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MDS 3.0 Technical Information

What's New -

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

Data Collection Software: jRAVEN v1.4.0 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 v1.4.0 is now available for download under the related links section at the bottom of this webpage and 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  • ‘Outdated’ Assessment Status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.

December 21, 2015

A new version (v1.02.0) of the Care Area Trigger (CAT) specifications was posted for OBRA comprehensive assessments with an assessment reference date on or after 10/01/2016.  Please note the changes to CATs 1 and 2, which were necessary due to the removal of the C1300 items in v1.14.0 of the MDS 3.0 item sets.

October 29, 2015

A new DRAFT version (v1.14.0) of the MDS 3.0 item sets was posted.  There are many item changes in this version, including a new section, GG.  Also, there are two new item subset s for PPS Part A Discharge (End of Stay) assessments – one for nursing homes and the other for swing bed facilities.  This version is scheduled to become effective October 1, 2016, in conjunction with the new version of the data specs (v2.00.0).

In addition, a new DRAFT version (v2.00.0) of the MDS 3.0 Data Specifications was posted.  Along with the item changes and new item subsets described above, these specifications also include many edit additions/revisions and new Section S items as well.  Details about the changes in this version are contained in the Edit Change Report and the Item Change Report.  As with the item sets, this version of the data specifications is scheduled to become effective October 1, 2016 and should be considered DRAFT and subject to change until it is finalized.

October 2015 – jRAVEN 1.3.0

jRAVEN v1.3.0 (Resident Assessment Validation and Entry), is now available for download and includes the following enhancements:

  • V1.13.2 Item Sets
  • V1.15.0 Data Specifications
  • ICD 10
  • Help Contents/RAI manual updates
  • New Disclaimer and CAM verbiage
  • Cosmetic Report changes
  • Enhanced Resident Match
  • Facility Information Display
  • Resident Lock/Unlock
  • Encryption updates
  • Database restore enhancements

Note: If jRAVEN has NOT been upgraded to at least 1.2.0, this must be done BEFORE installing version 1.3.0. Please contact the QTSO Help Desk at 800-339-9313 OR help@qtso.com for additional instructions or assistance if needed.

August 13, 2015

An updated version (v1.13.2) of the MDS 3.0 item sets was posted. No item changes occurred with this version. The only change with this version is updated text in the legal copyright notice. This version is scheduled to become effective October 1, 2015, in conjunction with the new version of the data specs (v1.15.0). The item sets should be considered final.

July 27, 2015

A new version (v1.13.1) of the MDS 3.0 item sets was posted.  The version contains an updated legal copyright notice only.  No item changes occurred with this version.   This version is scheduled to become effective October 1, 2015, in conjunction with the new version of the data specs (v1.15.0). The item sets should be considered final.

July 20, 2015

Additional flaws were discovered within two PDF files for the Detailed MDS 3.0 Data Specs Report (V1.15.0) for Sections A and O.  The files have been updated within the V1.15.0 data specifications ZIP file, available in the Downloads section below.  No specification content was changed, and no other files were affected.

June 25, 2015

A flaw was discovered within the PDF file for the Detailed MDS 3.0 Data Specs Report (V1.15.0) for Section A.  The file has been updated within the V1.15.0 data specifications ZIP file, available in the Downloads section below.  No specification content was changed, and no other files were affected.

March 17, 2015

The final version of the V1.15.0 data submission specifications was posted.  (The draft version was posted on November 17, 2014.)  This version is scheduled to become effective October 1, 2015.

The primary purpose of Version 1.15.0 of the data submission specifications is to accommodate the transition from ICD-9 diagnosis codes to ICD-10 which is scheduled for October 1, 2015. Version 1.15.0 of the data submission specifications also incorporates all of the changes that were described in the latest errata document for Version 1.14.1 which was dated October 29, 2014.

Details about the changes in this version are contained in the Edit Change Report and the Item Change Report.

January 29, 2015

A new version (v1.13.0) of the MDS item sets was posted. This version is scheduled to become effective October 1, 2015, in conjunction with the new version of the data specs (v1.15.0). The item sets should be considered final.

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)
  • MDS 3.0 Data Submission Specifications (V1.14.1) – Detailed MDS 3.0 data submission specifications for implementation on 10-01-2014.  (Updated 05-08-2014)
  • Revised MDS 3.0 Item Sets (V1.12.0) – Printable MDS 3.0 item sets for implementation on 10-01-2014. (Updated 05-08-2014)
  • Revised MDS 3.0 Item Sets (V1.13.2) – Printable MDS 3.0 item sets for implementation on 10-01-2015. (Updated 08-12-2015)
  • 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.
  • Errata Document for RUG-IV Specifications and DLL Package (V1.03.0 Final).  (Updated 8/14/2013 )
  • MDS 3.0 CATs Specifications (V1.01.0) - Care Area Trigger (CAT) specifications for OBRA comprehensive assessments with an assessment reference date on or after 4/1/2012.

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.