Item Summary
ASMT_SYS_CD
TRANS_TYPE_CD
ITM_SBST_CD
ITM_SET_VRSN_CD
SPEC_VRSN_CD
CORRECTION_NUM
STATE_CD
HHA_AGENCY_ID
NATL_PRVDR_ID
SFW_ID
SFW_NAME
SFW_EMAIL_ADR
SFW_PROD_NAME
SFW_PROD_VRSN_CD
ACY_DOC_CD
SUBM_HIPPS_CODE
SUBM_HIPPS_VERSION
M0010_CCN
M0014_BRANCH_STATE
M0016_BRANCH_ID
M0018_PHYSICIAN_ID
M0018_PHYSICIAN_UK
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
M0069_PAT_GENDER
M0140_ETHNIC_AI_AN
M0140_ETHNIC_ASIAN
M0140_ETHNIC_BLACK
M0140_ETHNIC_HISP
M0140_ETHNIC_NH_PI
M0140_ETHNIC_WHITE
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_UK
M0080_ASSESSOR_DISCIPLINE
M0090_INFO_COMPLETED_DT
M0100_ASSMT_REASON
M0102_PHYSN_ORDRD_SOCROC_DT
M0102_PHYSN_ORDRD_SOCROC_DT_NA
M0104_PHYSN_RFRL_DT
M0110_EPISODE_TIMING
M1000_DC_LTC_14_DA
M1000_DC_SNF_14_DA
M1000_DC_IPPS_14_DA
M1000_DC_LTCH_14_DA
M1000_DC_IRF_14_DA
M1000_DC_PSYCH_14_DA
M1000_DC_OTH_14_DA
M1000_DC_NONE_14_DA
M1005_INP_DISCHARGE_DT
M1005_INP_DSCHG_UNKNOWN
M1011_14_DAY_INP1_ICD
M1011_14_DAY_INP2_ICD
M1011_14_DAY_INP3_ICD
M1011_14_DAY_INP4_ICD
M1011_14_DAY_INP5_ICD
M1011_14_DAY_INP6_ICD
M1011_14_DAY_INP_NA
M1017_CHGREG_ICD1
M1017_CHGREG_ICD2
M1017_CHGREG_ICD3
M1017_CHGREG_ICD4
M1017_CHGREG_ICD5
M1017_CHGREG_ICD6
M1017_CHGREG_ICD_NA
M1018_PRIOR_UR_INCON
M1018_PRIOR_CATH
M1018_PRIOR_INTRACT_PAIN
M1018_PRIOR_IMPR_DECSN
M1018_PRIOR_DISRUPTIVE
M1018_PRIOR_MEM_LOSS
M1018_PRIOR_NONE
M1018_PRIOR_NOCHG_14D
M1018_PRIOR_UNKNOWN
M1021_PRIMARY_DIAG_ICD
M1021_PRIMARY_DIAG_SEVERITY
M1023_OTH_DIAG1_ICD
M1023_OTH_DIAG1_SEVERITY
M1023_OTH_DIAG2_ICD
M1023_OTH_DIAG2_SEVERITY
M1023_OTH_DIAG3_ICD
M1023_OTH_DIAG3_SEVERITY
M1023_OTH_DIAG4_ICD
M1023_OTH_DIAG4_SEVERITY
M1023_OTH_DIAG5_ICD
M1023_OTH_DIAG5_SEVERITY
M1025_OPT_DIAG_ICD_A3
M1025_OPT_DIAG_ICD_A4
M1025_OPT_DIAG_ICD_B3
M1025_OPT_DIAG_ICD_B4
M1025_OPT_DIAG_ICD_C3
M1025_OPT_DIAG_ICD_C4
M1025_OPT_DIAG_ICD_D3
M1025_OPT_DIAG_ICD_D4
M1025_OPT_DIAG_ICD_E3
M1025_OPT_DIAG_ICD_E4
M1025_OPT_DIAG_ICD_F3
M1025_OPT_DIAG_ICD_F4
M1030_THH_IV_INFUSION
M1030_THH_PAR_NUTRITION
M1030_THH_ENT_NUTRITION
M1030_THH_NONE_ABOVE
M1033_HOSP_RISK_HSTRY_FALLS
M1033_HOSP_RISK_WEIGHT_LOSS
M1033_HOSP_RISK_MLTPL_HOSPZTN
M1033_HOSP_RISK_MLTPL_ED_VISIT
M1033_HOSP_RISK_MNTL_BHV_DCLN
M1033_HOSP_RISK_COMPLIANCE
M1033_HOSP_RISK_5PLUS_MDCTN
M1033_HOSP_RISK_CRNT_EXHSTN
M1033_HOSP_RISK_OTHR_RISK
M1033_HOSP_RISK_NONE_ABOVE
M1034_PTNT_OVRAL_STUS
M1036_RSK_SMOKING
M1036_RSK_OBESITY
M1036_RSK_ALCOHOLISM
M1036_RSK_DRUGS
M1036_RSK_NONE
M1036_RSK_UNKNOWN
M1041_IN_INFLNZ_SEASON
M1046_INFLNZ_RECD_CRNT_SEASON
M1051_PVX_RCVD_AGNCY
M1056_PVX_RSN_NOT_RCVD_AGNCY
M1100_PTNT_LVG_STUTN
M1200_VISION
M1210_HEARG_ABLTY
M1220_UNDRSTG_VERBAL_CNTNT
M1230_SPEECH
M1240_FRML_PAIN_ASMT
M1242_PAIN_FREQ_ACTVTY_MVMT
M1300_PRSR_ULCR_RISK_ASMT
M1302_RISK_OF_PRSR_ULCR
M1306_UNHLD_STG2_PRSR_ULCR
M1307_OLDST_STG2_AT_DSCHRG
M1307_OLDST_STG2_ONST_DT
M1308_NBR_PRSULC_STG2
M1308_NBR_PRSULC_STG3
M1308_NBR_PRSULC_STG4
M1308_NSTG_DRSG
M1308_NSTG_CVRG
M1308_NSTG_DEEP_TISUE
M1309_NBR_NEW_WRS_PRSULC_STG2
M1309_NBR_NEW_WRS_PRSULC_STG3
M1309_NBR_NEW_WRS_PRSULC_STG4
M1309_NBR_NEW_WRS_PRSULC_NSTG
M1320_STUS_PRBLM_PRSR_ULCR
M1322_NBR_PRSULC_STG1
M1324_STG_PRBLM_ULCER
M1330_STAS_ULCR_PRSNT
M1332_NBR_STAS_ULCR
M1334_STUS_PRBLM_STAS_ULCR
M1340_SRGCL_WND_PRSNT
M1342_STUS_PRBLM_SRGCL_WND
M1350_LESION_OPEN_WND
M1400_WHEN_DYSPNEIC
M1410_RESPTX_OXYGEN
M1410_RESPTX_VENTILATOR
M1410_RESPTX_AIRPRESS
M1410_RESPTX_NONE
M1500_SYMTM_HRT_FAILR_PTNTS
M1510_HRT_FAILR_NO_ACTN
M1510_HRT_FAILR_PHYSN_CNTCT
M1510_HRT_FAILR_ER_TRTMT
M1510_HRT_FAILR_PHYSN_TRTMT
M1510_HRT_FAILR_CLNCL_INTRVTN
M1510_HRT_FAILR_CARE_PLAN_CHG
M1600_UTI
M1610_UR_INCONT
M1615_INCNTNT_TIMING
M1620_BWL_INCONT
M1630_OSTOMY
M1700_COG_FUNCTION
M1710_WHEN_CONFUSED
M1720_WHEN_ANXIOUS
M1730_STDZ_DPRSN_SCRNG
M1730_PHQ2_LACK_INTRST
M1730_PHQ2_DPRSN
M1740_BD_MEM_DEFICIT
M1740_BD_IMP_DECISN
M1740_BD_VERBAL
M1740_BD_PHYSICAL
M1740_BD_SOC_INAPPRO
M1740_BD_DELUSIONS
M1740_BD_NONE
M1745_BEH_PROB_FREQ
M1750_REC_PSYCH_NURS
M1800_CRNT_GROOMING
M1810_CRNT_DRESS_UPPER
M1820_CRNT_DRESS_LOWER
M1830_CRNT_BATHG
M1840_CRNT_TOILTG
M1845_CRNT_TOILTG_HYGN
M1850_CRNT_TRNSFRNG
M1860_CRNT_AMBLTN
M1870_CRNT_FEEDING
M1880_CRNT_PREP_LT_MEALS
M1890_CRNT_PHONE_USE
M1900_PRIOR_ADLIADL_SELF
M1900_PRIOR_ADLIADL_AMBLTN
M1900_PRIOR_ADLIADL_TRNSFR
M1900_PRIOR_ADLIADL_HSEHOLD
M1910_MLT_FCTR_FALL_RISK_ASMT
M2000_DRUG_RGMN_RVW
M2002_MDCTN_FLWP
M2004_MDCTN_INTRVTN
M2010_HIGH_RISK_DRUG_EDCTN
M2015_DRUG_EDCTN_INTRVTN
M2020_CRNT_MGMT_ORAL_MDCTN
M2030_CRNT_MGMT_INJCTN_MDCTN
M2040_PRIOR_MGMT_ORAL_MDCTN
M2040_PRIOR_MGMT_INJCTN_MDCTN
M2102_CARE_TYPE_SRC_ADL
M2102_CARE_TYPE_SRC_IADL
M2102_CARE_TYPE_SRC_MDCTN
M2102_CARE_TYPE_SRC_PRCDR
M2102_CARE_TYPE_SRC_EQUIP
M2102_CARE_TYPE_SRC_SPRVSN
M2102_CARE_TYPE_SRC_ADVCY
M2110_ADL_IADL_ASTNC_FREQ
M2200_THER_NEED_NBR
M2200_THER_NEED_NA
M2250_PLAN_SMRY_PTNT_SPECF
M2250_PLAN_SMRY_DBTS_FT_CARE
M2250_PLAN_SMRY_FALL_PRVNT
M2250_PLAN_SMRY_DPRSN_INTRVTN
M2250_PLAN_SMRY_PAIN_INTRVTN
M2250_PLAN_SMRY_PRSULC_PRVNT
M2250_PLAN_SMRY_PRSULC_TRTMT
M2300_EMER_USE_AFTR_LAST_ASMT
M2310_ECR_MEDICATION
M2310_ECR_INJRY_BY_FALL
M2310_ECR_RSPRTRY_INFCTN
M2310_ECR_RSPRTRY_OTHR
M2310_ECR_HRT_FAILR
M2310_ECR_CRDC_DSRTHM
M2310_ECR_MI_CHST_PAIN
M2310_ECR_OTHR_HRT_DEASE
M2310_ECR_STROKE_TIA
M2310_ECR_HYPOGLYC
M2310_ECR_GI_PRBLM
M2310_ECR_DHYDRTN_MALNTR
M2310_ECR_UTI
M2310_ECR_CTHTR_CMPLCTN
M2310_ECR_WND_INFCTN_DTRORTN
M2310_ECR_UNCNTLD_PAIN
M2310_ECR_MENTL_BHVRL_PRBLM
M2310_ECR_DVT_PULMNRY
M2310_ECR_OTHER
M2310_ECR_UNKNOWN
M2400_INTRVTN_SMRY_DBTS_FT
M2400_INTRVTN_SMRY_FALL_PRVNT
M2400_INTRVTN_SMRY_DPRSN
M2400_INTRVTN_SMRY_PAIN_MNTR
M2400_INTRVTN_SMRY_PRSULC_PRVN
M2400_INTRVTN_SMRY_PRSULC_WET
M2410_INPAT_FACILITY
M2420_DSCHRG_DISP
M2430_HOSP_MED
M2430_HOSP_INJRY_BY_FALL
M2430_HOSP_RSPRTRY_INFCTN
M2430_HOSP_RSPRTRY_OTHR
M2430_HOSP_HRT_FAILR
M2430_HOSP_CRDC_DSRTHM
M2430_HOSP_MI_CHST_PAIN
M2430_HOSP_OTHR_HRT_DEASE
M2430_HOSP_STROKE_TIA
M2430_HOSP_HYPOGLYC
M2430_HOSP_GI_PRBLM
M2430_HOSP_DHYDRTN_MALNTR
M2430_HOSP_UR_TRACT
M2430_HOSP_CTHTR_CMPLCTN
M2430_HOSP_WND_INFCTN
M2430_HOSP_PAIN
M2430_HOSP_MENTL_BHVRL_PRBLM
M2430_HOSP_DVT_PULMNRY
M2430_HOSP_SCHLD_TRTMT
M2430_HOSP_OTHER
M2430_HOSP_UK
M0903_LAST_HOME_VISIT
M0906_DC_TRAN_DTH_DT
CONTROL_ITEMS_FILLER
ITEM_FILLER_001
ITEM_FILLER_002
ITEM_FILLER_003
ITEM_FILLER_004
ITEM_FILLER_005
ITEM_FILLER_006
ITEM_FILLER_007
ITEM_FILLER_008
ITEM_FILLER_009
ITEM_FILLER_010
ITEM_FILLER_011
ITEM_FILLER_012
ITEM_FILLER_013
ITEM_FILLER_014
ITEM_FILLER_015
ITEM_FILLER_016
ITEM_FILLER_017
ITEM_FILLER_018
ITEM_FILLER_019
ITEM_FILLER_020
ITEM_FILLER_021
ITEM_FILLER_022
ITEM_FILLER_023
ITEM_FILLER_024
ITEM_FILLER_025
ITEM_FILLER_026
ITEM_FILLER_027
ITEM_FILLER_028
ITEM_FILLER_029
ITEM_FILLER_030
ITEM_FILLER_031
ITEM_FILLER_032
ITEM_FILLER_033
ITEM_FILLER_034
ITEM_FILLER_035
ITEM_FILLER_036
ITEM_FILLER_037
ITEM_FILLER_038
ITEM_FILLER_039
ITEM_FILLER_040
ITEM_FILLER_041
ITEM_FILLER_042
ITEM_FILLER_043
ITEM_FILLER_044
ITEM_FILLER_045
ITEM_FILLER_046
ITEM_FILLER_047
ITEM_FILLER_048
ITEM_FILLER_049
ITEM_FILLER_050
ITEM_FILLER_051
ITEM_FILLER_052
ITEM_FILLER_053
ITEM_FILLER_054
ITEM_FILLER_055
ITEM_FILLER_056
ITEM_FILLER_057
ITEM_FILLER_058
ITEM_FILLER_059
ITEM_FILLER_060
ITEM_FILLER_061
ITEM_FILLER_062
ITEM_FILLER_063
ITEM_FILLER_064
ITEM_FILLER_065
ITEM_FILLER_066
ITEM_FILLER_067
ITEM_FILLER_068
ITEM_FILLER_069
ITEM_FILLER_070
ITEM_FILLER_071
ITEM_FILLER_072
ITEM_FILLER_073
ITEM_FILLER_074
ITEM_FILLER_075
ITEM_FILLER_076
ITEM_FILLER_077
ASMT_ITEMS_FILLER
LEGACY_ITEMS_FILLER
CALC_FILLER_001
CALCULATED_ITEMS_FILLER
HHA_ASMT_INT_ID
ORIG_ASMT_INT_ID
RES_INT_ID
ASMT_EFF_DATE
FAC_INT_ID
SUBMISSION_ID
SUBMISSION_DATE
SUBMISSION_COMPLETE_DATE
SUBMITTING_USER_ID
RES_MATCH_CRITERIA
RESIDENT_AGE
BIRTHDATE_SUBM_IND
CALC_HIPPS_CODE
CALC_HIPPS_VERSION
C_CCN_NUM
DATA_END_INDICATOR
CR
LF
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 01/15/2015 04:59:23 PM