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	<docDscr>
		<citation>
			<titlStmt>
				<titl>Metadata record for National Hospital Discharge Survey, 1979-2000: Multi-Year Public Use File</titl>
			</titlStmt>
			<prodStmt>
				<producer abbr="ICPSR">
					<ExtLink URI="http://www.icpsr.umich.edu/images/icpsr-logo.gif" title="ICPSR Logo" role="image" /> 
					Inter-university Consortium for Political and Social Research
					<ExtLink URI="http://www.icpsr.umich.edu/ICPSR/" title="URL of ICPSR Web Site" />
				</producer>
				<copyright>
					ICPSR metadata records are licensed under a Creative Commons Attribution-Noncommercial 3.0 United States License <ExtLink URI="http://creativecommons.org/licenses/by-nc/3.0/us/" title="Link to full text of license" />.
				</copyright>
			</prodStmt>
			<verStmt>
				
				<version date="2013-05-25">2013-05-25</version>
			</verStmt>
			
			
				<holdings URI="http://www.icpsr.umich.edu/icpsrweb/ICPSR/ddi2/studies/4412"></holdings>
			
		</citation>
	</docDscr>
	<stdyDscr>
       <citation>
           <titlStmt>
             <titl>National Hospital Discharge Survey, 1979-2000: Multi-Year Public Use File</titl>
 				
             <IDNo agency="ICPSR">4412</IDNo>
             <IDNo agency="CrossRef">10.3886/ICPSR04412.v3</IDNo>
           </titlStmt>
           <rspStmt>
    	
			<AuthEnty affiliation="United States Department of Health and Human Services. National Center for Health Statistics">United States Department of Health and Human Services. National Center for Health Statistics</AuthEnty>
    	
           </rspStmt>
           <prodStmt>
				

           </prodStmt>
           <distStmt>
             <distrbtr abbr="ICPSR" affiliation="Institute for Social Research, University of Michigan" URI="http://www.icpsr.umich.edu/ICPSR/">
               <ExtLink URI="http://www.icpsr.umich.edu/images/icpsr-logo.gif" title="Logo" />
               Inter-university Consortium for Political and Social Research
               <ExtLink URI="http://www.icpsr.umich.edu/ICPSR/" title="URL" />
             </distrbtr>
             <distDate date="2006-03-17">2006-03-17</distDate>
           </distStmt>

           <serStmt>
             <serName ID="Series00043">National Hospital Discharge Survey Series</serName>
           </serStmt>


    	
           <verStmt>
           
             <version date="2007-11-29">2007-11-29</version> 
             
             <notes>2007-11-29 The data have been reformatted.</notes>
           </verStmt>
    	
           <verStmt>
           
             <version date="2007-03-08">2007-03-08</version> 
             
             <notes>2007-03-08 Setup files have been updated.</notes>
           </verStmt>
    	


           <biblCit>U.S. Dept. of Health and Human Services, National Center for Health Statistics. NATIONAL HOSPITAL DISCHARGE SURVEY, 1979-2000: MULTI-YEAR PUBLIC USE FILE. ICPSR04412-v3. Hyattsville, MD: U.S. Dept. of Health and Human Services, National Center for Health Statistics [producer], 2002. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2007-11-29. doi:10.3886/ICPSR04412.v3</biblCit>

				<holdings URI="http://dx.doi.org/10.3886/ICPSR04412.v3"></holdings>


        </citation>
      <stdyInfo>
           <subject>
		
      		<keyword vocab="thesaurus">demographic characteristics</keyword>
      	
      		<keyword vocab="thesaurus">health care facilities</keyword>
      	
      		<keyword vocab="thesaurus">hospitalization</keyword>
      	
      		<keyword vocab="thesaurus">hospitals</keyword>
      	
      		<keyword vocab="thesaurus">illness</keyword>
      	
      		<keyword vocab="thesaurus">medical care</keyword>
      	
      		<keyword vocab="thesaurus">medical evaluation</keyword>
      	
      		<keyword vocab="thesaurus">medical procedures</keyword>
      	
      		<keyword vocab="thesaurus">medical records</keyword>
      	
      		<keyword vocab="thesaurus">patients</keyword>
      	
		
      		<topcClas source="archive" vocab="NACDA subject classifications">NACDA.VI</topcClas>
      	
      		<topcClas source="archive" vocab="ICPSR subject classifications">ICPSR.IX</topcClas>
      	
      		<topcClas source="archive" vocab="RCMD subject classifications">RCMD.V</topcClas>
      	
           </subject>
          <abstract>The National Hospital Discharge Survey (NHDS) collects
 medical and demographic information annually from a sample of hospital
 discharge records. Variables include patients' demographic
 characteristics (sex, age, race, marital status), dates of admission
 and discharge, source and type of admission, status at discharge,
 final diagnoses, surgical and nonsurgical procedures, dates of
 surgeries, and sources of payment. Information on hospital
 characteristics such as bed size, ownership, and region of the country
 is also included. This collection contains data for the years of 1979
 through 2000 for both newborn infants (Part 1) and non-newborns (Part
 2). The medical information is coded using the INTERNATIONAL
 CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MODIFICATION
(ICD-9-CM).</abstract>
 			
 			
 			
           <sumDscr>
           
		
		
				
      		<timePrd event="start" date="1979" cycle="P1">1979</timePrd>
      		<timePrd event="end" date="2000" cycle="P1">2000</timePrd>
			
			
      		
      		
      	
		
 		
				
			
      		<collDate event="single" date="2002" cycle="P1">2002</collDate>
      		
      		
      	
    	
    		<geogCover>United States</geogCover>
    	
    	
    	
	    	
	    		<universe>Patient discharges from nonfederal short-stay hospitals
located in the 50 states and the District of Columbia.</universe>
	    	
	    	
	    		<dataKind>administrative records data</dataKind>
	    	
           </sumDscr>
       </stdyInfo>
       <method>
           <dataColl>

             <sampProc>The redesigned (as of 1988) NHDS sample includes with
 certainty all hospitals with 1,000 or more beds or 40,000 or more
 discharges annually. The remaining sample of hospitals is based on a
 stratified three-stage design. The first stage consists of selection
 of 112 primary sampling units (PSUs) that comprise a probability
 subsample of PSUs used in the 1985-1994 National Health Interview
 Surveys. The second stage consists of selection of noncertainty
 hospitals from the sample PSUs. At the third stage, a sample of
 discharges was selected by a systematic random sampling technique. For
 2003, the sample consisted of 501 hospitals. Of these, 22 were found
 to be ineligible. Of the 479 eligible hospitals, 426 hospitals
responded to the survey.</sampProc>
            



             <sources>
             
    		<dataSrc>hospital records</dataSrc>
    	
             </sources>
             
    	
    		<weight>Both files contain weight variables (wgt). Users should
 refer to the user guide for further information regarding the weight
 and their derivation. Additionally, users will need to weight the
data prior to analysis.</weight>
    	

		<cleanOps><p>ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of 
	disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major 
	statistical software formats as well as standard codebooks to accompany the data. In addition to 
	these procedures, ICPSR performed the following processing steps for this data collection:</p><list type="bulleted">
	<itm>Created online analysis version with question text.</itm>
	</list>
	</cleanOps>
	
           </dataColl>

           <notes>Per agreement with NCHS, ICPSR distributes the data
 files and technical documentation in this collection in their original
form as prepared by NCHS.</notes>


          <anlyInfo>


          </anlyInfo>
       </method>
       <dataAccs>
           <setAvail media="online">
			
			
             <accsPlac URI="http://dx.doi.org/10.3886/ICPSR04412.v3">Ann Arbor, Mi.: Inter-university Consortium for Political and Social Research</accsPlac>
			
            </setAvail>
           <useStmt>
                <specPerm>Additional special permissions, where applicable, are described in the restrictions
                field.</specPerm>
                
                <restrctn>In preparing the data file for this collection, the
 National Center for Health Statistics (NCHS) has removed direct
 identifiers and characteristics that might lead to identification of
 data subjects. As an additional precaution NCHS requires, under
 Section 308(d) of the Public Health Service Act (42 U.S.C. 242m), that
 data collected by NCHS not be used for any purpose other than
 statistical analysis and reporting. NCHS further requires that
 analysts not use the data to learn the identity of any persons or
 establishments and that the director of NCHS be notified if any
 identities are inadvertently discovered. ICPSR member institutions and
 other users ordering data from ICPSR are expected to adhere to these
restrictions.</restrctn>
                
 <conditions>
 	





<p>Please read the terms of use below. If you agree to them, click on the "I Agree" button to proceed. If you do not agree, you can click on the "I Do Not Agree" button to return to the home page.</p> <p>ICPSR adheres to the principles of the Data Seal of Approval <ExtLink URI="http://www.datasealofapproval.org/"/>, which, in part, require the data consumer to comply with access regulations imposed both by law and by the data repository, and to conform to codes of conduct that are generally accepted in higher education and scientific research for the exchange of knowledge and information. </p> <p>These data are distributed under the following terms of use, which are governed by ICPSR. By continuing past this point to the data retrieval process, you signify your agreement to comply with the requirements stated below:</p> <head n="2">Privacy of RESEARCH SUBJECTS</head> <p>Any intentional identification of a RESEARCH SUBJECT (whether an individual or an organization) or unauthorized disclosure of his or her confidential information violates the PROMISE OF CONFIDENTIALITY given to the providers of the information. Therefore, users of data agree:</p> <list type="bulleted"> <itm><p>To use these datasets solely for research or statistical purposes and not for investigation of specific RESEARCH SUBJECTS, except when identification is authorized in writing by ICPSR (netmail@icpsr.umich.edu <ExtLink URI="mailto:netmail@icpsr.umich.edu"/> )</p></itm> <itm><p>To make no use of the identity of any RESEARCH SUBJECT discovered inadvertently, and to advise ICPSR of any such discovery (netmail@icpsr.umich.edu <ExtLink URI="mailto:netmail@icpsr.umich.edu"/> )</p></itm> </list> <head n="2">Redistribution of Data</head> <p>You agree not to redistribute data or other materials without the written agreement of ICPSR, unless: </p> <list type="ordered"> <itm><p>You serve as the OFFICIAL or DESIGNATED REPRESENTATIVE at an ICPSR MEMBER INSTITUTION and are assisting AUTHORIZED USERS with obtaining data, or</p></itm> <itm><p>You are collaborating with other AUTHORIZED USERS to analyze the data for research or instructional purposes.</p></itm> </list> <p>When sharing data or other materials in these approved ways, you must include all accompanying files with the data, including terms of use. More information on  permission to redistribute data <ExtLink URI="http://www.icpsr.umich.edu/icpsrweb/content/datamanagement/policies/redistribute.html"/> can be found on the ICPSR Web site.</p> <head n="2">Citing Data</head> <p>You agree to reference the recommended bibliographic citation in any publication that employs resources provided by ICPSR. Authors of publications based on ICPSR data are required to send citations of their published works to ICPSR for inclusion in a database of related publications (bibliography@icpsr.umich.edu <ExtLink URI="mailto:bibliography@icpsr.umich.edu"/>) .</p> <head n="2">Disclaimer</head> <p>You acknowledge that the original collector of the data, ICPSR, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.</p> <head n="2">Violations</head> <p>If ICPSR determines that the terms of this agreement have been violated, ICPSR will act according to our policy on terms of use violations <ExtLink URI="http://www.icpsr.umich.edu/ICPSR/support/faqs/2008/10/what-are-consequences-of-violating"/>. Sanctions can include:</p> <list type="bulleted"> <itm><p>ICPSR may revoke the existing agreement, demand the return of the data in question, and deny all future access to ICPSR data.</p></itm> <itm><p>The violation may be reported to the Research Integrity Officer, Institutional Review Board, or Human Subjects Review Committee of the user's institution. A range of sanctions are available to institutions including revocation of tenure and termination.</p></itm> <itm><p>If the confidentiality of human subjects has been violated, the case may be reported to the Federal Office for Human Research Protections. This may result in an investigation of the user's institution, which can result in institution-wide sanctions including the suspension of all research grants. </p></itm> <itm><p>A court may award the payment of damages to any individual(s)/organization(s) harmed by the breach of the agreement.</p></itm> </list> <head n="2">Definitions</head> <list type="bulleted"><itm><hi>authorized user</hi> - A faculty member, staff member, or student at a member institution</itm><itm><hi>ICPSR</hi> - Inter-university Consortium for Political and Social Research</itm><itm><hi>member institution</hi> - An institutional member of ICPSR</itm><itm><hi>Official/Designated Representative</hi> - An individual appointed to represent a university's interests in ICPSR. This individual is also charged with providing user support to campus users. </itm><itm><hi>promise of confidentiality</hi> - A promise to a respondent or research participant that the information the respondent provides will not be disseminated without the permission of the respondent; that the fact that the respondent participated in the study will not be disclosed; and that disseminated information will include no linkages to the identity of the respondent. Such a promise encompasses traditional notions of both confidentiality and anonymity. Names and other identifying information regarding respondents, proxies, or other persons on whom the respondent or proxy provides information, are presumed to be confidential.</itm><itm><hi>research subject</hi> - A person or organization observed for purposes of research. Also called a respondent. A respondent is generally a survey respondent or informant, experimental or observational subject, focus group participant, or any other person providing information to a study or on whose behalf a proxy provides information. </itm></list><p>In addition, the National Center for Health Statistics stipulates the following terms:</p> <p>The Public Health Service Act (42 U.S.C. 242m(d)) provides that the data collected by the National Center for Health Statistics (NCHS) may be used only for the purpose for which they were obtained; any effort to determine the identity of any reported cases, or to use the information for any purpose other than for health statistical reporting and analysis, would violate this statutory restriction and the conditions of the data use agreement. NCHS does all it can to ensure that the identity of data subjects cannot be disclosed; as well as characteristics that might lead to identifications are omitted from the data set. Nevertheless, it may be possible in a rare instance, through complex analysis, and with outside information, to ascertain from the data sets the identity of particular persons or establishments.</p> <p>Considerable harm could ensue if this were done.</p> <p>By clicking on the "I Accept" button below, you agree to the following conditions:</p> <list type="bulleted"> <itm><p>I will not use nor permit others to use the data in these sets in anyway except for statistical reporting and analysis;</p></itm> <itm><p>I will not attempt to link nor permit others to link the data set with individually identifiable records from any other NCHS or non-NCHS data set;</p></itm> <itm><p>I will not attempt to use the data sets to learn the identity of any person or establishment included in any set; and</p></itm> <itm><p>If the identity of any person or establishment should be discovered inadvertently, then</p> <list type="ordered"> <itm><p>no use will be made of this knowledge,</p></itm> <itm><p>the Director of NCHS will be advised of the incident,</p></itm> <itm><p>the information that would identify an individual or establishment will be safeguarded or destroyed as requested by NCHS, and</p></itm> <itm><p>no one else will be informed of the discovered identity.</p></itm> </list> </itm> </list>




 
 
 			
                
					<p>AVAILABLE.  This study is freely available to the general public.</p>
                
                  
                
                
                </conditions>
                <disclaimer>The original collector of the data, ICPSR, and the relevant funding agency bear no 
                responsibility for use of the data or for interpretations or inferences based upon such uses.
                </disclaimer>
           </useStmt>
       </dataAccs>
			
     </stdyDscr>
		
    	 	
    			<fileDscr ID="F1">
          			<fileTxt ID="Part1">
               			<fileName>Newborn</fileName>
           			</fileTxt>
     			</fileDscr>
 			
    			<fileDscr ID="F2">
          			<fileTxt ID="Part2">
               			<fileName>Non-Newborn</fileName>
           			</fileTxt>
     			</fileDscr>
 			
 		
 
 
</codeBook>
