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RefLib Documentation.pdf (Duke Box)

Governance

All PopHealth DataShare users have access to the REFLIB schema in the phsdbp01 Oracle database. In order to use RefLib files for a given project, the protocol and/or data use agreement must include wording that describes linking data to RefLib files.

Key Considerations

Release Schedule

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A. Restructured BETOS Classification System (RBCS) 
B. ICD-10-CM and ICD-10-PCS General Equivalence Mappings (GEMS) 
C. Clinical Classification Software - Refined (CCSR) - Diagnosis and Procedure versions 
D. Provider of Service (POS) 
E. Multiple Severity - Diagnoses Related Groups (MSDRG) 
F. National Plan And Provider Enumeration System (NPPES) 
G. National Drug Code Directory (NDC)
H. Area Health Resource Files (ARHF) 
I. Crosswalk For ZIP Code To Hospital Service Area (HSA) And Hospital Referral Region (HRR) 
J. Area Deprivation Index (ADI) - 9-digit ZIP code level 

Governance

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VRDC Access to REFLIB Components

DUAs with approved linkages may request direct VRDC access to these REBLIB components:

FileLibrary

NPPES Registry (refreshed monthly)

NPPES
Hospital Service Area (2014 - 2019)*PUF
R-BETOSPUF
MS-DRGMETADX
POS Directory (may need to request periodic refreshes from CCW)PROVIDER
UPIN group file (EPPE: UPING)PROVIDER
UPIN member file (EPPE: UPINM)PROVIDER
UPIN master file (EPPE: UPINMA)PROVIDER

* As of June 2024, CMS is considering removing the HSA file from the VRDC.


To gain access, submit a request to the CCW help desk with an approved DUA Attachment A that shows them in the linked files list.

CCW will not grant access to the UPIN files unless CMS has added their EPPE codes to the DUA.  (The approved data list is on the DUA summary sent upon approval.)  It is likely that you will need to ask CMS to add the UPIN codes after the linkage has been approved; email cmsitsm@cms.hhs.gov and copy vrdc@cms.hhs.gov to do so.