O0250B


Item Summary

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Property Specification
Data System MDS
Data Specs V1.15.0
Description Date influenza vaccine received.
Group Asmt
Type Date
Length 8
Fixed Start-End 997-1004
Version Notes

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

Item Values
Value LOINC Text
YYYYMMDD Date vaccine received
- Not assessed/no information
^ Blank (skip pattern)

Item Edits
Edit ID Type Severity Edit Text
-3677 Format Fatal Values of Date Items:
This item must contain either (a) a valid date in YYYYMMDD format, or (b) one of the special values (if any) that are listed in the "Item Values" table of the Detailed Data Specifications Report.

Note that if a date in YYYYMMDD format is submitted, it must be 8 characters in length and each of the 8 characters must contain the digits 0 (zero) through 9. YYYY, MM, and DD must be zero filled, where necessary. For example, January 1, 2011 must be submitted as "20110101".
-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.
-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).
-3555 Skip pattern Fatal a) If O0250A=[1], then if O0250B is active it must not equal [^].
b) If O0250A=[0], then if O0250B is active it must equal [^].
c) If O0250A=[-], then if O0250B is active it must equal [-].

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