-3793


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Property Specification
Data System MDS
Data Specs V2.00.1
Edit Type Format
Severity Fatal
Edit Text The length of the text submitted for a free-form text item must not exceed the maximum length specified for that item.
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_VNDR_EMAIL_ADR Software vendor email address
SFTWR_PROD_NAME Software product name
SFTWR_PROD_VRSN_CD Software product version code
FAC_DOC_ID Facility document ID
A0100A Facility National Provider Identifier (NPI)
A0100C State provider number
A0500A Resident first name
A0500B Resident middle initial
A0500C Resident last name
A0500D Resident name suffix
A0600A Social Security Number
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)
X0200A Correction: resident first name
X0200C Correction: resident last name
X0500 Correction: resident social security number
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

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Generated: 08/31/2016 09:05:46 AM