-1010
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 |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 09/09/2015 03:29:57 PM