LTCH-CARE Item Summary
Item |
Group |
Type |
Length |
Fixed Start-End |
Description |
ASMT_SYS_CD | Control | Code | 10 | 1-10 | Assessment system code |
ITM_SBST_CD | Control | Code | 3 | 11-13 | Item subset code |
ITM_SET_VRSN_CD | Control | Code | 10 | 14-23 | Item set version code |
SPEC_VRSN_CD | Control | Code | 10 | 24-33 | Specifications version code |
A0055 | Control | Number | 2 | 412-413 | Correction number |
STATE_CD | Control | Code | 2 | 34-35 | Facility"s state postal code |
FAC_ID | Control | Text | 16 | 36-51 | Assigned facility/provider submission ID |
SFTWR_VNDR_ID | Control | Text | 9 | 52-60 | Software vendor federal employer tax ID |
SFTWR_VNDR_NAME | Control | Text | 30 | 61-90 | Software vendor company name |
SFTWR_VNDR_EMAIL_ADR | Control | Text | 50 | 91-140 | Software vendor email address |
SFTWR_PROD_NAME | Control | Text | 50 | 141-190 | Software product name |
SFTWR_PROD_VRSN_CD | Control | Text | 20 | 191-210 | Software product version code |
CONTROL_ITEMS_FILLER | Filler | Text | 200 | 211-410 | Control items filler |
A0050 | Asmt | Code | 1 | 411-411 | Type of record |
A0100A | Asmt | Text | 10 | 414-423 | Facility National Provider Identifier (NPI) |
A0100B | Asmt | Text | 12 | 424-435 | Facility CMS Certification Number (CCN) |
A0100C | Asmt | Text | 15 | 436-450 | State Medicaid provider number |
A0200 | Asmt | Code | 1 | 451-451 | Type of provider |
A0210 | Asmt | Date | 8 | 452-459 | Assessment reference date |
A0220 | Asmt | Date | 8 | 460-467 | Admission date |
A0250 | Asmt | Code | 2 | 468-469 | Reason for Assessment |
A0270 | Asmt | Date | 8 | 470-477 | Discharge date |
A0500A | Asmt | Text | 12 | 478-489 | Patient first name |
A0500B | Asmt | Text | 1 | 490-490 | Patient middle initial |
A0500C | Asmt | Text | 18 | 491-508 | Patient last name |
A0500D | Asmt | Text | 3 | 509-511 | Patient name suffix |
A0600A | Asmt | Text | 9 | 512-520 | Social Security Number |
A0600B | Asmt | Text | 12 | 521-532 | Medicare/railroad insurance number |
A0700 | Asmt | Text | 14 | 533-546 | Medicaid number |
A0800 | Asmt | Code | 1 | 547-547 | Gender |
A0900 | Asmt | Date | 8 | 548-555 | Birth Date |
A1000A | Asmt | Checklist | 1 | 556-556 | Ethnicity: American Indian or Alaska Native |
A1000B | Asmt | Checklist | 1 | 557-557 | Ethnicity: Asian |
A1000C | Asmt | Checklist | 1 | 558-558 | Ethnicity: Black or African American |
A1000D | Asmt | Checklist | 1 | 559-559 | Ethnicity: Hispanic or Latino |
A1000E | Asmt | Checklist | 1 | 560-560 | Ethnicity: Native Hawaiian/Pacific Islander |
A1000F | Asmt | Checklist | 1 | 561-561 | Ethnicity: White |
A1100A | Asmt | Code | 1 | 563-563 | Does the patient need or want an interpreter |
A1100B | Asmt | Text | 15 | 564-578 | Preferred language |
A1200 | Asmt | Code | 1 | 579-579 | Marital status |
A1400A | Asmt | Checklist | 1 | 603-603 | Payer: Medicare (FFS) |
A1400B | Asmt | Checklist | 1 | 604-604 | Payer: Medicare (managed care/Part C/Mcr Advant.) |
A1400C | Asmt | Checklist | 1 | 605-605 | Payer: Medicaid (FFS) |
A1400D | Asmt | Checklist | 1 | 606-606 | Payer: Medicaid (managed care) |
A1400E | Asmt | Checklist | 1 | 607-607 | Payer: Workers" compensation |
A1400F | Asmt | Checklist | 1 | 608-608 | Payer: Title programs |
A1400G | Asmt | Checklist | 1 | 609-609 | Payer: Other Government |
A1400H | Asmt | Checklist | 1 | 610-610 | Payer: Private insurance/Medigap |
A1400I | Asmt | Checklist | 1 | 611-611 | Payer: Private managed care |
A1400J | Asmt | Checklist | 1 | 612-612 | Payer: Self-pay |
A1400K | Asmt | Checklist | 1 | 613-613 | Payer: No payor source |
A1400X | Asmt | Checklist | 1 | 614-614 | Payer: Unknown |
A1400Y | Asmt | Checklist | 1 | 615-615 | Payer: Other |
A1802 | Asmt | Code | 2 | 768-769 | Admitted from |
A2110 | Asmt | Code | 2 | 770-771 | Discharge location |
A2500 | Asmt | Code | 1 | 707-707 | Were there program interruption(s) during stay |
A2510 | Asmt | Number | 2 | 708-709 | Number of program interruptions during stay |
A2525A1 | Asmt | Date | 8 | 925-932 | First Interruption Start Date |
A2525A2 | Asmt | Date | 8 | 933-940 | First Interruption End Date |
A2525B1 | Asmt | Date | 8 | 941-948 | Second Interruption Start Date |
A2525B2 | Asmt | Date | 8 | 949-956 | Second Interruption End Date |
A2525C1 | Asmt | Date | 8 | 957-964 | Third Interruption Start Date |
A2525C2 | Asmt | Date | 8 | 965-972 | Third Interruption End Date |
A2525D1 | Asmt | Date | 8 | 973-980 | Fourth Interruption Start Date |
A2525D2 | Asmt | Date | 8 | 981-988 | Fourth Interruption End Date |
A2525E1 | Asmt | Date | 8 | 989-996 | Fifth Interruption Start Date |
A2525E2 | Asmt | Date | 8 | 997-1004 | Fifth Interruption End Date |
B0100 | Asmt | Code | 1 | 645-645 | Comatose |
BB0700 | Asmt | Code | 1 | 772-772 | Expression of Ideas and Wants (3-day asmt period) |
BB0800 | Asmt | Code | 1 | 773-773 | Understanding Verbal Content (3-day asmt period) |
C1610A | Asmt | Code | 1 | 774-774 | Acute onset |
C1610B | Asmt | Code | 1 | 775-775 | Fluctuating Course |
C1610C | Asmt | Code | 1 | 776-776 | Inattention |
C1610D | Asmt | Code | 1 | 777-777 | Disorganized Thinking |
C1610E1 | Asmt | Code | 1 | 778-778 | Altered Consc Lvl - Alert |
C1610E2 | Asmt | Code | 1 | 779-779 | Altered Consc Lvl - Vigilant/Lethargic/Stupor/Coma |
GG0100B | Asmt | Code | 1 | 780-780 | Indoor Mobility (Ambulation) |
GG0110A | Asmt | Checklist | 1 | 781-781 | Manual wheelchair |
GG0110B | Asmt | Checklist | 1 | 782-782 | Motorized wheelchair or scooter |
GG0110C | Asmt | Checklist | 1 | 783-783 | Mechanical lift |
GG0110Z | Asmt | Checklist | 1 | 784-784 | None of the above |
GG0130A1 | Asmt | Code | 2 | 785-786 | Self-Care (Adm Perf) - Eating |
GG0130A2 | Asmt | Code | 2 | 787-788 | Self-Care (Dschg Goal) - Eating |
GG0130A3 | Asmt | Code | 2 | 789-790 | Self-Care (Dschg Perf) - Eating |
GG0130B1 | Asmt | Code | 2 | 791-792 | Self-Care (Adm Perf) - Oral hygiene |
GG0130B2 | Asmt | Code | 2 | 793-794 | Self-Care (Dschg Goal) - Oral hygiene |
GG0130B3 | Asmt | Code | 2 | 795-796 | Self-Care (Dschg Perf) - Oral hygiene |
GG0130C1 | Asmt | Code | 2 | 797-798 | Self-Care (Adm Perf) - Toileting hygiene |
GG0130C2 | Asmt | Code | 2 | 799-800 | Self-Care (Dschg Goal) - Toileting hygiene |
GG0130C3 | Asmt | Code | 2 | 801-802 | Self-Care (Dschg Perf) - Toileting hygiene |
GG0130D1 | Asmt | Code | 2 | 803-804 | Self-Care (Adm Perf) - Wash upper body |
GG0130D2 | Asmt | Code | 2 | 805-806 | Self-Care (Dschg Goal) - Wash upper body |
GG0130D3 | Asmt | Code | 2 | 807-808 | Self-Care (Dschg Perf) - Wash upper body |
GG0170A1 | Asmt | Code | 2 | 809-810 | Func Mobil (Adm Perf) - Roll left and right |
GG0170A2 | Asmt | Code | 2 | 811-812 | Func Mobil (Dschg Goal) - Roll left and right |
GG0170A3 | Asmt | Code | 2 | 813-814 | Func Mobil (Dschg Perf) - Roll left and right |
GG0170B1 | Asmt | Code | 2 | 815-816 | Func Mobil (Adm Perf) - Sit to lying |
GG0170B2 | Asmt | Code | 2 | 817-818 | Func Mobil (Dschg Goal) - Sit to lying |
GG0170B3 | Asmt | Code | 2 | 819-820 | Func Mobil (Dschg Perf) - Sit to lying |
GG0170C1 | Asmt | Code | 2 | 821-822 | Func Mobil (Adm Perf) - Lying to sit on side |
GG0170C2 | Asmt | Code | 2 | 823-824 | Func Mobil (Dschg Goal) - Lying to sitting on side |
GG0170C3 | Asmt | Code | 2 | 825-826 | Func Mobil (Dschg Perf) - Lying to sitting on side |
GG0170D1 | Asmt | Code | 2 | 827-828 | Func Mobil (Adm Perf) - Sit to stand |
GG0170D2 | Asmt | Code | 2 | 829-830 | Func Mobil (Dschg Goal) - Sit to stand |
GG0170D3 | Asmt | Code | 2 | 831-832 | Func Mobil (Dschg Perf) - Sit to stand |
GG0170E1 | Asmt | Code | 2 | 833-834 | Func Mobil (Adm Perf) - Chair/bed-to-chair trans |
GG0170E2 | Asmt | Code | 2 | 835-836 | Func Mobil (Dschg Goal) - Chair/bed-to-chair trans |
GG0170E3 | Asmt | Code | 2 | 837-838 | Func Mobil (Dschg Perf) - Chair/bed-to-chair trans |
GG0170F1 | Asmt | Code | 2 | 839-840 | Func Mobil (Adm Perf) - Toilet transfer |
GG0170F2 | Asmt | Code | 2 | 841-842 | Func Mobil (Dschg Goal) - Toilet transfer |
GG0170F3 | Asmt | Code | 2 | 843-844 | Func Mobil (Dschg Perf) - Toilet transfer |
GG0170H1 | Asmt | Code | 1 | 845-845 | Does the patient walk |
GG0170H3 | Asmt | Code | 1 | 846-846 | Does the patient walk |
GG0170I1 | Asmt | Code | 2 | 847-848 | Func Mobil (Adm Perf) - Walk 10 feet |
GG0170I2 | Asmt | Code | 2 | 849-850 | Func Mobil (Dschg Goal) - Walk 10 feet |
GG0170I3 | Asmt | Code | 2 | 851-852 | Func Mobil (Dschg Perf) - Walk 10 feet |
GG0170J1 | Asmt | Code | 2 | 853-854 | Func Mobil (Adm Perf) - Walk 50 feet w/2 turns |
GG0170J2 | Asmt | Code | 2 | 855-856 | Func Mobil (Dschg Goal) - Walk 50 feet w/2 turns |
GG0170J3 | Asmt | Code | 2 | 857-858 | Func Mobil (Dschg Perf) - Walk 50 feet w/2 turns |
GG0170K1 | Asmt | Code | 2 | 859-860 | Func Mobil (Adm Perf) - Walk 150 feet |
GG0170K2 | Asmt | Code | 2 | 861-862 | Func Mobil (Dschg Goal) - Walk 150 feet |
GG0170K3 | Asmt | Code | 2 | 863-864 | Func Mobil (Dschg Perf) - Walk 150 feet |
GG0170Q1 | Asmt | Code | 1 | 865-865 | Does the patient use a wheelchair/scooter |
GG0170Q3 | Asmt | Code | 1 | 866-866 | Does the patient use a wheelchair/scooter |
GG0170R1 | Asmt | Code | 2 | 867-868 | Func Mobil (Adm Perf) - Wheel 50 feet w/2 turns |
GG0170R2 | Asmt | Code | 2 | 869-870 | Func Mobil (Dschg Goal) - Wheel 50 feet w/2 turns |
GG0170R3 | Asmt | Code | 2 | 871-872 | Func Mobil (Dschg Perf) - Wheel 50 feet w/2 turns |
GG0170RR1 | Asmt | Code | 1 | 873-873 | Indicate the type of wheelchair/scooter used |
GG0170RR3 | Asmt | Code | 1 | 874-874 | Indicate the type of wheelchair/scooter used |
GG0170S1 | Asmt | Code | 2 | 875-876 | Func Mobil (Adm Perf) - Wheel 150 feet |
GG0170S2 | Asmt | Code | 2 | 877-878 | Func Mobil (Dschg Goal) - Wheel 150 feet |
GG0170S3 | Asmt | Code | 2 | 879-880 | Func Mobil (Dschg Perf) - Wheel 150 feet |
GG0170SS1 | Asmt | Code | 1 | 881-881 | Indicate the type of wheelchair/scooter used |
GG0170SS3 | Asmt | Code | 1 | 882-882 | Indicate the type of wheelchair/scooter used. |
H0350 | Asmt | Code | 1 | 883-883 | Bladder continence |
H0400 | Asmt | Code | 1 | 652-652 | Bowel continence |
I0050 | Asmt | Code | 1 | 884-884 | Patient primary medical condition |
I0050A | Asmt | ICD | 8 | 885-892 | Other medical condition - ICD code |
I0101 | Asmt | Checklist | 1 | 893-893 | Severe and Metastatic Cancers |
I0900 | Asmt | Checklist | 1 | 653-653 | Peripheral vascular disease (PVD) or PAD |
I1501 | Asmt | Checklist | 1 | 894-894 | Chronic Kidney Disease, Stage 5 |
I1502 | Asmt | Checklist | 1 | 895-895 | Acute Renal Failure |
I2101 | Asmt | Checklist | 1 | 896-896 | Septicemia, Sepsis, Systemic Inflammatory Response |
I2600 | Asmt | Checklist | 1 | 897-897 | CNS Infect, Oppor Infect, Bone/Joint/Muscle Infect |
I2900 | Asmt | Checklist | 1 | 654-654 | Diabetes mellitus (DM) |
I4100 | Asmt | Checklist | 1 | 898-898 | Major Lower Limb Amputation |
I4501 | Asmt | Checklist | 1 | 899-899 | Stroke |
I4801 | Asmt | Checklist | 1 | 900-900 | Dementia |
I4900 | Asmt | Checklist | 1 | 901-901 | Hemiplegia or Hemiparesis |
I5000 | Asmt | Checklist | 1 | 902-902 | Paraplegia |
I5101 | Asmt | Checklist | 1 | 903-903 | Complete Tetraplegia |
I5102 | Asmt | Checklist | 1 | 904-904 | Incomplete Tetraplegia |
I5110 | Asmt | Checklist | 1 | 905-905 | Other Spinal Cord Disorder/Injury |
I5200 | Asmt | Checklist | 1 | 906-906 | Multiple Sclerosis (MS) |
I5250 | Asmt | Checklist | 1 | 907-907 | Huntington"s Disease |
I5300 | Asmt | Checklist | 1 | 908-908 | Parkinson"s Disease |
I5450 | Asmt | Checklist | 1 | 909-909 | Amyotrophic Lateral Sclerosis |
I5460 | Asmt | Checklist | 1 | 910-910 | Locked-In State |
I5470 | Asmt | Checklist | 1 | 911-911 | Severe Anoxic Brain Damage, Cerebral Edema |
I5601 | Asmt | Checklist | 1 | 912-912 | Malnutrition |
I5602 | Asmt | Checklist | 1 | 913-913 | At Risk for Malnutrition |
I7900 | Asmt | Checklist | 1 | 914-914 | None of the Above |
J1800 | Asmt | Code | 1 | 915-915 | Any Falls Since Admission |
J1900A | Asmt | Code | 1 | 916-916 | Num Falls Since Admission - No injury |
J1900B | Asmt | Code | 1 | 917-917 | Num Falls Since Admission - Injury (except major) |
J1900C | Asmt | Code | 1 | 918-918 | Num Falls Since Admission - Major injury |
K0200A | Asmt | Number | 2 | 656-657 | Height (in inches) |
K0200B | Asmt | Number | 3 | 658-660 | Weight (in pounds) |
M0210 | Asmt | Code | 1 | 661-661 | Patient has Stage 1 or higher pressure ulcers |
M0300A | Asmt | Number | 1 | 662-662 | Stage 1 pressure ulcers: number present |
M0300B1 | Asmt | Number | 1 | 663-663 | Stage 2 pressure ulcers: number present |
M0300B2 | Asmt | Number | 1 | 664-664 | Stage 2 pressure ulcers: number at admit |
M0300C1 | Asmt | Number | 1 | 673-673 | Stage 3 pressure ulcers: number present |
M0300C2 | Asmt | Number | 1 | 674-674 | Stage 3 pressure ulcers: number at admit |
M0300D1 | Asmt | Number | 1 | 675-675 | Stage 4 pressure ulcers: number present |
M0300D2 | Asmt | Number | 1 | 676-676 | Stage 4 pressure ulcers: number at admit |
M0300E1 | Asmt | Number | 1 | 677-677 | Unstageable dressing: number present |
M0300E2 | Asmt | Number | 1 | 678-678 | Unstageable dressing: number at admit |
M0300F1 | Asmt | Number | 1 | 679-679 | Unstageable slough/eschar: number present |
M0300F2 | Asmt | Number | 1 | 680-680 | Unstageable slough/eschar: number at admit |
M0300G1 | Asmt | Number | 1 | 681-681 | Unstageable deep tissue: number present |
M0300G2 | Asmt | Number | 1 | 682-682 | Unstageable deep tissue: number at admit |
M0800A | Asmt | Number | 1 | 696-696 | Worsened: Stage 2 pressure ulcers |
M0800B | Asmt | Number | 1 | 697-697 | Worsened: Stage 3 pressure ulcers |
M0800C | Asmt | Number | 1 | 698-698 | Worsened: Stage 4 pressure ulcers |
M0800D | Asmt | Number | 1 | 1005-1005 | Worsened: Unstageable - Non-removable dressing |
M0800E | Asmt | Number | 1 | 1006-1006 | Worsened: Unstageable - Slough and/or eschar |
M0800F | Asmt | Number | 1 | 1007-1007 | Worsened: Unstageable - Deep tissue injury |
O0100F3 | Asmt | Checklist | 1 | 919-919 | Invasive Mechanical Ventilator - weaning |
O0100F4 | Asmt | Checklist | 1 | 920-920 | Invasive Mechanical Ventilator - non-weaning |
O0100G | Asmt | Checklist | 1 | 921-921 | Non-invasive ventilator (BIPAP, CPAP) |
O0100J | Asmt | Checklist | 1 | 922-922 | Dialysis |
O0100N | Asmt | Checklist | 1 | 923-923 | Total Parenteral Nutrition |
O0100Z | Asmt | Checklist | 1 | 924-924 | None of the above |
O0250A | Asmt | Code | 1 | 758-758 | Was influenza vaccine received |
O0250B | Asmt | Date | 8 | 759-766 | Date influenza vaccine received |
O0250C | Asmt | Code | 1 | 767-767 | If influenza vaccine not received, state reason |
Z0500B | Asmt | Date | 8 | 699-706 | Date assessment signed as complete |
ITEM_FILLER_001 | Filler | Text | 1 | 562-562 | Item filler: replaces old A1050 |
ITEM_FILLER_002 | Filler | Text | 23 | 580-602 | Item filler: replaces old A1300D |
ITEM_FILLER_003 | Filler | Text | 1 | 618-618 | Item filler: replaces old A1810A |
ITEM_FILLER_004 | Filler | Text | 1 | 619-619 | Item filler: replaces old A1810B |
ITEM_FILLER_005 | Filler | Text | 1 | 620-620 | Item filler: replaces old A1810C |
ITEM_FILLER_006 | Filler | Text | 1 | 621-621 | Item filler: replaces old A1810D |
ITEM_FILLER_007 | Filler | Text | 1 | 622-622 | Item filler: replaces old A1810E |
ITEM_FILLER_008 | Filler | Text | 1 | 623-623 | Item filler: replaces old A1810F |
ITEM_FILLER_009 | Filler | Text | 1 | 624-624 | Item filler: replaces old A1810G |
ITEM_FILLER_010 | Filler | Text | 1 | 625-625 | Item filler: replaces old A1810H |
ITEM_FILLER_011 | Filler | Text | 1 | 626-626 | Item filler: replaces old A1810I |
ITEM_FILLER_012 | Filler | Text | 1 | 627-627 | Item filler: replaces old A1810J |
ITEM_FILLER_013 | Filler | Text | 1 | 628-628 | Item filler: replaces old A1810K |
ITEM_FILLER_014 | Filler | Text | 1 | 629-629 | Item filler: replaces old A1810L |
ITEM_FILLER_015 | Filler | Text | 1 | 630-630 | Item filler: replaces old A1810Z |
ITEM_FILLER_016 | Filler | Text | 8 | 631-638 | Item filler: replaces old A1820 |
ITEM_FILLER_017 | Filler | Text | 1 | 639-639 | Item filler: replaces old A1955 |
ITEM_FILLER_018 | Filler | Text | 2 | 640-641 | Item filler: replaces old A1960 |
ITEM_FILLER_019 | Filler | Text | 1 | 642-642 | Item filler: replaces old A1970 |
ITEM_FILLER_020 | Filler | Text | 8 | 665-672 | Item filler: replaces old M0300B3 |
ITEM_FILLER_021 | Filler | Text | 4 | 683-686 | Item filler: replaces old M0610A |
ITEM_FILLER_022 | Filler | Text | 4 | 687-690 | Item filler: replaces old M0610B |
ITEM_FILLER_023 | Filler | Text | 4 | 691-694 | Item filler: replaces old M0610C |
ITEM_FILLER_024 | Filler | Text | 1 | 695-695 | Item filler: replaces old M0700 |
ITEM_FILLER_025 | Filler | Text | 2 | 616-617 | Item filler: replaces old A1800 |
ITEM_FILLER_026 | Filler | Text | 2 | 643-644 | Item filler: replaces old A2100 |
ITEM_FILLER_027 | Filler | Text | 2 | 646-647 | Item filler: replaces old GG0160A |
ITEM_FILLER_028 | Filler | Text | 2 | 648-649 | Item filler: replaces old GG0160B |
ITEM_FILLER_029 | Filler | Text | 2 | 650-651 | Item filler: replaces old GG0160C |
ITEM_FILLER_030 | Filler | Text | 1 | 655-655 | Item filler: replaces old I5600 |
ITEM_FILLER_031 | Asmt | Text | 8 | 710-717 | Item filler: replaces old A2520A1 |
ITEM_FILLER_032 | Asmt | Text | 8 | 718-725 | Item filler: replaces old A2520A2 |
ITEM_FILLER_033 | Asmt | Text | 8 | 726-733 | Item filler: replaces old A2520B1 |
ITEM_FILLER_034 | Asmt | Text | 8 | 734-741 | Item filler: replaces old A2520B2 |
ITEM_FILLER_035 | Asmt | Text | 8 | 742-749 | Item filler: replaces old A2520C1 |
ITEM_FILLER_036 | Asmt | Text | 8 | 750-757 | Item filler: replaces old A2520C2 |
ASMT_ITEMS_FILLER | Filler | Text | 699 | 1008-1706 | Assessment items filler |
ASSESSMENT_ID | Calc | Number | 15 | 1707-1721 | Assessment internal ID |
ORIGINAL_ASSESSMENT_ID | Calc | Number | 15 | 1722-1736 | Original assessment ID |
RESIDENT_INTERNAL_ID | Calc | Number | 10 | 1737-1746 | Patient internal ID |
TARGET_DATE | Calc | Date | 8 | 1747-1754 | Target date |
PROVIDER_INTERNAL_ID | Calc | Number | 10 | 1755-1764 | Provider internal ID |
SUBMISSION_ID | Calc | Number | 15 | 1765-1779 | Submission ID |
SUBMISSION_DATE | Calc | Date | 8 | 1780-1787 | Submission date |
SUBMISSION_COMPLETE_DATE | Calc | Date | 8 | 1788-1795 | Submission processing completion date |
SUBMITTING_USER_ID | Calc | Text | 30 | 1796-1825 | Submitter user ID |
RESIDENT_MATCH_CRITERIA | Calc | Number | 2 | 1826-1827 | Resident matching criteria |
RESIDENT_AGE | Calc | Number | 3 | 1828-1830 | Age of patient on the target date |
BIRTHDATE_SUBMIT_CODE | Calc | Code | 1 | 1831-1831 | Birth date submit code |
C_CCN_NUM | Calc | Text | 12 | 1832-1843 | Calculated Facility Certification Number (CCN) |
C_HICN_MBI_IND | Calc | Text | 1 | 1844-1844 | Calculated HICN MBI Indicator |
C_SSNRI_TRNSLTN_HICN_TXT | Calc | Text | 12 | 1845-1856 | SSNRI Translation HICN Text |
C_SSNRI_TRNSLTN_MBI_TXT | Calc | Text | 12 | 1857-1868 | SSNRI Translation MBI Text |
CALCULATED_ITEMS_FILLER | Filler | Text | 400 | 1869-2268 | Calculated items filler |
DATA_END_INDICATOR | Calc | Code | 1 | 2269-2269 | End of data terminator code |
CR | Calc | Code | 1 | 2270-2270 | Carriage return (ASCII 013) |
LF | Calc | Code | 1 | 2271-2271 | Line feed character (ASCII 010) |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 07/17/2017 10:20:57 AM