NHDS - Hospital In-house Tape or Printout Transmittal Notice

Attachment G 5 Automated Data Transmittal Notice

National Hospital Discharge Survey

T R A N S M I T T A L N O T I C E

DATA SOURCE SHIP TO

No. Name:

Contact Name:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Telephone # (___)____________________

Fax # (___)____________________

Carol DeFrances

N.C.H.S.

3311 Toledo Road, Rm. 3230

Hyattsville, MD 20782

Voice (301) 458 – 4440

Fax (301) 458 – 4032

Email [email protected]

PHYSICAL CHARACTERISITCS OF DATA

A. File Name_______________________________________________________

B. Media: Reel Tape Cartridge Tape Disk CD-ROM

C. Record Length __________________ (Standard 135 Fixed Record Length)

D. Data Structure: EBCDIC ASCII

E. Block Size ________________

F. Internal Label: None Standard IBM (Complete data set name and vol/ser)

DATA SET NAME_____________________________ Vol=Ser=___ ___ ___ ___ ___ ___

INTERNAL CHARACTERISTICS OF DATA

A. Data Period Covered: _______________________ to _____________________________

B. Type of Data: All Discharges Sampled Discharges

INSTRUCTIONS: Please provide STATISTICAL INFORMATION when submitting sample discharges.

MONTH	BIRTHS	DISCHARGES	Records	MONTH	BIRTHS	DISCHARGES	Records
JAN				JUL
FEB				AUG
MAR				SEP
APR				OCT
MAY				NOV
JUN				DEC