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    id="DDIInstance_09521" 
    versionDate="2013-05-20" 
    agency="us.icpsr">
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    <Citation xmlns="ddi:reusable:3_1">
        <Title>Metadata record for National Hospital Discharge Survey, 1988 </Title>
        <Creator>ICPSR</Creator>
        <Copyright>
        ICPSR metadata records are licensed under a Creative Commons Attribution-Noncommercial 
        3.0 United States License (http://creativecommons.org/licenses/by-nc/3.0/us/).
        </Copyright>
    </Citation>
 	
    <StudyUnit xmlns="ddi:studyunit:3_1" id="StudyUnit09521" versionDate="1992-02-17">
        <Citation xmlns="ddi:reusable:3_1">
            <Title>National Hospital Discharge Survey, 1988 </Title>
 				
	    	
				<Creator xmlns="ddi:reusable:3_1" 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</Creator>
	    	
	    	<Publisher>Inter-university Consortium for Political and Social Research</Publisher>
  			<Contributor role="distributor">ICPSR</Contributor>
   			<PublicationDate>
    			<SimpleDate>1992-02-17</SimpleDate>
   			</PublicationDate>
   			<InternationalIdentifier xmlns="ddi:reusable:3_1" type="ICPSR Number">9521</InternationalIdentifier>
   			<InternationalIdentifier xmlns="ddi:reusable:3_1" type="DOI">doi://10.3886/ICPSR09521.v1</InternationalIdentifier>
        </Citation>

        <Abstract isIdentifiable="true" id="Abstract09521">
            <Content xmlns="ddi:reusable:3_1">
            <div xmlns="http://www.w3.org/1999/xhtml" id="Summary09521">The 1988 National Hospital Discharge Survey (NHDS), which is 
 part of a continuing sample of hospital discharge records, provides 
 medical and demographic information used to calculate statistics on 
 hospital utilization. This survey consists of data abstracted from the 
 face sheets of medical records for sampled inpatients discharged from a 
 national sample of nonfederal short-stay hospitals. The variables 
 include information on the patient's demographic characteristics (sex, 
 age, date of birth, race, marital status), dates of admission and 
 discharge, status at discharge, diagnoses, procedures performed, and 
 source of payment. Information on hospital characteristics, such as 
bedsize, ownership, and region of the country, is also included.</div>
             </Content>
        </Abstract>
        
  		<UniverseReference xmlns="ddi:reusable:3_1" isReference="true">
   			<ID>UniverseScheme09521</ID>
  		</UniverseReference>

           <SeriesStatement xmlns="ddi:reusable:3_1">
             <SeriesName>National Hospital Discharge Survey Series</SeriesName>
             <SeriesDescription>For more information on the series, please go to http://www.icpsr.umich.edu/ICPSR/series/00043.</SeriesDescription>
           </SeriesStatement>

 				
        <Purpose id="Purpose09521">
            <Content xmlns="ddi:reusable:3_1">
            
           </Content>
        </Purpose>
        
        
        
          <Coverage xmlns="ddi:reusable:3_1">

   <TopicalCoverage xmlns="ddi:reusable:3_1" id="TopicalCoverage09521">
		
      		<Subject codeListAgency="NACDA">NACDA.VI</Subject>
      	
      		<Subject codeListAgency="ICPSR">ICPSR.IX</Subject>
      	
		
      		<Keyword>demographic characteristics</Keyword>
      	
      		<Keyword>health care facilities</Keyword>
      	
      		<Keyword>hospitalization</Keyword>
      	
      		<Keyword>hospitals</Keyword>
      	
      		<Keyword>illness</Keyword>
      	
      		<Keyword>medical care</Keyword>
      	
      		<Keyword>medical evaluation</Keyword>
      	
      		<Keyword>medical procedures</Keyword>
      	
      		<Keyword>medical records</Keyword>
      	
      		<Keyword>patients</Keyword>
      	
      		<Keyword>payment methods</Keyword>
      	
      		<Keyword>treatment</Keyword>
      	
   </TopicalCoverage>
 

	
   <SpatialCoverage id="SpatialCoverage09521">
		<Description>
			
				United States
			
		</Description>
    <TopLevelReference>
     <LevelName> </LevelName>
    </TopLevelReference>
    <LowestLevelReference>
     <LevelName> </LevelName>
    </LowestLevelReference>
   </SpatialCoverage>
   


	

   <TemporalCoverage id="TemporalCoverage09521">

		
    <ReferenceDate>
		
				
			
      		<SimpleDate xmlns="ddi:reusable:3_1">1988</SimpleDate>
      		<HistoricalDate xmlns="ddi:reusable:3_1">1988</HistoricalDate>
      		
      		
    </ReferenceDate>
    
     
   </TemporalCoverage>
 
 
 
         </Coverage>
 


	    	
	    		<KindOfData>survey data, clinical data, and administrative records 
data</KindOfData>
	    	


        
   <ConceptualComponent xmlns="ddi:conceptualcomponent:3_1" id="ConceptualComponent09521">
   <UniverseScheme id="UniverseScheme09521">
	    	
    <Universe id="Universe09521_1">
     <HumanReadable>Patient discharges from noninstitutional hospitals 
 (excluding federal, military and Veterans Administrative hospitals) 
 located in the 50 states and the District of Columbia. Only short-stay 
 hospitals (hospitals with an average length of stay for all patients of 
 less than 30 days) or those whose specialty is general (medical or 
 surgical) or children's general are included in the survey. These 
 hospitals must also have six or more beds staffed for patient use. For 
 1988, the NHDS universe consisted of eligible hospitals that began 
 accepting inpatients before September 1, 1987, and were listed in the 
 April 1987 SMG Hospital Market Data Tape (SMG Marketing Group, Inc., 
Chicago, IL).</HumanReadable>
    </Universe>
    
    
   </UniverseScheme>
   
   
   
   
  </ConceptualComponent>
        
  <DataCollection xmlns="ddi:datacollection:3_1" id="DataCollection09521">
  			



   <Methodology id="Methodology09521">


    <SamplingProcedure id="SamplingProcedure09521">
     <Content xmlns="ddi:reusable:3_1">The redesigned 1988 NHDS sample included 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 non-certainty hospitals from the 
 sample PSUs. At the third stage a sample of discharges was selected by 
 a systematic random sampling technique. Of the 542 hospitals in the 
sample, 422 were in scope and agreed to participate.</Content>
    </SamplingProcedure>
  
   </Methodology>
   
 
		
   <CollectionEvent id="CollectionEvent09521_1">
    
    <DataSource>
     <SourceDescription>
     
    		official hospital records and data tapes purchased from 
abstracter services
    	
    </SourceDescription>
    </DataSource>
    
		<DataCollectionDate>
 		
				
			
      		<SimpleDate xmlns="ddi:reusable:3_1">1988</SimpleDate>
      		<HistoricalDate xmlns="ddi:reusable:3_1">1988</HistoricalDate>
      		
      		
      		
      		</DataCollectionDate>

    


   </CollectionEvent>
      	
 
 
 
    
   <ProcessingEvent id="ProcessingEvent09521">
 
   

   

    
   </ProcessingEvent>
  </DataCollection>

  			

  <Archive xmlns="ddi:archive:3_1" id="Archive09521">
   <ArchiveSpecific>




    <ArchiveOrganizationReference>
     <ID xmlns="ddi:reusable:3_1">ICPSR</ID>
    </ArchiveOrganizationReference>




    <DefaultAccess id="DefaultAccess09521">
     
                <Restrictions>
                	<div xmlns="http://www.w3.org/1999/xhtml" id="Restrictions09521">
                		In preparing the data tape(s) for this collection, the 
 National Center for Health Statistics (NCHS) has removed direct 
 indentifiers 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.
                	</div>
                </Restrictions>
                
     <AccessConditions>
     
        
      <div xmlns="http://www.w3.org/1999/xhtml" id="AccessConditions09521">

 			
                
					AVAILABLE.  This study is freely available to the general public.
                
                  
                

</div>

</AccessConditions>
<AccessConditions>
      <div xmlns="http://www.w3.org/1999/xhtml" id="AccessConditions09521-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.
                </div>

                </AccessConditions>

			
       



    </DefaultAccess>
   
   
   </ArchiveSpecific>
   
   <OrganizationScheme id="OrganizationScheme09521">
    <Organization id="ICPSR" xmlns="ddi:archive:3_1">
     <OrganizationName xmlns="ddi:archive:3_1">Inter-university Consortium for Political and Social Rearch</OrganizationName>
     <Nickname>ICPSR</Nickname>
     <Location id="LocationICPSR">
      <Address>
       <City>Ann Arbor</City>
       <State>MI</State>
      </Address>
     </Location>
     <URL>http://www.icpsr.umich.edu/</URL>
     <Email>netmail@icpsr.umich.edu</Email>
    </Organization>

 				


   </OrganizationScheme>
  

    
    <Note type="Comment" xmlns="ddi:reusable:3_1" id="Note09521_1">
   <Relationship>
    <RelatedToReference>
     <ID>StudyUnit09521</ID>
    </RelatedToReference>
   </Relationship>
   <Content>
		<div xmlns="http://www.w3.org/1999/xhtml">
			Per agreement with NCHS, ICPSR distributes the data 
 file(s) and technical documentation in this collection in their 
 original form as prepared by NCHS. In 1988, the NHDS was redesigned to 
 provide geographic sampling comparability with other surveys conducted 
 by the National Center for Health Statistics (NCHS), to update the 
 sample of hospitals selected into the survey, and to maximize the use 
 of data collected through automated systems. The data contain 
ampersands (&), dashes (-), and blanks
		</div>
	</Content>
  </Note>
  

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