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OASIS

1.60 Correction 1

Submission body record

Prior Condition: Impaired Decision-making

Conditions Prior to Medical or Treatment Regimen Change or Inpatient Stay Within Past 14 Days: (Mark all that apply.)

1 - Urinary incontinence
2 - Indwelling/suprapubic catheter
3 - Intractable pain
4 - Impaired decision-making
5 - Disruptive or socially inappropriate behavior
6 - Memory loss to the extent that supervision required
7 - None of the above
NA - No inpatient facility discharge AND no change in medical or treatment regimen in past 14 days
UK - Unknown

1

398

398

01,03,09

04,05,06,07,08

X

CODE

0, 1, sp(1)

0=No/Unchecked, 1=Yes/Checked

*1. If M0100_ASSMT_REASON = 01 or 03, then at least one item from M0220_PRIOR_UR_INCON thru M0220_PRIOR_UNKNOWN must be equal to 1, and none of the items from M0220_PRIOR_UR_INCON thru M0220_PRIOR_UNKNOWN may be blank.

*2. If M0100_ASSMT_REASON = 09 and M0200_REG_CHG_14_DAYS=0, then M0220_PRIOR_UR_INCON thru M0220_PRIOR_NONE must be skipped (blank).

*3. If M0100_ASSMT_REASON = 09 and M0200_REG_CHG_14_DAYS=1, then at least one item from M0220_PRIOR_UR_INCON thru M0220_PRIOR_NONE must be equal to 1, and none of the items from M0220_PRIOR_UR_INCON thru M0220_PRIOR_NONE may be blank.

*4. If M0220_PRIOR_NONE, M0220_PRIOR_NOCHG_14D, or M0220_PRIOR_UNKNOWN = 1, then M0220_PRIOR_IMPR_DECSN must = 0.

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