Field Summary
REC_ID
REC_TYPE
LOCK_DATE
CORRECTION_NUM
ACY_DOC_CD
VERSION_CD1
VERSION_CD2
SFTW_ID
SFT_VER
HHA_AGENCY_ID
PAT_ID
ST_CODE
ST_ERR_CNT
ST_COR
ST_PMT_COR
ST_KEY_COR
ST_DELETE
MC_COR
MC_PMT_COR
MC_KEY_COR
MASK_VERSION_CD
CNT_FILLER
M0010_MEDICARE_ID
M0012_MEDICAID_ID
M0014_BRANCH_STATE
M0016_BRANCH_ID
M0020_PAT_ID
M0030_START_CARE_DT
M0032_ROC_DT
M0032_ROC_DT_NA
M0040_PAT_FNAME
M0040_PAT_MI
M0040_PAT_LNAME
M0040_PAT_SUFFIX
M0050_PAT_ST
M0060_PAT_ZIP
M0063_MEDICARE_NUM
M0063_MEDICARE_NA
M0064_SSN
M0064_SSN_UK
M0065_MEDICAID_NUM
M0065_MEDICAID_NA
M0066_PAT_BIRTH_DT
ITEM_FILLER1
M0069_PAT_GENDER
M0072_PHYSICIAN_ID
M0072_PHYSICIAN_UK
M0080_ASSESSOR_DISCIPLINE
M0090_INFO_COMPLETED_DT
M0100_ASSMT_REASON
M0140_ETHNIC_AI_AN
M0140_ETHNIC_ASIAN
M0140_ETHNIC_BLACK
M0140_ETHNIC_HISP
M0140_ETHNIC_NH_PI
M0140_ETHNIC_WHITE
M0140_ETHNIC_UK
M0150_CPAY_NONE
M0150_CPAY_MCARE_FFS
M0150_CPAY_MCARE_HMO
M0150_CPAY_MCAID_FFS
M0150_CPAY_MCAID_HMO
M0150_CPAY_WRKCOMP
M0150_CPAY_TITLEPGMS
M0150_CPAY_OTH_GOVT
M0150_CPAY_PRIV_INS
M0150_CPAY_PRIV_HMO
M0150_CPAY_SELFPAY
M0150_CPAY_OTHER
M0150_CPAY_UNKNOWN
ITEM_FILLER6
ITEM_FILLER2
M0180_INP_DISCHARGE_DT
M0180_INP_DSCHG_UNKNOWN
M0190_14_DAY_INP1_ICD
M0190_14_DAY_INP2_ICD
M0200_REG_CHG_14_DAYS
M0210_CHGREG_ICD1
M0210_CHGREG_ICD2
M0210_CHGREG_ICD3
M0210_CHGREG_ICD4
M0220_PRIOR_UR_INCON
M0220_PRIOR_CATH
M0220_PRIOR_INTRACT_PAIN
M0220_PRIOR_IMPR_DECSN
M0220_PRIOR_DISRUPTIVE
M0220_PRIOR_MEM_LOSS
M0220_PRIOR_NONE
M0220_PRIOR_NOCHG_14D
M0220_PRIOR_UNKNOWN
M0230_PRIMARY_DIAG_ICD
M0230_PRIMARY_DIAG_SEVERITY
M0240_OTH_DIAG1_ICD
M0240_OTH_DIAG1_SEVERITY
M0240_OTH_DIAG2_ICD
M0240_OTH_DIAG2_SEVERITY
M0240_OTH_DIAG3_ICD
M0240_OTH_DIAG3_SEVERITY
M0240_OTH_DIAG4_ICD
M0240_OTH_DIAG4_SEVERITY
M0240_OTH_DIAG5_ICD
M0240_OTH_DIAG5_SEVERITY
M0250_THH_IV_INFUSION
M0250_THH_PAR_NUTRITION
M0250_THH_ENT_NUTRITION
M0250_THH_NONE_ABOVE
M0260_OVERALL_PROGNOSIS
M0270_REHAB_PROGNOSIS
M0280_LIFE_EXPECTANCY
M0290_RSK_SMOKING
M0290_RSK_OBESITY
M0290_RSK_ALCOHOLISM
M0290_RSK_DRUGS
M0290_RSK_NONE
M0290_RSK_UNKNOWN
M0300_CURR_RESIDENCE
ITEM_FILLER7
ITEM_FILLER8
ITEM_FILLER9
M0340_LIV_ALONE
M0340_LIV_SPOUSE
M0340_LIV_OTH_FAMILY
M0340_LIV_FRIEND
M0340_LIV_PD_HELP
M0340_LIV_OTHER
M0350_AP_REL_FRIEND
M0350_AP_HM_RESIDENT
M0350_AP_PD_HELP
M0350_AP_NONE
M0350_AP_UNKNOWN
M0360_PRIMARY_CAREGIVER
M0370_FREQ_PRM_ASSTANCE
M0380_CA_ADL
M0380_CA_IADL
M0380_CA_ENVIRONMENT
M0380_CA_PSYCHSOC
M0380_CA_MEDICAL
M0380_CA_FIN_LEGAL
M0380_CA_HLTH_CARE
M0380_CA_UNKNOWN
M0390_VISION
M0400_HEARING
M0410_SPEECH
M0420_FREQ_PAIN
M0430_INTRACT_PAIN
M0440_LESION_OPEN_WND
M0445_PRESS_ULCER
M0450_NBR_PRSULC_STG1
M0450_NBR_PRSULC_STG2
M0450_NBR_PRSULC_STG3
M0450_NBR_PRSULC_STG4
M0450_UNOBS_PRSULC
M0460_STG_PRBLM_ULCER
M0464_STAT_PRBLM_PRSULC
M0468_STASIS_ULCER
M0470_NBR_STASULC
M0474_UNOBS_STASULC
M0476_STAT_PRB_STASULC
M0482_SURG_WOUND
M0484_NBR_SURGWND
M0486_UNOBS_SURGWND
M0488_STAT_PRB_SURGWND
M0490_WHEN_DYSPNEIC
M0500_RESPTX_OXYGEN
M0500_RESPTX_VENTILATOR
M0500_RESPTX_AIRPRESS
M0500_RESPTX_NONE
M0510_UTI
M0520_UR_INCONT
M0530_UR_INCONT_OCCURS
M0540_BWL_INCONT
M0550_OSTOMY
M0560_COG_FUNCTION
M0570_WHEN_CONFUSED
M0580_WHEN_ANXIOUS
M0590_DP_MOOD
M0590_DP_SENSE_FAILURE
M0590_DP_HOPELESSNESS
M0590_DP_DEATH
M0590_DP_SUICIDE
M0590_DP_NONE
ITEM_FILLER10
M0610_BD_MEM_DEFICIT
M0610_BD_IMP_DECISN
M0610_BD_VERBAL
M0610_BD_PHYSICAL
M0610_BD_SOC_INAPPRO
M0610_BD_DELUSIONS
M0610_BD_NONE
M0620_BEH_PROB_FREQ
M0630_REC_PSYCH_NURS
M0640_PR_GROOMING
M0640_CUR_GROOMING
M0650_PR_DRESS_UPPER
M0650_CUR_DRESS_UPPER
M0660_PR_DRESS_LOWER
M0660_CUR_DRESS_LOWER
M0670_PR_BATHING
M0670_CUR_BATHING
M0680_PR_TOILETING
M0680_CUR_TOILETING
M0690_PR_TRANSFERRING
M0690_CUR_TRANSFERRING
M0700_PR_AMBULATION
M0700_CUR_AMBULATION
M0710_PR_FEEDING
M0710_CUR_FEEDING
M0720_PR_PREP_LT_MEALS
M0720_CUR_PREP_LT_MEALS
M0730_PR_TRANSPORTATION
M0730_CUR_TRANSPORTATION
M0740_PR_LAUNDRY
M0740_CUR_LAUNDRY
M0750_PR_HOUSEKEEPING
M0750_CUR_HOUSEKEEPING
M0760_PR_SHOPPING
M0760_CUR_SHOPPING
M0770_PR_PHONE_USE
M0770_CUR_PHONE_USE
M0780_PR_ORAL_MEDS
M0780_CUR_ORAL_MEDS
M0790_PR_INHAL_MEDS
M0790_CUR_INHAL_MEDS
M0800_PR_INJECT_MEDS
M0800_CUR_INJECT_MEDS
M0810_PAT_MGMT_EQUIP
M0820_CG_MGMT_EQUIP
M0830_EC_NONE
M0830_EC_EMER_ROOM
M0830_EC_MD_OFF
M0830_EC_OUTPAT
M0830_EC_UNKNOWN
M0840_ECR_MEDICATION
M0840_ECR_NAUSEA
M0840_ECR_INJURY
M0840_ECR_RESP
M0840_ECR_WOUND
M0840_ECR_CARDIAC
M0840_ECR_HYPOGLYC
M0840_ECR_GI_BLEED
M0840_ECR_OTHER
M0840_ECR_UNKNOWN
M0855_INPAT_FACILITY
M0870_DSCHG_DISP
M0880_AFDC_NO_ASSIST
M0880_AFDC_FAM_ASSIST
M0880_AFDC_OTH_ASSIST
M0890_HOSP_RSN
M0895_HOSP_MED
M0895_HOSP_INJURY
M0895_HOSP_RESP
M0895_HOSP_WOUND
M0895_HOSP_HYPOGLYC
M0895_HOSP_GI_BLEED
M0895_HOSP_CF_FLUIDS
M0895_HOSP_STROKE
M0895_HOSP_CHEMO
M0895_HOSP_SURGERY
M0895_HOSP_UR_TRACT
M0895_HOSP_IVCATH_INF
M0895_HOSP_VEIN_PULM
M0895_HOSP_PAIN
M0895_HOSP_PSYCHOTIC
M0895_HOSP_OTHER
M0900_NH_THERAPY
M0900_NH_RESPITE
M0900_NH_HOSPICE
M0900_NH_PERMANENT
M0900_NH_UNSAFE_HOME
M0900_NH_OTHER
M0900_NH_UNKNOWN
M0903_LAST_HOME_VISIT
M0906_DC_TRAN_DTH_DT
ITEM_FILLER3
ITEM_FILLER11
M0175_DC_HOSP_14_DAYS
M0175_DC_REHAB_14_DAYS
M0175_DC_SNF_14_DAYS
M0175_DC_NH_14_DAYS
M0175_DC_OTHER
M0175_NONE_14_DAYS
ITEM_FILLER12
NATL_PROV_ID
M0110_EPISODE_TIMING
M0246_PMT_DIAG_ICD_A3
M0246_PMT_DIAG_ICD_B3
M0246_PMT_DIAG_ICD_C3
M0246_PMT_DIAG_ICD_D3
M0246_PMT_DIAG_ICD_E3
M0246_PMT_DIAG_ICD_F3
M0246_PMT_DIAG_ICD_A4
M0246_PMT_DIAG_ICD_B4
M0246_PMT_DIAG_ICD_C4
M0246_PMT_DIAG_ICD_D4
M0246_PMT_DIAG_ICD_E4
M0246_PMT_DIAG_ICD_F4
M0826_THER_NEED_NUM
M0826_THER_NEED_NA
ITEM_FILLER4
HIPPS_CODE
ITEM_FILLER5
HIPPS_VERSION
STATE_DATA
AGENCY_USE
DATA_END
CRG_RTN
LN_FD
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 10/30/2007 10:48:40 AM