Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          5,323        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          5,323                    2015  2015                                    
 
VERSION  VERSFMT                       Version Number                           
                          5,323                       1  Version 1                               
 
M0010_CM                               M0010 CMS Certification Number (CCN)     
                          5,323        Range of values   Range of Values                         
 
M0014_BR                               M0014 Branch State Code                  
                          5,323                          Range of Values                         
 
M0016_BR                               M0016 Branch ID                          
                          5,323        Range of values   Range of Values                         
 
M0018_NN                               M0018 NPI Physician ID                   
                          5,323                          Range of Values                         
 
M0018_NU $INDICOA                      M0018 NPI Physician ID Unknown           
                          5,219        0                 Not indicated                           
                            104        1                 Indicated                               
 
M0030_ST MMDDYYn8                      M0030 Start of Care Date                 
                          5,323        MMDDYYYY          Date as MMDDYYYY                        
 
M0032_RO MMDDYYn8                      M0032 Resumption of Care Date            
                          4,866                       .  Inapplicable                            
                            457        MMDDYYYY          Date as MMDDYYYY                        
 
M0032_RN $YESNOOA                      M0032 Resumption of Care Date NA         
                            457        0                 No                                      
                          4,866        1                 Yes                                     
 
M0069_GN $SEXFMT                       M0069 Patient Sex                     
                          1,812        1                 Male                                    
                          3,511        2                 Female                                  
 
M0080_AS $DISCIOA                      M0080 Disc of Person Completing Assess   
                          4,541        01                RN                                      
                            692        02                PT                                      
                             25        03                SLP/ST                                  
                             65        04                OT                                      
 
M0090_AS MMDDYYn8                      M0090 Date Assessment Completed          
                          5,323        MMDDYYYY          Date as MMDDYYYY                        
 
M0100_RS $ACOMPOA                      M0100 Reason for Assessment              
                          1,691        01                S/R; Start; further visits planned      
                            335        03                S/R; Resumption of care                 
                          1,298        04                Follow-up; Recertification              
                             21        05                Follow-up; Other                        
                            499        06                Transfer to inpat fac; Patient not disch
                             72        07                Transfer to inpat fac; Patient disch    
                             12        08                Disch from agency; Death at home        
                          1,395        09                Disch from agency; Disch from agency    
 
M0102_PD MMDDYYn8                      M0102 Phys Ordered SOC or ROC Date       
                          4,709                       .  Inapplicable                            
                            614        MMDDYYYY          Date as MMDDYYYY                        
 
M0102_PN $INDICOA                      M0102 Phys Ordered SOC or ROC Date NA    
                          3,175                          Missing                                 
                            134        *                 Not assessed/no information             
                            602        0                 Not indicated                           
                          1,412        1                 Indicated                               
 
M0104_RF MMDDYYn8                      M0104 Date Of Referral                   
                          3,911                       .  Inapplicable                            
                          1,412        MMDDYYYY          Date as MMDDYYYY                        
 
M0110_EP $EPSDFMT                      M0110 Episode Timing                     
                          1,900                          Missing                                 
                             78        **                Not assessed/no information             
                          2,111        01                Early                                   
                            968        02                Later                                   
                            144        NA                No case mix group defined               
                            122        UK                Unknown                                 
 
M0140_AM $INDICOA                      M0140 Race/Eth:Amer Indian/Alaskan Nat   
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,012        0                 Not indicated                           
                             14        1                 Indicated                               
 
M0140_AS $INDICOA                      M0140 Race/Ethnicity: Asian              
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,997        0                 Not indicated                           
                             29        1                 Indicated                               
 
M0140_AF $INDICOA                      M0140 Race/Eth:Black or African-American 
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,806        0                 Not indicated                           
                            220        1                 Indicated                               
 
M0140_HS $INDICOA                      M0140 Race/Ethnicity: Hispanic or Latino 
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,848        0                 Not indicated                           
                            178        1                 Indicated                               
 
M0140_NT $INDICOA                      M0140 Race/Eth:Nat Hawaii/Oth Pacific Isl
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,020        0                 Not indicated                           
                              6        1                 Indicated                               
 
M0140_WH $INDICOA                      M0140 Race/Eth:White                     
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                            435        0                 Not indicated                           
                          1,591        1                 Indicated                               
 
M0150_DF $INDICOA                      M0150 Medicaid Fee For Service Payment   
                          5,019        0                 Not indicated                           
                            304        1                 Indicated                               
 
M0150_DH $INDICOA                      M0150 Medicaid HMO/Managed Care Payment  
                          5,207        0                 Not indicated                           
                            116        1                 Indicated                               
 
M0150_RF $INDICOA                      M0150 Medicare Fee For Service Payment   
                          1,322        0                 Not indicated                           
                          4,001        1                 Indicated                               
 
M0150_RH $INDICOA                      M0150 Medicare HMO/Managed Care Payment  
                          4,216        0                 Not indicated                           
                          1,107        1                 Indicated                               
 
M0150_NO $INDICOA                      M0150 No Payment                         
                          5,323        0                 Not indicated                           
 
M0150_OG $INDICOA                      M0150 Other Government Payment           
                          5,290        0                 Not indicated                           
                             33        1                 Indicated                               
 
M0150_OP $INDICOA                      M0150 Other Payment Source               
                          5,312        0                 Not indicated                           
                             11        1                 Indicated                               
 
M0150_PH $INDICOA                      M0150 Private HMO/Managed Care Payment   
                          5,299        0                 Not indicated                           
                             24        1                 Indicated                               
 
M0150_PI $INDICOA                      M0150 Private Insurance Payment          
                          5,217        0                 Not indicated                           
                            106        1                 Indicated                               
 
M0150_SE $INDICOA                      M0150 Self-Pay Payment                   
                          5,309        0                 Not indicated                           
                             14        1                 Indicated                               
 
M0150_TI $INDICOA                      M0150 Title Programs Payment             
                          5,323        0                 Not indicated                           
 
M0150_UN $INDICOA                      M0150 Unknown Payment Source             
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,026        0                 Not indicated                           
 
M0150_WC $INDICOA                      M0150 Workers Compensation Payment       
                          5,320        0                 Not indicated                           
                              3        1                 Indicated                               
 
M0903_LA MMDDYYn8                      M0903 Date of Last Home Visit            
                          3,345                       .  Inapplicable                            
                          1,978        MMDDYYYY          Date as MMDDYYYY                        
 
M0906_DS MMDDYYn8                      M0906 Discharge/Transfer/Death Date      
                          3,345                       .  Inapplicable                            
                          1,978        MMDDYYYY          Date as MMDDYYYY                        
 
M1000_IP $INDICOA                      M1000 Inp Discharg;Short Stay Acut Hosp  
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,040        0                 Not indicated                           
                            986        1                 Indicated                               
 
M1000_IR $INDICOA                      M1000 Inp Discharg;IRF                   
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,882        0                 Not indicated                           
                            144        1                 Indicated                               
 
M1000_NF $INDICOA                      M1000 Inp Discharg;Nursing Facility      
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,010        0                 Not indicated                           
                             16        1                 Indicated                               
 
M1000_LT $INDICOA                      M1000 Discharged Past 14 Days;LTCH       
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,006        0                 Not indicated                           
                             20        1                 Indicated                               
 
M1000_NO $INDICOA                      M1000 No Inp Discharge                   
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,404        0                 Not indicated                           
                            622        1                 Indicated                               
 
M1000_OT $INDICOA                      M1000 Inp Discharg;Other                 
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,019        0                 Not indicated                           
                              7        1                 Indicated                               
 
M1000_PS $INDICOA                      M1000 Inp Discharg;Psych Hospital Or Unit
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,020        0                 Not indicated                           
                              6        1                 Indicated                               
 
M1000_SN $INDICOA                      M1000 Inp Discharg;SNF/TCU Facility      
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,726        0                 Not indicated                           
                            300        1                 Indicated                               
 
M1005_IU $INDICOA                      M1005 Inpat Discharge Date Unknown       
                          3,785                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,382        0                 Not indicated                           
                             22        1                 Indicated                               
 
M1005_ID MMDDYYn8                      M1005 Most Recent Inpat Discharge Date   
                          3,941                       .  Inapplicable                            
                          1,382        MMDDYYYY          Date as MMDDYYYY                        
 
M1010_I1                               M1010 Inpat Diagnosis 1 ICD-9 CD         
                          5,323                          Range of Values                         
 
M1010_I2                               M1010 Inpat Diagnosis 2 ICD-9 CD         
                          5,323                          Range of Values                         
 
M1010_I3                               M1010 Inpat Diagnosis 3 ICD-9 CD         
                          5,323                          Range of Values                         
 
M1010_I4                               M1010 Inpat Diagnosis 4 ICD-9 CD         
                          5,323                          Range of Values                         
 
M1010_I5                               M1010 Inpat Diagnosis 5 ICD-9 CD         
                          5,323                          Range of Values                         
 
M1010_I6                               M1010 Inpat Diagnosis 6 ICD-9 CD         
                          5,323                          Range of Values                         
 
M1016_M1                               M1016 Reg Change;Diagnosis 1 ICD-9       
                          5,323                          Range of Values                         
 
M1016_M2                               M1016 Reg Change;Diagnosis 2 ICD-9       
                          5,323                          Range of Values                         
 
M1016_M3                               M1016 Reg Change;Diagnosis 3 ICD-9       
                          5,323                          Range of Values                         
 
M1016_M4                               M1016 Reg Change;Diagnosis 4 ICD-9       
                          5,323                          Range of Values                         
 
M1016_M5                               M1016 Reg Change;Diagnosis 5 ICD-9       
                          5,323                          Range of Values                         
 
M1016_M6                               M1016 Reg Change;Diagnosis 6 ICD-9       
                          5,323                          Range of Values                         
 
M1016_MN $INDICOA                      M1016 Reg Change;Not Applic ICD-9 Code   
                          3,649                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,376        0                 Not indicated                           
                            164        1                 Indicated                               
 
M1018_IC $INDICOA                      M1018 Pri Cond;Indwelling/SuprapubicCathe
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,983        0                 Not indicated                           
                             43        1                 Indicated                               
 
M1018_DB $INDICOA                      M1018 Pri Cond;Disruptive Behavior       
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,983        0                 Not indicated                           
                             43        1                 Indicated                               
 
M1018_ID $INDICOA                      M1018 Pri Cond;Impaired Decision-Making  
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,580        0                 Not indicated                           
                            446        1                 Indicated                               
 
M1018_IP $INDICOA                      M1018 Pri Cond;Intractable Pain          
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,726        0                 Not indicated                           
                            300        1                 Indicated                               
 
M1018_ML $INDICOA                      M1018 Pri Cond;Memory Loss               
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,727        0                 Not indicated                           
                            299        1                 Indicated                               
 
M1018_NA $INDICOA                      M1018 Pri Cond;Not Applicable            
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,912        0                 Not indicated                           
                            114        1                 Indicated                               
 
M1018_NO $INDICOA                      M1018 Pri Cond;None of the Above         
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,352        0                 Not indicated                           
                            674        1                 Indicated                               
 
M1018_UN $INDICOA                      M1018 Pri Cond;Unknown                   
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,009        0                 Not indicated                           
                             17        1                 Indicated                               
 
M1018_UI $INDICOA                      M1018 Pri Cond;Urinary Incontinence      
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,133        0                 Not indicated                           
                            893        1                 Indicated                               
 
M1020_PD                               M1020 Pri Diagnosis ICD-9 Code           
                          5,323                          Range of Values                         
 
M1020_PS $SEVEROA                      M1020 Pri Severity Rating ICD-9 Code     
                          3,229                          Missing                                 
                             78        **                Not assessed/no information             
                             57        01                Symptoms contr with current therapy     
                            737        02                Symptoms contr with difficulty          
                          1,038        03                Symptoms poorly contr, freq dose adjust 
                            184        04                Symptoms poorly contr, hist rehospitali 
 
M1022_D1                               M1022 Oth Diag Code 1 ICD-9              
                          5,323                          Range of Values                         
 
M1022_1S $SEVEROA                      M1022 Oth Diag Code 1 Severity ICD-9     
                          2,971                          Missing                                 
                             78        **                Not assessed/no information             
                              1        00                Asymptomatic, not treatement needed     
                            115        01                Symptoms contr with current therapy     
                          1,044        02                Symptoms contr with difficulty          
                            999        03                Symptoms poorly contr, freq dose adjust 
                            115        04                Symptoms poorly contr, hist rehospitali 
 
M1022_D2                               M1022 Oth Diag Code 2 ICD-9              
                          5,323                          Range of Values                         
 
M1022_2S $SEVEROA                      M1022 Oth Diag Code 2 Severity ICD-9     
                          2,913                          Missing                                 
                             78        **                Not assessed/no information             
                              4        00                Asymptomatic, not treatement needed     
                            203        01                Symptoms contr with current therapy     
                          1,277        02                Symptoms contr with difficulty          
                            776        03                Symptoms poorly contr, freq dose adjust 
                             72        04                Symptoms poorly contr, hist rehospitali 
 
M1022_D3                               M1022 Oth Diag Code 3 ICD-9              
                          5,323                          Range of Values                         
 
M1022_3S $SEVEROA                      M1022 Oth Diag Code 3 Severity ICD-9     
                          3,003                          Missing                                 
                             78        **                Not assessed/no information             
                              5        00                Asymptomatic, not treatement needed     
                            285        01                Symptoms contr with current therapy     
                          1,336        02                Symptoms contr with difficulty          
                            566        03                Symptoms poorly contr, freq dose adjust 
                             50        04                Symptoms poorly contr, hist rehospitali 
 
M1022_D4                               M1022 Oth Diag Code 4 ICD-9              
                          5,323                          Range of Values                         
 
M1022_4S $SEVEROA                      M1022 Oth Diag Code 4 Severity ICD-9     
                          3,209                          Missing                                 
                             78        **                Not assessed/no information             
                              4        00                Asymptomatic, not treatement needed     
                            327        01                Symptoms contr with current therapy     
                          1,259        02                Symptoms contr with difficulty          
                            411        03                Symptoms poorly contr, freq dose adjust 
                             35        04                Symptoms poorly contr, hist rehospitali 
 
M1022_D5                               M1022 Oth Diag Code 5 ICD-9              
                          5,323                          Range of Values                         
 
M1022_5S $SEVEROA                      M1022 Oth Diag Code 5 Severity ICD-9     
                          3,555                          Missing                                 
                             78        **                Not assessed/no information             
                              4        00                Asymptomatic, not treatement needed     
                            304        01                Symptoms contr with current therapy     
                          1,040        02                Symptoms contr with difficulty          
                            320        03                Symptoms poorly contr, freq dose adjust 
                             22        04                Symptoms poorly contr, hist rehospitali 
 
M1024_1M                               M1024 Oth Payment Diag 1 Multiple ICD-9 C
                          5,323                          Range of Values                         
 
M1024_2M                               M1024 Oth Payment Diag 2 Multiple ICD-9 C
                          5,323                          Range of Values                         
 
M1024_3M                               M1024 Oth Payment Diag 3 Multiple ICD-9 C
                          5,323                          Range of Values                         
 
M1024_4M                               M1024 Oth Payment Diag 4 Multiple ICD-9 C
                          5,323                          Range of Values                         
 
M1024_5M                               M1024 Oth Payment Diag 5 Multiple ICD-9 C
                          5,323                          Range of Values                         
 
M1024_D2                               M1024 Oth Payment Primary Diag 2 Code    
                          5,323                          Range of Values                         
 
M1024_D3                               M1024 Oth Payment Primary Diag 3 Code    
                          5,323                          Range of Values                         
 
M1024_D4                               M1024 Oth Payment Primary Diag 4 Code    
                          5,323                          Range of Values                         
 
M1024_PC                               M1024 ICD-9 Case Mix Diag:Primary,Col 3  
                          5,323                          Range of Values                         
 
M1030_HE $INDICOA                      M1030 Home Thera; Enteral Nutrition      
                          1,900                          Missing                                 
                             78        *                 Not assessed/no information             
                          3,298        0                 Not indicated                           
                             47        1                 Indicated                               
 
M1030_HI $INDICOA                      M1030 Home Thera; Intravenous/Infusion Th
                          1,900                          Missing                                 
                             78        *                 Not assessed/no information             
                          3,290        0                 Not indicated                           
                             55        1                 Indicated                               
 
M1030_HN $INDICOA                      M1030 Home Thera; None of the Above      
                          1,900                          Missing                                 
                             78        *                 Not assessed/no information             
                            102        0                 Not indicated                           
                          3,243        1                 Indicated                               
 
M1030_HP $INDICOA                      M1030 Home Thera; Parenteral Nutrition   
                          1,900                          Missing                                 
                             78        *                 Not assessed/no information             
                          3,344        0                 Not indicated                           
                              1        1                 Indicated                               
 
M1034_OV $STATUOA                      M1034 Overall Status                     
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                            169        00                SP is stable with no heightened risk    
                          1,068        01                SP is temporarily facing high health ris
                            674        02                SP is likely to remain in fragile health
                            111        03                SP has serious progressive conditions   
                              4        UK                Unknown                                 
 
M1036_RA $INDICOA                      M1036 Risk Factor - Alcohol Dependency   
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,978        0                 Not indicated                           
                             48        1                 Indicated                               
 
M1036_RD $INDICOA                      M1036 Risk Factor - Drug Dependency      
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,005        0                 Not indicated                           
                             21        1                 Indicated                               
 
M1036_RN $INDICOA                      M1036 Risk Factor - None of the Above    
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                            793        0                 Not indicated                           
                          1,233        1                 Indicated                               
 
M1036_RO $INDICOA                      M1036 Risk Factor - Obesity              
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,596        0                 Not indicated                           
                            430        1                 Indicated                               
 
M1036_RS $INDICOA                      M1036 Risk Factor - Smoking              
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,634        0                 Not indicated                           
                            392        1                 Indicated                               
 
M1036_RU $INDICOA                      M1036 Risk Factor - Unknown              
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,991        0                 Not indicated                           
                             35        1                 Indicated                               
 
M1100_PT $PTLVG                        M1100 Patient Living Arrangement         
                          3,163                          Missing                                 
                            134        **                Not collected                           
                            235        01                Lives alone, 24 hour assistance         
                             50        02                Lives alone, daytime assistance         
                              6        03                Lives alone, nighttime assistance       
                            248        04                Lives alone, occasional/short-term asst 
                              9        05                Lives alone, no assistance              
                          1,030        06                Lives at home w/others, 24 hr assistance
                             32        07                Lives at home w/others, daytime assist  
                             71        08                Lives at home w/others, nighttime assist
                             61        09                Lives at home w/others, occas/short-term
                            266        11                Lives in congregate situation, 24 hour a
                              1        12                Lives in congregate situation, daytime a
                             14        14                Lives in congregate situation, occasiona
                              3        15                Lives in congregate situation, no assist
 
M1200_VS $VISIOOA                      M1200 Vision                             
                          1,900                          Missing                                 
                             78        **                Not assessed/no information             
                          2,073        00                Normal vision                           
                          1,199        01                Partially impaired                      
                             73        02                Severely impaired                       
 
M1210_HE $HEARCOA                      M1210 Hearing                            
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                          1,134        00                Adequate                                
                            862        01                Mildly to moderately impaired           
                             28        02                Severely impaired                       
                              2        UK                Unable to assess hearing                
 
M1220_UN $VERBAOA                      M1220 Understand Verbal Content          
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                            997        00                Understands                             
                            827        01                Usually understands                     
                            175        02                Sometimes understands                   
                             19        03                Never understands                       
                              8        UK                Unable to assess hearing                
 
M1230_VR $SPEECOA                      M1230 Verbal Expression                  
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          2,014        00                No observable impairement               
                          1,032        01                Minimal difficulty                      
                            253        02                Moderate difficulty                     
                             89        03                Severe difficulty                       
                             23        04                Unable to express basic needs           
                             10        05                Nonresponsive or unable to speak        
 
M1240_PA $PAINAOA                      M1240 Formal Pain Assess                 
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             19        00                No standardized assessment              
                          1,519        01                Yes, severe pain not indicated          
                            488        02                Yes, severe pain indicated              
 
M1242_PA $FREQCOA                      M1242 Freq Of Pain Interfere W Activity  
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          1,251        00                No pain                                 
                            575        01                Pain does not interfere                 
                            650        02                Less often than daily                   
                          1,772        03                Daily, but not constantly               
                            492        04                All of the time                         
 
M1300_PR $ULASSOA                      M1300 Pressure Ulcer Assess              
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             23        00                No assessment conducted                 
                            119        01                Yes, based on eval of clinical factors  
                          1,884        02                Yes, using a standardized tool          
 
M1302_PR $YESNOOA                      M1302 Risk Of Devel Press Ulcers         
                          3,186                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,048        0                 No                                      
                            955        1                 Yes                                     
 
M1306_PR $YESNOOA                      M1306 Unheal Press Ulcers; St II+        
                            554                          Missing                                 
                             29        *                 Not assessed/no information             
                          4,509        0                 No                                      
                            231        1                 Yes                                     
 
M1307_PD $OLDPUL                       M1307 Oldest St II Press Ulcer Onset Date
                          5,144                          Missing                                 
                            159        **                Not collected                           
                             10        01                Was present at most recent SOC/ROC asses
                              3        02                Developed since most recent SOC/ROC asse
                              7        NA                None present at discharge               
 
M1307_PS MMDDYYn8                      M1307 Oldest St II Press Ulcer Since SOC/
                          5,320                       .  Inapplicable                            
                              3        MMDDYYYY          Date as MMDDYYYY                        
 
M1308_2N                               M1308 # Curr Press Ulcers, St II         
                          5,323                          Range of Values                         
 
M1308_3N                               M1308 # Curr Press Ulcers, St III        
                          5,323                          Range of Values                         
 
M1308_4N                               M1308 # Current Press Ulcers, St IV      
                          5,323                          Range of Values                         
 
M1308_ES                               M1308 # Unstag PresUlc;Eschar            
                          5,323                          Range of Values                         
 
M1308_DE                               M1308 # Unstag PresUlc;DeepTissue        
                          5,323                          Range of Values                         
 
M1308_UN                               M1308 # Unstag PresUlc;NonRemovDsg       
                          5,323                          Range of Values                         
 
M1320_PR $ULSTAPO                      M1320 Status, Most Problemat Press Ulcer 
                          5,117                          Missing                                 
                             85        **                Not assessed/no information             
                              2        00                Newly epithelialized                    
                              1        01                Fully granulating                       
                              5        02                Early/Partial granulation               
                            110        03                Not healing                             
                              3        NA                No observable pressure ulcer            
 
M1322_ST $ULNUMOA                      M1322 Curr # Of Stage I Press Ulcers     
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          4,668        00                None                                    
                             54        01                One                                     
                             16        02                Two                                     
                              1        03                Three                                   
                              1        04                Four or more                            
 
M1324_PR $ULSTGOA                      M1324 Stage, Most Problemat Press Ulcer  
                            554                          Not assessed/no information             
                             29        **                Missing                                 
                             48        01                Stage one                               
                            141        02                Stage two                               
                             32        03                Stage three                             
                             26        04                Stage four                              
                          4,493        NA                No observable pressure ulcer            
 
M1330_ST $STASUOA                      M1330 Stasis Ulcer Present               
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          4,651        00                No                                      
                             12        01                Yes, BOTH observable and unobservable   
                             68        02                Yes, Observable only                    
                              9        03                Yes, Unobservable only                  
 
M1332_ST $ULNUMOA                      M1332 Curr # Of Stasis Ulcer             
                          5,214                          Missing                                 
                             29        **                Not assessed/no information             
                             38        01                One                                     
                             26        02                Two                                     
                              4        03                Three                                   
                             12        04                Four or more                            
 
M1334_ST $ULSTAQO                      M1334 Status, Most Problemat Stasis Ulcer
                          5,214                          Missing                                 
                             29        **                Not assessed/no information             
                              3        01                Fully granulating                       
                             35        02                Early/Partial granulation               
                             42        03                Not healing                             
 
M1340_SR $SURGWOA                      M1340 Surgical Wound Present             
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          4,142        00                No                                      
                            522        01                Yes, observable                         
                             76        02                Yes, not observable                     
 
M1342_SR $ULSTAQO                      M1342 Status, Most Problemat Surg Wound  
                          4,772                          Missing                                 
                             29        **                Not assessed/no information             
                            264        00                Newly epithelialized                    
                             35        01                Fully granulating                       
                             55        02                Early/Partial granulation               
                            168        03                Not healing                             
 
M1350_OP $YESNOOA                      M1350 Skin Lesion Or Open Wound          
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,530        0                 No                                      
                            496        1                 Yes                                     
 
M1400_SO $SBREAOA                      M1400 When Is Patient Dyspneic or SOB    
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          1,577        00                Never                                   
                          1,141        01                When walking more than 20 feet          
                          1,299        02                With moderate exertion                  
                            596        03                With minimal exertion                   
                            127        04                At rest (day or night)                  
 
M1410_CP $INDICOA                      M1410 Resp Treat @ Home;CPAP/BPAP        
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,962        0                 Not indicated                           
                             64        1                 Indicated                               
 
M1410_RS $INDICOA                      M1410 Resp Treat @ Home;None of the Above
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                            388        0                 Not indicated                           
                          1,638        1                 Indicated                               
 
M1410_OX $INDICOA                      M1410 Resp Treat @ Home;Oxygen           
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,683        0                 Not indicated                           
                            343        1                 Indicated                               
 
M1410_VN $INDICOA                      M1410 Resp Treat @ Home;Ventilator       
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          2,023        0                 Not indicated                           
                              3        1                 Indicated                               
 
M1500_HR $SYMHFOA                      M1500 Heart Fail Present                 
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                            499        00                No                                      
                            171        01                Yes                                     
                              8        02                Not assessed                            
                          1,288        NA                NA                                      
 
M1510_CA $INDICOA                      M1510 Heart Fail FollUp;Chg In Care Plan 
                          5,021                          Missing                                 
                            131        *                 Not assessed/no information             
                            152        0                 Not indicated                           
                             19        1                 Indicated                               
 
M1510_CL $INDICOA                      M1510 Heart Fail FollUp;Pt Educ/Clinic In
                          5,021                          Missing                                 
                            131        *                 Not assessed/no information             
                             44        0                 Not indicated                           
                            127        1                 Indicated                               
 
M1510_ER $INDICOA                      M1510 Heart Fail FollUp;Emerg Trea Advise
                          5,021                          Missing                                 
                            131        *                 Not assessed/no information             
                            125        0                 Not indicated                           
                             46        1                 Indicated                               
 
M1510_NO $INDICOA                      M1510 Heart Fail FollUp;No Action Taken  
                          5,021                          Missing                                 
                            131        *                 Not assessed/no information             
                            166        0                 Not indicated                           
                              5        1                 Indicated                               
 
M1510_CN $INDICOA                      M1510 Heart Fail FollUp;Phys Contacted   
                          5,021                          Missing                                 
                            131        *                 Not assessed/no information             
                            111        0                 Not indicated                           
                             60        1                 Indicated                               
 
M1510_TR $INDICOA                      M1510 Heart Fail FollUp;Phys Ordered Trea
                          5,021                          Missing                                 
                            131        *                 Not assessed/no information             
                            118        0                 Not indicated                           
                             53        1                 Indicated                               
 
M1600_UT $UTINFOA                      M1600 UTI Treatment                      
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          3,125        00                No                                      
                            250        01                Yes                                     
                             37        NA                Patient on prophylactic treatment       
                              9        UK                Unknown                                 
 
M1610_UR $UIUCPOA                      M1610 Urinar Incont Or Catheter Presence 
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          1,844        00                No incontinence or catheter             
                          2,646        01                Patient is incintinent                  
                            250        02                Patient requires a urinary catheter     
 
M1615_UR $URINCOO                      M1615 Urinar Incont Timing               
                          3,420                          Missing                                 
                             85        **                Not assessed/no information             
                            162        00                Timed-voiding deters incontinence       
                            699        01                Occasional stress incontinence          
                             55        02                During the night only                   
                             16        03                During the day only                     
                            886        04                During the day and night                
 
M1620_BW $BWINCOA                      M1620 Bowel Incontinence Frequency       
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          3,776        00                Very rarely or never has bowel incont   
                            316        01                Less than once weekly                   
                            243        02                One to three times weekly               
                             95        03                Four to six times weekly                
                            173        04                On a daily basis                        
                             30        05                More often than once daily              
                            105        NA                Patient has ostomy for bowel elimination
                              2        UK                Unknown                                 
 
M1630_OS $BWOSTOA                      M1630 Ostomy For Bowel Elimination       
                          1,900                          Missing                                 
                             78        **                Not assessed/no information             
                          3,260        00                Does not have an ostomy                 
                             70        01                Ostomy was not related to inpatient stay
                             15        02                Ostomy was related to inpatient stay    
 
M1700_CG $COGFUOA                      M1700 Cognitive Functioning              
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          1,885        00                Alert/Oriented                          
                          1,017        01                Req prompting                           
                            332        02                Req assist and some direction           
                            150        03                Req conciderable assist in routine situa
                             37        04                Totally dependent due to disturbances   
 
M1710_CN $WCONFOA                      M1710 When Confused Frequency            
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          1,630        00                Never                                   
                          1,238        01                In new or complex situations            
                             41        02                On awakening or at night only           
                            389        03                During the day or evening               
                            120        04                Constantly                              
                              3        NA                Patient nonresponsive                   
 
M1720_AN $WANXIOA                      M1720 When Anxious Frequency             
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          1,941        00                None of the time                        
                            879        01                Less often than daily                   
                            551        02                Daily, but not constantly               
                             47        03                All of the time                         
                              3        NA                Patient nonresponsive                   
 
M1730_DS $DEPRAOA                      M1730 Depression Screening               
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             57        00                No                                      
                          1,882        01                Yes, PHQ-2 scale                        
                             27        02                Yes, other, further evaluation          
                             60        03                Yes, other, no further evaluation       
 
M1730_PD $DEPRBOA                      M1730 PHQ2 Down/Depressed/Hopeless       
                          3,307                          Missing                                 
                            134        **                Not assessed/no information             
                          1,452        00                Not at all (0-1)                        
                            324        01                Several days (2-6)                      
                             43        02                More than half of the days (7-11)       
                             32        03                Nearly every day (12-14)                
                             31        NA                Patient nonresponsive                   
 
M1730_PI $DEPRBOA                      M1730 PHQ2 Little Interest/Pleasure      
                          3,307                          Missing                                 
                            134        **                Not assessed/no information             
                          1,474        00                Not at all (0-1)                        
                            307        01                Several days (2-6)                      
                             38        02                More than half of the days (7-11)       
                             32        03                Nearly every day (12-14)                
                             31        NA                Patient nonresponsive                   
 
M1740_DL $INDICOA                      M1740 Cog/Behav/Psych; Delusional        
                          1,817                          Missing                                 
                             85        *                 Not assessed/no information             
                          3,383        0                 Not indicated                           
                             38        1                 Indicated                               
 
M1740_IM $INDICOA                      M1740 Cog/Behav/Psych;Impaired Decision_m
                          1,817                          Missing                                 
                             85        *                 Not assessed/no information             
                          2,654        0                 Not indicated                           
                            767        1                 Indicated                               
 
M1740_ME $INDICOA                      M1740 Cog/Behav/Psych;Memory Deficit     
                          1,817                          Missing                                 
                             85        *                 Not assessed/no information             
                          2,785        0                 Not indicated                           
                            636        1                 Indicated                               
 
M1740_CG $INDICOA                      M1740 Cog/Behav/Psych;None of the Above  
                          1,817                          Missing                                 
                             85        *                 Not assessed/no information             
                          1,008        0                 Not indicated                           
                          2,413        1                 Indicated                               
 
M1740_PH $INDICOA                      M1740 Cog/Behav/Psych;Physical Aggression
                          1,817                          Missing                                 
                             85        *                 Not assessed/no information             
                          3,396        0                 Not indicated                           
                             25        1                 Indicated                               
 
M1740_DS $INDICOA                      M1740 Cog/Behav/Psych;Disruptive/Inapprop
                          1,817                          Missing                                 
                             85        *                 Not assessed/no information             
                          3,402        0                 Not indicated                           
                             19        1                 Indicated                               
 
M1740_VR $INDICOA                      M1740 Cog/Behav/Psych;Verbal Disruption  
                          1,817                          Missing                                 
                             85        *                 Not assessed/no information             
                          3,373        0                 Not indicated                           
                             48        1                 Indicated                               
 
M1745_DS $FREQBOA                      M1745 Freq Of Disruptive Behav Symptoms  
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          2,747        00                Never                                   
                            121        01                Less than once a month                  
                             25        02                One a month                             
                             90        03                Several times each month                
                            148        04                Several times a week                    
                            290        05                At least daily                          
 
M1750_PH $YESNOOA                      M1750 Receives Psych Nursing Services    
                          3,163                          Missing                                 
                            134        *                 Not assessed/no information             
                          1,997        0                 No                                      
                             29        1                 Yes                                     
 
M1800_GR $GROOMOA                      M1800 Current Grooming                   
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                            998        00                Able to groom self unaided              
                          1,239        01                Utensils must be placed within reach    
                            946        02                Someone must assis patient to groom self
                            238        03                Depends entirely upon another person    
 
M1810_DR $DRESSOA                      M1810 Current Dress Upper Body           
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          1,101        00                No assist needed                        
                          1,649        01                No assist needed if clothing laid out   
                          1,580        02                Assist from another person              
                            410        03                Depends entirely upon another person    
 
M1820_DR $DRESSOA                      M1820 Current Dress Lower Body           
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                            946        00                No assist needed                        
                            984        01                No assist needed if clothing laid out   
                          2,138        02                Assist from another person              
                            672        03                Depends entirely upon another person    
 
M1830_BA $BATHCOA                      M1830 Ability To Wash Body               
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                            366        00                Bathes self independently               
                            621        01                Bathes self with use of devices         
                          1,061        02                Bathes with intermittent assist         
                          1,718        03                Bathes with complete assist/supervision 
                            186        04                Unable, bed/sink/chair, independent     
                            457        05                Unable, bed/sing/chair, assisted        
                            331        06                Unable, totally bathed by another person
 
M1840_TO $TOILEOA                      M1840 Current Toilet Transferring        
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                          1,640        00                Toilet, to and from independently       
                          2,181        01                Toilet, when reminded/assist/supervised 
                            485        02                Unable toil, able to bedside commode    
                             83        03                Unable toil/bedside commode, able bedpan
                            351        04                Depends entirely upon another person    
 
M1845_TO $TOILEOA                      M1845 Current Toileting Hygiene          
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          1,095        00                Toilet, to and from independently       
                          1,110        01                Toilet, when reminded/assist/supervised 
                            931        02                Unable toil, able to bedside commode    
                            285        03                Unable toil/bedside commode, able bedpan
 
M1850_TR $TRANSOA                      M1850 Current Transferring               
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                            827        00                Able to independently transfer          
                          2,494        01                Transfers with minimal assist or device 
                          1,020        02                Unable transfer self, able to pivot     
                            277        03                Unable transfer self, unable to pivot   
                             28        04                Bedfast, unable trans, able to positio  
                             94        05                Bedfast, unable trans, unable to positio
 
M1860_AM $AMBUCOA                      M1860 Current Ambulation/Locomotion      
                            554                          Missing                                 
                             29        **                Not assessed/no information             
                            397        00                Able to independently walk/stairs       
                            627        01                Able to walk w/ 1 handed device         
                          1,684        02                Able to walk w/ 2 handed device         
                          1,449        03                Able to walk w/ constant assist/supervis
                            271        04                Chairfast, able to wheel self independ  
                            227        05                Chairfast, unable to wheel self independ
                             85        06                Bedfast, unable to ambulate/or chair    
 
M1870_EA $FEEDIOA                      M1870 Current Feeding or Eating          
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          1,661        00                Able independently feed self            
                          1,598        01                Able feed self with intermittent assist 
                            128        02                Unable feed self, complete assist/superv
                              7        03                Able take nutri oral, rec tube feedi    
                             23        04                Unable take nutri oral, rec tube feedi  
                              4        05                Unable take nutri oral or tube feedi    
 
M1880_PR $MEALSOA                      M1880 Current Plan/Prepare Light Meal    
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                            971        00                Able to independently prepare all meals 
                          1,306        01                Unable to prepare meals on regular basis
                          1,144        02                Unable to prepare any meals             
 
M1890_TE $TELEPOA                      M1890 Current Telephone Use              
                          1,817                          Missing                                 
                             85        **                Not assessed/no information             
                          2,190        00                Able independently dial/answer calls    
                            325        01                Able use a specif adapted phone and call
                            315        02                Able answer calls, diff placing calls   
                            231        03                Able answer calls only some of the time 
                            123        04                Unable answer phone at all, can listen  
                            140        05                Totaly unable to use the telephone      
                             97        NA                Patient does not have a telephone       
 
M1900_PA $PRADLOA                      M1900 Pri Funct ADL/IADL; Ambulation     
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                            771        00                Independent                             
                          1,045        01                Needed some help                        
                            210        02                Dependent                               
 
M1900_PH $PRADLOA                      M1900 Pri Funct ADL/IADL; Household Tasks
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                            357        00                Independent                             
                            957        01                Needed some help                        
                            712        02                Dependent                               
 
M1900_PS $PRADLOA                      M1900 Pri Funct ADL/IADL; Self Care      
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                            675        00                Independent                             
                          1,146        01                Needed some help                        
                            205        02                Dependent                               
 
M1900_PT $PRADLOA                      M1900 Pri Funct ADL/IADL; Transfer       
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                            873        00                Independent                             
                            989        01                Needed some help                        
                            164        02                Dependent                               
 
M1910_FA $FALLMOA                      M1910 Multi-Factor Fall Risk Assessment  
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             18        00                No multi-factor fall risk assessment    
                            107        01                Yes, does not indicated a risk for fall 
                          1,901        02                Yes, indicates a risk for falls fall    
 
M2000_DR $DRUGROA                      M2000 Drug Regimen Review                
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             15        00                Not assessed                            
                          1,532        01                No problems found during review         
                            474        02                Problems found during review            
                              5        NA                Patient is not taking any medications   
 
M2002_MD $YESNOOA                      M2002 Medication Follow-Up               
                          4,715                          Missing                                 
                            134        *                 Not assessed/no information             
                             82        0                 No                                      
                            392        1                 Yes                                     
 
M2004_MD $YESNAOA                      M2004 Medication Intervention            
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                            177        00                No                                      
                            446        01                Yes                                     
                          1,343        NA                Not applicable                          
 
M2010_DR $YESNAOA                      M2010 Patient/Caregiv High Risk Drug Educ
                          3,168                          Missing                                 
                            134        **                Not assessed/no information             
                             39        00                No                                      
                          1,590        01                Yes                                     
                            392        NA                Not applicable                          
 
M2015_DR $YESNAOA                      M2015 Patient/Caregiv Drug Educ Intervent
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                             84        00                No                                      
                          1,863        01                Yes                                     
                             19        NA                Not applicable                          
 
M2020_OR $MGMRXOA                      M2020 Curr Manag Of Oral Medications     
                          1,822                          Missing                                 
                             85        **                Not assessed/no information             
                            973        00                Able to independently take correct med  
                            889        01                Able to take med corect times w/ prepare
                            489        02                Able to take med corect times w/ assist 
                          1,052        03                Unable to take med unless administered  
                             13        NA                No med of this type prescribed          
 
M2030_IN $MGMRXOA                      M2030 Curr Manag Of Injectable Medication
                            559                          Missing                                 
                             29        **                Not assessed/no information             
                            261        00                Able to independently take correct med  
                            152        01                Able to take med corect times w/ prepare
                             95        02                Able to take med corect times w/ assist 
                            482        03                Unable to take med unless administered  
                          3,745        NA                No med of this type prescribed          
 
M2040_PR $PRADLOA                      M2040 Prior Medication Manag; Injectable 
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                            128        00                Independent                             
                            162        01                Needed some help                        
                            138        02                Dependent                               
                          1,598        NA                NA                                      
 
M2110_AD $FREQAOA                      M2110 Freq Of ADL/IADL Assist From Caregi
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                          1,687        01                Daily                                   
                            178        02                Three or more times per week            
                             90        03                One to two times per week               
                             33        04                Received, but less often than weekly    
                             34        05                No assistance received                  
                              4        UK                Unknown                                 
 
M2200_NA $INDICOA                      M2200 Therapy Need; Not Applicable       
                          1,900                          Missing                                 
                             78        *                 Not assessed/no information             
                          3,216        0                 Not indicated                           
                            129        1                 Indicated                               
 
M2200_VI                               M2200 Therapy Need; Number Of Visits     
                          5,323                          Range of Values                         
 
M2250_DB $YESNAOA                      M2250 POC Synop; Diabetic Foot Care      
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             20        00                No                                      
                            710        01                Yes                                     
                          1,296        NA                Not applicable                          
 
M2250_DT $ASSISOA                      M2250 POC Synop; Depression Intervention 
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             29        00                No assistance needed                    
                            643        01                Currently provide assistance            
                          1,354        NA                Not applicable                          
 
M2250_FA $ASSISOA                      M2250 POC Synop; Fall Prevention         
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             12        00                No assistance needed                    
                          1,964        01                Currently provide assistance            
                             50        NA                Not applicable                          
 
M2250_PI $YESNAOA                      M2250 POC Synop; Pain Intervention       
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             13        00                No                                      
                          1,694        01                Yes                                     
                            319        NA                Not applicable                          
 
M2250_PR $YESNAOA                      M2250 POC Synop; Press Ulcer Prevention  
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             18        00                No                                      
                          1,052        01                Yes                                     
                            956        NA                Not applicable                          
 
M2250_PU $YESNAOA                      M2250 POC Synop; Press Ulcer Moist Treatm
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             16        00                No                                      
                            110        01                Yes                                     
                          1,900        NA                Not applicable                          
 
M2250_PN $YESNAOA                      M2250 POC Synop; Parameter Phys Notif    
                          3,163                          Missing                                 
                            134        **                Not assessed/no information             
                             43        00                No                                      
                            865        01                Yes                                     
                          1,118        NA                Not applicable                          
 
M2300_EM $EMERCOA                      M2300 EmergCare Since Last OASIS         
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                          1,468        00                No                                      
                             77        01                Yes, without hospital admission         
                            402        02                Yes, with hospital admission            
                             19        UK                Unknown                                 
 
M2310_CR $INDICOA                      M2310 EmergCare;Cardiac Dysrhythmia      
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            467        0                 Not indicated                           
                             12        1                 Indicated                               
 
M2310_IV $INDICOA                      M2310 EmergCare;IV Catheter Infection    
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            478        0                 Not indicated                           
                              1        1                 Indicated                               
 
M2310_DE $INDICOA                      M2310 EmergCare;Dehydration/Malnutrition 
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            455        0                 Not indicated                           
                             24        1                 Indicated                               
 
M2310_PL $INDICOA                      M2310 EmergCare;DVT, Pulmonary Embolus   
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            475        0                 Not indicated                           
                              4        1                 Indicated                               
 
M2310_GI $INDICOA                      M2310 EmergCare;GI Issues                
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            456        0                 Not indicated                           
                             23        1                 Indicated                               
 
M2310_HR $INDICOA                      M2310 EmergCare;Heart Failure            
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            448        0                 Not indicated                           
                             31        1                 Indicated                               
 
M2310_DB $INDICOA                      M2310 EmergCare;Hypo/Hyperglycemia/Diabet
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            465        0                 Not indicated                           
                             14        1                 Indicated                               
 
M2310_FA $INDICOA                      M2310 EmergCare;Injury From Fall         
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            438        0                 Not indicated                           
                             41        1                 Indicated                               
 
M2310_MD $INDICOA                      M2310 EmergCare;Improper Medication Admin
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            474        0                 Not indicated                           
                              5        1                 Indicated                               
 
M2310_MN $INDICOA                      M2310 EmergCare;Acute Mental/Behavioral  
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            472        0                 Not indicated                           
                              7        1                 Indicated                               
 
M2310_CH $INDICOA                      M2310 EmergCare;Myocardial Infarc/Chest P
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            466        0                 Not indicated                           
                             13        1                 Indicated                               
 
M2310_OT $INDICOA                      M2310 EmergCare;Other                    
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            321        0                 Not indicated                           
                            158        1                 Indicated                               
 
M2310_OH $INDICOA                      M2310 EmergCare;Other Heart Disease      
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            464        0                 Not indicated                           
                             15        1                 Indicated                               
 
M2310_RS $INDICOA                      M2310 EmergCare;Respir Infection         
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            437        0                 Not indicated                           
                             42        1                 Indicated                               
 
M2310_OR $INDICOA                      M2310 EmergCare;Other Respir Problem     
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            431        0                 Not indicated                           
                             48        1                 Indicated                               
 
M2310_ST $INDICOA                      M2310 EmergCare;Stroke (CVA) or TIA      
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            465        0                 Not indicated                           
                             14        1                 Indicated                               
 
M2310_UN $INDICOA                      M2310 EmergCare;Unknown                  
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            447        0                 Not indicated                           
                             32        1                 Indicated                               
 
M2310_PA $INDICOA                      M2310 EmergCare;Uncontrolled Pain        
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            463        0                 Not indicated                           
                             16        1                 Indicated                               
 
M2310_UT $INDICOA                      M2310 EmergCare;Urinary Tract Infection  
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            445        0                 Not indicated                           
                             34        1                 Indicated                               
 
M2310_WN $INDICOA                      M2310 EmergCare;Wound Infection/Deteriora
                          4,713                          Missing                                 
                            131        *                 Not assessed/no information             
                            460        0                 Not indicated                           
                             19        1                 Indicated                               
 
M2400_DB $YESNAOA                      M2400 Synopsis; Diabetic Foot Care       
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                             37        00                No                                      
                            668        01                Yes                                     
                          1,261        NA                Not applicable                          
 
M2400_DP $YESNAOA                      M2400 Synopsis; Depression Prevention    
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                             43        00                No                                      
                            611        01                Yes                                     
                          1,312        NA                Not applicable                          
 
M2400_FA $YESNAOA                      M2400 Synopsis; Falls Prevention         
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                             13        00                No                                      
                          1,906        01                Yes                                     
                             47        NA                Not applicable                          
 
M2400_PI $YESNAOA                      M2400 Synopsis; Pain Intervention        
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                             17        00                No                                      
                          1,670        01                Yes                                     
                            279        NA                Not applicable                          
 
M2400_PV $YESNAOA                      M2400 Synopsis; Press Ulcer Prevention   
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                             26        00                No                                      
                          1,003        01                Yes                                     
                            937        NA                Not applicable                          
 
M2400_PS $YESNAOA                      M2400 Synopsis; Press Ulcer Moist Treatme
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                             23        00                No                                      
                            138        01                Yes                                     
                          1,805        NA                Not applicable                          
 
M2410_AD $INFACOA                      M2410 Admit Inpatient Facility Type      
                          3,226                          Missing                                 
                            131        **                Not assessed/no information             
                            535        01                Hospital                                
                             12        02                Rehabilitation facility                 
                             21        03                Nursing home                            
                              3        04                Hospice                                 
                          1,395        NA                No inpatient facility admission         
 
M2420_DS $DISPOCA                      M2420 Discharge Location                 
                          3,769                          Missing                                 
                            159        **                Not assessed/no information             
                            969        01                Patient remained in commun, no assistive
                            362        02                Patient remained in commun, assistive   
                             35        03                Patient transferred to a noninsti hospic
                             18        04                Unknown, location not served by agency  
                             11        UK                Unknown, other                          
 
M2430_CR $INDICOA                      M2430 Hosp Reas;Cardiac Dysrhythmia      
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            523        0                 Not indicated                           
                             12        1                 Indicated                               
 
M2430_IV $INDICOA                      M2430 Hosp Reas IV Catheter Infection    
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            534        0                 Not indicated                           
                              1        1                 Indicated                               
 
M2430_DE $INDICOA                      M2430 Hosp Reas;Dehydration/Malnutrition 
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            516        0                 Not indicated                           
                             19        1                 Indicated                               
 
M2430_GI $INDICOA                      M2430 Hosp Reas;GI Issues                
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            515        0                 Not indicated                           
                             20        1                 Indicated                               
 
M2430_HR $INDICOA                      M2430 Hosp Reas;Heart Failure            
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            497        0                 Not indicated                           
                             38        1                 Indicated                               
 
M2430_FA $INDICOA                      M2430 Hosp Reas;Injury Caused by Fall    
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            508        0                 Not indicated                           
                             27        1                 Indicated                               
 
M2430_MD $INDICOA                      M2430 Hosp Reas;Improper Medication Admin
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            532        0                 Not indicated                           
                              3        1                 Indicated                               
 
M2430_MN $INDICOA                      M2430 Hosp Reas;Acute Mental/Behavioral  
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            525        0                 Not indicated                           
                             10        1                 Indicated                               
 
M2430_CH $INDICOA                      M2430 Hosp Reas Myocardial Infarc/Chest P
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            522        0                 Not indicated                           
                             13        1                 Indicated                               
 
M2430_OC $INDICOA                      M2430 Hosp Reas Other                    
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            349        0                 Not indicated                           
                            186        1                 Indicated                               
 
M2430_OH $INDICOA                      M2430 Hosp Reas Other Heart Disease      
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            522        0                 Not indicated                           
                             13        1                 Indicated                               
 
M2430_PA $INDICOA                      M2430 Hosp Reas Uncontrolled Pain        
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            520        0                 Not indicated                           
                             15        1                 Indicated                               
 
M2430_RS $INDICOA                      M2430 Hosp Reas Respiratory Infection    
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            497        0                 Not indicated                           
                             38        1                 Indicated                               
 
M2430_OR $INDICOA                      M2430 Hosp Reas Other Respiratory Problem
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            479        0                 Not indicated                           
                             56        1                 Indicated                               
 
M2430_SC $INDICOA                      M2430 Hosp Reas Sched Treatment/Procedure
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            504        0                 Not indicated                           
                             31        1                 Indicated                               
 
M2430_ST $INDICOA                      M2430 Hosp Reas Stroke (CVA) Or TIA      
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            525        0                 Not indicated                           
                             10        1                 Indicated                               
 
M2430_UN $INDICOA                      M2430 Hosp Reas Unknown                  
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            497        0                 Not indicated                           
                             38        1                 Indicated                               
 
M2430_UT $INDICOA                      M2430 Hosp Reas Urinary Tract Infect     
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            497        0                 Not indicated                           
                             38        1                 Indicated                               
 
M2430_PL $INDICOA                      M2430 Hosp Reas;DVT, Pulmonary Embolus   
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            531        0                 Not indicated                           
                              4        1                 Indicated                               
 
M2430_WN $INDICOA                      M2430 Hosp Reas Wound Infection/Deteriora
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            511        0                 Not indicated                           
                             24        1                 Indicated                               
 
M2430_DB $INDICOA                      M2430 Hosp Reas;Hypo/Hyperglycemia/Diabet
                          4,608                          Missing                                 
                            180        *                 Not assessed/no information             
                            527        0                 Not indicated                           
                              8        1                 Indicated                               
 
