| Short Description | Description | Values | Data Type | Length | Decimal Positions | Offset |
|---|---|---|---|---|---|---|
| State Code | This column contains the two-digit state abbreviation code. | AK=Alaska AL=Alabama AP=APO AR=Arkansas AS=American Samoa AZ=Arizona CA=California CN=Canada CO=Colorado CT=Connecticut DC=District of Columbia DE=Delaware FL=Florida FM=Micronesia FN=International GA=Georgia GU=Guam HI=Hawaii IA=Iowa ID=Idaho IL=Illinois IN=Indiana KS=Kansas KY=Kentucky LA=Louisiana MA=Massachusetts MD=Maryland ME=Maine MH=Marshall Islands MI=Michigan MN=Minnesota MO=Missouri MP=Saipan/Mariana Is. MS=Mississippi MT=Montana MX=Mexico NC=North Carolina ND=North Dakota NE=Nebraska NH=New Hampshire NJ=New Jersey NM=New Mexico NV=Nevada NY=New York OH=Ohio OK=Oklahoma OR=Oregon PA=Pennsylvania PR=Puerto Rico PW=Palau RI=Rhode Island SC=South Carolina SD=South Dakota TN=Tennessee TX=Texas UT=Utah VA=Virginia VI=Virgin Islands VT=Vermont WA=Washington WI=Wisconsin WV=West Virginia WY=Wyoming |
VARCHAR2 | 2 | 1 | |
| Facility/Provider Internal ID | This column contains the facility internal ID for nursing home facilities or the provider internal number for swing bed providers. | NUMBER | 10 | 3 | ||
| Resident Internal ID | This is a unique number, assigned by the system, which identifies a resident. The combination of State Code and Resident Internal ID uniquely identifies the resident in the national repository. | NUMBER | 10 | 13 | ||
| Assessment ID | This column is used as a key to uniquely identify an assessment and to tie together all the different tables that compose one assessment record received from a facility. | NUMBER | 15 | 23 | ||
| Item Subset Code (ISC) | Contains the item subset code that identifies the type of assessment that was submitted. This code is derived from the values submitted in A0310A, A0310B, A0310C, A0310D, A0310F and A0310H in conjunction with the value submitted in A0200 - type of provider. | NC=Nursing Home: Comprehensive ND=Nursing Home: Discharge NO=Nursing Home: OMRA Other NOD=Nursing Home: OMRA Other + Discharge NP=Nursing Home: PPS NPE=Nursing home PPS Part A Discharge (End of Stay) NQ=Nursing Home: Quarterly NS=Nursing Home: OMRA Start of Therapy NSD=Nursing Home: OMRA Start of Therapy + Discharge NT=Nursing Home: Tracking (entry/expired) SD=Swing Bed: Discharge SO=Swing Bed: OMRA Other SOD=Swing Bed: OMRA Other + Discharge SP=Swing Bed: PPS SS=Swing Bed: OMRA Start of Therapy SSD=Swing Bed: OMRA Start of Therapy + Discharge ST=Swing Bed: Tracking (entry/expired) XX=Inactivation |
VARCHAR2 | 4 | 38 | |
| Target Date | This column contains the target date of the assessment. The target date is based upon the type of record identified by the A0310F value. The Target Date is the Discharge Date (A2000) for records with an A0310F value = 10, 11 or 12, Entry Date (A1600) for records with an A0310F value = 01, and the Assessment Reference Date (A2300) for records with an A0310F value = 99. The Target Date for the Medicare PPS Part A Discharge record not combined with an OBRA Discharge is the Assessment Reference Date (A2300). The Target Date for a Medicare PPS Part A Discharge record that is combined with an OBRA Discharge is the Discharge Date (A2000). | DATE | 8 | 42 | ||
| Submission Date | This column contains the date the submission file was received by the system. | DATE | 8 | 50 | ||
| Submission ID | This column contains the unique identifier of the submission file that contains this assessment when combined with state identifier. | NUMBER | 22 | 58 | ||
| Submission Required Code (SUB_REQ) | This column indicates the submission required value for the assessment: 2 = SUB_REQ 2 (state required assessment) and 3 = SUB_REQ 3 (federal assessment). | 1=Unit is not Medicare nor Medicaid certified and MDS data is not required by the State. 2=Unit is not Medicare nor Medicaid certified but MDs data is required by the State. 3=Unit is Medicare and/or Medicaid certified. |
VARCHAR2 | 1 | 80 | |
| Birth Date Submit Code | This column indicates the type of partial birth date that was submitted (year only or month and year). | VARCHAR2 | 1 | 81 | ||
| Correction Number | This column contains the sequential correction number of assessment. | NUMBER | 2 | 82 | ||
| Correction Status Code | This code indicates the version of the assessment. A value of 'C' indicates this is the current assessment for the resident. A value of 'M' indicates the assessment was modified by a subsequent submission. A value of 'X' indicates the assessment was inactivated by a subsequent submission (i.e., by an 'I' assessment). A value of 'I' indicates that the record was the assessment inactivation request. | C=Current Assessment I=Inactivation Requested M=Modified by a Subsequent Submission X=Inactivated by a Subsequent Submission |
VARCHAR2 | 1 | 84 | |
| Data Submission Specification Version Code | The data in this column indicates the version of data specifications that were used to create the XML file. | VARCHAR2 | 10 | 85 | ||
| Facility Document Identifier | This can be used by facility for unique identification of the record and tracking of records submitted to the state. | VARCHAR2 | 20 | 95 | ||
| Item Set Version Code | The data in this column indicates the version of item set that was completed by the facility. | VARCHAR2 | 10 | 115 | ||
| Original Assessment ID | This column contains the unique ID of the assessment where the Correction Number is equal to '00'. | NUMBER | 22 | 125 | ||
| Processed Timestamp | This column contains the processing complete timestamp. This timestamp is populated when the submission file processing is complete and the final validation report is available in the CASPER Reporting application. | DATE | 8 | 147 | ||
| Resident Age | This column contains the system calculated resident age number. | NUMBER | 8 | 155 | ||
| Resident Match Criteria ID | This column is contains the resident match criteria ID that shows which of the resident matching criteria was positive for a match. The resident match procedure is used to determine if a record should be written to the resident table. | NUMBER | 2 | 163 | ||
| Software Product Name | The name of the software that was used to create the MDS data submission file. | VARCHAR2 | 50 | 165 | ||
| Software Product Version | The vendor's version number for the software that was used to create the MDS data submission file. | VARCHAR2 | 20 | 215 | ||
| CBSA Urban/Rural Code | This data in this column identifies whether the facility is designated to be in a rural or urban area. | VARCHAR2 | 1 | 235 | ||
| Recalculated Z0100A | The data in this column contains the calculated Medicare Part A HIPPS code. | VARCHAR2 | 7 | 236 | ||
| Recalculated Z0100B | The data in this column contains the calculated Medicare Part A RUG version code. | VARCHAR2 | 10 | 243 | ||
| Recalculated Z0100C | The data in this column is an output value that is produced by the grouper and indicates whether the short-stay logic was used to calculate the RUG. | VARCHAR2 | 1 | 253 | ||
| CMI Set for Recalculated Z0100A | The data in this column contains the calculated Medicare Set Code used for the Part A RUG. | VARCHAR2 | 3 | 254 | ||
| CMI Value for Recalculated Z0100A | The data in this column contains the calculated Medicare CMI value returned for the Part A RUG. | VARCHAR2 | 7 | 257 | ||
| Recalculated Z0150A | The data in this column contains the calculated Medicare non-therapy Part A HIPPS code. | VARCHAR2 | 7 | 264 | ||
| Recalculated Z0150B | The data in this column contains the calculated Medicare non-therapy RUG version code. | VARCHAR2 | 10 | 271 | ||
| CMI Set for Recalculated Z0150A | The data in this column contains the calculated Medicare non-therapy Set Code. | VARCHAR2 | 3 | 281 | ||
| CMI Value for Recalculated Z0150A | The data in this column contains the calculated Medicare non-therapy CMI value. | VARCHAR2 | 7 | 284 | ||
| Recalculated Z0200A | The data in this column contains the calculated state Medicaid RUG case mix group code. | VARCHAR2 | 10 | 291 | ||
| Recalculated Z0200B | The data in this column contains the calculated state Medicaid RUG version code. | VARCHAR2 | 10 | 301 | ||
| CMI Set for Recalculated Z0200A | The data in this column contains the calculated state Medicaid RUG Set Code. | VARCHAR2 | 3 | 311 | ||
| CMI Value for Recalculated Z0200A | The data in this column contains the calculated state Medicaid CMI text. | VARCHAR2 | 7 | 314 | ||
| Recalculated Z0250A | The data in this column contains the second calculated state Medicaid RUG case mix group code. | VARCHAR2 | 10 | 321 | ||
| Recalculated Z0250B | The data in this column contains the second calculated state Medicaid RUG version code. | VARCHAR2 | 10 | 331 | ||
| CMI Set for Recalculated Z0250A | The data in this column contains the second calculated state Medicaid RUG Set Code. | VARCHAR2 | 3 | 341 | ||
| CMI Value for Recalculated Z0250A | The data in this column contains the second calculated state Medicaid CMI text. | VARCHAR2 | 7 | 344 | ||
| Medicare RUG III Index Maximized Group | This column contains the calculated RUG III Medicare Index Maximized Group code. | VARCHAR2 | 10 | 351 | ||
| Medicare RUG III Index Maximized Version | This column contains the calculated RUG III Medicare Index Maximized Version text. | VARCHAR2 | 10 | 361 | ||
| Medicare RUG III Index Maximized CMI Set | This column contains the calculated RUG III Medicare Index Maximized Case Mix Index Set Code. | VARCHAR2 | 3 | 371 | ||
| Medicare RUG III Index Maximized CMI Value | This column contains the calculated RUG III Medicare Index Maximized Case Mix Index text. | VARCHAR2 | 7 | 374 | ||
| Medicare RUG III Hierarchical Group | This column contains the calculated RUG III Hierarchical Medicare RUG Group code. | VARCHAR2 | 10 | 381 | ||
| Medicare RUG III Hierarchical Version | This column contains the calculated RUG III Hierarchical Medicare RUG Group Version code. | VARCHAR2 | 10 | 391 | ||
| Medicare RUG IV Hierarchical Group | This column contains the calculated RUG IV Hierarchical Medicare RUG Group code. | VARCHAR2 | 10 | 401 | ||
| Medicare RUG IV Hierarchical Version | This column contains the calculated RUG IV Hierarchical Medicare RUG Group Version code. | VARCHAR2 | 10 | 411 | ||
| Calculated CCN | This is the ASAP calculated CMS Certification Number (CCN) for the Facility ID in the submitted MDS record. This is the CCN for the provider based on the target date of the MDS assessment. | VARCHAR2 | 12 | 421 | ||
| A0050 Type of Record Code | The data in this column indicates the type of record that is being submitted (new, modification or inactivation). This field replaces X0100 effective April 2012. | 1=Add new record 2=Modify existing record 3=Inactivate existing record |
VARCHAR2 | 1 | 433 | |
| A0100A Facility National Provider Identifier (NPI) | This column contains the facility or provider's National Provider Identifier number. | VARCHAR2 | 10 | 434 | ||
| A0100B Facility CMS Certification Number (CCN) | This column contains the facility or provider's CMS Certification (Medicare) Number. | VARCHAR2 | 12 | 444 | ||
| A0100C State Provider Number | This column contains the facility or provider's state-assigned provider number. | VARCHAR2 | 15 | 456 | ||
| A0200 Type of Provider | This column identifies the type of provider (nursing home or swing bed) submitting the assessment. This value is used in conjunction with the Type of Assessment fields (A0310A, A0310B, A0310C, A0310D, A0310F and A0310H) to determine the ISC. | 1=Nursing home (SNF/NF) 2=Swing bed |
VARCHAR2 | 1 | 471 | |
| A0310A Federal OBRA Reason for Assessment Code | This column contains the federal OBRA reason for assessment value. | 01=Admission assessment (required by day 14) 02=Quarterly review assessment 03=Annual assessment 04=Significant change in status assessment 05=Significant correction to prior comprehensive assessment 06=Significant correction to prior quarterly assessment 99=None of the above |
VARCHAR2 | 2 | 472 | |
| A0310B PPS Assessment Code | This column contains the PPS (Prospective Payment System) reason for assessment value. | 01=5-day scheduled assessment 02=14-day scheduled assessment 03=30-day scheduled assessment 04=60-day scheduled assessment 05=90-day scheduled assessment 06=Readmission/return assessment 07=Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) 99=None of the above |
VARCHAR2 | 2 | 474 | |
| A0310C PPS Other Medicare Required Assessment (OMRA) Code | This column contains the PPS Other Medicare Required Assessment value. | 0=No 1=Start of therapy assessment 2=End of therapy assessment 3=Both Start and End of therapy assessment 4=Change of therapy assessment |
VARCHAR2 | 1 | 476 | |
| A0310D Swing Bed Clinical Change Code | The data in this column indicates if the assessment is a swing bed clinical change assessment. | 0=No 1=Yes ^=Blank (Skip Pattern) |
VARCHAR2 | 1 | 477 | |
| A0310E First Assessment Since Most Recent Admission Code | The data in this column indicates if this assessment is the first assessment since the most recent admission. | 0=No 1=Yes |
VARCHAR2 | 1 | 478 | |
| A0310F Entry/Discharge Code | The data in this column indicates whether the assessment is an Entry or Discharge record. | 01=Entry tracking record 10=Discharge assessment - return not anticipated 11=Discharge assessment - return anticipated 12=Death in facility tracking record 99=None of the above |
VARCHAR2 | 2 | 479 | |
| A0310G Planned Discharge Code | The data in this column indicates whether the resident discharge was planned or unplanned. | 1=Planned 2=Unplanned ^=BLANK (SKIP PATTERN) |
VARCHAR2 | 1 | 481 | |
| A0310H SNF PPS Part A Discharge Assessment | Indicates if the assessment is a PPS Part A Stay Discharge record. | 0=No 1=Yes |
VARCHAR2 | 1 | 482 | |
| A0410 Submission Required Code | The data in this column indicates if the assessment is a SUB_REQ (submission required) 2 [State Required] or 3 [Federal Required] submission. | 1=Unit is not Medicare nor Medicaid certified and MDS data is not required by the State. 2=Unit is not Medicare nor Medicaid certified but MDs data is required by the State. 3=Unit is Medicare and/or Medicaid certified. |
VARCHAR2 | 1 | 483 | |
| A0800 Gender | This data in this column identifies the resident's gender. | -=Not assessed/no information/unable to determine 1=Male 2=Female |
VARCHAR2 | 1 | 484 | |
| A0900 Birth Date | This column contains the resident's birth date. | DATE | 8 | 485 | ||
| A1000A Race/Ethnicity: American Indian or Alaskan Native Code | The data in this column indicates if the resident's ethnicity is American Indian/Alaskan Native. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 493 | |
| A1000B Race/Ethnicity: Asian Code | The data in this column indicates if the resident's ethnicity is Asian. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 494 | |
| A1000C Race/Ethnicity: African American Code | The data in this column indicates if the resident's ethnicity is African American. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 495 | |
| A1000D Race/Ethnicity: Hispanic Code | The data in this column indicates if the resident's ethnicity is Hispanic. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 496 | |
| A1000E Race/Ethnicity: Native Hawaiian/Pacific Islander Code | The data in this column indicates if the resident's ethnicity is Native Hawaiian/Pacific Islander. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 497 | |
| A1000F Race/Ethnicity: White Code | The data in this column indicates if the resident's ethnicity is white. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 498 | |
| A1100A Resident Need Interpreter Code | The data in this column indicates if the resident needs an interpreter. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine |
VARCHAR2 | 1 | 499 | |
| A1100B Preferred Language | This column contains the resident's preferred language. | VARCHAR2 | 15 | 500 | ||
| A1200 Marital Status Code | The data in this column identifies the resident's marital status. | -=Not assessed/no information 1=Never married 2=Married 3=Widowed 4=Separated 5=Divorced |
VARCHAR2 | 1 | 515 | |
| A1300A Medical Record Number | This column contains the resident's medical record number. | VARCHAR2 | 12 | 516 | ||
| A1300B Room Number | This column contains the resident's room number. | VARCHAR2 | 10 | 528 | ||
| A1300C Preferred Name | This column contains the resident's preferred name. | VARCHAR2 | 23 | 538 | ||
| A1300D Lifetime Occupation(s) Text | This column contains the resident's lifetime occupation(s). | VARCHAR2 | 23 | 561 | ||
| A1500 Preadmission Screening and Resident Review (PASRR) Code | The data in this column identifies if the resident has been evaluated by the Level II Preadmission Screening and Resident Review (PASRR). | -=Not assessed/no information 0=No 1=Yes 9=Not a Medicaid certified unit ^=Blank(skip pattern) |
VARCHAR2 | 1 | 584 | |
| A1510A Serious Mental Illness Code | The data in this column indicates whether the resident was assessed with a Level II PASRR serious mental illness. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 585 | |
| A1510B Intellectual Disability Code | The data in this column indicates whether the resident was assessed with an intellectual disability on the Level II PASRR. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 586 | |
| A1510C Other Related Conditions Code | The data in this column indicates whether the resident was assessed with a Level II PASRR other related condition. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 587 | |
| A1550A ID/DD Status: Down Syndrome Code | The data in this column identifies if the resident has Down Syndrome. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 588 | |
| A1550B ID/DD Status: Autism Code | The data in this column identifies if the resident has autism. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 589 | |
| A1550C ID/DD Status: Epilepsy Code | The data in this column identifies if the resident has epilepsy. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 590 | |
| A1550D ID/DD Status: Other Organic ID/DD Condition Code | The data in this column identifies if the resident has another organic condition related to ID/DD (Intellectual Disability or Developmental Disability). | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 591 | |
| A1550E ID/DD Status: ID/DD With No Organic Condition Code | The data in this column identifies if the resident has ID/DD (Intellectual Disability or Developmental Disability) without an organic condition. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 592 | |
| A1550Z ID/DD Status: None of the Above | The data in this column indicates that none of the above ID/DD (Intellectual Disability or Developmental Disability) conditions apply. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 593 | |
| A1600 Entry Date | This column contains the date of entry (admission or reentry) into the facility. | DATE | 8 | 594 | ||
| A1700 Type of Entry Code | This data in this column identifies the type of entry - admission or reentry. | 1=Admission 2=Reentry |
VARCHAR2 | 1 | 602 | |
| A1800 Entered From Code | The data in this column identifies from where the resident was admitted. | 01=Community (private home/apt.,board/care,assisted living, group home) 02=Another nursing home or swing bed 03=Acute hospital 04=Psychiatric hospital 05=Inpatient rehabilitation facility 06=ID/DD Facility 07=Hospice 09=Long Term Care Hospital(LTCH) 99=Other |
VARCHAR2 | 2 | 603 | |
| A1900 Admission Date | This is the date this episode of care in this facility began. | DATE | 8 | 605 | ||
| A2000 Discharge Date | This column contains the discharge date from the current facility. | VARCHAR2 | 8 | 613 | ||
| A2100 Discharge Status Code | The data in this column identifies the resident's discharge status. | 01=Community (private home/apt.,board/care,assisted living, group home) 02=Another nursing home or swing bed 03=Acute hospital 04=Psychiatric hospital 05=Inpatient rehabilitation facility 06=ID/DD Facility 07=Hospice 08=Deceased 09=Long Term Care Hospital(LTCH) 99=Other ^=Blank(skip pattern) |
VARCHAR2 | 2 | 621 | |
| A2200 Previous Assessment Reference Date For Significant Correction | This column contains the previous assessment reference date of the associated significant correction of prior quarterly or comprehensive assessment. | VARCHAR2 | 8 | 623 | ||
| A2300 Assessment Reference Date | This column contains the end date of the observation period of the assessment. | DATE | 8 | 631 | ||
| A2400A Has Resident Had a Medicare Stay Code Since Most Recent Admission | The data in this column identifies if the resident has had a Medicare-covered stay since the most recent entry. | 0=No 1=Yes |
VARCHAR2 | 1 | 639 | |
| A2400B Start Date of Most Recent Medicare Stay | This column contains the start date of the most recent Medicare stay. | VARCHAR2 | 8 | 640 | ||
| A2400C End Date of Most Recent Medicare Stay | This column contains the end date of the most recent Medicare stay. | VARCHAR2 | 8 | 648 | ||
| B0100 Comatose Code | The data in this column identifies whether or not the resident is comatose. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 656 | |
| B0200 Hearing Code | This data in this column identifies the resident's ability to hear. | -=Not assessed/no information 0=Adequate-no difficulty in normal conversation, social interaction, listening to TV 1=Minimal difficulty-difficulty in some environments (e.g.,when person speaks softly or setting is noisy 2=Moderate difficulty-speaker has to increase volume and speak distinctly 3=High impaired-absence of useful hearing ^=Blank(skip pattern) |
VARCHAR2 | 1 | 657 | |
| B0300 Hearing Aide Code | The data in this column indicates whether or not the resident used a hearing aide or other hearing appliance. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 658 | |
| B0600 Speech Clarity Code | The data in this column describes the resident's speech pattern. | -=Not assessed/no information 0=Clear Speech-distinct intelligible words 1=Unclear speech-slurred or mumbled words 2=No speech-absence of spoken word ^=Blank(skip pattern) |
VARCHAR2 | 1 | 659 | |
| B0700 Makes Self Understood Code | The data in this column identifies the resident's ability to make themselves understood. | -=Not assessed/no information 0=Understood 1=Usually understood-difficulty communicating some words or finishing thoughts but is able to if prompted or given time 2=Sometimes understood-ability is limited to making concrete requests 3=Rarely/never understood ^=Blank(skip pattern) |
VARCHAR2 | 1 | 660 | |
| B0800 Ability to Understand Others Code | The data in this column identifies the resident's ability to understand others. | -=Not assessed/no information 0=Understands-clear comprehension 1=Usually understands-misses some part/intent of message but comprehends most converstation 2=Sometimes understands-responds adequately to simple, direct communication only 3=Rarely/never understands ^=Blank(skip pattern) |
VARCHAR2 | 1 | 661 | |
| B1000 Vision Code | The data in this column identifies the resident's ability to see with adequate light and visual appliances, if used. | -=Not assessed/no information 0=Adequate-sees fine detail, such as regular print in newspapers/books 1=Impaired-sees large print, but not regular print in newspapers/books 2=Moderatly impaired-limited vision; not able to see newspaper headlines but can identify objects 3=Highly impaired-object idnetification in question, but eyes appear to follow objects 4=Severly impaired-no vision or sees only light, colors or shapes; eyes do not appear to follow objects ^=Blank(skip pattern) |
VARCHAR2 | 1 | 662 | |
| B1200 Corrective Lenses Code | The data in this column identifies whether or not the resident utilizes corrective lenses. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 663 | |
| C0100 Brief Interview for Mental Status Be Conducted Code | The data in this column identifies whether or not a Brief Interview for Mental Status (BIMS) should be performed. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 664 | |
| C0200 BIMS: Number of Words Repeated After First Attempt | The data in this column identifies the number of words that the resident repeated after the first attempt. | -=Not assessed/no information 0=None 1=One 2=Two 3=Three ^=Blank(skip pattern) |
VARCHAR2 | 1 | 665 | |
| C0300A BIMS: Temporal Orientation - Able to Report Correct Year | The data in this column identifies how closely the resident knew the current year. | -=Not assessed/no information 0=Missed by > 5 years or no answer 1=Missed by 2-5 years 2=Missed by 1 year 3=Correct ^=Blank(skip pattern) |
VARCHAR2 | 1 | 666 | |
| C0300B BIMS: Temporal Orientation - Able to Report Correct Month | The data in this column identifies how closely the resident knew the current month. | -=Not assessed/no information 0=Missed by > 1 month or no answer 1=Missed by 6 days to 1 month 2=Accurate within 5 days ^=Blank(skip pattern) |
VARCHAR2 | 1 | 667 | |
| C0300C BIMS: Temporal Orientation - Able to Report Correct Day of Week | The data in this column identifies whether the resident knew the correct day of the week. | -=Not assessed/no information 0=Incorrect or no answer 1=Correct ^=Blank(skip pattern) |
VARCHAR2 | 1 | 668 | |
| C0400A BIMS: Recall - Able to Recall Sock | The data in this column identifies the resident's ability to recall the first word. | -=Not assessed/no information 0=No-could not recall 1=Yes, after cueing ("something to wear") 2=Yes, no cue required ^=Blank(skip pattern) |
VARCHAR2 | 1 | 669 | |
| C0400B BIMS: Recall - Able to Recall Blue | The data in this column identifies the resident's ability to recall the second word. | -=Not assessed/no information 0=No-could not recall 1=Yes, after cueing ("a color") 2=Yes, no cue required ^=Blank(skip pattern) |
VARCHAR2 | 1 | 670 | |
| C0400C BIMS: Recall - Able to Recall Bed | The data in this column identifies the resident's ability to recall the third word. | -=Not assessed/no information 0=No-could not recall 1=Yes, after cueing ("a piece of furniture") 2=Yes, no cue required ^=Blank(skip pattern) |
VARCHAR2 | 1 | 671 | |
| C0500 Brief Interview for Mental Status (BIMS) Score Number | This column contains the BIMS (Brief Interview for Mental Status) score, which is calculated by adding the scores in items C0200-C0400. | VARCHAR2 | 2 | 672 | ||
| C0600 Staff to Conduct Brief Interview for Mental Status | The data in this column indicates whether or not a staff assessment for mental status should be performed. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 674 | |
| C0700 Staff Assessment of Mental Status - Short Term Memory Code | The data in this column identifies the resident's short term memory ability. | -=Not assessed/no information 0=Memory OK 1=Memory problem ^=Blank (skip pattern) |
VARCHAR2 | 1 | 675 | |
| C0800 Staff Assessment of Mental Status - Long Term Memory Code | The data in this column identifies the resident's long term memory ability. | -=Not assessed/no information 0=Memory OK 1=Memory problem ^=Blank (skip pattern) |
VARCHAR2 | 1 | 676 | |
| Staff Assessment of Mental Status - Recalls Current Season Code | The data in this column identifies whether or not the resident was able to recall the current season. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 677 | |
| Staff Assessment of Mental Status - Recalls Location of Room Code | The data in this column identifies whether or not the resident was able to recall the location of their room. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 678 | |
| Staff Assessment of Mental Status - Recalls Staff Name Code | The data in this column identifies whether or not the resident was able to recall staff names and faces. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 679 | |
| Staff Assessment of Mental Status - Recalls Nursing Home Code | The data in this column identifies whether or not the resident was able to recall that they are in a nursing home. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 680 | |
| C0900Z Staff Assessment of Mental Status - Recalls None of Above Code | If equal to one, the data in this column identifies that none of the above were recalled. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 681 | |
| C1000 Cognitive Skills for Decision Making Code | The data in this column indicates the resident's level of decision-making ability. | -=Not assessed/no information 0=Independent-decisons consistent/reasonable 1=Modified independence-some difficulty in new situations only 2=Moderately impaired-decisions poor; cues/supervision required 3=Severely impaired-never / rarely made decisions ^=Blank (skip pattern) |
VARCHAR2 | 1 | 682 | |
| C1300A Signs and Symptoms of Delirium - Inattention | The data in this column indicates how often the resident is exhibiting inattention. | -=Not assessed/no information 0=Behavior not present 1=Behavior continuosusly present, does not fluctuate 2=Behavior present, functuates (comes and goes, changes in severity) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 683 | |
| C1300B Signs and Symptoms of Delirium - Disorganized Thinking | The data in this column indicates how often the resident is exhibiting disorganized thinking. | -=Not assessed/no information 0=Behavior not present 1=Behavior continuosusly present, does not fluctuate 2=Behavior present, functuates (comes and goes, changes in severity) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 684 | |
| C1300C Signs and Symptoms of Delirium - Altered Level of Consciousness | The data in this column indicates how often the resident is exhibiting an altered level of consciousness. | -=Not assessed/no information 0=Behavior not present 1=Behavior continuosusly present, does not fluctuate 2=Behavior present, functuates (comes and goes, changes in severity) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 685 | |
| C1300D Signs and Symptoms of Delirium - Psychomotor Retardation | The data in this column indicates how often the resident is exhibiting psychomotor retardation. | -=Not assessed/no information 0=Behavior not present 1=Behavior continuosusly present, does not fluctuate 2=Behavior present, functuates (comes and goes, changes in severity) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 686 | |
| C1310A Acute Mental Status Change | Indicates whether there has been an acute change in mental status from the resident's baseline. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 687 | |
| C1310B Signs and Symptoms of Delirium: Inattention | Indicates whether the resident exhibits signs and symptoms of inattention. | -=Not assessed/no information 0=Behavior not present 1=Behavior continuously present, does not fluctuate 2=Behavior present, fluctuates (comes and goes, changes in severity) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 688 | |
| C1310C Signs and Symptoms of Delirium: Disorganized Thinking | Indicates whether the resident exhibits signs and symptoms of disorganized thinking. | -=Not assessed/no information 0=Behavior not present 1=Behavior continuously present, does not fluctuate 2=Behavior present, fluctuates (comes and goes, changes in severity) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 689 | |
| C1310D Signs and Symptoms of Delirium: Altered Level of Consciousness | Indicates whether the resident exhibits signs and symptoms of altered level of consciousness. | -=Not assessed/no information 0=Behavior not present 1=Behavior continuously present, does not fluctuate 2=Behavior present, fluctuates (comes and goes, changes in severity) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 690 | |
| C1600 Acute Onset Mental Status Change | The data in this column indicates whether the resident experienced an acute change in their mental status. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 691 | |
| D0100 Resident Mood Interview Be Conducted Code | The data in this column indicates whether the resident mood interview should be conducted. | -=Not assessed/no information 0=No(resident is rarely/never understood) 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 692 | |
| D0200A1 Resident Mood Interview - Interest Loss Code | The data in this column indicates if the resident experienced a loss of interest or pleasure in doing things. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 693 | |
| D0200A2 Resident Mood Interview - Interest Loss Frequency Code | The data in this column indicates the frequency that the resident experienced a loss of interest or pleasure in doing things. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 694 | |
| D0200B1 Resident Mood Interview - Feel Down Code | The data in this column indicates if the resident is feeling down, depressed or hopeless. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 695 | |
| D0200B2 Resident Mood Interview - Feel Down Frequency Code | The data in this column indicates the frequency that the resident is feeling down, depressed or hopeless. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 696 | |
| D0200C1 Resident Mood Interview - Trouble Sleep Code | The data in this column indicates if the resident is having trouble falling or staying asleep, or is sleeping too much. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 697 | |
| D0200C2 Resident Mood Interview - Trouble Sleep Frequency Code | The data in this column indicates the frequency that the resident is having trouble falling or staying asleep, or is sleeping too much. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 698 | |
| D0200D1 Resident Mood Interview - Little Energy Code | The data in this column indicates if the resident is feeling tired or has little energy. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 699 | |
| D0200D2 Resident Mood Interview - Little Energy Frequency Code | The data in this column indicates the frequency that the resident is feeling tired or has little energy. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 700 | |
| D0200E1 Resident Mood Interview - Poor Appetite Code | The data in this column indicates if the resident has a poor appetite or is overeating. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 701 | |
| D0200E2 Resident Mood Interview - Poor Appetite Frequency Code | The data in this column indicates the frequency that the resident has a poor appetite or is overeating. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 702 | |
| D0200F1 Resident Mood Interview - Self Depreciation Code | The data in this column indicates if the resident is experiencing self-depreciation (feeling bad about themselves, that they are a failure, etc.). | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 703 | |
| D0200F2 Resident Mood Interview - Self Depreciation Frequency Code | The data in this column indicates the frequency that the resident is experiencing self-depreciation (feeling bad about themselves, that they are a failure, etc.). | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 704 | |
| D0200G1 Resident Mood Interview - Lack of Concentration Code | The data in this column indicates if the resident is experiencing trouble concentrating. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 705 | |
| D0200G2 Resident Mood Interview - Lack of Concentration Frequency Code | The data in this column indicates the frequency that the resident is experiencing trouble concentrating. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 706 | |
| D0200H1 Resident Mood Interview - Movement Different Code | The data in this column indicates if the resident's movement and speech is different (slow or fidgety or restless). | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 707 | |
| D0200H2 Resident Mood Interview - Movement Different Frequency Code | The data in this column indicates the frequency that the resident's movement and speech is different (slow or fidgety or restless). | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 708 | |
| D0200I1 Resident Mood Interview - Negative Statement Code | The data in this column indicates if the resident is experiencing negative thoughts (that they would be better off dead; thoughts of hurting themselves in some way). | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) 9=No response (leave column 2 blank) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 709 | |
| D0200I2 Resident Mood Interview - Negative Statement Frequency Code | The data in this column indicates the frequency that the resident is experiencing negative thoughts (that they would be better off dead; thoughts of hurting themselves in some way). | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 710 | |
| D0300 Resident Mood Interview - Total Severity Mood Score Code | The data in this column contains the total severity score of mood symptoms. | VARCHAR2 | 2 | 711 | ||
| D0350 Resident Mood Interview - Negative Statements Notify Staff Code | The data in this column indicates whether the staff or provider informed that there is potential for resident self harm. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 713 | |
| D0500A1 Staff Assessment of Resident Mood - Interest Loss Code | The data in this column contains the staff assessment whether the resident has experienced a loss of interest or pleasure in doing things. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 714 | |
| D0500A2 Staff Assessment of Resident Mood - Interest Loss Frequency Code | The data in this column contains the staff assessment of the frequency that the resident has experienced a loss of interest or pleasure in doing things. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 715 | |
| D0500B1 Staff Assessment of Resident Mood - Feel Down Code | The data in this column contains the staff assessment whether the resident has felt or appears to be down, depressed or hopeless. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 716 | |
| D0500B2 Staff Assessment of Resident Mood - Feel Down Frequency Code | The data in this column contains the staff assessment of the frequency that the resident has felt or appears to be down, depressed or hopeless. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 717 | |
| D0500C1 Staff Assessment of Resident Mood - Trouble Sleep Code | The data in this column contains the staff assessment whether the resident has trouble falling or staying asleep or is sleeping too much. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 718 | |
| D0500C2 Staff Assessment of Resident Mood - Trouble Sleep Frequency Code | The data in this column contains the staff assessment of the frequency that the resident has trouble falling or staying asleep or is sleeping too much. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 719 | |
| D0500D1 Staff Assessment of Resident Mood - Little Energy Code | The data in this column contains the staff assessment whether the resident is feeling tired or having little energy. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 720 | |
| D0500D2 Staff Assessment of Resident Mood - Little Energy Frequency Code | The data in this column contains the staff assessment of the frequency that the resident is feeling tired or having little energy. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 721 | |
| D0500E1 Staff Assessment of Resident Mood - Poor Appetite Code | The data in this column contains the staff assessment whether the resident has a poor appetite or is overeating. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 722 | |
| D0500E2 Staff Assessment of Resident Mood - Poor Appetite Frequency Code | The data in this column contains the staff assessment of the frequency that the resident has a poor appetite or is overeating. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 723 | |
| D0500F1 Staff Assessment of Resident Mood - Self Depreciation Code | The data in this column contains the staff assessment whether the resident is indicating that they feel bad about themselves, is a failure or has let self or family down. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 724 | |
| D0500F2 Staff Assessment of Resident Mood - Self Depreciation Frequency Code | The data in this column contains the staff assessment of the frequency that the resident is indicating that they feel bad about themselves, is a failure or has let self or family down. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 725 | |
| D0500G1 Staff Assessment of Resident Mood - Concentration Code | The data in this column contains the staff assessment whether the resident is having trouble concentrating. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 726 | |
| D0500G2 Staff Assessment of Resident Mood - Concentration Frequency Code | The data in this column contains the staff assessment of the frequency that the resident is having trouble concentrating. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 727 | |
| D0500H1 Staff Assessment of Resident Mood - Movement Different Code | The data in this column contains the staff assessment whether the resident is moving or speaking more slowly or the resident is more fidgety or restless. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 728 | |
| D0500H2 Staff Assessment of Resident Mood - Movement Different Frequency Code | The data in this column contains the staff assessment of the frequency that the resident is moving or speaking more slowly or the resident is more fidgety or restless. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 729 | |
| D0500I1 Staff Assessment of Resident Mood - Negative Statement Code | The data in this column contains the staff assessment whether the resident states that life isn't worth living, wishes for death or attempts to harm self. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 730 | |
| D0500I2 Staff Assessment of Resident Mood - Negative Statement Frequency Code | The data in this column contains the staff assessment of the frequency that the resident states that life isn't worth living, wishes for death or attempts to harm self. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 731 | |
| D0500J1 Staff Assessment of Resident Mood - Short Temper Code | The data in this column contains the staff assessment whether the resident is short-tempered or easily annoyed. | -=Not assessed/no information 0=No (enter 0 in column 2) 1=Yes (enter 0-3 in column 2) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 732 | |
| D0500J2 Staff Assessment of Resident Mood - Short Temper Frequency Code | The data in this column contains the staff assessment of the frequency that the resident is short-tempered or easily annoyed. | -=Not assessed/no information 0=Never or 1 day 1=2-6 days (several days) 2=7-11 days (half or more of the days) 3=12-14 days (nearly every day) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 733 | |
| D0600 Staff Assessment Total Severity Mood Score | The data in this column contains the total severity score of mood symptoms from the staff assessment. | VARCHAR2 | 2 | 734 | ||
| D0650 Staff Assessment of Resident Mood - Negative Statement Notify Code | This column indicates whether the staff or provider notified that there is a potential for self-harm. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 736 | |
| E0100A Behavior: Hallucinations Code | The data in this column indicates whether the resident is experiencing hallucinations. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 737 | |
| E0100B Behavior: Delusion Code | The data in this column indicates whether the resident is experiencing delusions. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 738 | |
| E0100Z Behavior: No Psychosis Code | The data in this column indicates that no hallucinations or delusions were present. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 739 | |
| E0200A Behavior: Physical Behavioral Code | The data in this column indicates the frequency that the resident has physical behavioral symptoms directed toward others. | -=Not assessed/no information 0=Behavior not exhibited 1=Behavior of this type occured 1 to 3 days 2=Behavior of this type occurred 4 to 6 days, but less than daily 3=Behavior of this type occurred daily ^=Blank (skip pattern) |
VARCHAR2 | 1 | 740 | |
| E0200B Behavior: Verbal Behavioral Code | The data in this column indicates the frequency that the resident has verbal behavioral symptoms directed toward others. | -=Not assessed/no information 0=Behavior not exhibited 1=Behavior of this type occured 1 to 3 days 2=Behavior of this type occurred 4 to 6 days, but less than daily 3=Behavior of this type occurred daily ^=Blank (skip pattern) |
VARCHAR2 | 1 | 741 | |
| E0200C Behavior: Other Behavioral Code | The data in this column indicates the frequency that the resident has other behavioral symptoms directed toward others. | -=Not assessed/no information 0=Behavior not exhibited 1=Behavior of this type occured 1 to 3 days 2=Behavior of this type occurred 4 to 6 days, but less than daily 3=Behavior of this type occurred daily ^=Blank (skip pattern) |
VARCHAR2 | 1 | 742 | |
| E0300 Overall Presence of Behavioral Symptoms | The data in this column indicates if any of the behavioral symptoms in E0200A-E0200C were coded as 1, 2 or 3. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 743 | |
| E0500A Behavior Impact on Resident: Risk to Injure Self | The data in this column indicates if the identified symptoms (physical, verbal or other behavioral symptoms) put the resident at significant risk for physical illness or injury. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 744 | |
| E0500B Behavior Impact on Resident: Interferes With Care | The data in this column indicates if the identified symptoms (physical, verbal or other behavioral symptoms) interfered with the resident's care. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 745 | |
| E0500C Behavior Impact on Resident: Interferes With Participation | The data in this column indicates if the identified symptoms (physical, verbal or other behavioral symptoms) significantly interfere with the resident's participation in activities or social interaction. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 746 | |
| E0600A Behavior Impact on Others: Risk to Injure Others | The data in this column indicates whether the resident's symptoms put others at risk for injury. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 747 | |
| E0600B Behavior Impact on Others: Intrude On Privacy of Others | The data in this column indicates if the whether the resident's symptoms significantly intrudes on the privacy or activity of others. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 748 | |
| E0600C Behavior Impact on Others: Disrupt Care or Living Environment | The data in this column indicates if the whether the resident's symptoms significantly disrupt the care or living environment. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 749 | |
| E0800 Rejection of Care: Presence and Frequency | The data in this column indicates the frequency that the resident rejected evaluation or care that is necessary to achieve the resident's goals for health and well-being. | -=Not assessed/no information 0=Behavior not exhibited 1=Behavior of this type occured 1 to 3 days 2=Behavior of this type occurred 4 to 6 days, but less than daily 3=Behavior of this type occurred daily ^=Blank (skip pattern) |
VARCHAR2 | 1 | 750 | |
| E0900 Wandering: Presence and Frequency | The data in this column identifies the frequency that the resident wandered. | -=Not assessed/no information 0=Behavior not exhibited 1=Behavior of this type occured 1 to 3 days 2=Behavior of this type occurred 4 to 6 days, but less than daily 3=Behavior of this type occurred daily ^=Blank (skip pattern) |
VARCHAR2 | 1 | 751 | |
| E1000A Wander Risk Impact | The data in this column identifies whether the resident's wandering places them at significant risk for getting to a potentially dangerous situation. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 752 | |
| E1000B Wandering Intrudes on Privacy of Others | The data in this column indicates whether the resident's wandering significantly intrudes on the privacy or activity of others. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 753 | |
| E1100 Change in Behavior or Other Symptoms | The data in this column identifies how the resident's current behavior status compares to the prior assessment. | -=Not assessed/no information 0=Same 1=Improved 2=Worse 3=N/A because not prior MDS assessment ^=Blank (skip pattern) |
VARCHAR2 | 1 | 754 | |
| F0300 Should Daily and Activity Preference Interview Be Conducted | The data in this column identifies whether a daily and activity preference interview should be conducted. | -=Not assessed/no information 0=No (resident is rarely/never understood and family / significant other not available) 1=Yes ^=Blank (skip pattern) |
VARCHAR2 | 1 | 755 | |
| F0400A Interview for Daily Preferences: Chooses Clothes Code | The data in this column indicates how important it is that they choose the clothes that they wear while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 756 | |
| F0400B Interview for Daily Preferences: Care Personal Items Code | The data in this column indicates how important it is that they take care of their personal belongings while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 757 | |
| F0400C Interview for Daily Preferences: Bathing Option Code | The data in this column indicates how important it is that they take care of their personal belongings while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 758 | |
| F0400D Interview for Daily Preferences: Snack Between Meals Code | The data in this column indicates how important it is that they have a snack between meals while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 759 | |
| F0400E Interview for Daily Preferences: Choose Bed Time Code | The data in this column indicates how important it is that they have choose their own bedtime while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 760 | |
| F0400F Interview for Daily Preferences: Family Involvement Code | The data in this column indicates how important it is that they have their family or close friend involved in discussions about their care while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 761 | |
| F0400G Interview for Daily Preferences: Private Phone Time Code | The data in this column indicates how important it is that they have be able to use the phone in private while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 762 | |
| F0400H Interview for Daily Preferences: Lock Item Code | The data in this column indicates how important it is that they have a place to lock their things to keep them safe while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 763 | |
| F0500A Interview for Activity Preferences: Reading Materials Available Code | The data in this column indicates how important it is that they have books, newspapers and magazines to read while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 764 | |
| F0500B Interview for Activity Preferences: Music Code | The data in this column indicates how important it is that they listen to music that they like while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 765 | |
| F0500C Interview for Activity Preferences: Animal Presence Code | The data in this column indicates how important it is that they are around animals such as pets while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 766 | |
| F0500D Interview for Activity Preferences: News Code | The data in this column indicates how important it is that they keep up on the news while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 767 | |
| F0500E Interview for Activity Preferences: Group Activity Code | The data in this column indicates how important it is that they do things with groups of people while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 768 | |
| F0500F Interview for Activity Preferences: Favorite Activity Code | The data in this column indicates how important it is that they do their favorite activities while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 769 | |
| F0500G Interview for Activity Preferences: Time Outdoors Code | The data in this column indicates how important it is that they go outside and get fresh air when the weather is good while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 770 | |
| F0500H Interview for Activity Preferences: Religion Code | The data in this column indicates how important it is that they participate in religious services or practices while they are a resident in the current facility. | -=Not assessed/no information 1=Very important 2=Somewhat important 3=Not very important 4=Not important at all 5=Important, but can't do or no choice 9=No response or non-responsive ^=Blank (skip pattern) |
VARCHAR2 | 1 | 771 | |
| F0600 Daily and Activity Preferences Primary Respondent Code | The data in this column identifies the primary respondent for the daily and activity preferences questions. | -=Not assessed/no information 1=Resident 2=Family or significant other (close friend or other respresentative) 9=Interview cold not be completed by resident or family/significnat other ("No response" to 3 or more items) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 772 | |
| F0700 Conduct Staff Assessment of Daily and Activity Preferences Code | The data in this column indicates whether a staff assessment of daily and activity preferences should be conducted. | -=Not assessed/no information 0=No (because Interview for Daily Activity Preferences (F0400 and F0500) was completed by resident or family/significant other) 1=Yes (because 3 or more items in Interview for Daily Activity Preferences (F0400 and F0500) were not completed by resident or family/significant other ^=Blank (skip pattern) |
VARCHAR2 | 1 | 773 | |
| F0800A Staff Assessment: Chooses Clothes Code | The data in this column indicates whether the resident prefers to choose their own clothes. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 774 | |
| F0800B Staff Assessment: Care Personal Item Code | The data in this column indicates whether the resident prefers to care for their personal belongings. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 775 | |
| F0800C Staff Assessment: Tub Bath Code | The data in this column indicates whether the resident prefers to receive a tub bath. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 776 | |
| F0800D Staff Assessment: Shower Code | The data in this column indicates whether the resident prefers to receive a shower. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 777 | |
| F0800E Staff Assessment: Bed Bath Code | The data in this column indicates whether the resident prefers to receive a bed bath. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 778 | |
| F0800F Staff Assessment: Sponge Bath Code | The data in this column indicates whether the resident prefers to receive a sponge bath. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 779 | |
| F0800G Staff Assessment: Snacks Between Code | The data in this column indicates whether the resident prefers to snack between meals. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 780 | |
| F0800H Staff Assessment: Bed Time Code | The data in this column indicates whether the resident prefers to stay up past eight p.m. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 781 | |
| F0800I Staff Assessment: Family Involvement Code | The data in this column indicates whether the resident prefers that family or a significant other be involved in care discussions. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 782 | |
| F0800J Staff Assessment: Private Phone Code | The data in this column indicates whether the resident prefers to use the phone in private. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 783 | |
| F0800K Staff Assessment: Lock Item Code | The data in this column indicates whether the resident prefers having a place to lock their personal belongings. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 784 | |
| F0800L Staff Assessment: Reading Materials Available Code | The data in this column indicates whether the resident prefers reading books, magazines or newspapers. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 785 | |
| F0800M Staff Assessment: Music Code | The data in this column indicates whether the resident prefers listening to music. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 786 | |
| F0800N Staff Assessment: Animal Presence Code | The data in this column indicates whether the resident prefers being around animals such as pets. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 787 | |
| F0800O Staff Assessment: News Code | The data in this column indicates whether the resident prefers keeping up on news. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 788 | |
| F0800P Staff Assessment: Group Activity Code | The data in this column indicates whether the resident prefers doing things with groups of people. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 789 | |
| F0800Q Staff Assessment: Favorite Activity Code | The data in this column indicates whether the resident prefers participating in favorite activities. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 790 | |
| F0800R Staff Assessment: Time Away Nursing Home Code | The data in this column indicates whether the resident prefers spending time away from the nursing home. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 791 | |
| F0800S Staff Assessment: Time Outdoors Code | The data in this column indicates whether the resident prefers spending time outdoors. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 792 | |
| F0800T Staff Assessment: Participating in Religious Activities Code | The data in this column indicates whether the resident prefers participating in religious activities or practices. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 793 | |
| F0800Z Staff Assessment: None of Above Activity Code | The data in this column indicates that there were no daily or activity preferences identified during staff assessment. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 794 | |
| G0110A1 ADL Assistance: Bed Mobility Self Performance Code | The data in this column identifies the resident's self-performance ability for bed mobility. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 795 | |
| G0110A2 ADL Assistance: Bed Mobility Support Provided Code | The data in this column identifies the amount of support that the resident requires for bed mobility. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 796 | |
| G0110B1 ADL Assistance: Transfer Self Performance Code | The data in this column identifies the resident's self-performance ability for transfers. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 797 | |
| G0110B2 ADL Assistance: Transfer Self Support Provided Code | The data in this column identifies the amount of support that the resident requires for transfers. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 798 | |
| G0110C1 ADL Assistance: Walk In Room Self Performance Code | The data in this column identifies the resident's self-performance ability to walk in their room. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 799 | |
| G0110C2 ADL Assistance: Walk In Room Support Provided Code | The data in this column identifies the amount of support that the resident requires for walking in their room. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 800 | |
| G0110D1 ADL Assistance: Walk In Corridor Self Performance Code | The data in this column identifies the resident's self-performance ability to walk in the corridor. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 801 | |
| G0110D2 ADL Assistance: Walk In Corridor Self Support Provided Code | The data in this column identifies the amount of support that the resident requires for walking in the corridor. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 802 | |
| G0110E1 ADL Assistance: Locomotion On Self Performance Code | The data in this column identifies the resident's self-performance ability for locomotion on the unit. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 803 | |
| G0110E2 ADL Assistance: Locomotion On Support Provided Code | The data in this column identifies the amount of support that the resident requires locomotion on the unit. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 804 | |
| G0110F1 ADL Assistance: Locomotion Off Self Performance Code | The data in this column identifies the resident's self-performance ability for locomotion off the unit. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 805 | |
| G0110F2 ADL Assistance: Locomotion Off Support Provided Code | The data in this column identifies the amount of support that the resident requires locomotion off the unit. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 806 | |
| G0110G1 ADL Assistance: Dress Self Performance Code | The data in this column identifies the resident's self-performance ability for dressing themselves. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 807 | |
| G0110G2 ADL Assistance: Dress Support Provided Code | The data in this column identifies the amount of support that the resident requires to dress themselves. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 808 | |
| G0110H1 ADL Assistance: Eating Self Performance Code | The data in this column identifies the resident's self-performance ability with eating. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 809 | |
| G0110H2 ADL Assistance: Eating Support Provided Code | The data in this column identifies the amount of support that the resident requires with eating | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 810 | |
| G0110I1 ADL Assistance: Toileting Self Performance Code | The data in this column identifies the resident's self-performance ability with toilet use. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 811 | |
| G0110I2 ADL Assistance: Toileting Support Provided Code | The data in this column identifies the amount of support that the resident requires to use the toilet. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 812 | |
| G0110J1 ADL Assistance: Personal Hygiene Self Performance Code | The data in this column identifies the resident's self-performance ability with personal hygiene. | -=Not assessed/no information 0=Independent - no help or staff oversight at any time 1=Supervision - oversight, encouragement or cueing 2=Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance 3=Extensive assisstance - resident involved in activity, staff provide weight-bearing support 4=Total Dependence - full staff performance every time during entire 7-day period 7=Activity occured only once or twice - activity did occur but only once or twice 8=Activity did not occur - activity did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 813 | |
| G0110J2 ADL Assistance: Personal Hygiene Support Provided Code | The data in this column identifies the amount of support that the resident requires with personal hygiene | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 814 | |
| G0120A ADL Assistance: Bathing Self Performance Code | The data in this column identifies the resident's self-performance ability for bathing. | -=Not assessed/no information 0=Independent - no help provided 1=Supervision - oversight help only 2=Physical help limited to transfer only 3=Physical help in part of bathing activity 4=Total dependence 8=Activity itself did not occur or family and/or non facility staff provided care 100% of the time for that activity over the entire 7 day period |
VARCHAR2 | 1 | 815 | |
| G0120B ADL Assistance: Bathing Support Provided Code | The data in this column identifies how much support the resident requires for bathing. | -=Not assessed/no information 0=No setup or physical help from staff 1=Setup help only 2=One person physical assist 3=Two+ persons physical assist 8=ADL activity itself did not occur or family and/or non-facilty staff provided care 100% of the time for that activity over the entire 7-day period |
VARCHAR2 | 1 | 816 | |
| G0300A Balance During Seated to Standing Position Code | The data in this column identifies the resident's balance while moving from a seated to standing position. | -=Not assessed/no information 0=Steady at all times 1=Not steady, but able to stabilize without staff assistance 2=Not steady, only able to stabilize with staff assistance 8=Activity did not occur |
VARCHAR2 | 1 | 817 | |
| G0300B Balance During Walking Code | The data in this column identifies the resident's balance while walking. | -=Not assessed/no information 0=Steady at all times 1=Not steady, but able to stabilize without staff assistance 2=Not steady, only able to stabilize with staff assistance 8=Activity did not occur |
VARCHAR2 | 1 | 818 | |
| G0300C Balance When Turning Around Code | The data in this column identifies the resident's balance while turning around. | -=Not assessed/no information 0=Steady at all times 1=Not steady, but able to stabilize without staff assistance 2=Not steady, only able to stabilize with staff assistance 8=Activity did not occur |
VARCHAR2 | 1 | 819 | |
| G0300D Balance Moving On and Off Toilet Code | The data in this column identifies the resident's balance while moving on and off the toilet. | -=Not assessed/no information 0=Steady at all times 1=Not steady, but able to stabilize without staff assistance 2=Not steady, only able to stabilize with staff assistance 8=Activity did not occur |
VARCHAR2 | 1 | 820 | |
| G0300E Balance With Surface to Surface Transfer Code | The data in this column identifies the resident's balance while moving between surfaces. | -=Not assessed/no information 0=Steady at all times 1=Not steady, but able to stabilize without staff assistance 2=Not steady, only able to stabilize with staff assistance 8=Activity did not occur |
VARCHAR2 | 1 | 821 | |
| G0400A Functional Limitation in ROM: Upper Extremity Motion Code | The data in this column identifies the resident's level of upper extremity limitation. | -=Not assessed/no information 0=No impairment 1=Impairment on one side 2=Impairment on both sides |
VARCHAR2 | 1 | 822 | |
| G0400B Functional Limitation in ROM: Lower Extremity Motion Code | The data in this column identifies the resident's level of lower extremity limitation. | -=Not assessed/no information 0=No impairment 1=Impairment on one side 2=Impairment on both sides |
VARCHAR2 | 1 | 823 | |
| G0600A Mobility Devices: Cane Code | The data in this column indicates whether the resident normally utilizes a cane. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 824 | |
| G0600B Mobility Devices: Walker Code | The data in this column indicates whether the resident normally utilizes a walker. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 825 | |
| G0600C Mobility Devices: Wheelchair Code | The data in this column indicates whether the resident normally utilizes a wheelchair (manual or electric). | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 826 | |
| G0600D Mobility Devices: Limb Prosthesis Code | The data in this column indicates whether the resident normally utilizes a limb prosthesis. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 827 | |
| G0600Z Mobility Devices: None of Above Code | The data in this column indicates whether none of the mobility devices were used by the resident or locomotion did not occur. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 828 | |
| G0900A Functional Rehabilitation Potential: Resident Increased Independence Code | The data in this column identifies whether the resident believes that they are capable of increased independence. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine ^=Blank(skip pattern) |
VARCHAR2 | 1 | 829 | |
| G0900B Functional Rehabilitation Potential: Staff Increased Independence Code | The data in this column identifies whether direct care staff believes that the resident is capable of increased independence. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 830 | |
| GG0130A1 Self Care: Eating Ability at Start of SNF PPS Part A Stay | Indicates the resident's performance for self-feeding at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 831 | |
| GG0130A2 Self Care: Eating Goal by End of SNF PPS Part A Stay | Indicates the resident's goal for self-feeding by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 833 | |
| GG0130A3 Self Care: Eating Ability at End of SNF PPS Part A Stay | Indicates the resident's performance for self-feeding at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 835 | |
| GG0130B1 Self Care: Oral Hygiene Ability at Start of SNF PPS Part A Stay | Indicates the resident's ability to perform oral hygiene tasks at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 837 | |
| GG0130B2 Self Care: Oral Hygiene Goal by End of SNF PPS Part A Stay | Indicates the resident's goal to perform oral hygiene tasks by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 839 | |
| GG0130B3 Self Care: Oral Hygiene Ability at End of SNF PPS Part A Stay | Indicates the resident's ability to perform oral hygiene tasks at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 841 | |
| GG0130C1 Self Care: Toileting Hygiene Ability at Start of SNF PPS Part A Stay | Indicates the resident's ability to perform toileting hygiene tasks at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 843 | |
| GG0130C2 Self Care: Toileting Hygiene Goal by End of SNF PPS Part A Stay | Indicates the resident's goal to perform toileting hygiene tasks by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 845 | |
| GG0130C3 Self Care: Toileting Hygiene Ability at End of SNF PPS Part A Stay | Indicates the resident's ability to perform toileting hygiene tasks at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 847 | |
| GG0170B1 Mobility: Sit to Lying Ability at Start of SNF PPS Part A Stay | Indicates the resident's ability to move from a sitting to lying position at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 849 | |
| GG0170B2 Mobility: Sit to Lying Goal by End of SNF PPS Part A Stay | Indicates the resident's goal to move from a sitting to lying position by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 851 | |
| GG0170B3 Mobility: Sit to Lying Ability at End of SNF PPS Part A Stay | Indicates the resident's ability to move from a sitting to lying position at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 853 | |
| GG0170C1 Mobility: Lying to Sitting at Side of Bed Ability at Start of SNF PPS Part A Stay | Indicates the resident's ability to move from a lying to sitting position at the side of the bed at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 855 | |
| GG0170C2 Mobility: Lying to Sitting at Side of Bed Goal by End of SNF PPS Part A Stay | Indicates the resident's goal to move from a lying to sitting position at the side of the bed by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 857 | |
| GG0170C3 Mobility: Lying to Sitting at Side of Bed Ability at End of SNF PPS Part A Stay | Indicates the resident's ability to move from a lying to sitting position at the side of the bed at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 859 | |
| GG0170D1 Mobility: Sitting to Standing Ability at Start of SNF PPS Part A Stay | Indicates the resident's ability to move to a standing position from a sitting position in a chair or on the side of the bed at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 861 | |
| GG0170D2 Mobility: Sitting to Standing Goal by End of SNF PPS Part A Stay | Indicates the resident's goal to move to a standing position from a sitting position in a chair or on the side of the bed by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 863 | |
| GG0170D3 Mobility: Sitting to Standing Ability at End of SNF PPS Part A Stay | Indicates the resident's ability to move to a standing position from a sitting position in a chair or on the side of the bed at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 865 | |
| GG0170E1 Mobility: Chair/Bed to Chair Transfer Ability at Start of SNF PPS Part A Stay | Indicates the resident's ability to transfer from the bed or chair to another chair at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 867 | |
| GG0170E2 Mobility: Chair/Bed to Chair Transfer Goal by End of SNF PPS Part A Stay | Indicates the resident's goal to transfer from the bed or chair to another chair by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 869 | |
| GG0170E3 Mobility: Chair/Bed to Chair Transfer Ability at End of SNF PPS Part A Stay | Indicates the resident's ability to transfer from the bed or chair to another chair at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 871 | |
| GG0170F1 Mobility: Toilet Transfer at Start of SNF PPS Part A Stay | Indicates the resident's ability to safely transfer on or off the toilet at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 873 | |
| GG0170F2 Mobility: Toilet Transfer Goal by End of SNF PPS Part A Stay | Indicates the resident's goal to transfer on or off the toilet by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 875 | |
| GG0170F3 Mobility: Toilet Transfer at End of SNF PPS Part A Stay | Indicates the resident's ability to safely transfer on or off the toilet at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 877 | |
| GG0170H3 Mobility: Does Resident Walk at End of SNF PPS Part A Stay | Indicates whether the resident walks at the end of the SNF PPS Part A stay. | -=Not assessed/no information 0=No 2=Yes ^=Blank (skip pattern) |
VARCHAR2 | 1 | 879 | |
| GG0170J1 Mobility: Ability to Walk 50 Feet With Two Turns at Start of SNF PPS Part A Stay | Indicates the resident's ability to ambulate at least 50 feet with two turns at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 880 | |
| GG0170J2 Mobility: Goal to Walk 50 Feet With Two Turns by End of SNF PPS Part A Stay | Indicates the resident's goal to ambulate at least 50 feet with two turns by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 882 | |
| GG0170J3 Mobility: Ability to Walk 50 Feet With Two Turns at End of SNF PPS Part A Stay | Indicates the resident's ability to ambulate at least 50 feet with two turns at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 884 | |
| GG0170K1 Mobility: Ability to Walk 150 Feet at Start of SNF PPS Part A Stay | Indicates the resident's ability to ambulate at least 150 feet in a corridor or similar space at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 886 | |
| GG0170K2 Mobility: Goal to Walk 150 Feet by End of SNF PPS Part A Stay | Indicates the resident's goal to ambulate at least 150 feet in a corridor or similar space by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 888 | |
| GG0170K3 Mobility: Ability to Walk 150 Feet at End of SNF PPS Part A Stay | Indicates the resident's ability to ambulate at least 150 feet in a corridor or similar space at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 890 | |
| GG0170Q1 Mobility: Uses Wheelchair/Scooter at Start of SNF PPS Part A Stay | Indicates whether the resident uses a wheelchair or scooter at the start of the SNF PPS Part A stay. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 892 | |
| GG0170Q3 Mobility: Uses Wheelchair/Scooter at End of SNF PPS Part A Stay | Indicates whether the resident uses a wheelchair or scooter at the end of the SNF PPS Part A stay. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 893 | |
| GG0170R1 Mobility: Ability to Wheel 50 Feet With Two Turns at Start of SNF PPS Part A Stay | Indicates the resident's ability to wheel the wheelchair or scooter at least 50 feet with two turns at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 894 | |
| GG0170R2 Mobility: Goal to Wheel 50 Feet With Two Turns by End of SNF PPS Part A Stay | Indicates the resident's goal to wheel the wheelchair or scooter at least 50 feet with two turns at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 896 | |
| GG0170R3 Mobility: Ability to Wheel 50 Feet With Two Turns at End of SNF PPS Part A Stay | Indicates the resident's ability to wheel the wheelchair or scooter at least 50 feet with two turns at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 898 | |
| GG0170RR1 Type of Wheelchair Used to Propel 50 Feet at SNF PPS Part A Admission | Indicates the type of wheelchair (manual or motorized) that was used when the resident propelled 50 feet with two turns at the start of SNF PPS stay. | -=Not assessed/no information 1=Manual 2=Motorized ^=Blank (skip pattern) |
VARCHAR2 | 1 | 900 | |
| GG0170RR3 Type of Wheelchair Used to Propel 50 Feet at End of SNF PPS Part A Stay | Indicates the type of wheelchair (manual or motorized) that was used when the resident propelled 50 feet with two turns at the end of SNF PPS stay. | -=Not assessed/no information 1=Manual 2=Motorized ^=Blank (skip pattern) |
VARCHAR2 | 1 | 901 | |
| GG0170S1 Mobility: Ability to Wheel at Least 150 Feet in Corridor at Start of SNF PPS Part A Stay | Indicates the resident's ability to wheel the wheelchair or scooter at least 150 feet in a corridor or similar space at the start of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 902 | |
| GG0170S2 Mobility: Goal to Wheel at Least 150 Feet by End of SNF PPS Part A Stay | Indicates the resident's goal to wheel the wheelchair or scooter at least 150 feet in a corridor or similar space by the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent ^=Blank (skip pattern) |
VARCHAR2 | 2 | 904 | |
| GG0170S3 Mobility: Ability to Wheel at Least 150 Feet in Corridor at End of SNF PPS Part A Stay | Indicates the resident's ability to wheel the wheelchair or scooter at least 150 feet in a corridor or similar space at the end of the SNF PPS Part A stay. | -=Not assessed/no information 01=Dependent 02=Substantial/maximal assistance 03=Partial/moderate assistance 04=Supervision or touching assistance 05=Setup or clean-up assistance 06=Independent 07=Resident refused 09=Not applicable 88=Not attempted due to medical condition or safety concerns ^=Blank (skip pattern) |
VARCHAR2 | 2 | 906 | |
| GG0170SS1 Mobility: Type of Wheelchair Used to Propel 150 Feet at Start of SNF PPS Part A Stay | Indicates the type of wheelchair or scooter used to wheel at least 150 feet in a corridor or similar space at start of SNF PPS Part A stay. | -=Not assessed/no information 1=Manual 2=Motorized ^=Blank (skip pattern) |
VARCHAR2 | 1 | 908 | |
| GG0170SS3 Mobility: Type of Wheelchair Used to Propel 150 Feet at End of SNF PPS Part A Stay | Indicates the type of wheelchair or scooter used to wheel at least 150 feet in a corridor or similar space at end of SNF PPS Part A stay. | -=Not assessed/no information 1=Manual 2=Motorized ^=Blank (skip pattern) |
VARCHAR2 | 1 | 909 | |
| H0100A Bladder and Bowel Appliances: Indwelling Catheter Code | The data in this column indicates whether the resident had an indwelling catheter. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 910 | |
| H0100B Bladder and Bowel Appliances: External Catheter Code | The data in this column indicates whether the resident had an external catheter. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 911 | |
| H0100C Bladder and Bowel Appliances: Ostomy Code | The data in this column indicates whether the resident had an ostomy. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 912 | |
| H0100D Bladder and Bowel Appliances: Intermittent Catheter Code | The data in this column indicates whether the resident had intermittent catheterizations. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 913 | |
| H0100Z Bladder and Bowel Appliances: No Urinary Appliance Code | The data in this column indicates that none of the bladder or bowel appliances were used. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 914 | |
| H0200A Urinary Toileting Program: Trial Toileting Program Code | The data in this column indicates whether the resident has had a trial toileting program. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine |
VARCHAR2 | 1 | 915 | |
| H0200B Urinary Toileting Program: Response To Toileting Program Code | The data in this column indicates the response to the trial toileting program. | -=Not assessed/no information 0=No improvement 1=Decreased wetness 2=Completely dry (continent) 9=Unable to determine or trial in progress ^=Blank (skip pattern) |
VARCHAR2 | 1 | 916 | |
| H0200C Urinary Toileting Program: Current Toileting Program Code | The data in this column indicates whether the current toileting program is being used to manage the resident's urinary incontinence. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 917 | |
| H0300 Urinary Continence Code | The data in this column indicates the resident's urinary continence level. | -=Not assessed/no information 0=Always continent 1=Occasionally incontinent (less than 7 episodes of incontinence) 2=Frequently incontinent (7 or more episodes or urinary incontinence, but at least one episode of continent voiding) 3=Always incontinent (no episode of continent voiding) 9=Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for entire 7 days |
VARCHAR2 | 1 | 918 | |
| H0400 Bowel Continence Code | The data in this column indicates the resident's bowel continence level. | -=Not assessed/no information 0=Always continent 1=Occasionally incontinent (one episode of bowel incontinence) 2=Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement) 3=Always incontinent (no episodes of continent bowel movements) 9=Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days |
VARCHAR2 | 1 | 919 | |
| H0500 Bowel Toileting Program Code | The data in this column indicates whether a bowel toileting program is being utilized to manage the resident's bowel continence. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 920 | |
| H0600 Constipation Code | The data in this column indicates whether constipation is present. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 921 | |
| I0100 Active Diagnoses: Cancer Code | The data in this column indicates whether the resident had a diagnosis of cancer (with or without metastasis) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 922 | |
| I0200 Active Diagnoses: Anemia Code | The data in this column indicates whether the resident had a diagnosis of anemia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 923 | |
| I0300 Active Diagnoses: Dysrhythmia Code | The data in this column indicates whether the resident had a diagnosis of atrial fibrillation or other dysrhythmia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 924 | |
| I0400 Active Diagnoses: Coronary Artery Disease (CAD) Code | The data in this column indicates whether the resident had a diagnosis of coronary artery disease (CAD) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 925 | |
| I0500 Active Diagnoses: Deep Vein Thrombosis (DVT) Code | The data in this column indicates whether the resident had a diagnosis of deep vein thrombosis, pulmonary embolus or pulmonary thrombo-embolism in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 926 | |
| I0600 Active Diagnoses: Heart Failure (CHF) Code | The data in this column indicates whether the resident had a diagnosis of heart failure (congestive heart failure [CHF] and pulmonary edema) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 927 | |
| I0700 Active Diagnoses: Hypertension Code | The data in this column indicates whether the resident had a diagnosis of hypertension in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 928 | |
| I0800 Active Diagnoses: Hypotension Code | The data in this column indicates whether the resident had a diagnosis of orthostatic hypotension in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 929 | |
| I0900 Active Diagnoses: Peripheral Vascular Disease (PVD) Code | The data in this column indicates whether the resident had a diagnosis of peripheral vascular disease (PVD) or peripheral arterial disease (PAD) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 930 | |
| I1100 Active Diagnoses: Cirrhosis Code | The data in this column indicates whether the resident had an active diagnosis of cirrhosis in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 931 | |
| Diagnoses: Gastroesophageal Reflux Disease (GERD) Code | The data in this column indicates whether the resident had an active diagnosis of gastroesophageal reflux disease (GERD) or ulcer in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 932 | |
| I1300 Active Diagnoses: Ulcerative Colitis Code | The data in this column indicates whether the resident had an active diagnosis of ulcerative colitis, Crohn's Disease or inflammatory bowel disease in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 933 | |
| I1400 Active Diagnoses: Benign Prostatic Hyperplasia (BPH) Code | The data in this column indicates whether the resident had an active diagnosis of benign prostatic hyperplasia (BPH) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 934 | |
| I1500 Active Diagnoses: End Stage Renal Disease (ESRD) Code | The data in this column indicates whether the resident had an active diagnosis of end-stage renal disease in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 935 | |
| I1550 Active Diagnoses: Neurogenic Bladder Code | The data in this column indicates whether the resident had an active diagnosis of neurogenic bladder in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 936 | |
| I1650 Active Diagnoses: Obstructive Uropathy Code | The data in this column indicates whether the resident had an active diagnosis of obstructive uropathy in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 937 | |
| I1700 Active Diagnoses: Multi-drug Resistant Drug Organism (MDRO) Code | The data in this column indicates whether the resident had an active diagnosis of multidrug-resistant organism (MDRO) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 938 | |
| I2000 Active Diagnoses: Pneumonia Code | The data in this column indicates whether the resident had an active diagnosis of pneumonia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 939 | |
| I2100 Active Diagnoses: Septicemia Code | The data in this column indicates whether the resident had an active diagnosis of septicemia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 940 | |
| I2200 Active Diagnoses: Tuberculosis Code | The data in this column indicates whether the resident had an active diagnosis of tuberculosis in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 941 | |
| I2300 Active Diagnoses: Urinary Tract Infection (UTI) Code | The data in this column indicates whether the resident had an active diagnosis of urinary tract infection in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 942 | |
| I2400 Active Diagnoses: Viral Hepatitis Code | The data in this column indicates whether the resident had an active diagnosis of viral hepatitis (Hepatitis A, B, C, D and E) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 943 | |
| I2500 Wound Infection Code | The data in this column indicates whether the resident had an active diagnosis of a wound infection (other than foot) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 944 | |
| I2900 Active Diagnoses: Diabetes Mellitus (DM) Code | The data in this column indicates whether the resident had an active diagnosis of diabetes mellitus (diabetic retinopathy, neuropathy and neuropathy) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 945 | |
| I3100 Active Diagnoses: Hyponatremia Code | The data in this column indicates whether the resident had an active diagnosis of hyponatremia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 946 | |
| I3200 Active Diagnoses: Hyperkalemia Code | The data in this column indicates whether the resident had an active diagnosis of hyperkalemia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 947 | |
| I3300 Active Diagnoses: Hyperlipidemia Code | The data in this column indicates whether the resident had an active diagnosis of hyperlipidemia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 948 | |
| I3400 Active Diagnoses: Thyroid Code | The data in this column indicates whether the resident had an active diagnosis of a thyroid disorder (hypothyroidism, hyperthyroidism and Hashimoto's thyroiditis) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 949 | |
| I3700 Active Diagnoses: Arthritis Code | The data in this column indicates whether the resident had an active diagnosis of arthritis in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 950 | |
| I3800 Active Diagnoses: Osteoporosis Code | The data in this column indicates whether the resident had an active diagnosis of osteoporosis in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 951 | |
| I3900 Active Diagnoses: Hip Fracture Code | The data in this column indicates whether the resident had an active diagnosis of any hip fracture that has a relationship to the current status, treatments or monitoring in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 952 | |
| I4000 Active Diagnoses: Other Fracture Code | The data in this column indicates whether the resident had an active diagnosis of other fractures in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 953 | |
| I4200 Active Diagnoses: Alzheimers Disease Code | The data in this column indicates whether the resident had an active diagnosis of Alzheimer's Disease in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 954 | |
| I4300 Active Diagnoses: Aphasia Code | The data in this column indicates whether the resident had an active diagnosis of aphasia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 955 | |
| I4400 Active Diagnoses: Cerebral Palsy Code | The data in this column indicates whether the resident had an active diagnosis of cerebral palsy in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 956 | |
| I4500 Active Diagnoses: Stroke (CVA or TIA or Stroke) Code | The data in this column indicates whether the resident had an active diagnosis of cerebrovascular accident (CVA), transient ischemic attack (TIA) or stroke in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 957 | |
| I4800 Active Diagnoses: Dementia Code | The data in this column indicates whether the resident had an active diagnosis of non-Alzheimer's dementia such as vascular or multi-infarct dementia; mixed dementia; frontotemporal dementia such as Pick's Disease and dementia related to stroke, Parkinson's Disease or Creutzfeldt-Jakob diseases in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 958 | |
| I4900 Active Diagnoses: Hemiplegia Code | The data in this column indicates whether the resident had an active diagnosis of hemiplegia or hemiparesis in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 959 | |
| I5000 Active Diagnoses: Paraplegia Code | The data in this column indicates whether the resident had an active diagnosis of paraplegia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 960 | |
| Diagnoses: Quadriplegia Code | The data in this column indicates whether the resident had an active diagnosis of quadriplegia in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 961 | |
| I5200 Active Diagnoses: Multiple Sclerosis Code | The data in this column indicates whether the resident had an active diagnosis of multiple sclerosis (MS) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 962 | |
| I5250 Active Diagnoses: Huntingtons Code | The data in this column indicates whether the resident had an active diagnosis of Huntington's Disease in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 963 | |
| I5300 Active Diagnoses: Parkinsons Code | The data in this column indicates whether the resident had an active diagnosis of Parkinson's Disease in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 964 | |
| I5350 Tourettes Code | The data in this column indicates whether the resident had an active diagnosis of Tourette's Syndrome in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 965 | |
| I5400 Active Diagnoses: Seizure Code | The data in this column indicates whether the resident had an active diagnosis of a seizure disorder or epilepsy in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 966 | |
| I5500 Active Diagnoses: Traumatic Brain Injury (TBI) Code | The data in this column indicates whether the resident had an active diagnosis of a traumatic brain injury (TBI) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 967 | |
| I5600 Active Diagnoses: Malnutrition Code | The data in this column indicates whether the resident had an active diagnosis of malnutrition in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 968 | |
| I5700 Active Diagnoses: Anxiety Disorder Code | The data in this column indicates if the resident had an active diagnosis of an anxiety disorder in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 969 | |
| I5800 Active Diagnoses: Depression Code | The data in this column indicates if the resident had an active diagnosis of depression (other than bipolar) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 970 | |
| I5900 Active Diagnoses: Manic Depression Code | The data in this column indicates if the resident had an active diagnosis of manic depression (bipolar disease) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 971 | |
| I5950 Active Diagnoses: Psychotic Code | The data in this column indicates if the resident had an active diagnosis of psychotic disorder (other than schizophrenia) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 972 | |
| Diagnoses: Schizophrenia Code | The data in this column indicates whether the resident had an active diagnosis of schizophrenia (schizoaffective and schizophreniform disorders) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 973 | |
| I6100 Active Diagnoses: Post-traumatic Stress Disorder (PTSD) Code | The data in this column indicates whether the resident had an active diagnosis of post-traumatic stress disorder (PTSD) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 974 | |
| Diagnoses: Asthma, COPD, Chronic Lung Disease Code | The data in this column indicates whether the resident had an active diagnosis of asthma, chronic obstructive pulmonary disease (COPD) or chronic lung disease (chronic bronchitis and restrictive lung diseases such as asbestosis) in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 975 | |
| I6300 Active Diagnoses: Respiratory Failure Code | The data in this column indicates whether the resident had an active diagnosis of respiratory failure in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 976 | |
| I6500 Active Diagnoses: Cataracts, Glaucoma or Macular Degeneration Code | The data in this column indicates if the resident had an active diagnosis of cataracts, glaucoma or macular degeneration in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 977 | |
| I7900 Active Diagnoses: No Active Disease Code | The data in this column indicates that the resident had none of the active diagnoses in the last seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 978 | |
| I8000A Additional Active Diagnoses: ICD 1 Code | This column contains ICD (International Classification of Diseases) code 1 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 979 | ||
| I8000B Additional Active Diagnoses: ICD 2 Code | This column contains ICD (International Classification of Diseases) code 2 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 987 | ||
| I8000C Additional Active Diagnoses: ICD 3 Code | This column contains ICD (International Classification of Diseases) code 3 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 995 | ||
| I8000D Additional Active Diagnoses: ICD 4 Code | This column contains ICD (International Classification of Diseases) code 4 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 1003 | ||
| I8000E Additional Active Diagnoses: ICD 5 Code | This column contains ICD (International Classification of Diseases) code 5 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 1011 | ||
| I8000F Additional Active Diagnoses: ICD 6 Code | This column contains ICD (International Classification of Diseases) code 6 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 1019 | ||
| I8000G Additional Active Diagnoses: ICD 7 Code | This column contains ICD (International Classification of Diseases) code 7 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 1027 | ||
| I8000H Additional Active Diagnoses: ICD 8 Code | This column contains ICD (International Classification of Diseases) code 8 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 1035 | ||
| I8000I Additional Active Diagnoses: ICD 9 Code | This column contains ICD (International Classification of Diseases) code 9 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 1043 | ||
| I8000J Additional Active Diagnoses: ICD 10 Code | This column contains ICD (International Classification of Diseases) code 10 for an additional active diagnoses in the last seven days. | VARCHAR2 | 8 | 1051 | ||
| J0100A Pain management: Scheduled Pain Medication Code | The data in this column indicates whether the resident has been on a scheduled pain medication regimen in the past five days. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1059 | |
| J0100B Pain management: PRN Pain Medication Code | The data in this column indicates whether the resident has received PRN (pro re nata or when necessary) pain medication in the past five days. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1060 | |
| J0100C Pain management: Other Pain Intervention Code | The data in this column indicates whether the resident has received non-medication intervention for pain in the past five days. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1061 | |
| J0200 Should Pain Assessment be Conducted Code | The data in this column indicates whether or not a pain assessment interview should be conducted. | -=Not assessed/no information 0=No(resident is rarely/never understood) 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 1062 | |
| J0300 Pain Assessment Interview: Pain Presence Code | The data in this column indicates whether the resident has had pain in the last five days. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine |
VARCHAR2 | 1 | 1063 | |
| J0400 Pain Assessment Interview: Pain Frequency Code | The data in this column indicates the resident's pain frequency over the past five days. | -=Not assessed/no information 1=Almost constantly 2=Frequently 3=Occasionally 4=Rarely 9=Unable to answer ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1064 | |
| J0500A Pain Assessment Interview: Pain Effect Sleep Code | The data in this column indicates whether the resident experienced difficulty sleeping because of pain in the past five days. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine |
VARCHAR2 | 1 | 1065 | |
| J0500B Pain Assessment Interview: Pain Effect Activity Code | The data in this column indicates whether the resident's day-to-day activities were limited because of pain in the past five days. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine |
VARCHAR2 | 1 | 1066 | |
| J0600A Pain Intensity Numeric Rating Scale Number | The data in this column indicates the resident's numeric pain rating value. | VARCHAR2 | 2 | 1067 | ||
| J0600B Pain Intensity Verbal Descriptor Scale Number | The data in this column indicates the resident's intensity of worst pain experienced in the past five days. | VARCHAR2 | 1 | 1069 | ||
| J0700 Staff Conduct Pain Assessment Code | The data in this column indicates whether staff should perform a pain assessment. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 1070 | |
| J0800A Staff Assessment for Pain: Nonverbal Sound Code | The data in this column indicates whether the resident had non-verbal sounds, which may be an indicator of possible pain in the past five days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1071 | |
| J0800B Staff Assessment for Pain: Vocal Complaint Code | The data in this column indicates whether the resident had vocal complaints of pain in the past five days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1072 | |
| J0800C Staff Assessment for Pain: Facial Expression Code | The data in this column indicates whether the resident had facial expressions (grimaces, winces, wrinkled forehead), which may be an indicator of pain in the past five days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1073 | |
| J0800D Staff Assessment for Pain: Protective Movement Code | The data in this column indicates whether the resident had protective body movements or postures, which may be an indicator of pain in the past five days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1074 | |
| J0800Z Staff Assessment for Pain: None of Above Signs of Pain Code | The data in this column indicates that no signs of pain were observed or documented in the past five days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1075 | |
| J0850 Staff Frequency of Indicator of Pain or Possible Pain Frequency Code | The data in this column indicates the frequency of the resident's pain or possible pain in the past five days. | -=Not assessed/no information 1=Indicators of pain or possible pain observed 1 to 2 days 2=Indicators of pain or possible pain observed 3 to 4 days 3=Indicators of poaaible pain observed daily ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1076 | |
| J1100A Shortness of Breath With Exertion Code | The data in this column indicates whether the resident had shortness of breath with exertion. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1077 | |
| J1100B Shortness of Breath When Sitting Code | The data in this column indicates whether the resident had shortness of breath when sitting at rest. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1078 | |
| J1100C Shortness of Breath When Lying Flat Code | The data in this column indicates whether the resident had shortness of breath while lying flat. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1079 | |
| J1100Z None of Above Shortness of Breath Code | The data in this column indicates whether the resident had no shortness of breath. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1080 | |
| J1300 Tobacco Use Code | The data in this column indicates whether the resident currently uses tobacco. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1081 | |
| J1400 Life Prognosis Less Than Six Months Code | The data in this column indicates whether the resident has a condition or chronic disease that may result in a life expectancy of less than six months. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1082 | |
| J1550A Problem Conditions: Fever Code | The data in this column indicates whether the resident had a fever. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1083 | |
| J1550B Problem Conditions: Vomiting Code | The data in this column indicates whether the resident had vomiting. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1084 | |
| J1550C Problem Conditions: Dehydration Code | The data in this column indicates whether the resident had dehydration. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1085 | |
| J1550D Problem Conditions: Internal Bleeding Code | The data in this column indicates whether the resident had internal bleeding. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1086 | |
| J1550Z Problem Conditions: None of Above Code | The data in this column indicates whether the resident had no problem conditions. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1087 | |
| J1700A Fall History on Admission: Fall 30 Day Code | The data in this column indicates whether the resident had a fall at any time in the last month prior to admission. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine ^=Blank(skip pattern) |
VARCHAR2 | 1 | 1088 | |
| J1700B Fall History on Admission: Fall 31-180 Day Code | The data in this column indicates whether the resident had a fall at any time in the last two to six months. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine ^=Blank(skip pattern) |
VARCHAR2 | 1 | 1089 | |
| J1700C Fall History on Admission: Fall Six Month Code | The data in this column indicates whether the resident had any fracture related to a fall in the six months prior to admission. | -=Not assessed/no information 0=No 1=Yes 9=Unable to Determine ^=Blank(skip pattern) |
VARCHAR2 | 1 | 1090 | |
| J1800 Falls Since Admission or Prior Assessment Code | The data in this column indicates whether the resident had any falls since admission or prior assessment. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1091 | |
| J1900A Number of Falls Since Admission or Prior Assessment With No Injury Code | The data in this column indicates the number of falls that resulted in no injury since admission or prior assessment. | -=Not assessed/no information 0=None 1=One 2=Two or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1092 | |
| J1900B Number of Falls Since Admission or Prior Assessment With Injury Except Major Code | The data in this column indicates the number of falls that resulted in injury (except major) since admission or prior assessment. | -=Not assessed/no information 0=None 1=One 2=Two or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1093 | |
| J1900C Number of Falls Since Admission or Prior Assessment With Major Injury Code | The data in this column indicates the number of falls that resulted in major injury since admission or prior assessment. | -=Not assessed/no information 0=None 1=One 2=Two or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1094 | |
| K0100A Swallowing Disorder: Loss Mouth Eating Code | The data in this column indicates whether the resident had loss of liquids/solids from the mouth when eating or drinking. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1095 | |
| K0100B Swallowing Disorder: Hold Food Mouth Code | The data in this column indicates whether the resident held food in the mouth or cheeks or had residual food in the mouth after meals. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1096 | |
| K0100C Swallowing Disorder: Choke Drinking Meal Code | The data in this column indicates whether the resident had coughing or choking during meals or when swallowing medications. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1097 | |
| K0100D Swallowing Disorder: Complaint Swallowing Code | The data in this column indicates whether the resident had complaints of difficulty or pain with swallowing. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1098 | |
| K0100Z Swallowing Disorder: None of Above Code | The data in this column indicates whether the resident had no signs or symptoms of a swallowing disorder. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1099 | |
| K0200A Height Number | The data in this column contains the resident's height in inches. | VARCHAR2 | 2 | 1100 | ||
| K0200B Weight Number | The data in this column contains the resident's weight in pounds. | VARCHAR2 | 3 | 1102 | ||
| K0300 Weight Loss Code | The data in this column indicates if the resident weight loss 5% or more in the last month or 10% or more in last six months. | -=Not assessed/no information 0=No or unknown 1=Yes, on physician-prescribed weight-loss regimen 2=Yes, not on physician-prescribed weight-loss regimen |
VARCHAR2 | 1 | 1105 | |
| K0310 Weight Gain Code | The data in this column indicates whether the resident had weight gain of 5% in the last month or 10% or more in the last 6 months. | -=Not assessed/no information 0=No or unknown 1=Yes, on physician-prescribed weight-gain regimen 2=Yes, not on physician-prescribed weight-gain regimen |
VARCHAR2 | 1 | 1106 | |
| K0500A Nutritional Approaches: Parenteral/IV Feeding Code | The data in this column indicates whether the resident received nutrition through parenteral/IV feedings. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1107 | |
| K0500B Nutritional Approaches: Feeding Tube Code | The data in this column indicates whether the resident received nutrition through a feeding tube. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1108 | |
| K0500C Nutritional Approaches: Mechanically Altered Diet Code | The data in this column indicates whether the resident receives a mechanically altered diet. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1109 | |
| K0500D Nutritional Approaches: Therapeutic Diet Code | The data in this column indicates whether the resident receives a therapeutic diet. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1110 | |
| K0500Z Nutritional Approaches: None of Above Code | The data in this column indicates whether the resident received no nutritional approaches. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1111 | |
| K0510A1 Nutritional Approaches: Prior Parenteral/IV Feeding Code | The data in this column indicates whether the resident received nutrition through parenteral/IV feedings prior to becoming a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1112 | |
| K0510A2 Nutritional Approaches: Post Parenteral/IV Feeding Code | The data in this column indicates whether the resident received nutrition through parenteral/IV feedings while a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1113 | |
| K0510B1 Nutritional Approaches: Prior Feeding Tube Code | The data in this column indicates whether the resident received nutrition through a feeding tube prior to becoming a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1114 | |
| K0510B2 Nutritional Approaches: Post Feeding Tube Code | The data in this column indicates whether the resident received nutrition through a feeding tube while a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1115 | |
| K0510C1 Nutritional Approaches: Prior Mechanically Altered Diet Code | The data in this column indicates whether the resident received a mechanically altered diet prior to becoming a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1116 | |
| K0510C2 Nutritional Approaches: Post Mechanically Altered Diet Code | The data in this column indicates whether the resident received a mechanically altered diet while a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1117 | |
| K0510D1 Nutritional Approaches: Prior Therapeutic Diet Code | The data in this column indicates whether the resident received a therapeutic diet prior to becoming a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1118 | |
| K0510D2 Nutritional Approaches: Post Therapeutic Diet Code | The data in this column indicates whether the resident received a therapeutic diet while a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1119 | |
| K0510Z1 Nutritional Approaches: Prior None of Above Code | The data in this column indicates whether the resident received no nutritional approaches prior to becoming a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1120 | |
| K0510Z2 Nutritional Approaches: Post None of Above Code | The data in this column indicates whether the resident received no nutritional approaches while a resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1121 | |
| K0700A Percent Caloric Intake Through Parenteral/Tube Feeding Code | The data in this column indicates the proportion of total calories that the resident received through parenteral or tube feeding. | -=Not assessed/no information 1=25% or less 2=26-50% 3=51% or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1122 | |
| K0700B Average Fluid Intake by IV Or Tube Feeding Code | The data in this column indicates the average fluid intake per day by IV or tube feeding. | -=Not assessed/no information 1=500 cc/day or less 2=501 cc/day or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1123 | |
| K0710A1 Percent Caloric Intake Through Parenteral/Tube Feeding While Not Resident | The data in this column indicates the proportion of total calories the resident received through parenteral or tube feeding while not a resident. | -=Not assessed/no information 1=25% or less 2=26-50% 3=51% or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1124 | |
| K0710A2 Percent Caloric Intake Through Parenteral/Tube Feeding While A Resident | The data in this column indicates the proportion of total calories the resident received through parenteral or tube feeding while a resident. | -=Not assessed/no information 1=25% or less 2=26-50% 3=51% or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1125 | |
| K0710A3 Percent Caloric Intake Through Parenteral/Tube Feeding During Entire 7 Days | The data in this column indicates the proportion of total calories that the resident received through parenteral or tube feeding during entire 7 days. | -=Not assessed/no information 1=25% or less 2=26-50% 3=51% or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1126 | |
| K0710B1 Average Fluid Intake by IV Or Tube Feeding While Not Resident | The data in this column indicates the average fluid intake per day by IV or tube feeding while not a resident. | -=Not assessed/no information 1=500 cc/day or less 2=501 cc/day or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1127 | |
| K0710B2 Average Fluid Intake by IV Or Tube Feeding While A Resident | The data in this column indicates the average fluid intake per day by IV or tube feeding while a resident. | -=Not assessed/no information 1=500 cc/day or less 2=501 cc/day or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1128 | |
| K0710B3 Average Fluid Intake by IV Or Tube Feeding During Entire 7 Days | The data in this column indicates the average fluid intake per day by IV or tube feeding during entire 7 days. | -=Not assessed/no information 1=500 cc/day or less 2=501 cc/day or more ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1129 | |
| L0200A Dental Status: Broken Denture Code | The data in this column indicates whether the resident had broken or loosely fitting full or partial dentures. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1130 | |
| L0200B Dental Status: No Teeth Code | The data in this column indicates whether the resident has no natural teeth or tooth fragments. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1131 | |
| L0200C Dental Status: Abnormal Mouth Tissue Code | The data in this column indicates whether the resident has abnormal mouth tissue such as ulcers, masses, oral lesions. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1132 | |
| L0200D Dental Status: Cavity Code | The data in this column indicates whether the resident has an obvious or likely cavity or broken natural teeth. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1133 | |
| L0200E Dental Status: Inflamed Gum Code | The data in this column indicates whether the resident has inflamed or bleeding gums or loose natural teeth. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1134 | |
| L0200F Dental Status: Mouth or Facial Pain Code | The data in this column indicates whether the resident has mouth or facial pain, discomfort or difficulty swallowing. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1135 | |
| L0200G Dental Status: Unable to Examine Code | The data in this column indicates if the staff was unable to examine the resident's oral/dental status. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1136 | |
| L0200Z Dental Status: None of Above Code | The data in this column indicates whether the resident had no dental issues. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1137 | |
| M0100A Determination of Pressure Ulcer Risk: Ulcer Visible Code | The data in this column indicates whether the resident is at risk for a pressure ulcer due to a stage 1 or greater pressure ulcer, a scar over a bony prominence or a non-removable dressing/device. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1138 | |
| M0100B Determination of Pressure Ulcer Risk: Formal Assessment/Instrument Code | The data in this column indicates whether the resident is at risk for a pressure ulcer based on completion of a formal assessment instrument or tool. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1139 | |
| M0100C Determination of Pressure Ulcer Risk: Clinical Assessment Code | The data in this column indicates whether the resident is at risk for a pressure ulcer based on clinical judgment. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1140 | |
| M0100Z Determination of Pressure Ulcer Risk: None of Above | The data in this column indicates that none of the above applies. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1141 | |
| M0150 Pressure Ulcer Risk Code | The data in this column indicates whether the resident is at risk for developing pressure ulcers. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1142 | |
| M0210 One or More Stage 1 or Higher Unhealed Pressure Ulcer Code | The data in this column indicates whether the resident had one or more unhealed pressure ulcer(s) at Stage 1 or higher. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1143 | |
| M0300A Stage 1 Pressure Ulcer Number | The data in this column indicates that the current number of unhealed Stage 1 pressure ulcers. | VARCHAR2 | 1 | 1144 | ||
| M0300B1 Stage 2 Pressure Ulcer Number | The data in this column indicates the current number of unhealed Stage 2 pressure ulcers. | VARCHAR2 | 1 | 1145 | ||
| M0300B2 Stage 2 Pressure Ulcer Present on Admission Number | The data in this column indicates the number of Stage 2 pressure ulcers that were present on admission or reentry. | VARCHAR2 | 1 | 1146 | ||
| M0300B3 Date of Oldest Stage 2 Pressure Ulcer | The data in this column indicates the date of the oldest Stage 2 pressure ulcer. | VARCHAR2 | 8 | 1147 | ||
| M0300C1 Stage 3 Pressure Ulcer Number | The data in this column indicates the current number of unhealed Stage 3 pressure ulcers. | VARCHAR2 | 1 | 1155 | ||
| M0300C2 Stage 3 Pressure Ulcer Present on Admission Number | The data in this column indicates the number of Stage 3 pressure ulcers that were present on admission or reentry. | VARCHAR2 | 1 | 1156 | ||
| M0300D1 Stage 4 Pressure Ulcer Number | The data in this column indicates the current number of unhealed Stage 4 pressure ulcers. | VARCHAR2 | 1 | 1157 | ||
| M0300D2 Stage 4 Pressure Ulcer Present on Admission Number | The data in this column indicates the number of Stage 4 pressure ulcers that were present on admission or reentry. | VARCHAR2 | 1 | 1158 | ||
| M0300E1 Unstageable Pressure Ulcer Due To Dressing Number | The data in this column indicates the current number of unstageable pressure ulcers due to non-removable dressing or device. | VARCHAR2 | 1 | 1159 | ||
| M0300E2 Unstageable Pressure Ulcer Due To Dressing on Admission Number | The data in this column indicates the current number of unstageable pressure ulcers due to non-removable dressing or device that were present on admission or reentry. | VARCHAR2 | 1 | 1160 | ||
| M0300F1 Unstageable Pressure Ulcer With Slough or Eschar Number | The data in this column indicates the current number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar. | VARCHAR2 | 1 | 1161 | ||
| M0300F2 Unstageable Pressure Ulcer With Slough or Eschar on Admission Number | The data in this column indicates the current number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar that were present on admission or reentry. | VARCHAR2 | 1 | 1162 | ||
| M0300G1 Unstageable Pressure Ulcer With Deep Tissue Injury Number | The data in this column indicates the current number of unstageable pressure ulcers with suspected deep tissue injury in evolution. | VARCHAR2 | 1 | 1163 | ||
| M0300G2 Unstageable Pressure Ulcer With Deep Tissue Injury on Admission Number | The data in this column indicates the current number of unstageable pressure ulcers with suspected deep tissue injury in evolution that were present on admission or reentry. | VARCHAR2 | 1 | 1164 | ||
| M0610A Unhealed Stage 3-4 Pressure Ulcer Length Number | The data in this column contains the length of the largest pressure ulcer. | VARCHAR2 | 4 | 1165 | ||
| M0610B Unhealed Stage 3-4 Pressure Ulcer Width Number | The data in this column contains the width of the largest pressure ulcer. | VARCHAR2 | 4 | 1169 | ||
| M0610C Unhealed Stage 3-4 Pressure Ulcer Depth Number | The data in this column contains the depth of the largest pressure ulcer. | VARCHAR2 | 4 | 1173 | ||
| M0700 Most Severe Pressure Ulcer Tissue Type Code | The data in this column indicates the most severe type of tissue present in any pressure ulcer bed. | -=Not assessed/no information 1=Epithelial tissue-new skin growing in superficial ulcer. It can be light pink and shiny, even in persons with darkly pigmented skin. 2=Granulation tissue-pink or red tissue with shiny, moist, granular appearance. 3=Slough-yellow or white tissue that adheres to the ulcer bed in strings or thick clumps, or is mucinous. 4=Eschar-black, brown, or tan tissue that adheres firmly to the wound bed or ulcer edges, may be softer or harder than surrounding skin. 9=None of the above ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1177 | |
| M0800A Worsening Stage 2 Pressure Ulcer Since Prior Assessment Number | The data in this column indicates the number of current Stage 2 pressure ulcers that were not present or were at a lesser stage on the prior assessment (OBRA, PPS or Discharge). | VARCHAR2 | 1 | 1178 | ||
| M0800B Worsening Stage 3 Pressure Ulcer Since Prior Assessment Number | The data in this column indicates the number of current Stage 3 pressure ulcers that were not present or were at a lesser stage on the prior assessment (OBRA, PPS or Discharge). | VARCHAR2 | 1 | 1179 | ||
| M0800C Worsening Stage 4 Pressure Ulcer Since Prior Assessment Number | The data in this column indicates the number of current Stage 4 pressure ulcers that were not present or were at a lesser stage on the prior assessment (OBRA, PPS or Discharge). | VARCHAR2 | 1 | 1180 | ||
| M0900A Healed Pressure Ulcer Present on Prior Assessment Code | The data in this column indicates whether pressure ulcers were present on the prior assessment (OBRA, PPS or Discharge). | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 1181 | |
| M0900B Healed Stage 2 Pressure Ulcer Number | The data in this column indicates the number of Stage 2 pressure ulcers present on the prior assessment (OBRA, PPS or Discharge) that have completely closed. | VARCHAR2 | 1 | 1182 | ||
| M0900C Healed Stage 3 Pressure Ulcer Number | The data in this column indicates the number of Stage 3 pressure ulcers present on the prior assessment (OBRA, PPS or Discharge) that have completely closed. | VARCHAR2 | 1 | 1183 | ||
| M0900D Healed Stage 4 Pressure Ulcer Number | The data in this column indicates the number of Stage 4 pressure ulcers present on the prior assessment (OBRA, PPS or Discharge) that have completely closed. | VARCHAR2 | 1 | 1184 | ||
| M1030 Venous and Arterial Ulcer Number | The data in this column indicates the number of venous or arterial ulcers present. | VARCHAR2 | 1 | 1185 | ||
| M1040A Other Foot Skin Problems: Foot Infection Code | The data in this column indicates whether the resident has a foot infection. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1186 | |
| M1040B Other Foot Skin Problems: Diabetic Foot Ulcer Code | The data in this column indicates whether the resident has diabetic foot ulcer(s). | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1187 | |
| M1040C Other Foot Skin Problems: Other Open Lesion on Foot Code | The data in this column indicates whether the resident has other open lesion(s) on the foot. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1188 | |
| M1040D Other Skin Problems: Open Lesions Other Than Ulcers, Rashes, Cuts Code | The data in this column indicates whether the resident has lesion(s) other than ulcers, rashes or cuts. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1189 | |
| M1040E Other Skin Problems: Surgical Wound(s) Code | The data in this column indicates whether the resident has surgical wounds. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1190 | |
| M1040F Other Skin Problems: Burn(s) Code | The data in this column indicates whether the resident has burns. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1191 | |
| M1040G Other Skin Problems: Skin Tear(s) | The data in this column indicates whether the resident has skin tear(s). | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1192 | |
| M1040H Other Skin Problems: Moisture Associated Skin Damage | The data in this column indicates whether the resident has moisture associated skin damage (MASD). | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1193 | |
| M1040Z Other Skin Problems: None of Above Code | The data in this column indicates that none of the above other ulcers, wounds or skin problems were present. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1194 | |
| M1200A Skin and Ulcer Treatments: Pressure Reducing Device in Chair Code | The data in this column indicates that a pressure reducing device is used in the resident's chair. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1195 | |
| M1200B Skin and Ulcer Treatments: Pressure Reducing Device in Bed Code | The data in this column indicates that a pressure reducing device is used in the resident's bed. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1196 | |
| M1200C Skin and Ulcer Treatments: Turning/Repositioning Program Code | The data in this column indicates that a turning/repositioning program is in place for the resident. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1197 | |
| M1200D Skin and Ulcer Treatments: Nutrition/Hydration Code | The data in this column indicates that the resident is receiving nutrition or hydration interventions to manage skin problems. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1198 | |
| M1200E Skin and Ulcer Treatments: Ulcer Care Code | The data in this column indicates that the resident is receiving ulcer care. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1199 | |
| M1200F Skin and Ulcer Treatments: Surgical Wound Care Code | The data in this column indicates that the resident is receiving surgical wound care. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1200 | |
| M1200G Skin and Ulcer Treatments: Application Nonsurgical Dressing Code | The data in this column indicates that nonsurgical dressings are applied to body other than feet. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1201 | |
| M1200H Skin and Ulcer Treatments: Application Ointments/Medications Code | The data in this column indicates that ointments are applied to the body other than feet. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1202 | |
| M1200I Skin and Ulcer Treatments: Application Dressings to Foot Code | The data in this column indicates that dressings are applied to the body other than feet. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1203 | |
| M1200Z Skin and Ulcer Treatments: None of Above Code | The data in this column indicates that none of the above skin or ulcer treatments are utilized. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1204 | |
| N0300 Number of Days Injections of Any Type | The data in this column indicates the number of days that the resident received injections of any type in the past seven days. | VARCHAR2 | 1 | 1205 | ||
| N0350A Number of Days Insulin Injections | The data in this column indicates the number of days that the resident received insulin injections in the past seven days. | VARCHAR2 | 1 | 1206 | ||
| N0350B Number of Days Insulin Orders Changed | The data in this column indicates the number of days the physician (or authorized assistant or practitioner) changed the resident's insulin orders in the past seven days. | VARCHAR2 | 1 | 1207 | ||
| N0400A Medications Received: Antipsychotic Code | The data in this column indicates that the resident received antipsychotic medication in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1208 | |
| N0400B Medications Received: Antianxiety Code | The data in this column indicates that the resident received antianxiety medication in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1209 | |
| N0400C Medications Received: Antidepressant Code | The data in this column indicates that the resident received antidepressant medication in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1210 | |
| N0400D Medications Received: Hypnotic Code | The data in this column indicates that the resident received hypnotic medication in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1211 | |
| N0400E Medications Received: Anticoagulant Code | The data in this column indicates that the resident received anticoagulant medication in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1212 | |
| N0400F Medications Received: Antibiotic Code | The data in this column indicates that the resident received an antibiotic in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1213 | |
| Medications Received: Diuretic Code | The data in this column indicates that the resident received a diuretic in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1214 | |
| N0400Z Medications Received: None of Above | The data in this column indicates that the resident received none of the above medications in the past seven days or since admission/reentry if less than seven days. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1215 | |
| N0410A Medications Received: Antipsychotic Number Days | The data in this column indicates the number of days the resident received antipsychotic medication during the past seven days or since admission/entry or reentry if less than seven days. | VARCHAR2 | 1 | 1216 | ||
| N0410B Medications Received: Antianxiety Number Days | The data in this column indicates the number of days the resident received antianxiety medication during the past seven days or since admission/entry or reentry if less than seven days. | VARCHAR2 | 1 | 1217 | ||
| N0410C Medications Received: Antidepressant Number Days | The data in this column indicates the number of days the resident received antidepressant medication during the past seven days or since admission/entry or reentry if less than seven days. | VARCHAR2 | 1 | 1218 | ||
| N0410D Medications Received: Hypnotic Number Days | The data in this column indicates the number of days the resident received hypnotic medication during the past seven days or since admission/entry or reentry if less than seven days. | VARCHAR2 | 1 | 1219 | ||
| N0410E Medications Received: Anticoagulant Number Days | The data in this column indicates the number of days the resident received anticoagulant medication during the past seven days or since admission/entry or reentry if less than seven days. | VARCHAR2 | 1 | 1220 | ||
| N0410F Medications Received: Antibiotic Number Days | The data in this column indicates the number of days the resident received an antibiotic during the past seven days or since admission/entry or reentry if less than seven days. | VARCHAR2 | 1 | 1221 | ||
| N0410G Medications Received: Diuretic Number Days | The data in this column indicates the number of days the resident received a diuretic during the past seven days or since admission/entry or reentry if less than seven days. | VARCHAR2 | 1 | 1222 | ||
| N0410H Medications Received: Opioid Number Days | The data in this column indicates the number of days the resident received an opioid. | VARCHAR2 | 1 | 1223 | ||
| O0100A1 Special Treatments/Programs: Chemotherapy Pre-admit Code | The data in this column indicates whether the resident received chemotherapy while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1224 | |
| O0100A2 Special Treatments/Programs: Chemotherapy Post-admit Code | The data in this column indicates whether the resident received chemotherapy while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1225 | |
| O0100B1 Special Treatments/Programs: Radiation Pre-admit Code | The data in this column indicates whether the resident received radiation in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1226 | |
| O0100B2 Special Treatments/Programs: Radiation Post-admit Code | The data in this column indicates whether the resident received radiation in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1227 | |
| O0100C1 Special Treatments/Programs: Oxygen Pre-admit Code | The data in this column indicates whether the resident received oxygen therapy in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1228 | |
| O0100C2 Special Treatments/Programs: Oxygen Post-admit Code | The data in this column indicates whether the resident received oxygen therapy in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1229 | |
| O0100D1 Special Treatments/Programs: Suctioning Pre-admit Code | The data in this column indicates whether the resident received suctioning in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1230 | |
| O0100D2 Special Treatments/Programs: Suctioning Post-admit Code | The data in this column indicates whether the resident received suctioning in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1231 | |
| O0100E1 Special Treatments/Programs: Tracheostomy Pre-admit Code | The data in this column indicates whether the resident received tracheostomy care in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1232 | |
| O0100E2 Special Treatments/Programs: Tracheostomy Post-admit Code | The data in this column indicates whether the resident received tracheostomy care in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1233 | |
| O0100F1 Special Treatments/Programs: Ventilator Pre-admit Code | The data in this column indicates whether the resident was on a ventilator or respirator in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1234 | |
| O0100F2 Special Treatments/Programs: Ventilator Post-admit Code | The data in this column indicates whether the resident was on a ventilator or respirator in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1235 | |
| O0100G1 Special Treatments/Programs: Continuous Positive Airway Pressure Pre-admit Code | The data in this column indicates whether the resident used a BiPAP or CPAP respiratory support device in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1236 | |
| O0100G2 Special Treatments/Programs: Continuous Positive Airway Pressure Post-admit Code | The data in this column indicates whether the resident used a BiPAP or CPAP respiratory support device in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1237 | |
| O0100H1 Special Treatments/Programs: Intravenous Medication Pre-admit Code | The data in this column indicates whether the resident received IV medications in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1238 | |
| O0100H2 Special Treatments/Programs: Intravenous Medication Post-admit Code | The data in this column indicates whether the resident received IV medications in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1239 | |
| O0100I1 Special Treatments/Programs: Transfusion Pre-admit Code | The data in this column indicates whether the resident received transfusions in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1240 | |
| O0100I2 Special Treatments/Programs: Transfusion Post-admit Code | The data in this column indicates whether the resident received transfusions in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1241 | |
| O0100J1 Special Treatments/Programs: Dialysis Pre-admit Code | The data in this column indicates whether the resident received dialysis in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1242 | |
| O0100J2 Special Treatments/Programs: Dialysis Post-admit Code | The data in this column indicates whether the resident received dialysis in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1243 | |
| O0100K1 Special Treatments/Programs: Hospice Pre-admit Code | The data in this column indicates whether the resident received hospice care in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1244 | |
| O0100K2 Special Treatments/Programs: Hospice Post-admit Code | The data in this column indicates whether the resident received hospice care in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1245 | |
| O0100L2 Special Treatments/Programs: Respite Post-admit Code | The data in this column indicates whether the resident received respite care in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1246 | |
| O0100M1 Special Treatments/Programs: Isolation Pre-admit Code | The data in this column indicates whether the resident was in isolation or quarantined for active infectious disease in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1247 | |
| O0100M2 Special Treatments/Programs: Isolation Post-admit Code | The data in this column indicates whether the resident was in isolation or quarantined for active infectious disease in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1248 | |
| O0100Z1 Special Treatments/Programs: None of Above Pre-admit Treatment Prior Code | The data in this column indicates that the resident received no special treatments or programs in the last 14 days while not a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1249 | |
| O0100Z2 Special Treatments/Programs: None of Above Treatment Post-admit Code | The data in this column indicates that the resident received no special treatments or programs in the last 14 days while a resident in the facility. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1250 | |
| O0250A Influenza Received Code | The data in this column indicates whether the resident received the influenza vaccination. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1251 | |
| O0250B Influenza Received Date | The data in this column indicates the date that the influenza vaccination was received. | VARCHAR2 | 8 | 1252 | ||
| O0250C Reason Influenza Not Received Code | The data in this column indicates the reason that the resident did not receive the influenza vaccine. | -=Not assessed/no information 1=Resident not in this facility during this year's influenza vaccination season 2=Recieved outside of this facility 3=Not eligible - medical contraindication 4=Offered and declined 5=Not offered 6=Inability to obtain influenza vaccine due to a declared shortage 9=None of the above ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1260 | |
| O0300A Pneumococcal Vaccination Code | The data in this column indicates whether the resident received a pneumococcal vaccine. | -=Not assessed/no information 0=No 1=Yes |
VARCHAR2 | 1 | 1261 | |
| O0300B Reason Pneumococcal Vaccination Not Received Code | The data in this column indicates the reason that the resident did not receive the pneumococcal vaccine. | -=Not assessed/no information 1=Not elgible - medical contraindication 2=Offered and declined 3=Not offered ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1262 | |
| O0400A1 Speech Therapy/Audiology Individual Minutes Number | The data in this column indicates the total number of minutes that speech-language pathology and audiology services were administered to the resident in the last seven days. | VARCHAR2 | 4 | 1263 | ||
| O0400A2 Speech Therapy/Audiology Concurrent Minutes Number | The data in this column indicates the total number of minutes that speech-language pathology and audiology services were administered to the resident concurrently with one other resident in the last seven days. | VARCHAR2 | 4 | 1267 | ||
| O0400A3 Speech Therapy/Audiology Group Minutes Number | The data in this column indicates the total number of minutes that speech-language pathology and audiology services were administered to the resident as part of a group of residents in the last seven days. | VARCHAR2 | 4 | 1271 | ||
| O0400A3A Number of Speech Therapy/Audiology Co-treatment Minutes | The data in this column indicates the total number of minutes that speech-language pathology and audiology services were administered to the resident in co-treatment sessions in the last seven days. | VARCHAR2 | 4 | 1275 | ||
| O0400A4 Number of Days Speech Therapy/Audiology Administered | The data in this column indicates the number of days that speech-language pathology and audiology services were administered for at least 15 minutes in the last seven days. | VARCHAR2 | 1 | 1279 | ||
| O0400A5 Speech Therapy/Audiology Start Date | The data in this column indicates the start date for the most recent speech-language therapy regimen. | VARCHAR2 | 8 | 1280 | ||
| O0400A6 Speech Therapy/Audiology End Date | The data in this column indicates the end date for the most recent speech-language therapy regimen. | VARCHAR2 | 8 | 1288 | ||
| O0400B1 Occupational Therapy Individual Minutes Number | The data in this column indicates the total number of minutes that occupational therapy was administered to the resident in the last seven days. | VARCHAR2 | 4 | 1296 | ||
| O0400B2 Occupational Therapy Concurrent Minutes Number | The data in this column indicates the total number of minutes that occupational therapy was administered to the resident concurrently with one other resident in the last seven days. | VARCHAR2 | 4 | 1300 | ||
| O0400B3 Occupational Therapy Group Minutes Number | The data in this column indicates the total number of minutes that occupational therapy was administered to the resident as part of a group of residents in the last seven days. | VARCHAR2 | 4 | 1304 | ||
| O0400B3A Number of Occupational Therapy Co-treatment Minutes | The data in this column indicates the total number of minutes that occupational therapy was administered to the resident in co-treatment sessions in the last seven days. | VARCHAR2 | 4 | 1308 | ||
| O0400B4 Number of Days Occupational Therapy Administered | The data in this column indicates the number of days that occupational therapy was administered for at least 15 minutes in the last seven days. | VARCHAR2 | 1 | 1312 | ||
| O0400B5 Occupational Therapy Start Date | The data in this column indicates the start date for the most recent occupational therapy. | VARCHAR2 | 8 | 1313 | ||
| O0400B6 Occupational Therapy End Date | The data in this column indicates the end date for the most recent occupational therapy. | VARCHAR2 | 8 | 1321 | ||
| O0400C1 Physical Therapy Individual Minutes Number | The data in this column indicates the total number of minutes that physical therapy was administered to the resident in the last seven days. | VARCHAR2 | 4 | 1329 | ||
| O0400C2 Physical Therapy Concurrent Minutes Number | The data in this column indicates the total number of minutes that physical therapy was administered to the resident concurrently with one other resident in the last seven days. | VARCHAR2 | 4 | 1333 | ||
| O0400C3 Physical Therapy Group Minutes Number | The data in this column indicates the total number of minutes that physical therapy was administered to the resident as part of a group of residents in the last seven days. | VARCHAR2 | 4 | 1337 | ||
| O0400C3A Number of Physical Therapy Co-treatment Minutes | The data in this column indicates the total number of minutes that physical therapy was administered to the resident in co-treatment sessions in the last seven days. | VARCHAR2 | 4 | 1341 | ||
| O0400C4 Number of Days Physical Therapy Administered | The data in this column indicates the number of days that physical therapy was administered for at least 15 minutes in the last seven days. | VARCHAR2 | 1 | 1345 | ||
| O0400C5 Physical Therapy Start Date | The data in this column indicates the start date for the most recent physical therapy. | VARCHAR2 | 8 | 1346 | ||
| O0400C6 Physical Therapy End Date | The data in this column indicates the end date for the most recent physical therapy. | VARCHAR2 | 8 | 1354 | ||
| O0400D1 Respiratory Therapy Minutes Number | The data in this column indicates the total number of minutes that respiratory therapy was administered to the resident in the last seven days. | VARCHAR2 | 4 | 1362 | ||
| O0400D2 Number of Days Respiratory Therapy Administered | The data in this column indicates the number of days that occupational therapy was administered for at least 15 minutes in the last seven days. | VARCHAR2 | 1 | 1366 | ||
| O0400E1 Psychological Therapy Minutes Number | The data in this column indicates the total number of minutes that psychological therapy was administered to the resident in the last seven days. | VARCHAR2 | 4 | 1367 | ||
| O0400E2 Number of Days Psychological Therapy Administered | The data in this column indicates the number of days that psychological therapy was administered for at least 15 minutes in the last seven days. | VARCHAR2 | 1 | 1371 | ||
| O0400F1 Recreational Therapy Minutes Number | The data in this column indicates the total number of minutes that recreational therapy was administered to the resident in the last seven days. | VARCHAR2 | 4 | 1372 | ||
| O0400F2 Number of Days Recreational Therapy Administered | The data in this column indicates the number of days that recreational therapy was administered for at least 15 minutes in the last seven days. | VARCHAR2 | 1 | 1376 | ||
| O0420 Distinct Number of Days Therapy Administered | The data in this column indicates the number of calendar days that speech-language pathology and audiology services, occupational therapy, or physical therapy was administered for at least 15 minutes in the last seven days. | VARCHAR2 | 1 | 1377 | ||
| O0450A Has Therapy Resumed Code | The data in this column indicates if therapy has been resumed. | -=Not assessed/no information 0=No 1=Yes ^=Blank(skip pattern) |
VARCHAR2 | 1 | 1378 | |
| O0450B Date Therapy Resumed | The data in this column indicates the date that therapy resumed. | VARCHAR2 | 8 | 1379 | ||
| O0500A Restorative Nursing: Passive Range of Motion Number | The data in this column indicates the number of days that the resident received passive range of motion (ROM) for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1387 | ||
| O0500B Restorative Nursing: Active Range of Motion Number | The data in this column indicates the number of days that the resident received active range of motion (ROM) for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1388 | ||
| O0500C Restorative Nursing: Splint/Brace Assistance Number | The data in this column indicates the number of days that the resident received brace assistance for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1389 | ||
| O0500D Restorative Nursing: Bed Mobility Training Number | The data in this column indicates the number of days that the resident received bed mobility training for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1390 | ||
| O0500E Restorative Nursing: Transfer Training Number | The data in this column indicates the number of days that the resident received transfer training for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1391 | ||
| O0500F Restorative Nursing: Walking Training Number | The data in this column indicates the number of days that the resident received walking training for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1392 | ||
| O0500G Restorative Nursing: Dressing/Grooming Training Number | The data in this column indicates the number of days that the resident received dressing training for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1393 | ||
| O0500H Restorative Nursing: Eating/Swallowing Training Number | The data in this column indicates the number of days that the resident received eating training for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1394 | ||
| O0500I Restorative Nursing: Amputation/Prosthesis Care Training Number | The data in this column indicates the number of days that the resident received amputation or prosthesis care for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1395 | ||
| O0500J Restorative Nursing: Communication Training Number | The data in this column indicates the number of days that the resident received communication activities for at least 15 minutes a day in the last seven days. | VARCHAR2 | 1 | 1396 | ||
| O0600 Physician Examination Day Number | The data in this column indicates the number of days that the physician (or authorized assistant or practitioner) examined the resident in the last 14 days. | VARCHAR2 | 2 | 1397 | ||
| O0700 Physician Order Day Number | The data in this column indicates the number of days that the physician (or authorized assistant or practitioner) changed the resident's orders in the last 14 days. | VARCHAR2 | 2 | 1399 | ||
| P0100A Physical Restraints in Bed: Bed Rail Code | The data in this column indicates the frequency that a bed rail(s) was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1401 | |
| P0100B Physical Restraints in Bed: Trunk Restraint Bed Code | The data in this column indicates the frequency that a trunk restraint in bed was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1402 | |
| P0100C Physical Restraints in Bed: Limb Restraint Bed Code | The data in this column indicates the frequency that a limb restraint in bed was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1403 | |
| P0100D Physical Restraints in Bed: Other Restraint Bed Code | The data in this column indicates the frequency that an other type of restraint in bed was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1404 | |
| P0100E Physical Restraints in Chair: Trunk Restraint Chair Code | The data in this column indicates the frequency that a trunk restraint in a chair was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1405 | |
| P0100F Physical Restraints in Chair: Limb Restraint Chair Code | The data in this column indicates the frequency that a limb restraint in a chair was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1406 | |
| P0100G Physical Restraints in Chair: Chair Prevent Rise Code | The data in this column indicates the frequency that a chair to prevent rising was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1407 | |
| P0100H Physical Restraints in Chair: Other Restraint Chair Code | The data in this column indicates the frequency that an other type of restraint in a chair was used. | -=Not assessed/no information 0=Not used 1=Used less than daily 2=Used Daily |
VARCHAR2 | 1 | 1408 | |
| V0100A Prior Assessment Federal OBRA Reason for Assessment Code | The data in this column indicates the Federal OBRA Reason for Assessment of the most recent prior OBRA or PPS assessment. | 01=Admission assessment (required by day 14) 02=Quarterly review assessment 03=Annual assessment 04=Significant change in status assessment 05=Significant correction to prior comprehensive assessment 06=Significant correction to prior quarterly assessment 99=None of the above ^=Blank (skip pattern) |
VARCHAR2 | 2 | 1409 | |
| V0100B Prior Assessment PPS Reason for Assessment Code | The data in this column indicates the PPS Reason for Assessment of the most recent prior OBRA or PPS assessment. | 01=5-day scheduled assessment 02=14-day scheduled assessment 03=30-day scheduled assessment 04=60-day scheduled assessment 05=90-day scheduled assessment 06=Readmission/return assessment 07=Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) 99=None of the above ^=Blank (Skip Pattern) |
VARCHAR2 | 2 | 1411 | |
| V0100C Prior Assessment Reference Date | The data in this column contains the assessment reference date from the most recent prior OBRA or PPS assessment. | VARCHAR2 | 8 | 1413 | ||
| V0100D Prior Assessment Brief Interview for Mental Status (BIMS) Summary Score Number | The data in this column contains the BIMS summary score from the most recent prior OBRA or PPS assessment. | VARCHAR2 | 2 | 1421 | ||
| V0100E Prior Assessment Resident Mood Interview (PHQ-9) Total Severity Score Number | The data in this column contains the resident mood interview (PHQ-9) total severity score from the most recent prior OBRA or PPS assessment. | VARCHAR2 | 2 | 1423 | ||
| V0100F Prior Assessment Staff Assessment of Resident Mood (PHQ-9) Total Severity Score Number | The data in this column contains the staff assessment of resident mood (PHQ-9-OV) total severity score from the most recent prior OBRA or PPS assessment. | VARCHAR2 | 2 | 1425 | ||
| V0200A01A Delirium Care Area Trigger Code | The data in this column indicates whether the Delirium CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1427 | |
| V0200A01B Delirium Addressed in Care Plan Code | The data in this column indicates whether the Delirium care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1428 | |
| V0200A02A Dementia Care Area Trigger Code | The data in this column indicates whether the Cognitive Loss/Dementia CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1429 | |
| V0200A02B Dementia Addressed in Care Plan Code | The data in this column indicates whether the Cognitive Loss/Dementia care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1430 | |
| V0200A03A Visual Function Care Area Trigger Code | The data in this column indicates whether the Visual Function CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1431 | |
| V0200A03B Visual Function Addressed in Care Plan Code | The data in this column indicates whether the Visual Function care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1432 | |
| V0200A04A Communication Care Area Trigger Code | The data in this column indicates whether the Communication CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1433 | |
| V0200A04B Communication Addressed in Care Plan Code | The data in this column indicates whether the Communication care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1434 | |
| V0200A05A ADL Care Area Trigger Code | The data in this column indicates whether the ADL Functional/Rehabilitation Potential CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1435 | |
| V0200A05B ADL Addressed in Care Plan Code | The data in this column indicates whether the ADL Functional/Rehabilitation Potential care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1436 | |
| V0200A06A Urinary Care Area Trigger Code | The data in this column indicates whether the Urinary CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1437 | |
| V0200A06B Urinary Addressed in Care Plan Code | The data in this column indicates whether the Urinary care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1438 | |
| V0200A07A Psychosocial Care Area Trigger Code | The data in this column indicates whether the Psychosocial Well-Being CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1439 | |
| V0200A07B Psychosocial Addressed in Care Plan Code | The data in this column indicates whether the Psychosocial Well-Being care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1440 | |
| V0200A08A Mood Care Area Trigger Code | The data in this column indicates whether the Mood State CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1441 | |
| V0200A08B Mood Addressed in Care Plan Code | The data in this column indicates whether the Mood State care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1442 | |
| V0200A09A Behavioral Care Area Trigger Code | The data in this column indicates whether the Behavioral Symptoms CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1443 | |
| V0200A09B Behavioral Addressed in Care Plan Code | The data in this column indicates whether the Behavioral Symptoms care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1444 | |
| V0200A10A Activity Care Area Trigger Code | The data in this column indicates whether the Activity CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1445 | |
| V0200A10B Activity Addressed in Care Plan Code | The data in this column indicates whether the Activity care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1446 | |
| V0200A11A Fall Care Area Trigger Code | The data in this column indicates whether the Falls CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1447 | |
| V0200A11B Fall Addressed in Care Plan Code | The data in this column indicates whether the Falls care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1448 | |
| V0200A12A Nutritional Care Area Trigger Code | The data in this column indicates whether the Nutritional Status CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1449 | |
| V0200A12B Nutritional Addressed in Care Plan Code | The data in this column indicates whether the Nutritional Status care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1450 | |
| V0200A13A Feeding Tube Care Area Trigger Code | The data in this column indicates whether the Feeding Tube CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1451 | |
| V0200A13B Feeding Tube Addressed in Care Plan Code | The data in this column indicates whether the Feeding Tube care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1452 | |
| V0200A14A Dehydration Care Area Trigger Code | The data in this column indicates whether the Dehydration/Fluid Maintenance CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1453 | |
| V0200A14B Dehydration Addressed in Care Plan Code | The data in this column indicates whether the Dehydration/Fluid Maintenance care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1454 | |
| V0200A15A Dental Care Area Trigger Code | The data in this column indicates whether the Dental Care CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1455 | |
| V0200A15B Dental Addressed in Care Plan Code | The data in this column indicates whether the Dental Care care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1456 | |
| V0200A16A Pressure Ulcer Care Area Trigger Code | The data in this column indicates whether the Pressure Ulcer CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1457 | |
| V0200A16B Pressure Ulcer Addressed in Care Plan Code | The data in this column indicates whether the Pressure Ulcer care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1458 | |
| V0200A17A Psychotropic Drug Care Area Trigger Code | The data in this column indicates whether the Psychotropic Drug Use CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1459 | |
| V0200A17B Psychotropic Drug Addressed in Care Plan Code | The data in this column indicates whether the Psychotropic Drug Use care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1460 | |
| V0200A18A Restraint Care Area Trigger Code | The data in this column indicates whether the Physical Restraints CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1461 | |
| V0200A18B Restraint Addressed in Care Plan Code | The data in this column indicates whether the Physical Restraints care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1462 | |
| V0200A19A Pain Care Area Trigger Code | The data in this column indicates whether the Pain CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1463 | |
| V0200A19B Pain Addressed in Care Plan Code | The data in this column indicates whether the Pain care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1464 | |
| V0200A20A Return to Community Care Area Trigger Code | The data in this column indicates whether the Return to Community CAT was triggered. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1465 | |
| V0200A20B Return to Community Addressed in Care Plan Code | The data in this column indicates whether the Return to Community care area was addressed in the care plan. | -=Not assessed/no information 0=Not checked (No) 1=Checked (Yes) |
VARCHAR2 | 1 | 1466 | |
| V0200B2 Care Area Assessment Completion Date | The data in this column contains the Care Area Assessment (CAA) process completion date. | VARCHAR2 | 8 | 1467 | ||
| V0200C2 Care Plan Completion Date | The data in this column contains the date that the staff completed the care planning decision. | VARCHAR2 | 8 | 1475 | ||
| X0150 Correction Provider Type Code | The data in this column indicates the type of provider (nursing home or swing bed) submitting the modification or inactivation request. | 1=Nursing home (SNF/NF) 2=Swing bed |
VARCHAR2 | 1 | 1483 | |
| X0300 Correction Gender Code | The data in this column indicates the resident's gender from the prior erroneous record to be modified or inactivated. | -=Not assessed/no information/unable to determine 1=Male 2=Female ^=Blank (Skip Pattern) |
VARCHAR2 | 1 | 1484 | |
| X0400 Correction Birth Date | The data in this column indicates the resident's birth date from the prior erroneous record to be modified or inactivated. | VARCHAR2 | 8 | 1485 | ||
| X0500 Correction Social Security Number | The data in this column indicates the resident's Social Security Number (SSN) from the prior erroneous record to be modified or inactivated. | VARCHAR2 | 9 | 1493 | ||
| X0600A Correction Federal OBRA Reason for Assessment Code | The data in this column indicates the Federal OBRA (A0310A) code from the prior erroneous record to be modified or inactivated. | 01=Admission assessment (required by day 14) 02=Quarterly review assessment 03=Annual assessment 04=Significant change in status assessment 05=Significant correction to prior comprehensive assessment 06=Significant correction to prior quarterly assessment 99=None of the above ^=Blank (skip pattern) |
VARCHAR2 | 2 | 1502 | |
| X0600B Correction PPS Reason for Assessment Code | The data in this column indicates the PPS (A0310B) code from the prior erroneous record to be modified or inactivated. | 01=5-day scheduled assessment 02=14-day scheduled assessment 03=30-day scheduled assessment 04=60-day scheduled assessment 05=90-day scheduled assessment 06=Readmission/return assessment 07=Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) 99=None of the above ^=Blank (Skip Pattern) |
VARCHAR2 | 2 | 1504 | |
| X0600C Correction PPS Other Medicare Required Assessment (OMRA) Code | The data in this column indicates the PPS Other Medicare Required Assessment (A0310C) code from the prior erroneous record to be modified or inactivated. | 0=No 1=Start of therapy assessment 2=End of therapy assessment 3=Both Start and End of therapy assessment 4=Change of therapy assessment ^=Blank (Skip Pattern) |
VARCHAR2 | 1 | 1506 | |
| X0600D Correction Swing Bed Clinical Change Code | The data in this column indicates the Swing Bed Clinical Change Assessment (A0310E) value from the prior erroneous record to be modified or inactivated. | 0=No 1=Yes ^=Blank (Skip Pattern) |
VARCHAR2 | 1 | 1507 | |
| X0600F Correction Entry/Discharge Code | The data in this column indicates the Entry/Discharge Reporting (A0310F) code from the prior erroneous record to be modified or inactivated. | 01=Entry tracking record 10=Discharge assessment - return not anticipated 11=Discharge assessment - return anticipated 12=Death in facility tracking record 99=None of the above ^=Blank (Skip Pattern) |
VARCHAR2 | 2 | 1508 | |
| X0600H Correction Type of Assessment: SNF PPS Part A Discharge Assessment | Contains the SNF PPS Part A Discharge Assessment (A0310H) value from the prior erroneous record to be modified or inactivated. | 0=No 1=Yes ^=Blank (Skip Pattern) |
VARCHAR2 | 1 | 1510 | |
| X0700A Correction Assessment Reference Date | The data in this column contains the event date for the prior erroneous record to be modified or inactivated. The event date is the assessment reference date for an assessment record. | VARCHAR2 | 8 | 1511 | ||
| X0700B Correction Discharge Date | The data in this column contains the event date for the prior erroneous record to be modified or inactivated. The event date is the discharge date for a discharge record. | VARCHAR2 | 8 | 1519 | ||
| X0700C Correction Entry Date | The data in this column contains the event date for the prior erroneous record to be modified or inactivated. The event date is the entry date for an entry record. | VARCHAR2 | 8 | 1527 | ||
| X0800 Correction Number | The data in this column contains the number of times the record in the MDS National Repository has been modified. | VARCHAR2 | 2 | 1535 | ||
| X0900A Reason for Modification: Transcription Error Code | The data in this column indicates the reason for modification of the prior erroneous record is related to a transcription error. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1537 | |
| X0900B Reason for Modification: Data Entry Error Code | The data in this column indicates the reason for modification of the prior erroneous record is related to a data entry error. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1538 | |
| X0900C Reason for Modification: Software Product Error Code | The data in this column indicates the reason for modification of the prior erroneous record is related to a software product error. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1539 | |
| X0900D Reason for Modification: Item Coding Error Code | The data in this column indicates the reason for modification of the prior erroneous record is related to an item coding error. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1540 | |
| X0900E Modification Reason - Add Resume Therapy Date | The data in this column indicates if the record is being modified due to the addition of the Resumption of Therapy date. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1541 | |
| X0900Z Reason for Modification: Other Error Requiring Modification Code | The data in this column indicates the reason for modification of the prior erroneous record is related to an other error. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1542 | |
| X1050A Reason for Inactivation: Event Did Not Occur Code | The data in this column indicates the reason for inactivation of the prior erroneous record is because the event did not occur. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1543 | |
| X1050Z Reason for Inactivation: Other Error Requiring Inactivation Code | The data in this column indicates the reason for inactivation of the prior erroneous record is because of an other error requiring inactivation. | 0=Not checked (No) 1=Checked (Yes) ^=Blank (skip pattern) |
VARCHAR2 | 1 | 1544 | |
| X1100E Attestation Date | The data in this column indicates the date that the staff member attested to the completion and accuracy of the corrected information. | VARCHAR2 | 8 | 1545 | ||
| Z0100A Medicare Part A HIPPS Code Text | The data in this column contains the submitted Medicare Part A HIPPS code. | VARCHAR2 | 7 | 1553 | ||
| Z0100B Medicare Part A RUG Version Text | The data in this column contains the submitted Medicare Part A RUG version code. | VARCHAR2 | 10 | 1560 | ||
| Z0100C Medicare Part A Short Stay Assessment Code | The data in this column indicates whether this is a Medicare short stay assessment. | VARCHAR2 | 1 | 1570 | ||
| Z0150A Medicare Part A Non-therapy HIPPS Code Text | The data in this column contains the submitted Medicare non-therapy Part A HIPPS code. | VARCHAR2 | 7 | 1571 | ||
| Z0150B Medicare Non-therapy Part A RUG Version Text | The data in this column contains the submitted Medicare non-therapy Part A RUG version code. | VARCHAR2 | 10 | 1578 | ||
| Z0200A State Medicaid RUG Case Mix Group Text | The data in this column contains the submitted state Medicaid RUG case mix group code. | VARCHAR2 | 10 | 1588 | ||
| Z0200B State Medicaid RUG Version Text | The data in this column contains the submitted state Medicaid RUG version code. | VARCHAR2 | 10 | 1598 | ||
| Z0250A Alternate State Medicaid RUG Case Mix Group Text | The data in this column contains the second submitted state Medicaid RUG case mix group code. | VARCHAR2 | 10 | 1608 | ||
| Z0250B Alternate State Medicaid RUG Version Text | The data in this column contains the second submitted state Medicaid RUG version code. | VARCHAR2 | 10 | 1618 | ||
| Z0500B Date RN Assessment Coordinator Signed Assessment as Complete | The data in this column contains the date that the RN Assessment Coordinator signed the assessment as complete. | DATE | 8 | 1628 |