A0310A


Item Summary

Previous item

Next item


Property Specification
Data System MDS
Data Specs V1.15.0
Description Type of assessment: OBRA
Group Asmt
Type Code
Length 2
Fixed Start-End 270-271
Version Notes

Item Subsets
Active NC,NQ,NP,NS,NSD,NO,NOD,ND,NT,SP,SS,SSD,SO,SOD,SD,ST
Inactive XX
State optional

Item Values
Value LOINC Text
01 Admission assessment (required by day 14)
02 Quarterly review assessment
03 Annual assessment
04 Significant change in status assessment
05 Significant correction to prior comprehensive assessment
06 Significant correction to prior quarterly assessment
99 None of the above

Item Edits
Edit ID Type Severity Edit Text
-3676 Format Fatal Values of Code and Checklist Items:
Only the coded values listed in the "Item Values" table of the Detailed Data Specifications Report may be submitted for this item.
-3607 Consistency Fatal The Item Subset Code (ISC) is a two- or three-character code that indicates the type of record that is being submitted. The set of active items is controlled by the ISC. The characters of the ISC are defined as follows:

Character 1 indicates the type of provider and is based upon the value of A0200, as follows:
a) If A0200 is equal to [1] (nursing home record), then character 1 of the ISC is equal to [N].
b) If A0200 is equal to [2] (swing bed record), then character 1 of the ISC is equal to [S].

Characters 2 and 3 indicate the type of record and are based upon the values of the Reason For Assessment (RFA) items A0310A, A0310B, A0310C, A0310D, and A0310F. The "Item Subset Code (ISC) Report" that accompanies the data specs lists all possible combinations of the RFA items and their associated ISCs. If the ISC that is listed in the report is equal to dashes, then the combination of RFA items is not allowed. If a record is submitted with one of these invalid RFA combinations, a fatal error will occur and it will be rejected.

The ISC_VAL table that is contained in the data specifications Access database is used to generate the ISC report and can be used by programmers as a lookup table. In addition, an appendix of the overview document that accompanies these data specifications contains source code for a Visual Basic function (GetISC()) that can be used to determine the ISC that is associated with any combination of the RFA items.

For a more complete explanation of the meaning and use of the ISC codes, please refer to the documentation that accompanies these data specifications.
-3608 Consistency Fatal a) If A0200=[1] (this is a nursing home record) and A0310E is equal to [1], then A0310A must equal [01,02,03,04,05,06] OR A0310B must equal [01,02,03,04,05,06,07] OR A0310F must equal [10,11].

b) If A0200=[2] (this is a swing bed record) and A0310E is equal to [1], then A0310B must equal [01,02,03,04,05,06,07] OR A0310F must equal [10,11].
-3749 Consistency Warning Date Span Requirements
The following rules describe allowable spans between pairs of dates. Each rule applies if both date items in the pair are active and contain valid dates (not dashes or other special values). Violation of these rules will result in warnings.

a) Z0500B (completion date) - A2300 (assessment reference date) <= 14 days.

b) If A0310A is equal to [03,04,05], then V0200B2 (CAA process signature date) - A2300 (assessment reference date) <= 14 days.

c) V0200C2 (CAA care plan signature date) - V0200B2 (CAA process signature date) <= 7 days.

d) If A0310A is equal to [01], then Z0500B (completion date) - A1600 (entry date) <= 13 days.

e) If A0310A is equal to [01], then V0200B2 (CAA process signature date) - A1600 (entry date) <= 13 days.
-3778 Consistency Fatal Completion of A1550A through A1550Z.

a) If A0310A is equal to [02,06,99], then A1550A through A1550Z must equal [^].
b) If the resident's age is 22 years of age or older and A0310A is equal to [01], then A1550A through A1550Z must not equal [^].
c) If the resident's age is 22 years of age or older and A0310A is not equal to [01], then A1550A through A1550Z must equal [^].
d) If the resident's age is 21 years of age or younger and A0310A is equal to [01,03,04,05], then A1550A through A1550Z must not equal [^].

For the rules above, age should be computed in the following way using A0900 (birth date) and A2300 (assessment reference date):

a) If only the year is submitted in A0900, then replace the month and day with "0702" (July 2, the midpoint of the year) for the purpose of calculating age.
b) If only the year and month are submitted in A0900, replace the day with "15", (the midpoint of the month) for the purpose of calculating age.
c) Provisionally compute age (in years) by subtracting the year in A0900 (as modified above, if necessary) from the year in A2300.
d) If the month in A2300 is less than the month in A0900, then subtract 1 from the provisional age computed in (c) above.
e) If the month in A2300 is equal to the month in A0900 and if the day in A2300 is less than the day in A0900, then subtract 1 from the provisional age
computed in (c) above.
-3796 Consistency Fatal The submission system will recalculate the ISC and compare the recalculated value with the value that is submitted in ITM_SBST_CD. If A0050 (formerly X0100)=[3] (the record is an inactivation), then the recalculated ISC value will be [XX]. If A0050=[1,2] (the record is a new record or a modification record), then the recalculated ISC value will be based upon the submitted RFA values. In either case, if the recalculated value does not match the value submitted in ITM_SBST_CD, a fatal error will result.
-3797 Consistency Fatal a) If A0310A is equal to [01] OR A0310E is equal to [1], then all active items J1700A through J1700C must not equal [^].

b) If A0310A is not equal to [01] AND A0310E is not equal to [1], then all active items J1700A through J1700C must equal [^].
-3833 Consistency Fatal a) If Q0400A=[0,-] and A0310A=[01,03,04,05], then both of the following rules apply:
--a1) If Q0490 is active, it must equal [^].
--a2) All active items from Q0500B through Q0550B must not equal [^].
b) If Q0400A=[0,-] and A0310A=[02,06,99], then if Q0490 is active it must not equal [^].
c) If Q0400A=[1], then all active items from Q0490 through Q0550B must equal [^].
-3810 Consistency Warning RECORD SUBMISSION TIMING RULES
The following rules specify the maximum number of days which should elapse between each date listed and the submission date. There are different rules for new records (where A0050 (formerly X0100)=[1]) and for modifications and inactivations (where A0050 (formerly X0100)=[2,3]).

RULES FOR NEW RECORDS (WHERE A0050=[1]):
The following rules apply to new records, where A0050=[1].

a) If A0310F is equal to [01] (entry record), then submission date - A1600 (entry date) should be less than or equal to 14 days.

b) If A0310F is equal to [12] (death in facility record), then submission date - A2000 (discharge date) should be less than or equal to 14 days.

c) If A0310F is equal to [10,11,99] and A0310A is equal to [01,03,04,05] (comprehensive assessment), then submission date - V0200C2 (care plan completion date) should be less than or equal to 14 days.

d) If A0310F is equal to [10,11,99] and A0310A is equal to [02,06,99] (all other types of assessment), then submission date - Z0500B (assessment completion date) should be less than or equal to 14 days.

RULES FOR MODIFICATIONS/INACTIVATIONS (WHERE A0050=[2,3]):
e) If A0050 is equal to [2,3] (modification or inactivation record), then submission date - X1100E (attestation date) should be less than or equal to 14 days.
-3819 Consistency Fatal a) If A2300 (assessment reference date) minus A1600 (entry date) is greater than or equal to 7 days, then the following items in Column 1 must be equal to [^]: K0510A1, K0510B1, K0510C1, K0510D1, K0510Z1.
b) If A2300 (assessment reference date) minus A1600 (entry date) is less than or equal to 6 days, then the following rules apply:
---b1) If the following items in Column 1 are active, they must not equal [^]: K0510A1 and K0510B1.
---b2) If A0310G=[2] and A0310A=[99] and A0310B=[99], then if the following items in Column 1 are active, they must equal [^]: K0510C1, K0510D1 and K0510Z1.
---b3) If A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if the following items in Column 1 are active, they must not equal [^]: K0510C1, K0510D1 and K0510Z1.
---b4) If A0310G=[1,^], then if the following items in Column 1 are active, they must not equal [^]: K0510C1, K0510D1 and K0510Z1.
-3825 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if C0100 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if C0100 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if C0100 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if C0100 is active it must equal [-].
-3826 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from C0100 through C0600 must equal [^] and all active items from C0700 through C1000 must not equal [^].
-3835 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if D0100 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if D0100 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if D0100 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if D0100 is active it must equal [-].
-3836 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from D0100 through D0650 must equal [^].
-3837 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from J0200 through J0850 must equal [^].
-3831 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if J0200 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if J0200 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if J0200 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if J0200 is active it must equal [-].
-3824 Consistency Fatal a) If A0310G=[2] and A0310A=[99] and A0310B=[99], then if the following items in Column 2 are active, they must equal [^]: K0510C2, K0510D2 and K0510Z2.
b) If A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if the following items in Column 2 are active, they must not equal [^]: K0510C2, K0510D2 and K0510Z2.
c) If A0310G=[1,^], then if the following items in Column 2 are active, they must not equal [^]: K0510C2, K0510D2 and K0510Z2.
-3851 Consistency Fatal Date Item Consistency Rules
Date items fall into four groups, designated Group A, B, C, and D below. Each group has its own consistency rules.

------------------------------------------

GROUP A RULES (Edit 3851a)
Group A items are listed below. Each active item in this list that contains a valid date (not blank or dashes) must be in the specified order:

A0900 (birthdate) <=
A1900 (admission date) <=
A1600 (entry date) <=
A2300 (assessment reference date) = A2000 (discharge date) <=
Z0500B (date RN signed assessment as complete) <=
V0200B2 (CAT assessment process signature date) <=
V0200C2 (CAT care planning signature date) <=
X1100E (correction: attestation date) <=
current date

------------------------------------------

GROUP B (Edit 3851b)

Group B items are listed below. Each active item in this list that contains a valid date (not blank or dashes) must obey all of the following rules:

1. Each Group B date must be greater than or equal to A0900 (birthdate).
2. Each Group B date must be less than or equal to A2300 (assessment reference date) if A2300 is active.
3. If A0310F is equal to [10,11,12] (if A2000 discharge date is completed), then each Group B date must be less than or equal to A2000.
4. For start/end date pairs shown below, the start date must be less than or equal to the end date.
5. Otherwise, the Group B dates may be in any order.

The following is a list of Group B dates:
A2400B <= A2400C (Medicare stay start/end)
M0300B3 (date of oldest Stage 2 pressure ulcer)
O0250B (date influenza vaccine received)
O0400A5 <= O0400A6 (speech-language audiology therapy start/end)
O0400B5 <= O0400B6 (occupational therapy start/end)
O0400C5 <= O0400C6 (physical therapy start/end)
V0100C (prior assessment reference date)

------------------------------------------

GROUP C RULES
The Group C rules only apply to records where A0310A = [05, 06] (significant correction to prior comprehensive or quarterly).

RULE C1 (Edit 3851c1)
If A0310A = [05, 06] and A1700=[1] (admission), then Rule C1 applies:
A1600 (entry date) <=
A2200 (previous ARD for significant correction)<=
A2300 (assessment reference date)

RULE C2: (Edit -3851c2)
If A0310A = [05, 06] and A1700=[2] (reentry), then Rule C2 applies:
A0900 (birthdate) <=
A2200 (previous ARD for significant correction) <=
A2300 (assessment reference date)

------------------------------------------

GROUP D (Edit 3851d)

The Group D items include the following:

O0400A5, O0400B5, and O0400C5 (therapy start dates)
O0400A6, O0400B6, and O0400C6 (therapy end dates)

If any of these 6 items contains a valid date (not [-,^,--------]), then each of those dates must be greater than or equal to A1600 (entry date).
-3518 Skip pattern Fatal a) If A0310A=[05,06], then if A2200 is active it must not equal [^].
b) If A0310A=[01,02,03,04,99], then if A2200 is active it must equal [^].
-3535 Skip pattern Fatal a) If A0310A=[02,03,04,05,06,99], then all active items from G0900A through G0900B must equal [^].
b) If A0310A=[01], then all active items from G0900A through G0900B must not equal [^].
-3834 Skip pattern Fatal a) If A0310A=[01,03,04,05], then if A1500 is active it must not equal [^].
b) If A0310A=[02,06,99], then if A1500 is active it must equal [^].

Item Summary

Previous item

Next item



NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 03/11/2015 04:34:37 PM