-9006
Property | Specification |
Data System | MDS |
Data Specs | V1.15.0 |
Edit Type | Information |
Severity | None |
Edit Text | Any letters that are contained in this item may be submitted as lower case or upper case, but will be converted and stored as upper case by the MDS Submission System. System reports will therefore display upper case values. |
Version Notes |
Item List | |
Item ID | Description |
FAC_ID | Assigned facility/provider submission ID |
SFTWR_VNDR_ID | Software vendor federal employer tax ID |
SFTWR_VNDR_NAME | Software vendor company name |
SFTWR_PROD_NAME | Software product name |
SFTWR_PROD_VRSN_CD | Software product version code |
FAC_DOC_ID | Facility document ID |
A0100B | Facility CMS Certification Number (CCN) |
A0100C | State provider number |
A0500A | Resident first name |
A0500B | Resident middle initial |
A0500C | Resident last name |
A0500D | Resident name suffix |
A0600B | Resident Medicare/railroad insurance number |
A0700 | Resident Medicaid number |
A1100B | Preferred language |
A1300A | Medical record number |
A1300B | Room number |
A1300C | Name by which resident prefers to be addressed |
A1300D | Lifetime occupation(s) |
I8000A | Additional active ICD diagnosis 1 |
I8000B | Additional active ICD diagnosis 2 |
I8000C | Additional active ICD diagnosis 3 |
I8000D | Additional active ICD diagnosis 4 |
I8000E | Additional active ICD diagnosis 5 |
I8000F | Additional active ICD diagnosis 6 |
I8000G | Additional active ICD diagnosis 7 |
I8000H | Additional active ICD diagnosis 8 |
I8000I | Additional active ICD diagnosis 9 |
I8000J | Additional active ICD diagnosis 10 |
X0200A | Correction: resident first name |
X0200C | Correction: resident last name |
X1100A | Correction: attestor first name |
X1100B | Correction: attestor last name |
Z0100A | Medicare Part A: HIPPS code |
Z0100B | Medicare Part A: RUG version code |
Z0150A | Medicare Part A: non-therapy HIPPS code |
Z0150B | Medicare Part A: non-therapy RUG version code |
Z0200A | State case mix: RUG group |
Z0200B | State case mix: RUG version code |
Z0250A | State case mix: Alternate RUG group |
Z0250B | State case mix: Alternate RUG version code |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 03/11/2015 04:34:37 PM