OASIS Item Summary
Item |
Group |
Type |
Length |
Fixed Start-End |
Description |
ASMT_SYS_CD | Control | Code | 10 | 1-10 | Assessment system code |
TRANS_TYPE_CD | Control | Code | 1 | 11-11 | Transaction type code |
ITM_SBST_CD | Control | Code | 3 | 12-14 | Item subset code |
ITM_SET_VRSN_CD | Control | Code | 10 | 15-24 | Item set version code |
SPEC_VRSN_CD | Control | Code | 10 | 25-34 | Specifications version code |
CORRECTION_NUM | Control | Number | 2 | 35-36 | Correction number |
STATE_CD | Control | Code | 2 | 37-38 | Agency"s state postal code |
HHA_AGENCY_ID | Control | Text | 16 | 39-54 | Assigned agency submission ID |
NATL_PRVDR_ID | Control | Text | 10 | 55-64 | Agency National Provider ID (NPI) |
SFW_ID | Control | Text | 9 | 65-73 | Software vendor federal employer tax ID |
SFW_NAME | Control | Text | 30 | 74-103 | Software vendor company name |
SFW_EMAIL_ADR | Control | Text | 50 | 104-153 | Software vendor email address |
SFW_PROD_NAME | Control | Text | 50 | 154-203 | Software product name |
SFW_PROD_VRSN_CD | Control | Text | 20 | 204-223 | Software product version code |
ACY_DOC_CD | Control | Text | 20 | 224-243 | Document ID code (agency use) |
SUBM_HIPPS_CODE | Control | Text | 5 | 244-248 | HIPPS group code: submitted |
SUBM_HIPPS_VERSION | Control | Text | 5 | 249-253 | HIPPS version code: submitted |
CONTROL_ITEMS_FILLER | Filler | Filler | 200 | 1061-1260 | Control items filler |
M0010_CCN | Asmt | Text | 6 | 254-259 | Facility CMS certification number (CCN) |
M0014_BRANCH_STATE | Asmt | Code | 2 | 260-261 | Branch state |
M0016_BRANCH_ID | Asmt | Text | 10 | 262-271 | Branch ID |
M0018_PHYSICIAN_ID | Asmt | Text | 10 | 272-281 | Attending physician National Provider ID (NPI) |
M0018_PHYSICIAN_UK | Asmt | Code | 1 | 282-282 | Attending physician NPI: Unknown |
M0020_PAT_ID | Asmt | Text | 20 | 283-302 | Patient ID number |
M0030_START_CARE_DT | Asmt | Date | 8 | 303-310 | Start of care date |
M0032_ROC_DT | Asmt | Date | 8 | 311-318 | Resumption of care date |
M0032_ROC_DT_NA | Asmt | Code | 1 | 319-319 | No resumption of care date |
M0040_PAT_FNAME | Asmt | Text | 12 | 320-331 | Patient"s first name |
M0040_PAT_MI | Asmt | Text | 1 | 332-332 | Patient"s middle initial |
M0040_PAT_LNAME | Asmt | Text | 18 | 333-350 | Patient"s last name |
M0040_PAT_SUFFIX | Asmt | Text | 3 | 351-353 | Patient"s suffix |
M0050_PAT_ST | Asmt | Code | 2 | 354-355 | Patient state of residence |
M0060_PAT_ZIP | Asmt | Text | 11 | 356-366 | Patient zip code |
M0063_MEDICARE_NUM | Asmt | Text | 12 | 367-378 | Medicare number, including suffix |
M0063_MEDICARE_NA | Asmt | Code | 1 | 379-379 | No Medicare number |
M0064_SSN | Asmt | Text | 9 | 380-388 | Patient"s Social Security number |
M0064_SSN_UK | Asmt | Code | 1 | 389-389 | No Social Security number |
M0065_MEDICAID_NUM | Asmt | Text | 14 | 390-403 | Medicaid number |
M0065_MEDICAID_NA | Asmt | Code | 1 | 404-404 | No Medicaid number |
M0066_PAT_BIRTH_DT | Asmt | Date | 8 | 405-412 | Date of birth |
M0069_PAT_GENDER | Asmt | Code | 1 | 413-413 | Gender |
M0140_ETHNIC_AI_AN | Asmt | Code | 1 | 414-414 | Ethnicity: American Indian or Alaska Native |
M0140_ETHNIC_ASIAN | Asmt | Code | 1 | 415-415 | Ethnicity: Asian |
M0140_ETHNIC_BLACK | Asmt | Code | 1 | 416-416 | Ethnicity: Black or African American |
M0140_ETHNIC_HISP | Asmt | Code | 1 | 417-417 | Ethnicity: Hispanic or Latino |
M0140_ETHNIC_NH_PI | Asmt | Code | 1 | 418-418 | Ethnicity: Native Hawaiian/Pacific Islander |
M0140_ETHNIC_WHITE | Asmt | Code | 1 | 419-419 | Ethnicity: White |
M0150_CPAY_NONE | Asmt | Code | 1 | 420-420 | Payment sources: no charge for current services |
M0150_CPAY_MCARE_FFS | Asmt | Code | 1 | 421-421 | Payment sources: Medicare fee-for-service |
M0150_CPAY_MCARE_HMO | Asmt | Code | 1 | 422-422 | Payment sources: Medicare HMO/managed care |
M0150_CPAY_MCAID_FFS | Asmt | Code | 1 | 423-423 | Payment sources: Medicaid fee-for-service |
M0150_CPAY_MCAID_HMO | Asmt | Code | 1 | 424-424 | Payment sources: Medicaid HMO/managed care |
M0150_CPAY_WRKCOMP | Asmt | Code | 1 | 425-425 | Payment sources: worker"s compensation |
M0150_CPAY_TITLEPGMS | Asmt | Code | 1 | 426-426 | Payment sources: title programs |
M0150_CPAY_OTH_GOVT | Asmt | Code | 1 | 427-427 | Payment sources: other government |
M0150_CPAY_PRIV_INS | Asmt | Code | 1 | 428-428 | Payment sources: private insurance |
M0150_CPAY_PRIV_HMO | Asmt | Code | 1 | 429-429 | Payment sources: private HMO/managed care |
M0150_CPAY_SELFPAY | Asmt | Code | 1 | 430-430 | Payment sources: self-pay |
M0150_CPAY_OTHER | Asmt | Code | 1 | 431-431 | Payment sources: other |
M0150_CPAY_UK | Asmt | Code | 1 | 432-432 | Payment sources: unknown |
M0080_ASSESSOR_DISCIPLINE | Asmt | Code | 2 | 433-434 | Discipline of person completing assessment |
M0090_INFO_COMPLETED_DT | Asmt | Date | 8 | 435-442 | Date assessment completed |
M0100_ASSMT_REASON | Asmt | Code | 2 | 443-444 | Reason for assessment |
M0102_PHYSN_ORDRD_SOCROC_DT | Asmt | Date | 8 | 445-452 | Physician ordered SOC/ROC date |
M0102_PHYSN_ORDRD_SOCROC_DT_NA | Asmt | Code | 1 | 453-453 | Physician ordered SOC/ROC date - NA |
M0104_PHYSN_RFRL_DT | Asmt | Date | 8 | 454-461 | Physician date of referral |
M0110_EPISODE_TIMING | Asmt | Code | 2 | 462-463 | Episode timing |
M1000_DC_LTC_14_DA | Asmt | Code | 1 | 464-464 | Past 14 days: disch from LTC NH |
M1000_DC_SNF_14_DA | Asmt | Code | 1 | 465-465 | Past 14 days: disch from skilled nursing facility |
M1000_DC_IPPS_14_DA | Asmt | Code | 1 | 466-466 | Past 14 days: disch from short stay acute hospital |
M1000_DC_LTCH_14_DA | Asmt | Code | 1 | 467-467 | Past 14 days: disch from long term care hospital |
M1000_DC_IRF_14_DA | Asmt | Code | 1 | 468-468 | Past 14 days: disch from inpatient rehab facility |
M1000_DC_PSYCH_14_DA | Asmt | Code | 1 | 469-469 | Past 14 days: disch from psych hospital or unit |
M1000_DC_OTH_14_DA | Asmt | Code | 1 | 470-470 | Past 14 days: disch from other |
M1000_DC_NONE_14_DA | Asmt | Code | 1 | 471-471 | Past 14 days: not disch from inpatient facility |
M1005_INP_DISCHARGE_DT | Asmt | Date | 8 | 472-479 | Most recent inpatient discharge date |
M1005_INP_DSCHG_UNKNOWN | Asmt | Code | 1 | 480-480 | Inpatient discharge date unknown |
M1021_PRIMARY_DIAG_ICD | Asmt | ICD | 8 | 1359-1366 | Primary diagnosis ICD code |
M1021_PRIMARY_DIAG_SEVERITY | Asmt | Code | 2 | 1367-1368 | Primary diagnosis severity rating |
M1023_OTH_DIAG1_ICD | Asmt | ICD | 8 | 1369-1376 | Other diagnosis 1: ICD code |
M1023_OTH_DIAG1_SEVERITY | Asmt | Code | 2 | 1377-1378 | Other diagnosis 1: severity rating |
M1023_OTH_DIAG2_ICD | Asmt | ICD | 8 | 1379-1386 | Other diagnosis 2: ICD code |
M1023_OTH_DIAG2_SEVERITY | Asmt | Code | 2 | 1387-1388 | Other diagnosis 2: severity rating |
M1023_OTH_DIAG3_ICD | Asmt | ICD | 8 | 1389-1396 | Other diagnosis 3: ICD code |
M1023_OTH_DIAG3_SEVERITY | Asmt | Code | 2 | 1397-1398 | Other diagnosis 3: severity rating |
M1023_OTH_DIAG4_ICD | Asmt | ICD | 8 | 1399-1406 | Other diagnosis 4: ICD code |
M1023_OTH_DIAG4_SEVERITY | Asmt | Code | 2 | 1407-1408 | Other diagnosis 4: severity rating |
M1023_OTH_DIAG5_ICD | Asmt | ICD | 8 | 1409-1416 | Other diagnosis 5: ICD code |
M1023_OTH_DIAG5_SEVERITY | Asmt | Code | 2 | 1417-1418 | Other diagnosis 5: severity rating |
M1028_ACTV_DIAG_PVD_PAD | Asmt | Code | 1 | 1553-1553 | Active Diagnoses - PVD or PAD |
M1028_ACTV_DIAG_DM | Asmt | Code | 1 | 1554-1554 | Active Diagnoses - Diabetes Mellitus |
M1028_ACTV_DIAG_NOA | Asmt | Code | 1 | 1627-1627 | Active Diagnoses - None of the above |
M1030_THH_IV_INFUSION | Asmt | Code | 1 | 743-743 | Therapies received at home: intravenous, infusion |
M1030_THH_PAR_NUTRITION | Asmt | Code | 1 | 744-744 | Therapies received at home: parenteral nutrition |
M1030_THH_ENT_NUTRITION | Asmt | Code | 1 | 745-745 | Therapies received at home: enteral nutrition |
M1030_THH_NONE_ABOVE | Asmt | Code | 1 | 746-746 | Therapies received at home: none of the above |
M1033_HOSP_RISK_HSTRY_FALLS | Asmt | Code | 1 | 1515-1515 | Hosp risk: 2+ falls or injury fall in past year |
M1033_HOSP_RISK_WEIGHT_LOSS | Asmt | Code | 1 | 1516-1516 | Hosp risk: unintentional weight loss |
M1033_HOSP_RISK_MLTPL_HOSPZTN | Asmt | Code | 1 | 1517-1517 | Hosp risk: 2+ hospitalizations in past 6 months |
M1033_HOSP_RISK_MLTPL_ED_VISIT | Asmt | Code | 1 | 1518-1518 | Hosp risk: 2+ emergcy dept visits in past 6 months |
M1033_HOSP_RISK_MNTL_BHV_DCLN | Asmt | Code | 1 | 1519-1519 | Hosp risk: decline mental/emotional/behav status |
M1033_HOSP_RISK_COMPLIANCE | Asmt | Code | 1 | 1520-1520 | Hosp risk: difficulty with medical instructions |
M1033_HOSP_RISK_5PLUS_MDCTN | Asmt | Code | 1 | 1521-1521 | Hosp risk: taking five or more medications |
M1033_HOSP_RISK_CRNT_EXHSTN | Asmt | Code | 1 | 1522-1522 | Hosp risk: current exhaustion |
M1033_HOSP_RISK_OTHR_RISK | Asmt | Code | 1 | 1523-1523 | Hosp risk: other risk(s) not listed |
M1033_HOSP_RISK_NONE_ABOVE | Asmt | Code | 1 | 1524-1524 | Hosp risk: none of the above |
M1041_IN_INFLNZ_SEASON | Asmt | Code | 1 | 1525-1525 | Does episode include Oct 1 thru Mar 31 |
M1046_INFLNZ_RECD_CRNT_SEASON | Asmt | Code | 2 | 1526-1527 | Did patient receive influenza vaccine |
M1051_PVX_RCVD_AGNCY | Asmt | Code | 1 | 1528-1528 | Was pneumococcal vaccine received |
M1056_PVX_RSN_NOT_RCVD_AGNCY | Asmt | Code | 2 | 1529-1530 | If pneumococcal vacc not received, state reason |
M1060_HEIGHT_A | Asmt | Number | 2 | 1555-1556 | Height (in inches) |
M1060_WEIGHT_B | Asmt | Number | 3 | 1557-1559 | Weight (in pounds) |
M1100_PTNT_LVG_STUTN | Asmt | Code | 2 | 769-770 | Patient living situation |
M1200_VISION | Asmt | Code | 2 | 771-772 | Sensory status: vision |
M1242_PAIN_FREQ_ACTVTY_MVMT | Asmt | Code | 2 | 781-782 | Freq of pain interfering with pt activity/movement |
M1306_UNHLD_STG2_PRSR_ULCR | Asmt | Code | 1 | 786-786 | Patient has 1+ unhealed PU/injury at stage 2+ |
M1307_OLDST_STG2_AT_DSCHRG | Asmt | Code | 2 | 787-788 | Status of oldest stage 2 pressure ulcer at disch |
M1307_OLDST_STG2_ONST_DT | Asmt | Date | 8 | 789-796 | Date of onset of oldest stage 2 pressure ulcer |
M1311_NBR_PRSULC_STG2_A1 | Asmt | Number | 2 | 1560-1561 | Number of Stage 2 Pressure Ulcers |
M1311_NBR_ULC_SOCROC_STG2_A2 | Asmt | Number | 2 | 1562-1563 | Number of Stage 2 pressure ulcers at SOC/ROC |
M1311_NBR_PRSULC_STG3_B1 | Asmt | Number | 2 | 1564-1565 | Number of Stage 3 Pressure Ulcers |
M1311_NBR_ULC_SOCROC_STG3_B2 | Asmt | Number | 2 | 1566-1567 | Number of Stage 3 pressure ulcers at SOC/ROC |
M1311_NBR_PRSULC_STG4_C1 | Asmt | Number | 2 | 1568-1569 | Number of Stage 4 Pressure Ulcers |
M1311_NBR_ULC_SOCROC_STG4_C2 | Asmt | Number | 2 | 1570-1571 | Number of Stage 4 pressure ulcers at SOC/ROC |
M1311_NSTG_DRSG_D1 | Asmt | Number | 2 | 1572-1573 | Num unstage pressure ulcer non-remov dress |
M1311_NSTG_DRSG_SOCROC_D2 | Asmt | Number | 2 | 1574-1575 | Num unstage pressure ulcer non-remov dress SOC/ROC |
M1311_NSTG_CVRG_E1 | Asmt | Number | 2 | 1576-1577 | Unstageable: coverage by slough or eschar |
M1311_NSTG_CVRG_SOCROC_E2 | Asmt | Number | 2 | 1578-1579 | Unstageable: coverage by slough or eschar SOC/ROC |
M1311_NSTG_DEEP_TSUE_F1 | Asmt | Number | 2 | 1580-1581 | Unstageable: suspect deep tissue injury |
M1311_NSTG_DEEP_TSUE_SOCROC_F2 | Asmt | Number | 2 | 1582-1583 | Unstageable: suspect deep tissue injury SOC/ROC |
M1322_NBR_PRSULC_STG1 | Asmt | Code | 2 | 835-836 | Number of stage 1 pressure injuries |
M1324_STG_PRBLM_ULCER | Asmt | Code | 2 | 837-838 | Stage of most problematic pressure ulcer/injury |
M1330_STAS_ULCR_PRSNT | Asmt | Code | 2 | 839-840 | Does this patient have a stasis ulcer |
M1332_NBR_STAS_ULCR | Asmt | Code | 2 | 841-842 | Number of stasis ulcers |
M1334_STUS_PRBLM_STAS_ULCR | Asmt | Code | 2 | 843-844 | Status of most problematic stasis ulcer |
M1340_SRGCL_WND_PRSNT | Asmt | Code | 2 | 845-846 | Does this patient have a surgical wound |
M1342_STUS_PRBLM_SRGCL_WND | Asmt | Code | 2 | 847-848 | Status of most problematic surgical wound |
M1400_WHEN_DYSPNEIC | Asmt | Code | 2 | 850-851 | When dyspneic |
M1600_UTI | Asmt | Code | 2 | 864-865 | Treated for urinary tract infection past 14 days |
M1610_UR_INCONT | Asmt | Code | 2 | 866-867 | Urinary incontinence or urinary catheter present |
M1620_BWL_INCONT | Asmt | Code | 2 | 870-871 | Bowel incontinence frequency |
M1630_OSTOMY | Asmt | Code | 2 | 872-873 | Ostomy for bowel elimination |
M1700_COG_FUNCTION | Asmt | Code | 2 | 874-875 | Cognitive functioning |
M1710_WHEN_CONFUSED | Asmt | Code | 2 | 876-877 | When confused (reported or observed) |
M1720_WHEN_ANXIOUS | Asmt | Code | 2 | 878-879 | When anxious (reported or observed) |
M1730_STDZ_DPRSN_SCRNG | Asmt | Code | 2 | 880-881 | Screened for depression using validated tool |
M1730_PHQ2_LACK_INTRST | Asmt | Code | 2 | 882-883 | PHQ2: little interest or pleasure in doing things |
M1730_PHQ2_DPRSN | Asmt | Code | 2 | 884-885 | PHQ2: feeling down, depressed or hopeless |
M1740_BD_MEM_DEFICIT | Asmt | Code | 1 | 886-886 | Behavior demonstrated: memory deficit |
M1740_BD_IMP_DECISN | Asmt | Code | 1 | 887-887 | Behavior demonstrated: impaired decision-making |
M1740_BD_VERBAL | Asmt | Code | 1 | 888-888 | Behavior demonstrated: verbal disruption |
M1740_BD_PHYSICAL | Asmt | Code | 1 | 889-889 | Behavior demonstrated: physical aggression |
M1740_BD_SOC_INAPPRO | Asmt | Code | 1 | 890-890 | Behavior demonstrated: socially inappropriate |
M1740_BD_DELUSIONS | Asmt | Code | 1 | 891-891 | Behavior demonstrated: delusions |
M1740_BD_NONE | Asmt | Code | 1 | 892-892 | Behavior demonstrated: none of the above |
M1745_BEH_PROB_FREQ | Asmt | Code | 2 | 893-894 | Frequency of behavior problems |
M1800_CRNT_GROOMING | Asmt | Code | 2 | 896-897 | Current: grooming |
M1810_CRNT_DRESS_UPPER | Asmt | Code | 2 | 898-899 | Current: dress upper body |
M1820_CRNT_DRESS_LOWER | Asmt | Code | 2 | 900-901 | Current: dress lower body |
M1830_CRNT_BATHG | Asmt | Code | 2 | 902-903 | Current: bathing |
M1840_CRNT_TOILTG | Asmt | Code | 2 | 904-905 | Current: toileting |
M1845_CRNT_TOILTG_HYGN | Asmt | Code | 2 | 906-907 | Current: toileting hygiene |
M1850_CRNT_TRNSFRNG | Asmt | Code | 2 | 908-909 | Current: transferring |
M1860_CRNT_AMBLTN | Asmt | Code | 2 | 910-911 | Current: ambulation |
M1870_CRNT_FEEDING | Asmt | Code | 2 | 912-913 | Current: feeding |
M1910_MLT_FCTR_FALL_RISK_ASMT | Asmt | Code | 2 | 926-927 | Has patient had a multi-factor fall risk asmt |
M2001_DRUG_RGMN_RVW | Asmt | Code | 1 | 1608-1608 | Drug regimen review |
M2003_MDCTN_FLWP | Asmt | Code | 1 | 1609-1609 | Medication follow-up |
M2005_MDCTN_INTRVTN | Asmt | Code | 1 | 1610-1610 | Medication intervention |
M2010_HIGH_RISK_DRUG_EDCTN | Asmt | Code | 2 | 933-934 | Patient/caregiver high risk drug education |
M2016_DRUG_EDCTN_INTRVTN | Asmt | Code | 2 | 1611-1612 | Patient/caregiver drug education intervention |
M2020_CRNT_MGMT_ORAL_MDCTN | Asmt | Code | 2 | 937-938 | Current: management of oral medications |
M2030_CRNT_MGMT_INJCTN_MDCTN | Asmt | Code | 2 | 939-940 | Current: management of injectable medications |
M2102_CARE_TYPE_SRC_ADL | Asmt | Code | 2 | 1537-1538 | Care mgmt, types/sources: ADL |
M2102_CARE_TYPE_SRC_MDCTN | Asmt | Code | 2 | 1541-1542 | Care mgmt, types/sources: med admin |
M2102_CARE_TYPE_SRC_PRCDR | Asmt | Code | 2 | 1543-1544 | Care mgmt, types/sources: med procs tx |
M2102_CARE_TYPE_SRC_SPRVSN | Asmt | Code | 2 | 1547-1548 | Care mgmt, types/sources: supervision and safety |
M2200_THER_NEED_NBR | Asmt | Number | 3 | 961-963 | Therapy need: number of visits indicated |
M2200_THER_NEED_NA | Asmt | Code | 1 | 964-964 | Therapy need: not applicable |
M2301_EMER_USE_AFTR_LAST_ASMT | Asmt | Code | 2 | 1613-1614 | Emergent care: use since most recent SOC/ROC |
M2310_ECR_MEDICATION | Asmt | Code | 1 | 981-981 | Emergent care reason: medication |
M2310_ECR_HYPOGLYC | Asmt | Code | 1 | 990-990 | Emergent care reason: hypoglycemia/hyperglycemia |
M2310_ECR_OTHER | Asmt | Code | 1 | 999-999 | Emergent care reason: other than above |
M2310_ECR_UNKNOWN | Asmt | Code | 1 | 1000-1000 | Emergent care reason: unknown |
M2401_INTRVTN_SMRY_DBTS_FT | Asmt | Code | 2 | 1615-1616 | Intervention synopsis: diabetic foot care |
M2401_INTRVTN_SMRY_FALL_PRVNT | Asmt | Code | 2 | 1617-1618 | Intervention synopsis: falls prevention |
M2401_INTRVTN_SMRY_DPRSN | Asmt | Code | 2 | 1619-1620 | Intervention synopsis: depression intervention |
M2401_INTRVTN_SMRY_PAIN_MNTR | Asmt | Code | 2 | 1621-1622 | Intervention synopsis: monitor and mitigate pain |
M2401_INTRVTN_SMRY_PRSULC_PRVN | Asmt | Code | 2 | 1623-1624 | Intervention synopsis: prevent pressure ulcers |
M2401_INTRVTN_SMRY_PRSULC_WET | Asmt | Code | 2 | 1625-1626 | Intervention synopsis: PU moist wound treatment |
M2410_INPAT_FACILITY | Asmt | Code | 2 | 1013-1014 | Inpatient facility |
M2420_DSCHRG_DISP | Asmt | Code | 2 | 1015-1016 | Discharge disposition |
M0906_DC_TRAN_DTH_DT | Asmt | Date | 8 | 1053-1060 | Discharge, transfer, death date |
GG0100A | Asmt | Code | 1 | 1628-1628 | Prior Function - Self Care |
GG0100B | Asmt | Code | 1 | 1629-1629 | Prior Function - Indoor Mobility (Ambulation) |
GG0100C | Asmt | Code | 1 | 1630-1630 | Prior Function - Stairs |
GG0100D | Asmt | Code | 1 | 1631-1631 | Prior Function - Functional Cognition |
GG0110A | Asmt | Code | 1 | 1632-1632 | Prior Device - Manual wheelchair |
GG0110B | Asmt | Code | 1 | 1633-1633 | Prior Device - Motorized wheelchair and/or scooter |
GG0110C | Asmt | Code | 1 | 1634-1634 | Prior Device - Mechanical lift |
GG0110D | Asmt | Code | 1 | 1635-1635 | Prior Device - Walker |
GG0110E | Asmt | Code | 1 | 1636-1636 | Prior Device - Orthotics/Prosthetics |
GG0110Z | Asmt | Code | 1 | 1637-1637 | Prior Device - None of the above |
GG0130A1 | Asmt | Code | 2 | 1638-1639 | Eating (SOC/ROC Perf) |
GG0130A2 | Asmt | Code | 2 | 1640-1641 | Eating (Dschg Goal) |
GG0130A3 | Asmt | Code | 2 | 1642-1643 | Eating (Dischg Perf) |
GG0130A4 | Asmt | Code | 2 | 1644-1645 | Eating (Follow-Up Perf) |
GG0130B1 | Asmt | Code | 2 | 1646-1647 | Oral Hygiene (SOC/ROC Perf) |
GG0130B2 | Asmt | Code | 2 | 1648-1649 | Oral Hygiene (Dschrg Goal) |
GG0130B3 | Asmt | Code | 2 | 1650-1651 | Oral Hygiene (Dschrg Perf) |
GG0130B4 | Asmt | Code | 2 | 1652-1653 | Oral Hygiene (Follow-Up Perf) |
GG0130C1 | Asmt | Code | 2 | 1654-1655 | Toileting hygiene (SOC/ROC Perf) |
GG0130C2 | Asmt | Code | 2 | 1656-1657 | Toileting hygiene (Dschrg Goal) |
GG0130C3 | Asmt | Code | 2 | 1658-1659 | Toileting hygiene (Dschrg Perf) |
GG0130C4 | Asmt | Code | 2 | 1660-1661 | Toileting hygiene (Follow-Up Perf) |
GG0130E1 | Asmt | Code | 2 | 1662-1663 | Shower/bathe self (SOC/ROC Perf) |
GG0130E2 | Asmt | Code | 2 | 1664-1665 | Shower/bathe self (Dschrg Goal) |
GG0130E3 | Asmt | Code | 2 | 1666-1667 | Shower/bathe self (Dschrg Perf) |
GG0130F1 | Asmt | Code | 2 | 1668-1669 | Upper body dressing (SOC/ROC Perf) |
GG0130F2 | Asmt | Code | 2 | 1670-1671 | Upper body dressing (Dschrg Goal) |
GG0130F3 | Asmt | Code | 2 | 1672-1673 | Upper body dressing (Dschrg Perf) |
GG0130G1 | Asmt | Code | 2 | 1674-1675 | Lower body dressing (SOC/ROC Perf) |
GG0130G2 | Asmt | Code | 2 | 1676-1677 | Lower body dressing (Dschrg Goal) |
GG0130G3 | Asmt | Code | 2 | 1678-1679 | Lower body dressing (Dschrg Perf) |
GG0130H1 | Asmt | Code | 2 | 1680-1681 | Put on/take off footwear (SOC/ROC Perf) |
GG0130H2 | Asmt | Code | 2 | 1682-1683 | Put on/take off footwear (Dschrg Goal) |
GG0130H3 | Asmt | Code | 2 | 1684-1685 | Put on/take off footwear (Dschrg Perf) |
GG0170A1 | Asmt | Code | 2 | 1686-1687 | Roll left and right (SOC/ROC Perf) |
GG0170A2 | Asmt | Code | 2 | 1688-1689 | Roll left and right (Dschrg Goal) |
GG0170A3 | Asmt | Code | 2 | 1690-1691 | Roll left and right (Dschrg Perf) |
GG0170A4 | Asmt | Code | 2 | 1692-1693 | Roll left and right (Follow-Up Perf) |
GG0170B1 | Asmt | Code | 2 | 1694-1695 | Sit to lying (SOC/ROC Perf) |
GG0170B2 | Asmt | Code | 2 | 1696-1697 | Sit to lying (Dschrg Goal) |
GG0170B3 | Asmt | Code | 2 | 1698-1699 | Sit to lying (Dschrg Perf) |
GG0170B4 | Asmt | Code | 2 | 1700-1701 | Sit to lying (Follow-Up Perf) |
GG0170C_MOBILITY_SOCROC_PERF | Asmt | Code | 2 | 1604-1605 | Lying to sitting on bed side (SOC/ROC Perf) |
GG0170C_MOBILITY_DSCHG_GOAL | Asmt | Code | 2 | 1606-1607 | Lying to sitting on bed side (Dschrg Goal) |
GG0170C3 | Asmt | Code | 2 | 1702-1703 | Lying to sitting on bed side (Dschrg Perf) |
GG0170C4 | Asmt | Code | 2 | 1704-1705 | Lying to sitting on bed side (Follow-Up Perf) |
GG0170D1 | Asmt | Code | 2 | 1706-1707 | Sit to stand (SOC/ROC Perf) |
GG0170D2 | Asmt | Code | 2 | 1708-1709 | Sit to stand (Dschrg Goal) |
GG0170D3 | Asmt | Code | 2 | 1710-1711 | Sit to stand (Dschrg Perf) |
GG0170D4 | Asmt | Code | 2 | 1712-1713 | Sit to stand (Follow-Up Perf) |
GG0170E1 | Asmt | Code | 2 | 1714-1715 | Chair/bed-to-chair transfer (SOC/ROC Perf) |
GG0170E2 | Asmt | Code | 2 | 1716-1717 | Chair/bed-to-chair transfer (Dschrg Goal) |
GG0170E3 | Asmt | Code | 2 | 1718-1719 | Chair/bed-to-chair transfer (Dschrg Perf) |
GG0170E4 | Asmt | Code | 2 | 1720-1721 | Chair/bed-to-chair transfer (Follow-Up Perf) |
GG0170F1 | Asmt | Code | 2 | 1722-1723 | Toilet transfer (SOC/ROC Perf) |
GG0170F2 | Asmt | Code | 2 | 1724-1725 | Toilet transfer (Dschrg Goal) |
GG0170F3 | Asmt | Code | 2 | 1726-1727 | Toilet transfer (Dschrg Perf) |
GG0170F4 | Asmt | Code | 2 | 1728-1729 | Toilet transfer (Follow-Up Perf) |
GG0170G1 | Asmt | Code | 2 | 1730-1731 | Car transfer (SOC/ROC Perf) |
GG0170G2 | Asmt | Code | 2 | 1732-1733 | Car transfer (Dschrg Goal) |
GG0170G3 | Asmt | Code | 2 | 1734-1735 | Car transfer (Dschrg Perf) |
GG0170I1 | Asmt | Code | 2 | 1736-1737 | Walk 10 feet (SOC/ROC Perf) |
GG0170I2 | Asmt | Code | 2 | 1738-1739 | Walk 10 feet (Dschrg Goal) |
GG0170I3 | Asmt | Code | 2 | 1740-1741 | Walk 10 feet (Dschrg Perf) |
GG0170I4 | Asmt | Code | 2 | 1742-1743 | Walk 10 feet (Follow-Up Perf) |
GG0170J1 | Asmt | Code | 2 | 1744-1745 | Walk 50 feet with two turns (SOC/ROC Perf) |
GG0170J2 | Asmt | Code | 2 | 1746-1747 | Walk 50 feet with two turns (Dschrg Goal) |
GG0170J3 | Asmt | Code | 2 | 1748-1749 | Walk 50 feet with two turns (Dschrg Perf) |
GG0170J4 | Asmt | Code | 2 | 1750-1751 | Walk 50 feet with two turns (Follow-Up Perf) |
GG0170K1 | Asmt | Code | 2 | 1752-1753 | Walk 150 feet (SOC/ROC Perf) |
GG0170K2 | Asmt | Code | 2 | 1754-1755 | Walk 150 feet (Dschrg Goal) |
GG0170K3 | Asmt | Code | 2 | 1756-1757 | Walk 150 feet (Dschrg Perf) |
GG0170L1 | Asmt | Code | 2 | 1758-1759 | Walking 10 feet uneven surf (SOC/ROC Perf) |
GG0170L2 | Asmt | Code | 2 | 1760-1761 | Walking 10 feet uneven surf (Dschrg Goal) |
GG0170L3 | Asmt | Code | 2 | 1762-1763 | Walking 10 feet uneven surf (Dschrg Perf) |
GG0170L4 | Asmt | Code | 2 | 1764-1765 | Walking 10 feet uneven surf (Follow-Up Perf) |
GG0170M1 | Asmt | Code | 2 | 1766-1767 | 1 step (curb) (SOC/ROC Perf) |
GG0170M2 | Asmt | Code | 2 | 1768-1769 | 1 step (curb) (Dschrg Goal) |
GG0170M3 | Asmt | Code | 2 | 1770-1771 | 1 step (curb) (Dschrg Perf) |
GG0170M4 | Asmt | Code | 2 | 1772-1773 | 1 step (curb) (Follow-Up Perf) |
GG0170N1 | Asmt | Code | 2 | 1774-1775 | 4 steps (SOC/ROC Perf) |
GG0170N2 | Asmt | Code | 2 | 1776-1777 | 4 steps (Dschrg Goal) |
GG0170N3 | Asmt | Code | 2 | 1778-1779 | 4 steps (Dschrg Perf) |
GG0170N4 | Asmt | Code | 2 | 1780-1781 | 4 steps (Follow-Up Perf) |
GG0170O1 | Asmt | Code | 2 | 1782-1783 | 12 steps (SOC/ROC Perf) |
GG0170O2 | Asmt | Code | 2 | 1784-1785 | 12 steps (Dschrg Goal) |
GG0170O3 | Asmt | Code | 2 | 1786-1787 | 12 steps (Dschrg Perf) |
GG0170P1 | Asmt | Code | 2 | 1788-1789 | Picking up object (SOC/ROC Perf) |
GG0170P2 | Asmt | Code | 2 | 1790-1791 | Picking up object (Dschrg Goal) |
GG0170P3 | Asmt | Code | 2 | 1792-1793 | Picking up object (Dschrg Perf) |
GG0170Q1 | Asmt | Code | 1 | 1794-1794 | Use wheelchair and/or scooter (SOC/ROC Perf) |
GG0170Q3 | Asmt | Code | 1 | 1795-1795 | Use wheelchair and/or scooter (Dschrg Perf) |
GG0170Q4 | Asmt | Code | 1 | 1796-1796 | Use wheelchair and/or scooter (Follow-Up Perf) |
GG0170R1 | Asmt | Code | 2 | 1797-1798 | Wheel 50 feet with two turns (SOC/ROC Perf) |
GG0170R2 | Asmt | Code | 2 | 1799-1800 | Wheel 50 feet with two turns (Dschrg Goal) |
GG0170R3 | Asmt | Code | 2 | 1801-1802 | Wheel 50 feet with two turns (Dschrg Perf) |
GG0170R4 | Asmt | Code | 2 | 1803-1804 | Wheel 50 feet with two turns (Follow-Up Perf) |
GG0170RR1 | Asmt | Code | 1 | 1805-1805 | Type of wheelchair or scooter (SOC/ROC Perf) |
GG0170RR3 | Asmt | Code | 1 | 1806-1806 | Type of wheelchair or scooter (Dschg Perf) |
GG0170S1 | Asmt | Code | 2 | 1807-1808 | Wheel 150 feet (SOC/ROC Perf) |
GG0170S2 | Asmt | Code | 2 | 1809-1810 | Wheel 150 feet (Dschrg Goal) |
GG0170S3 | Asmt | Code | 2 | 1811-1812 | Wheel 150 feet (Dschrg Perf) |
GG0170SS1 | Asmt | Code | 1 | 1813-1813 | Type of wheelchair or scooter (SOC/ROC Perf) |
GG0170SS3 | Asmt | Code | 1 | 1814-1814 | Type of wheelchair or scooter (Dschrg Perf) |
J1800 | Asmt | Code | 1 | 1815-1815 | Falls since SOC/ROC: any falls |
J1900A | Asmt | Code | 1 | 1816-1816 | Num falls since SOC/ROC: no injury |
J1900B | Asmt | Code | 1 | 1817-1817 | Num falls since SOC/ROC: injury (except major) |
J1900C | Asmt | Code | 1 | 1818-1818 | Num falls since SOC/ROC: major injury |
ITEM_FILLER_001 | Filler | Filler | 7 | 481-487 | Filler: replaces M1010_14_DAY_INP1_ICD |
ITEM_FILLER_002 | Filler | Filler | 7 | 488-494 | Filler: replaces M1010_14_DAY_INP2_ICD |
ITEM_FILLER_003 | Filler | Filler | 7 | 495-501 | Filler: replaces M1010_14_DAY_INP3_ICD |
ITEM_FILLER_004 | Filler | Filler | 7 | 502-508 | Filler: replaces M1010_14_DAY_INP4_ICD |
ITEM_FILLER_005 | Filler | Filler | 7 | 509-515 | Filler: replaces M1010_14_DAY_INP5_ICD |
ITEM_FILLER_006 | Filler | Filler | 7 | 516-522 | Filler: replaces M1010_14_DAY_INP6_ICD |
ITEM_FILLER_007 | Filler | Filler | 7 | 523-529 | Filler: replaces M1012_INP_PRCDR1_ICD |
ITEM_FILLER_008 | Filler | Filler | 7 | 530-536 | Filler: replaces M1012_INP_PRCDR2_ICD |
ITEM_FILLER_009 | Filler | Filler | 7 | 537-543 | Filler: replaces M1012_INP_PRCDR3_ICD |
ITEM_FILLER_010 | Filler | Filler | 7 | 544-550 | Filler: replaces M1012_INP_PRCDR4_ICD |
ITEM_FILLER_011 | Filler | Filler | 1 | 551-551 | Filler: replaces M1012_INP_NA_ICD |
ITEM_FILLER_012 | Filler | Filler | 1 | 552-552 | Filler: replaces M1012_INP_UK_ICD |
ITEM_FILLER_013 | Filler | Filler | 7 | 553-559 | Filler: replaces M1016_CHGREG_ICD1 |
ITEM_FILLER_014 | Filler | Filler | 7 | 560-566 | Filler: replaces M1016_CHGREG_ICD2 |
ITEM_FILLER_015 | Filler | Filler | 7 | 567-573 | Filler: replaces M1016_CHGREG_ICD3 |
ITEM_FILLER_016 | Filler | Filler | 7 | 574-580 | Filler: replaces M1016_CHGREG_ICD4 |
ITEM_FILLER_017 | Filler | Filler | 7 | 581-587 | Filler: replaces M1016_CHGREG_ICD5 |
ITEM_FILLER_018 | Filler | Filler | 7 | 588-594 | Filler: replaces M1016_CHGREG_ICD6 |
ITEM_FILLER_019 | Filler | Filler | 1 | 595-595 | Filler: replaces M1016_CHGREG_ICD_NA |
ITEM_FILLER_020 | Filler | Filler | 7 | 605-611 | Filler: replaces M1020_PRIMARY_DIAG_ICD |
ITEM_FILLER_021 | Filler | Filler | 2 | 612-613 | Filler: replaces M1020_PRIMARY_DIAG_SEVERITY |
ITEM_FILLER_022 | Filler | Filler | 7 | 614-620 | Filler: replaces M1022_OTH_DIAG1_ICD |
ITEM_FILLER_023 | Filler | Filler | 2 | 621-622 | Filler: replaces M1022_OTH_DIAG1_SEVERITY |
ITEM_FILLER_024 | Filler | Filler | 7 | 623-629 | Filler: replaces M1022_OTH_DIAG2_ICD |
ITEM_FILLER_025 | Filler | Filler | 2 | 630-631 | Filler: replaces M1022_OTH_DIAG2_SEVERITY |
ITEM_FILLER_026 | Filler | Filler | 7 | 632-638 | Filler: replaces M1022_OTH_DIAG3_ICD |
ITEM_FILLER_027 | Filler | Filler | 2 | 639-640 | Filler: replaces M1022_OTH_DIAG3_SEVERITY |
ITEM_FILLER_028 | Filler | Filler | 7 | 641-647 | Filler: replaces M1022_OTH_DIAG4_ICD |
ITEM_FILLER_029 | Filler | Filler | 2 | 648-649 | Filler: replaces M1022_OTH_DIAG4_SEVERITY |
ITEM_FILLER_030 | Filler | Filler | 7 | 650-656 | Filler: replaces M1022_OTH_DIAG5_ICD |
ITEM_FILLER_031 | Filler | Filler | 2 | 657-658 | Filler: replaces M1022_OTH_DIAG5_SEVERITY |
ITEM_FILLER_032 | Filler | Filler | 7 | 659-665 | Filler: replaces M1024_PMT_DIAG_ICD_A3 |
ITEM_FILLER_033 | Filler | Filler | 7 | 666-672 | Filler: replaces M1024_PMT_DIAG_ICD_B3 |
ITEM_FILLER_034 | Filler | Filler | 7 | 673-679 | Filler: replaces M1024_PMT_DIAG_ICD_C3 |
ITEM_FILLER_035 | Filler | Filler | 7 | 680-686 | Filler: replaces M1024_PMT_DIAG_ICD_D3 |
ITEM_FILLER_036 | Filler | Filler | 7 | 687-693 | Filler: replaces M1024_PMT_DIAG_ICD_E3 |
ITEM_FILLER_037 | Filler | Filler | 7 | 694-700 | Filler: replaces M1024_PMT_DIAG_ICD_F3 |
ITEM_FILLER_038 | Filler | Filler | 7 | 701-707 | Filler: replaces M1024_PMT_DIAG_ICD_A4 |
ITEM_FILLER_039 | Filler | Filler | 7 | 708-714 | Filler: replaces M1024_PMT_DIAG_ICD_B4 |
ITEM_FILLER_040 | Filler | Filler | 7 | 715-721 | Filler: replaces M1024_PMT_DIAG_ICD_C4 |
ITEM_FILLER_041 | Filler | Filler | 7 | 722-728 | Filler: replaces M1024_PMT_DIAG_ICD_D4 |
ITEM_FILLER_042 | Filler | Filler | 7 | 729-735 | Filler: replaces M1024_PMT_DIAG_ICD_E4 |
ITEM_FILLER_043 | Filler | Filler | 7 | 736-742 | Filler: replaces M1024_PMT_DIAG_ICD_F4 |
ITEM_FILLER_044 | Filler | Filler | 1 | 747-747 | Filler: replaces M1032_HOSP_RISK_RCNT_DCLN |
ITEM_FILLER_045 | Filler | Filler | 1 | 748-748 | Filler: replaces M1032_HOSP_RISK_MLTPL_HOSPZTN |
ITEM_FILLER_046 | Filler | Filler | 1 | 749-749 | Filler: replaces M1032_HOSP_RISK_HSTRY_FALLS |
ITEM_FILLER_047 | Filler | Filler | 1 | 750-750 | Filler: replaces M1032_HOSP_RISK_5PLUS_MDCTN |
ITEM_FILLER_048 | Filler | Filler | 1 | 751-751 | Filler: replaces M1032_HOSP_RISK_FRAILTY |
ITEM_FILLER_049 | Filler | Filler | 1 | 752-752 | Filler: replaces M1032_HOSP_RISK_OTHR |
ITEM_FILLER_050 | Filler | Filler | 1 | 753-753 | Filler: replaces M1032_HOSP_RISK_NONE_ABOVE |
ITEM_FILLER_051 | Filler | Filler | 2 | 762-763 | Filler: replaces M1040_INFLNZ_RCVD_AGNCY |
ITEM_FILLER_052 | Filler | Filler | 2 | 764-765 | Filler: replaces M1045_INFLNZ_RSN_NOT_RCVD |
ITEM_FILLER_053 | Filler | Filler | 1 | 766-766 | Filler: replaces M1050_PPV_RCVD_AGNCY |
ITEM_FILLER_054 | Filler | Filler | 2 | 767-768 | Filler: replaces M1055_PPV_RSN_NOT_RCVD_AGNCY |
ITEM_FILLER_055 | Filler | Filler | 2 | 799-800 | Filler: replaces M1308_NBR_STG2_AT_SOC_ROC |
ITEM_FILLER_056 | Filler | Filler | 2 | 803-804 | Filler: replaces M1308_NBR_STG3_AT_SOC_ROC |
ITEM_FILLER_057 | Filler | Filler | 2 | 807-808 | Filler: replaces M1308_NBR_STG4_AT_SOC_ROC |
ITEM_FILLER_058 | Filler | Filler | 2 | 811-812 | Filler: replaces M1308_NSTG_DRSG_SOC_ROC |
ITEM_FILLER_059 | Filler | Filler | 2 | 815-816 | Filler: replaces M1308_NSTG_CVRG_SOC_ROC |
ITEM_FILLER_060 | Filler | Filler | 2 | 819-820 | Filler: replaces M1308_NSTG_DEEP_TISUE_SOC_ROC |
ITEM_FILLER_061 | Filler | Filler | 4 | 821-824 | Filler: replaces M1310_PRSR_ULCR_LNGTH |
ITEM_FILLER_062 | Filler | Filler | 4 | 825-828 | Filler: replaces M1312_PRSR_ULCR_WDTH |
ITEM_FILLER_063 | Filler | Filler | 4 | 829-832 | Filler: replaces M1314_PRSR_ULCR_DEPTH |
ITEM_FILLER_064 | Filler | Filler | 2 | 945-946 | Filler: replaces M2100_CARE_TYPE_SRC_ADL |
ITEM_FILLER_065 | Filler | Filler | 2 | 947-948 | Filler: replaces M2100_CARE_TYPE_SRC_IADL |
ITEM_FILLER_066 | Filler | Filler | 2 | 949-950 | Filler: replaces M2100_CARE_TYPE_SRC_MDCTN |
ITEM_FILLER_067 | Filler | Filler | 2 | 951-952 | Filler: replaces M2100_CARE_TYPE_SRC_PRCDR |
ITEM_FILLER_068 | Filler | Filler | 2 | 953-954 | Filler: replaces M2100_CARE_TYPE_SRC_EQUIP |
ITEM_FILLER_069 | Filler | Filler | 2 | 955-956 | Filler: replaces M2100_CARE_TYPE_SRC_SPRVSN |
ITEM_FILLER_070 | Filler | Filler | 2 | 957-958 | Filler: replaces M2100_CARE_TYPE_SRC_ADVCY |
ITEM_FILLER_071 | Filler | Filler | 1 | 1038-1038 | Filler: replaces M2440_NH_THERAPY |
ITEM_FILLER_072 | Filler | Filler | 1 | 1039-1039 | Filler: replaces M2440_NH_RESPITE |
ITEM_FILLER_073 | Filler | Filler | 1 | 1040-1040 | Filler: replaces M2440_NH_HOSPICE |
ITEM_FILLER_074 | Filler | Filler | 1 | 1041-1041 | Filler: replaces M2440_NH_PERMANENT |
ITEM_FILLER_075 | Filler | Filler | 1 | 1042-1042 | Filler: replaces M2440_NH_UNSAFE_HOME |
ITEM_FILLER_076 | Filler | Filler | 1 | 1043-1043 | Filler: replaces M2440_NH_OTHER |
ITEM_FILLER_077 | Filler | Filler | 1 | 1044-1044 | Filler: replaces M2440_NH_UNKNOWN |
ITEM_FILLER_078 | Filler | Filler | 2 | 797-798 | Filler: replaces M1308_NBR_PRSULC_STG2 |
ITEM_FILLER_079 | Filler | Filler | 2 | 801-802 | Filler: replaces M1308_NBR_PRSULC_STG3 |
ITEM_FILLER_080 | Filler | Filler | 2 | 805-806 | Filler: replaces M1308_NBR_PRSULC_STG4 |
ITEM_FILLER_081 | Filler | Filler | 2 | 813-814 | Filler: replaces M1308_NSTG_CVRG |
ITEM_FILLER_082 | Filler | Filler | 2 | 817-818 | Filler: replaces M1308_NSTG_DEEP_TISUE |
ITEM_FILLER_083 | Filler | Filler | 2 | 809-810 | Filler: replaces M1308_NSTG_DRSG |
ITEM_FILLER_084 | Filler | Filler | 2 | 1551-1552 | Filler: replaces M1309_NBR_NEW_WRS_PRSULC_NSTG |
ITEM_FILLER_085 | Filler | Filler | 2 | 1531-1532 | Filler: replaces M1309_NBR_NEW_WRS_PRSULC_STG2 |
ITEM_FILLER_086 | Filler | Filler | 2 | 1533-1534 | Filler: replaces M1309_NBR_NEW_WRS_PRSULC_STG3 |
ITEM_FILLER_087 | Filler | Filler | 2 | 1535-1536 | Filler: replaces M1309_NBR_NEW_WRS_PRSULC_STG4 |
ITEM_FILLER_088 | Filler | Filler | 2 | 856-857 | Filler: replaces M1500_SYMTM_HRT_FAILR_PTNTS |
ITEM_FILLER_089 | Filler | Filler | 1 | 858-858 | Filler: replaces M1510_HRT_FAILR_NO_ACTN |
ITEM_FILLER_090 | Filler | Filler | 1 | 859-859 | Filler: replaces M1510_HRT_FAILR_PHYSN_CNTCT |
ITEM_FILLER_091 | Filler | Filler | 1 | 860-860 | Filler: replaces M1510_HRT_FAILR_ER_TRTMT |
ITEM_FILLER_092 | Filler | Filler | 1 | 861-861 | Filler: replaces M1510_HRT_FAILR_PHYSN_TRTMT |
ITEM_FILLER_093 | Filler | Filler | 1 | 862-862 | Filler: replaces M1510_HRT_FAILR_CLNCL_INTRVTN |
ITEM_FILLER_094 | Filler | Filler | 1 | 863-863 | Filler: replaces M1510_HRT_FAILR_CARE_PLAN_CHG |
ITEM_FILLER_095 | Filler | Filler | 2 | 928-929 | Filler: replaces M2000_DRUG_RGMN_RVW |
ITEM_FILLER_096 | Filler | Filler | 1 | 930-930 | Filler: replaces M2002_MDCTN_FLWP |
ITEM_FILLER_097 | Filler | Filler | 2 | 931-932 | Filler: replaces M2004_MDCTN_INTRVTN |
ITEM_FILLER_098 | Filler | Filler | 2 | 935-936 | Filler: replaces M2015_DRUG_EDCTN_INTRVTN |
ITEM_FILLER_099 | Filler | Filler | 2 | 979-980 | Filler: replaces M2300_EMER_USE_AFTR_LAST_ASMT |
ITEM_FILLER_100 | Filler | Filler | 2 | 1001-1002 | Filler: replaces M2400_INTRVTN_SMRY_DBTS_FT |
ITEM_FILLER_101 | Filler | Filler | 2 | 1003-1004 | Filler: replaces M2400_INTRVTN_SMRY_FALL_PRVNT |
ITEM_FILLER_102 | Filler | Filler | 2 | 1005-1006 | Filler: replaces M2400_INTRVTN_SMRY_DPRSN |
ITEM_FILLER_103 | Filler | Filler | 2 | 1007-1008 | Filler: replaces M2400_INTRVTN_SMRY_PAIN_MNTR |
ITEM_FILLER_104 | Filler | Filler | 2 | 1009-1010 | Filler: replaces M2400_INTRVTN_SMRY_PRSULC_PRVN |
ITEM_FILLER_105 | Filler | Filler | 2 | 1011-1012 | Filler: replaces M2400_INTRVTN_SMRY_PRSULC_WET |
ITEM_FILLER_106 | Filler | Filler | 2 | 1539-1540 | Filler: replaces M2102_CARE_TYPE_SRC_IADL |
ITEM_FILLER_107 | Filler | Filler | 2 | 1545-1546 | Filler: replaces M2102_CARE_TYPE_SRC_EQUIP |
ITEM_FILLER_108 | Filler | Filler | 2 | 1549-1550 | Filler: replaces M2102_CARE_TYPE_SRC_ADVCY |
ITEM_FILLER_109 | Filler | Filler | 8 | 1261-1268 | Filler: replaces M1011_14_DAY_INP1_ICD |
ITEM_FILLER_110 | Filler | Filler | 8 | 1269-1276 | Filler: replaces M1011_14_DAY_INP2_ICD |
ITEM_FILLER_111 | Filler | Filler | 8 | 1277-1284 | Filler: replaces M1011_14_DAY_INP3_ICD |
ITEM_FILLER_112 | Filler | Filler | 8 | 1285-1292 | Filler: replaces M1011_14_DAY_INP4_ICD |
ITEM_FILLER_113 | Filler | Filler | 8 | 1293-1300 | Filler: replaces M1011_14_DAY_INP5_ICD |
ITEM_FILLER_114 | Filler | Filler | 8 | 1301-1308 | Filler: replaces M1011_14_DAY_INP6_ICD |
ITEM_FILLER_115 | Filler | Filler | 1 | 1309-1309 | Filler: replaces M1011_14_DAY_INP_NA |
ITEM_FILLER_116 | Filler | Filler | 8 | 1310-1317 | Filler: replaces M1017_CHGREG_ICD1 |
ITEM_FILLER_117 | Filler | Filler | 8 | 1318-1325 | Filler: replaces M1017_CHGREG_ICD2 |
ITEM_FILLER_118 | Filler | Filler | 8 | 1326-1333 | Filler: replaces M1017_CHGREG_ICD3 |
ITEM_FILLER_119 | Filler | Filler | 8 | 1334-1341 | Filler: replaces M1017_CHGREG_ICD4 |
ITEM_FILLER_120 | Filler | Filler | 8 | 1342-1349 | Filler: replaces M1017_CHGREG_ICD5 |
ITEM_FILLER_121 | Filler | Filler | 8 | 1350-1357 | Filler: replaces M1017_CHGREG_ICD6 |
ITEM_FILLER_122 | Filler | Filler | 1 | 1358-1358 | Filler: replaces M1017_CHGREG_ICD_NA |
ITEM_FILLER_123 | Filler | Filler | 1 | 596-596 | Filler: replaces M1018_PRIOR_UR_INCON |
ITEM_FILLER_124 | Filler | Filler | 1 | 597-597 | Filler: replaces M1018_PRIOR_CATH |
ITEM_FILLER_125 | Filler | Filler | 1 | 598-598 | Filler: replaces M1018_PRIOR_INTRACT_PAIN |
ITEM_FILLER_126 | Filler | Filler | 1 | 599-599 | Filler: replaces M1018_PRIOR_IMPR_DECSN |
ITEM_FILLER_127 | Filler | Filler | 1 | 600-600 | Filler: replaces M1018_PRIOR_DISRUPTIVE |
ITEM_FILLER_128 | Filler | Filler | 1 | 601-601 | Filler: replaces M1018_PRIOR_MEM_LOSS |
ITEM_FILLER_129 | Filler | Filler | 1 | 602-602 | Filler: replaces M1018_PRIOR_NONE |
ITEM_FILLER_130 | Filler | Filler | 1 | 603-603 | Filler: replaces M1018_PRIOR_NOCHG_14D |
ITEM_FILLER_131 | Filler | Filler | 1 | 604-604 | Filler: replaces M1018_PRIOR_UNKNOWN |
ITEM_FILLER_132 | Filler | Filler | 8 | 1419-1426 | Filler: replaces M1025_OPT_DIAG_ICD_A3 |
ITEM_FILLER_133 | Filler | Filler | 8 | 1427-1434 | Filler: replaces M1025_OPT_DIAG_ICD_A4 |
ITEM_FILLER_134 | Filler | Filler | 8 | 1435-1442 | Filler: replaces M1025_OPT_DIAG_ICD_B3 |
ITEM_FILLER_135 | Filler | Filler | 8 | 1443-1450 | Filler: replaces M1025_OPT_DIAG_ICD_B4 |
ITEM_FILLER_136 | Filler | Filler | 8 | 1451-1458 | Filler: replaces M1025_OPT_DIAG_ICD_C3 |
ITEM_FILLER_137 | Filler | Filler | 8 | 1459-1466 | Filler: replaces M1025_OPT_DIAG_ICD_C4 |
ITEM_FILLER_138 | Filler | Filler | 8 | 1467-1474 | Filler: replaces M1025_OPT_DIAG_ICD_D3 |
ITEM_FILLER_139 | Filler | Filler | 8 | 1475-1482 | Filler: replaces M1025_OPT_DIAG_ICD_D4 |
ITEM_FILLER_140 | Filler | Filler | 8 | 1483-1490 | Filler: replaces M1025_OPT_DIAG_ICD_E3 |
ITEM_FILLER_141 | Filler | Filler | 8 | 1491-1498 | Filler: replaces M1025_OPT_DIAG_ICD_E4 |
ITEM_FILLER_142 | Filler | Filler | 8 | 1499-1506 | Filler: replaces M1025_OPT_DIAG_ICD_F3 |
ITEM_FILLER_143 | Filler | Filler | 8 | 1507-1514 | Filler: replaces M1025_OPT_DIAG_ICD_F4 |
ITEM_FILLER_144 | Filler | Filler | 2 | 754-755 | Filler: replaces M1034_PTNT_OVRAL_STUS |
ITEM_FILLER_145 | Filler | Filler | 1 | 756-756 | Filler: replaces M1036_RSK_SMOKING |
ITEM_FILLER_146 | Filler | Filler | 1 | 757-757 | Filler: replaces M1036_RSK_OBESITY |
ITEM_FILLER_147 | Filler | Filler | 1 | 758-758 | Filler: replaces M1036_RSK_ALCOHOLISM |
ITEM_FILLER_148 | Filler | Filler | 1 | 759-759 | Filler: replaces M1036_RSK_DRUGS |
ITEM_FILLER_149 | Filler | Filler | 1 | 760-760 | Filler: replaces M1036_RSK_NONE |
ITEM_FILLER_150 | Filler | Filler | 1 | 761-761 | Filler: replaces M1036_RSK_UNKNOWN |
ITEM_FILLER_151 | Filler | Filler | 2 | 773-774 | Filler: replaces M1210_HEARG_ABLTY |
ITEM_FILLER_152 | Filler | Filler | 2 | 775-776 | Filler: replaces M1220_UNDRSTG_VERBAL_CNTNT |
ITEM_FILLER_153 | Filler | Filler | 2 | 777-778 | Filler: replaces M1230_SPEECH |
ITEM_FILLER_154 | Filler | Filler | 2 | 779-780 | Filler: replaces M1240_FRML_PAIN_ASMT |
ITEM_FILLER_155 | Filler | Filler | 2 | 783-784 | Filler: replaces M1300_PRSR_ULCR_RISK_ASMT |
ITEM_FILLER_156 | Filler | Filler | 1 | 785-785 | Filler: replaces M1302_RISK_OF_PRSR_ULCR |
ITEM_FILLER_157 | Filler | Filler | 2 | 1584-1585 | Filler: replaces M1313_NW_WS_PRSULC_STG2_A |
ITEM_FILLER_158 | Filler | Filler | 2 | 1586-1587 | Filler: replaces M1313_NW_WS_PRSULC_STG3_B |
ITEM_FILLER_159 | Filler | Filler | 2 | 1588-1589 | Filler: replaces M1313_NW_WS_PRSULC_STG4_C |
ITEM_FILLER_160 | Filler | Filler | 2 | 1590-1591 | Filler: replaces M1313_NW_WS_PRSULC_NSTG_DRSG_D |
ITEM_FILLER_161 | Filler | Filler | 2 | 1592-1593 | Filler: replaces M1313_NW_WS_PRSULC_NSTG_CVRG_E |
ITEM_FILLER_162 | Filler | Filler | 2 | 1594-1595 | Filler: replaces M1313_NW_WS_PRSULC_NSTG_TSUE_F |
ITEM_FILLER_163 | Filler | Filler | 2 | 833-834 | Filler: replaces M1320_STUS_PRBLM_PRSR_ULCR |
ITEM_FILLER_164 | Filler | Filler | 1 | 849-849 | Filler: replaces M1350_LESION_OPEN_WND |
ITEM_FILLER_166 | Filler | Filler | 2 | 1596-1597 | Filler: replaces M1501_SYMTM_HRT_FAILR_PTNTS |
ITEM_FILLER_167 | Filler | Filler | 1 | 1598-1598 | Filler: replaces M1511_HRT_FAILR_NO_ACTN |
ITEM_FILLER_168 | Filler | Filler | 1 | 1599-1599 | Filler: replaces M1511_HRT_FAILR_PHYSN_CNTCT |
ITEM_FILLER_169 | Filler | Filler | 1 | 1600-1600 | Filler: replaces M1511_HRT_FAILR_ER_TRTMT |
ITEM_FILLER_170 | Filler | Filler | 1 | 1601-1601 | Filler: replaces M1511_HRT_FAILR_PHYSN_TRTMT |
ITEM_FILLER_171 | Filler | Filler | 1 | 1602-1602 | Filler: replaces M1511_HRT_FAILR_CLNCL_INTRVTN |
ITEM_FILLER_172 | Filler | Filler | 1 | 1603-1603 | Filler: replaces M1511_HRT_FAILR_CARE_PLAN_CHG |
ITEM_FILLER_173 | Filler | Filler | 2 | 868-869 | Filler: replaces M1615_INCNTNT_TIMING |
ITEM_FILLER_174 | Filler | Filler | 1 | 895-895 | Filler: replaces M1750_REC_PSYCH_NURS |
ITEM_FILLER_175 | Filler | Filler | 2 | 914-915 | Filler: replaces M1880_CRNT_PREP_LT_MEALS |
ITEM_FILLER_176 | Filler | Filler | 2 | 916-917 | Filler: replaces M1890_CRNT_PHONE_USE |
ITEM_FILLER_177 | Filler | Filler | 2 | 941-942 | Filler: replaces M2040_PRIOR_MGMT_ORAL_MDCTN |
ITEM_FILLER_178 | Filler | Filler | 2 | 943-944 | Filler: replaces M2040_PRIOR_MGMT_INJCTN_MDCTN |
ITEM_FILLER_179 | Filler | Filler | 2 | 959-960 | Filler: replaces M2110_ADL_IADL_ASTNC_FREQ |
ITEM_FILLER_180 | Filler | Filler | 2 | 965-966 | Filler: replaces M2250_PLAN_SMRY_PTNT_SPECF |
ITEM_FILLER_181 | Filler | Filler | 2 | 967-968 | Filler: replaces M2250_PLAN_SMRY_DBTS_FT_CARE |
ITEM_FILLER_182 | Filler | Filler | 2 | 969-970 | Filler: replaces M2250_PLAN_SMRY_FALL_PRVNT |
ITEM_FILLER_183 | Filler | Filler | 2 | 971-972 | Filler: replaces M2250_PLAN_SMRY_DPRSN_INTRVTN |
ITEM_FILLER_184 | Filler | Filler | 2 | 973-974 | Filler: replaces M2250_PLAN_SMRY_PAIN_INTRVTN |
ITEM_FILLER_185 | Filler | Filler | 2 | 975-976 | Filler: replaces M2250_PLAN_SMRY_PRSULC_PRVNT |
ITEM_FILLER_186 | Filler | Filler | 2 | 977-978 | Filler: replaces M2250_PLAN_SMRY_PRSULC_TRTMT |
ITEM_FILLER_187 | Filler | Filler | 1 | 1017-1017 | Filler: replaces M2430_HOSP_MED |
ITEM_FILLER_188 | Filler | Filler | 1 | 1018-1018 | Filler: replaces M2430_HOSP_INJRY_BY_FALL |
ITEM_FILLER_189 | Filler | Filler | 1 | 1019-1019 | Filler: replaces M2430_HOSP_RSPRTRY_INFCTN |
ITEM_FILLER_190 | Filler | Filler | 1 | 1020-1020 | Filler: replaces M2430_HOSP_RSPRTRY_OTHR |
ITEM_FILLER_191 | Filler | Filler | 1 | 1021-1021 | Filler: replaces M2430_HOSP_HRT_FAILR |
ITEM_FILLER_192 | Filler | Filler | 1 | 1022-1022 | Filler: replaces M2430_HOSP_CRDC_DSRTHM |
ITEM_FILLER_193 | Filler | Filler | 1 | 1023-1023 | Filler: replaces M2430_HOSP_MI_CHST_PAIN |
ITEM_FILLER_194 | Filler | Filler | 1 | 1024-1024 | Filler: replaces M2430_HOSP_OTHR_HRT_DEASE |
ITEM_FILLER_195 | Filler | Filler | 1 | 1025-1025 | Filler: replaces M2430_HOSP_STROKE_TIA |
ITEM_FILLER_196 | Filler | Filler | 1 | 1026-1026 | Filler: replaces M2430_HOSP_HYPOGLYC |
ITEM_FILLER_197 | Filler | Filler | 1 | 1027-1027 | Filler: replaces M2430_HOSP_GI_PRBLM |
ITEM_FILLER_198 | Filler | Filler | 1 | 1028-1028 | Filler: replaces M2430_HOSP_DHYDRTN_MALNTR |
ITEM_FILLER_199 | Filler | Filler | 1 | 1029-1029 | Filler: replaces M2430_HOSP_UR_TRACT |
ITEM_FILLER_200 | Filler | Filler | 1 | 1030-1030 | Filler: replaces M2430_HOSP_CTHTR_CMPLCTN |
ITEM_FILLER_201 | Filler | Filler | 1 | 1031-1031 | Filler: replaces M2430_HOSP_WND_INFCTN |
ITEM_FILLER_202 | Filler | Filler | 1 | 1032-1032 | Filler: replaces M2430_HOSP_PAIN |
ITEM_FILLER_203 | Filler | Filler | 1 | 1033-1033 | Filler: replaces M2430_HOSP_MENTL_BHVRL_PRBLM |
ITEM_FILLER_204 | Filler | Filler | 1 | 1034-1034 | Filler: replaces M2430_HOSP_DVT_PULMNRY |
ITEM_FILLER_205 | Filler | Filler | 1 | 1035-1035 | Filler: replaces M2430_HOSP_SCHLD_TRTMT |
ITEM_FILLER_206 | Filler | Filler | 1 | 1036-1036 | Filler: replaces M2430_HOSP_OTHER |
ITEM_FILLER_207 | Filler | Filler | 1 | 1037-1037 | Filler: replaces M2430_HOSP_UK |
ITEM_FILLER_208 | Filler | Filler | 8 | 1045-1052 | Filler: replaces M0903_LAST_HOME_VISIT |
ITEM_FILLER_209 | Filler | Filler | 1 | 982-982 | Filler: replaces M2310_ECR_INJRY_BY_FALL |
ITEM_FILLER_210 | Filler | Filler | 1 | 983-983 | Filler: replaces M2310_ECR_RSPRTRY_INFCTN |
ITEM_FILLER_211 | Filler | Filler | 1 | 984-984 | Filler: replaces M2310_ECR_RSPRTRY_OTHR |
ITEM_FILLER_212 | Filler | Filler | 1 | 985-985 | Filler: replaces M2310_ECR_HRT_FAILR |
ITEM_FILLER_213 | Filler | Filler | 1 | 986-986 | Filler: replaces M2310_ECR_CRDC_DSRTHM |
ITEM_FILLER_214 | Filler | Filler | 1 | 987-987 | Filler: replaces M2310_ECR_MI_CHST_PAIN |
ITEM_FILLER_215 | Filler | Filler | 1 | 988-988 | Filler: replaces M2310_ECR_OTHR_HRT_DEASE |
ITEM_FILLER_216 | Filler | Filler | 1 | 989-989 | Filler: replaces M2310_ECR_STROKE_TIA |
ITEM_FILLER_217 | Filler | Filler | 1 | 991-991 | Filler: replaces M2310_ECR_GI_PRBLM |
ITEM_FILLER_218 | Filler | Filler | 1 | 992-992 | Filler: replaces M2310_ECR_DHYDRTN_MALNTR |
ITEM_FILLER_219 | Filler | Filler | 1 | 993-993 | Filler: replaces M2310_ECR_UTI |
ITEM_FILLER_220 | Filler | Filler | 1 | 994-994 | Filler: replaces M2310_ECR_CTHTR_CMPLCTN |
ITEM_FILLER_221 | Filler | Filler | 1 | 995-995 | Filler: replaces M2310_ECR_WND_INFCTN_DTRORTN |
ITEM_FILLER_222 | Filler | Filler | 1 | 996-996 | Filler: replaces M2310_ECR_UNCNTLD_PAIN |
ITEM_FILLER_223 | Filler | Filler | 1 | 997-997 | Filler: replaces M2310_ECR_MENTL_BHVRL_PRBLM |
ITEM_FILLER_224 | Filler | Filler | 1 | 998-998 | Filler: replaces M2310_ECR_DVT_PULMNRY |
ITEM_FILLER_225 | Filler | Filler | 2 | 918-919 | Filler: replaces M1900_PRIOR_ADLIADL_SELF |
ITEM_FILLER_226 | Filler | Filler | 2 | 920-921 | Filler: replaces M1900_PRIOR_ADLIADL_AMBLTN |
ITEM_FILLER_227 | Filler | Filler | 2 | 922-923 | Filler: replaces M1900_PRIOR_ADLIADL_TRNSFR |
ITEM_FILLER_228 | Filler | Filler | 2 | 924-925 | Filler: replaces M1900_PRIOR_ADLIADL_HSEHOLD |
ITEM_FILLER_229 | Filler | Filler | 1 | 852-852 | Filler: replaces M1410_RESPTX_OXYGEN |
ITEM_FILLER_230 | Filler | Filler | 1 | 853-853 | Filler: replaces M1410_RESPTX_VENTILATOR |
ITEM_FILLER_231 | Filler | Filler | 1 | 854-854 | Filler: replaces M1410_RESPTX_AIRPRESS |
ITEM_FILLER_232 | Filler | Filler | 1 | 855-855 | Filler: replaces M1410_RESPTX_NONE |
ASMT_ITEMS_FILLER | Filler | Filler | 442 | 1819-2260 | Assessment items filler |
LEGACY_ITEMS_FILLER | Filler | Filler | 350 | 2261-2610 | Discontinued OASIS-B1 and C items. |
CALC_FILLER_001 | Filler | Filler | 10 | 3159-3168 | Filler: replaces BRANCH_IDENTIFIER |
HHA_ASMT_INT_ID | Calc | Number | 15 | 3111-3125 | Assessment internal ID |
ORIG_ASMT_INT_ID | Calc | Number | 15 | 3126-3140 | Original assessment ID |
RES_INT_ID | Calc | Number | 10 | 3141-3150 | Resident internal ID |
ASMT_EFF_DATE | Calc | Date | 8 | 3151-3158 | Effective date |
FAC_INT_ID | Calc | Number | 10 | 3169-3178 | Facility internal ID |
SUBMISSION_ID | Calc | Number | 15 | 3179-3193 | Submission ID |
SUBMISSION_DATE | Calc | Date | 8 | 3194-3201 | Submission date |
SUBMISSION_COMPLETE_DATE | Calc | Date | 8 | 3202-3209 | Submission processing completion date |
SUBMITTING_USER_ID | Calc | Text | 30 | 3210-3239 | Submitter user ID |
RES_MATCH_CRITERIA | Calc | Number | 2 | 3240-3241 | Resident matching criteria |
RESIDENT_AGE | Calc | Number | 3 | 3242-3244 | Age of resident on the effective date |
BIRTHDATE_SUBM_IND | Calc | Code | 1 | 3245-3245 | Birth date submit code |
CALC_HIPPS_CODE | Calc | Text | 5 | 3246-3250 | HIPPS group code: recalculated |
CALC_HIPPS_VERSION | Calc | Text | 5 | 3251-3255 | HIPPS version code: recalculated |
C_CCN_NUM | Calc | Text | 12 | 2611-2622 | Calculated Facility CMS Certification Number (CCN) |
C_HICN_MBI_IND | Calc | Text | 1 | 2623-2623 | Calculated HICN MBI Indicator |
C_SSNRI_TRNSLTN_HICN_TXT | Calc | Text | 12 | 2624-2635 | SSNRI Translation HICN Text |
C_SSNRI_TRNSLTN_MBI_TXT | Calc | Text | 12 | 2636-2647 | SSNRI Translation MBI Text |
CALCULATED_ITEMS_FILLER | Filler | Filler | 463 | 2648-3110 | Calculated items filler |
DATA_END_INDICATOR | Calc | Code | 1 | 3256-3256 | End of data terminator code |
CR | Calc | Code | 1 | 3257-3257 | Carriage return (ASCII 013) |
LF | Calc | Code | 1 | 3258-3258 | Line feed character (ASCII 010) |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 05/08/2018 01:14:05 PM