-1010


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Property Specification
Data System IRF-PAI
Data Specs V1.12.1
Edit Type Format
Severity Fatal
Edit Text Invalid Data Value: The submitted value for this item is not in the valid range of acceptable values.
Version Notes [V1.12.1]-Removed mappings to items ITM_SET_VRSN_CD and SPEC_VRSN_CD.

Item List
Item ID Description
ASMT_SYS_CD Assessment System Code
STATE_CD State Code
CORRECTION_NUM Correction Number
8 Gender
9A Race: American Indian/Alaskan Native
9B Race: Asian
9C Race: Black or African American
9D Ethnicity: Hispanic or Latino
9E Race: Native Hawaiian or other Pacific Islander
9F Race: White
10 Marital Status
14 Admission Class
15A Admit From
16A Pre-hospital Living Setting
17 Pre-Hospital Living With
20A Primary Payment Source
20B Secondary Payment Source
21A Impairment Group: Admission
21D Impairment Group: Discharge
24A1 Arthritis Conditions Recorded
25A Height
26A Weight
27A Swallowing Status: Admission
27D Swallowing Status: Discharge
29A Bladder Level of Assistance: Admission
29D Bladder Level of Assistance: Discharge
30A Bladder Frequency of Accidents: Admission
30D Bladder Frequency of Accidents: Discharge
31A Bowel Level of Assistance: Admission
31D Bowel Level of Assistance: Discharge
32A Bowel Frequency of Accidents: Admission
32D Bowel Frequency of Accidents: Discharge
33A Tub Transfer: Admission
33D Tub Transfer: Discharge
34A Shower Transfer: Admission
34D Shower Transfer: Discharge
35A Distance Walked: Admission
35D Distance Walked: Discharge
36A Distance Traveled in Wheelchair: Admission
36D Distance Traveled in Wheelchair: Discharge
37A Walk: Admission
37D Walk: Discharge
38A Wheelchair: Admission
38D Wheelchair: Discharge
39AA Self-Care -Eating: Admission
39AD Self-Care -Eating: Discharge
39AG Self-Care -Eating: Goal
39BA Self-Care -Grooming: Admission
39BD Self-Care -Grooming: Discharge
39BG Self-Care -Grooming: Goal
39CA Self-Care -Bathing: Admission
39CD Self-Care -Bathing: Discharge
39CG Self-Care -Bathing: Goal
39DA Self-Care -Dressing - Upper: Admission
39DD Self-Care -Dressing - Upper: Discharge
39DG Self-Care -Dressing - Upper: Goal
39EA Self-Care -Dressing - Lower: Admission
39ED Self-Care -Dressing - Lower: Discharge
39EG Self-Care -Dressing - Lower: Goal
39FA Self-Care -Toileting: Admission
39FD Self-Care -Toileting: Discharge
39FG Self-Care -Toileting: Goal
39GA Sphincter Control -Bladder: Admission
39GD Sphincter Control -Bladder: Discharge
39GG Sphincter Control -Bladder: Goal
39HA Sphincter Control -Bowel: Admission
39HD Sphincter Control -Bowel: Discharge
39HG Sphincter Control -Bowel: Goal
39IA Transfers -Bed, Chair, Wheelchair: Admission
39ID Transfers -Bed, Chair, Wheelchair: Discharge
39IG Transfers -Bed, Chair, Wheelchair: Goal
39JA Transfers -Toilet: Admission
39JD Transfers -Toilet: Discharge
39JG Transfers -Toilet: Goal
39KA Transfers -Tub, Shower: Admission
39KD Transfers - Tub, Shower: Discharge
39KG Transfers -Tub, Shower: Goal
39LA Locomotion -Walk/Wheelchair: Admission
39LAA Locomotion -Walk/Wheelchair/both: Admission
39LD Locomotion -Walk/Wheelchair: Discharge
39LDD Locomotion -Walk/Wheelchair/both: Discharge
39LG Locomotion -Walk/Wheelchair: Goal
39MA Locomotion -Stairs: Admission
39MD Locomotion -Stairs: Discharge
39MG Locomotion -Stairs: Goal
39NA Communication -Comprehension: Admission
39NAA Communication -Comp Auditory/Visual/Both:Admission
39ND Communication -Comprehension: Discharge
39NDD Communication -Comp Auditory/Visual/Both:Discharge
39NG Communication -Comprehension: Goal
39OA Communication -Expression: Admission
39OAA Communication -Expr Vocal/Nonvocal/Both: Admission
39OD Communication -Expression: Discharge
39ODD Communication -Expr Vocal/Nonvocal/Both: Discharge
39OG Communication -Expression: Goal
39PA Social Cognition -Social Interaction: Admission
39PD Social Cognition -Social Interaction: Discharge
39PG Social Cognition -Social Interaction: Goal
39QA Social Cognition -Problem Solving: Admission
39QD Social Cognition -Problem Solving: Discharge
39QG Social Cognition -Problem Solving: Goal
39RA Social Cognition -Memory: Admission
39RD Social Cognition -Memory: Discharge
39RG Social Cognition -Memory: Goal
41 Patient Discharged Against Medical Advice
42 Program Interruption(s) Indicator
44C Patient Discharged Alive
44D Discharge to Living Setting
45 Discharge to Living With
O0401AA Physical Therapy - Individual Minutes Week 1
O0401AB Physical Therapy - Concurrent Minutes Week 1
O0401AC Physical Therapy - Group Minutes Week 1
O0401AD Physical Therapy - Co-treatment Minutes Week 1
O0401BA Occupational Therapy - Individual Minutes Week 1
O0401BB Occupational Therapy - Concurrent Minutes Week 1
O0401BC Occupational Therapy - Group Minutes Week 1
O0401BD Occupational Therapy - Co-treatment Minutes Week 1
O0401CA SLP Therapy - Individual Minutes Week 1
O0401CB SLP Therapy - Concurrent Minutes Week 1
O0401CC SLP Therapy - Group Minutes Week 1
O0401CD SLP Therapy - Co-treatment Minutes Week 1
O0402AA Physical Therapy - Individual Minutes Week 2
O0402AB Physical Therapy - Concurrent Minutes Week 2
O0402AC Physical Therapy - Group Minutes Week 2
O0402AD Physical Therapy - Co-treatment Minutes Week 2
O0402BA Occupational Therapy - Individual Minutes Week 2
O0402BB Occupational Therapy - Concurrent Minutes Week 2
O0402BC Occupational Therapy - Group Minutes Week 2
O0402BD Occupational Therapy - Co-treatment Minutes Week 2
O0402CA SLP Therapy - Individual Minutes Week 2
O0402CB SLP Therapy - Concurrent Minutes Week 2
O0402CC SLP Therapy - Group Minutes Week 2
O0402CD SLP Therapy - Co-treatment Minutes Week 2
M0210_1 Pressure Ulcers Present on Admission
M0210_2 Pressure Ulcers Present on Discharge
M0300A1_1 Number of Stage 1 pressure ulcers: Admission
M0300A1_2 Number of Stage 1 pressure ulcers: Discharge
M0300A2_2 Nbr Disch Stg 1 PU were Adm Stg 1 PU
M0300A3_2 Nbr Disch Stg 1 PU new
M0300B1_1 Number of Stage 2 pressure ulcers: Admission
M0300B1_2 Number of Stage 2 pressure ulcers: Discharge
M0300B2_2 Nbr Disch Stg 2 PU were Adm Stg 2 PU
M0300B3_2 Nbr Disch Stg 2 PU were Adm Unstg PU
M0300B4_2 Nbr Disch Stg 2 PU new/worsened
M0300C1_1 Number of Stage 3 pressure ulcers: Admission
M0300C1_2 Number of Stage 3 pressure ulcers: Discharge
M0300C2_2 Nbr Disch Stg 3 PU were Adm Stg 3 PU
M0300C3_2 Nbr Disch Stg 3 PU were Adm Unstg PU
M0300C4_2 Nbr Disch Stg 3 PU new/worsened
M0300D1_1 Number of Stage 4 pressure ulcers: Admission
M0300D1_2 Number of Stage 4 pressure ulcers: Discharge
M0300D2_2 Nbr Disch Stg 4 PU were Adm Stg 4 PU
M0300D3_2 Nbr Disch Stg 4 PU were Adm Unstg PU
M0300D4_2 Nbr Disch Stg 4 PU new/worsened
M0300E1_1 Nbr Unstg non-remov drsg pressure ulcers: Adm
M0300E1_2 Nbr Unstg non-remov drsg pressure ulcers: Dschrg
M0300E2_2 Nbr Unstg NRD Disch PU were Adm Unstg NRD PU
M0300E3_2 Nbr Unstg NRD Disch PU were Adm Stageable PU
M0300F1_1 Nbr Unstg slough/eschar pressure ulcers: Adm
M0300F1_2 Nbr Unstg slough/eschar pressure ulcers: Dschrg
M0300F2_2 Nbr Unstg S/E Disch PU were Adm Unstg S/E PU
M0300F3_2 Nbr Unstg S/E Disch PU were Adm Stageable PU
M0300G1_1 Nbr Unstg DTI pressure ulcers: Adm
M0300G1_2 Nbr Unstg DTI pressure ulcers: Dschrg
M0300G2_2 Nbr Unstg DTI Disch PU were Adm Unstg DTI PU
M0900A Number of Stage 1 Healed Pressure Ulcers
M0900B Number of Stage 2 Healed Pressure Ulcers
M0900C Number of Stage 3 Healed Pressure Ulcers
M0900D Number of Stage 4 Healed Pressure Ulcers
I0900A Peripheral Vascular Disease (PVD)
I0900B Peripheral Arterial Disease ( PAD)
I2900A Diabetes Mellitus (DM)
I2900B Diabetic Retinopathy
I2900C Diabetic Nephropathy
I2900D Diabetic Neuropathy
O0250A Was influenza vaccine received
O0250C If influenza vaccine not received, state reason

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Generated: 09/09/2015 03:29:57 PM