| 1 | | | | |
| 2 | ASMT_ID | ASMT_ID | Encrypted Assessment ID | |
| 3 | | AST_BEG_VER_DT | Assessment Beginning Version Date | |
| 4 | | AST_END_VER_DT | Assessment Correction Version Date | |
| 5 | ASTCRRVR | AST_CORR_VER | Assessment Correction Version | |
| 6 | | AST_MOD_IND | Assessment Modification Indicator | |
| 7 | CARELOCK | CARE_LOCK | Care Planning Lock Date | |
| 8 | CRTDDT | CREATED_DATE | Created Date | |
| 9 | EFFCTVDT | EFFECTIVE_DT | Effective Date (Determines Year of Assessment) | |
| 10 | | FAC_INT_ID | Facility Internal ID | |
| 11 | MDSASIID | MDS_ASMT_INT_ID | Encrypted D20MDS Assessment Internal ID | |
| 12 | VCODE2 | VCODE2 | MDS Data Specs Version Code | |
| 13 | MDSBSQNO | MDS_SUBM_SEQ_NBR | MDS Submission Sequence Number | |
| 14 | VCODE1 | VCODE1 | MDS Version Completed Code | |
| 15 | MCD_CMI | MCD_CMI | Medicaid CMI Value for RUG Group | |
| 16 | MCDSTCD | MCD_SET_CODE | Medicaid RUG CMI Set Used | |
| 17 | MCD_GP | MCD_GP | Medicaid RUG Group | |
| 18 | MCD_VR | MCD_VR | Medicaid RUG Version | |
| 19 | MCR_CMI | MCR_CMI | Medicare CMI Value for RUG Group | |
| 20 | MCRCDST | MCR_CODE_SET | Medicare RUG CMI Set Used | |
| 21 | MCR_GP | MCR_GP | Medicare RUG Group | |
| 22 | MCR_VR | MCR_VR | Medicare RUG Version | |
| 23 | ORGSMTID | ORIG_ASMT_INT_ID | Encrypted D614Original Assessment Internal ID | |
| 24 | P_REC_DT | P_REC_DT | Previous Record Date | |
| 25 | RSCHGTS | RES_CHG_TIMESTAMP | Resident Change Timestamp | |
| 26 | RSMTCHCR | RES_MATCH_CRITERIA | Resident Match Criteria | |
| 27 | SFTW_VNDR_ID | SFTW_VNDR_ID | Software Vendor ID | |
| 28 | | SFT_VER | Software Version | |
| 29 | T3STCLRG | T3STATE_CALC_RUG | State Case Mix Group | |
| 30 | | STATE_ID | State ID | |
| 31 | | ST_PREPD_DT | State Prepared Date | |
| 32 | | SUBMISSION_DATE | Submission Date | |
| 33 | SUB_REQ | SUB_REQ | Submission Requirement | |
| 34 | TRGT_DT | TRGT_DT | Target Date | |
| 35 | UPDTDDT | UPDATED_DT | Updated Date | |
| 36 | A2 | A2_ROOM_NUM | (A2) Room Number | |
| 37 | A3A | A3A_ASMT_REF_DT | (A3A) Assessment Reference Date | |
| 38 | A4A | A4A_REENTRY_DT | (A4A) Reentry Date | |
| 39 | A4B | A4B_ADMIT_FROM | (A4B) Admitted From | |
| 40 | A5 | A5_MARITAL_STATUS | (A5) Marital Status | |
| 41 | A7A | A7A_MCAID_PER_DIEM | (A7A) Medicaid Per Diem | |
| 42 | A7B | A7B_MCARE_PER_DIEM | (A7B) Medicare Per Diem | |
| 43 | A7C | A7C_MCARE_ANC_P_A | (A7C) Medicare Ancillary Part A | |
| 44 | A7D | A7D_MCARE_ANC_P_B | (A7D) Medicare Ancillary Part B | |
| 45 | A7E | A7E_CHAMPUS_P_D | (A7E) CHAMPUS Per Diem | |
| 46 | A7F | A7F_VA_PER_DIEM | (A7F) VA Per Diem | |
| 47 | A7G | A7G_SELF_FAM_PAY | (A7G) Self/Family Pay Full Per Diem | |
| 48 | A7H | A7H_MCAID_MCARE | (A7H) Medicaid Resident Liability/Medicare Co-Pay | |
| 49 | A7I | A7I_PRIVATE_PAY | (A7I) Private Insurance Per Diem | |
| 50 | A7J | A7J_OTHER | (A7J) Other Per Diem | |
| 51 | A9A | A9A_LEGAL_GUARDIAN | (A9A) Legal Guardian | |
| 52 | A9B | A9B_OTH_LGL_OVRSGHT | (A9B) Other Legal Oversight | |
| 53 | A9C | A9C_DUR_POA_HTLCRE | (A9C) Power of Attorney/Health Care | |
| 54 | A9D | A9D_DUR_POA_FIN | (A9D) Power of Attorney/Financial | |
| 55 | A9E | A9E_FAM_MEM_RESP | (A9E) Family Member Responsible | |
| 56 | A9F | A9F_PAT_RESP_SELF | (A9F) Patient Responsible for Self | |
| 57 | A9G | A9G_NONE_ABOVE | (A9G) None of Above Legal Guardian | |
| 58 | A10A | A10A_LIVING_WILL | (A10A) Living Will | |
| 59 | A10B | A10B_NOT_RECESS | (A10B) Do Not Resuscitate | |
| 60 | A10C | A10C_NOT_HOSPTIAL | (A10C) Do Not Hospitalize | |
| 61 | A10D | A10D_ORGAN_DONATE | (A10D) Organ Donation | |
| 62 | A10E | A10E_AUTOPSY_REQ | (A10E) Autopsy Request | |
| 63 | A10F | A10F_FEED_RESTRICT | (A10F) Feeding Restrictions | |
| 64 | A10G | A10G_MED_RESTRICT | (A10G) Medication Restrictions | |
| 65 | A10H | A10H_OTH_TRT_REST | (A10H) Other Treatment Restrictions | |
| 66 | A10I | A10I_NONE_ABOVE | (A10I) None of the Above Advanced Directives | |
| 67 | AA2 | AA2_GENDER | (AA2) Gender | |
| 68 | AA3 | AA3_BIRTH_DT | (AA3) Birth Date | |
| 69 | AA4 | AA4_RACE_ETH | (AA4) Race/Ethnicity | |
| 70 | AA6A | AA6A_FAC_MCAID_NBR | (AA6A) Facility Medicaid Number | |
| 71 | AA6B | AA6B_FAC_MCARE_NBR | (AA6B) Facility Medicare Number | |
| 72 | AA8A | AA8A_PRI_RFA | (AA8A) Primary Reason for Assessment | |
| 73 | AA8B | AA8B_SPC_RFA | (AA8B) Assessment Codes for Medicare PPS State | |
| 74 | AB1 | AB1_ENTRY_DT | (AB1) Date of Entry | |
| 75 | AB2 | AB2_ADMIT_FROM | (AB2) Admitted From | |
| 76 | AB3 | AB3_LIVED_ALONE | (AB3) Lived Alone Prior to Entry | |
| 77 | AB4 | AB4_PRIOR_ZIP | (AB4) ZIP Code of Prior Primary Residence | |
| 78 | AB5A | AB5A_PRIOR_THIS_NF | (AB5A) Prior Stay in This Nursing Home | |
| 79 | AB5B | AB5B_PRIOR_OTH_NF | (AB5B) Stay in Other Nursing Home | |
| 80 | AB5C | AB5C_OTH_RF | (AB5C) Other Residential Facility | |
| 81 | AB5D | AB5D_PRIOR_PSHCH | (AB5D) MH/Psychiatric Setting | |
| 82 | AB5E | AB5E_PRIOR_MR_DD | (AB5E) MR/DD Setting | |
| 83 | AB5F | AB5F_NONE_ABOVE | (AB5F) None of Above Residential History | |
| 84 | AB6 | AB6_LIFE_OCCUP | (AB6) Lifetime Occupation | |
| 85 | AB7 | AB7_EDUCATION | (AB7) Education | |
| 86 | AB8A | AB8A_PRI_LANG | (AB8A) Language | |
| 87 | AB8B | AB8B_OTH_LANG | (AB8B) Other Language | |
| 88 | AB9 | AB9_MH_HISTORY | (AB9) Mental Health History | |
| 89 | AB10A | AB10A_MR_DD_NA | (AB10A) No MR/DD | |
| 90 | AB10B | AB10B_MR_DD_DOWNS | (AB10B) Downs Syndrome | |
| 91 | AB10C | AB10C_MR_DD_AUTISM | (AB10C) Autism | |
| 92 | AB10D | AB10D_MR_DD_EPI | (AB10D) Epilepsy | |
| 93 | AB10E | AB10E_MR_DD_OTH | (AB10E) Other Organic Condition Related to MR/DD | |
| 94 | AB10F | AB10F_MR_DD_NO_ORG | (AB10F) MR/DD with No Organic Condition | |
| 95 | AB11 | AB11_BACKGRD_CP_DT | (AB11) Background Information Completed Date | |
| 96 | AC1A | AC1A_LATE_NITE | (AC1A) Stays Up Late at Night | |
| 97 | AC1B | AC1B_NAPS | (AC1B) Naps Regularly During Day | |
| 98 | AC1C | AC1C_OUT_1_WEEK | (AC1C) Goes Out 1+ Days a Week | |
| 99 | AC1D | AC1D_STAY_BUSY | (AC1D) Stays Busy With Hobbies/Reading/Fixed Daily Routine | |
| 100 | AC1E | AC1E_TIME_ALONE | (AC1E) Spends Most of Time Alone/Watching TV | |
| 101 | AC1F | AC1F_INDEP_INDOORS | (AC1F) Moves Independently Indoors | |
| 102 | AC1G | AC1G_TOBAC_DAILY | (AC1G) Use of Tobacco Products at Least Daily | |
| 103 | AC1H | AC1H_NONE_ABOVE | (AC1H) None of Above Cycle of Daily Events | |
| 104 | AC1I | AC1I_FOOD_PREF | (AC1I) Distinct Food Preferences | |
| 105 | AC1J | AC1J_EAT_BTWN_MEAL | (AC1J) Eats Between Meals | |
| 106 | AC1K | AC1K_ALC_WKLY | (AC1K) Use of Alcoholic Beverages at Least Weekly | |
| 107 | AC1L | AC1L_NONE_ABOVE | (AC1L) None of Above Eating Patterns | |
| 108 | AC1M | AC1M_BEDCTHS_DAY | (AC1M) In Bedclothes Much of Day | |
| 109 | AC1N | AC1N_TOILET_NIGHT | (AC1N) Wakens to Toilet Most Nights | |
| 110 | AC10 | AC10_IRREG_BOWEL | (AC1O) Has Irregular Bowel Movement Pattern | |
| 111 | AC1P | AC1P_SHOWERS | (AC1P) Showers for Bathing | |
| 112 | AC1Q | AC1Q_BATH_PM | (AC1Q) Bathing in PM | |
| 113 | AC1R | AC1R_NONE_ABOVE | (AC1R) None of Above ADL Patterns | |
| 114 | AC1S | AC1S_CONTACT_REL | (AC1S) Daily Contact with Relatives/Close Friends | |
| 115 | AC1T | AC1T_ATTEND_CHURCH | (AC1T) Usually Attends Church/Temple/Synagogue | |
| 116 | AC1U | AC1U_STRNGTH_FAITH | (AC1U) Finds Strength in Faith | |
| 117 | AC1V | AC1V_ANIMAL | (AC1V) Daily Animal Companion/Presence | |
| 118 | AC1W | AC1W_GROUP_ACT | (AC1W) Involved in Group Activities | |
| 119 | AC1X | AC1X_NONE_ABOVE | (AC1X) None of Above Involvement Patterns | |
| 120 | AC1Y | AC1Y_UNKNOWN | (AC1Y) Unknown Customary Routine | |
| 121 | B1 | B1_COMATOSE | (B1) Comatose | |
| 122 | B2A | B2A_ST_MEMORY | (B2A) Short Term Memory | |
| 123 | B2B | B2B_LT_MEMORY | (B2B) Long Term Memory | |
| 124 | B3A | B3A_CURNT_SEASON | (B3A) Current Season | |
| 125 | B3B | B3B_LOC_OWN_ROOM | (B3B) Location of Own Room | |
| 126 | B3C | B3C_STAFF | (B3C) Staff Names/Faces | |
| 127 | B3D | B3D_IN_HOME | (B3D) That He/She is in Nursing Home | |
| 128 | B3E | B3E_NONE_ABOVE | (B3E) None of Above are Recalled | |
| 129 | B4 | B4_DAY_DCSN_MAKING | (B4) Daily Decision Making Skills | |
| 130 | B5A | B5A_DISTRACTED | (B5A) Easily Distracted | |
| 131 | B5B | B5B_ALTER_PERCEPT | (B5B) Altered Perception | |
| 132 | B5C | B5C_DISORG_SPEECH | (B5C) Disorganized Speech | |
| 133 | B5D | B5D_RESTLESS | (B5D) Restlessness | |
| 134 | B5E | B5E_LETHARGY | (B5E) Lethargy | |
| 135 | B5F | B5F_MENTAL_FUNC | (B5F) Varied Mental Function | |
| 136 | B6 | B6_CHANG_COG_STAT | (B6) Change in Cognitive Status | |
| 137 | C1 | C1_HEARING | (C1) Hearing | |
| 138 | C2A | C2A_HEARAID_USED | (C2A) Hearing Aid Present and Used | |
| 139 | C2B | C2B_HRAID_NOT_USE | (C2B) Hearing Aid Present and Not Used Regularly | |
| 140 | C2C | C2C_OTHER_RECPT | (C2C) Other Receptive Communication Techniques Used | |
| 141 | C2D | C2D_NONE_ABOVE | (C2D) None of Above Communication Devices | |
| 142 | C3A | C3A_SPEECH | (C3A) Speech | |
| 143 | C3B | C3B_WRITE | (C3B) Writing Messages to Express Needs | |
| 144 | C3C | C3C_SIGN_LANG | (C3C) American Sign Language/Braille | |
| 145 | C3D | C3D_GESTURES | (C3D) Signs/Gestures/Sounds | |
| 146 | C3E | C3E_COMM_BOARD | (C3E) Communication Board | |
| 147 | C3F | C3F_OTHER | (C3F) Other Mode of Expression | |
| 148 | C3G | C3G_NONE_ABOVE | (C3G) None of Above Modes of Expression | |
| 149 | C4 | C4_IS_UNDERSTOOD | (C4) Making Self Understood | |
| 150 | C5 | C5_SPEECH_CLARITY | (C5) Speech Clarity | |
| 151 | C6 | C6_UNDERSTAND_OTH | (C6) Ability to Understand Others | |
| 152 | C7 | C7_CHANGE_IN_COMM | (C7) Change in Communication/Hearing | |
| 153 | D1 | D1_VISION | (D1) Vision | |
| 154 | D2A | D2A_SIDE_VISN_PROB | (D2A) Side Vision Problems | |
| 155 | D2B | D2B_FLASHES_LIGHT | (D2B) Experiences Seeing Halos/Rings Around Light/Flashes of Light | |
| 156 | D2C | D2C_NONE_ABOVE | (D2C) None of Above Visual Limitations | |
| 157 | D3 | D3_VISUAL_APP | (D3) Visual Appliances | |
| 158 | E1A | E1A_NEG_STATE | (E1A) Negative Statements | |
| 159 | E1B | E1B_REPEAT_QUES | (E1B) Repetitive Questions | |
| 160 | E1C | E1C_REPEAT_VERB | (E1C) Repetitive Verbalizations | |
| 161 | E1D | E1D_PRST_ANGER | (E1D) Persistent Anger | |
| 162 | E1E | E1E_SELF_DEPER | (E1E) Self Depreciation | |
| 163 | E1F | E1F_UNREAL_FEARS | (E1F) Unrealistic Fears | |
| 164 | E1G | E1G_TERRIBLE_FEEL | (E1G) States Something Terrible About to Happen | |
| 165 | E1H | E1H_HLTH_COMPLAIN | (E1H) Repetitive Health Complaints | |
| 166 | E1I | E1I_ANX_COMP | (E1I) Repetitive Anxious Complaints | |
| 167 | E1J | E1J_UNPLEAS_MORN | (E1J) Unpleasant Mood | |
| 168 | E1K | E1K_INSOMNIA | (E1K) Insomnia | |
| 169 | E1L | E1L_WORRIED_FACE | (E1L) Sad Facial Expressions | |
| 170 | E1M | E1M_CRYING | (E1M) Crying | |
| 171 | E1N | E1N_REPEAT_MOVES | (E1N) Repetitive Physical Movements | |
| 172 | E1O | E1O_WITHDRAWN | (E1O) Withdrawal | |
| 173 | E1P | E1P_LESS_INTERACT | (E1P) Reduced Social Interaction | |
| 174 | E2 | E2_MOOD_PERSIST | (E2) Mood Persistance | |
| 175 | E3 | E3_MOOD_CHANGE | (E3) Change in Mood | |
| 176 | E4AA | E4AA_WANDERS | (E4AA) Wandering Frequency | |
| 177 | E4AB | E4AB_WANDERS_ALT | (E4AB) Wandering Alterability | |
| 178 | E4BA | E4BA_VRBL_ABUSIVE | (E4BA) Verbally Abusive Frequency | |
| 179 | E4BB | E4BB_VRBL_ABUS_ALT | (E4BB) Verbally Abusive Alterability | |
| 180 | E4CA | E4CA_PHYS_ABUSIVE | (E4CA) Physcially Abusive Frequency | |
| 181 | E4CB | E4CB_PHYS_ABUS_ALT | (E4CB) Physically Abusive Alterability | |
| 182 | E4DA | E4DA_DIS_BEHAVIOR | (E4DA) Socially Inappropriate Behavior Frequency | |
| 183 | E4DB | E4DB_DIS_BEHAV_ALT | (E4DB) Socially Inappropriate Behavior Alterability | |
| 184 | E4EA | E4EA_RESIST_CARE | (E4EA) Resists Care Frequency | |
| 185 | E4EB | E4EB_RESIST_ALT | (E4EB) Resists Care Alterability | |
| 186 | E5 | E5_CHANGE_BEHAVE | (E5) Change in Behavioral Symptoms | |
| 187 | F1A | F1A_ACTIVE_OTHERS | (F1A) At Ease Interacting with Others | |
| 188 | F1B | F1B_PLAN_ACTIVITY | (F1B) At Ease Doing Planned Activities | |
| 189 | F1C | F1C_SELF_ACTIVITY | (F1C) At Ease Doing Self-Initiated Activities | |
| 190 | F1D | F1D_OWN_GOALS | (F1D) Establishes Own Goals | |
| 191 | F1E | F1E_DAY_ACTIVITY | (F1E) Pursues Involvement in Life of Facility | |
| 192 | F1F | F1F_ACPT_INVITE | (F1F) Accepts Invitations Into Most Group Activities | |
| 193 | F1G | F1G_NONE_ABOVE | (F1G) None of Above Sense of Initiative | |
| 194 | F2A | F2A_CONFLICT_STAFF | (F2A) Covert/Open Conflict with Staff | |
| 195 | F2B | F2B_CONFLICT_RMMATE | (F2B) Unhappy With Roommate | |
| 196 | F2C | F2C_CONFLT_OTH_RES | (F2C) Unhappy With Residents Other Than Roommate | |
| 197 | F2D | F2D_EXPRS_ANGER | (F2D) Openly Express Conflict with Family/Friends | |
| 198 | F2E | F2E_NO_CNTCT_FAM | (F2E) Absense of Personal Contact with Family/Friends | |
| 199 | F2F | F2F_RECENT_LOSS | (F2F) Recent Loss of Close Family Member/Friend | |
| 200 | F2G | F2G_NOT_ADJUST | (F2G) Does Not Adjust Well Easily to Change in Routine | |
| 201 | F2H | F2H_NONE_ABOVE | (F2H) None of Above Unsettled Relationships | |
| 202 | F3A | F3A_PAST_ROLES | (F3A) Strong Identifications with Past Roles | |
| 203 | F3B | F3B_SADNESS | (F3B) Expresses Sadness/Anger Over Lost Roles | |
| 204 | F3C | F3C_DIFFERENCE | (F3C) Perceived Daily Routine is Very Different from Prior Pattern in Community | |
| 205 | F3D | F3D_NONE_ABOVE | (F3D) None of Above Past Roles | |
| 206 | G1AA | G1AA_SELF_BED | (G1AA) Bed Mobility Self Performance | |
| 207 | G1AB | G1AB_SUPP_BED | (G1AB) Bed Mobility Support Provided | |
| 208 | G1BA | G1BA_SELF_TRANS | (G1BA) Transfer Self Performance | |
| 209 | G1BB | G1BB_SUPP_TRANS | (G1BB) Transfer Support Provided | |
| 210 | G1CA | G1CA_SELF_WLK_RM | (G1CA) Walk In Room Self Performance | |
| 211 | G1CB | G1CB_SUPP_WLK_RM | (G1CB) Walk in Room Support Provided | |
| 212 | G1DA | G1DA_SELF_WLK_CORR | (G1DA) Walk In Corridor Self Performance | |
| 213 | G1DB | G1DB_SUPP_WLK_CORR | (G1DB) Walk in Corridor Support Provided | |
| 214 | G1EA | G1EA_SELF_LOC_UNIT | (G1EA) Locomotion on Unit Self Performance | |
| 215 | G1EB | G1EB_SUPP_LOC_UNIT | (G1EB) Locomotion on Unit Support Provided | |
| 216 | G1FA | G1FA_SELF_LOC_OFFU | (G1FA) Locomotion off Unit Self Performance | |
| 217 | G1FB | G1FB_SUPP_LOC_OFFU | (G1FB) Locomotion off Unit Support Provided | |
| 218 | G1GA | G1GA_SELF_DRESS | (G1GA) Dressing Self Performance | |
| 219 | G1GB | G1GB_SUPP_DRESS | (G1GB) Dressing Support Provided | |
| 220 | G1HA | G1HA_SELF_EAT | (G1HA) Eating Self Performance | |
| 221 | G1HB | G1HB_SUPP_EAT | (G1HB) Eating Support Provided | |
| 222 | G1IA | G1IA_SELF_TOILET | (G1IA) Toilet Use Self Performance | |
| 223 | G1IB | G1IB_SUPP_TOILET | (G1IB) Toilet Use Support Provided | |
| 224 | G1JA | G1JA_SELF_HYGIENE | (G1JA) Personal Hygiene Self Performance | |
| 225 | G1JB | G1JB_SUPP_HYGIENE | (G1JB) Personal Hygiene Support Provided | |
| 226 | G2A | G2A_BATH_SELF | (G2A) Bathing Self Performance | |
| 227 | G2B | G2B_BATH_SUPPORT | (G2B) Bathing Support | |
| 228 | G3A | G3A_BALANCE_STAND | (G3A) Balance while Standing | |
| 229 | G3B | G3B_BALANCE_SIT | (G3B) Balance while Sitting | |
| 230 | G4AA | G4AA_NECK_RANGE | (G4AA) Neck Range of Motion | |
| 231 | G4AB | G4AB_NECK_MOVE | (G4AB) Neck Voluntary Movement | |
| 232 | G4BA | G4BA_ARM_RANGE | (G4BA) Arm Range of Motion | |
| 233 | G4BB | G4BB_ARM_MOVE | (G4BB) Arm Voluntary Movement | |
| 234 | G4CA | G4CA_HAND_RANGE | (G4CA) Hand Range of Motion | |
| 235 | G4CB | G4CB_HAND_MOVE | (G4CB) Hand Voluntary Movement | |
| 236 | G4DA | G4DA_LEG_RANGE | (G4DA) Leg Range of Motion | |
| 237 | G4DB | G4DB_LEG_MOVE | (G4DB) Leg Voluntary Movement | |
| 238 | G4EA | G4EA_FOOT_RANGE | (G4EA) Foot Range of Motion | |
| 239 | G4EB | G4EB_FOOT_MOVE | (G4EB) Foot Voluntary Movement | |
| 240 | G4FA | G4FA_OTH_RANGE | (G4FA) Other Limitation of Range of Motion | |
| 241 | G4FB | G4FB_OTH_MOVE | (G4FB) Other Limitation of Voluntary Movement | |
| 242 | G5A | G5A_CANE_CRUTCH | (G5A) Cane/Walker/Crutch | |
| 243 | G5B | G5B_SELF_WHEEL | (G5B) Wheeled Self | |
| 244 | G5C | G5C_OTHER_WHEEL | (G5C) Other Person Wheeled | |
| 245 | G5D | G5D_WHEELCHAIR | (G5D) Wheelchair Primary Mode of Locomotion | |
| 246 | G5E | G5E_NONE_ABOVE | (G5E) None of Above Modes of Locomotion | |
| 247 | G6A | G6A_BEDFASAT | (G6A) Bedfast All/Most of Time | |
| 248 | G6B | G6B_USE_BEDRAILS | (G6B) Bed Rails Used for Bed Mobility/Transfer | |
| 249 | G6C | G6C_LIFTED_MAN | (G6C) Lifted Manually | |
| 250 | G6D | G6D_LIFTED_MECH | (G6D) Lifted Mechanically | |
| 251 | G6E | G6E_TRANS_AID | (G6E) Transfer Aid | |
| 252 | G6F | G6F_NONE_ABOVE | (G6F) None of Above Modes of Transfer | |
| 253 | G7 | G7_SEG_TASKS | (G7) Task Segmentation | |
| 254 | G8A | G8A_RES_INDEP | (G8A) Resident Believes he/she Capable of Increased Independence | |
| 255 | G8B | G8B_STAFF_INDEP | (G8B) Staff Believes Resident is Capable of Increased Independence | |
| 256 | G8C | G8C_SLOW | (G8C) Resident Able to Perform Tasks/Activity but is Slow | |
| 257 | G8D | G8D_ADL_DIFFERENCE | (G8D) Difference in ADL Performance Morning to Evening | |
| 258 | G8E | G8E_NONE_ABOVE | (G8E) None of Above Rehabilitation Potential | |
| 259 | G9 | G9_CHG_ADL | (G9) Change in ADL Function | |
| 260 | H1A | H1A_BOWEL_CONTRL | (H1A) Bowel Continence | |
| 261 | H1B | H1B_BLADDER_CONTROL | (H1B) Bladder Continence | |
| 262 | H2A | H2A_REG_BOWEL_MOVE | (H2A) Bowel Elimination Pattern Regular | |
| 263 | H2B | H2B_CONSTIPATION | (H2B) Constipation | |
| 264 | H2C | H2C_DIARRHEA | (H2C) Diarrhea | |
| 265 | H2D | H2D_FECAL_IMPACT | (H2D) Fecal Impaction | |
| 266 | H2E | H2E_NONE_ABOVE | (H2E) None of Above Bowel Elimination Pattern | |
| 267 | H3A | H3A_TOILET_PLAN | (H3A) Any Scheduled Toileting Plan | |
| 268 | H3B | H3B_BLADDER_TR | (H3B) Bladder Retraining Program | |
| 269 | H3C | H3C_EXTERN_CATH | (H3C) External Condom Catheter | |
| 270 | H3D | H3D_INDWELL_CATH | (H3D) Indwelling Catheter | |
| 271 | H3E | H3E_INTERMIT_CATH | (H3E) Intermittent Catheter | |
| 272 | H3F | H3F_NOT_USE_TOILET | (H3F) Did Not Use Toilet Room/Commode/Urinal | |
| 273 | H3G | H3G_PADS_USED | (H3G) Pads/Briefs Used | |
| 274 | H3H | H3H_ENEMAS | (H3H) Enemas/Irrigation | |
| 275 | H3I | H3I_OSTOMY | (H3I) Ostomy Present | |
| 276 | H3J | H3J_NONE_ABOVE | (H3J) None of Above Appliances and Programs | |
| 277 | H4 | H4_CHANGE_URINARY | (H4) Change in Urinary Continence | |
| 278 | I1A | I1A_DIABETES | (I1A) Diabetes Mellitus | |
| 279 | I1AA | I1AA_SEIZURE_DIS | (I1AA) Seizure Disorder | |
| 280 | I1B | I1B_HYPERTHYRD | (I1B) Hyperthyroidism | |
| 281 | I1BB | I1BB_ITA | (I1BB) Transient Ischemic Attack | |
| 282 | I1C | I1C_HYOTHYRD | (I1C) Hypothyroidism | |
| 283 | I1CC | I1CC_BRAIN_INJURY | (I1CC) Traumatic Brain Injury | |
| 284 | I1D | I1D_ASHD | (I1D) Arteriosclerotic Heart Disease | |
| 285 | I1DD | I1DD_ANX_DIS | (I1DD) Anxiety Disorder | |
| 286 | I1E | I1E_CARD_DYSRH | (I1E) Cardiac Dysrhythmias | |
| 287 | I1EE | I1EE_DEPRESSION | (I1EE) Depression | |
| 288 | I1F | I1F_CON_HEART_FAIL | (I1F) Congestive Heart Failure | |
| 289 | I1FF | I1FF_MANIC_DEPRES | (I1FF) Manic Depression Bipolar Disease | |
| 290 | I1G | I1G_VEIN_THROMB | (I1G) Deep Vein Thrombosis | |
| 291 | I1GG | I1GG_SCHIZO | (I1GG) Schizophrenia | |
| 292 | I1H | I1H_HYPERTENSION | (I1H) Hypertension | |
| 293 | I1HH | I1HH_ASTHMA | (I1HH) Asthma | |
| 294 | I1I | I1I_HYPOTENSION | (I1I) Hypotension | |
| 295 | I1II | I1II_COPD | (I1II) Emphysema/COPD | |
| 296 | I1J | I1J_PERI_VAC_DIS | (I1J) Peripheral Vascular Disease | |
| 297 | I1JJ | I1JJ_CATARACTS | (I1JJ) Cataracts | |
| 298 | I1K | I1K_OTH_CARDIO_DIS | (I1K) Other Cardiovascular Disease | |
| 299 | I1KK | I1KK_DIAB_RETIN | (I1KK) Diabetic Retinopathy | |
| 300 | I1L | I1L_ARTHRITIS | (I1L) Arthritis | |
| 301 | I1LL | I1LL_GLAUCOMA | (I1LL) Glaucoma | |
| 302 | I1M | I1M_HIP_FRAC | (I1M) Hip Fracture | |
| 303 | I1MM | I1MM_MACULAR_DEGN | (I1MM) Macular Degeneration | |
| 304 | I1N | I1N_MISS_LIMB | (I1N) Missing Limb | |
| 305 | I1NN | I1NN_ALLERGIES | (I1NN) Allergies | |
| 306 | I1O | I1O_OSTEOPORO | (I1O) Osteoporosis | |
| 307 | I1OO | I1OO_ANEMIA | (I1OO) Anemia | |
| 308 | I1P | I1P_PATH_BONE_FRAC | (I1P) Pathological Bone Fracture | |
| 309 | I1PP | I1PP_CANCER | (I1PP) Cancer | |
| 310 | I1Q | I1Q_ALZHEIMER | (I1Q)Alzheimers Disease | |
| 311 | I1QQ | I1QQ_RENAL_FAIL | (I1QQ) Renal Failure | |
| 312 | I1R | I1R_APHASHIA | (I1R) Aphasia | |
| 313 | I1RR | I1RR_NONE_ABOVE | (I1RR) None of Above Diseases | |
| 314 | I1S | I1S_CERERAL PALSY | (I1S) Cerebral Palsy | |
| 315 | I1T | I1T_STROKE | (I1T) Cerebrovascular Accident/Stroke | |
| 316 | I1U | I1U_DEMENTIA | (I1U) Dementia Other than Alzheimers Disease | |
| 317 | I1V | I1V_HEMIPLEGIA | (I1V) Hemiplegia/Hemiparesis | |
| 318 | I1W | I1W_M_S | (I1W) Multiple Sclerosis | |
| 319 | I1X | I1X_PARAPLEGIA | (I1X) Paraplegia | |
| 320 | I1Y | I1Y_PARKINSON | (I1Y) Parkinsons Disease | |
| 321 | I1Z | I1Z_QUADRIPLEGIA | (I1Z) Quadriplegia | |
| 322 | I2A | I2A_AB_RES_INFECT | (I2A) Antibiotic Resistant Infection | |
| 323 | I2B | I2B_CLOST_DIFF | (I2B) Clostridium Difficile | |
| 324 | I2C | I2C_CONJUNCT | (I2C) Conjunctivitis | |
| 325 | I2D | I2D_HIV | (I2D) HIV Infection | |
| 326 | I2E | I2E_PNEUMONIA | (I2E) Pneumonia | |
| 327 | I2F | I2F_RESP_INFECT | (I2F) Respiratory Infection | |
| 328 | I2G | I2G_SEPTICEMIA | (I2G) Septicemia | |
| 329 | I2H | I2H_STD | (I2H) Sexually Transmitted Diseases | |
| 330 | I2I | I2I_TUBERCULOSIS | (I2I) Tuberculosis | |
| 331 | I2J | I2J_UTI_THIRTY_DAYS | (I2J) Urinary Tract Infection | |
| 332 | I2K | I2K_VIRAL_HEP | (I2K) Viral Hepititis | |
| 333 | I2L | I2L_WOUND | (I2L) Wound Infection | |
| 334 | I2M | I2M_NONE_ABOVE | (I2M) None of Above Infections | |
| 335 | I3A | I3A_OTHR_ICD9_CD | (I3A) Other Diagnosis/ICD-9 Codes | |
| 336 | I3B | I3B_OTHR_ICD9_CD | (I3B) Other Diagnosis/ICD-9 Codes | |
| 337 | I3C | I3C_OTHR_ICD9_CD | (I3C) Other Diagnosis/ICD-9 Codes | |
| 338 | I3D | I3D_OTHR_ICD9_CD | (I3D) Other Diagnosis/ICD-9 Codes | |
| 339 | I3E | I3E_OTHR_ICD9_CD | (I3E) Other Diagnosis/ICD-9 Codes | |
| 340 | J1A | J1A_WEIGHT_CHG | (J1A) Weight Gain/Loss of 3+ Pounds | |
| 341 | J1B | J1B_NOT_LIE_FLAT | (J1B) Inability to Lie Flat Due to Shortness of Breath | |
| 342 | J1C | J1C_DEHYDRATED | (J1C) Dehydrated/Output Exceeds Input | |
| 343 | J1D | J1D_INSUFF_FLUID | (J1D) Insufficient Fluid | |
| 344 | J1E | J1E_DELUSIONS | (J1E) Delusions | |
| 345 | J1F | J1F_VERTIGO | (J1F) Dizziness/Vertigo | |
| 346 | J1G | J1G_EDEMA | (J1G) Edema | |
| 347 | J1H | J1H_FEVER | (J1H) Fever | |
| 348 | J1I | J1I_HALLUCINATIONS | (J1I) Hallucinations | |
| 349 | J1J | J1J_INTERN_BLEED | (J1J) Internal Bleeding | |
| 350 | J1K | J1K_LUNG_ASPIR | (J1K) Recurrent Lung Aspirations | |
| 351 | J1L | J1L_SHORT_BREATH | (J1L) Shortness of Breath | |
| 352 | J1M | J1M_SYNCOPE | (J1M) Syncope/Fainting | |
| 353 | J1N | J1N_UNSTEADY_GAIT | (J1N) Unsteady Gait | |
| 354 | J1O | J1O_VOMIT | (J1O) Vomiting | |
| 355 | J1P | J1P_NONE_ABOVE | (J1P) None of Above Problem Conditions | |
| 356 | J2A | J2A_PAIN_FREQUENCY | (J2A) Pain Frequency | |
| 357 | J2B | J2B_PAIN_INTENSITY | (J2B) Pain Intensity | |
| 358 | J3A | J3A_BACK_PAIN | (J3A) Back Pain | |
| 359 | J3B | J3B_BONE_PAIN | (J3B) Bone Pain | |
| 360 | J3C | J3C_CHEST_PAIN | (J3C) Chest Pain while Doing Usual Activities | |
| 361 | J3D | J3D_HEADACHE | (J3D) Headache | |
| 362 | J3E | J3E_HIP_PAIN | (J3E) Hip Pain | |
| 363 | J3F | J3F_INCISION_PAIN | (J3F) Incisional Pain | |
| 364 | J3G | J3G_JOINT_PAIN | (J3G) Joint Pain | |
| 365 | J3H | J3H_TISSUE_PAIN | (J3H) Soft Tissue Pain | |
| 366 | J3I | J3I_STOMACH_PAIN | (J3I) Stomach Pain | |
| 367 | J3J | J3J_OTHER | (J3J) Other Pain Site | |
| 368 | J4A | J4A_FELL_30_DAYS | (J4A) Fell in Past 30 Days | |
| 369 | J4B | J4B_FELL_OVR_31_DA | (J4B) Fell in Past 31-180 Days | |
| 370 | J4C | J4C_HIP_FRC_180_DA | (J4C) Hip Fracture in Last 180 Days | |
| 371 | J4D | J4D_OTH_FRC_180_DA | (J4D) Other Fracture in Last 180 Days | |
| 372 | J4E | J4E_NONE_ABOVE | (J4E) None of Above Accidents | |
| 373 | J5A | J5A_UNSTABLE_COND | (J5A) Conditions/Disease Make Residents Mood/Behavior Unstable | |
| 374 | J5B | J5B_ACUTE_EPISODE | (J5B) Resident Experiencing Episode of Recurrent/Chronic Problem | |
| 375 | J5C | J5C_END_STG_DISEAS | (J5C) End Stage Disease | |
| 376 | J5D | J5D_NONE_ABOVE | (J5D) None of Above Stability of Conditions | |
| 377 | K1A | K1A_CHEW_PROB | (K1A) Chewing Problem | |
| 378 | K1B | K1B_SWALLOW_PROB | (K1B) Swallowing Problem | |
| 379 | K1C | K1C_MOUTH_PAIN | (K1C) Mouth Pain | |
| 380 | K1D | K1D_NONE_ABOVE | (K1D) None of Above Oral Problems | |
| 381 | K2A | K2A_HEIGHT | (K2A) Height | |
| 382 | K2B | K2B_WEIGHT | (K2B) Weight | |
| 383 | K3A | K3A_WEIGHT_LOSS | (K3A) Weight Loss | |
| 384 | K3B | K3B_WEIGHT_GAIN | (K3B) Weight Gain | |
| 385 | K4A | K4A_COMP_FOOD_TAST | (K4A) Complains About the Taste of Many Foods | |
| 386 | K4B | K4B_CONSTANT_HUNGR | (K4B) Regular Complaints of Hunger | |
| 387 | K4C | K4C_NOT_EATING | (K4C) Leaves 25 percent or more Food Uneaten at Most Meals | |
| 388 | K4D | K4D_NONE_ABOVE | (K4D) None of Above Nutritional Problems | |
| 389 | K5A | K5A_PARENTERAL_IV | (K5A) Parenteral IV | |
| 390 | K5B | K5B_FEED_TUBE | (K5B) Feeding Tube | |
| 391 | K5C | K5C_MECH_DIET | (K5C) Mechanically Altered Diet | |
| 392 | K5D | K5D_SYRINGE | (K5D) Syringe Oral Feeding | |
| 393 | K5E | K5E_THERAPY_DIET | (K5E) Therapeutic Diet | |
| 394 | K5F | K5F_DIET_SUPP | (K5F) Dietary Supplement Between Meals | |
| 395 | K5G | K5G_PLATE_GRD | (K5G) Plate Guard Stabilized Built-Up Utensil Etc. | |
| 396 | K5H | K5H_WGT_PROG | (K5H) On a Planned Weight Change Program | |
| 397 | K5I | K5I_NONE_ABOVE | (K5I) None of Above Nutritional Approaches | |
| 398 | K6A | K6A_TOTAL_CALORIES | (K6A) Calories Received in Last 7 Days | |
| 399 | K6B | K6B_FLUID_INTAKE | (K6B) Fluid Intake Per Day | |
| 400 | L1A | L1A_DEBRIS_B4_BED | (L1A) Debris Present in Mouth Prior to Going to Bed | |
| 401 | L1B | L1B_DENTURES | (L1B) Has Dentures/Removable Bridge | |
| 402 | L1C | L1C_LOST_TEETH | (L1C) Some/All Natural Teeth Lost | |
| 403 | L1D | L1D_LOOSE_TEETH | (L1D) Broken/Loose/Carious Teeth | |
| 404 | L1E | L1E_INFLAMED_GUM | (L1E) Inflamed/Swollen/Bleeding Gums | |
| 405 | L1F | L1F_DAY_TEETH_CLEAN | (L1F) Daily Cleaning of Teeth/Dentures | |
| 406 | L1G | L1G_NONE_ABOVE | (L1G) None of Above Oral Status | |
| 407 | M1A | M1A_STAGE_1_ULCER | (M1A) Stage 1 Ulcers | |
| 408 | M1B | M1B_STAGE_2_ULCER | (M1B) Stage 2 Ulcers | |
| 409 | M1C | M1C_STAGE_3_ULCER | (M1C) Stage 3 Ulcers | |
| 410 | M1D | M1D_STAGE_4_ULCER | (M1D) Stage 4 Ulcers | |
| 411 | M2A | M2A_PRES_ULCER | (M2A) Pressure Ulcers | |
| 412 | M2B | M2B_STASIS_ULCER | (M2B) Stasis Ulcers | |
| 413 | M3 | M3_HIST_ULCER | (M3) History of Resolved Ulcers | |
| 414 | M4A | M4A_ABRASIONS | (M4A) Abrasions/Bruises | |
| 415 | M4B | M4B_BURNS | (M4B) Burns 2nd/3rd Degree | |
| 416 | M4C | M4C_OPEN_LESIONS | (M4C) Open Lesions Other Than Ulcers/Rashes/Cuts | |
| 417 | M4D | M4D_RASHES | (M4D) Rashes | |
| 418 | M4E | M4E_DESENSIT_SKIN | (M4E) Skin Desensitized to Pain/Pressure | |
| 419 | M4F | M4F_SKIN_TEAR_CUT | (M4F) Skin Tears/Cuts | |
| 420 | M4G | M4G_SURG_WOUND | (M4G) Surgical Wounds | |
| 421 | M4H | M4H_NONE_ABOVE | (M4H) None of Above Skin Problems | |
| 422 | M5A | M5A_RELIEF_CHAIR | (M5A) Pressure Relieving Devices for Chair | |
| 423 | M5B | M5B_RELIEF_BED | (M5B) Pressure Relieving Devices for Bed | |
| 424 | M5C | M5C_TURN_REPO | (M5C) Turning/Repositioning Program | |
| 425 | M5D | M5D_INTER_SKIN_PROB | (M5D) Nutrition/Hydration Intervention to Manage Skin Problems | |
| 426 | M5E | M5E_ULCER_CARE | (M5E) Ulcer Care | |
| 427 | M5F | M5F_SURG_WOUND_CAR | (M5F) Surgical Wound Care | |
| 428 | M5G | M5G_APP_DRESSINGS | (M5G) Application of Dressings | |
| 429 | M5H | M5H_APP_MEDS | (M5H) Application of Ointments/Medications | |
| 430 | M5I | M5I_PREVNT_SKIN_CARE | (M5I) Other Preventative or Protective Skin Care | |
| 431 | M5J | M5J_NONE_ABOVE | (M5J) None of Above Skin Treatments | |
| 432 | M6A | M6A_FOOT_PROB | (M6A) Resident Has 1 or More Foot Problems | |
| 433 | M6B | M6B_INFECT_FOOT | (M6B) Infection of Foot | |
| 434 | M6C | M6C_LESIONS_FOOT | (M6C) Open Lesions on Foot | |
| 435 | M6D | M6D_TRIMMED | (M6D) Nails/Calluses Trimmed on Foot | |
| 436 | M6E | M6E_PRVENT_FT_CARE | (M6E) Received Preventative/Protective Foot Care | |
| 437 | M6F | M6F_DRESSINGS_FOOT | (M6F) Application of Dressings to Foot | |
| 438 | M6G | M6G_NONE_ABOVE | (M6G) None of Above Foot Problems | |
| 439 | N1A | N1A_MORNING | (N1A) Morning | |
| 440 | N1B | N1B_AFTERNOON | (N1B) Afternoon | |
| 441 | N1C | N1C_EVENING | (N1C) Evening | |
| 442 | N1D | N1D_NONE_ABOVE | (N1D) None of Above Time Awake | |
| 443 | N2 | N2_TM_ACTIVITIES | (N2) Time Involved in Activities | |
| 444 | N3A | N3A_OWN_ROOM | (N3A) Prefers Own Room | |
| 445 | N3B | N3B_ACTIVITY_RM | (N3B) Prefers Day/Activity Room | |
| 446 | N3C | N3C_INSIDE_NH | (N3C) Prefers Inside NH/Off Unit | |
| 447 | N3D | N3D_OUTSIDE | (N3D) Prefers Outside Activity | |
| 448 | N3E | N3E_NONE | (N3E) None of Above Preferred Activity Settings | |
| 449 | N4A | N4A_CARDS | (N4A) Cards/Other Games | |
| 450 | N4B | N4B_CRAFTS | (N4B) Crafts/Arts | |
| 451 | N4C | N4C_SPORTS | (N4C) Exercises/Sports | |
| 452 | N4D | N4D_MUSIC | (N4D) Music | |
| 453 | N4E | N4E_READING | (N4E) Reading/Writing | |
| 454 | N4F | N4F_RELIGIOUS | (N4F) Spiritual/Religious Activities | |
| 455 | N4G | N4G_TRIPS | (N4G) Trips/Shopping | |
| 456 | N4H | N4H_WALKING | (N4H) Walking/Wheeling Outdoors | |
| 457 | N4I | N4I_TV | (N4I) Watching TV | |
| 458 | N4J | N4J_GARDENING | (N4J) Gardening or Plants | |
| 459 | N4K | N4K_TALKING | (N4K) Talking or Conversing | |
| 460 | N4L | N4L_HELPING | (N4L) Helping Others | |
| 461 | N4M | N4M_NONE_ABOVE | (N4M) None of Above Activity Preferences | |
| 462 | N5A | N5A_CHG_TYPE_ACT | (N5A) Type of Activities Currently Involved In | |
| 463 | N5B | N5B_CHG_EXTENT_ACT | (N5B) Extent of Involvement | |
| 464 | O1 | O1_NUM_MEDS | (O1) Number of Medications | |
| 465 | O2 | O2_NEW_MEDS | (O2) New Medications | |
| 466 | O3 | O3_INJECTIONS | (O3) Injections | |
| 467 | O4A | O4_ANTIPSYCHOTIC | (O4A) Antipsychotic | |
| 468 | O4B | O4B_ANTIANXIETY | (O4B) Antianxiety | |
| 469 | O4C | O4C_ANTIDEPRESS | (O4C) Antidepressant | |
| 470 | O4D | O4D_HYPNOTIC | (O4D) Hypnotic | |
| 471 | O4E | O4E_DIURETIC | (O4E) Diuretic | |
| 472 | P1AA | P1AA_CHEMO | (P1AA) Chemotherapy | |
| 473 | P1AB | P1AB_DIALYSIS | (P1AB) Dialysis | |
| 474 | P1AC | P1AC_IV_MED | (P1AC) IV Medication | |
| 475 | P1AD | P1AD_INTAKE | (P1AD) Intake/Output | |
| 476 | P1AE | P1AE_ACUTE_COND | (P1AE) Monitoring Acute Medical Condition | |
| 477 | P1AF | P1AF_OSTOMY | (P1AF) Ostomy Care | |
| 478 | P1AG | P1AG_OXYGEN | (P1AG) Oxygen Therapy | |
| 479 | P1AH | P1AH_RADIATION | (P1AH) Radiation | |
| 480 | P1AI | P1AI_SUCTION | (P1AI) Suctioning | |
| 481 | P1AJ | P1AJ_TRACH_CARE | (P1AJ) Tracheostomy Care | |
| 482 | P1AK | P1AK_TRANSFUSION | (P1AK) Transfusions | |
| 483 | P1AL | P1AL_VENTILATOR | (P1AL) Ventilator/Respirator | |
| 484 | P1AM | P1AM_ALC_ORG_TREAT | (P1AM) Alcohol/Drug Treatment Program | |
| 485 | P1AN | P1AN_ALZHEIMER | (P1AN) Alzheimers/Dementia Special Care Unit | |
| 486 | P1AO | P1AO_HOSPICE | (P1AO) Hospice Care | |
| 487 | P1AP | P1AP_PEDIATRIC | (P1AP) Pediatric Unit | |
| 488 | P1AQ | P1AQ_RESPITE | (P1AQ) Respite Care | |
| 489 | P1AR | P1AR_TRAINING | (P1AR) Training in Community Skills | |
| 490 | P1AS | P1AS_NONE_ABOVE | (P1AS) None of Above Special Treatments | |
| 491 | P1BAA | P1BAA_SPCH_THR_DAY | (P1BAA) Speech Therapy Days | |
| 492 | P1BAB | P1BAB_SPCH_THR_MIN | (P1BAB) Speech Therapy Minutes | |
| 493 | P1BBA | P1BBA_OCC_THPY_DAY | (P1BBA) Occupational Therapy Days | |
| 494 | P1BBB | P1BBB_OCC_THPY_MIN | (P1BBB) Occupational Therapy Minutes | |
| 495 | P1BCA | P1BCA_PHY_THPY_DAY | (P1BCA) Physical Therapy Days | |
| 496 | P1BCB | P1BCB_PHY_THPY_MIN | (P1BCB) Physical Therapy Minutes | |
| 497 | P1BDA | P1BDA_RES_THPY_DAY | (P1BDA) Respiratory Therapy Days | |
| 498 | P1BDB | P1BDB_RES_THPY_MIN | (P1BDB) Respiratory Therapy Minutes | |
| 499 | P1BEA | P1BEA_PSY_THPY_DAY | (P1BEA) Psychological Therapy Days | |
| 500 | P1BEB | P1BEB_PSY_THPY_MIN | (P1BEB) Psychological Therapy Minutes | |
| 501 | P2A | P2A_BEHAVIOR | (P2A) Special Behavior Symptom Evaluation Program | |
| 502 | P2B | P2B_EVALUATED | (P2B) Evaluation by Licensed Mental Health Specialist | |
| 503 | P2C | P2C_GROUP_THRPY | (P2C) Group Therapy | |
| 504 | P2D | P2D_EN_CHG_4_MOOD | (P2D) Resident-Specific Deliberate Changes in Environment | |
| 505 | P2E | P2E_REORIENT | (P2E) Reorientation | |
| 506 | P2F | P2F_NONE_ABOVE | (P2F) None of Above Intervention Programs | |
| 507 | P3A | P3A_NR_MOTION_PASS | (P3A) Passive Range of Motion | |
| 508 | P3B | P3B_NR_MOTION_ACTV | (P3B) Active Range of Motion | |
| 509 | P3C | P3C_NR_SPLINT | (P3C) Splint or Brace Assistance | |
| 510 | P3D | P3D_NR_BED_MOBILE | (P3D) Bed Mobility | |
| 511 | P3E | P3E_NR_TRANSFER | (P3E) Transfer | |
| 512 | P3F | P3F_NR_WALKING | (P3F) Walking | |
| 513 | P3G | P3G_NR_DRESS_GROOM | (P3G) Dressing/Grooming | |
| 514 | P3H | P3H_NR_EATING | (P3H) Eating/Swallowing | |
| 515 | P31 | P31_NR_AMPUTA_CARE | (P3I) Amputation/Prosthesis Care | |
| 516 | P3J | P3J_NR_COMMUNICAT | (P3J) Communication | |
| 517 | P3K | P3K_NR_OTHER | (P3K) Other Nursing Rehabilitation | |
| 518 | P4A | P4A_BED_RAILS | (P4A) Full Bed Rails | |
| 519 | P4B | P4B_OTH_RAILS | (P4B) Other Side Rails | |
| 520 | P4C | P4C_TRUNK_REST | (P4C) Trunk Restraint | |
| 521 | P4D | P4D_LIMB_REST | (P4D) Limb Restraint | |
| 522 | P4E | P4E_CHR_PRVNT_RISE | (P4E) Chair Prevents Rising | |
| 523 | P5 | P5_HOSP_STAY | (P5) Hospital Stays | |
| 524 | P6 | P6_ER_VISIT | (P6) Emergency Room Visits | |
| 525 | P7 | P7_PHYS_VISIT | (P7) Physician Visits | |
| 526 | P8 | P8_PHYS_ORDERS | (P8) Physicians Orders | |
| 527 | P9 | P9_AB_LAB_VALUES | (P9) Abnormal Lab Values | |
| 528 | Q1A | Q1A_RES_RETURN | (Q1A) Resident Wishes to Return to Community | |
| 529 | Q1B | Q1B_SUPPORT_RES | (Q1B) Resident Supported by Someone Positive Toward Discharge | |
| 530 | Q1C | Q1C_SHORT_STAY | (Q1C) Discharge within 90 Days | |
| 531 | Q2 | Q2_OVERALL_CHG | (Q2) Change in Care Needs | |
| 532 | R1A | R1A_ASMT_PART_RES | (R1A) Resident Participated in Assessment | |
| 533 | R1B | R1B_ASMT_PART_FAM | (R1B) Family Participation in Assessment | |
| 534 | R1C | R1C_ASMT_PART_SIGO | (R1C) Significant Other Participation in Assessment | |
| 535 | R2B | R2B_COMPLETE_DT | (R2B) Date Assessment Complete | |
| 536 | R3A | R3A_DISCHARGE_CD | (R3A) Resident Discharge Disposition Code | |
| 537 | R3B | R3B_STATE_CD | (R3B) State Code | |
| 538 | R4 | R4_DISCHARGE_DT | (R4) Discharge Date | |
| 539 | T1AA | T1AA_REC_THPY_DAYS | (T1AA) Recreation Therapy Days | |
| 540 | T1AB | T1AB_REC_THPY_MIN | (T1AB) Recreation Therapy Minutes | |
| 541 | T1B | T1B_ORDER_THPY | (T1B) Ordered Therapies | |
| 542 | T1C | T1C_THPY_DAYS | (T1C) Therapy Days | |
| 543 | T1D | T1D_THPY_MIN | (T1D) Therapy Minutes | |
| 544 | T2A | T2A_WALK | (T2A) Furthest Distance Walked | |
| 545 | T2B | T2B_TIME_WALK | (T2B) Time Walked | |
| 546 | T2C | T2C_SELF_WALK | (T2C) Self Performance in Walking | |
| 547 | T2D | T2D_SUPORT_WALK | (T2D) Walking Support Provided | |
| 548 | T2E | T2E_PARA_BARS | (T2E) Parallel Bars Used by Resident | |
| 549 | T3 | T3MCARE_CALC_RUG | (T3) Medicare Calculated RUG | |
| 550 | VA01A | VA01A_DELIRIUM_TR | (VA01A) Delirium Triggered | |
| 551 | VA01B | VA01B_DELIRIUM_PC | (VA01B) Delirium Care Planning Decision | |
| 552 | VA02A | VA02A_COG_LOSS_TR | (VA02A) Cognitive Loss Triggered | |
| 553 | VA02B | VA02B_COG_LOSS_PC | (VA02B) Cognitive Loss Care Planning Decision | |
| 554 | VA03A | VA03A_VISUAL_TR | (VA03A) Visual Function Triggered | |
| 555 | VA03B | VA03B_VISUAL_PC | (VA03B) Visual Function Care Planning Decision | |
| 556 | VA04A | VA04A_COMM_TR | (VA04A) Communication Triggered | |
| 557 | VA04B | VA04B_COMM_PC | (VA04B) Communication Care Planning Decision | |
| 558 | VA05A | VA05A_ADL_TR | (VA05A) ADL Functional Potential Triggered | |
| 559 | VA05B | VA05B_ADL_PC | (VA05B) ADL Functional Potential Care Planning Decision | |
| 560 | VA06A | VA06A_INCONT_TR | (VA06A) Urinary Incontinence Triggered | |
| 561 | VA06B | VA06B_INCONT_PC | (VA06B) Urinary Incontinence Care Planning Decision | |
| 562 | VA07A | VA07A_PSYCH_TR | (VA07A) Psychosocial Well-being Triggered | |
| 563 | VA07B | VA07B_PSYCH_PC | (VA07B) Psychosocial Well-being Care Planning Decision | |
| 564 | VA08A | VA08A_MOOD_TR | (VA08A) Mood State Triggered | |
| 565 | VA08B | VA08B_MOOD_PC | (VA08B) Mood State Care Planning Decision | |
| 566 | VA09A | VA09A_BEHAVE_TR | (VA09A) Behavioral Symptoms Triggered | |
| 567 | VA09B | VA09B_BEHAVE_PC | (VA09B) Behavioral Symptoms Care Planning Decision | |
| 568 | VA10A | VA10A_ACTIV_TR | (VA10A) Activities Triggered | |
| 569 | VA10B | VA10B_ACTIV_PC | (VA10B) Activities Care Planning Decision | |
| 570 | VA11A | VA11A_FALLS_TR | (VA11A) Falls Triggered | |
| 571 | VA11B | VA11B_FALLS_PC | (VA11B) Falls Care Planning Decision | |
| 572 | VA12A | VA12A_NUTRITION_TR | (VA12A) Nutritional Status Triggered | |
| 573 | VA12B | VA12B_NUTRITION_PC | (VA12B) Nutritional Status Care Planning Decision | |
| 574 | VA13A | VA13A_FEED_TUBE_TR | (VA13A) Feeding Tubes Triggered | |
| 575 | VA13B | VA13B_FEED_TUBE_PC | (VA13B) Feeding Tubes Care Planning Decision | |
| 576 | VA14A | VA14A_DEHYDRAT_TR | (VA14A) Dehydration Triggered | |
| 577 | VA14B | VA14B_DEHYDRAT_PC | (VA14B) Dehydration Care Planning Decision | |
| 578 | VA15A | VA15A_DENTAL_TR | (VA15A) Dental Care Triggered | |
| 579 | VA15B | VA15B_DENTAL_PC | (VA15B) Dental Care Care Planning Decision | |
| 580 | VA16A | VA16A_PRS_ULCER_TR | (VA16A) Pressure Ulcers Triggered | |
| 581 | VA16B | VA16B_PRS_ULCER_PC | (VA16B) Pressure Ulcers Care Planning Decision | |
| 582 | VA17A | VA17A_DRUG_USER_TR | (VA17A) Psychotropic Drug Use Triggered | |
| 583 | VA17B | VA17B_DRUP_USER_PC | (VA17B) Psychotropic Drug Use Care Planning Decision | |
| 584 | VA18A | VA18A_RESTRAINT_TR | (VA18A) Physical Restraints Triggered | |
| 585 | VA18B | VA18B_RESTRAINT_PC | (VA18B) Physical Restraints Care Planning Decision | |
| 586 | VB2 | VB2_RAP_DT | (VB2) RAP Date | |
| 587 | VB4 | VB4_CARE_PLAN_DT | (VB4) Care Planning Decision Date | |
| 588 | W1 | W1_NATL_PRVDR_ID | (W1) National Provider ID | |
| 589 | W2A | W2A_INFLNZ_STUS_SW | (W2A) Influenza vaccine received in facility | |
| 590 | W2B | W2B_INFLNZ_NOT_RCVD_RSN_ID | (W2B) Reason influenza vaccine not received | |
| 591 | W3A | W3A_PPV_STUS_SW | (W3A) Resident up to date with PPV status | |
| 592 | W3B | W3B_PPV_NOT_RCVD_RSN_ID | (W3B) Reason PPV not received | |
