A0310F


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Property Specification
Data System MDS
Data Specs V1.15.0
Description Entry/discharge reporting
Group Asmt
Type Code
Length 2
Fixed Start-End 277-278
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 Entry tracking record
10 Discharge assessment - return not anticipated
11 Discharge assessment - return anticipated
12 Death in facility tracking record
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].
-3658 Consistency Fatal Coding of A0410 depends upon the resident's status on the target date for the assessment. The target date is defined as follows:

a) If A0310F is equal to [01], then the target date is equal to A1600 (entry date).
b) If A0310F is equal to [10,11,12], then the target date is equal to A2000 (discharge date).
c) If A0310F is equal to [99], then the target date is equal to A2300 (assessment reference date)..

Given the target date, the following rules apply:

a) If the resident is on a Medicare/Medicaid certified unit on the target date for the assessment, then A0410 must be equal to [3] (federal required submission).

b) If the resident is on a unit that is not Medicare/Medicaid certified on the target date and if the State requires MDS submission for individuals on the resident's unit, then A0410 must be equal to [2] (state but not federal required submission).

c) If the facility is completing the assessment for another purpose (other than to satisfy Federal or State requirements), then A0410 must be equal to [1] (neither federal nor state required submission).

If A0410 is equal to [2,3], then the assessment MUST be submitted to the MDS Submission System. If A0410 is equal to [1], then the assessment MUST NOT be submitted to the MDS Submission System.

NOTE: It is a violation of a resident's right to privacy to submit data to CMS's data systems when the data are not required.
-3762 Consistency Warning ***NOTE: THIS EDIT HAS BEEN SUSPENDED AND WILL NOT BE APPLIED TO SUBMITTED RECORDS UNTIL FURTHER NOTICE.

If O0250B is active and contains a valid date (is not equal to [-,^]), then it should contain a date that is in the appropriate date range, as defined below. Determination of the appropriate date range depends upon the target date for the assessment. The target date is defined as follows:

a) If A0310F is equal to [01], then the target date is equal to A1600 (entry date).
b) If A0310F is equal to [10,11,12], then the target date is equal to A2000 (discharge date).
c) If A0310F is equal to [99], then the target date is equal to A2300 (assessment reference date).

Given the target date, the following rules apply:

a) If the target date falls within an ongoing influenza season, then the value of O0250B should be greater than or equal to the starting date of the current influenza season and less than or equal to the target date.

b) If the target date falls outside of an ongoing influenza season, then the edit described above in (a) will be suspended and no warning will be issued based upon the value of O0250B.

Note that the dates that define the "current influenza season" will be defined each year by CMS and will be published in updates to the MDS user's manual. Note also that violation of the consistency rule described in this edit will result in a warning.
-3790 Consistency Fatal a) If A0310F is equal to [10,11,12], then A2000 and A2100 must not equal [^].
b) If A0310F is not equal to [10,11,12], then A2000 and A2100 must equal [^].
-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.
-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.
-3812 Consistency Fatal a) If A0310C=[2,3] and A0310F=[99], then if O0450A is active it must equal [0,1,-].
b) If A0310C=[0,1,4] or A0310F=[01,10,11,12], then all active items from O0450A through O0450B must equal [^].
-3850 Consistency Fatal a) If A0310F=[12], then A2100 must equal [08].
b) If A2100=[08], then A0310F must equal [12].
-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.

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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

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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)

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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)

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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).
-3838 Skip pattern Fatal a) If A0310F=[01,12,99], then if A0310G is active it must equal [^].
b) If A0310F=[10,11], then if A0310G is active it must not equal [^].

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