-3060
Property | Specification |
Data System | OASIS |
Data Specs | V2.31.0 |
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 |
Item List | |
Item ID | Description |
ASMT_SYS_CD | Assessment system code |
TRANS_TYPE_CD | Transaction type code |
ITM_SBST_CD | Item subset code |
STATE_CD | Agency"s state postal code |
M0014_BRANCH_STATE | Branch state |
M0018_PHYSICIAN_UK | Attending physician NPI: Unknown |
M0032_ROC_DT_NA | No resumption of care date |
M0050_PAT_ST | Patient state of residence |
M0063_MEDICARE_NA | No Medicare number |
M0064_SSN_UK | No Social Security number |
M0065_MEDICAID_NA | No Medicaid number |
M0069_PAT_GENDER | Gender |
M0140_ETHNIC_AI_AN | Ethnicity: American Indian or Alaska Native |
M0140_ETHNIC_ASIAN | Ethnicity: Asian |
M0140_ETHNIC_BLACK | Ethnicity: Black or African American |
M0140_ETHNIC_HISP | Ethnicity: Hispanic or Latino |
M0140_ETHNIC_NH_PI | Ethnicity: Native Hawaiian/Pacific Islander |
M0140_ETHNIC_WHITE | Ethnicity: White |
M0150_CPAY_NONE | Payment sources: no charge for current services |
M0150_CPAY_MCARE_FFS | Payment sources: Medicare fee-for-service |
M0150_CPAY_MCARE_HMO | Payment sources: Medicare HMO/managed care |
M0150_CPAY_MCAID_FFS | Payment sources: Medicaid fee-for-service |
M0150_CPAY_MCAID_HMO | Payment sources: Medicaid HMO/managed care |
M0150_CPAY_WRKCOMP | Payment sources: worker"s compensation |
M0150_CPAY_TITLEPGMS | Payment sources: title programs |
M0150_CPAY_OTH_GOVT | Payment sources: other government |
M0150_CPAY_PRIV_INS | Payment sources: private insurance |
M0150_CPAY_PRIV_HMO | Payment sources: private HMO/managed care |
M0150_CPAY_SELFPAY | Payment sources: self-pay |
M0150_CPAY_OTHER | Payment sources: other |
M0150_CPAY_UK | Payment sources: unknown |
M0080_ASSESSOR_DISCIPLINE | Discipline of person completing assessment |
M0100_ASSMT_REASON | Reason for assessment |
M0102_PHYSN_ORDRD_SOCROC_DT_NA | Physician ordered SOC/ROC date - NA |
M0110_EPISODE_TIMING | Episode timing |
M1000_DC_LTC_14_DA | Past 14 days: disch from LTC NH |
M1000_DC_SNF_14_DA | Past 14 days: disch from skilled nursing facility |
M1000_DC_IPPS_14_DA | Past 14 days: disch from short stay acute hospital |
M1000_DC_LTCH_14_DA | Past 14 days: disch from long term care hospital |
M1000_DC_IRF_14_DA | Past 14 days: disch from inpatient rehab facility |
M1000_DC_PSYCH_14_DA | Past 14 days: disch from psych hospital or unit |
M1000_DC_OTH_14_DA | Past 14 days: disch from other |
M1000_DC_NONE_14_DA | Past 14 days: not disch from inpatient facility |
M1005_INP_DSCHG_UNKNOWN | Inpatient discharge date unknown |
M1021_PRIMARY_DIAG_SEVERITY | Primary diagnosis severity rating |
M1023_OTH_DIAG1_SEVERITY | Other diagnosis 1: severity rating |
M1023_OTH_DIAG2_SEVERITY | Other diagnosis 2: severity rating |
M1023_OTH_DIAG3_SEVERITY | Other diagnosis 3: severity rating |
M1023_OTH_DIAG4_SEVERITY | Other diagnosis 4: severity rating |
M1023_OTH_DIAG5_SEVERITY | Other diagnosis 5: severity rating |
M1028_ACTV_DIAG_PVD_PAD | Active Diagnoses - PVD or PAD |
M1028_ACTV_DIAG_DM | Active Diagnoses - Diabetes Mellitus |
M1028_ACTV_DIAG_NOA | Active Diagnoses - None of the above |
M1030_THH_IV_INFUSION | Therapies received at home: intravenous, infusion |
M1030_THH_PAR_NUTRITION | Therapies received at home: parenteral nutrition |
M1030_THH_ENT_NUTRITION | Therapies received at home: enteral nutrition |
M1030_THH_NONE_ABOVE | Therapies received at home: none of the above |
M1033_HOSP_RISK_HSTRY_FALLS | Hosp risk: 2+ falls or injury fall in past year |
M1033_HOSP_RISK_WEIGHT_LOSS | Hosp risk: unintentional weight loss |
M1033_HOSP_RISK_MLTPL_HOSPZTN | Hosp risk: 2+ hospitalizations in past 6 months |
M1033_HOSP_RISK_MLTPL_ED_VISIT | Hosp risk: 2+ emergcy dept visits in past 6 months |
M1033_HOSP_RISK_MNTL_BHV_DCLN | Hosp risk: decline mental/emotional/behav status |
M1033_HOSP_RISK_COMPLIANCE | Hosp risk: difficulty with medical instructions |
M1033_HOSP_RISK_5PLUS_MDCTN | Hosp risk: taking five or more medications |
M1033_HOSP_RISK_CRNT_EXHSTN | Hosp risk: current exhaustion |
M1033_HOSP_RISK_OTHR_RISK | Hosp risk: other risk(s) not listed |
M1033_HOSP_RISK_NONE_ABOVE | Hosp risk: none of the above |
M1041_IN_INFLNZ_SEASON | Does episode include Oct 1 thru Mar 31 |
M1046_INFLNZ_RECD_CRNT_SEASON | Did patient receive influenza vaccine |
M1051_PVX_RCVD_AGNCY | Was pneumococcal vaccine received |
M1056_PVX_RSN_NOT_RCVD_AGNCY | If pneumococcal vacc not received, state reason |
M1100_PTNT_LVG_STUTN | Patient living situation |
M1200_VISION | Sensory status: vision |
M1242_PAIN_FREQ_ACTVTY_MVMT | Freq of pain interfering with pt activity/movement |
M1306_UNHLD_STG2_PRSR_ULCR | Patient has 1+ unhealed PU/injury at stage 2+ |
M1307_OLDST_STG2_AT_DSCHRG | Status of oldest stage 2 pressure ulcer at disch |
M1322_NBR_PRSULC_STG1 | Number of stage 1 pressure injuries |
M1324_STG_PRBLM_ULCER | Stage of most problematic pressure ulcer/injury |
M1330_STAS_ULCR_PRSNT | Does this patient have a stasis ulcer |
M1332_NBR_STAS_ULCR | Number of stasis ulcers |
M1334_STUS_PRBLM_STAS_ULCR | Status of most problematic stasis ulcer |
M1340_SRGCL_WND_PRSNT | Does this patient have a surgical wound |
M1342_STUS_PRBLM_SRGCL_WND | Status of most problematic surgical wound |
M1400_WHEN_DYSPNEIC | When dyspneic |
M1600_UTI | Treated for urinary tract infection past 14 days |
M1610_UR_INCONT | Urinary incontinence or urinary catheter present |
M1620_BWL_INCONT | Bowel incontinence frequency |
M1630_OSTOMY | Ostomy for bowel elimination |
M1700_COG_FUNCTION | Cognitive functioning |
M1710_WHEN_CONFUSED | When confused (reported or observed) |
M1720_WHEN_ANXIOUS | When anxious (reported or observed) |
M1730_STDZ_DPRSN_SCRNG | Screened for depression using validated tool |
M1730_PHQ2_LACK_INTRST | PHQ2: little interest or pleasure in doing things |
M1730_PHQ2_DPRSN | PHQ2: feeling down, depressed or hopeless |
M1740_BD_MEM_DEFICIT | Behavior demonstrated: memory deficit |
M1740_BD_IMP_DECISN | Behavior demonstrated: impaired decision-making |
M1740_BD_VERBAL | Behavior demonstrated: verbal disruption |
M1740_BD_PHYSICAL | Behavior demonstrated: physical aggression |
M1740_BD_SOC_INAPPRO | Behavior demonstrated: socially inappropriate |
M1740_BD_DELUSIONS | Behavior demonstrated: delusions |
M1740_BD_NONE | Behavior demonstrated: none of the above |
M1745_BEH_PROB_FREQ | Frequency of behavior problems |
M1800_CRNT_GROOMING | Current: grooming |
M1810_CRNT_DRESS_UPPER | Current: dress upper body |
M1820_CRNT_DRESS_LOWER | Current: dress lower body |
M1830_CRNT_BATHG | Current: bathing |
M1840_CRNT_TOILTG | Current: toileting |
M1845_CRNT_TOILTG_HYGN | Current: toileting hygiene |
M1850_CRNT_TRNSFRNG | Current: transferring |
M1860_CRNT_AMBLTN | Current: ambulation |
M1870_CRNT_FEEDING | Current: feeding |
M1910_MLT_FCTR_FALL_RISK_ASMT | Has patient had a multi-factor fall risk asmt |
M2001_DRUG_RGMN_RVW | Drug regimen review |
M2003_MDCTN_FLWP | Medication follow-up |
M2005_MDCTN_INTRVTN | Medication intervention |
M2010_HIGH_RISK_DRUG_EDCTN | Patient/caregiver high risk drug education |
M2016_DRUG_EDCTN_INTRVTN | Patient/caregiver drug education intervention |
M2020_CRNT_MGMT_ORAL_MDCTN | Current: management of oral medications |
M2030_CRNT_MGMT_INJCTN_MDCTN | Current: management of injectable medications |
M2102_CARE_TYPE_SRC_ADL | Care mgmt, types/sources: ADL |
M2102_CARE_TYPE_SRC_MDCTN | Care mgmt, types/sources: med admin |
M2102_CARE_TYPE_SRC_PRCDR | Care mgmt, types/sources: med procs tx |
M2102_CARE_TYPE_SRC_SPRVSN | Care mgmt, types/sources: supervision and safety |
M2200_THER_NEED_NA | Therapy need: not applicable |
M2301_EMER_USE_AFTR_LAST_ASMT | Emergent care: use since most recent SOC/ROC |
M2310_ECR_MEDICATION | Emergent care reason: medication |
M2310_ECR_HYPOGLYC | Emergent care reason: hypoglycemia/hyperglycemia |
M2310_ECR_OTHER | Emergent care reason: other than above |
M2310_ECR_UNKNOWN | Emergent care reason: unknown |
M2401_INTRVTN_SMRY_DBTS_FT | Intervention synopsis: diabetic foot care |
M2401_INTRVTN_SMRY_FALL_PRVNT | Intervention synopsis: falls prevention |
M2401_INTRVTN_SMRY_DPRSN | Intervention synopsis: depression intervention |
M2401_INTRVTN_SMRY_PAIN_MNTR | Intervention synopsis: monitor and mitigate pain |
M2401_INTRVTN_SMRY_PRSULC_PRVN | Intervention synopsis: prevent pressure ulcers |
M2401_INTRVTN_SMRY_PRSULC_WET | Intervention synopsis: PU moist wound treatment |
M2410_INPAT_FACILITY | Inpatient facility |
M2420_DSCHRG_DISP | Discharge disposition |
GG0100A | Prior Function - Self Care |
GG0100B | Prior Function - Indoor Mobility (Ambulation) |
GG0100C | Prior Function - Stairs |
GG0100D | Prior Function - Functional Cognition |
GG0110A | Prior Device - Manual wheelchair |
GG0110B | Prior Device - Motorized wheelchair and/or scooter |
GG0110C | Prior Device - Mechanical lift |
GG0110D | Prior Device - Walker |
GG0110E | Prior Device - Orthotics/Prosthetics |
GG0110Z | Prior Device - None of the above |
GG0130A1 | Eating (SOC/ROC Perf) |
GG0130A2 | Eating (Dschg Goal) |
GG0130A3 | Eating (Dischg Perf) |
GG0130A4 | Eating (Follow-Up Perf) |
GG0130B1 | Oral Hygiene (SOC/ROC Perf) |
GG0130B2 | Oral Hygiene (Dschrg Goal) |
GG0130B3 | Oral Hygiene (Dschrg Perf) |
GG0130B4 | Oral Hygiene (Follow-Up Perf) |
GG0130C1 | Toileting hygiene (SOC/ROC Perf) |
GG0130C2 | Toileting hygiene (Dschrg Goal) |
GG0130C3 | Toileting hygiene (Dschrg Perf) |
GG0130C4 | Toileting hygiene (Follow-Up Perf) |
GG0130E1 | Shower/bathe self (SOC/ROC Perf) |
GG0130E2 | Shower/bathe self (Dschrg Goal) |
GG0130E3 | Shower/bathe self (Dschrg Perf) |
GG0130F1 | Upper body dressing (SOC/ROC Perf) |
GG0130F2 | Upper body dressing (Dschrg Goal) |
GG0130F3 | Upper body dressing (Dschrg Perf) |
GG0130G1 | Lower body dressing (SOC/ROC Perf) |
GG0130G2 | Lower body dressing (Dschrg Goal) |
GG0130G3 | Lower body dressing (Dschrg Perf) |
GG0130H1 | Put on/take off footwear (SOC/ROC Perf) |
GG0130H2 | Put on/take off footwear (Dschrg Goal) |
GG0130H3 | Put on/take off footwear (Dschrg Perf) |
GG0170A1 | Roll left and right (SOC/ROC Perf) |
GG0170A2 | Roll left and right (Dschrg Goal) |
GG0170A3 | Roll left and right (Dschrg Perf) |
GG0170A4 | Roll left and right (Follow-Up Perf) |
GG0170B1 | Sit to lying (SOC/ROC Perf) |
GG0170B2 | Sit to lying (Dschrg Goal) |
GG0170B3 | Sit to lying (Dschrg Perf) |
GG0170B4 | Sit to lying (Follow-Up Perf) |
GG0170C_MOBILITY_SOCROC_PERF | Lying to sitting on bed side (SOC/ROC Perf) |
GG0170C_MOBILITY_DSCHG_GOAL | Lying to sitting on bed side (Dschrg Goal) |
GG0170C3 | Lying to sitting on bed side (Dschrg Perf) |
GG0170C4 | Lying to sitting on bed side (Follow-Up Perf) |
GG0170D1 | Sit to stand (SOC/ROC Perf) |
GG0170D2 | Sit to stand (Dschrg Goal) |
GG0170D3 | Sit to stand (Dschrg Perf) |
GG0170D4 | Sit to stand (Follow-Up Perf) |
GG0170E1 | Chair/bed-to-chair transfer (SOC/ROC Perf) |
GG0170E2 | Chair/bed-to-chair transfer (Dschrg Goal) |
GG0170E3 | Chair/bed-to-chair transfer (Dschrg Perf) |
GG0170E4 | Chair/bed-to-chair transfer (Follow-Up Perf) |
GG0170F1 | Toilet transfer (SOC/ROC Perf) |
GG0170F2 | Toilet transfer (Dschrg Goal) |
GG0170F3 | Toilet transfer (Dschrg Perf) |
GG0170F4 | Toilet transfer (Follow-Up Perf) |
GG0170G1 | Car transfer (SOC/ROC Perf) |
GG0170G2 | Car transfer (Dschrg Goal) |
GG0170G3 | Car transfer (Dschrg Perf) |
GG0170I1 | Walk 10 feet (SOC/ROC Perf) |
GG0170I2 | Walk 10 feet (Dschrg Goal) |
GG0170I3 | Walk 10 feet (Dschrg Perf) |
GG0170I4 | Walk 10 feet (Follow-Up Perf) |
GG0170J1 | Walk 50 feet with two turns (SOC/ROC Perf) |
GG0170J2 | Walk 50 feet with two turns (Dschrg Goal) |
GG0170J3 | Walk 50 feet with two turns (Dschrg Perf) |
GG0170J4 | Walk 50 feet with two turns (Follow-Up Perf) |
GG0170K1 | Walk 150 feet (SOC/ROC Perf) |
GG0170K2 | Walk 150 feet (Dschrg Goal) |
GG0170K3 | Walk 150 feet (Dschrg Perf) |
GG0170L1 | Walking 10 feet uneven surf (SOC/ROC Perf) |
GG0170L2 | Walking 10 feet uneven surf (Dschrg Goal) |
GG0170L3 | Walking 10 feet uneven surf (Dschrg Perf) |
GG0170L4 | Walking 10 feet uneven surf (Follow-Up Perf) |
GG0170M1 | 1 step (curb) (SOC/ROC Perf) |
GG0170M2 | 1 step (curb) (Dschrg Goal) |
GG0170M3 | 1 step (curb) (Dschrg Perf) |
GG0170M4 | 1 step (curb) (Follow-Up Perf) |
GG0170N1 | 4 steps (SOC/ROC Perf) |
GG0170N2 | 4 steps (Dschrg Goal) |
GG0170N3 | 4 steps (Dschrg Perf) |
GG0170N4 | 4 steps (Follow-Up Perf) |
GG0170O1 | 12 steps (SOC/ROC Perf) |
GG0170O2 | 12 steps (Dschrg Goal) |
GG0170O3 | 12 steps (Dschrg Perf) |
GG0170P1 | Picking up object (SOC/ROC Perf) |
GG0170P2 | Picking up object (Dschrg Goal) |
GG0170P3 | Picking up object (Dschrg Perf) |
GG0170Q1 | Use wheelchair and/or scooter (SOC/ROC Perf) |
GG0170Q3 | Use wheelchair and/or scooter (Dschrg Perf) |
GG0170Q4 | Use wheelchair and/or scooter (Follow-Up Perf) |
GG0170R1 | Wheel 50 feet with two turns (SOC/ROC Perf) |
GG0170R2 | Wheel 50 feet with two turns (Dschrg Goal) |
GG0170R3 | Wheel 50 feet with two turns (Dschrg Perf) |
GG0170R4 | Wheel 50 feet with two turns (Follow-Up Perf) |
GG0170RR1 | Type of wheelchair or scooter (SOC/ROC Perf) |
GG0170RR3 | Type of wheelchair or scooter (Dschg Perf) |
GG0170S1 | Wheel 150 feet (SOC/ROC Perf) |
GG0170S2 | Wheel 150 feet (Dschrg Goal) |
GG0170S3 | Wheel 150 feet (Dschrg Perf) |
GG0170SS1 | Type of wheelchair or scooter (SOC/ROC Perf) |
GG0170SS3 | Type of wheelchair or scooter (Dschrg Perf) |
J1800 | Falls since SOC/ROC: any falls |
J1900A | Num falls since SOC/ROC: no injury |
J1900B | Num falls since SOC/ROC: injury (except major) |
J1900C | Num falls since SOC/ROC: major injury |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 10/17/2019 10:42:18 PM