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MDS 3.0 Technical Information

What's New -

May 30, 2018

A revised DRAFT version of the 2018 MDS item sets (v1.16.0R) was posted. This version contains a revision to discharge goal coding instructions in GG0130 (Self-Care) and GG0170 (Mobility), the addition of skip pattern language to GG0170M and GG0170N, revisions to skip pattern language to GG0170Q1 and GG0170Q3, the addition of coding instructions to J2000 (Prior Surgery), revisions to skip pattern language to M0210 and M0300G, and the addition of coding instructions to N2001 (Drug Regimen Review) and N2005 (Medication Intervention). This version is scheduled to become effective October 1, 2018. The files are located in the Downloads section below. 

April 9, 2018

The Edit Change Report posted in the DRAFT version (v2.02.0) of the MDS 3.0 Data Specifications is missing the second page of the report. A replacement PDF of the report containing the missing page was posted.

March 28, 2018

An errata (V2.02.1) was posted for the DRAFT version (v2.02.0) of the MDS 3.0 Data Specifications, which are scheduled to go into effect on October 1, 2018.  Ten issues have been identified; five are revisions to edits and five are new edits.

January 25, 2018

A new version (V2.02.0) of the MDS 3.0 Data Specifications was posted.  This version is scheduled to become effective October 1, 2018.  This DRAFT version incorporates the changes identified for the DRAFT version (v1.16.0) of the MDS 3.0 item sets. Note that there are significant changes to Section GG, I, J and M.

In addition, a new version (V1.03.0) of the MDS 3.0 CAT Specifications was posted. This version is also scheduled to become effective October 1, 2018. The specification for CAT 16 (Pressure Ulcer) has been updated in accordance with the changes in V2.02.0 of the MDS 3.0 Data Specifications.

October 1, 2017

Data Collection Software: jRAVEN

The Resident Assessment Validation and Entry System (jRAVEN) was developed by the Centers for Medicare & Medicaid Services (CMS). jRAVEN is a free Java based software application which provides an option for facilities to collect and maintain MDS Assessment data for subsequent submission to the appropriate state and/or national data repository. jRAVEN displays the MDS Item Sets similar to the paper version of the forms. Please consult the jRAVEN Installation and User Guides for additional information.

jRAVEN v1.5.0 is now available for download under the related links section at the bottom of this webpage. Users do not need a previous version of jRAVEN to download, install or use jRAVEN v1.5.0.

jRAVEN v1.5.0 includes the following enhancements:

  • v1.15.0 Item Sets
  • v2.01.1 MDS Data Specifications
  • ICD Code Grid – Manual Data Entry
  • NEW Get Help Menu Item
  • My SQL/Hibernate Upgrade

For additional questions related to jRAVEN or technical support please contact the QTSO Help Desk by calling 800-339-9313 or by email to help@qtso.com.

August 10, 2017

A new version (V2.01.1) of the MDS 3.0 Data Specifications was posted.  This version is scheduled to become effective October 1, 2017.  This FINAL version incorporates the changes identified for the FINAL version (v1.15.0) of the MDS 3.0 item sets. Note that there have been no additional specification changes since Errata V2.01.1.

August 1, 2017

The final 2017 MDS 3.0 item sets (v1.15.1) were posted.  These item sets are in effect October 1, 2017.

April 27, 2017

An errata (V2.01.1) was posted for DRAFT version (v2.01.0) of the MDS 3.0 Data Specifications, which are scheduled to go into effect on October 1, 2017.  One issue was identified, which resulted in the addition of three items to the Calculation section of the data specifications.  Please note that the item sets were NOT affected.

December 22, 2016

A new version (V2.01.0) of the MDS 3.0 Data Specifications was posted.  This version is scheduled to become effective October 1, 2017.  This DRAFT version incorporates the changes identified for the DRAFT version (v1.15.0) of the MDS 3.0 item sets. New items have been added to Sections N and P, and there are a number of new Section S items as well.

December 1, 2016

A new DRAFT version (v1.15.0) of the MDS 3.0 item sets was posted. This version is scheduled to become effective October 1, 2017.

October 2016

jRAVEN v1.4.0 is now available which includes the following enhancements to jRAVEN v1.3.0:

  • v1.14.1 of the MDS 3.0 Item Sets
  • v2.00.0 of the MDS 3.0 Data Specifications
  • v2.00.4 of the MDS 3.0 Data Specifications Errata
  • Additional Help Content
  • ‘Outdated’ Assessment Status
  • Informational Message Updates
  • Reporting Enhancements
  • Import functionality compliant with the MDS 3.0 Data Specifications

For additional technical support or questions related to jRAVEN please contact the QTSO Help Desk by calling 800-339-9313 or by email to help@qtso.com.

September 1, 2016

A new version (V2.00.1) of the MDS 3.0 Data Specifications was posted.  This version is scheduled to become effective October 1, 2016.  This FINAL version incorporates the changes identified in errata V2.00.4 for the previously posted DRAFT version of the specifications.

August 10, 2016

A new version (v1.14.1) of the MDS 3.0 item sets was posted.  This version is scheduled to become effective October 1, 2016.  The item sets should be considered final.

July 22, 2016

An updated errata (V2.00.4) was posted for DRAFT version (v2.00.0) of the MDS 3.0 Data Specifications, which are scheduled to go into effect on October 1, 2016.  Issue 10 was revised to include two additional edits for which item X0600H is applicable.

May 19, 2016

An updated errata (V2.00.3) was posted for DRAFT version (v2.00.0) of the MDS 3.0 Data Specifications, which are scheduled to go into effect on October 1, 2016.  Four additional issues have been identified.  Note that errata documents will now be assigned a version number for clarity.  The minor number (last digit on the right) will be incremented each time the errata is updated.  As this is the third release of the errata for the V2.00.0 data specifications, it is V2.00.3.

March 21, 2016

An updated errata was posted for DRAFT version (v2.00.0) of the MDS 3.0 Data Specifications, which are scheduled to go into effect on October 1, 2016.  Three additional issues were identified, while there was a revision to an issue from the previous errata.  Please note that an additional edit has been introduced for the A0310 items.  Also, the item subset code SPE has been discontinued.

January 28, 2016

An errata was posted for DRAFT version (v2.00.0) of the MDS 3.0 Data Specifications, which are scheduled to go into effect on October 1, 2016.  Six issues were identified.  Four of the issues are modifications to edits.  The other issues address items for which version notes were missing and the inadvertent inclusion of item A2300 in the item subset ST.

MDS 3.0 Technical Information:

The following files contain technical information related to the MDS 3.0 and are now available under the Downloads section of this page:

  • MDS 3.0 Data Submission Specifications (V1.15.0) – Detailed MDS 3.0 data submission specifications for implementation on 10-01-2015.  (Updated 03-17-2015)
  • RUG-III and RUG-IV Files (posted together):
    • RUG IV Files:
      • RUG-IV Specifications and DLL Package (V1.03.0 Final) - Final Version 1.03.0 handles revised RUG-IV classification effective 10/1/2013. (updated 08-08-2013)
      • RUG-IV Unsmoothed and Smoothed Average Nursing Staff Time Means for the 66-Group, 57-Group and 48-Group Models Package (V.100). The unsmoothed and smoothed means are presented in PDF and CSV format. A PDF  document describes the detailed methods used to smooth the nursing means.
    • RUG III Files:
      • RUG-III MDS 3.0 Mapping Specifications (V1.00.5) - This document presents logic that can be used to produce RUG-III classifications using assessment items contained on MDS 3.0 and accommodates item set changes for assessments on or after October 1, 2013 as well as earlier assessments. (updated 4-11-2013).
      • RUG-III MDS 3.0 Version Converter DLL (V1.00.4) - The RugVersionConverter.dll is designed to accept a fixed-format MDS 3.0 string, convert payment items to MDS 2.0 format, and return a fixed-format MDS 2.0 string. The MDS 2.0 string can then be submitted to the RUG-III grouper DLL (RUG520.DLL) to obtain a RUG-III group. This version of the Converter DLL processes MDS 3.0 strings made in accordance with v1.00.5 of the RUG-III MDS 3.0 Mapping Specifications. (updated 4-11-2013)
      • RUG-III Grouper Package (5.20) – Logic, test data, programs, and DLL to calculate RUG-III classification for MDS 2.0 records. This package can be used in conjunction with the RUG-III MDS 3.0 Mapping Specifications or Version Converter DLL to calculate RUG-III classification for MDS 3.0 records.
      • RUG-III Errata Document - Provides information about errors in the RAB and RAA group ADL ranges in three documents in the RUG-III V5.20 Package. Document is dated 09-03-2010. (Updated 09-23-2010)
      • RUG-III STRIVE Nursing CMIs (V1.00) - The nursing CMIs and nursing staff time means for the RUG-III groups (Version 5.20) based on the STRIVE staff time study are available for use in state Medicaid systems.

Questions regarding the information on this page should be directed to mdstechissues@cms.hhs.gov. Please note that CMS will not be providing an individualized response to each inquiry; however, CMS will make sure the issues or comments are addressed in the upcoming MDS 3.0 training sessions or updates to the information provided on this page.

The information listed below under the "Downloads" section is subject to change. CMS will communicate any changes to these materials on this page as well as through Open Door Forums hosted by CMS.

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