Long Term Care Minimum Data Set (MDS) 2.0

SAS NameVariable Name
1
2ASMT_IDEncrypted Assessment ID
3AST_BEG_VER_DTAssessment Beginning Version Date
4AST_END_VER_DTAssessment Correction Version Date
5AST_CORR_VERAssessment Correction Version
6AST_MOD_INDAssessment Modification Indicator
7CARE_LOCKCare Planning Lock Date
8CREATED_DATECreated Date
9EFFECTIVE_DTEffective Date (Determines Year of Assessment)
10FAC_INT_IDFacility Internal ID
11MDS_ASMT_INT_IDEncrypted D20MDS Assessment Internal ID
12VCODE2MDS Data Specs Version Code
13MDS_SUBM_SEQ_NBRMDS Submission Sequence Number
14VCODE1MDS Version Completed Code
15MCD_CMIMedicaid CMI Value for RUG Group
16MCD_SET_CODEMedicaid RUG CMI Set Used
17MCD_GPMedicaid RUG Group
18MCD_VRMedicaid RUG Version
19MCR_CMIMedicare CMI Value for RUG Group
20MCR_CODE_SETMedicare RUG CMI Set Used
21MCR_GPMedicare RUG Group
22MCR_VRMedicare RUG Version
23ORIG_ASMT_INT_IDEncrypted D614Original Assessment Internal ID
24P_REC_DTPrevious Record Date
25RES_CHG_TIMESTAMPResident Change Timestamp
26RES_MATCH_CRITERIAResident Match Criteria
27SFTW_VNDR_IDSoftware Vendor ID
28SFT_VERSoftware Version
29T3STATE_CALC_RUGState Case Mix Group
30STATE_IDState ID
31ST_PREPD_DTState Prepared Date
32SUBMISSION_DATESubmission Date
33SUB_REQSubmission Requirement
34TRGT_DTTarget Date
35UPDATED_DTUpdated Date
36A2_ROOM_NUM(A2) Room Number
37A3A_ASMT_REF_DT(A3A) Assessment Reference Date
38A4A_REENTRY_DT(A4A) Reentry Date
39A4B_ADMIT_FROM(A4B) Admitted From
40A5_MARITAL_STATUS(A5) Marital Status
41A7A_MCAID_PER_DIEM(A7A) Medicaid Per Diem
42A7B_MCARE_PER_DIEM(A7B) Medicare Per Diem
43A7C_MCARE_ANC_P_A(A7C) Medicare Ancillary Part A
44A7D_MCARE_ANC_P_B(A7D) Medicare Ancillary Part B
45A7E_CHAMPUS_P_D(A7E) CHAMPUS Per Diem
46A7F_VA_PER_DIEM(A7F) VA Per Diem
47A7G_SELF_FAM_PAY(A7G) Self/Family Pay Full Per Diem
48A7H_MCAID_MCARE(A7H) Medicaid Resident Liability/Medicare Co-Pay
49A7I_PRIVATE_PAY(A7I) Private Insurance Per Diem
50A7J_OTHER(A7J) Other Per Diem
51A9A_LEGAL_GUARDIAN(A9A) Legal Guardian
52A9B_OTH_LGL_OVRSGHT(A9B) Other Legal Oversight
53A9C_DUR_POA_HTLCRE(A9C) Power of Attorney/Health Care
54A9D_DUR_POA_FIN(A9D) Power of Attorney/Financial
55A9E_FAM_MEM_RESP(A9E) Family Member Responsible
56A9F_PAT_RESP_SELF(A9F) Patient Responsible for Self
57A9G_NONE_ABOVE(A9G) None of Above Legal Guardian
58A10A_LIVING_WILL(A10A) Living Will
59A10B_NOT_RECESS(A10B) Do Not Resuscitate
60A10C_NOT_HOSPTIAL(A10C) Do Not Hospitalize
61A10D_ORGAN_DONATE(A10D) Organ Donation
62A10E_AUTOPSY_REQ(A10E) Autopsy Request
63A10F_FEED_RESTRICT(A10F) Feeding Restrictions
64A10G_MED_RESTRICT(A10G) Medication Restrictions
65A10H_OTH_TRT_REST(A10H) Other Treatment Restrictions
66A10I_NONE_ABOVE(A10I) None of the Above Advanced Directives
67AA2_GENDER(AA2) Gender
68AA3_BIRTH_DT(AA3) Birth Date
69AA4_RACE_ETH(AA4) Race/Ethnicity
70AA6A_FAC_MCAID_NBR(AA6A) Facility Medicaid Number
71AA6B_FAC_MCARE_NBR(AA6B) Facility Medicare Number
72AA8A_PRI_RFA(AA8A) Primary Reason for Assessment
73AA8B_SPC_RFA(AA8B) Assessment Codes for Medicare PPS State
74AB1_ENTRY_DT(AB1) Date of Entry
75AB2_ADMIT_FROM(AB2) Admitted From
76AB3_LIVED_ALONE(AB3) Lived Alone Prior to Entry
77AB4_PRIOR_ZIP(AB4) ZIP Code of Prior Primary Residence
78AB5A_PRIOR_THIS_NF(AB5A) Prior Stay in This Nursing Home
79AB5B_PRIOR_OTH_NF(AB5B) Stay in Other Nursing Home
80AB5C_OTH_RF(AB5C) Other Residential Facility
81AB5D_PRIOR_PSHCH(AB5D) MH/Psychiatric Setting
82AB5E_PRIOR_MR_DD(AB5E) MR/DD Setting
83AB5F_NONE_ABOVE(AB5F) None of Above Residential History
84AB6_LIFE_OCCUP(AB6) Lifetime Occupation
85AB7_EDUCATION(AB7) Education
86AB8A_PRI_LANG(AB8A) Language
87AB8B_OTH_LANG(AB8B) Other Language
88AB9_MH_HISTORY(AB9) Mental Health History
89AB10A_MR_DD_NA(AB10A) No MR/DD
90AB10B_MR_DD_DOWNS(AB10B) Downs Syndrome
91AB10C_MR_DD_AUTISM(AB10C) Autism
92AB10D_MR_DD_EPI(AB10D) Epilepsy
93AB10E_MR_DD_OTH(AB10E) Other Organic Condition Related to MR/DD
94AB10F_MR_DD_NO_ORG(AB10F) MR/DD with No Organic Condition
95AB11_BACKGRD_CP_DT(AB11) Background Information Completed Date
96AC1A_LATE_NITE(AC1A) Stays Up Late at Night
97AC1B_NAPS(AC1B) Naps Regularly During Day
98AC1C_OUT_1_WEEK(AC1C) Goes Out 1+ Days a Week
99AC1D_STAY_BUSY(AC1D) Stays Busy With Hobbies/Reading/Fixed Daily Routine
100AC1E_TIME_ALONE(AC1E) Spends Most of Time Alone/Watching TV
101AC1F_INDEP_INDOORS(AC1F) Moves Independently Indoors
102AC1G_TOBAC_DAILY(AC1G) Use of Tobacco Products at Least Daily
103AC1H_NONE_ABOVE(AC1H) None of Above Cycle of Daily Events
104AC1I_FOOD_PREF(AC1I) Distinct Food Preferences
105AC1J_EAT_BTWN_MEAL(AC1J) Eats Between Meals
106AC1K_ALC_WKLY(AC1K) Use of Alcoholic Beverages at Least Weekly
107AC1L_NONE_ABOVE(AC1L) None of Above Eating Patterns
108AC1M_BEDCTHS_DAY(AC1M) In Bedclothes Much of Day
109AC1N_TOILET_NIGHT(AC1N) Wakens to Toilet Most Nights
110AC10_IRREG_BOWEL(AC1O) Has Irregular Bowel Movement Pattern
111AC1P_SHOWERS(AC1P) Showers for Bathing
112AC1Q_BATH_PM(AC1Q) Bathing in PM
113AC1R_NONE_ABOVE(AC1R) None of Above ADL Patterns
114AC1S_CONTACT_REL(AC1S) Daily Contact with Relatives/Close Friends
115AC1T_ATTEND_CHURCH(AC1T) Usually Attends Church/Temple/Synagogue
116AC1U_STRNGTH_FAITH(AC1U) Finds Strength in Faith
117AC1V_ANIMAL(AC1V) Daily Animal Companion/Presence
118AC1W_GROUP_ACT(AC1W) Involved in Group Activities
119AC1X_NONE_ABOVE(AC1X) None of Above Involvement Patterns
120AC1Y_UNKNOWN(AC1Y) Unknown Customary Routine
121B1_COMATOSE(B1) Comatose
122B2A_ST_MEMORY(B2A) Short Term Memory
123B2B_LT_MEMORY(B2B) Long Term Memory
124B3A_CURNT_SEASON(B3A) Current Season
125B3B_LOC_OWN_ROOM(B3B) Location of Own Room
126B3C_STAFF(B3C) Staff Names/Faces
127B3D_IN_HOME(B3D) That He/She is in Nursing Home
128B3E_NONE_ABOVE(B3E) None of Above are Recalled
129B4_DAY_DCSN_MAKING(B4) Daily Decision Making Skills
130B5A_DISTRACTED(B5A) Easily Distracted
131B5B_ALTER_PERCEPT(B5B) Altered Perception
132B5C_DISORG_SPEECH(B5C) Disorganized Speech
133B5D_RESTLESS(B5D) Restlessness
134B5E_LETHARGY(B5E) Lethargy
135B5F_MENTAL_FUNC(B5F) Varied Mental Function
136B6_CHANG_COG_STAT(B6) Change in Cognitive Status
137C1_HEARING(C1) Hearing
138C2A_HEARAID_USED(C2A) Hearing Aid Present and Used
139C2B_HRAID_NOT_USE(C2B) Hearing Aid Present and Not Used Regularly
140C2C_OTHER_RECPT(C2C) Other Receptive Communication Techniques Used
141C2D_NONE_ABOVE(C2D) None of Above Communication Devices
142C3A_SPEECH(C3A) Speech
143C3B_WRITE(C3B) Writing Messages to Express Needs
144C3C_SIGN_LANG(C3C) American Sign Language/Braille
145C3D_GESTURES(C3D) Signs/Gestures/Sounds
146C3E_COMM_BOARD(C3E) Communication Board
147C3F_OTHER(C3F) Other Mode of Expression
148C3G_NONE_ABOVE(C3G) None of Above Modes of Expression
149C4_IS_UNDERSTOOD(C4) Making Self Understood
150C5_SPEECH_CLARITY(C5) Speech Clarity
151C6_UNDERSTAND_OTH(C6) Ability to Understand Others
152C7_CHANGE_IN_COMM(C7) Change in Communication/Hearing
153D1_VISION(D1) Vision
154D2A_SIDE_VISN_PROB(D2A) Side Vision Problems
155D2B_FLASHES_LIGHT(D2B) Experiences Seeing Halos/Rings Around Light/Flashes of Light
156D2C_NONE_ABOVE(D2C) None of Above Visual Limitations
157D3_VISUAL_APP(D3) Visual Appliances
158E1A_NEG_STATE(E1A) Negative Statements
159E1B_REPEAT_QUES(E1B) Repetitive Questions
160E1C_REPEAT_VERB(E1C) Repetitive Verbalizations
161E1D_PRST_ANGER (E1D) Persistent Anger
162E1E_SELF_DEPER(E1E) Self Depreciation
163E1F_UNREAL_FEARS(E1F) Unrealistic Fears
164E1G_TERRIBLE_FEEL(E1G) States Something Terrible About to Happen
165E1H_HLTH_COMPLAIN(E1H) Repetitive Health Complaints
166E1I_ANX_COMP(E1I) Repetitive Anxious Complaints
167E1J_UNPLEAS_MORN(E1J) Unpleasant Mood
168E1K_INSOMNIA(E1K) Insomnia
169E1L_WORRIED_FACE (E1L) Sad Facial Expressions
170E1M_CRYING(E1M) Crying
171E1N_REPEAT_MOVES(E1N) Repetitive Physical Movements
172E1O_WITHDRAWN(E1O) Withdrawal
173E1P_LESS_INTERACT(E1P) Reduced Social Interaction
174E2_MOOD_PERSIST(E2) Mood Persistance
175E3_MOOD_CHANGE(E3) Change in Mood
176E4AA_WANDERS(E4AA) Wandering Frequency
177E4AB_WANDERS_ALT(E4AB) Wandering Alterability
178E4BA_VRBL_ABUSIVE(E4BA) Verbally Abusive Frequency
179E4BB_VRBL_ABUS_ALT(E4BB) Verbally Abusive Alterability
180E4CA_PHYS_ABUSIVE(E4CA) Physcially Abusive Frequency
181E4CB_PHYS_ABUS_ALT(E4CB) Physically Abusive Alterability
182E4DA_DIS_BEHAVIOR(E4DA) Socially Inappropriate Behavior Frequency
183E4DB_DIS_BEHAV_ALT(E4DB) Socially Inappropriate Behavior Alterability
184E4EA_RESIST_CARE(E4EA) Resists Care Frequency
185E4EB_RESIST_ALT(E4EB) Resists Care Alterability
186E5_CHANGE_BEHAVE(E5) Change in Behavioral Symptoms
187F1A_ACTIVE_OTHERS(F1A) At Ease Interacting with Others
188F1B_PLAN_ACTIVITY(F1B) At Ease Doing Planned Activities
189F1C_SELF_ACTIVITY(F1C) At Ease Doing Self-Initiated Activities
190F1D_OWN_GOALS(F1D) Establishes Own Goals
191F1E_DAY_ACTIVITY(F1E) Pursues Involvement in Life of Facility
192F1F_ACPT_INVITE(F1F) Accepts Invitations Into Most Group Activities
193F1G_NONE_ABOVE(F1G) None of Above Sense of Initiative
194F2A_CONFLICT_STAFF(F2A) Covert/Open Conflict with Staff
195F2B_CONFLICT_RMMATE(F2B) Unhappy With Roommate
196F2C_CONFLT_OTH_RES(F2C) Unhappy With Residents Other Than Roommate
197F2D_EXPRS_ANGER(F2D) Openly Express Conflict with Family/Friends
198F2E_NO_CNTCT_FAM(F2E) Absense of Personal Contact with Family/Friends
199F2F_RECENT_LOSS(F2F) Recent Loss of Close Family Member/Friend
200F2G_NOT_ADJUST(F2G) Does Not Adjust Well Easily to Change in Routine
201F2H_NONE_ABOVE(F2H) None of Above Unsettled Relationships
202F3A_PAST_ROLES(F3A) Strong Identifications with Past Roles
203F3B_SADNESS(F3B) Expresses Sadness/Anger Over Lost Roles
204F3C_DIFFERENCE(F3C) Perceived Daily Routine is Very Different from Prior Pattern in Community
205F3D_NONE_ABOVE(F3D) None of Above Past Roles
206G1AA_SELF_BED(G1AA) Bed Mobility Self Performance
207G1AB_SUPP_BED(G1AB) Bed Mobility Support Provided
208G1BA_SELF_TRANS(G1BA) Transfer Self Performance
209G1BB_SUPP_TRANS(G1BB) Transfer Support Provided
210G1CA_SELF_WLK_RM(G1CA) Walk In Room Self Performance
211G1CB_SUPP_WLK_RM(G1CB) Walk in Room Support Provided
212G1DA_SELF_WLK_CORR(G1DA) Walk In Corridor Self Performance
213G1DB_SUPP_WLK_CORR(G1DB) Walk in Corridor Support Provided
214G1EA_SELF_LOC_UNIT(G1EA) Locomotion on Unit Self Performance
215G1EB_SUPP_LOC_UNIT(G1EB) Locomotion on Unit Support Provided
216G1FA_SELF_LOC_OFFU(G1FA) Locomotion off Unit Self Performance
217G1FB_SUPP_LOC_OFFU(G1FB) Locomotion off Unit Support Provided
218G1GA_SELF_DRESS(G1GA) Dressing Self Performance
219G1GB_SUPP_DRESS(G1GB) Dressing Support Provided
220G1HA_SELF_EAT(G1HA) Eating Self Performance
221G1HB_SUPP_EAT(G1HB) Eating Support Provided
222G1IA_SELF_TOILET(G1IA) Toilet Use Self Performance
223G1IB_SUPP_TOILET(G1IB) Toilet Use Support Provided
224G1JA_SELF_HYGIENE(G1JA) Personal Hygiene Self Performance
225G1JB_SUPP_HYGIENE(G1JB) Personal Hygiene Support Provided
226G2A_BATH_SELF(G2A) Bathing Self Performance
227G2B_BATH_SUPPORT(G2B) Bathing Support
228G3A_BALANCE_STAND(G3A) Balance while Standing
229G3B_BALANCE_SIT(G3B) Balance while Sitting
230G4AA_NECK_RANGE(G4AA) Neck Range of Motion
231G4AB_NECK_MOVE(G4AB) Neck Voluntary Movement
232G4BA_ARM_RANGE(G4BA) Arm Range of Motion
233G4BB_ARM_MOVE(G4BB) Arm Voluntary Movement
234G4CA_HAND_RANGE(G4CA) Hand Range of Motion
235G4CB_HAND_MOVE(G4CB) Hand Voluntary Movement
236G4DA_LEG_RANGE(G4DA) Leg Range of Motion
237G4DB_LEG_MOVE(G4DB) Leg Voluntary Movement
238G4EA_FOOT_RANGE(G4EA) Foot Range of Motion
239G4EB_FOOT_MOVE(G4EB) Foot Voluntary Movement
240G4FA_OTH_RANGE(G4FA) Other Limitation of Range of Motion
241G4FB_OTH_MOVE(G4FB) Other Limitation of Voluntary Movement
242G5A_CANE_CRUTCH(G5A) Cane/Walker/Crutch
243G5B_SELF_WHEEL(G5B) Wheeled Self
244G5C_OTHER_WHEEL(G5C) Other Person Wheeled
245G5D_WHEELCHAIR(G5D) Wheelchair Primary Mode of Locomotion
246G5E_NONE_ABOVE(G5E) None of Above Modes of Locomotion
247G6A_BEDFASAT(G6A) Bedfast All/Most of Time
248G6B_USE_BEDRAILS(G6B) Bed Rails Used for Bed Mobility/Transfer
249G6C_LIFTED_MAN(G6C) Lifted Manually
250G6D_LIFTED_MECH(G6D) Lifted Mechanically
251G6E_TRANS_AID(G6E) Transfer Aid
252G6F_NONE_ABOVE(G6F) None of Above Modes of Transfer
253G7_SEG_TASKS(G7) Task Segmentation
254G8A_RES_INDEP(G8A) Resident Believes he/she Capable of Increased Independence
255G8B_STAFF_INDEP(G8B) Staff Believes Resident is Capable of Increased Independence
256G8C_SLOW(G8C) Resident Able to Perform Tasks/Activity but is Slow
257G8D_ADL_DIFFERENCE(G8D) Difference in ADL Performance Morning to Evening
258G8E_NONE_ABOVE(G8E) None of Above Rehabilitation Potential
259G9_CHG_ADL(G9) Change in ADL Function
260H1A_BOWEL_CONTRL(H1A) Bowel Continence
261H1B_BLADDER_CONTROL(H1B) Bladder Continence
262H2A_REG_BOWEL_MOVE(H2A) Bowel Elimination Pattern Regular
263H2B_CONSTIPATION(H2B) Constipation
264H2C_DIARRHEA(H2C) Diarrhea
265H2D_FECAL_IMPACT(H2D) Fecal Impaction
266H2E_NONE_ABOVE(H2E) None of Above Bowel Elimination Pattern
267H3A_TOILET_PLAN(H3A) Any Scheduled Toileting Plan
268H3B_BLADDER_TR(H3B) Bladder Retraining Program
269H3C_EXTERN_CATH(H3C) External Condom Catheter
270H3D_INDWELL_CATH(H3D) Indwelling Catheter
271H3E_INTERMIT_CATH(H3E) Intermittent Catheter
272H3F_NOT_USE_TOILET(H3F) Did Not Use Toilet Room/Commode/Urinal
273H3G_PADS_USED(H3G) Pads/Briefs Used
274H3H_ENEMAS(H3H) Enemas/Irrigation
275H3I_OSTOMY(H3I) Ostomy Present
276H3J_NONE_ABOVE(H3J) None of Above Appliances and Programs
277H4_CHANGE_URINARY(H4) Change in Urinary Continence
278I1A_DIABETES(I1A) Diabetes Mellitus
279I1AA_SEIZURE_DIS(I1AA) Seizure Disorder
280I1B_HYPERTHYRD(I1B) Hyperthyroidism
281I1BB_ITA(I1BB) Transient Ischemic Attack
282I1C_HYOTHYRD(I1C) Hypothyroidism
283I1CC_BRAIN_INJURY(I1CC) Traumatic Brain Injury
284I1D_ASHD(I1D) Arteriosclerotic Heart Disease
285I1DD_ANX_DIS(I1DD) Anxiety Disorder
286I1E_CARD_DYSRH(I1E) Cardiac Dysrhythmias
287I1EE_DEPRESSION(I1EE) Depression
288I1F_CON_HEART_FAIL(I1F) Congestive Heart Failure
289I1FF_MANIC_DEPRES(I1FF) Manic Depression Bipolar Disease
290I1G_VEIN_THROMB(I1G) Deep Vein Thrombosis
291I1GG_SCHIZO(I1GG) Schizophrenia
292I1H_HYPERTENSION(I1H) Hypertension
293I1HH_ASTHMA(I1HH) Asthma
294I1I_HYPOTENSION(I1I) Hypotension
295I1II_COPD(I1II) Emphysema/COPD
296I1J_PERI_VAC_DIS(I1J) Peripheral Vascular Disease
297I1JJ_CATARACTS(I1JJ) Cataracts
298I1K_OTH_CARDIO_DIS(I1K) Other Cardiovascular Disease
299I1KK_DIAB_RETIN(I1KK) Diabetic Retinopathy
300I1L_ARTHRITIS(I1L) Arthritis
301I1LL_GLAUCOMA(I1LL) Glaucoma
302I1M_HIP_FRAC(I1M) Hip Fracture
303I1MM_MACULAR_DEGN(I1MM) Macular Degeneration
304I1N_MISS_LIMB(I1N) Missing Limb
305I1NN_ALLERGIES(I1NN) Allergies
306I1O_OSTEOPORO(I1O) Osteoporosis
307I1OO_ANEMIA(I1OO) Anemia
308I1P_PATH_BONE_FRAC(I1P) Pathological Bone Fracture
309I1PP_CANCER(I1PP) Cancer
310I1Q_ALZHEIMER(I1Q)Alzheimers Disease
311I1QQ_RENAL_FAIL(I1QQ) Renal Failure
312I1R_APHASHIA (I1R) Aphasia
313I1RR_NONE_ABOVE(I1RR) None of Above Diseases
314I1S_CERERAL PALSY (I1S) Cerebral Palsy
315I1T_STROKE (I1T) Cerebrovascular Accident/Stroke
316I1U_DEMENTIA(I1U) Dementia Other than Alzheimers Disease
317I1V_HEMIPLEGIA(I1V) Hemiplegia/Hemiparesis
318I1W_M_S(I1W) Multiple Sclerosis
319I1X_PARAPLEGIA(I1X) Paraplegia
320I1Y_PARKINSON(I1Y) Parkinsons Disease
321I1Z_QUADRIPLEGIA(I1Z) Quadriplegia
322I2A_AB_RES_INFECT(I2A) Antibiotic Resistant Infection
323I2B_CLOST_DIFF(I2B) Clostridium Difficile
324I2C_CONJUNCT(I2C) Conjunctivitis
325I2D_HIV(I2D) HIV Infection
326I2E_PNEUMONIA(I2E) Pneumonia
327I2F_RESP_INFECT(I2F) Respiratory Infection
328I2G_SEPTICEMIA(I2G) Septicemia
329I2H_STD(I2H) Sexually Transmitted Diseases
330I2I_TUBERCULOSIS(I2I) Tuberculosis
331I2J_UTI_THIRTY_DAYS(I2J) Urinary Tract Infection
332I2K_VIRAL_HEP(I2K) Viral Hepititis
333I2L_WOUND(I2L) Wound Infection
334I2M_NONE_ABOVE(I2M) None of Above Infections
335I3A_OTHR_ICD9_CD(I3A) Other Diagnosis/ICD-9 Codes
336I3B_OTHR_ICD9_CD(I3B) Other Diagnosis/ICD-9 Codes
337I3C_OTHR_ICD9_CD(I3C) Other Diagnosis/ICD-9 Codes
338I3D_OTHR_ICD9_CD(I3D) Other Diagnosis/ICD-9 Codes
339I3E_OTHR_ICD9_CD(I3E) Other Diagnosis/ICD-9 Codes
340J1A_WEIGHT_CHG(J1A) Weight Gain/Loss of 3+ Pounds
341J1B_NOT_LIE_FLAT(J1B) Inability to Lie Flat Due to Shortness of Breath
342J1C_DEHYDRATED(J1C) Dehydrated/Output Exceeds Input
343J1D_INSUFF_FLUID(J1D) Insufficient Fluid
344J1E_DELUSIONS(J1E) Delusions
345J1F_VERTIGO(J1F) Dizziness/Vertigo
346J1G_EDEMA(J1G) Edema
347J1H_FEVER(J1H) Fever
348J1I_HALLUCINATIONS(J1I) Hallucinations
349J1J_INTERN_BLEED(J1J) Internal Bleeding
350J1K_LUNG_ASPIR(J1K) Recurrent Lung Aspirations
351J1L_SHORT_BREATH(J1L) Shortness of Breath
352J1M_SYNCOPE(J1M) Syncope/Fainting
353J1N_UNSTEADY_GAIT(J1N) Unsteady Gait
354J1O_VOMIT(J1O) Vomiting
355J1P_NONE_ABOVE(J1P) None of Above Problem Conditions
356J2A_PAIN_FREQUENCY(J2A) Pain Frequency
357J2B_PAIN_INTENSITY(J2B) Pain Intensity
358J3A_BACK_PAIN(J3A) Back Pain
359J3B_BONE_PAIN(J3B) Bone Pain
360J3C_CHEST_PAIN(J3C) Chest Pain while Doing Usual Activities
361J3D_HEADACHE(J3D) Headache
362J3E_HIP_PAIN(J3E) Hip Pain
363J3F_INCISION_PAIN(J3F) Incisional Pain
364J3G_JOINT_PAIN(J3G) Joint Pain
365J3H_TISSUE_PAIN(J3H) Soft Tissue Pain
366J3I_STOMACH_PAIN(J3I) Stomach Pain
367J3J_OTHER(J3J) Other Pain Site
368J4A_FELL_30_DAYS(J4A) Fell in Past 30 Days
369J4B_FELL_OVR_31_DA(J4B) Fell in Past 31-180 Days
370J4C_HIP_FRC_180_DA(J4C) Hip Fracture in Last 180 Days
371J4D_OTH_FRC_180_DA(J4D) Other Fracture in Last 180 Days
372J4E_NONE_ABOVE(J4E) None of Above Accidents
373J5A_UNSTABLE_COND(J5A) Conditions/Disease Make Residents Mood/Behavior Unstable
374J5B_ACUTE_EPISODE(J5B) Resident Experiencing Episode of Recurrent/Chronic Problem
375J5C_END_STG_DISEAS(J5C) End Stage Disease
376J5D_NONE_ABOVE(J5D) None of Above Stability of Conditions
377K1A_CHEW_PROB(K1A) Chewing Problem
378K1B_SWALLOW_PROB(K1B) Swallowing Problem
379K1C_MOUTH_PAIN(K1C) Mouth Pain
380K1D_NONE_ABOVE(K1D) None of Above Oral Problems
381K2A_HEIGHT(K2A) Height
382K2B_WEIGHT(K2B) Weight
383K3A_WEIGHT_LOSS(K3A) Weight Loss
384K3B_WEIGHT_GAIN(K3B) Weight Gain
385K4A_COMP_FOOD_TAST(K4A) Complains About the Taste of Many Foods
386K4B_CONSTANT_HUNGR(K4B) Regular Complaints of Hunger
387K4C_NOT_EATING(K4C) Leaves 25 percent or more Food Uneaten at Most Meals
388K4D_NONE_ABOVE(K4D) None of Above Nutritional Problems
389K5A_PARENTERAL_IV(K5A) Parenteral IV
390K5B_FEED_TUBE(K5B) Feeding Tube
391K5C_MECH_DIET(K5C) Mechanically Altered Diet
392K5D_SYRINGE(K5D) Syringe Oral Feeding
393K5E_THERAPY_DIET(K5E) Therapeutic Diet
394K5F_DIET_SUPP(K5F) Dietary Supplement Between Meals
395K5G_PLATE_GRD(K5G) Plate Guard Stabilized Built-Up Utensil Etc.
396K5H_WGT_PROG(K5H) On a Planned Weight Change Program
397K5I_NONE_ABOVE(K5I) None of Above Nutritional Approaches
398K6A_TOTAL_CALORIES(K6A) Calories Received in Last 7 Days
399K6B_FLUID_INTAKE(K6B) Fluid Intake Per Day
400L1A_DEBRIS_B4_BED(L1A) Debris Present in Mouth Prior to Going to Bed
401L1B_DENTURES(L1B) Has Dentures/Removable Bridge
402L1C_LOST_TEETH(L1C) Some/All Natural Teeth Lost
403L1D_LOOSE_TEETH(L1D) Broken/Loose/Carious Teeth
404L1E_INFLAMED_GUM(L1E) Inflamed/Swollen/Bleeding Gums
405L1F_DAY_TEETH_CLEAN(L1F) Daily Cleaning of Teeth/Dentures
406L1G_NONE_ABOVE(L1G) None of Above Oral Status
407M1A_STAGE_1_ULCER(M1A) Stage 1 Ulcers
408M1B_STAGE_2_ULCER(M1B) Stage 2 Ulcers
409M1C_STAGE_3_ULCER(M1C) Stage 3 Ulcers
410M1D_STAGE_4_ULCER(M1D) Stage 4 Ulcers
411M2A_PRES_ULCER(M2A) Pressure Ulcers
412M2B_STASIS_ULCER(M2B) Stasis Ulcers
413M3_HIST_ULCER(M3) History of Resolved Ulcers
414M4A_ABRASIONS(M4A) Abrasions/Bruises
415M4B_BURNS(M4B) Burns 2nd/3rd Degree
416M4C_OPEN_LESIONS(M4C) Open Lesions Other Than Ulcers/Rashes/Cuts
417M4D_RASHES(M4D) Rashes
418M4E_DESENSIT_SKIN(M4E) Skin Desensitized to Pain/Pressure
419M4F_SKIN_TEAR_CUT(M4F) Skin Tears/Cuts
420M4G_SURG_WOUND(M4G) Surgical Wounds
421M4H_NONE_ABOVE(M4H) None of Above Skin Problems
422M5A_RELIEF_CHAIR(M5A) Pressure Relieving Devices for Chair
423M5B_RELIEF_BED(M5B) Pressure Relieving Devices for Bed
424M5C_TURN_REPO(M5C) Turning/Repositioning Program
425M5D_INTER_SKIN_PROB(M5D) Nutrition/Hydration Intervention to Manage Skin Problems
426M5E_ULCER_CARE(M5E) Ulcer Care
427M5F_SURG_WOUND_CAR(M5F) Surgical Wound Care
428M5G_APP_DRESSINGS(M5G) Application of Dressings
429M5H_APP_MEDS(M5H) Application of Ointments/Medications
430M5I_PREVNT_SKIN_CARE(M5I) Other Preventative or Protective Skin Care
431M5J_NONE_ABOVE(M5J) None of Above Skin Treatments
432M6A_FOOT_PROB(M6A) Resident Has 1 or More Foot Problems
433M6B_INFECT_FOOT(M6B) Infection of Foot
434M6C_LESIONS_FOOT(M6C) Open Lesions on Foot
435M6D_TRIMMED(M6D) Nails/Calluses Trimmed on Foot
436M6E_PRVENT_FT_CARE(M6E) Received Preventative/Protective Foot Care
437M6F_DRESSINGS_FOOT(M6F) Application of Dressings to Foot
438M6G_NONE_ABOVE(M6G) None of Above Foot Problems
439N1A_MORNING(N1A) Morning
440N1B_AFTERNOON(N1B) Afternoon
441N1C_EVENING(N1C) Evening
442N1D_NONE_ABOVE(N1D) None of Above Time Awake
443N2_TM_ACTIVITIES(N2) Time Involved in Activities
444N3A_OWN_ROOM(N3A) Prefers Own Room
445N3B_ACTIVITY_RM(N3B) Prefers Day/Activity Room
446N3C_INSIDE_NH(N3C) Prefers Inside NH/Off Unit
447N3D_OUTSIDE(N3D) Prefers Outside Activity
448N3E_NONE(N3E) None of Above Preferred Activity Settings
449N4A_CARDS(N4A) Cards/Other Games
450N4B_CRAFTS(N4B) Crafts/Arts
451N4C_SPORTS(N4C) Exercises/Sports
452N4D_MUSIC(N4D) Music
453N4E_READING(N4E) Reading/Writing
454N4F_RELIGIOUS(N4F) Spiritual/Religious Activities
455N4G_TRIPS(N4G) Trips/Shopping
456N4H_WALKING(N4H) Walking/Wheeling Outdoors
457N4I_TV(N4I) Watching TV
458N4J_GARDENING(N4J) Gardening or Plants
459N4K_TALKING(N4K) Talking or Conversing
460N4L_HELPING(N4L) Helping Others
461N4M_NONE_ABOVE(N4M) None of Above Activity Preferences
462N5A_CHG_TYPE_ACT(N5A) Type of Activities Currently Involved In
463N5B_CHG_EXTENT_ACT(N5B) Extent of Involvement
464O1_NUM_MEDS(O1) Number of Medications
465O2_NEW_MEDS(O2) New Medications
466O3_INJECTIONS(O3) Injections
467O4_ANTIPSYCHOTIC(O4A) Antipsychotic
468O4B_ANTIANXIETY(O4B) Antianxiety
469O4C_ANTIDEPRESS(O4C) Antidepressant
470O4D_HYPNOTIC(O4D) Hypnotic
471O4E_DIURETIC(O4E) Diuretic
472P1AA_CHEMO(P1AA) Chemotherapy
473P1AB_DIALYSIS(P1AB) Dialysis
474P1AC_IV_MED(P1AC) IV Medication
475P1AD_INTAKE(P1AD) Intake/Output
476P1AE_ACUTE_COND(P1AE) Monitoring Acute Medical Condition
477P1AF_OSTOMY(P1AF) Ostomy Care
478P1AG_OXYGEN(P1AG) Oxygen Therapy
479P1AH_RADIATION(P1AH) Radiation
480P1AI_SUCTION(P1AI) Suctioning
481P1AJ_TRACH_CARE(P1AJ) Tracheostomy Care
482P1AK_TRANSFUSION(P1AK) Transfusions
483P1AL_VENTILATOR(P1AL) Ventilator/Respirator
484P1AM_ALC_ORG_TREAT(P1AM) Alcohol/Drug Treatment Program
485P1AN_ALZHEIMER(P1AN) Alzheimers/Dementia Special Care Unit
486P1AO_HOSPICE(P1AO) Hospice Care
487P1AP_PEDIATRIC(P1AP) Pediatric Unit
488P1AQ_RESPITE(P1AQ) Respite Care
489P1AR_TRAINING(P1AR) Training in Community Skills
490P1AS_NONE_ABOVE(P1AS) None of Above Special Treatments
491P1BAA_SPCH_THR_DAY(P1BAA) Speech Therapy Days
492P1BAB_SPCH_THR_MIN(P1BAB) Speech Therapy Minutes
493P1BBA_OCC_THPY_DAY(P1BBA) Occupational Therapy Days
494P1BBB_OCC_THPY_MIN(P1BBB) Occupational Therapy Minutes
495P1BCA_PHY_THPY_DAY(P1BCA) Physical Therapy Days
496P1BCB_PHY_THPY_MIN(P1BCB) Physical Therapy Minutes
497P1BDA_RES_THPY_DAY(P1BDA) Respiratory Therapy Days
498P1BDB_RES_THPY_MIN(P1BDB) Respiratory Therapy Minutes
499P1BEA_PSY_THPY_DAY(P1BEA) Psychological Therapy Days
500P1BEB_PSY_THPY_MIN(P1BEB) Psychological Therapy Minutes
501P2A_BEHAVIOR(P2A) Special Behavior Symptom Evaluation Program
502P2B_EVALUATED(P2B) Evaluation by Licensed Mental Health Specialist
503P2C_GROUP_THRPY(P2C) Group Therapy
504P2D_EN_CHG_4_MOOD(P2D) Resident-Specific Deliberate Changes in Environment
505P2E_REORIENT(P2E) Reorientation
506P2F_NONE_ABOVE(P2F) None of Above Intervention Programs
507P3A_NR_MOTION_PASS(P3A) Passive Range of Motion
508P3B_NR_MOTION_ACTV(P3B) Active Range of Motion
509P3C_NR_SPLINT(P3C) Splint or Brace Assistance
510P3D_NR_BED_MOBILE(P3D) Bed Mobility
511P3E_NR_TRANSFER(P3E) Transfer
512P3F_NR_WALKING(P3F) Walking
513P3G_NR_DRESS_GROOM(P3G) Dressing/Grooming
514P3H_NR_EATING(P3H) Eating/Swallowing
515P31_NR_AMPUTA_CARE(P3I) Amputation/Prosthesis Care
516P3J_NR_COMMUNICAT(P3J) Communication
517P3K_NR_OTHER(P3K) Other Nursing Rehabilitation
518P4A_BED_RAILS(P4A) Full Bed Rails
519P4B_OTH_RAILS(P4B) Other Side Rails
520P4C_TRUNK_REST(P4C) Trunk Restraint
521P4D_LIMB_REST(P4D) Limb Restraint
522P4E_CHR_PRVNT_RISE(P4E) Chair Prevents Rising
523P5_HOSP_STAY(P5) Hospital Stays
524P6_ER_VISIT(P6) Emergency Room Visits
525P7_PHYS_VISIT(P7) Physician Visits
526P8_PHYS_ORDERS(P8) Physicians Orders
527P9_AB_LAB_VALUES(P9) Abnormal Lab Values
528Q1A_RES_RETURN(Q1A) Resident Wishes to Return to Community
529Q1B_SUPPORT_RES(Q1B) Resident Supported by Someone Positive Toward Discharge
530Q1C_SHORT_STAY(Q1C) Discharge within 90 Days
531Q2_OVERALL_CHG(Q2) Change in Care Needs
532R1A_ASMT_PART_RES(R1A) Resident Participated in Assessment
533R1B_ASMT_PART_FAM(R1B) Family Participation in Assessment
534R1C_ASMT_PART_SIGO(R1C) Significant Other Participation in Assessment
535R2B_COMPLETE_DT(R2B) Date Assessment Complete
536R3A_DISCHARGE_CD(R3A) Resident Discharge Disposition Code
537R3B_STATE_CD(R3B) State Code
538R4_DISCHARGE_DT(R4) Discharge Date
539T1AA_REC_THPY_DAYS(T1AA) Recreation Therapy Days
540T1AB_REC_THPY_MIN(T1AB) Recreation Therapy Minutes
541T1B_ORDER_THPY(T1B) Ordered Therapies
542T1C_THPY_DAYS(T1C) Therapy Days
543T1D_THPY_MIN(T1D) Therapy Minutes
544T2A_WALK(T2A) Furthest Distance Walked
545T2B_TIME_WALK(T2B) Time Walked
546T2C_SELF_WALK(T2C) Self Performance in Walking
547T2D_SUPORT_WALK(T2D) Walking Support Provided
548T2E_PARA_BARS(T2E) Parallel Bars Used by Resident
549T3MCARE_CALC_RUG(T3) Medicare Calculated RUG
550VA01A_DELIRIUM_TR(VA01A) Delirium Triggered
551VA01B_DELIRIUM_PC(VA01B) Delirium Care Planning Decision
552VA02A_COG_LOSS_TR(VA02A) Cognitive Loss Triggered
553VA02B_COG_LOSS_PC(VA02B) Cognitive Loss Care Planning Decision
554VA03A_VISUAL_TR(VA03A) Visual Function Triggered
555VA03B_VISUAL_PC(VA03B) Visual Function Care Planning Decision
556VA04A_COMM_TR(VA04A) Communication Triggered
557VA04B_COMM_PC(VA04B) Communication Care Planning Decision
558VA05A_ADL_TR(VA05A) ADL Functional Potential Triggered
559VA05B_ADL_PC(VA05B) ADL Functional Potential Care Planning Decision
560VA06A_INCONT_TR(VA06A) Urinary Incontinence Triggered
561VA06B_INCONT_PC(VA06B) Urinary Incontinence Care Planning Decision
562VA07A_PSYCH_TR(VA07A) Psychosocial Well-being Triggered
563VA07B_PSYCH_PC(VA07B) Psychosocial Well-being Care Planning Decision
564VA08A_MOOD_TR(VA08A) Mood State Triggered
565VA08B_MOOD_PC(VA08B) Mood State Care Planning Decision
566VA09A_BEHAVE_TR(VA09A) Behavioral Symptoms Triggered
567VA09B_BEHAVE_PC(VA09B) Behavioral Symptoms Care Planning Decision
568VA10A_ACTIV_TR(VA10A) Activities Triggered
569VA10B_ACTIV_PC(VA10B) Activities Care Planning Decision
570VA11A_FALLS_TR(VA11A) Falls Triggered
571VA11B_FALLS_PC(VA11B) Falls Care Planning Decision
572VA12A_NUTRITION_TR(VA12A) Nutritional Status Triggered
573VA12B_NUTRITION_PC(VA12B) Nutritional Status Care Planning Decision
574VA13A_FEED_TUBE_TR(VA13A) Feeding Tubes Triggered
575VA13B_FEED_TUBE_PC(VA13B) Feeding Tubes Care Planning Decision
576VA14A_DEHYDRAT_TR(VA14A) Dehydration Triggered
577VA14B_DEHYDRAT_PC(VA14B) Dehydration Care Planning Decision
578VA15A_DENTAL_TR(VA15A) Dental Care Triggered
579VA15B_DENTAL_PC(VA15B) Dental Care Care Planning Decision
580VA16A_PRS_ULCER_TR(VA16A) Pressure Ulcers Triggered
581VA16B_PRS_ULCER_PC(VA16B) Pressure Ulcers Care Planning Decision
582VA17A_DRUG_USER_TR(VA17A) Psychotropic Drug Use Triggered
583VA17B_DRUP_USER_PC(VA17B) Psychotropic Drug Use Care Planning Decision
584VA18A_RESTRAINT_TR(VA18A) Physical Restraints Triggered
585VA18B_RESTRAINT_PC(VA18B) Physical Restraints Care Planning Decision
586VB2_RAP_DT(VB2) RAP Date
587VB4_CARE_PLAN_DT(VB4) Care Planning Decision Date
588W1_NATL_PRVDR_ID(W1) National Provider ID
589W2A_INFLNZ_STUS_SW(W2A) Influenza vaccine received in facility
590W2B_INFLNZ_NOT_RCVD_RSN_ID(W2B) Reason influenza vaccine not received
591W3A_PPV_STUS_SW(W3A) Resident up to date with PPV status
592W3B_PPV_NOT_RCVD_RSN_ID(W3B) Reason PPV not received
CSV