S) by Cost Parent DMISID.

Variable Cost, Clinician Set to 0 (zero) for non ―B‖ records and for

N(8) VCCLNSAL

Salary non-DHP sites (IF TXSVC ≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Variable Cost, Laboratory N(8) VCLAB

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC≠ A, N, F).



If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 51 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

Variable Cost, Other E&M or Medical APG is dropped.

N(8) VCOTHANC

Ancillary

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Variable Cost, Other N(8) VCOTHER

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Variable Cost, Other Labor N(8) VCOTHLBR

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Variable Cost, Radiology N(8) VCRAD

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC≠ A, N, F).



If APPTINFR=Y, see Appendix 4.

Based on $ by Cost Parent DMISID and

APG; it is the sum of the cost for the

highest weight APG, and half of the cost of

all other APGs after the lower weighted of

E&M or Medical APG is dropped.

Variable Cost, Pharmacy N(8) VCRX

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC≠ A, N, F).



If APPTINFR=Y, see Appendix 4.









Version 2.01.01 MDR CAPER Enhanced - 52 27 July 2010

Table A3.3: Fields Added to CAPER through Analytic Processing



Field Type SAS Name Derivation

Derived from APGs, APG weight table and

cost masters:

One universal charge master is applied to

represent the APG-based components and

is summed (price of the highest weight

APG and half of the price of any other

procedural APGs). For the clinician salary

component, one universal price per RVU is

Price N(8) PRICE

multiplied times the record‘s

Organizational Work RVUs. Price is sum of

the APG weight based components and

clinician salary component.

Set to 0 (zero) for non ―B‖ records and for

non-DHP sites (IF TXSVC ≠ A, N, F then

PRICE=0)

If APPTINFR=Y, see Appendix 4.

From merge to TPOC Rate table

corresponding to encounter date fiscal year

Third Party Collection Rate N(8) TPC

and the first three characters of MEPRS

code, and zero-filled if there is no match.









Version 2.01.01 MDR CAPER Enhanced - 53 27 July 2010

Table A3.3a: Format File Excerpt for Assigning TRICARE APC Weight to APC Grouper

Assigned APC Codes, mdr/ref/caper/apcwt/cy##q#.dyymmdd.fmt where

##=08+ and q # = 1 to 4.



PROC FORMAT;

invalue APC091W

'00001' = 0.5102

'00002' = 1.4324

'00003' = 3.1526

'00004' = 4.4727

'00005' = 7.3879

'00006' = 1.4128

'00007' = 12.5953

'00008' = 19.3874

'T9999' = 0.0000

' '=.

OTHER = 0;

run;







Table A3.3b: Facility/Non-Facility Flag Format Excerpt,

mdr/ref/caper/facflag/fy##.dyymmdd.fmt



****Facility care identified by any A MEPRS or B**5/7);

***FAC_FLAG='F' if input(meprs1,fm1_&fy.a.)=2 or (input(meprs1,fm1_&fy.a.)=1 and

input(substr(meprscd,4,1),fm4_&fy.a.)=1);



PROC FORMAT;

invalue FM1_09a

'A'=2

'B'=1

OTHER=0;



PROC FORMAT;

invalue FM4_09a

'5'=1

'7'=1

'6'=2

OTHER=0;



****Facility care identified by BIA*;

***FAC_FLAG ='F' if input(meprs3,FM3_&fya.)=1;

PROC FORMAT;

invalue FM3_09a

'BIA'=1

OTHER=0

;



****Facility care identified by – NMC Portsmouth(0124) and B**6;

***FAC_FLAG='F' if input(dmisid,fdmis&fy.b.)=1 and input(meprs1,fm1_&fy.a.)=1 and

input(substr(meprscd,4,1),fy4_&fy.a.)=2;



PROC FORMAT;

invalue FDMIS09b

'0124'=1

OTHER=0;









Version 2.01.01 MDR CAPER Enhanced - 54 27 July 2010

****Facility care identified by DMISID (resource sharing facilities);

***FAC_FLAG='F' if input(dmisid,FDMIS&fy.a.)=1 ;



***Source DMIS ID Resource Page - http://www.dmisid.com/cgi-dmis/download;

***All DMIS IDs with Branch of Service/Authority Code in ('B' 'G' 'R' 'V' '1' '2' '3')

*** are considered "Facility";



**FYyy (from FYyy Historical Year-End File);

PROC FORMAT;

invalue FDMISyya

'0660'=1

'0661'=1

'2001'=1

'2002'=1

'5401'=1

'5402'=1

'5404'=1

.

.

.

OTHER=0;

run;









Version 2.01.01 MDR CAPER Enhanced - 55 27 July 2010

Table A3.3c: Derive CPT Mod Key for the CPT Table Match





If the CPT does not begin with 7 or 8, use base level code (CPT appended with 2 blanks, e.g.,

'99211 ') for match.



If CPT begins with 7 or 8 and either both 26 and TC or neither 26 nor TC are in any of the

modifier positions, use the base level (CPT appended with 2 blanks, e.g., '75710 '). If 26 is

in any of the modifier positions (and no TC), use CPT appended with 26, e.g., '7571026'. If

TC is in any of the modifier positions (and no 26), use CPT appended with TC, e.g., '75710TC'.





data cptkey (drop=scoresum score1 - score3);

length cptmod_1-cptmod_13 $7;

set caper.fy&fy.;



if APPTINFR='N' then do; /* only non-inferred records */



%do i = 1 %to 13;

if substr(cpt_&i,1,1) in ('7' '8') then do;

scoresum=0;

%do k=1 %to 3;

if CPTMOD&k._&i = '26' then score&k = .6;

else if CPTMOD&k._&i='TC' then score&k = .4;

else score&k=0;



scoresum + score&k;

%end;



** if both 26 and TC are present for a CPT or neither 26 nor TC

are present, treat as base level. If 26 but not TC –

use 26. If TC but not 26, use TC. Default is base level.;

if scoresum in(0,1) then cptmod&i=cpt_&i||' ';

else if scoresum = .6 then cptmod&i=cpt_&i||'26';

else if scoresum = .4 then cptmod&i=cpt_&i||'TC';

else cptmod&i=cpt_&i||' ';



end;



else cptmod&i=cpt_&i||' '; /* if not in ('7' '8') */

%end;

end;









Version 2.01.01 MDR CAPER Enhanced - 56 27 July 2010

Table A3.3d: Format File for Identifying Qualifying Providers, mdr/ref/sadr.prov.txt

*These provider specialty codes qualify for Organizational Work RVU credit;

PROC FORMAT;

INVALUE PROV

'000'= 1

'001'= 1

'002'= 1

'004'= 1

'011'= 1

'012'= 1

'013'= 1

'014'= 1

'015'= 1

'016'= 1

'017'= 1

'018'= 1

'019'= 1

'020'= 1

'021'= 1

'022'= 1

'023'= 1

'024'= 1

'025'= 1

'026'= 1

'027'= 1

'040'= 1

'041'= 1

'042'= 1

'043'= 1

'044'= 1

'045'= 1

'046'= 1

'047'= 1

'048'= 1

'049'= 1

'050'= 1

'051'= 1

'053'= 1

'054'= 1

'060'= 1

'070'= 1

'071'= 1

'072'= 1

'080'= 1

'090'= 1

'091'= 1

'092'= 1

'100'= 1

'101'= 1

'102'= 1

'103'= 1

'104'= 1

'105'= 1

'106'= 1

'107'= 1

'110'= 1

'120'= 1









Version 2.01.01 MDR CAPER Enhanced - 57 27 July 2010

'130'= 1

'140'= 1

'141'= 1

'150'= 1

'151'= 1

'152'= 1

'153'= 1

'200'= 1

'204'= 1

'205'= 1

'206'= 1

'208'= 1

'300'= 1

'302'= 1

'320'= 1

'321'= 1

'322'= 1

'400'= 1

'401'= 1

'402'= 1

'403'= 1

'404'= 1

'405'= 1

'500'= 1

'501'= 1

'502'= 1

'503'= 1

'504'= 1

'505'= 1

'506'= 1

'507'= 1

'508'= 1

'509'= 1

'510'= 1

'511'= 1

'512'= 1

'513'= 1

'514'= 1

'515'= 1

'516'= 1

'517'= 1

'518'= 1

'800'= 1

'802'= 1

'804'= 1

'806'= 1

'808'= 1

'810'= 1

'812'= 1

'814'= 1

'815'= 1

OTHER = 0;

Run;









Version 2.01.01 MDR CAPER Enhanced - 58 27 July 2010

APPENDIX 4: Completion Table for Appointment-Inferred CAPERs



The Completion Tables for Appointment-Inferred CAPERs are SAS format files saved as MDR

reference tables. They are used to populate a host of fields in the appointment inferred

CAPER, listed below following the first five fields, which act as the key to the record.



In building and applying these formats, ―wild card‖ values are available for each FY and MTF

DMIS ID to be used whenever the MEPRS code of the appointment fails to find a matching

row of the completion table.



There are four basic methods by which the values in the DMIS ID tables are derived, plus

two extrapolation methods. The derivation column identifies the method below to be used

for each variable. The four basic methods are:

a. Take all SADRs14 for each fiscal year, and sort them into groups using either

the three key classifiers below (DMISID, MEPRS3, VISCLASS) or four key

classifiers (DMISID, MEPRS3, VISCLASS, FAC_FLAG). Average the raw

measures of the CAPER variables of the same name in those groups to get the

DMIS ID value for that variable.

b. Use the same method as above, but first collapse together all three E&M

values for the variable of the same name family. These will be the averages

for the ―E&M 1‖ measures in the table below. (To be implemented in CAPER

Interim Plus)

c. Use the same method as above, but first collapse together all 10 procedure

values for the variable of the same name family. These will be the averages

for the ―Procedure 1‖ measures in the table below. (To be implemented in

CAPER Interim Plus)

d. Use the same method as above, but first collapse together all four procedure

values for the variable of the same name family. These will be the averages

for the ―Procedure 1‖ measures in the table below.



The extrapolation method to create the ―wild card‖ values is to ignore the stratifier of

MEPRS3 to get averages that depend on visit class but not work center.



The extrapolation method to create values for a new fiscal year before sufficient concurrent

SADRs are available is to take the monetary measures of the previous fiscal year and inflate

them at the service-specific rate of inflation. Physical measures (workload) are not inflated

and use the same estimators as the previous fiscal year until better data are available.



Table A4.1 Completion Factor Derivations



Field Type SAS Name Derivation



Fiscal year of visit Char(4) FY FY



Treatment DMIS ID Char(4) DMISID DMISID



MEPRS Code Char(3) MEPRS3 MEPRS3



TEL where APPTSTAT=7

Visit Class Char(3) VISCLASS APV where APV=‘Y‘

OTH for all other encounters.









14

For CAPER Interim, SADR completion tables, with the new RVU fields added, will be used.







Version 2.01.01 MDR CAPER Enhanced - 59 27 July 2010

Table A4.1 Completion Factor Derivations



Field Type SAS Name Derivation



FAC_FLAG

Facility Flag Char(1) FAC_FLAG Note: Used in key only as noted

below.



APC Weight, E&M 1 N(8) APCWT1 Method a



APC Weight, Procedure 1 N(8) APCWT4 Method d



APC Aggregate Weight N(8) APCAGGWT Method a

APC Aggregate Weight, N(8)

APCAGGWT_S Method a

per SADR

Total APG Weight, per SADR N(8) APGWGT_S Method a



Full Cost N(8) FCOST Method a



Full Cost, E&M APG N(8) FCOST1 Method a



Full Cost, Medical APG N(8) FCOST2 Method a



Full Cost, Procedure 1 APG N(8) FCOST3 Method d



Full Cost, Clinician Salary N(8) FCCLNSAL Method a



Full Cost, Laboratory N(8) FCLAB Method a



Full Cost, Other N(8) FCOTHER Method a



Full Cost, Other Ancillary N(8) FCOTHANC Method a



Full Cost, Other Labor N(8) FCOTHLBR Method a



Full Cost, Pharmacy N(8) FCRX Method a



Full Cost, Radiology N(8) FCRAD Method a



Variable Cost N(8) COST Method a



Variable Cost, E&M APG N(8) COST1 Method a



Variable Cost, Medical APG N(8) COST2 Method a

Variable Cost, Procedure 1 APG N(8) COST3 Method d



Variable Cost, Clinician Salary N(8) VCCLNSAL Method a



Variable Cost, Laboratory N(8) VCLAB Method a



Variable Cost, Other N(8) VCOTHER Method a



Variable Cost, Other Ancillary N(8) VCOTHANC Method a



Variable Cost, Other Labor N(8) VCOTHLBR Method a



Variable Cost, Pharmacy N(8) VCRX Method a



Variable Cost, Radiology N(8) VCRAD Method a



RVU, Raw Work, E&M1 N(8) RRVU1 Method a



RVU, Raw Work, Procedure 1 N(8) RRVU4 Method d









Version 2.01.01 MDR CAPER Enhanced - 60 27 July 2010

Table A4.1 Completion Factor Derivations



Field Type SAS Name Derivation

RVU, Raw Facility Practice Expense,

N(8) FPRVU1 Method a

E&M1

RVU, Raw Facility Practice Expense,

N(8) FPRVU4 Method d

Procedure 1

RVU, Raw Non-Facility Practice

N(8) NPRVU1 Method a

Expense, E&M1

RVU, Raw Non-Facility Practice

N(8) NPRVU4 Method d

Expense, Procedure 1



RVU, Simple N(8) RRVU Method a



RVU, Simple, per SADR N(8) RRVU_S Method a



Method a

RVU, Simple Practice Expense N(8) PERVU

using FAC_FLAG in key

RVU, Simple Practice Expense, per Method a

N(8) PERVU_S

SADR using FAC_FLAG in key



RVU, Enhanced Work N(8) RVU_EW Method a



RVU, Enhanced Work, per SADR N(8) RVU_EW_S Method a

Method a

RVU, Enhanced Practice Expense N(8) RVU_EPE

using FAC_FLAG in key

RVU, Enhanced Practice Expense, per Method a

N(8) RVU_EPE_S

SADR using FAC_FLAG in key

RVU, Individual Work N(8) IWRVU Method a



RVU, Individual Work, per SADR N(8) IWRVU_S Method a





RVU, Organizational Work N(8) OWRVU Method a





RVU, Organizational Work, Per SADR N(8) OWRVU_S Method a









Version 2.01.01 MDR CAPER Enhanced - 61 27 July 2010

APPENDIX 5: Final Field Layout Table



Spec

Field Type SAS Name Source M2?

Reference

Actual Appointment

1 Char(10) ACTDUR CAPER Basic CAPER Basic Y

Duration

2 Alternate Care Value Char(1) ACV CAPER Enh Table A2 Y

3 ACV Group Char(15) ACVGROUP CAPER Enh Table A2 Y

4 Administrative Disposition Char(5) ADMDISP CAPER Basic CAPER Basic Y

5 Age Group Char(1) AGEGRP CAPER Enh Table A2 Y

6 Ambulatory Surgery Char(1) AMBSURG CAPER Basic CAPER Basic

7 APC - E&M1 Char(5) APC1 CAPER Enh Table A1.1 Y

8 APC - Procedure 7 Char(5) APC10 CAPER Enh Table A1.1 Y

9 APC - Procedure 8 Char(5) APC11 CAPER Enh Table A1.1 Y

10 APC - Procedure 9 Char(5) APC12 CAPER Enh Table A1.1 Y

11 APC - Procedure 10 Char(5) APC13 CAPER Enh Table A1.1 Y

12 APC - E&M2 Char(5) APC2 CAPER Enh Table A1.1 Y

13 APC - E&M3 Char(5) APC3 CAPER Enh Table A1.1 Y

14 APC - Procedure 1 Char(5) APC4 CAPER Enh Table A1.1 Y

15 APC - Procedure 2 Char(5) APC5 CAPER Enh Table A1.1 Y

16 APC - Procedure 3 Char(5) APC6 CAPER Enh Table A1.1 Y

17 APC - Procedure 4 Char(5) APC7 CAPER Enh Table A1.1 Y

18 APC - Procedure 5 Char(5) APC8 CAPER Enh Table A1.1 Y

19 APC - Procedure 6 Char(5) APC9 CAPER Enh Table A1.1 Y

20 APC Aggregate Weight N(8) APCAGGWT CAPER Enh Table A3.3 Y

APC Aggregate Weight per

21 N(8) APCAGGWT_S CAPER Enh Table A3.3 Y

SADR

22 APC Procedure Edit - E&M1 Char(40) APCEDIT1 CAPER Enh Table A1.1

APC Procedure Edit -

23 Char(40) APCEDIT10 CAPER Enh Table A1.1

Procedure 7

APC Procedure Edit -

24 Char(40) APCEDIT11 CAPER Enh Table A1.1

Procedure 8

APC Procedure Edit -

25 Char(40) APCEDIT12 CAPER Enh Table A1.1

Procedure 9

APC Procedure Edit -

26 Char(40) APCEDIT13 CAPER Enh Table A1.1

Procedure 10

27 APC Procedure Edit - E&M2 Char(40) APCEDIT2 CAPER Enh Table A1.1

28 APC Procedure Edit - E&M3 Char(40) APCEDIT3 CAPER Enh Table A1.1

APC Procedure Edit -

29 Char(40) APCEDIT4 CAPER Enh Table A1.1

Procedure 1

APC Procedure Edit -

30 Char(40) APCEDIT5 CAPER Enh Table A1.1

Procedure 2

APC Procedure Edit-

31 Char(40) APCEDIT6 CAPER Enh Table A1.1

Procedure 3

APC Procedure Edit-

32 Char(40) APCEDIT7 CAPER Enh Table A1.1

Procedure 4

APC Procedure Edit-

33 Char(40) APCEDIT8 CAPER Enh Table A1.1

Procedure 5

APC Procedure Edit-

34 Char(40) APCEDIT9 CAPER Enh Table A1.1

Procedure 6

35 APC Packaging Flag-E&M1 Char(1) APCPKG1 CAPER Enh Table A1.1

APC Packaging Flag-

36 Char(1) APCPKG10 CAPER Enh Table A1.1

Procedure 7

APC Packaging Flag-

37 Char(1) APCPKG11 CAPER Enh Table A1.1

Procedure 8

APC Packaging Flag-

38 Char(1) APCPKG12 CAPER Enh Table A1.1

Procedure 9







Version 2.01.01 MDR CAPER Enhanced - 62 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

APC Packaging Flag-

39 Char(1) APCPKG13 CAPER Enh Table A1.1

Procedure 10

40 APC Packaging Flag-E&M2 Char(1) APCPKG2 CAPER Enh Table A1.1

41 APC Packaging Flag-E&M3 Char(1) APCPKG3 CAPER Enh Table A1.1

APC Packaging Flag-

42 Char(1) APCPKG4 CAPER Enh Table A1.1

Procedure 1

APC Packaging Flag-

43 Char(1) APCPKG5 CAPER Enh Table A1.1

Procedure 2

APC Packaging Flag-

44 Char(1) APCPKG6 CAPER Enh Table A1.1

Procedure 3

APC Packaging Flag-

45 Char(1) APCPKG7 CAPER Enh Table A1.1

Procedure 4

APC Packaging Flag-

46 Char(1) APCPKG8 CAPER Enh Table A1.1

Procedure 5

APC Packaging Flag-

47 Char(1) APCPKG9 CAPER Enh Table A1.1

Procedure 6

48 APC Status Code-E&M1 Char(2) APCPSI1 CAPER Enh Table A1.1 Y

APC Status Code-Procedure

49 Char(2) APCPSI10 CAPER Enh Table A1.1 Y

7

APC Status Code-Procedure

50 Char(2) APCPSI11 CAPER Enh Table A1.1 Y

8

APC Status Code -

51 Char(2) APCPSI12 CAPER Enh Table A1.1 Y

Procedure 9

APC Status Code -

52 Char(2) APCPSI13 CAPER Enh Table A1.1 Y

Procedure 10

53 APC Status Code - E&M2 Char(2) APCPSI2 CAPER Enh Table A1.1 Y

54 APC Status Code - E&M3 Char(2) APCPSI3 CAPER Enh Table A1.1 Y

APC Status Code -

55 Char(2) APCPSI4 CAPER Enh Table A1.1 Y

Procedure 1

APC Status Code -

56 Char(2) APCPSI5 CAPER Enh Table A1.1 Y

Procedure 2

APC Status Code -

57 Char(2) APCPSI6 CAPER Enh Table A1.1 Y

Procedure 3

APC Status Code -

58 Char(2) APCPSI7 CAPER Enh Table A1.1 Y

Procedure 4

APC Status Code -

59 Char(2) APCPSI8 CAPER Enh Table A1.1 Y

Procedure 5

APC Status Code -

60 Char(2) APCPSI9 CAPER Enh Table A1.1 Y

Procedure 6

N(8) Tables

61 APC Weight - E&M1 APCWT1 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

62 APC Weight - Procedure 7 APCWT10 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

63 APC Weight - Procedure 8 APCWT11 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

64 APC Weight - Procedure 9 APCWT12 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

65 APC Weight - Procedure 10 APCWT13 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

66 APC Weight - E&M2 APCWT2 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

67 APC Weight - E&M3 APCWT3 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

68 APC Weight - Procedure 1 APCWT4 CAPER Enh

Z9.4 A1.1/A3.2







Version 2.01.01 MDR CAPER Enhanced - 63 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

N(8) Tables

69 APC Weight - Procedure 2 APCWT5 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

70 APC Weight - Procedure 3 APCWT6 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

71 APC Weight - Procedure 4 APCWT7 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

72 APC Weight - Procedure 5 APCWT8 CAPER Enh

Z9.4 A1.1/A3.2

N(8) Tables

73 APC Weight - Procedure 6 APCWT9 CAPER Enh

Z9.4 A1.1/A3.2

74 APG E&M Char(3) APG1 CAPER Enh Table A1.1 Y

75 APG Medical Char(3) APG2 CAPER Enh Table A1.1 Y

76 APG - Procedure 1 Char(3) APG3 CAPER Enh Table A1.1 Y

77 APG - Procedure 2 Char(3) APG4 CAPER Enh Table A1.1 Y

78 APG - Procedure 3 Char(3) APG5 CAPER Enh Table A1.1 Y

79 APG - Procedure 4 Char(3) APG6 CAPER Enh Table A1.1 Y

80 Total APG Weight N(8) APGWGT_S CAPER Enh Table A3.3 Y

81 Associated Appointment EIN Char(10) APPTIDNO CAPER Basic CAPER Basic Y

Appointment Inferred

82 Char(1) APPTINFR CAPER Enh Table A2

CAPER Flag

83 Appointment Record Match N(3) APPTMTCH CAPER Enh Para V.A.2c.

Appointment Prefix (Source CAPER Basic

84 Char(1) APPTPFIX CAPER Basic

System Flag) & Table A2 Y

Appointment Status Type

85 with Appointment Data Char(1) APPTSTAT CAPER Enh Table A2

Y

Walk-In

86 Appointment Status Type Char(1) APPTSTAT1 CAPER Enh Table A2

Appointment Type from

87 Char(6) APPTTYPE CAPER Enh Table A2

Appointment Data Y

CAPER Basic

88 Appointment Type Raw Char(6) APPTTYPE_R CAPER Enh

& Table A2

89 APV Flag Char(1) APV CAPER Enh Table A2 Y

90 ASC Code, E&M1 Char(2) ASC1 CAPER Enh Table A3.3

91 ASC Code, Procedure 7 Char(2) ASC10 CAPER Enh Table A3.3

92 ASC Code, Procedure 8 Char(2) ASC11 CAPER Enh Table A3.3

93 ASC Code, Procedure 9 Char(2) ASC12 CAPER Enh Table A3.3

94 ASC Code, Procedure 10 Char(2) ASC13 CAPER Enh Table A3.3

95 ASC Code, E&M 2 Char(2) ASC2 CAPER Enh Table A3.3

96 ASC Code, E&M 3 Char(2) ASC3 CAPER Enh Table A3.3

97 ASC Code, Procedure 1 Char(2) ASC4 CAPER Enh Table A3.3

98 ASC Code, Procedure 2 Char(2) ASC5 CAPER Enh Table A3.3

99 ASC Code, Procedure 3 Char(2) ASC6 CAPER Enh Table A3.3

100 ASC Code, Procedure 4 Char(2) ASC7 CAPER Enh Table A3.3

101 ASC Code, Procedure 5 Char(2) ASC8 CAPER Enh Table A3.3

102 ASC Code, Procedure 6 Char(2) ASC9 CAPER Enh Table A3.3

Assigned Appointment

103 N(8) ASSGNDUR CAPER Basic CAPER Basic Y

Duration

104 Beneficiary Category Char(3) BENCAT CAPER Enh Table A2

Beneficiary Category from

105 Char(3) BENCATX CAPER Enh Table A2 Y

LVM4

Appointment Cancellation

106 Char(1) CANCSTAT CAPER Basic CAPER Basic

Status Type

107 CAPER Processing Date Char(8) CAPERPROCDATE CAPER Enh Table A2

108 CAPER Status Char(1) CAPERSTAT CAPER Basic CAPER Basic Y

109 Patient Catchment Area Char(4) CATCH CAPER Enh Table A2 Y







Version 2.01.01 MDR CAPER Enhanced - 64 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

110 CCE Encounter Status Flag Char(1) CCESTAT CAPER Basic CAPER Basic Y

111 Claim Denial Disposition Char(1) CLAIM_DEN CAPER Enh Table A1.1

112 Overall Claim Disposition Char(2) CLAIM_DISP CAPER Enh Table A1.1

Clinic State (from DMIS

113 Char(2) CLINSTAT CAPER Enh Table A2

merge)

114 Clinic State Char(2) CLINSTAT_R CAPER Basic CAPER Basic

Clinic Zip Code (from DMIS

115 Char(5) CLINZIP CAPER Enh Table A2

merge)

116 Clinic Zip Code (Raw) Char(10) CLINZIP_R CAPER Basic CAPER Basic

117 Calendar Month Char(2) CM CAPER Basic CAPER Basic Y

Common Beneficiary

118 Char(1) COMBEN CAPER Enh Table A2 Y

Category

DX(ICD-9-CM) Code,

119 Char(5) COMPLAINT CAPER Basic CAPER Basic Y

Encounter Chief Complaint

120 Compliance Status Char(1) COMPSTAT CAPER Enh Table A2 Y

121 Variable Cost N(8) COST CAPER Enh Table A3.3 Y

122 Variable Cost, E&M APG N(8) COST1 CAPER Enh Table A3.3 Y

123 Variable Cost, Medical APG N(8) COST2 CAPER Enh Table A3.3 Y

Variable Cost, Procedure 1

124 N(8) COST3 CAPER Enh Table A3.3 Y

APG

Variable Cost, Procedure 2

125 N(8) COST4 CAPER Enh Table A3.3 Y

APG

Variable Cost, Procedure 3

126 N(8) COST5 CAPER Enh Table A3.3 Y

APG

Variable Cost, Procedure 4

127 N(8) COST6 CAPER Enh Table A3.3 Y

APG

CAPER Basic

128 Count Visit Indicator Char(1) COUNTVIS CAPER Basic Y

& Table A2

129 E&M Code 1 Char(5) CPT_1 CAPER Basic CAPER Basic Y

130 CPT/HCPCS Code 7 Char(5) CPT_10 CAPER Basic CAPER Basic Y

131 CPT/HCPCS Code 8 Char(5) CPT_11 CAPER Basic CAPER Basic Y

132 CPT/HCPCS Code 9 Char(5) CPT_12 CAPER Basic CAPER Basic Y

133 CPT/HCPCS Code 10 Char(5) CPT_13 CAPER Basic CAPER Basic Y

134 E&M Code 2 Char(5) CPT_2 CAPER Basic CAPER Basic Y

135 E&M Code 3 Char(5) CPT_3 CAPER Basic CAPER Basic Y

136 CPT/HCPCS Code 1 Char(5) CPT_4 CAPER Basic CAPER Basic Y

137 CPT/HCPCS Code 2 Char(5) CPT_5 CAPER Basic CAPER Basic Y

138 CPT/HCPCS Code 3 Char(5) CPT_6 CAPER Basic CAPER Basic Y

139 CPT/HCPCS Code 4 Char(5) CPT_7 CAPER Basic CAPER Basic Y

140 CPT/HCPCS Code 5 Char(5) CPT_8 CAPER Basic CAPER Basic Y

141 CPT/HCPCS Code 6 Char(5) CPT_9 CAPER Basic CAPER Basic Y

E&M Code 1-Diagnosis

142 Char(4) CPTDX_1 CAPER Basic CAPER Basic

Pointer

CPT/HCPCS Code 7-

143 Char(4) CPTDX_10 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 8-

144 Char(4) CPTDX_11 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 9-

145 Char(4) CPTDX_12 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 10-

146 Char(4) CPTDX_13 CAPER Basic CAPER Basic

Diagnosis Pointer

E&M Code 2-Diagnosis

147 Char(4) CPTDX_2 CAPER Basic CAPER Basic

Pointer

E&M Code 3-Diagnosis

148 Char(4) CPTDX_3 CAPER Basic CAPER Basic

Pointer







Version 2.01.01 MDR CAPER Enhanced - 65 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

CPT/HCPCS Code 1-

149 Char(4) CPTDX_4 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 2-

150 Char(4) CPTDX_5 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 3-

151 Char(4) CPTDX_6 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 4-

152 Char(4) CPTDX_7 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 5-

153 Char(4) CPTDX_8 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 6-

154 Char(4) CPTDX_9 CAPER Basic CAPER Basic

Diagnosis Pointer

CPT/HCPCS Code 7-Min of

155 N(8) CPTMIN_10 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 8-Min of

156 N(8) CPTMIN_11 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 9-Min of

157 N(8) CPTMIN_12 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 10-Min of

158 N(8) CPTMIN_13 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 1-Min of

159 N(8) CPTMIN_4 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 2-Min of

160 N(8) CPTMIN_5 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 3-Min of

161 N(8) CPTMIN_6 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 4-Min of

162 N(8) CPTMIN_7 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 5-Min of

163 N(8) CPTMIN_8 CAPER Basic CAPER Basic

Anesthesia

CPT/HCPCS Code 6-Min of

164 N(8) CPTMIN_9 CAPER Basic CAPER Basic

Anesthesia

165 E&M Code 1-Modifier 1 Char(2) CPTMOD1_1 CAPER Basic CAPER Basic Y

CPT/HCPCS Code 7-Modifier

166 Char(2) CPTMOD1_10 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 8-Modifier

167 Char(2) CPTMOD1_11 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 9-Modifier

168 Char(2) CPTMOD1_12 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 10-

169 Char(2) CPTMOD1_13 CAPER Basic CAPER Basic Y

Modifier 1

170 E&M Code 2-Modifier 1 Char(2) CPTMOD1_2 CAPER Basic CAPER Basic Y

171 E&M Code 3-Modifier 1 Char(2) CPTMOD1_3 CAPER Basic CAPER Basic Y

CPT/HCPCS Code 1-Modifier

172 Char(2) CPTMOD1_4 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 2-Modifier

173 Char(2) CPTMOD1_5 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 3-Modifier

174 Char(2) CPTMOD1_6 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 4-Modifier

175 Char(2) CPTMOD1_7 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 5-Modifier

176 Char(2) CPTMOD1_8 CAPER Basic CAPER Basic Y

1

CPT/HCPCS Code 6-Modifier

177 Char(2) CPTMOD1_9 CAPER Basic CAPER Basic Y

1









Version 2.01.01 MDR CAPER Enhanced - 66 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

178 E&M Code 1-Modifier 2 Char(2) CPTMOD2_1 CAPER Basic CAPER Basic Y

CPT/HCPCS Code 7-Modifier

179 Char(2) CPTMOD2_10 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 8-Modifier

180 Char(2) CPTMOD2_11 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 9-Modifier

181 Char(2) CPTMOD2_12 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 10-

182 Char(2) CPTMOD2_13 CAPER Basic CAPER Basic Y

Modifier 2

183 E&M Code 2-Modifier 2 Char(2) CPTMOD2_2 CAPER Basic CAPER Basic Y

184 E&M Code 3-Modifier 2 Char(2) CPTMOD2_3 CAPER Basic CAPER Basic Y

CPT/HCPCS Code 1-Modifier

185 Char(2) CPTMOD2_4 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 2-Modifier

186 Char(2) CPTMOD2_5 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 3-Modifier

187 Char(2) CPTMOD2_6 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 4-Modifier

188 Char(2) CPTMOD2_7 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 5-Modifier

189 Char(2) CPTMOD2_8 CAPER Basic CAPER Basic Y

2

CPT/HCPCS Code 6-Modifier

190 Char(2) CPTMOD2_9 CAPER Basic CAPER Basic Y

2

191 E&M Code 1-Modifier 3 Char(2) CPTMOD3_1 CAPER Basic CAPER Basic

CPT/HCPCS Code 7-Modifier

192 Char(2) CPTMOD3_10 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 8-Modifier

193 Char(2) CPTMOD3_11 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 9-Modifier

194 Char(2) CPTMOD3_12 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 10-

195 Char(2) CPTMOD3_13 CAPER Basic CAPER Basic

Modifier 3

196 E&M Code 2-Modifier 3 Char(2) CPTMOD3_2 CAPER Basic CAPER Basic

197 E&M Code 3-Modifier 3 Char(2) CPTMOD3_3 CAPER Basic CAPER Basic

CPT/HCPCS Code 1-Modifier

198 Char(2) CPTMOD3_4 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 2-Modifier

199 Char(2) CPTMOD3_5 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 3-Modifier

200 Char(2) CPTMOD3_6 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 4-Modifier

201 Char(2) CPTMOD3_7 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 5-Modifier

202 Char(2) CPTMOD3_8 CAPER Basic CAPER Basic

3

CPT/HCPCS Code 6-Modifier

203 Char(2) CPTMOD3_9 CAPER Basic CAPER Basic

3

E&M Code 1-Provider

204 Char(5) CPTPROV_1 CAPER Basic CAPER Basic

Pointers

CPT/HCPCS Code 7-Provider

205 Char(5) CPTPROV_10 CAPER Basic CAPER Basic

Linkage

CPT/HCPCS Code 8-Provider

206 Char(5) CPTPROV_11 CAPER Basic CAPER Basic

Linkage

CPT/HCPCS Code 9-Provider

207 Char(5) CPTPROV_12 CAPER Basic CAPER Basic

Linkage









Version 2.01.01 MDR CAPER Enhanced - 67 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

CPT/HCPCS Code 10-

208 Char(5) CPTPROV_13 CAPER Basic CAPER Basic

Provider Linkage

E&M Code 2-Provider

209 Char(5) CPTPROV_2 CAPER Basic CAPER Basic

Pointers

E&M Code 3-Provider

210 Char(5) CPTPROV_3 CAPER Basic CAPER Basic

Pointers

CPT/HCPCS Code 1-Provider

211 Char(5) CPTPROV_4 CAPER Basic CAPER Basic

Linkage

CPT/HCPCS Code 2-Provider

212 Char(5) CPTPROV_5 CAPER Basic CAPER Basic

Linkage

CPT/HCPCS Code 3-Provider

213 Char(5) CPTPROV_6 CAPER Basic CAPER Basic

Linkage

CPT/HCPCS Code 4-Provider

214 Char(5) CPTPROV_7 CAPER Basic CAPER Basic

Linkage

CPT/HCPCS Code 5-Provider

215 Char(5) CPTPROV_8 CAPER Basic CAPER Basic

Linkage

CPT/HCPCS Code 6-Provider

216 Char(5) CPTPROV_9 CAPER Basic CAPER Basic

Linkage

E&M Code 1-Units of

217 N(8) CPTUNITS_1 CAPER Basic CAPER Basic

Service15 (Raw)

CPT/HCPCS Code 7-Units of

218 N(8) CPTUNITS_10 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 8-Units of

219 N(8) CPTUNITS_11 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 9-Units of

220 N(8) CPTUNITS_12 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 10-Units

221 N(8) CPTUNITS_13 CAPER Basic CAPER Basic

of Service (Raw)

E&M Code 2-Units of

222 N(8) CPTUNITS_2 CAPER Basic CAPER Basic

Service (Raw)

E&M Code 3-Units of

223 N(8) CPTUNITS_3 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 1-Units of

224 N(8) CPTUNITS_4 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 2-Units of

225 N(8) CPTUNITS_5 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 3-Units of

226 N(8) CPTUNITS_6 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 4-Units of

227 N(8) CPTUNITS_7 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 5-Units of

228 N(8) CPTUNITS_8 CAPER Basic CAPER Basic

Service (Raw)

CPT/HCPCS Code 6-Units of

229 N(8) CPTUNITS_9 CAPER Basic CAPER Basic

Service (Raw)

E&M Code 1-Units of

230 N(8) CPTUOS_1 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 7-Units of

231 N(8) CPTUOS_10 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 8-Units of

232 N(8) CPTUOS_11 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 9-Units of

233 N(8) CPTUOS_12 CAPER Enh Table A1.1 Y

Service







15

Units of Care fields from CAPER Basic relabeled to Units of Service in CAPER Enhanced.





Version 2.01.01 MDR CAPER Enhanced - 68 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

CPT/HCPCS Code 10-Units

234 N(8) CPTUOS_13 CAPER Enh Table A1.1 Y

of Service

E&M Code 2-Units of

235 N(8) CPTUOS_2 CAPER Enh Table A1.1 Y

Service

E&M Code 3-Units of

236 N(8) CPTUOS_3 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 1-Units of

237 N(8) CPTUOS_4 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 2-Units of

238 N(8) CPTUOS_5 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 3-Units of

239 N(8) CPTUOS_6 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 4-Units of

240 N(8) CPTUOS_7 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 5-Units of

241 N(8) CPTUOS_8 CAPER Enh Table A1.1 Y

Service

CPT/HCPCS Code 6-Units of

242 N(8) CPTUOS_9 CAPER Enh Table A1.1 Y

Service

243 Calendar Year Char(4) CY CAPER Basic CAPER Basic Y

244 DEERS Dependent Suffix Char(2) DDS CAPER Enh Table A2 Y

245 Deployment Country Char(2) DEPLOYCNTRY CAPER Basic CAPER Basic

Deployment Related

246 Char(1) DEPLOYCOND CAPER Basic CAPER Basic

Illness/Condition

247 Deployed Relationship Char(1) DEPLOYRELN CAPER Basic CAPER Basic

248 Disposition Code Char(1) DISPCODE CAPER Basic CAPER Basic Y

249 Treatment DMIS ID Char(4) DMISID CAPER Basic CAPER Basic Y

250 DX (ICD-9-CM) Code #1 Char(7) DX1 CAPER Basic CAPER Basic Y

251 DX (ICD-9-CM) Code #10 Char(7) DX10 CAPER Basic CAPER Basic Y

252 DX (ICD-9-CM) Code #2 Char(7) DX2 CAPER Basic CAPER Basic Y

253 DX (ICD-9-CM) Code #3 Char(7) DX3 CAPER Basic CAPER Basic Y

254 DX (ICD-9-CM) Code #4 Char(7) DX4 CAPER Basic CAPER Basic Y

255 DX (ICD-9-CM) Code #5 Char(7) DX5 CAPER Basic CAPER Basic Y

256 DX (ICD-9-CM) Code #6 Char(7) DX6 CAPER Basic CAPER Basic Y

257 DX (ICD-9-CM) Code #7 Char(7) DX7 CAPER Basic CAPER Basic Y

258 DX (ICD-9-CM) Code #8 Char(7) DX8 CAPER Basic CAPER Basic Y

259 DX (ICD-9-CM) Code #9 Char(7) DX9 CAPER Basic CAPER Basic Y

DX (ICD-9-CM) Code #1-

260 Char(1) DXEXT1 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #10-

261 Char(1) DXEXT10 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #2-

262 Char(1) DXEXT2 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #3-

263 Char(1) DXEXT3 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #4-

264 Char(1) DXEXT4 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #5-

265 Char(1) DXEXT5 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #6-

266 Char(1) DXEXT6 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #7-

267 Char(1) DXEXT7 CAPER Basic CAPER Basic Y

DOD Extender

DX (ICD-9-CM) Code #8-

268 Char(1) DXEXT8 CAPER Basic CAPER Basic Y

DOD Extender









Version 2.01.01 MDR CAPER Enhanced - 69 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

DX (ICD-9-CM) Code #9-

269 Char(1) DXEXT9 CAPER Basic CAPER Basic Y

DOD Extender

270 Diagnosis Group Char(2) DXGRP CAPER Enh Table A2 Y

DX (ICD-9-CM) Code #1-

271 Char(1) DXPRI1 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #10-

272 Char(1) DXPRI10 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #2-

273 Char(1) DXPRI2 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #3-

274 Char(1) DXPRI3 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #4-

275 Char(1) DXPRI4 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #5-

276 Char(1) DXPRI5 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #6-

277 Char(1) DXPRI6 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #7-

278 Char(1) DXPRI7 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #8-

279 Char(1) DXPRI8 CAPER Basic CAPER Basic

Priority

DX (ICD-9-CM) Code #9-

280 Char(1) DXPRI9 CAPER Basic CAPER Basic

Priority

Unique Person Identifier

281 Char(10) EDIPN CAPER Enh Table A2 Y

(EDIPN)

Patient Identifier (EDIPN),

282 Char(10) EDIPN_R CAPER Basic CAPER Basic

Raw

Modified Appointment

283 Char(8) ENCDATE CAPER Basic CAPER Basic

(Encounter) Date Y

Raw Appointment

284 Char(8) ENCDATE_R CAPER Basic CAPER Basic

(Encounter) Date

285 Enrollment DMIS ID Char(4) ENRDMIS CAPER Enh Table A2 Y

286 Enrollment DMIS ID Raw Char(4) ENRDMIS_R CAPER Basic CAPER Basic

287 Enrollment DMIS ID Region Char(2) ENRREG CAPER Enh Table A2

288 End of Record Char(5) EOR CAPER Basic CAPER Basic

289 Ethnic Background Char(1) ETHNICGR CAPER Basic CAPER Basic

290 Age Group Common Char(1) EXPAGE CAPER Enh Table A2 Y

291 CAPER Extract Date Char(8) EXTRDATE CAPER Basic CAPER Basic

292 Facility/Non-Facility Flag Char(1) FAC_FLAG CAPER Enh Table A3.3 Y

293 Full Cost, Clinician Salary N(8) FCCLNSAL CAPER Enh Table A3.3 Y

294 Full Cost, Laboratory N(8) FCLAB CAPER Enh Table A3.3 Y

295 Full Cost N(8) FCOST CAPER Enh Table A3.3 Y

296 Full Cost, E&M APG N(8) FCOST1 CAPER Enh Table A3.3 Y

297 Full Cost, Medical APG N(8) FCOST2 CAPER Enh Table A3.3 Y

298 Full Cost, Procedure 1 APG N(8) FCOST3 CAPER Enh Table A3.3 Y

299 Full Cost, Procedure 2 APG N(8) FCOST4 CAPER Enh Table A3.3 Y

300 Full Cost, Procedure 3 APG N(8) FCOST5 CAPER Enh Table A3.3 Y

301 Full Cost, Procedure 4 APG N(8) FCOST6 CAPER Enh Table A3.3 Y

302 Full Cost, Other Ancillary N(8) FCOTHANC CAPER Enh Table A3.3 Y

303 Full Cost, Other N(8) FCOTHER CAPER Enh Table A3.3 Y

304 Full Cost, Other Labor N(8) FCOTHLBR CAPER Enh Table A3.3 Y

305 Full Cost, Radiology N(8) FCRAD CAPER Enh Table A3.3 Y

306 Full Cost, Pharmacy N(8) FCRX CAPER Enh Table A3.3 Y

307 Beneficiary First Name Char(??) FIRSTNAME CAPER Enh Table A2 Y

308 Fiscal Month Char(2) FM CAPER Basic CAPER Basic Y







Version 2.01.01 MDR CAPER Enhanced - 70 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

309 Family Member Prefix Char(2) FMP CAPER Basic CAPER Basic Y

310 RVU, E&M 1 Facility Practice N(8) FPRVU1 CAPER Enh Table A3.3

RVU, Procedure 10 Facility

311 N(8) FPRVU10 CAPER Enh Table A3.3

Practice

RVU, Procedure 11 Facility

312 N(8) FPRVU11 CAPER Enh Table A3.3

Practice

RVU, Procedure 12 Facility

313 N(8) FPRVU12 CAPER Enh Table A3.3

Practice

RVU, Procedure 13 Facility

314 Practice, no modifiers, no N(8) FPRVU13 CAPER Enh Table A3.3

modifiers

315 RVU, E&M 2 Facility Practice N(8) FPRVU2 CAPER Enh Table A3.3

316 RVU, E&M 3 Facility Practice N(8) FPRVU3 CAPER Enh Table A3.3

RVU, Procedure 1 Facility

317 N(8) FPRVU4 CAPER Enh Table A3.3

Practice

RVU, Procedure 2 Facility

318 N(8) FPRVU5 CAPER Enh Table A3.3

Practice

RVU, Procedure 3 Facility

319 N(8) FPRVU6 CAPER Enh Table A3.3

Practice

RVU, Procedure 4 Facility

320 N(8) FPRVU7 CAPER Enh Table A3.3

Practice

RVU, Procedure 5 Facility

321 N(8) FPRVU8 CAPER Enh Table A3.3

Practice

RVU, Procedure 6 Facility

322 N(8) FPRVU9 CAPER Enh Table A3.3

Practice

323 Fiscal Year Char(4) FY CAPER Basic CAPER Basic Y

Health Care Delivery

324 Char(3) HCDPCODE_R CAPER Basic CAPER Basic

Program Code

325 HCDP Code from LVM4 Char(3) HCDPLVM CAPER Enh Table A2 Y

326 Patient Hospital Status Char(1) HOSPSTAT CAPER Basic CAPER Basic Y

327 CHCS Host Char(4) HOSTDMIS CAPER Basic CAPER Basic Y

Injury Related/Cause Code

328 Char(2) INJCODE1 CAPER Basic CAPER Basic Y

1

Injury Related/Cause Code

329 Char(2) INJCODE2 CAPER Basic CAPER Basic Y

2

Injury Related/Cause Code

330 Char(2) INJCODE3 CAPER Basic CAPER Basic Y

3

331 Date of Injury, CCYYMMDD Char(8) INJDATE CAPER Basic CAPER Basic Y

332 Injury Geographic Location Char(5) INJGEOGLOC CAPER Basic CAPER Basic Y

333 Injury Place of Accident Char(54) INJPOA CAPER Basic CAPER Basic Y

334 Injury Place of Employment Char(54) INJPOE CAPER Basic CAPER Basic Y

335 Injury Related Char(1) INJREL CAPER Basic CAPER Basic Y

336 Inpatient Appointment Char(1) INPAPPT CAPER Basic CAPER Basic Y

337 Medical Insurance Billable Char(1) INSBILL CAPER Basic CAPER Basic Y

338 RVU, Individual Work N(8) IWRVU CAPER Enh Table A3.3 Y

RVU, Individual Work per

339 N(8) IWRVU_S CAPER Enh Table A3.3 Y

SADR

340 Beneficiary Last Name Char(??) LASTNAME CAPER Enh Table A2 Y

CAPER Basic

341 M2 Code Char(1) M2CODE CAPER Basic

& Table A2

342 Marital Status Char(1) MARITAL CAPER Basic CAPER Basic Y

343 MCP Group ID Char(19) MCPID CAPER Basic CAPER Basic Y

344 Major Diagnostic Category Char(2) MDC CAPER Enh Table A2 Y

345 Medicare Eligibility Field Char(2) MEDELIG CAPER Basic CAPER Basic









Version 2.01.01 MDR CAPER Enhanced - 71 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

Medicare Eligibility

346 Char(1) MEDELIG2 CAPER Enh Table A2 Y

Aggregate

347 Medicare Eligibility Flag Char(1) MEDFLAG CAPER Enh Table A2

Medicare Eligibility as

348 Reported in the Char(2) MELIGAPT CAPER Enh Table A2

Appointment Data

349 MEPRS1 Code Char(1) MEPR1 CAPER Enh Table A2 Y

350 MEPRS2 Code Char(2) MEPR2 CAPER Enh Table A2 Y

351 MEPRS3 Code Char(3) MEPR3 CAPER Enh Table A2 Y

352 Treatment MEPRS Code Char(4) MEPRSCD CAPER Basic CAPER Basic Y

353 Multi-Service Market Area Char(3) MSMA CAPER Enh Table A2 Y

354 Treatment Parent DMIS ID Char(4) MTF_PAR CAPER Basic CAPER Basic Y

Inpatient DMISID & Patient

355 Char(11) MTF_PRN CAPER Basic CAPER Basic

Register Number Y

RVU, E&M 1 Non-Facility

356 N(8) NPRVU1 CAPER Enh Table A3.3

Practice

RVU, Procedure 10 Non-

357 N(8) NPRVU10 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 11 Non-

358 N(8) NPRVU11 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 12 Non-

359 N(8) NPRVU12 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 13 Non-

360 N(8) NPRVU13 CAPER Enh Table A3.3

Facility Practice

RVU, E&M 2 Non-Facility

361 N(8) NPRVU2 CAPER Enh Table A3.3

Practice

RVU, E&M 3 Non-Facility

362 N(8) NPRVU3 CAPER Enh Table A3.3

Practice

RVU, Procedure 1 Non-

363 N(8) NPRVU4 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 2 Non-

364 N(8) NPRVU5 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 3 Non-

365 N(8) NPRVU6 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 4 Non-

366 N(8) NPRVU7 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 5 Non-

367 N(8) NPRVU8 CAPER Enh Table A3.3

Facility Practice

RVU, Procedure 6 Non-

368 N(8) NPRVU9 CAPER Enh Table A3.3

Facility Practice

369 Patient OHI Indicator Char(1) OHI CAPER Basic CAPER Basic Y

370 RVU, Organizational Work N(8) OWRVU CAPER Enh Table A3.3 Y

RVU, Organizational Work

371 N(8) OWRVU_S CAPER Enh Table A3.3 Y

Per SADR

Person Association Reason

372 Char(2) PARC CAPER Enh Table A2 Y

Code

373 Parent DMIS ID (Cost) Char(4) PARCOST CAPER Enh Table A2

Parent DMIS ID

374 Char(4) PARENR CAPER Enh Table A2 Y

(Enrollment)

375 Parent DMIS ID (MEPRS) Char(4) PARMEPRS CAPER Enh Table A2

376 Patient Age N(8) PATAGE CAPER Enh Table A1.1 Y

377 Patient Category Char(3) PATCAT CAPER Enh Table A2 Y

378 Patient Category Raw Char(5) PATCAT_R CAPER Basic CAPER Basic

379 Patient Date of Birth Char(8) PATDOB CAPER Basic CAPER Basic Y

380 Beneficiary HSSC Region Char(1) PATHSSC CAPER Enh Table A2 Y







Version 2.01.01 MDR CAPER Enhanced - 72 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

381 Beneficiary Name Char(??) PATNAME CAPER Enh Table A2 Y

382 Patient Race Code Char(1) PATRACE CAPER Basic CAPER Basic Y

Patient Health Service

383 Char(2) PATREGN CAPER Enh Table A2 Y

Region

384 Patient Gender Char(1) PATSEX CAPER Basic CAPER Basic Y

Patient Social Security

385 Char(9) PATSSN CAPER Basic CAPER Basic Y

Number

Patient Status as Reported

386 Char(1) PATSTAT CAPER Enh Table A2

in the Appointment Data Y

387 Modified Patient Zip Code Char(9) PATZIP CAPER Basic CAPER Basic Y

388 Patient Zip Code (Raw) Char(10) PATZIP_R CAPER Basic CAPER Basic

389 PCM EDIPN Char(10) PCMEDIPN CAPER Basic CAPER Basic Y

390 PCM Group Tax ID Char(10) PCMGRP CAPER Basic CAPER Basic

Primary Care Manager

391 Char(10) PCMID CAPER Basic CAPER Basic Y

Provider ID

NED Primary Care Manager

392 Char(18) PCMID_NED CAPER Basic CAPER Basic

ID

PCM ID from the LVM

393 Char(18) PCMIDLVM CAPER Enh Table A2 Y

merge

Primary Care Manager

394 Char(2) PCMLOC CAPER Basic CAPER Basic

Location CD

395 Primary Care Manager NPI Char(10) PCMNPI CAPER Basic CAPER Basic Y

396 PCM NPI Type Char(1) PCMNPITYPE CAPER Basic CAPER Basic Y

397 NED PCM Type Code Char(1) PCMTYPE_NED CAPER Basic CAPER Basic

398 RVU, Simple PE N(8) PERVU CAPER Enh Table A3.3 Y

399 RVU, Simple PE per SADR N(8) PERVU_S CAPER Enh Table A3.3 Y

RVU, E&M 1 Practice

400 N(8) PERVU1 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 10 Practice

401 N(8) PERVU10 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 11 Practice

402 N(8) PERVU11 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 12 Practice

403 N(8) PERVU12 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 13 Practice

404 N(8) PERVU13 CAPER Enh Table A3.3 Y

Expense

RVU, E&M 2 Practice

405 N(8) PERVU2 CAPER Enh Table A3.3 Y

Expense

RVU, E&M 3 Practice

406 N(8) PERVU3 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 1 Practice

407 N(8) PERVU4 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 2 Practice

408 N(8) PERVU5 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 3 Practice

409 N(8) PERVU6 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 4 Practice

410 N(8) PERVU7 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 5 Practice

411 N(8) PERVU8 CAPER Enh Table A3.3 Y

Expense

RVU, Procedure 6 Practice

412 N(8) PERVU9 CAPER Enh Table A3.3 Y

Expense

413 PPS Enrollment Parent Site Char(4) PPS_EPS CAPER Enh Table A2

414 PPS Treatment Parent Site Char(4) PPS_TPS CAPER Enh Table A2

415 PRISM Service Area Char(4) PRISM CAPER Enh Table A2 Y







Version 2.01.01 MDR CAPER Enhanced - 73 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

416 Processing Date Char(8) PROCDATE CAPER Basic CAPER Basic

417 Product Line Char(7) PRODLINE CAPER Enh Table A2 Y

418 Appointment Provider Class Char(30) PROVCLAS1 CAPER Basic CAPER Basic

419 Referring Provider DMISID Char(4) PROVDMISREF CAPER Basic CAPER Basic Y

Appointment Provider

420 Char(10) PROVEDIPN1 CAPER Basic CAPER Basic Y

EDIPN

421 Additional Provider 1 EDIPN Char(10) PROVEDIPN2 CAPER Basic CAPER Basic Y

422 Additional Provider 2 EDIPN Char(10) PROVEDIPN3 CAPER Basic CAPER Basic Y

423 Additional Provider 3 EDIPN Char(10) PROVEDIPN4 CAPER Basic CAPER Basic Y

424 Additional Provider 4 EDIPN Char(10) PROVEDIPN5 CAPER Basic CAPER Basic Y

425 Referring Provider EDIPN Char(10) PROVEDIPNREF CAPER Basic CAPER Basic Y

Appointment Provider

426 Char(10) PROVHIPAA1 CAPER Basic CAPER Basic

HIPAA Taxonomy Y

Additional Provider 1 HIPAA

427 Char(10) PROVHIPAA2 CAPER Basic CAPER Basic

Taxonomy Y

Additional Provider 2 HIPAA

428 Char(10) PROVHIPAA3 CAPER Basic CAPER Basic

Taxonomy Y

Additional Provider 3 HIPAA

429 Char(10) PROVHIPAA4 CAPER Basic CAPER Basic

Taxonomy Y

Additional Provider 4 HIPAA

430 Char(10) PROVHIPAA5 CAPER Basic CAPER Basic

Taxonomy Y

431 Appointment Provider ID Char(9) PROVID1 CAPER Basic CAPER Basic Y

432 Additional Provider 1 ID Char(10) PROVID2 CAPER Basic CAPER Basic Y

433 Additional Provider 2 ID Char(10) PROVID3 CAPER Basic CAPER Basic Y

434 Additional Provider 3 ID Char(10) PROVID4 CAPER Basic CAPER Basic Y

435 Additional Provider 4 ID Char(10) PROVID5 CAPER Basic CAPER Basic Y

PROVIDREF /

436 Referring Provider ID, Raw Char(9) CAPER Basic CAPER Basic Y

REF_PROV_R

Assigned MEPRS Code for

437 Char(4) PROVMEPR1 CAPER Basic CAPER Basic

Appointment Provider Y

Assigned MEPRS Code for

438 Char(4) PROVMEPR2 CAPER Basic CAPER Basic

Additional Prov 1

Assigned MEPRS Code for

439 Char(4) PROVMEPR3 CAPER Basic CAPER Basic

Additional Prov 2

Assigned MEPRS Code for

440 Char(4) PROVMEPR4 CAPER Basic CAPER Basic

Additional Prov 3

Assigned MEPRS Code for

441 Char(4) PROVMEPR5 CAPER Basic CAPER Basic

Additional Prov 4

Assigned MTF for

442 Char(4) PROVMTF1 CAPER Basic CAPER Basic

Appointment Provider

Assigned MTF for Additional

443 Char(4) PROVMTF2 CAPER Basic CAPER Basic

Provider 1

Assigned MTF for Additional

444 Char(4) PROVMTF3 CAPER Basic CAPER Basic

Provider 2

Assigned MTF for Additional

445 Char(4) PROVMTF4 CAPER Basic CAPER Basic

Provider 3

Assigned MTF for Additional

446 Char(4) PROVMTF5 CAPER Basic CAPER Basic

Provider 4

447 Appointment Provider NPI Char(10) PROVNPI1 CAPER Basic CAPER Basic Y

448 Additional Provider 1 NPI Char(10) PROVNPI2 CAPER Basic CAPER Basic Y

449 Additional Provider 2 NPI Char(10) PROVNPI3 CAPER Basic CAPER Basic Y

450 Additional Provider 3 NPI Char(10) PROVNPI4 CAPER Basic CAPER Basic Y

451 Additional Provider 4 NPI Char(10) PROVNPI5 CAPER Basic CAPER Basic Y

452 Referring Provider NPI Char(10) PROVNPIREF CAPER Basic CAPER Basic Y









Version 2.01.01 MDR CAPER Enhanced - 74 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

Appointment Provider NPI

453 Char(1) PROVNPITYPE1 CAPER Basic CAPER Basic Y

Type

Additional Provider 1 NPI

454 Char(1) PROVNPITYPE2 CAPER Basic CAPER Basic Y

Type

Additional Provider 2 NPI

455 Char(1) PROVNPITYPE3 CAPER Basic CAPER Basic Y

Type

Additional Provider 3 NPI

456 Char(1) PROVNPITYPE4 CAPER Basic CAPER Basic Y

Type

Additional Provider 4 NPI

457 Char(1) PROVNPITYPE5 CAPER Basic CAPER Basic Y

Type

458 Referring Provider NPI Type Char(1) PROVNPITYPEREF CAPER Basic CAPER Basic Y

459 Appointment Provider Role Char(1) PROVROLE1 CAPER Basic CAPER Basic Y

460 Additional Provider 1 Role Char(1) PROVROLE2 CAPER Basic CAPER Basic Y

461 Additional Provider 2 Role Char(1) PROVROLE3 CAPER Basic CAPER Basic Y

462 Additional Provider 3 Role Char(1) PROVROLE4 CAPER Basic CAPER Basic Y

463 Additional Provider 4 Role Char(1) PROVROLE5 CAPER Basic CAPER Basic Y

Appointment Provider

464 Char(3) PROVSPEC1 CAPER Basic CAPER Basic Y

Specialty Code

Additional Provider 1

465 Char(3) PROVSPEC2 CAPER Basic CAPER Basic Y

Specialty Code

Additional Provider 2

466 Char(3) PROVSPEC3 CAPER Basic CAPER Basic Y

Specialty Code

Additional Provider 3

467 Char(3) PROVSPEC4 CAPER Basic CAPER Basic Y

Specialty Code

Additional Provider 4

468 Char(3) PROVSPEC5 CAPER Basic CAPER Basic Y

Specialty Code

Appointment Provider

469 Char(13) PROVSTAT1 CAPER Basic CAPER Basic Y

Military Status

Additional Provider 1

470 Char(3) PROVSTAT2 CAPER Basic CAPER Basic Y

Military Status

Additional Provider 2

471 Char(3) PROVSTAT3 CAPER Basic CAPER Basic Y

Military Status

Additional Provider 3

472 Char(3) PROVSTAT4 CAPER Basic CAPER Basic Y

Military Status

Additional Provider 4

473 Char(3) PROVSTAT5 CAPER Basic CAPER Basic Y

Military Status

Appointment Provider Type

474 Char(1) PROVTYPE1 CAPER Basic CAPER Basic Y

Code

475 Sponsor Rank Group Char(2) RANKGRP CAPER Enh Table A2 Y

476 Sponsor Rank/Paygrade Char(3) RANKPAY CAPER Enh Table A2 Y

477 Military Grade/Rank Char(4) RANKPAY_R CAPER Basic CAPER Basic

478 Reason for Appointment Char(78) REASON CAPER Basic CAPER Basic

REF_NO/REFNUM

479 Referral Number, Raw Char(11) CAPER Basic CAPER Basic Y

_R

Referring Provider [from

480 Char(14) REF_PROV CAPER Enh Table A2 Y

Referral Database]

Referral Number [from

481 Char(11) REFNUM CAPER Enh Table A2

Referral Database]

482 RVU, Simple Work N(8) RRVU CAPER Enh Table A3.3 Y

RVU, Simple Work per

483 N(8) RRVU_S CAPER Enh Table A3.3 Y

SADR

484 RVU, E&M 1 Work N(8) RRVU1 CAPER Enh Table A3.3 Y

485 RVU, Procedure 7 Work N(8) RRVU10 CAPER Enh Table A3.3 Y

486 RVU, Procedure 8 Work N(8) RRVU11 CAPER Enh Table A3.3 Y

487 RVU, Procedure 9 Work N(8) RRVU12 CAPER Enh Table A3.3 Y







Version 2.01.01 MDR CAPER Enhanced - 75 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

488 RVU, Procedure 10 Work N(8) RRVU13 CAPER Enh Table A3.3 Y

489 RVU, E&M 2 Work N(8) RRVU2 CAPER Enh Table A3.3 Y

490 RVU, E&M 3 Work N(8) RRVU3 CAPER Enh Table A3.3 Y

491 RVU, Procedure 1 Work N(8) RRVU4 CAPER Enh Table A3.3 Y

492 RVU, Procedure 2 Work N(8) RRVU5 CAPER Enh Table A3.3 Y

493 RVU, Procedure 3 Work N(8) RRVU6 CAPER Enh Table A3.3 Y

494 RVU, Procedure 4 Work N(8) RRVU7 CAPER Enh Table A3.3 Y

495 RVU, Procedure 5 Work N(8) RRVU8 CAPER Enh Table A3.3 Y

496 RVU, Procedure 6 Work N(8) RRVU9 CAPER Enh Table A3.3 Y

497 Recoded Sponsor Service Char(1) RSPONSVC CAPER Enh Table A2 Y

RVU, Enhanced Practice

498 N(8) RVU_EPE CAPER Enh Table A3.3 Y

Expense

RVU, Enhanced Practice

499 N(8) RVU_EPE_S CAPER Enh Table A3.3 Y

Expense per SADR

500 RVU, Enhanced Total N(8) RVU_ET CAPER Enh Table A3.3 Y

RVU, Enhanced Total per

501 N(8) RVU_ET_S CAPER Enh Table A3.3 Y

SADR

502 RVU, Enhanced Work N(8) RVU_EW CAPER Enh Table A3.3 Y

RVU, Enhanced Work per

503 N(8) RVU_EW_S CAPER Enh Table A3.3 Y

SADR

Sponsor Service Aggregate

504 Char(1) SAGGLVM CAPER Enh Table A2

from LVM

505 Scope of Care Char(1) SCOPE CAPER Basic CAPER Basic

506 Same Day Surgery Flag Char(1) SDS CAPER Enh Table A2 Y

Site Identifier from

507 Char(8) SITEID CAPER Basic CAPER Basic

Filename of Raw Feed

Reservist Special Operation

508 Char(2) SOC CAPER Enh Table A2 Y

Code

Special Operations Code

509 Char(2) SOC_R CAPER Basic CAPER Basic

(Raw)

Sponsor Social Security

510 Char(9) SPONSSN CAPER Enh Table A2 Y

Number

Sponsor Social Security

511 Char(9) SPONSSN_R CAPER Basic CAPER Basic

Number

512 Source Processing Date Char(8) SRCPROCDATE CAPER Enh Table A2

Sponsor Service from

513 Char(1) SSVCLVM CAPER Enh Table A2

DEERS

514 DOD Specific Injury Code Char(3) STANAG CAPER Basic CAPER Basic Y

515 Reservist Status Code Char(1) STATUS CAPER Enh Table A2 Y

Telemedicine/Remote

516 Char(1) TELEMED CAPER Basic CAPER Basic

Consult Code

517 Third Party Collection Rate N(8) TPC CAPER Enh Table A3.3

518 TPR Eligibility Flag Char(1) TPRELIG CAPER Enh Table A2 Y

519 Tmt DMIS ID HSSC Region Char(1) TXHSSC CAPER Enh Table A2 Y

520 Treatment Region Char(2) TXREG CAPER Enh Table A2 Y

521 Treatment Service Char(1) TXSVC CAPER Enh Table A2 Y

522 Underwritten Region Char(1) UNDFLAG CAPER Enh Table A2 Y

Variable Cost, Clinician

523 N(8) VCCLNSAL CAPER Enh Table A3.3 Y

Salary

524 Variable Cost, Laboratory N(8) VCLAB CAPER Enh Table A3.3 Y

Variable Cost, Other

525 N(8) VCOTHANC CAPER Enh Table A3.3 Y

Ancillary

526 Variable Cost, Other N(8) VCOTHER CAPER Enh Table A3.3 Y

527 Variable Cost, Other Labor N(8) VCOTHLBR CAPER Enh Table A3.3 Y

528 Variable Cost, Radiology N(8) VCRAD CAPER Enh Table A3.3 Y







Version 2.01.01 MDR CAPER Enhanced - 76 27 July 2010

Spec

Field Type SAS Name Source M2?

Reference

529 Variable Cost, Pharmacy N(8) VCRX CAPER Enh Table A3.3 Y









Version 2.01.01 MDR CAPER Enhanced - 77 27 July 2010

APPENDIX TBD: Provider Table16



A Provider table will be created from the CAPER records to provide a provider-based view of

the encounter claims to describe connections between procedure and providers to links

resembling those in the SIDR.



 Generate a provider production table containing treatment DMIS, Appointment ID

number, provider, procedures, units of service, modifiers, RVUs. This table would

contain one record per appointment per provider from appointments where the

provider and procedure are linked.



Table ATBD.1: Provider Table Fields



Field Type SAS Name Derivation



Treatment DMIS Char(4)



Appointment ID Number char(10) APPTIDNO

Raw Appointment (Encounter) char(8)

ENCDATE_R

Date yyyymmdd

MEPRS Code Char(4)



Provider, NPI



Provider, EDIPN



Provider, Name



Provider, Assigned MTF Char(4)



Provider, Branch of Service



[Other Provider info]

Which position, 1-13, is the

Procedure Position procedure on the CAPER

record.

E&M 1-3, Procedure 1-10 Code

E&M 1-3, Procedure 1-10

Modifier 1

E&M 1-3, Procedure 1-10

Modifier 2

E&M 1-3, Procedure 1-10

Modifier 3

E&M 1-3, Procedure 1-10 Units

of service

RVU, Work E&M 1-3, Procedure

1-10

RVU, Practice Expense E&M 1-3,

Procedure 1-10

Provider Role, E&M 1-3, Referring, Appointment,

Procedure 1-20 Additional Provider 1-4

Provider Specialty









16

Placeholder for CAPER Enhanced Interim Plus







Version 2.01.01 MDR CAPER Enhanced - 78 27 July 2010

APPENDIX TBD: SCAPERs17



A one time addition of SADR-based records to fill gaps in CAPERs is required. Approximately

x% of CAPER records are missing in FY04 and forward. SADRs will be used to fill in the gaps

for these missing CAPERs for current and previous years.



The SADR and CAPER tables are merged by Host ID and Appointment Number ID to

determine which CAPERs are missing. For any records found to be missing, the SADR to raw

CAPER field mapping (Table TBD.1) will be used as described.









17

Placeholder for CAPER Enhanced Interim Plus.







Version 2.01.01 MDR CAPER Enhanced - 79 27 July 2010

APPENDIX TBD: Reference Tables





Reference Table Spec Update

MDR Location Filename

Description Reference Schedule

APC; CPT to APC /mdr/ref/tapc.cyxx.txt apc.cy.txt N/A

APC/PSI/Weight Reference where cy=06-08 only

Format (CMS/3M – Tables for

4 char APCs) the MDR

APC; APC to APC APC mdr/ref/caper/apcwt/ apcwt.cqyyq.txt Quarterly

Weight Format Reference where yyq=084+

(TRICARE – 5 char Tables for only

APCs) the MDR

CY09 and CY10 Appendix 1, del09_map.sas N/A

Deleted Codes Para 2c., del10_map.sas

Table A1.2c

and A1.2d

RVU Tables Appendix 3, /mdr/ref/caper.rvu.cy rvu7fmt.sas7bdat Annually

Table A3.3

CPT Tables

for the MDR

APG to APG wt Appendix 3, sadr.apgwgts.fyfy.fmt As Needed

Table A3.3

Prov Spec code Appendix 3, mdr/ref/sadr.prov.txt sadr.prov.txt As Needed

Format Table A3.3d

Revenue Code Appendix 1, mdr/ref/caper/revcode cy##.dyymmdd.fmt Annually

Tables Table A1.2 where ##=09+

Cost tables Annually

Completion Factors Appendix 4, ctfmt_a_fy.sas7bdat Annually

Table 4.1 ctfmt_b_ fy.sas7bdat

ctfmt_c_ fy.sas7bdat

ASC Codes CPT Tables /mdr/ref/caper.rvu.cy cpt7fmt.sas7bdat Annually

for the MDR

Facility/Non Fac Table A3.3b facflagfy.sas Annually

Flag Format

MDC Appendix 2,

Table A2

Product Line Format Table A2.2 productlineformat.sas As Needed









Version 2.01.01 MDR CAPER Enhanced - 80 27 July 2010


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