-3676
Property | Specification |
Data System | MDS |
Data Specs | V2.00.1 |
Edit Type | Format |
Severity | Fatal |
Edit Text |
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. |
Version Notes | [V2.00.0]-Removed the mappings to deleted items C1300A, C1300B, C1300C, C1300D and C1600. Added mappings to new items A0310H, C1310A, C1310B, C1310C, C1310D and X0600H, as well as all Section GG items. |
Item List | |
Item ID | Description |
ASMT_SYS_CD | Assessment system code |
ITM_SBST_CD | Item subset code |
PRODN_TEST_CD | Production/test indicator |
STATE_CD | Facility"s state postal code |
A0050 | Type of transaction (formerly X0100) |
A0200 | Type of provider |
A0310A | Type of assessment: OBRA |
A0310B | Type of assessment: PPS |
A0310C | Type of assessment: OMRA |
A0310D | Swing bed clinical change assessment |
A0310E | First assessment since most recent entry |
A0310F | Entry/discharge reporting |
A0310G | Planned/unplanned discharge |
A0310H | SNF PPS Part A Discharge (End of Stay) Assessment |
A0410 | Submission requirement |
A0800 | Gender |
A1000A | Ethnicity: American Indian or Alaska Native |
A1000B | Ethnicity: Asian |
A1000C | Ethnicity: Black or African American |
A1000D | Ethnicity: Hispanic or Latino |
A1000E | Ethnicity: Native Hawaiian/Pacific Islander |
A1000F | Ethnicity: White |
A1100A | Does the resident need or want an interpreter |
A1200 | Marital status |
A1500 | Resident evaluated by PASRR |
A1510A | Level II PASRR conditions: Serious Mental Illness |
A1510B | Level II PASRR conditions: Mental Retardation |
A1510C | Level II PASRR conditions: Other related condition |
A1550A | ID/DD status: Down syndrome |
A1550B | ID/DD status: Autism |
A1550C | ID/DD status: Epilepsy |
A1550D | ID/DD status: other organic ID/DD condition |
A1550E | ID/DD status: ID/DD with no organic condition |
A1550Z | ID/DD status: none of the above |
A1700 | Type of entry |
A1800 | Entered from |
A2100 | Discharge status |
A2400A | Has resident had Medicare-covered stay |
B0100 | Comatose |
B0200 | Hearing |
B0300 | Hearing aid |
B0600 | Speech clarity |
B0700 | Makes self understood |
B0800 | Ability to understand others |
B1000 | Vision |
B1200 | Corrective lenses |
C0100 | BIMS: should resident interview be conducted |
C0200 | BIMS res interview: repetition of three words |
C0300A | BIMS res interview: able to report correct year |
C0300B | BIMS res interview: able to report correct month |
C0300C | BIMS res interview: can report correct day of week |
C0400A | BIMS res interview: able to recall "sock" |
C0400B | BIMS res interview: able to recall "blue" |
C0400C | BIMS res interview: able to recall "bed" |
C0600 | Staff asmt mental status: conduct asmt |
C0700 | Staff asmt mental status: short-term memory OK |
C0800 | Staff asmt mental status: long-term memory OK |
C0900A | Staff asmt mental status: recall current season |
C0900B | Staff asmt mental status: recall location of room |
C0900C | Staff asmt mental status: recall staff names/faces |
C0900D | Staff asmt mental status: recall in nh/hosp sw bed |
C0900Z | Staff asmt mental status: none of above recalled |
C1000 | Cognitive skills for daily decision making |
C1310A | Acute Onset Mental Status Change |
C1310B | Inattention |
C1310C | Disorganized thinking |
C1310D | Altered level of consciousness |
D0100 | PHQ: should resident mood interview be conducted |
D0200A1 | PHQ res: little interest or pleasure - presence |
D0200A2 | PHQ res: little interest or pleasure - frequency |
D0200B1 | PHQ res: feeling down, depressed - presence |
D0200B2 | PHQ res: feeling down, depressed - frequency |
D0200C1 | PHQ res: trouble with sleep - presence |
D0200C2 | PHQ res: trouble with sleep - frequency |
D0200D1 | PHQ res: feeling tired/little energy - presence |
D0200D2 | PHQ res: feeling tired/little energy - frequency |
D0200E1 | PHQ res: poor appetite or overeating - presence |
D0200E2 | PHQ res: poor appetite or overeating - frequency |
D0200F1 | PHQ res: feeling bad about self - presence |
D0200F2 | PHQ res: feeling bad about self - frequency |
D0200G1 | PHQ res: trouble concentrating - presence |
D0200G2 | PHQ res: trouble concentrating - frequency |
D0200H1 | PHQ res: slow, fidgety, restless - presence |
D0200H2 | PHQ res: slow, fidgety, restless - frequency |
D0200I1 | PHQ res: thoughts better off dead - presence |
D0200I2 | PHQ res: thoughts better off dead - frequency |
D0350 | PHQ res: safety notification |
D0500A1 | PHQ staff: little interest or pleasure - presence |
D0500A2 | PHQ staff: little interest or pleasure - frequency |
D0500B1 | PHQ staff: feeling down, depressed - presence |
D0500B2 | PHQ staff: feeling down, depressed - frequency |
D0500C1 | PHQ staff: trouble with sleep - presence |
D0500C2 | PHQ staff: trouble with sleep - frequency |
D0500D1 | PHQ staff: feeling tired/little energy - presence |
D0500D2 | PHQ staff: feeling tired/little energy - frequency |
D0500E1 | PHQ staff: poor appetite or overeating - presence |
D0500E2 | PHQ staff: poor appetite or overeating - frequency |
D0500F1 | PHQ staff: feeling bad about self - presence |
D0500F2 | PHQ staff: feeling bad about self - frequency |
D0500G1 | PHQ staff: trouble concentrating - presence |
D0500G2 | PHQ staff: trouble concentrating - frequency |
D0500H1 | PHQ staff: slow, fidgety, restless - presence |
D0500H2 | PHQ staff: slow, fidgety, restless - frequency |
D0500I1 | PHQ staff: thoughts better off dead - presence |
D0500I2 | PHQ staff: thoughts better off dead - frequency |
D0500J1 | PHQ staff: short-tempered - presence |
D0500J2 | PHQ staff: short-tempered - frequency |
D0650 | PHQ staff: safety notification |
E0100A | Psychosis: hallucinations |
E0100B | Psychosis: delusions |
E0100Z | Psychosis: none of the above |
E0200A | Physical behav symptoms directed toward others |
E0200B | Verbal behav symptoms directed toward others |
E0200C | Other behav symptoms not directed toward others |
E0300 | Overall presence of behavioral symptoms |
E0500A | Behav symptoms put res at risk for illness/injury |
E0500B | Behav symptoms interfere with resident care |
E0500C | Behav symptoms interfere with social activities |
E0600A | Behav symptoms put others at risk for injury |
E0600B | Behav symptoms intrude on privacy of others |
E0600C | Behav symptoms disrupt care or living environment |
E0800 | Rejection of care: presence and frequency |
E0900 | Wandering: presence and frequency |
E1000A | Wandering: risk of getting to dangerous place |
E1000B | Wandering: intrude on privacy of others |
E1100 | Change in behavioral or other symptoms |
F0300 | Conduct res interview for daily/activity prefs |
F0400A | Res interview: choose clothes to wear |
F0400B | Res interview: take care of personal belongings |
F0400C | Res interview: choose tub, bath, shower, sponge |
F0400D | Res interview: have snacks between meals |
F0400E | Res interview: choose own bedtime |
F0400F | Res interview: discuss care with family/friend |
F0400G | Res interview: use phone in private |
F0400H | Res interview: lock things to keep them safe |
F0500A | Res interview: have books, newspaper, mags to read |
F0500B | Res interview: listen to music |
F0500C | Res interview: be around animals/pets |
F0500D | Res interview: keep up with news |
F0500E | Res interview: do things with groups of people |
F0500F | Res interview: do favorite activities |
F0500G | Res interview: go outside when good weather |
F0500H | Res interview: participate in religious practices |
F0600 | Primary respondent: daily/activities prefs |
F0700 | Conduct staff assessment for daily/activity prefs |
F0800A | Staff assessment: choosing clothes to wear |
F0800B | Staff assessment: caring for personal belongings |
F0800C | Staff assessment: receiving tub bath |
F0800D | Staff assessment: receiving shower |
F0800E | Staff assessment: receiving bed bath |
F0800F | Staff assessment: receiving sponge bath |
F0800G | Staff assessment: snacks between meals |
F0800H | Staff assessment: staying up past 8PM |
F0800I | Staff assessment: discuss care with family/other |
F0800J | Staff assessment: use phone in private |
F0800K | Staff assessment: place to lock personal things |
F0800L | Staff assessment: reading books, newspapers, mags |
F0800M | Staff assessment: listening to music |
F0800N | Staff assessment: being around animals/pets |
F0800O | Staff assessment: keeping up with news |
F0800P | Staff assessment: doing things with groups |
F0800Q | Staff assessment: participate favorite activities |
F0800R | Staff assessment: spend time away from nursng home |
F0800S | Staff assessment: spend time outdoors |
F0800T | Staff assessment: participate religious activities |
F0800Z | Staff assessment: none of above activities |
G0110A1 | Bed mobility: self-performance |
G0110A2 | Bed mobility: support provided |
G0110B1 | Transfer: self-performance |
G0110B2 | Transfer: support provided |
G0110C1 | Walk in room: self-performance |
G0110C2 | Walk in room: support provided |
G0110D1 | Walk in corridor: self-performance |
G0110D2 | Walk in corridor: support provided |
G0110E1 | Locomotion on unit: self-performance |
G0110E2 | Locomotion on unit: support provided |
G0110F1 | Locomotion off unit: self-performance |
G0110F2 | Locomotion off unit: support provided |
G0110G1 | Dressing: self-performance |
G0110G2 | Dressing: support provided |
G0110H1 | Eating: self-performance |
G0110H2 | Eating: support provided |
G0110I1 | Toilet use: self-performance |
G0110I2 | Toilet use: support provided |
G0110J1 | Personal hygiene: self-performance |
G0110J2 | Personal hygiene: support provided |
G0120A | Bathing: self-performance |
G0120B | Bathing: support provided |
G0300A | Balance: moving from seated to standing position |
G0300B | Balance: walking (with assistive device if used) |
G0300C | Balance: turning around while walking |
G0300D | Balance: moving on and off toilet |
G0300E | Balance: surface-to-surface transfer |
G0400A | ROM limitation: upper extremity |
G0400B | ROM limitation: lower extremity |
G0600A | Mobility devices: cane/crutch |
G0600B | Mobility devices: walker |
G0600C | Mobility devices: wheelchair (manual or electric) |
G0600D | Mobility devices: limb prosthesis |
G0600Z | Mobility devices: none of the above |
G0900A | Resident believes capable of increased independ |
G0900B | Staff believes res capable of increased independ |
GG0130A1 | Eating (Start of Stay Perf) |
GG0130A2 | Eating (Dschg Goal) |
GG0130A3 | Eating (Dischg Perf) |
GG0130B1 | Oral Hygiene (Start of Stay Perf) |
GG0130B2 | Oral Hygiene (Dschg Goal) |
GG0130B3 | Oral Hygiene (Dschg Perf) |
GG0130C1 | Toileting Hygiene (Start of Stay Perf) |
GG0130C2 | Toileting Hygiene (Dschg Goal) |
GG0130C3 | Toileting Hygiene (Dschg Perf) |
GG0170B1 | Sit to lying (Start of Stay Perf) |
GG0170B2 | Sit to lying (Dschg Goal) |
GG0170B3 | Sit to lying (Dschg Perf) |
GG0170C1 | Lying to sitting on bed side (Start of Stay Perf) |
GG0170C2 | Lying to sitting on bed side (Dschg Goal) |
GG0170C3 | Lying to sitting on bed side (Dschg Perf) |
GG0170D1 | Sit to stand (Start of Stay Perf) |
GG0170D2 | Sit to stand (Dschg Goal) |
GG0170D3 | Sit to stand (Dschg Perf) |
GG0170E1 | Chair/bed-to-chair transfer (Start of Stay Perf) |
GG0170E2 | Chair/bed-to-chair transfer (Dschg Goal) |
GG0170E3 | Chair/bed-to-chair transfer (Dschg Perf) |
GG0170F1 | Toilet transfer (Start of Stay Perf) |
GG0170F2 | Toilet transfer (Dschg Goal) |
GG0170F3 | Toilet transfer (Dschg Perf) |
GG0170H1 | Does the resident walk? (Start of Stay Perf) |
GG0170H3 | Does the resident walk? (Dschg Perf) |
GG0170J1 | Walk 50 feet with two turns (Start of Stay Perf) |
GG0170J2 | Walk 50 feet with two turns (Dschg Goal) |
GG0170J3 | Walk 50 feet with two turns (Dschg Perf) |
GG0170K1 | Walk 150 feet (Start of Stay Perf) |
GG0170K2 | Walk 150 feet (Dschg Goal) |
GG0170K3 | Walk 150 feet (Dschg Perf) |
GG0170Q1 | Use of wheelchair/scooter (Start of Stay Perf) |
GG0170Q3 | Use of wheelchair/scooter (Dschg Perf) |
GG0170R1 | Wheel 50 feet with two turns (Start of Stay Perf) |
GG0170R2 | Wheel 50 feet with two turns (Dschg Goal) |
GG0170R3 | Wheel 50 feet with two turns (Dschg Perf) |
GG0170RR1 | Type wheelchair/scooter used (Start of Stay Perf) |
GG0170RR3 | Type wheelchair/scooter used (Dschg Perf) |
GG0170S1 | Wheel 150 feet (Start of Stay Perf) |
GG0170S2 | Wheel 150 feet (Dschg Goal) |
GG0170S3 | Wheel 150 feet (Dschg Perf) |
GG0170SS1 | Type wheelchair/scooter used (Start of Stay Perf) |
GG0170SS3 | Type wheelchair/scooter used (Dschg Perf) |
H0100A | Appliances: indwelling catheter |
H0100B | Appliances: external catheter |
H0100C | Appliances: ostomy |
H0100D | Appliances: intermittent catheterization |
H0100Z | Appliances: none of the above |
H0200A | Urinary toileting program: has been attempted |
H0200B | Urinary toileting program: response |
H0200C | Urinary toileting program: current program/trial |
H0300 | Urinary continence |
H0400 | Bowel continence |
H0500 | Bowel toileting program being used |
H0600 | Constipation |
I0100 | Cancer (with or without metastasis) |
I0200 | Anemia |
I0300 | Atrial fibrillation and other dysrhythmias |
I0400 | Coronary artery disease (CAD) |
I0500 | Deep venous thrombosis (DVT), PE, or PTE |
I0600 | Heart failure |
I0700 | Hypertension |
I0800 | Orthostatic hypotension |
I0900 | Peripheral vascular disease (PVD) or PAD |
I1100 | Cirrhosis |
I1200 | Gastroesophageal reflux disease (GERD) or ulcer |
I1300 | Ulcerative colitis, Chrohn"s, inflam bowel disease |
I1400 | Benign prostatic hyperplasia (BPH) |
I1500 | Renal insufficiency, renal failure, ESRD |
I1550 | Neurogenic bladder |
I1650 | Obstructive uropathy |
I1700 | Multidrug resistant organism (MDRO) |
I2000 | Pneumonia |
I2100 | Septicemia |
I2200 | Tuberculosis |
I2300 | Urinary tract infection (UTI) (LAST 30 DAYS) |
I2400 | Viral hepatitis (includes type A, B, C, D, and E) |
I2500 | Wound infection (other than foot) |
I2900 | Diabetes mellitus (DM) |
I3100 | Hyponatremia |
I3200 | Hyperkalemia |
I3300 | Hyperlipidemia (e.g., hypercholesterolemia) |
I3400 | Thyroid disorder |
I3700 | Arthritis |
I3800 | Osteoporosis |
I3900 | Hip fracture |
I4000 | Other fracture |
I4200 | Alzheimer"s disease |
I4300 | Aphasia |
I4400 | Cerebral palsy |
I4500 | Cerebrovascular accident (CVA), TIA, or stroke |
I4800 | Non-Alzheimer"s dementia |
I4900 | Hemiplegia or hemiparesis |
I5000 | Paraplegia |
I5100 | Quadriplegia |
I5200 | Multiple sclerosis |
I5250 | Huntington"s disease |
I5300 | Parkinson"s disease |
I5350 | Tourette"s syndrome |
I5400 | Seizure disorder or epilepsy |
I5500 | Traumatic brain injury (TBI) |
I5600 | Malnutrition (protein, calorie), risk of malnutrit |
I5700 | Anxiety disorder |
I5800 | Depression (other than bipolar) |
I5900 | Manic depression (bipolar disease) |
I5950 | Psychotic disorder (other than schizophrenia) |
I6000 | Schizophrenia |
I6100 | Post-traumatic stress disorder (PTSD) |
I6200 | Asthma (COPD) or chronic lung disease |
I6300 | Respiratory failure |
I6500 | Cataracts, glaucoma, or macular degeneration |
I7900 | None of above active diseases within last 7 days |
J0100A | Pain: received scheduled pain med regimen |
J0100B | Pain: received PRN pain medications |
J0100C | Pain: received non-medication intervention |
J0200 | Should pain assessment interview be conducted |
J0300 | Res pain interview: presence |
J0400 | Res pain interview: frequency |
J0500A | Res pain interview: made it hard to sleep |
J0500B | Res pain interview: limited daily activities |
J0600B | Res pain interview: verbal descriptor scale |
J0700 | Should staff assessment for pain be conducted |
J0800A | Staff pain asmt: non-verbal sounds |
J0800B | Staff pain asmt: vocal complaints of pain |
J0800C | Staff pain asmt: facial expressions |
J0800D | Staff pain asmt: protective movements/postures |
J0800Z | Staff pain asmt: none of these signs observed |
J0850 | Staff pain asmt: frequency of pain |
J1100A | Short breath/trouble breathing: with exertion |
J1100B | Short breath/trouble breathing: sitting at rest |
J1100C | Short breath/trouble breathing: lying flat |
J1100Z | Short breath/trouble breathing: none of above |
J1300 | Current tobacco use |
J1400 | Prognosis: life expectancy of less than 6 months |
J1550A | Problem conditions: fever |
J1550B | Problem conditions: vomiting |
J1550C | Problem conditions: dehydrated |
J1550D | Problem conditions: internal bleeding |
J1550Z | Problem conditions: none of the above |
J1700A | Fall history: fall during month before admission |
J1700B | Fall history: fall 2-6 months before admission |
J1700C | Fall history: fracture from fall 6 month pre admit |
J1800 | Falls since admit/prior asmt: any falls |
J1900A | Falls since admit/prior asmt: no injury |
J1900B | Falls since admit/prior asmt: injury (not major) |
J1900C | Falls since admit/prior asmt: major injury |
K0100A | Swallow disorder: loss liquids/solids from mouth |
K0100B | Swallow disorder: holds food in mouth/cheeks |
K0100C | Swallow disorder: cough/choke with meals/meds |
K0100D | Swallow disorder: difficulty or pain swallowing |
K0100Z | Swallow disorder: none of the above |
K0300 | Weight loss |
K0310 | Weight Gain |
K0510A1 | Nutrition approach: Not Res: parenteral/IV feeding |
K0510A2 | Nutrition approach: Res: parenteral /IV feeding |
K0510B1 | Nutrition approach: Not Res: feeding tube |
K0510B2 | Nutrition approach: Res: feeding tube |
K0510C1 | Nutrition approach: Not Res: mechanic altered diet |
K0510C2 | Nutrition approach: Res: mechanic altered diet |
K0510D1 | Nutrition approach: Not Res: therapeutic diet |
K0510D2 | Nutrition approach: Res: therapeutic diet |
K0510Z1 | Nutrition approach: Not Res: none of the above |
K0510Z2 | Nutrition approach: Res: none of the above |
K0710A1 | Prop calories parenteral/tube feed: not resident |
K0710A2 | Prop calories parenteral/tube feed: while resident |
K0710A3 | Prop calories parenteral/tube feed: 7 days |
K0710B1 | Avg fluid intake per day IV/tube: not resident |
K0710B2 | Avg fluid intake per day IV/ tube: while resident |
K0710B3 | Avg fluid intake per day IV/tube: 7 days |
L0200A | Dental: broken or loosely fitting denture |
L0200B | Dental: no natural teeth or tooth fragment(s) |
L0200C | Dental: abnormal mouth tissue |
L0200D | Dental: cavity or broken natural teeth |
L0200E | Dental: inflamed/bleeding gums or loose teeth |
L0200F | Dental: pain, discomfort, difficulty chewing |
L0200G | Dental: unable to examine |
L0200Z | Dental: none of the above |
M0100A | Risk determination: has ulcer, scar, or dressing |
M0100B | Risk determination: formal assessment |
M0100C | Risk determination: clinical assessment |
M0100Z | Risk determination: none of the above |
M0150 | Is resident at risk of developing pressure ulcer |
M0210 | Resident has Stage 1 or higher pressure ulcers |
M0700 | Tissue type for ulcer at most advanced stage |
M0900A | Pressure ulcers on prior assessment |
M1040A | Other skin probs: infection of the foot |
M1040B | Other skin probs: diabetic foot ulcer(s) |
M1040C | Other skin probs: other open lesion(s) on the foot |
M1040D | Other skin probs: lesions not ulcers, rashes, cuts |
M1040E | Other skin probs: surgical wound(s) |
M1040F | Other skin probs: burns (second or third degree) |
M1040G | Skin Tear(s) |
M1040H | Moisture Associated Skin Damage (MASD) |
M1040Z | Other skin probs: none of the above |
M1200A | Skin/ulcer treat: pressure reduce device for chair |
M1200B | Skin/ulcer treat: pressure reducing device for bed |
M1200C | Skin/ulcer treat: turning/repositioning |
M1200D | Skin/ulcer treat: nutrition/hydration |
M1200E | Skin/ulcer treat: pressure ulcer care |
M1200F | Skin/ulcer treat: surgical wound care |
M1200G | Skin/ulcer treat: application of dressings |
M1200H | Skin/ulcer treat: apply ointments/medications |
M1200I | Skin/ulcer treat: apply dressings to feet |
M1200Z | Skin/ulcer treat: none of the above |
O0100A1 | Treatment: chemotherapy - while not resident |
O0100A2 | Treatment: chemotherapy - while resident |
O0100B1 | Treatment: radiation - while not resident |
O0100B2 | Treatment: radiation - while resident |
O0100C1 | Treatment: oxygen therapy - while not resident |
O0100C2 | Treatment: oxygen therapy - while resident |
O0100D1 | Treatment: suctioning - while not resident |
O0100D2 | Treatment: suctioning - while resident |
O0100E1 | Treatment: tracheostomy care - while not resident |
O0100E2 | Treatment: tracheostomy care - while resident |
O0100F1 | Treatment: vent/respirator - while not resident |
O0100F2 | Treatment: vent/respirator - while resident |
O0100G1 | Treatment: BiPAP/CPAP - while not resident |
O0100G2 | Treatment: BIPAP/CPAP - while resident |
O0100H1 | Treatment: IV medications - while not resident |
O0100H2 | Treatment: IV medications - while resident |
O0100I1 | Treatment: transfusions - while not resident |
O0100I2 | Treatment: transfusions - while resident |
O0100J1 | Treatment: dialysis - while not resident |
O0100J2 | Treatment: dialysis - while resident |
O0100K1 | Treatment: hospice care - while not resident |
O0100K2 | Treatment: hospice care - while resident |
O0100L2 | Treatment: respite care - while resident |
O0100M1 | Treatment: isolate/quarantine - while not resident |
O0100M2 | Treatment: isolate/quarantine - while resident |
O0100Z1 | Treatment: none of above - while not resident |
O0100Z2 | Treatment: none of above - while resident |
O0250A | Was influenza vaccine received |
O0250C | If influenza vaccine not received, state reason |
O0300A | Is pneumococcal vaccination up to date |
O0300B | If pneumococcal vacc not received, state reason |
O0450A | Has therapy resumed |
P0100A | Restraints used in bed: bed rail |
P0100B | Restraints used in bed: trunk restraint |
P0100C | Restraints used in bed: limb restraint |
P0100D | Restraints used in bed: other |
P0100E | Restraints in chair/out of bed: trunk restraint |
P0100F | Restraints in chair/out of bed: limb restraint |
P0100G | Restraints in chair/out of bed: chair stops rising |
P0100H | Restraints in chair/out of bed: other |
Q0100A | Resident participated in assessment |
Q0100B | Family/signif other participated in assessment |
Q0100C | Guardian/legal rep participated in assessment |
Q0300A | Resident"s overall goal |
Q0300B | Information source for resident"s goal |
Q0400A | Active discharge planning for return to community |
Q0490 | Resident"s preference to avoid being asked |
Q0500B | Do you want to talk about returning to community |
Q0550A | Reasking resident preference |
Q0550B | Reasking resident preference source |
Q0600 | Referral been made to Local Contact Agency |
V0100A | Prior OBRA reason for assessment |
V0100B | Prior PPS reason for assessment |
V0200A01A | CAA-Delirium: triggered |
V0200A01B | CAA-Delirium: plan |
V0200A02A | CAA-Cognitive loss/dementia: triggered |
V0200A02B | CAA-Cognitive loss/dementia: plan |
V0200A03A | CAA-Visual function: triggered |
V0200A03B | CAA-Visual function: plan |
V0200A04A | CAA-Communication: triggered |
V0200A04B | CAA-Communication: plan |
V0200A05A | CAA-ADL functional/rehab potential: triggered |
V0200A05B | CAA-ADL functional/rehab potential: plan |
V0200A06A | CAA-Urinary incont/indwell catheter: triggered |
V0200A06B | CAA-Urinary incont/indwell catheter: plan |
V0200A07A | CAA-Psychosocial well-being: triggered |
V0200A07B | CAA-Psychosocial well-being: plan |
V0200A08A | CAA-Mood state: triggered |
V0200A08B | CAA-Mood state: plan |
V0200A09A | CAA-Behavioral symptoms: triggered |
V0200A09B | CAA-Behavioral symptoms: plan |
V0200A10A | CAA-Activities: triggered |
V0200A10B | CAA-Activities: plan |
V0200A11A | CAA-Falls: triggered |
V0200A11B | CAA-Falls: plan |
V0200A12A | CAA-Nutritional status: triggered |
V0200A12B | CAA-Nutritional status: plan |
V0200A13A | CAA-Feeding tubes: triggered |
V0200A13B | CAA-Feeding tubes: plan |
V0200A14A | CAA-Dehydration/fluid maintenance: triggered |
V0200A14B | CAA-Dehydration/fluid maintenance: plan |
V0200A15A | CAA-Dental care: triggered |
V0200A15B | CAA-Dental care: plan |
V0200A16A | CAA-Pressure ulcer: triggered |
V0200A16B | CAA-Pressure ulcer: plan |
V0200A17A | CAA-Psychotropic drug use: triggered |
V0200A17B | CAA-Psychotropic drug use: plan |
V0200A18A | CAA-Physical restraints: triggered |
V0200A18B | CAA-Physical restraints: plan |
V0200A19A | CAA-Pain: triggered |
V0200A19B | CAA-Pain: plan |
V0200A20A | CAA-Return to community referral: triggered |
V0200A20B | CAA-Return to community referral: plan |
X0150 | Correction: type of provider |
X0300 | Correction: resident gender |
X0600A | Correction: OBRA reason for assessment |
X0600B | Correction: PPS reason for assessment |
X0600C | Correction: OMRA assessment |
X0600D | Correction: Swing bed clinical change asmt |
X0600F | Correction: entry/discharge reporting |
X0600H | Correction: SNF PPS Part A Discharge (End of Stay) |
X0900A | Correction: modif reasons - transcription error |
X0900B | Correction: modif reasons - data entry error |
X0900C | Correction: modif reasons - software error |
X0900D | Correction: modif reasons - item coding error |
X0900E | Correction: modif reasons - resume therapy date |
X0900Z | Correction: modif reasons - other error |
X1050A | Correction: inact reasons - event did not occur |
X1050Z | Correction: inact reasons - other reason |
Z0100C | Medicare Part A: Medicare short stay asmt |
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Generated: 08/31/2016 09:05:46 AM