M0100_ASSMT_REASON
Property | Specification |
Data System | OASIS |
Data Specs | V2.30.0 |
Description | Reason for assessment |
Group | Asmt |
Type | Code |
Length | 2 |
Fixed Start-End | 443-444 |
Version Notes |
Item Subsets | |
Active | 01,03,04,05,06,07,08,09,XX |
Inactive |
Item Values | ||
Value | LOINC | Text |
01 | Start of care - further visits planned | |
03 | Resumption of care (after inpatient stay) | |
04 | Recertification (follow-up) reassessment | |
05 | Other follow-up | |
06 | Transferred to an inpatient facility - patient not discharged from agency | |
07 | Transferred to an inpatient facility - patient discharged from agency | |
08 | Death at home | |
09 | Discharge from agency |
Item Edits | |||
Edit ID | Type | Severity | Edit Text |
-3060 | Format | Fatal |
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. |
-3190 | Consistency | Fatal |
In order to modify or inactivate a record that has previously been accepted by the ASAP system, the system must be able to locate the previous record. Appropriate values from the record to be corrected must therefore be submitted for the following locator items: M0030_START_CARE_DT M0032_ROC_DT M0032_ROC_DT_NA M0040_PAT_FNAME M0040_PAT_LNAME M0064_SSN M0064_SSN_UK M0066_PAT_BIRTH_DT M0069_PAT_GENDER M0090_INFO_COMPLETED_DT M0100_ASSMT_REASON M0906_DC_TRAN_DTH_DT If a matching previously accepted record cannot be located, a fatal error will result and the submitted record will be rejected. |
-3280 | Consistency | Warning | If M0100_ASSMT_REASON=[01] and if M0030_START_CARE_DT and M1005_INP_DISCHARGE_DT are both active and contain valid dates (not [^]), then M0030_START_CARE_DT minus M1005_INP_DISCHARGE_DT should be greater than or equal to zero and less than or equal to 14 days. |
-3290 | Consistency | Warning | If M0100_ASSMT_REASON=[03] and if M0032_ROC_DT and M1005_INP_DISCHARGE_DT are both active and contain valid dates (not [^]), then M0032_ROC_DT minus M1005_INP_DISCHARGE_DT should be greater than or equal to zero and less than or equal to 14. |
-3300 | Consistency | Warning | If M0100_ASSMT_REASON=[01] and if M0090_INFO_COMPLETED_DT and M0030_START_CARE_DT are both active and contain valid dates (not [^]), then M0090_INFO_COMPLETED_DT minus M0030_START_CARE_DT should be greater than or equal to zero and less than or equal to 5. |
-3310 | Consistency | Warning | If M0100_ASSMT_REASON=[03] and if M0090_INFO_COMPLETED_DT and M0032_ROC_DT are both active and contain valid dates (not [^]), then M0090_INFO_COMPLETED_DT minus M0032_ROC_DT should be greater than or equal to zero and less than or equal to 2. |
-3320 | Consistency | Warning | If M0100_ASSMT_REASON=[09] and if M0090_INFO_COMPLETED_DT and M0906_DC_TRAN_DTH_DT are both active and contain valid dates (not [^]), then M0090_INFO_COMPLETED_DT minus M0906_DC_TRAN_DTH_DT should be greater than or equal to zero and less than or equal to 2. |
-4320 | Consistency | Fatal | If M0100_ASSMT_REASON=[09], then if M1600_UTI is active it cannot equal [UK]. |
-4350 | Consistency | Fatal | If M0100_ASSMT_REASON=[04,05,09], then if M1620_BWL_INCONT is active it cannot equal [UK]. |
-4480 | Consistency | Fatal | If M0100_ASSMT_REASON=[09] then M2020_CRNT_MGMT_ORAL_MDCTN cannot equal [^]. |
-4490 | Consistency | Fatal | If M0100_ASSMT_REASON=[04,05,09], then M2030_CRNT_MGMT_INJCTN_MDCTN cannot equal [^]. |
-4570 | Consistency | Fatal | If M0100_ASSMT_REASON=[09], then if M2410_INPAT_FACILITY is active it must equal [NA]. |
-4580 | Consistency | Fatal | If M0100_ASSMT_REASON=[06,07], then if M2410_INPAT_FACILITY is active it must not equal [NA]. |
-4730 | Consistency | Fatal | If M0100_ASSMT_REASON=[01], then M0032_ROC_DT_NA must be [1]. |
-4740 | Consistency | Fatal | If M0100_ASSMT_REASON=[03], then M0032_ROC_DT_NA must be [0]. |
-4820 | Consistency | Warning | If M0100_ASSMT_REASON is equal to [01,03,04,05], then ASAP will recalculate the SUBM_HIPPS_CODE and SUBM_HIPPS_VERSION and compare the recalculated values with the submitted values. If the submitted values do not match the recalculated values, a warning will be issued. |
-5290 | Consistency | Fatal | If M0100_ASSMT_REASON=[06,07,08,09], then M0906_DC_TRAN_DTH_DT must not equal [^]. |
-5300 | Consistency | Fatal | If TRANS_TYPE_CD=[3] (inactivate existing record) and M0100_ASSMT_REASON=[01,03,04,05], then M0906_DC_TRAN_DTH_DT must equal [^]. |
-5340 | Consistency | Fatal | If M0104_PHYSN_RFRL_DT is not equal to [^] and if M0100_ASSMT_REASON=[01], then M0104_PHYSN_RFRL_DT must be less than or equal to M0030_START_CARE_DT and must be greater than M0066_PAT_BIRTH_DT. |
-5350 | Consistency | Fatal | If M0104_PHYSN_RFRL_DT is not equal to [^] and if M0100_ASSMT_REASON=[03], then M0104_PHYSN_RFRL_DT must be less than or equal to M0032_ROC_DT and must be greater than M0066_PAT_BIRTH_DT. |
-5660 | Consistency | Fatal | If M0100_ASSMT_REASON=[01,03,04,05], then none of the following items can be equal to [-]: M1311_NBR_PRSULC_STG2_A1, M1311_NBR_PRSULC_STG3_B1, M1311_NBR_PRSULC_STG4_C1, M1311_NSTG_DRSG_D1, M1311_NSTG_CVRG_E1, and M1311_NSTG_DEEP_TSUE_F1. |
Supplemental Information | |||
Edit ID | Type | Severity | Edit Text |
-9060 | Information | None |
CALCULATION OF EFFECTIVE DATE a) If M0100_ASSMT_REASON=[01], then ASMT_EFF_DATE is equal to M0030_START_CARE_DT. b) If M0100_ASSMT_REASON=[03], then ASMT_EFF_DATE is equal to M0032_ROC_DT. c) If M0100_ASSMT_REASON=[04,05], then ASMT_EFF_DATE is equal to M0090_INFO_COMPLETED_DT. d) If M0100_ASSMT_REASON=[06,07,08,09], then ASMT_EFF_DATE is equal to M0906_DC_TRAN_DTH_DT. |
-9080 | Information | None |
COMPLETION OF FOLLOW-UP ASSESSMENTS The allowable completion dates for the first and any subsequent follow-up assessments will be calculated relative to the start of care date. Follow-up assessments must be completed every 60 days that a patient is under care. Each time a follow-up assessment is due, it should be completed on or after the 56th day and on or before the 60th day of the period. More formally, the rules can be stated as follows: -Let j be the follow-up period number (i.e., 1=first follow-up period, 2=second follow-up period, etc.). -Let SOC be the start of care date (M0030_START_CARE_DT). -Let FCD be the completion date (M0090_INFO_COMPLETED_DT) of a follow-up assessment. Given these symbols, the rule for completion of follow-up assessments is as follows: SOC + (60*j) - 5 <= FCD <= SOC + (60*j) - 1 Where j=1, 2, 3, etc. If a patient is under care by a home health agency during one of the follow-up windows defined above, a follow-up assessment must be submitted. An exception to this rule can occur if a patient resumes care following an inpatient stay and if the resumption of care date (M0032_ROC_DT) falls within one of the follow-up windows. In this case, the home health agency should submit an RFA 03 resumption of care (after inpatient stay) (M0100_ASSMT_REASON=[03]) instead of the normal follow-up assessment. Submission of such a resumption of care assessment fulfills the requirement for the follow-up assessment because it includes all of the data items contained in the normal follow-up assessment. |
-9160 | Information | None |
The Item Subset Code (ISC) is a two-character code that indicates the type of record that is being submitted. The set of active items is controlled by the ISC. The ISC is defined as follows: If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [01] then ITM_SBST_CD = [01] If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [03] then ITM_SBST_CD = [03] If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [04] then ITM_SBST_CD = [04] If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [05] then ITM_SBST_CD = [05] If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [06] then ITM_SBST_CD = [06] If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [07] then ITM_SBST_CD = [07] If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [08] then ITM_SBST_CD = [08] If TRANS_TYPE_CD = [1,2] and M0100_ASSMT_REASON = [09] then ITM_SBST_CD = [09] If TRANS_TYPE_CD = [3] and M0100_ASSMT_REASON = [01-09] then ITM_SBST_CD = [XX] For a more complete explanation of the meaning and use of the ISC codes, please refer to the documentation that accompanies these data specifications. |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 05/08/2018 01:14:05 PM