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Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted 723 Beneficiary ID
2ASMT_IDASMT_IDEncrypted Assessment ID
3ASBGVRDTAST_BEG_VER_DTAssessment Beginning Version Date
4ASCRVRNOASMT_CRCTN_VRSN_NUMAssessment Correction Version Number
5ASNDVRDTASMT_END_VRSN_DTAssessment Ending Version Date
6ASTMDCDAST_MOD_CDAssessment Modification Code
7CLCHPSCDCALC_HIPPS_CDCalculated HIPPS Code
8CRTDDTCREATED_DATECreated Date
9EFFCTVDTEFFECTIVE_DTEffective Date (Determines Year of Assessment)
10MCR_CMIMCR_CMIMedicare CMI Value for RUG Group
11MCRCDSTMCR_CODE_SETMedicare RUG CMI Set Used
12MCR_GPMCR_GPMedicare RUG Group
13MCR_VRMCR_VRMedicare RUG Version
14ORGSMTIDORIG_ASMT_INT_IDEncrypted Original Assessment Internal ID
15PRVNTRNOPRVDR_INT_NUMProvider Internal Number
16REC_TYPEREC_TYPERecord Type
17RSDTCHTSRSDNT_CHG_TSResident Data Update Timestamp
18RSMTCHCRRES_MATCH_CRITERIAResident Match Criteria
19SBASTIIDSB_ASMT_INT_IDEncrypted D170SB Assessment Internal ID
20SBSUBREQSB_SUB_REQSB Submission Requirement
21SBSBSQNOSB_SUBMSN_SQNC_NUMSB Submission Sequence Number
22SFTWR_IDSFTWR_IDSoftware ID
23SFTWVRSNSFTWR_VRSNSoftware Version
24STATE_CDSTATE_CDState Code
25SUBMSNDTSUBMSN_DTSubmission Date
26TRGT_DTTRGT_DTTarget Date
27UPDTDDTUPDATED_DTUpdated Date
28VRSN_CD1VRSN_CD1Version Code 1
29VRSN_CD2VRSN_CD2Version Code 2
30_5AETHNCTY_AMRCN_INDN_AK_NTV_SW(5a)Race: American Indian/Alaskan Native
31_5BETHNCTY_ASN_SW(5b)Race: Asian
32_5CETHNCTY_AFRCN_AMRCN_SW(5c)Race: Black or African American
33_5DETHNCTY_HSPNC_LTN_SW(5d)Ethnicity: Hispanic or Latino
34_5EETHNCTY_NTV_HI_PCFC_ISLNDR_SW(5e)Race: Native Hawaiian or other Pacific Islander
35_5FETHNCTY_WHT_SW(5f)Race: White
36_11CASMT_OMRA_SW(11c) OMRA Assessment
37_11DASMT_CLNCL_CHG_SW(11d) Clinical Change Assessment
38_11EASMT_STATE_RQRD_SW(11e) Assessment Required for State
39_11FASMT_OTHR_RSN_SW(11f) Assessment Needed Other Reasons
40_12PRIOR_ACUTE_CARE_ADMSN_DT(12) Prior Acute Care Admission Date
41_14AADMTD_FROM_CD(14a) Admitted From Code
42_14BDSCHRG_STUS_CD(14b) Discharge Status Code
43_14CREENTRY_FROM_CD(14c) Reentry From Code
44AA2AA2_GENDER2(AA2) Gender
45AA3AA3_BIRTH_DT3(AA3) Birthdate
46A5A5_MARITAL_STATUS4(A5) Marital Status
47AB4AB4_PRIOR_ZIP6(AB4) ZIP Code of Pre-Hospital Residence
48AA6AAA6A_FAC_MCAID_NBR9a(AA6a) Hospital State Medicaid Provider Number
49AA6BAA6B_FAC_MCARE_NBR9b(AA6b) Hospital Medicare Provider Number
50A3AA3A_ASMT_REF_DT10a(A3A) Assessment Reference Date
51AA8AAA8A_PRI_RFA11a(AA8a) Primary Reason for Assessment
52AA8BAA8B_SPC_RFA11b(AA8b) PPS Scheduled Assessments
53AB1AB1_ADMSN_DT13(AB1)Admission Date
54R4R4_DISCHARGE_DT15(R4)Discharge Date
55A4AA4A_REENTRY_DT16(A4a)Reentry Date
56B1B1_COMATOSE17(B1)Comatose
57B2AB2A_ST_MEMORY18(B2a)Short Term Memory
58B4B4_DAY_DCSN_MAKING19(B4)Cognitive Skills
59C4C4_IS_UNDERSTOOD20(C4)Making Self Understood
60E1LE1L_WORRIED_FACE21(E1l)Sad, Pained, Worried Facial Expressions
61E1AE1A_NEG_STATE21a(E1a)Negative Statements
62E1BE1B_REPEAT_QUES21b(E1b)Repetitive Questions
63E1CE1C_REPEAT_VERB21c(E1c)Repetitive Verbalizations
64E1DE1D_PRST_ANGER21d(E1d)Persistent Anger With Self/Others
65E1EE1E_SELF_DEPER21e(E1e)Self Depreciation
66E1FE1F_UNREAL_FEARS21f(E1f)Expression of Unrealistic Fears
67E1GE1G_TERRIBLE_FEEL21g(E1g)Recurrent Statements of Terrible Future
68E1HE1H_HLTH_COMPLAIN21h(E1h)Repetitive Health Complaints
69E1IE1I_ANX_COMP21i(E1i)Repetitive Anxious Complaints/Concerns
70E1JE1J_UNPLEAS_MORN21j(E1j)Unpleasant Mood in Morning
71E1KE1K_INSOMNIA21k(E1k)Insomnia/Change in Sleeping Pattern
72E1ME1M_CRYING21m(E1m)Crying/Tearfulness
73E1NE1N_REPEAT_MOVES21n(E1n)Repetitive Physical Movements
74E1OE1O_WITHDRAWN21o(E1o)Withdrawal From Activities of Interest
75E1PE1P_LESS_INTERACT21p(E1p)Reduced Social Interaction
76E4AAE4AA_WANDERS22a(E4aA)Wandering: Frequency
77E4BAE4BA_VRBL_ABUSIVE22b(E4bA)Verbally Abusive Behavioral Symptoms: Frequency
78E4CAE4CA_PHYS_ABUSIVE22c(E4cA)Physically Abusive Behavioral Symptoms: Frequency
79E4DAE4DA_DIS_BEHAVIOR22d(E4dA)Socially Inappropriate/Disruptive Behavior: Frequency
80E4EAE4EA_RESIST_CARE22e(E4eA)Resists Care: Frequency
81G1AAG1AA_SELF_BED23aA(G1aA)Bed Mobility - Self Performance
82G1ABG1AB_SUPP_BED23aB(G1aB)Bed Mobility - Support Provided
83G1BAG1BA_SELF_TRANS23bA(G1bA)Transfer - Self Performance
84G1BBG1BB_SUPP_TRANS23bB(G1bB)Transfer - Support Provided
85G1HAG1HA_SELF_EAT23cA(G1hA)Eating - Self Performance
86G1HBG1HB_SUPP_EAT23cB(G1hB)Eating - Support Provided
87G1IAG1IA_SELF_TOILET23dA(G1iA)Toilet Use - Self Performance
88G1IBG1IB_SUPP_TOILET23dB(G1iB)Toilet Use - Support Provided
89H3AH3A_TOILET_PLAN24a(H3a)Any Scheduled Toileting Plan
90H3BH3B_BLADDER_TR24b(H3b)Bladder Retraining Program
91I1AI1A_DIABETES25a(I1a)Diabetes Mellitus
92I1RI1R_APHASIA25b(I1r)Aphasia
93I1SI1S_CEREBRAL_PALSY25c(I1s)Cerebral Palsy
94I1VI1V_HEMIPLEGIA25d(I1v)Hemiplegia/Hemiparesis
95I1WI1W_M_S25e(I1w)Multiple Sclerosis
96I1ZI1Z_QUADRIPLEGIA25f(I1z)Quadriplegia
97I2EI2E_PNEUMONIA26a(I2e)Pneumonia
98I2GI2G_SEPTICEMIA26b(I2g)Septicemia
99J1CJ1C_DEHYDRATED27a(J1c)Dehydrated - Output Exceeds Input
100J1EJ1E_DELUSIONS27b(J1e)Delusions
101J1HJ1H_FEVER27c(J1h)Fever
102J1IJ1I_HALLUCINATIONS27d(J1i)Hallucinations
103J1JJ1J_INTERN_BLEED27e(J1j)Internal Bleeding
104J1OJ1O_VOMIT27f(J1o)Vomiting
105K3AK3A_WEIGHT_LOSS28(K3a)Unplanned Weight Loss
106K5AK5A_PARENTERAL_IV29a(K5a)Parenteral IV
107K5BK5B_FEED_TUBE29b(K5b)Feeding Tube
108K6AK6A_TOTAL_CALORIES30a(K6a)Parenteral or Enteral Intake
109K6BK6B_FLUID_INTAKE30b(K6b)Average Fluid Intake In Last 7 Days
110M1AM1A_STAGE_1_ULCER31a(M1a)Ulcers - Stage 1
111M1BM1B_STAGE_2_ULCER31b(M1b)Ulcers - Stage 2
112M1CM1C_STAGE_3_ULCER31c(M1c)Ulcers - Stage 3
113M1DM1D_STAGE_4_ULCER31d(M1d)Ulcers - Stage 4
114M2AM2A_PRES_ULCER32(M2a)Pressure Ulcer
115M4BM4B_BURNS33a(M4b)Burns (Second or Third Degree)
116M4CM4C_OPEN_LESIONS33b(M4c)Open Lesions Other Than Ulcers, Rashes, Cuts
117M4GM4G_SURG_WOUND33c(M4g)Surgical Wounds
118M5AM5A_RELIEF_CHAIR34a(M5a)Pressure Relieving Device(s) for Chair
119M5BM5B_RELIEF_BED34b(M5b)Pressure Relieving Device(s) for Bed
120M5CM5C_TURN_REPO34c(M5c)Turning/Repositioning Program
121M5DM5D_INTER_SKIN_PROB34d(M5d)Nutrition/Hydration Intervention
122M5EM5E_ULCER_CARE34e(M5e)Ulcer Care
123M5FM5F_SURG_WOUND_CAR34f(M5f)Surgical Wound Care
124M5GM5G_APP_DRESSINGS34g(M5g)Application of Dressings
125M5HM5H_APP_MEDS34h(M5h)Application of Ointments/Medications
126M6BM6B_INFECT_FOOT35a(M6b)Infection of the Foot
127M6CM6C_LESIONS_FOOT35b(M6c)Open Lesions of the Foot
128M6FM6F_DRESSINGS_FOOT35c(M6f)Application of Dressing (Foot)
129N1AN1A_MORNING36a(N1a)Time Awake - Morning
130N1BN1B_AFTERNOON36b(N1b)Time Awake - Afternoon
131N1CN1C_EVENING36c(N1c)Time Awake - Evening
132O3O3_INJECTIONS37(O3)Injections
133P1AAP1AA_CHEMO38aa(P1aa)Special Care - Chemotherapy
134P1ABP1AB_DIALYSIS38ab(P1ab)Special Care - Dialysis
135P1ACP1AC_IV_MED38ac(P1ac)Special Care - IV Medication
136P1AGP1AG_OXYGEN38ac(P1ag)Special Care - IV Medication
137P1AHP1AH_RADIATION38ae(P1ah)Special Care - Radiation
138P1AIP1AI_SUCTION38af(P1ai)Special Care - Suctioning
139P1AJP1AJ_TRACH_CARE38ag(P1aj)Special Care - Tracheostomy Care
140P1AKP1AK_TRANSFUSION38ah(P1ak)Special Care - Transfusions
141P1ALP1AL_VENTILATOR38ai(P1al)Special Care - Ventilator or Respirator
142P1BAAP1BAA_SPCH_THR_DAY38baA(P1baA)Speech Language Pathology & Audiology - Days
143P1BABP1BAB_SPCH_THR_MIN38baB(P1baB)Speech Language Pathology & Audiology - Minutes
144P1BBAP1BBA_OCC_THPY_DAY38bbA(P1bbA)Occupational Therapy Days
145P1BBBP1BBB_OCC_THPY_MIN38bbB(P1bbB)Occupational Therapy Minutes
146P1BCAP1BCA_PHY_THPY_DAY38bcA(P1bcA)Physical Therapy Days
147P1BCBP1BCB_PHY_THPY_MIN38bcB(P1bcB)Physical Therapy Minutes
148P1BDAP1BDA_RES_THPY_DAY38bdA(P1bdA)Respiratory Therapy Days
149P1BDBP1BDB_RES_THPY_MIN38bdB(P1bdB)Respiratory Therapy Minutes
150P3AP3A_NR_MOTION_PASS39a(P3a)Nursing Rehab: Range of Motion (Passive)
151P3BP3B_NR_MOTION_ACTV39b(P3b)Nursing Rehab: Range of Motion (Active)
152P3CP3C_NR_SPLINT39c(P3c)Nursing Rehab: Splint/Brace Assistance
153P3DP3D_NR_BED_MOBILE39d(P3d)Nursing Rehab: Bed Mobility
154P3EP3E_NR_TRANSFER39e(P3e)Nursing Rehab: Transfer
155P3FP3F_NR_WALKING39f(P3f)Nursing Rehab: Walking
156P3GP3G_NR_DRESS_GROOM39g(P3g)Nursing Rehab: Dressing or Grooming
157P3HP3H_NR_EATING39h(P3h)Nursing Rehab: Eating or Swallowing
158P3IP3I_NR_AMPUTA_CARE39i(P3i)Nursing Rehab: Amputation/Prosthesis Care
159P3JP3J_NR_COMMUNICAT39j(P3j)Nursing Rehab: Communication
160P7P7_PHYS_VISIT40(P7)Physician Visits
161P8P8_PHYS_ORDERS41(P8)Physician Orders
162T1BT1B_ORDER_THPY42a(T1b)Ordered Therapies
163T1CT1C_THPY_DAYS42b(T1c)Ordered Therapies - Days
164T1DT1D_THPY_MIN42c(T1d)Ordered Therapies - Minutes
165T3MDCRT3MCARE_CALC_RUG43-Medicare (T3)Case Mix Group - Medicare
166T3STATET3STATE_CALC_RUG43-State(T3)Case Mix Group - State
167HIPPS_CDHIPPS_CD44HIPPS Code
168R2BR2B_COMPLETE_DT45b(R2b)Signature Completion Date
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