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
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
M1011_14_DAY_INP1_ICD Asmt ICD 8 1261-1268 Inpatient stay within last 14 days: ICD code 1
M1011_14_DAY_INP2_ICD Asmt ICD 8 1269-1276 Inpatient stay within last 14 days: ICD code 2
M1011_14_DAY_INP3_ICD Asmt ICD 8 1277-1284 Inpatient stay within last 14 days: ICD code 3
M1011_14_DAY_INP4_ICD Asmt ICD 8 1285-1292 Inpatient stay within last 14 days: ICD code 4
M1011_14_DAY_INP5_ICD Asmt ICD 8 1293-1300 Inpatient stay within last 14 days: ICD code 5
M1011_14_DAY_INP6_ICD Asmt ICD 8 1301-1308 Inpatient stay within last 14 days: ICD code 6
M1011_14_DAY_INP_NA Asmt Code 1 1309-1309 Inpatient stay within last 14 days: not applicable
M1017_CHGREG_ICD1 Asmt ICD 8 1310-1317 Regimen change in past 14 days: ICD code 1
M1017_CHGREG_ICD2 Asmt ICD 8 1318-1325 Regimen change in past 14 days: ICD code 2
M1017_CHGREG_ICD3 Asmt ICD 8 1326-1333 Regimen change in past 14 days: ICD code 3
M1017_CHGREG_ICD4 Asmt ICD 8 1334-1341 Regimen change in past 14 days: ICD code 4
M1017_CHGREG_ICD5 Asmt ICD 8 1342-1349 Regimen change in past 14 days: ICD code 5
M1017_CHGREG_ICD6 Asmt ICD 8 1350-1357 Regimen change in past 14 days: ICD code 6
M1017_CHGREG_ICD_NA Asmt Code 1 1358-1358 Regimen change in past 14 days: not applicable
M1018_PRIOR_UR_INCON Asmt Code 1 596-596 Prior condition: urinary incontinence
M1018_PRIOR_CATH Asmt Code 1 597-597 Prior condition: indwelling/suprapubic catheter
M1018_PRIOR_INTRACT_PAIN Asmt Code 1 598-598 Prior condition: intractable pain
M1018_PRIOR_IMPR_DECSN Asmt Code 1 599-599 Prior condition: impaired decision-making
M1018_PRIOR_DISRUPTIVE Asmt Code 1 600-600 Prior condition: disruptive/inappropriate behav
M1018_PRIOR_MEM_LOSS Asmt Code 1 601-601 Prior condition: memory loss, supervision required
M1018_PRIOR_NONE Asmt Code 1 602-602 Prior condition: none of the above
M1018_PRIOR_NOCHG_14D Asmt Code 1 603-603 Prior condition: no inpt disch/no change regimen
M1018_PRIOR_UNKNOWN Asmt Code 1 604-604 Prior condition: 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
M1025_OPT_DIAG_ICD_A3 Asmt ICD 8 1419-1426 Optional diagnosis: primary, column 3
M1025_OPT_DIAG_ICD_A4 Asmt ICD 8 1427-1434 Optional diagnosis: primary, column 4
M1025_OPT_DIAG_ICD_B3 Asmt ICD 8 1435-1442 Optional diagnosis: first secondary, column 3
M1025_OPT_DIAG_ICD_B4 Asmt ICD 8 1443-1450 Optional diagnosis: first secondary, column 4
M1025_OPT_DIAG_ICD_C3 Asmt ICD 8 1451-1458 Optional diagnosis: second secondary, column 3
M1025_OPT_DIAG_ICD_C4 Asmt ICD 8 1459-1466 Optional diagnosis: second secondary, column 4
M1025_OPT_DIAG_ICD_D3 Asmt ICD 8 1467-1474 Optional diagnosis: third secondary, column 3
M1025_OPT_DIAG_ICD_D4 Asmt ICD 8 1475-1482 Optional diagnosis: third secondary, column 4
M1025_OPT_DIAG_ICD_E3 Asmt ICD 8 1483-1490 Optional diagnosis: fourth secondary, column 3
M1025_OPT_DIAG_ICD_E4 Asmt ICD 8 1491-1498 Optional diagnosis: fourth secondary, column 4
M1025_OPT_DIAG_ICD_F3 Asmt ICD 8 1499-1506 Optional diagnosis: fifth secondary, column 3
M1025_OPT_DIAG_ICD_F4 Asmt ICD 8 1507-1514 Optional diagnosis: fifth secondary, column 4
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 12 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
M1034_PTNT_OVRAL_STUS Asmt Code 2 754-755 Patient"s overall status
M1036_RSK_SMOKING Asmt Code 1 756-756 High risk factor: smoking
M1036_RSK_OBESITY Asmt Code 1 757-757 High risk factor: obesity
M1036_RSK_ALCOHOLISM Asmt Code 1 758-758 High risk factor: alcoholism
M1036_RSK_DRUGS Asmt Code 1 759-759 High risk factor: drugs
M1036_RSK_NONE Asmt Code 1 760-760 High risk factor: none of the above
M1036_RSK_UNKNOWN Asmt Code 1 761-761 High risk factor: unknown
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
M1100_PTNT_LVG_STUTN Asmt Code 2 769-770 Patient living situation
M1200_VISION Asmt Code 2 771-772 Sensory status: vision
M1210_HEARG_ABLTY Asmt Code 2 773-774 Ability to hear
M1220_UNDRSTG_VERBAL_CNTNT Asmt Code 2 775-776 Understanding verbal content in patient"s language
M1230_SPEECH Asmt Code 2 777-778 Sensory status: speech
M1240_FRML_PAIN_ASMT Asmt Code 2 779-780 Has patient had a formal validated pain assessment
M1242_PAIN_FREQ_ACTVTY_MVMT Asmt Code 2 781-782 Freq of pain interfering with pt activity/movement
M1300_PRSR_ULCR_RISK_ASMT Asmt Code 2 783-784 Was patient assessed for risk of developing PUs
M1302_RISK_OF_PRSR_ULCR Asmt Code 1 785-785 Does this patient have a risk of developing PUs
M1306_UNHLD_STG2_PRSR_ULCR Asmt Code 1 786-786 Patient has 1+ unhealed PU at stage 2 or higher
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
M1308_NBR_PRSULC_STG2 Asmt Number 2 797-798 Number of stage 2 pressure ulcers
M1308_NBR_PRSULC_STG3 Asmt Number 2 801-802 Number of stage 3 pressure ulcers
M1308_NBR_PRSULC_STG4 Asmt Number 2 805-806 Number of stage 4 pressure ulcers
M1308_NSTG_DRSG Asmt Number 2 809-810 Unstageable: non-removable dressing/device
M1308_NSTG_CVRG Asmt Number 2 813-814 Unstageable: coverage by slough or eschar
M1308_NSTG_DEEP_TISUE Asmt Number 2 817-818 Unstageable: suspect deep tissue injury
M1309_NBR_NEW_WRS_PRSULC_STG2 Asmt Number 2 1531-1532 Number of new or worsening stage 2
M1309_NBR_NEW_WRS_PRSULC_STG3 Asmt Number 2 1533-1534 Number of new or worsening stage 3
M1309_NBR_NEW_WRS_PRSULC_STG4 Asmt Number 2 1535-1536 Number of new or worsening stage 4
M1309_NBR_NEW_WRS_PRSULC_NSTG Asmt Number 2 1551-1552 Number of new or worsening unstageable
M1320_STUS_PRBLM_PRSR_ULCR Asmt Code 2 833-834 Status of most problematic pressure ulcer
M1322_NBR_PRSULC_STG1 Asmt Code 2 835-836 Number of stage 1 pressure ulcers
M1324_STG_PRBLM_ULCER Asmt Code 2 837-838 Stage of most problematic pressure ulcer
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
M1350_LESION_OPEN_WND Asmt Code 1 849-849 Has skin lesion or open wound
M1400_WHEN_DYSPNEIC Asmt Code 2 850-851 When dyspneic
M1410_RESPTX_OXYGEN Asmt Code 1 852-852 Respiratory treatments: oxygen
M1410_RESPTX_VENTILATOR Asmt Code 1 853-853 Respiratory treatments: ventilator
M1410_RESPTX_AIRPRESS Asmt Code 1 854-854 Respiratory treatments: airway pressure
M1410_RESPTX_NONE Asmt Code 1 855-855 Respiratory treatments: none of the above
M1500_SYMTM_HRT_FAILR_PTNTS Asmt Code 2 856-857 Symptoms in heart failure patients
M1510_HRT_FAILR_NO_ACTN Asmt Code 1 858-858 Heart failure follow up: no action
M1510_HRT_FAILR_PHYSN_CNTCT Asmt Code 1 859-859 Heart failure follow up: physician contacted
M1510_HRT_FAILR_ER_TRTMT Asmt Code 1 860-860 Heart failure follow up: ER treatment advised
M1510_HRT_FAILR_PHYSN_TRTMT Asmt Code 1 861-861 Heart failure follow up: phys-ordered treatmnt
M1510_HRT_FAILR_CLNCL_INTRVTN Asmt Code 1 862-862 Heart failure follow up: pt educ/other clinical
M1510_HRT_FAILR_CARE_PLAN_CHG Asmt Code 1 863-863 Heart failure follow up: change in care plan
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
M1615_INCNTNT_TIMING Asmt Code 2 868-869 When urinary incontinence occurs
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
M1750_REC_PSYCH_NURS Asmt Code 1 895-895 Receives psychiatric nursing
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
M1880_CRNT_PREP_LT_MEALS Asmt Code 2 914-915 Current: prepare light meals
M1890_CRNT_PHONE_USE Asmt Code 2 916-917 Current: telephone use
M1900_PRIOR_ADLIADL_SELF Asmt Code 2 918-919 Prior functioning ADL/IADL: self-care
M1900_PRIOR_ADLIADL_AMBLTN Asmt Code 2 920-921 Prior functioning ADL/IADL: ambulation
M1900_PRIOR_ADLIADL_TRNSFR Asmt Code 2 922-923 Prior functioning ADL/IADL: transfer
M1900_PRIOR_ADLIADL_HSEHOLD Asmt Code 2 924-925 Prior functioning ADL/IADL: household tasks
M1910_MLT_FCTR_FALL_RISK_ASMT Asmt Code 2 926-927 Has patient had a multi-factor fall risk asmt
M2000_DRUG_RGMN_RVW Asmt Code 2 928-929 Drug regimen review
M2002_MDCTN_FLWP Asmt Code 1 930-930 Medication follow-up
M2004_MDCTN_INTRVTN Asmt Code 2 931-932 Medication intervention
M2010_HIGH_RISK_DRUG_EDCTN Asmt Code 2 933-934 Patient/caregiver high risk drug education
M2015_DRUG_EDCTN_INTRVTN Asmt Code 2 935-936 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
M2040_PRIOR_MGMT_ORAL_MDCTN Asmt Code 2 941-942 Prior med mgmt: oral medications
M2040_PRIOR_MGMT_INJCTN_MDCTN Asmt Code 2 943-944 Prior med mgmt: injectable medications
M2102_CARE_TYPE_SRC_ADL Asmt Code 2 1537-1538 Care mgmt, types/sources: ADL
M2102_CARE_TYPE_SRC_IADL Asmt Code 2 1539-1540 Care mgmt, types/sources: IADL
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_EQUIP Asmt Code 2 1545-1546 Care mgmt, types/sources: equipment
M2102_CARE_TYPE_SRC_SPRVSN Asmt Code 2 1547-1548 Care mgmt, types/sources: supervision and safety
M2102_CARE_TYPE_SRC_ADVCY Asmt Code 2 1549-1550 Care mgmt, types/sources: advocacy or facilitation
M2110_ADL_IADL_ASTNC_FREQ Asmt Code 2 959-960 How often recv non-HHA caregiver ADL/IADL assist
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
M2250_PLAN_SMRY_PTNT_SPECF Asmt Code 2 965-966 Plan of care synopsis: patient specific parameters
M2250_PLAN_SMRY_DBTS_FT_CARE Asmt Code 2 967-968 Plan of care synopsis: diabetic foot care
M2250_PLAN_SMRY_FALL_PRVNT Asmt Code 2 969-970 Plan of care synopsis: falls prevention
M2250_PLAN_SMRY_DPRSN_INTRVTN Asmt Code 2 971-972 Plan of care synopsis: depression interventions
M2250_PLAN_SMRY_PAIN_INTRVTN Asmt Code 2 973-974 Plan of care synopsis: pain interventions
M2250_PLAN_SMRY_PRSULC_PRVNT Asmt Code 2 975-976 Plan of care synopsis: PU prevention
M2250_PLAN_SMRY_PRSULC_TRTMT Asmt Code 2 977-978 Plan of care synopsis: PU moist treatment
M2300_EMER_USE_AFTR_LAST_ASMT Asmt Code 2 979-980 Emergent care: use since previous OASIS
M2310_ECR_MEDICATION Asmt Code 1 981-981 Emergent care reason: medication
M2310_ECR_INJRY_BY_FALL Asmt Code 1 982-982 Emergent care reason: injury caused by fall
M2310_ECR_RSPRTRY_INFCTN Asmt Code 1 983-983 Emergent care reason: respiratory infection
M2310_ECR_RSPRTRY_OTHR Asmt Code 1 984-984 Emergent care reason: respiratory other
M2310_ECR_HRT_FAILR Asmt Code 1 985-985 Emergent care reason: heart failure
M2310_ECR_CRDC_DSRTHM Asmt Code 1 986-986 Emergent care reason: cardiac dysrhythmia
M2310_ECR_MI_CHST_PAIN Asmt Code 1 987-987 Emergent care reason: myocard infarct/chest pain
M2310_ECR_OTHR_HRT_DEASE Asmt Code 1 988-988 Emergent care reason: other heart disease
M2310_ECR_STROKE_TIA Asmt Code 1 989-989 Emergent care reason: stroke (CVA) or TIA
M2310_ECR_HYPOGLYC Asmt Code 1 990-990 Emergent care reason: hypoglycemia/hyperglycemia
M2310_ECR_GI_PRBLM Asmt Code 1 991-991 Emergent care: GI bleed/obstruct/constip/impact
M2310_ECR_DHYDRTN_MALNTR Asmt Code 1 992-992 Emergent care reason: dehydration, malnutrition
M2310_ECR_UTI Asmt Code 1 993-993 Emergent care reason: urinary tract infection
M2310_ECR_CTHTR_CMPLCTN Asmt Code 1 994-994 Emergent care reason: IV catheter infect/complic
M2310_ECR_WND_INFCTN_DTRORTN Asmt Code 1 995-995 Emergent care reason: wound infect/deterioration
M2310_ECR_UNCNTLD_PAIN Asmt Code 1 996-996 Emergent care reason: uncontrolled pain
M2310_ECR_MENTL_BHVRL_PRBLM Asmt Code 1 997-997 Emergent care reason: acute mental/behav problem
M2310_ECR_DVT_PULMNRY Asmt Code 1 998-998 Emergent care reason: deep vein thromb/pulm embol
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
M2400_INTRVTN_SMRY_DBTS_FT Asmt Code 2 1001-1002 Intervention synopsis: diabetic foot care
M2400_INTRVTN_SMRY_FALL_PRVNT Asmt Code 2 1003-1004 Intervention synopsis: falls prevention
M2400_INTRVTN_SMRY_DPRSN Asmt Code 2 1005-1006 Intervention synopsis: depression intervention
M2400_INTRVTN_SMRY_PAIN_MNTR Asmt Code 2 1007-1008 Intervention synopsis: monitor and mitigate pain
M2400_INTRVTN_SMRY_PRSULC_PRVN Asmt Code 2 1009-1010 Intervention synopsis: prevent pressure ulcers
M2400_INTRVTN_SMRY_PRSULC_WET Asmt Code 2 1011-1012 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
M2430_HOSP_MED Asmt Code 1 1017-1017 Hospitalized: medication
M2430_HOSP_INJRY_BY_FALL Asmt Code 1 1018-1018 Hospitalized: injury caused by fall
M2430_HOSP_RSPRTRY_INFCTN Asmt Code 1 1019-1019 Hospitalized: respiratory infection
M2430_HOSP_RSPRTRY_OTHR Asmt Code 1 1020-1020 Hospitalized: other respiratory
M2430_HOSP_HRT_FAILR Asmt Code 1 1021-1021 Hospitalized: heart failure
M2430_HOSP_CRDC_DSRTHM Asmt Code 1 1022-1022 Hospitalized: cardiac dysrhythmia
M2430_HOSP_MI_CHST_PAIN Asmt Code 1 1023-1023 Hospitalized: myocardial infarction or chest pain
M2430_HOSP_OTHR_HRT_DEASE Asmt Code 1 1024-1024 Hospitalized: other heart disease
M2430_HOSP_STROKE_TIA Asmt Code 1 1025-1025 Hospitalized: stroke (CVA) or TIA
M2430_HOSP_HYPOGLYC Asmt Code 1 1026-1026 Hospitalized: hypoglycemia/hyperglycemia
M2430_HOSP_GI_PRBLM Asmt Code 1 1027-1027 Hospitalized: GI bleed/obstruct/constip/impact
M2430_HOSP_DHYDRTN_MALNTR Asmt Code 1 1028-1028 Hospitalized: dehydration, malnutrition
M2430_HOSP_UR_TRACT Asmt Code 1 1029-1029 Hospitalized: urinary tract infection
M2430_HOSP_CTHTR_CMPLCTN Asmt Code 1 1030-1030 Hospitalized: IV catheter infect/complic
M2430_HOSP_WND_INFCTN Asmt Code 1 1031-1031 Hospitalized: wound infect/deterioration
M2430_HOSP_PAIN Asmt Code 1 1032-1032 Hospitalized: uncontrolled pain
M2430_HOSP_MENTL_BHVRL_PRBLM Asmt Code 1 1033-1033 Hospitalized: acute mental/behav problem
M2430_HOSP_DVT_PULMNRY Asmt Code 1 1034-1034 Hospitalized: deep vein thromb/pulm embol
M2430_HOSP_SCHLD_TRTMT Asmt Code 1 1035-1035 Hospitalized: scheduled treatment or procedure
M2430_HOSP_OTHER Asmt Code 1 1036-1036 Hospitalized: other
M2430_HOSP_UK Asmt Code 1 1037-1037 Hospitalized: UK
M0903_LAST_HOME_VISIT Asmt Date 8 1045-1052 Date of last home visit
M0906_DC_TRAN_DTH_DT Asmt Date 8 1053-1060 Discharge, transfer, death date
CONTROL_ITEMS_FILLER Filler Filler 200 1061-1260 Control items filler
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
ASMT_ITEMS_FILLER Filler Filler 708 1553-2260 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
CALCULATED_ITEMS_FILLER Filler Filler 488 2623-3110 Calculated items filler
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)
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: 01/15/2015 04:59:23 PM