RIC         1  2  $RIC                                  C Record Identification Code

                                   0                    A Administrative Data
                                   0                   DU Dental Events
                                   0                   FA Facility Events
                                   0                    H HMO Supplement
                                   0                   IA Income and Assets
                                   0                   IP Inpatient Hospital Events
                                   0                   IU Institutional Events
                                   0                    K Key Record
                                   0                   KN Knowledge and Information Needs
                                   0                   MD MDS
                                   0                   MP Medical Provider Events
                                   0                    N Non-Respondent
                               4,941                   OA OASIS
                                   0                   OP Outpatient Events
                                   0                   PA Patient Activation
                                   0                   PM Prescribed Medicine Events
                                   0                   PS Person Summary
                                   0                   RX Drug Coverage
                                   0                   SS Service Summary
                                   0                    X Cross Sectional Weights
                                   0                   XE Ever Enrolled Weights
                                   0                   X2 2 year Weights
                                   0                   X3 3 year Weights
                                   0                   X4 4 year Weights
                                   0                    1 Survey Identification (Demographic)
                                   0                   10 MDS/OAS Timeline
                                   0                    2 Health Status/Functioning (Community)
                                   0                   2F Health Status/Functioning (Facility)
                                   0                   2H Health Status/Functioning (Helper)
                                   0                   2P Health Status/Functioning (Prevention)
                                   0                    3 Access to Care
                                   0                    4 Health Insurance
                                   0                    5 Enumeration
                                   0                    6 Facility Residence History
                                   0                    7 Facility Characteristics
                                   0                   7S SNF Characteristics
                                   0                    8 Interview Description
                                   0                    9 Residence Timeline

VERSION     3  1  $VERSION                              C Version Number

                               4,941                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                               4,941             LOW-HIGH BASEID Count

M0010      12  6                                        C Agency Medicare Number

M0014      18  2                                        C Branch State

M0016      20 10                                        C Branch Identifier Number

M0018A     30 10                                        C Physician NPI

M0018B     40  1                                        C Physician NPI UK

M0030_ST   41  8                                        N Start of Care Date

M0032      49  1                                        C Resumption of Care Date Not Applicable

M0032_RO   50  8                                        N Resumption of Care Date

M0050      58  2                                        C Patient State

M0060      60 11                                        C Patient ZIP Code

M0066      71  8                                        N Patient Birth Date

M0069      79  1  $SEXFMT                               C Gender

                               1,693                    1 Male
                               3,248                    2 Female

M0080      80  2  $DISCIOA                              C Discipline of Person Completing Assess

                               4,283                   01 RN
                                 588                   02 PT
                                  21                   03 SLP/ST
                                  49                   04 OT

M0090      82  8                                        N Date Assessment Completed

M0100      90  2  $ACOMPOA                              C Assessment Reason

                               1,466                   01 S/R; Start; further visits planned
                                   0                   02 S/R; Start; no further visits planned
                                 282                   03 S/R; Resumption of care
                               1,290                   04 Follow-up; Recertification
                                  20                   05 Follow-up; Other
                                 436                   06 Transfer to inpat fac; Patient not disch
                                  73                   07 Transfer to inpat fac; Patient disch
                                   9                   08 Disch from agency; Death at home
                               1,365                   09 Disch from agency; Disch from agency
                                   0                   10 Disch from agency; No visits completed

M0102A     92  8                                        N Physician Ordered SOC ROC

M0102B    100  1                                        C Physician Ordered SOC ROC - NA

M0104     101  8                                        N Physician Date Of Referral

M0110     109  2  $EPSDFMT                              C Episode Timing

                               1,883                      Missing
                                 261                   NA No case mix group defined
                                  68                   UK Unknown
                               1,718                   01 Early
                               1,011                   02 Later

M0140AIN  111  1  $INDICOA                              C American Indian or Alaska Native

                               3,193                      Missing
                               1,738                    0 Not indicated
                                  10                    1 Indicated

M0140ASN  112  1  $INDICOA                              C Asian

                               3,193                      Missing
                               1,721                    0 Not indicated
                                  27                    1 Indicated

M0140BLK  113  1  $INDICOA                              C Black or African-American

                               3,193                      Missing
                               1,525                    0 Not indicated
                                 223                    1 Indicated

M0140HPI  114  1  $INDICOA                              C Native Hawiian or Pacific Islander

                               3,193                      Missing
                               1,745                    0 Not indicated
                                   3                    1 Indicated

M0140HSP  115  1  $INDICOA                              C Hispanic or Latino

                               3,193                      Missing
                               1,601                    0 Not indicated
                                 147                    1 Indicated

M0140UNK  116  1  $INDICOA                              C Unknown Race/Ethnicity

                               4,941                      Missing
                                   0                    0 Not indicated
                                   0                    1 Indicated

M0140WHT  117  1  $INDICOA                              C White

                               3,193                      Missing
                                 410                    0 Not indicated
                               1,338                    1 Indicated

M0150A    118  1  $INDICOA                              C Medicaid Fee-For-Service

                               4,486                    0 Not indicated
                                 455                    1 Indicated

M0150B    119  1  $INDICOA                              C Medicaid HMO/Managed Care

                               4,889                    0 Not indicated
                                  52                    1 Indicated

M0150C    120  1  $INDICOA                              C Medicare Fee-For-Service

                               1,066                    0 Not indicated
                               3,875                    1 Indicated

M0150D    121  1  $INDICOA                              C Medicare HMO/Managed Care

                               4,138                    0 Not indicated
                                 803                    1 Indicated

M0150E    122  1  $INDICOA                              C No Charge for Current Services

                               4,941                    0 Not indicated
                                   0                    1 Indicated

M0150F    123  1  $INDICOA                              C Other Government

                               4,909                    0 Not indicated
                                  32                    1 Indicated

M0150G    124  1  $INDICOA                              C Other Payment Source

                               4,916                    0 Not indicated
                                  25                    1 Indicated

M0150H    125  1  $INDICOA                              C Private HMO/Managed Care

                               4,911                    0 Not indicated
                                  30                    1 Indicated

M0150I    126  1  $INDICOA                              C Private Insurance

                               4,798                    0 Not indicated
                                 143                    1 Indicated

M0150J    127  1  $INDICOA                              C Self-Pay

                               4,928                    0 Not indicated
                                  13                    1 Indicated

M0150K    128  1  $INDICOA                              C Title Programs

                               4,937                    0 Not indicated
                                   4                    1 Indicated

M0150L    129  1  $INDICOA                              C Unknown Payment Source

                               3,193                      Missing
                               1,748                    0 Not indicated
                                   0                    1 Indicated

M0150M    130  1  $INDICOA                              C Workers Compensation

                               4,941                    0 Not indicated
                                   0                    1 Indicated

M0903     131  8                                        N Date of Last Home Visit

M0906     139  8                                        N Discharge/Transfer/Death Date

M1000A    147  1  $INDICOA                              C Discharged Past 14 Days From IPPS

                               3,193                      Missing
                                 900                    0 Not indicated
                                 848                    1 Indicated

M1000B    148  1  $INDICOA                              C Discharged Past 14 Days From IRF

                               3,193                      Missing
                               1,663                    0 Not indicated
                                  85                    1 Indicated

M1000C    149  1  $INDICOA                              C Discharged Past 14 Days From LTC

                               3,193                      Missing
                               1,733                    0 Not indicated
                                  15                    1 Indicated

M1000D    150  1  $INDICOA                              C Discharged Past 14 Days From LTCH

                               3,193                      Missing
                               1,734                    0 Not indicated
                                  14                    1 Indicated

M1000E    151  1  $INDICOA                              C Discharged Past 14 Days From Other

                               3,193                      Missing
                               1,743                    0 Not indicated
                                   5                    1 Indicated

M1000F    152  1  $INDICOA                              C Discharged Past 14 Days From Psych

                               3,193                      Missing
                               1,739                    0 Not indicated
                                   9                    1 Indicated

M1000G    153  1  $INDICOA                              C Discharged Past 14 Days From SNF/TCU

                               3,193                      Missing
                               1,486                    0 Not indicated
                                 262                    1 Indicated

M1000H    154  1  $INDICOA                              C Discharged Past 14 Days - NA

                               3,193                      Missing
                               1,194                    0 Not indicated
                                 554                    1 Indicated

M1005A    155  1                                        C Most Recent Inpat Discharge Date - UK

M1005B    156  8                                        N Most Recent Inpatient Discharge Date

M1010A    164  7                                        C Inpatient Diagnosis1 ICD Code

M1010B    171  7                                        C Inpatient Diagnosis2 ICD Code

M1010C    178  7                                        C Inpatient Diagnosis3 ICD Code

M1010D    185  7                                        C Inpatient Diagnosis4 ICD Code

M1010E    192  7                                        C Inpatient Diagnosis5 ICD Code

M1010F    199  7                                        C Inpatient Diagnosis6 ICD Code

M1012A    206  1                                        C Inpatient ICD Procedure Code - NA

M1012B    207  1                                        C Inpatient ICD Procedure Code - UK

M1012C    208  7                                        C Inpatient ICD Procedure1 Code

M1012D    215  7                                        C Inpatient ICD Procedure2 Code

M1012E    222  7                                        C Inpatient ICD Procedure3 Code

M1012F    229  7                                        C Inpatient ICD Procedure4 Code

M1016A    236  7                                        C Regimen Change - Diagnosis1 ICD Code

M1016B    243  7                                        C Regimen Change - Diagnosis2 ICD Code

M1016C    250  7                                        C Regimen Change - Diagnosis3 ICD Code

M1016D    257  7                                        C Regimen Change - Diagnosis4 ICD Code

M1016E    264  7                                        C Regimen Change - Diagnosis5 ICD Code

M1016F    271  7                                        C Regimen Change - Diagnosis6 ICD Code

M1016G    278  1                                        C Regimen Change In Past 14 Days - NA

M1018A    279  1  $INDICOA                              C Prior Condition - Catheter

                               3,193                      Missing
                               1,714                    0 Not indicated
                                  34                    1 Indicated

M1018B    280  1  $INDICOA                              C Prior Condition - Disruptive Behavior

                               3,193                      Missing
                               1,726                    0 Not indicated
                                  22                    1 Indicated

M1018C    281  1  $INDICOA                              C Prior Condition - Impaired Decision

                               3,193                      Missing
                               1,436                    0 Not indicated
                                 312                    1 Indicated

M1018D    282  1  $INDICOA                              C Prior Condition - Intractable Pain

                               3,193                      Missing
                               1,547                    0 Not indicated
                                 201                    1 Indicated

M1018E    283  1  $INDICOA                              C Prior Condition - Memory Loss

                               3,193                      Missing
                               1,500                    0 Not indicated
                                 248                    1 Indicated

M1018F    284  1  $INDICOA                              C Prior Condition - NA

                               3,193                      Missing
                               1,604                    0 Not indicated
                                 144                    1 Indicated

M1018G    285  1  $INDICOA                              C Prior Condition - None Of The Above

                               3,193                      Missing
                               1,080                    0 Not indicated
                                 668                    1 Indicated

M1018H    286  1  $INDICOA                              C Prior Condition - UK

                               3,193                      Missing
                               1,732                    0 Not indicated
                                  16                    1 Indicated

M1018I    287  1  $INDICOA                              C Prior Condition - Urinary Incontinence

                               3,193                      Missing
                               1,095                    0 Not indicated
                                 653                    1 Indicated

M1020A    288  7                                        C Primary Diagnosis ICD Code

M1020B    295  2  $SEVEROA                              C Primary Diagnosis Severity

                               2,474                      Missing
                                   0                   00 Asymptomatic, not treatement needed
                                 135                   01 Symptoms contr with current therapy
                               1,133                   02 Symptoms contr with difficulty
                               1,074                   03 Symptoms poorly contr, freq dose adjust
                                 125                   04 Symptoms poorly contr, hist rehospitali

M1022A    297  7                                        C Other Diagnosis1 ICD Code

M1022B    304  2  $SEVEROA                              C Other Diagnosis1 Severity

                               2,099                      Missing
                                   3                   00 Asymptomatic, not treatement needed
                                 212                   01 Symptoms contr with current therapy
                               1,516                   02 Symptoms contr with difficulty
                               1,002                   03 Symptoms poorly contr, freq dose adjust
                                 109                   04 Symptoms poorly contr, hist rehospitali

M1022C    306  7                                        C Other Diagnosis2 ICD Code

M1022D    313  2  $SEVEROA                              C Other Diagnosis2 Severity

                               2,101                      Missing
                                   4                   00 Asymptomatic, not treatement needed
                                 389                   01 Symptoms contr with current therapy
                               1,590                   02 Symptoms contr with difficulty
                                 795                   03 Symptoms poorly contr, freq dose adjust
                                  62                   04 Symptoms poorly contr, hist rehospitali

M1022E    315  7                                        C Other Diagnosis3 ICD Code

M1022F    322  2  $SEVEROA                              C Other Diagnosis3 Severity

                               2,265                      Missing
                                   4                   00 Asymptomatic, not treatement needed
                                 491                   01 Symptoms contr with current therapy
                               1,533                   02 Symptoms contr with difficulty
                                 595                   03 Symptoms poorly contr, freq dose adjust
                                  53                   04 Symptoms poorly contr, hist rehospitali

M1022G    324  7                                        C Other Diagnosis4 ICD Code

M1022H    331  2  $SEVEROA                              C Other Diagnosis4 Severity

                               2,604                      Missing
                                   8                   00 Asymptomatic, not treatement needed
                                 500                   01 Symptoms contr with current therapy
                               1,379                   02 Symptoms contr with difficulty
                                 416                   03 Symptoms poorly contr, freq dose adjust
                                  34                   04 Symptoms poorly contr, hist rehospitali

M1022I    333  7                                        C Other Diagnosis5 ICD Code

M1022J    340  2  $SEVEROA                              C Other Diagnosis5 Severity

                               3,174                      Missing
                                  18                   00 Asymptomatic, not treatement needed
                                 385                   01 Symptoms contr with current therapy
                               1,084                   02 Symptoms contr with difficulty
                                 251                   03 Symptoms poorly contr, freq dose adjust
                                  29                   04 Symptoms poorly contr, hist rehospitali

M1024A    342  7                                        C Case Mix Dx - Primary ICD, Col3

M1024B    349  7                                        C Case Mix Dx - Primary ICD, Col4

M1024C    356  7                                        C Case Mix Dx - Secndry ICD1, Col3

M1024D    363  7                                        C Case Mix Dx - Secndry ICD1, Col4

M1024E    370  7                                        C Case Mix Dx - Secndry ICD2, Col3

M1024F    377  7                                        C Case Mix Dx - Secndry ICD2, Col4

M1024G    384  7                                        C Case Mix Dx - Secndry ICD3, Col3

M1024H    391  7                                        C Case Mix Dx - Secndry ICD3, Col4

M1024I    398  7                                        C Case Mix Dx - Secndry ICD4, Col3

M1024J    405  7                                        C Case Mix Dx - Secndry ICD4, Col4

M1024K    412  7                                        C Case Mix Dx - Secndry ICD5, Col3

M1024L    419  7                                        C Case Mix Dx - Secndry ICD5, Col4

M1030A    426  1  $INDICOA                              C Therapies In Home - Enteral Nutrition

                               1,883                      Missing
                               3,009                    0 Not indicated
                                  49                    1 Indicated

M1030B    427  1  $INDICOA                              C Therapies In Home - IV Infusion

                               1,883                      Missing
                               3,016                    0 Not indicated
                                  42                    1 Indicated

M1030C    428  1  $INDICOA                              C Therapies In Home - None Above

                               1,883                      Missing
                                  94                    0 Not indicated
                               2,964                    1 Indicated

M1030D    429  1  $INDICOA                              C Therapies In Home - Parenteral Nutrition

                               1,883                      Missing
                               3,054                    0 Not indicated
                                   4                    1 Indicated

M1032A    430  1  $INDICOA                              C Risk For Hosp - Mental, Emotional, Behav

                               3,193                      Missing
                               1,475                    0 Not indicated
                                 273                    1 Indicated

M1032B    431  1  $INDICOA                              C Risk For Hosp - Frailty Indicators

                               3,193                      Missing
                               1,216                    0 Not indicated
                                 532                    1 Indicated

M1032C    432  1  $INDICOA                              C Risk For Hosp - History Of Falls

                               3,193                      Missing
                               1,207                    0 Not indicated
                                 541                    1 Indicated

M1032D    433  1  $INDICOA                              C Risk For Hosp - > 1 Hospital In 12 Mo

                               3,193                      Missing
                               1,098                    0 Not indicated
                                 650                    1 Indicated

M1032E    434  1  $INDICOA                              C Risk For Hosp - None Of The Above

                               3,193                      Missing
                               1,695                    0 Not indicated
                                  53                    1 Indicated

M1032F    435  1  $INDICOA                              C Risk For Hosp - Taking 5 Or More Meds

                               3,193                      Missing
                                 205                    0 Not indicated
                               1,543                    1 Indicated

M1032G    436  1  $INDICOA                              C Risk For Hospitalization - Other

                               3,193                      Missing
                               1,588                    0 Not indicated
                                 160                    1 Indicated

M1034     437  2  $STATUOA                              C Overall Status

                               3,193                      Missing
                                   6                   UK Unknown
                                 256                   00 SP is stable with no heightened risk
                                 886                   01 SP is temporarily facing high health ris
                                 512                   02 SP is likely to remain in fragile health
                                  88                   03 SP has serious progressive conditions

M1036A    439  1  $INDICOA                              C High Risk Factor - Alcohol Dependency

                               3,193                      Missing
                               1,714                    0 Not indicated
                                  34                    1 Indicated

M1036B    440  1  $INDICOA                              C High Risk Factor - Drug Dependency

                               3,193                      Missing
                               1,720                    0 Not indicated
                                  28                    1 Indicated

M1036C    441  1  $INDICOA                              C High Risk Factor - None Of The Above

                               3,193                      Missing
                                 577                    0 Not indicated
                               1,171                    1 Indicated

M1036D    442  1  $INDICOA                              C High Risk Factor - Obesity

                               3,193                      Missing
                               1,415                    0 Not indicated
                                 333                    1 Indicated

M1036E    443  1  $INDICOA                              C High Risk Factor - Smoking

                               3,193                      Missing
                               1,530                    0 Not indicated
                                 218                    1 Indicated

M1036F    444  1  $INDICOA                              C High Risk Factor - UK

                               3,193                      Missing
                               1,710                    0 Not indicated
                                  38                    1 Indicated

M1040     445  2  $YESNAOA                              C Influenza Vaccine Received In Agency

                               3,067                      Missing
                                 395                   NA Inapplicable
                               1,409                   00 No
                                  70                   01 Yes

M1045     447  2  $INFLUOA                              C Influenza Vaccine - Reason Not Received

                               3,532                      Missing
                               1,015                   01 Rec from other health care provider
                                   8                   02 Rec from agency previously
                                 100                   03 Offered and declined
                                   9                   04 Medical contraindication(s)
                                   5                   05 Does not meet age/condition guidelines
                                   0                   06 Inability to obtain due to shortage
                                 272                   07 None of the above

M1050     449  1  $YESNOOA                              C Pneum Vaccine (PPV) Received In Agency

                               3,067                      Missing
                               1,832                    0 No
                                  42                    1 Yes

M1055     450  2  $PPVNOOA                              C Pneum Vaccine (PPV) Reason Not Received

                               3,109                      Missing
                               1,234                   01 Rec PPV in past
                                 128                   02 Offered and declined
                                   5                   03 Medical contraindication(s)
                                  34                   04 Does not meet age/condition guidelines
                                 431                   05 None of the above

M1100     452  2                                        C Patient Living Situation

M1200     454  2  $VISIOOA                              C Vision

                               1,883                      Missing
                               2,116                   00 Normal vision
                                 869                   01 Partially impaired
                                  73                   02 Severely impaired

M1210     456  2  $HEARCOA                              C Ability To Hear

                               3,193                      Missing
                                   3                   UK Unable to assess hearing
                               1,007                   00 Adequate
                                 715                   01 Mildly to moderately impaired
                                  23                   02 Severely impaired

M1220     458  2  $VERBAOA                              C Understanding Of Verbal Content

                               3,193                      Missing
                                   5                   UK Unable to assess hearing
                                 983                   00 Understands
                                 602                   01 Usually understands
                                 145                   02 Sometimes understands
                                  13                   03 Never understands

M1230     460  2  $SPEECOA                              C Speech And Oral Expression

                               1,828                      Missing
                               1,940                   00 No observable impairement
                                 875                   01 Minimal difficulty
                                 191                   02 Moderate difficulty
                                  81                   03 Severe difficulty
                                  13                   04 Unable to express basic needs
                                  13                   05 Nonresponsive or unable to speak

M1240     462  2  $PAINAOA                              C Formal Pain Assessment

                               3,193                      Missing
                                  31                   00 No standardized assessment
                               1,322                   01 Yes, severe pain not indicated
                                 395                   02 Yes, severe pain indicated

M1242     464  2  $FREQCOA                              C Freq Of Pain Interfering With Activity

                                 518                      Missing
                               1,340                   00 No pain
                                 548                   01 Pain does not interfere
                                 588                   02 Less often than daily
                               1,588                   03 Daily, but not constantly
                                 359                   04 All of the time

M1300     466  2  $ULASSOA                              C Pressure Ulcer Assessment

                               3,193                      Missing
                                  41                   00 No assessment conducted
                                 168                   01 Yes, based on eval of clinical factors
                               1,539                   02 Yes, using a standardized tool

M1302     468  1  $YESNOOA                              C Risk Of Developing Pressure Ulcer

                               3,234                      Missing
                               1,134                    0 No
                                 573                    1 Yes

M1306     469  1  $YESNOOA                              C Unhealed Pressure Ulcer at Least Stg II

                                 518                      Missing
                               4,272                    0 No
                                 151                    1 Yes

M1307A    470  8                                        N Oldest Stg II Onset Date

M1307B    478  2                                        C Oldest Stg II Pressure Ulcer, Discharge

M1308A    480  2                                        C Num Of Pressure Ulcer -Stg II

M1308B    482  2                                        C Num Of Pressure Ulcer -Stg II, SOC ROC

M1308C    484  2                                        C Num Of Pressure Ulcer -Stg III

M1308D    486  2                                        C Num Of Pressure Ulcer -Stg III, SOC ROC

M1308E    488  2                                        C Num Of Pressure Ulcer -Stg IV

M1308F    490  2                                        C Num Of Pressure Ulcer -Stg IV, SOC ROC

M1308G    492  2                                        C Num UnStg Pressure Ulcer, NR, Dsg

M1308H    494  2                                        C Num UnStg Pressure Ulcer, NR, SOC ROC

M1308I    496  2                                        C Num UnStg Press Ulcer Slough, SOC ROC

M1308J    498  2                                        C Num UnStg Press Ulcer Slough Eschar

M1308K    500  2                                        C Num UnStg Press Ulcer D\Tissue

M1308L    502  2                                        C Num UnStg Press Ulcer D\Tissue, SOC ROC

M1310     504  4                                        C Largest Pressure Ulcer Length

M1312     508  4                                        C Largest Pressure Ulcer Width

M1314     512  4                                        C Largest Pressure Ulcer Depth

M1320     516  2  $ULSTAPO                              C Status Of Most Problematic Press Ulcer

                               4,847                      Missing
                                   2                   NA No observable pressure ulcer
                                   1                   00 Newly epithelialized
                                   0                   01 Fully granulating
                                   0                   02 Early/Partial granulation
                                  91                   03 Not healing

M1322     518  2  $ULNUMOA                              C Current Number Of Stage I Press Ulcer

                                 518                      Missing
                               4,343                   00 None
                                  58                   01 One
                                  15                   02 Two
                                   1                   03 Three
                                   6                   04 Four or more

M1324     520  2  $ULSTGOA                              C Stage Of Most Problematic Press Ulcer

                                 518                      Missing
                               4,233                   NA No observable pressure ulcer
                                  51                   01 Stage one
                                 108                   02 Stage two
                                  27                   03 Stage three
                                   4                   04 Stage four

M1330     522  2  $STASUOA                              C Stasis Ulcer Present

                                 518                      Missing
                               4,337                   00 No
                                  10                   01 Yes, BOTH observable and unobservable
                                  66                   02 Yes, Observable only
                                  10                   03 Yes, Unobservable only

M1332     524  2  $ULNUMOA                              C Current Num Of (Observable) Stasis Ulcer

                               4,865                      Missing
                                   0                   00 None
                                  54                   01 One
                                   9                   02 Two
                                   5                   03 Three
                                   8                   04 Four or more

M1334     526  2  $ULSTAQO                              C Status Of Most Problematic Stasis Ulcer

                               4,865                      Missing
                                   1                   00 Newly epithelialized
                                   3                   01 Fully granulating
                                  32                   02 Early/Partial granulation
                                  40                   03 Not healing

M1340     528  2  $SURGWOA                              C Does This Patient Have A Surgica Wound

                                 518                      Missing
                               3,788                   00 No
                                 581                   01 Yes, observable
                                  54                   02 Yes, not observable

M1342     530  2  $ULSTAQO                              C Status Of Most Problematic Surgica Wound

                               4,360                      Missing
                                 235                   00 Newly epithelialized
                                  87                   01 Fully granulating
                                 118                   02 Early/Partial granulation
                                 141                   03 Not healing

M1350     532  1  $YESNOOA                              C Skin Lesion Or Open Wound

                                 518                      Missing
                               3,852                    0 No
                                 571                    1 Yes

M1400     533  2  $SBREAOA                              C When Is Patient Dyspneic

                                 518                      Missing
                               1,494                   00 Never
                               1,123                   01 When walking more than 20 feet
                               1,192                   02 With moderate exertion
                                 536                   03 With minimal exertion
                                  78                   04 At rest (day or night)

M1410A    535  1  $INDICOA                              C Resprtry Treat At Home - Airway Press

                               1,828                      Missing
                               3,035                    0 Not indicated
                                  78                    1 Indicated

M1410B    536  1  $INDICOA                              C Resprtry Treat At Home - None

                               1,828                      Missing
                                 504                    0 Not indicated
                               2,609                    1 Indicated

M1410C    537  1  $INDICOA                              C Resprtry Treat At Home - Oxygen

                               1,828                      Missing
                               2,671                    0 Not indicated
                                 442                    1 Indicated

M1410D    538  1  $INDICOA                              C Resprtry Treat At Home - Ventilator

                               1,828                      Missing
                               3,113                    0 Not indicated
                                   0                    1 Indicated

M1500     539  2  $SYMHFOA                              C Symptoms In Heart Failure Patients

                               3,067                      Missing
                                 683                   00 No
                                 153                   01 Yes
                                  13                   02 Not assessed
                               1,025                      NA

M1510A    541  1  $INDICOA                              C Heart Fail, Change In Care Plan

                               4,788                      Missing
                                 138                    0 Not indicated
                                  15                    1 Indicated

M1510B    542  1  $INDICOA                              C Heart Fail, Clinical Intervention

                               4,788                      Missing
                                  63                    0 Not indicated
                                  90                    1 Indicated

M1510C    543  1  $INDICOA                              C Heart Fail, ER Treatment Advised

                               4,788                      Missing
                                 108                    0 Not indicated
                                  45                    1 Indicated

M1510D    544  1  $INDICOA                              C Heart Fail, No Action Taken

                               4,788                      Missing
                                 147                    0 Not indicated
                                   6                    1 Indicated

M1510E    545  1  $INDICOA                              C Heart Fail, Physician Contacted

                               4,788                      Missing
                                  85                    0 Not indicated
                                  68                    1 Indicated

M1510F    546  1  $INDICOA                              C Heart Fail, Physician-Ordered Treatment

                               4,788                      Missing
                                 114                    0 Not indicated
                                  39                    1 Indicated

M1600     547  2  $UTINFOA                              C Patient Treated For UTI Last 14 Days

                               1,828                      Missing
                                  17                   NA Patient on prophylactic treatment
                                  12                   UK Unknown
                               2,870                   00 No
                                 214                   01 Yes

M1610     549  2  $UIUCPOA                              C Urinary Incontinence Or Catheter Presenc

                                 518                      Missing
                               2,002                   00 No incontinence or catheter
                               2,281                   01 Patient is incintinent
                                 140                   02 Patient requires a urinary catheter

M1615     551  2  $URINCOO                              C When Does Urinary Incontinence Occur

                               3,462                      Missing
                                 208                   00 Timed-voiding deters incontinence
                                 481                   01 Occasional stress incontinence
                                  59                   02 During the night only
                                  27                   03 During the day only
                                 704                   04 During the day and night

M1620     553  2  $BWINCOA                              C Bowel Incontinence Frequency

                                 518                      Missing
                                  77                   NA Patient has ostomy for bowel elimination
                                   1                   UK Unknown
                               3,590                   00 Very rarely or never has bowel incont
                                 251                   01 Less than once weekly
                                 236                   02 One to three times weekly
                                  99                   03 Four to six times weekly
                                 146                   04 On a daily basis
                                  23                   05 More often than once daily

M1630     555  2  $BWOSTOA                              C Ostomy For Bowel Elimination

                               1,883                      Missing
                               2,990                   00 Does not have an ostomy
                                  62                   01 Ostomy was not related to inpatient stay
                                   6                   02 Ostomy was related to inpatient stay

M1700     557  2  $COGFUOA                              C Cognitive Functioning

                               1,828                      Missing
                               1,808                   00 Alert/Oriented
                                 894                   01 Req prompting
                                 279                   02 Req assist and some direction
                                 104                   03 Req conciderable assist in routine situa
                                  28                   04 Totally dependent due to disturbances

M1710     559  2  $WCONFOA                              C When Confused

                               1,828                      Missing
                                   8                   NA Patient nonresponsive
                               1,559                   00 Never
                               1,063                   01 In new or complex situations
                                  39                   02 On awakening or at night only
                                 328                   03 During the day or evening
                                 116                   04 Constantly

M1720     561  2  $WANXIOA                              C When Anxious

                               1,828                      Missing
                                   5                   NA Patient nonresponsive
                               1,806                   00 None of the time
                                 853                   01 Less often than daily
                                 416                   02 Daily, but not constantly
                                  33                   03 All of the time

M1730A    563  2  $DEPRAOA                              C Depression Screening

                               3,193                      Missing
                                   0                   NA Patient nonresponsive
                                  63                   00 No
                               1,623                   01 Yes, PHQ-2 scale
                                  11                   02 Yes, other, further evaluation
                                  51                   03 Yes, other, no further evaluation

M1730B    565  2  $DEPRBOA                              C Feeling Down, Depressed, Or Hopeless

                               3,318                      Missing
                                  23                   NA Patient nonresponsive
                               1,258                   00 Not at all (0-1)
                                 273                   01 Several days (2-6)
                                  34                   02 More than half of the days (7-11)
                                  35                   03 Nearly every day (12-14)

M1730C    567  2  $DEPRBOA                              C Low Interest Or Pleasure In Doing Things

                               3,318                      Missing
                                  24                   NA Patient nonresponsive
                               1,285                   00 Not at all (0-1)
                                 240                   01 Several days (2-6)
                                  36                   02 More than half of the days (7-11)
                                  38                   03 Nearly every day (12-14)

M1740A    569  1  $INDICOA                              C Cog/Behavr/Psych Symp -Delusional

                               1,828                      Missing
                               3,082                    0 Not indicated
                                  31                    1 Indicated

M1740B    570  1  $INDICOA                              C Cog/Behavr/Psych Symp -Impaired Decision

                               1,828                      Missing
                               2,566                    0 Not indicated
                                 547                    1 Indicated

M1740C    571  1  $INDICOA                              C Cog/Behavr/Psych Symp -Memory Deficit

                               1,828                      Missing
                               2,551                    0 Not indicated
                                 562                    1 Indicated

M1740D    572  1  $INDICOA                              C Cog/Behavr/Psych Symp -None Of The Above

                               1,828                      Missing
                                 855                    0 Not indicated
                               2,258                    1 Indicated

M1740E    573  1  $INDICOA                              C Cog/Behavr/Psych Symp -Aggression

                               1,828                      Missing
                               3,094                    0 Not indicated
                                  19                    1 Indicated

M1740F    574  1  $INDICOA                              C Cog/Behavr/Psych Symp -Socially Inapp

                               1,828                      Missing
                               3,092                    0 Not indicated
                                  21                    1 Indicated

M1740G    575  1  $INDICOA                              C Cog/Behavr/Psych Symp  Verbal Disruption

                               1,828                      Missing
                               3,084                    0 Not indicated
                                  29                    1 Indicated

M1745     576  2  $FREQBOA                              C Freq Of Disruptive Behavior Symptoms

                               1,828                      Missing
                               2,708                   00 Never
                                  84                   01 Less than once a month
                                  12                   02 One a month
                                  57                   03 Several times each month
                                  71                   04 Several times a week
                                 181                   05 At least daily

M1750     578  1  $YESNOOA                              C Receives Psych Nursing Services

                               3,193                      Missing
                               1,716                    0 No
                                  32                    1 Yes

M1800     579  2  $GROOMOA                              C Current Grooming

                               1,828                      Missing
                               1,380                   00 Able to groom self unaided
                                 960                   01 Utensils must be placed within reach
                                 589                   02 Someone must assis patient to groom self
                                 184                   03 Depends entirely upon another person

M1810     581  2  $DRESSOA                              C Current Dress Upper

                                 518                      Missing
                               1,597                   00 No assist needed
                               1,394                   01 No assist needed if clothing laid out
                               1,056                   02 Assist from another person
                                 376                   03 Depends entirely upon another person

M1820     583  2  $DRESSOA                              C Current Dress Lower

                                 518                      Missing
                               1,343                   00 No assist needed
                                 912                   01 No assist needed if clothing laid out
                               1,634                   02 Assist from another person
                                 534                   03 Depends entirely upon another person

M1830     585  2  $BATHCOA                              C Current Bathing

                                 518                      Missing
                                 477                   00 Bathes self independently
                                 744                   01 Bathes self with use of devices
                               1,097                   02 Bathes with intermittent assist
                               1,303                   03 Bathes with complete assist/supervision
                                 171                   04 Unable, bed/sink/chair, independent
                                 334                   05 Unable, bed/sing/chair, assisted
                                 297                   06 Unable, totally bathed by another person

M1840     587  2  $TOILEOA                              C Toilet Transferring

                                 518                      Missing
                               2,336                   00 Toilet, to and from independently
                               1,506                   01 Toilet, when reminded/assist/supervised
                                 244                   02 Unable toil, able to bedside commode
                                  35                   03 Unable toil/bedside commode, able bedpan
                                 302                   04 Depends entirely upon another person

M1845     589  2  $TOILHOA                              C Current Toileting Hygiene

                               1,828                      Missing
                               1,566                   00 Hygiene management independently
                                 798                   01 Hygiene management if supplies laid out
                                 544                   02 Hygiene management assisted
                                 205                   03 Depends entirely upon another person

M1850     591  2  $TRANSOA                              C Transferring

                                 518                      Missing
                               1,175                   00 Able to independently transfer
                               2,496                   01 Transfers with minimal assist or device
                                 486                   02 Unable transfer self, able to pivot
                                 154                   03 Unable transfer self, unable to pivot
                                  23                   04 Bedfast, unable trans, able to positio
                                  89                   05 Bedfast, unable trans, unable to positio

M1860     593  2  $AMBUCOA                              C Ambulation/Locomotion

                                 518                      Missing
                                 581                   00 Able to independently walk/stairs
                                 892                   01 Able to walk w/ 1 handed device
                               1,763                   02 Able to walk w/ 2 handed device
                                 788                   03 Able to walk w/ constant assist/supervis
                                 138                   04 Chairfast, able to wheel self independ
                                 216                   05 Chairfast, unable to wheel self independ
                                  45                   06 Bedfast, unable to ambulate/or chair

M1870     595  2  $FEEDIOA                              C Current Feeding

                               1,828                      Missing
                               1,861                   00 Able independently feed self
                               1,112                   01 Able feed self with intermittent assist
                                 116                   02 Unable feed self, complete assist/superv
                                   8                   03 Able take nutri oral, rec tube feedi
                                  15                   04 Unable take nutri oral, rec tube feedi
                                   1                   05 Unable take nutri oral or tube feedi

M1880     597  2  $MEALSOA                              C Current Preparing Light Meals

                               1,828                      Missing
                               1,083                   00 Able to independently prepare all meals
                               1,078                   01 Unable to prepare meals on regular basis
                                 952                   02 Unable to prepare any meals

M1890     599  2  $TELEPOA                              C Current Phone Use

                               1,828                      Missing
                                  67                   NA Patient does not have a telephone
                               2,168                   00 Able independently dial/answer calls
                                 222                   01 Able use a specif adapted phone and call
                                 224                   02 Able answer calls, diff placing calls
                                 218                   03 Able answer calls only some of the time
                                  90                   04 Unable answer phone at all, can listen
                                 124                   05 Totaly unable to use the telephone

M1900A    601  2  $PRADLOA                              C Prior Functioning ADL/IADL - Ambulation

                               3,193                      Missing
                                 760                   00 Independent
                                 841                   01 Needed some help
                                 147                   02 Dependent

M1900B    603  2  $PRADLOA                              C Prior Functioning ADL/IADL - Household

                               3,193                      Missing
                                 301                   00 Independent
                                 777                   01 Needed some help
                                 670                   02 Dependent

M1900C    605  2  $PRADLOA                              C Prior Functioning ADL/IADL - Self Care

                               3,193                      Missing
                                 648                   00 Independent
                                 920                   01 Needed some help
                                 180                   02 Dependent

M1900D    607  2  $PRADLOA                              C Prior Functioning ADL/IADL - Transfer

                               3,193                      Missing
                                 894                   00 Independent
                                 727                   01 Needed some help
                                 127                   02 Dependent

M1910     609  2  $FALLMOA                              C Multi-Factor Fall Risk Assessment

                               3,193                      Missing
                                  89                   00 No multi-factor fall risk assessment
                                 240                   01 Yes, does not indicated a risk for fall
                               1,419                   02 Yes, indicates a risk for falls fall

M2000     611  2  $DRUGROA                              C Drug Regimen Review

                               3,193                      Missing
                                   1                   NA Patient is not taking any medications
                                  10                   00 Not assessed
                               1,396                   01 No problems found during review
                                 341                   02 Problems found during review

M2002     613  1  $YESNOOA                              C Medication Follow-Up

                               4,600                      Missing
                                  90                    0 No
                                 251                    1 Yes

M2004     614  2  $YESNAOA                              C Medication Intervention

                               3,067                      Missing
                               1,232                   NA Inapplicable
                                 326                   00 No
                                 316                   01 Yes

M2010     616  2  $YESNAOA                              C Patient/Caregiver High Risk Drug Educ

                               3,194                      Missing
                                 446                   NA Inapplicable
                                  94                   00 No
                               1,207                   01 Yes

M2015     618  2  $YESNAOA                              C Patient/Caregiver Drug Educ Intervention

                               3,067                      Missing
                                  18                   NA Inapplicable
                                 213                   00 No
                               1,643                   01 Yes

M2020     620  2  $MGMRXOA                              C Current Management Of Oral

                               1,829                      Missing
                                  12                   NA No med of this type prescribed
                               1,118                   00 Able to independently take correct med
                                 857                   01 Able to take med corect times w/ prepare
                                 412                   02 Able to take med corect times w/ assist
                                 713                   03 Unable to take med unless administered

M2030     622  2  $MGMRXOA                              C Current Management Of Injectable

                                 519                      Missing
                               3,474                   NA No med of this type prescribed
                                 254                   00 Able to independently take correct med
                                 174                   01 Able to take med corect times w/ prepare
                                  66                   02 Able to take med corect times w/ assist
                                 454                   03 Unable to take med unless administered

M2040A    624  2  $PRADLOA                              C Prior Medication Management - Injectable

                               3,193                      Missing
                                  92                   00 Independent
                                 112                   01 Needed some help
                                 141                   02 Dependent
                               1,403                   02 NA

M2040B    626  2  $PRADLOA                              C Prior Medication Management - Oral

                               3,193                      Missing
                                 648                   00 Independent
                                 666                   01 Needed some help
                                 416                   02 Dependent
                                  18                   02 NA

M2100A    628  2  $ASSISOA                              C Care Management - ADL Assistance

                               1,828                      Missing
                                 824                   00 No assistance needed
                               1,843                   01 Currently provide assistance
                                 259                   02 Need training to provide assistance
                                  47                   03 Not likely to provide assistance
                                  35                   04 Unclear if caregiver will provide assist
                                 105                   05 Assistance needed, no caregiver

M2100B    630  2  $ASSISOA                              C Care Management - Advocacy

                               1,828                      Missing
                                 430                   00 No assistance needed
                               2,500                   01 Currently provide assistance
                                  72                   02 Need training to provide assistance
                                  23                   03 Not likely to provide assistance
                                  28                   04 Unclear if caregiver will provide assist
                                  60                   05 Assistance needed, no caregiver

M2100C    632  2  $ASSISOA                              C Care Management - IADL Assistance

                               1,828                      Missing
                                 317                   00 No assistance needed
                               2,530                   01 Currently provide assistance
                                 120                   02 Need training to provide assistance
                                  30                   03 Not likely to provide assistance
                                  32                   04 Unclear if caregiver will provide assist
                                  84                   05 Assistance needed, no caregiver

M2100D    634  2  $ASSISOA                              C Care Management - Equipment

                               1,828                      Missing
                               2,452                   00 No assistance needed
                                 532                   01 Currently provide assistance
                                  85                   02 Need training to provide assistance
                                   7                   03 Not likely to provide assistance
                                   8                   04 Unclear if caregiver will provide assist
                                  29                   05 Assistance needed, no caregiver

M2100E    636  2  $ASSISOA                              C Care Management - Medical Procedures

                               1,828                      Missing
                               2,265                   00 No assistance needed
                                 521                   01 Currently provide assistance
                                 146                   02 Need training to provide assistance
                                  92                   03 Not likely to provide assistance
                                  16                   04 Unclear if caregiver will provide assist
                                  73                   05 Assistance needed, no caregiver

M2100F    638  2  $ASSISOA                              C Care Management - Medication Admin

                               1,828                      Missing
                               1,076                   00 No assistance needed
                               1,718                   01 Currently provide assistance
                                 193                   02 Need training to provide assistance
                                  30                   03 Not likely to provide assistance
                                  21                   04 Unclear if caregiver will provide assist
                                  75                   05 Assistance needed, no caregiver

M2100G    640  2  $ASSISOA                              C Care Management - Supervision And Safety

                               1,828                      Missing
                               1,365                   00 No assistance needed
                               1,520                   01 Currently provide assistance
                                 147                   02 Need training to provide assistance
                                   8                   03 Not likely to provide assistance
                                  22                   04 Unclear if caregiver will provide assist
                                  51                   05 Assistance needed, no caregiver

M2110     642  2  $FREQAOA                              C Freq Of ADL/IADL Assist From Caregiver

                               1,828                      Missing
                                   9                   UK Unknown
                               2,272                   01 Daily
                                 341                   02 Three or more times per week
                                 202                   03 One to two times per week
                                  94                   04 Received, but less often than weekly
                                 195                   05 No assistance received

M2200A    644  1                                        C Therapy Need - NA

M2200B    645  3                                        C Therapy Need - Number Of Visits

M2250A    648  2  $YESNAOA                              C Plan Care Synopsis - At Risk For Falls

                               3,193                      Missing
                                 124                   NA Inapplicable
                                  23                   00 No
                               1,601                   01 Yes

M2250B    650  2  $YESNAOA                              C Plan Care Synopsis - Depression

                               3,193                      Missing
                               1,196                   NA Inapplicable
                                  51                   00 No
                                 501                   01 Yes

M2250C    652  2  $YESNAOA                              C Plan Care Synopsis - Diabetic Foot Care

                               3,193                      Missing
                               1,154                   NA Inapplicable
                                  36                   00 No
                                 558                   01 Yes

M2250D    654  2  $YESNAOA                              C Plan Care Synopsis - Pain Intervention

                               3,193                      Missing
                                 388                   NA Inapplicable
                                  27                   00 No
                               1,333                   01 Yes

M2250E    656  2  $YESNAOA                              C Plan Care Synopsis - Patient Specific

                               3,193                      Missing
                                 851                   NA Inapplicable
                                  77                   00 No
                                 820                   01 Yes

M2250F    658  2  $YESNAOA                              C Plan Care Synopsis - Pr Ulcer Treatment

                               3,193                      Missing
                               1,623                   NA Inapplicable
                                  27                   00 No
                                  98                   01 Yes

M2250G    660  2  $YESNAOA                              C Plan Care Synopsis - Pr Ulcer Prevention

                               3,193                      Missing
                               1,066                   NA Inapplicable
                                  36                   00 No
                                 646                   01 Yes

M2300     662  2  $EMERCOA                              C Emergent Care Since Last OASIS

                               3,067                      Missing
                                  22                   UK Unknown
                               1,443                   00 No
                                  74                   01 Yes, without hospital admission
                                 335                   02 Yes, with hospital admission

M2310A    664  1  $INDICOA                              C Emergent Care - Acute Mental/Behavioral

                               4,532                      Missing
                                 394                    0 Not indicated
                                  15                    1 Indicated

M2310B    665  1  $INDICOA                              C Emergent Care - Cardiac Dysrhythmia

                               4,532                      Missing
                                 399                    0 Not indicated
                                  10                    1 Indicated

M2310C    666  1  $INDICOA                              C Emergent Care - Dehydration

                               4,532                      Missing
                                 395                    0 Not indicated
                                  14                    1 Indicated

M2310D    667  1  $INDICOA                              C Emergent Care - DVT, Pulmonary Embolus

                               4,532                      Missing
                                 407                    0 Not indicated
                                   2                    1 Indicated

M2310E    668  1  $INDICOA                              C Emergent Care - GI Issues

                               4,532                      Missing
                                 391                    0 Not indicated
                                  18                    1 Indicated

M2310F    669  1  $INDICOA                              C Emergent Care - Heart Failure

                               4,532                      Missing
                                 379                    0 Not indicated
                                  30                    1 Indicated

M2310G    670  1  $INDICOA                              C Emergent Care - Hypo/Hyperglycemia

                               4,532                      Missing
                                 399                    0 Not indicated
                                  10                    1 Indicated

M2310H    671  1  $INDICOA                              C Emergent Care - Improp Medication Admin

                               4,532                      Missing
                                 406                    0 Not indicated
                                   3                    1 Indicated

M2310I    672  1  $INDICOA                              C Emergent Care - Injury Caused By Fall

                               4,532                      Missing
                                 375                    0 Not indicated
                                  34                    1 Indicated

M2310J    673  1  $INDICOA                              C Emergent Care - IV Catheter Infection

                               4,532                      Missing
                                 409                    0 Not indicated
                                   0                    1 Indicated

M2310K    674  1  $INDICOA                              C Emergent Care - Myocardial Infarction

                               4,532                      Missing
                                 382                    0 Not indicated
                                  27                    1 Indicated

M2310L    675  1  $INDICOA                              C Emergent Care - Other Heart Disease

                               4,532                      Missing
                                 405                    0 Not indicated
                                   4                    1 Indicated

M2310M    676  1  $INDICOA                              C Emergent Care - Other Respiratory

                               4,532                      Missing
                                 382                    0 Not indicated
                                  27                    1 Indicated

M2310N    677  1  $INDICOA                              C Emergent Care - Other Than Above

                               4,532                      Missing
                                 259                    0 Not indicated
                                 150                    1 Indicated

M2310O    678  1  $INDICOA                              C Emergent Care - Reason Unknown

                               4,532                      Missing
                                 376                    0 Not indicated
                                  33                    1 Indicated

M2310P    679  1  $INDICOA                              C Emergent Care - Respiratory Infection

                               4,532                      Missing
                                 369                    0 Not indicated
                                  40                    1 Indicated

M2310Q    680  1  $INDICOA                              C Emergent Care - Stroke (CVA) Or TIA

                               4,532                      Missing
                                 405                    0 Not indicated
                                   4                    1 Indicated

M2310R    681  1  $INDICOA                              C Emergent Care - Uncontrolled Pain

                               4,532                      Missing
                                 396                    0 Not indicated
                                  13                    1 Indicated

M2310S    682  1  $INDICOA                              C Emergent Care - Urinary Tract Infection

                               4,532                      Missing
                                 389                    0 Not indicated
                                  20                    1 Indicated

M2310T    683  1  $INDICOA                              C Emergent Care - Wound Infection Or Deter

                               4,532                      Missing
                                 403                    0 Not indicated
                                   6                    1 Indicated

M2400A    684  2  $YESNAOA                              C Intervention - Depression Intervent

                               3,067                      Missing
                               1,321                   NA Inapplicable
                                  67                   00 No
                                 486                   01 Yes

M2400B    686  2  $YESNAOA                              C Intervention - Diabetic Foot Care

                               3,067                      Missing
                               1,284                   NA Inapplicable
                                  47                   00 No
                                 543                   01 Yes

M2400C    688  2  $YESNAOA                              C Intervention - Falls Prevention

                               3,067                      Missing
                                 128                   NA Inapplicable
                                  23                   00 No
                               1,723                   01 Yes

M2400D    690  2  $YESNAOA                              C Intervention - Treat Of Pressure Ulcer

                               3,067                      Missing
                               1,717                   NA Inapplicable
                                  38                   00 No
                                 119                   01 Yes

M2400E    692  2  $YESNAOA                              C Intervention - Monitor And Mitigate Pain

                               3,067                      Missing
                                 425                   NA Inapplicable
                                  30                   00 No
                               1,419                   01 Yes

M2400F    694  2  $YESNAOA                              C Intervention - Prevent Pressure Ulcers

                               3,067                      Missing
                               1,198                   NA Inapplicable
                                  34                   00 No
                                 642                   01 Yes

M2410     696  2  $INFACOA                              C Inpatient Facility Admitted

                               3,067                      Missing
                               1,365                   NA No inpatient facility admission
                                 474                   01 Hospital
                                   9                   02 Rehabilitation facility
                                  24                   03 Nursing home
                                   2                   04 Hospice

M2420     698  2  $DISPOCA                              C Discharge Disposition

                               3,576                      Missing
                                   9                   UK Unknown, other
                                 979                   01 Patient remained in commun, no assistive
                                 346                   02 Patient remained in commun, assistive
                                  19                   03 Patient transferred to a noninsti hospic
                                  12                   04 Unknown, location not served by agency

M2430A    700  1  $INDICOA                              C Hospital - Acute Mental/Behavioral

                               4,467                      Missing
                                 456                    0 Not indicated
                                  18                    1 Indicated

M2430B    701  1  $INDICOA                              C Hospital - Cardiac Dysrhythmia

                               4,467                      Missing
                                 464                    0 Not indicated
                                  10                    1 Indicated

M2430C    702  1  $INDICOA                              C Hospital - Dehydration

                               4,467                      Missing
                                 459                    0 Not indicated
                                  15                    1 Indicated

M2430D    703  1  $INDICOA                              C Hospital - DVT, Pulmonary Embolus

                               4,467                      Missing
                                 472                    0 Not indicated
                                   2                    1 Indicated

M2430E    704  1  $INDICOA                              C Hospital - GI Issues

                               4,467                      Missing
                                 457                    0 Not indicated
                                  17                    1 Indicated

M2430F    705  1  $INDICOA                              C Hospital - Heart Failure

                               4,467                      Missing
                                 437                    0 Not indicated
                                  37                    1 Indicated

M2430G    706  1  $INDICOA                              C Hospital - Hypo/Hyperglycemic

                               4,467                      Missing
                                 463                    0 Not indicated
                                  11                    1 Indicated

M2430H    707  1  $INDICOA                              C Hospital - Improp Medication Admin

                               4,467                      Missing
                                 471                    0 Not indicated
                                   3                    1 Indicated

M2430I    708  1  $INDICOA                              C Hospital - Injury Caused By Fall

                               4,467                      Missing
                                 449                    0 Not indicated
                                  25                    1 Indicated

M2430J    709  1  $INDICOA                              C Hospital - IV Catheter Infection

                               4,467                      Missing
                                 473                    0 Not indicated
                                   1                    1 Indicated

M2430K    710  1  $INDICOA                              C Hospital - Myocardial Infarction

                               4,467                      Missing
                                 445                    0 Not indicated
                                  29                    1 Indicated

M2430L    711  1  $INDICOA                              C Hospital - Other Heart Disease

                               4,467                      Missing
                                 471                    0 Not indicated
                                   3                    1 Indicated

M2430M    712  1  $INDICOA                              C Hospital - Other Respiratory Problem

                               4,467                      Missing
                                 440                    0 Not indicated
                                  34                    1 Indicated

M2430N    713  1  $INDICOA                              C Hospital - Other Than Above

                               4,467                      Missing
                                 316                    0 Not indicated
                                 158                    1 Indicated

M2430O    714  1  $INDICOA                              C Hospital - Reason Unknown

                               4,467                      Missing
                                 427                    0 Not indicated
                                  47                    1 Indicated

M2430P    715  1  $INDICOA                              C Hospital - Respiratory Infection

                               4,467                      Missing
                                 430                    0 Not indicated
                                  44                    1 Indicated

M2430Q    716  1  $INDICOA                              C Hospital - Scheduled Treat Or Procedure

                               4,467                      Missing
                                 455                    0 Not indicated
                                  19                    1 Indicated

M2430R    717  1  $INDICOA                              C Hospital - Stroke (CVA) Or TIA

                               4,467                      Missing
                                 468                    0 Not indicated
                                   6                    1 Indicated

M2430S    718  1  $INDICOA                              C Hospital - Uncontrolled Pain

                               4,467                      Missing
                                 462                    0 Not indicated
                                  12                    1 Indicated

M2430T    719  1  $INDICOA                              C Hospital - Urinary Tract Infect

                               4,467                      Missing
                                 443                    0 Not indicated
                                  31                    1 Indicated

M2430U    720  1  $INDICOA                              C Hospital - Wound Infection Or Deter

                               4,467                      Missing
                                 458                    0 Not indicated
                                  16                    1 Indicated

M2440A    721  1  $INDICOA                              C Nursing Home - Hospice Care

                               4,917                      Missing
                                  24                    0 Not indicated
                                   0                    1 Indicated

M2440B    722  1  $INDICOA                              C Nursing Home - Other

                               4,917                      Missing
                                  21                    0 Not indicated
                                   3                    1 Indicated

M2440C    723  1  $INDICOA                              C Nursing Home - Permanent Placement

                               4,917                      Missing
                                  13                    0 Not indicated
                                  11                    1 Indicated

M2440D    724  1  $INDICOA                              C Nursing Home - Respite Care

                               4,917                      Missing
                                  23                    0 Not indicated
                                   1                    1 Indicated

M2440E    725  1  $INDICOA                              C Nursing Home - Therapy Services

                               4,917                      Missing
                                  22                    0 Not indicated
                                   2                    1 Indicated

M2440F    726  1  $INDICOA                              C Nursing Home - Unknown

                               4,917                      Missing
                                  24                    0 Not indicated
                                   0                    1 Indicated

M2440G    727  1  $INDICOA                              C Nursing Home - Unsafe At Home

                               4,917                      Missing
                                  14                    0 Not indicated
                                  10                    1 Indicated

