Back to top
SAS NameVariable Name
1BENE_IDEncrypted 723 Beneficiary ID
2ASMT_IDEncrypted Assessment ID
3AST_BEG_VER_DTAssessment Beginning Version Date
4ASMT_CRCTN_VRSN_NUMAssessment Correction Version Number
5ASMT_END_VRSN_DTAssessment Ending Version Date
6AST_MOD_CDAssessment Modification Code
7CALC_HIPPS_CDCalculated HIPPS Code
8CREATED_DATECreated Date
9EFFECTIVE_DTEffective Date (Determines Year of Assessment)
10MCR_CMIMedicare CMI Value for RUG Group
11MCR_CODE_SETMedicare RUG CMI Set Used
12MCR_GPMedicare RUG Group
13MCR_VRMedicare RUG Version
14ORIG_ASMT_INT_IDOriginal Assessment Internal ID
15PRVDR_INT_NUMProvider Internal Number
16REC_TYPERecord Type
17RES_CHG_TIMESTAMPResident Data Update Timestamp
18RES_MATCH_CRITERIAResident Match Criteria
19SB_ASMT_INT_IDEncrypted D170SB Assessment Internal ID
20SB_SUB_REQSB Submission Requirement
21SB_SUBMSN_SQNC_NUMSB Submission Sequence Number
22SFTWR_IDSoftware ID
23SFT_VERSoftware Version
24STATE_CDState Code
25SUBMISSION_DATESubmission Date
26TRGT_DTTarget Date
27UPDATED_DTUpdated Date
28VRSN_CD1Version Code 1
29VRSN_CD2Version Code 2
30ETHNCTY_AMRCN_INDN_AK_NTV_SW(5a)Race: American Indian/Alaskan Native
31ETHNCTY_ASN_SW(5b)Race: Asian
32ETHNCTY_AFRCN_AMRCN_SW(5c)Race: Black or African American
33ETHNCTY_HSPNC_LTN_SW(5d)Ethnicity: Hispanic or Latino
34ETHNCTY_NTV_HI_PCFC_ISLNDR_SW(5e)Race: Native Hawaiian or other Pacific Islander
35ETHNCTY_WHT_SW(5f)Race: White
36ASMT_OMRA_SW(11c) OMRA Assessment
37ASMT_CLNCL_CHG_SW(11d) Clinical Change Assessment
38ASMT_STATE_RQRD_SW(11e) Assessment Required for State
39ASMT_OTHR_RSN_SW(11f) Assessment Needed Other Reasons
40PRIOR_ACUTE_CARE_ADMSN_DT(12) Prior Acute Care Admission Date
41ADMTD_FROM_CD(14a) Admitted From Code
42DSCHRG_STUS_CD(14b) Discharge Status Code
43REENTRY_FROM_CD(14c) Reentry From Code
44AA2_GENDER2(AA2) Gender
45AA3_BIRTH_DT3(AA3) Birthdate
46A5_MARITAL_STATUS4(A5) Marital Status
47AB4_PRIOR_ZIP6(AB4) ZIP Code of Pre-Hospital Residence
48AA6A_FAC_MCAID_NBR9a(AA6a) Hospital State Medicaid Provider Number
49AA6B_FAC_MCARE_NBR9b(AA6b) Hospital Medicare Provider Number
50A3A_ASMT_REF_DT10a(A3A) Assessment Reference Date
51AA8A_PRI_RFA11a(AA8a) Primary Reason for Assessment
52AA8B_SPC_RFA11b(AA8b) PPS Scheduled Assessments
53AB1_ADMSN_DT13(AB1)Admission Date
54R4_DISCHARGE_DT15(R4)Discharge Date
55A4A_REENTRY_DT16(A4a)Reentry Date
56B1_COMATOSE17(B1)Comatose
57B2A_ST_MEMORY18(B2a)Short Term Memory
58B4_DAY_DCSN_MAKING19(B4)Cognitive Skills
59C4_IS_UNDERSTOOD20(C4)Making Self Understood
60E1L_WORRIED_FACE21(E1l)Sad, Pained, Worried Facial Expressions
61E1A_NEG_STATE21a(E1a)Negative Statements
62E1B_REPEAT_QUES21b(E1b)Repetitive Questions
63E1C_REPEAT_VERB21c(E1c)Repetitive Verbalizations
64E1D_PRST_ANGER21d(E1d)Persistent Anger With Self/Others
65E1E_SELF_DEPER21e(E1e)Self Depreciation
66E1F_UNREAL_FEARS21f(E1f)Expression of Unrealistic Fears
67E1G_TERRIBLE_FEEL21g(E1g)Recurrent Statements of Terrible Future
68E1H_HLTH_COMPLAIN21h(E1h)Repetitive Health Complaints
69E1I_ANX_COMP21i(E1i)Repetitive Anxious Complaints/Concerns
70E1J_UNPLEAS_MORN21j(E1j)Unpleasant Mood in Morning
71E1K_INSOMNIA21k(E1k)Insomnia/Change in Sleeping Pattern
72E1M_CRYING21m(E1m)Crying/Tearfulness
73E1N_REPEAT_MOVES21n(E1n)Repetitive Physical Movements
74E1O_WITHDRAWN21o(E1o)Withdrawal From Activities of Interest
75E1P_LESS_INTERACT21p(E1p)Reduced Social Interaction
76E4AA_WANDERS22a(E4aA)Wandering: Frequency
77E4BA_VRBL_ABUSIVE22b(E4bA)Verbally Abusive Behavioral Symptoms: Frequency
78E4CA_PHYS_ABUSIVE22c(E4cA)Physically Abusive Behavioral Symptoms: Frequency
79E4DA_DIS_BEHAVIOR22d(E4dA)Socially Inappropriate/Disruptive Behavior: Frequency
80E4EA_RESIST_CARE22e(E4eA)Resists Care: Frequency
81G1AA_SELF_BED23aA(G1aA)Bed Mobility - Self Performance
82G1AB_SUPP_BED23aB(G1aB)Bed Mobility - Support Provided
83G1BA_SELF_TRANS23bA(G1bA)Transfer - Self Performance
84G1BB_SUPP_TRANS23bB(G1bB)Transfer - Support Provided
85G1HA_SELF_EAT23cA(G1hA)Eating - Self Performance
86G1HB_SUPP_EAT23cB(G1hB)Eating - Support Provided
87G1IA_SELF_TOILET23dA(G1iA)Toilet Use - Self Performance
88G1IB_SUPP_TOILET23dB(G1iB)Toilet Use - Support Provided
89H3A_TOILET_PLAN24a(H3a)Any Scheduled Toileting Plan
90H3B_BLADDER_TR24b(H3b)Bladder Retraining Program
91I1A_DIABETES25a(I1a)Diabetes Mellitus
92I1R_APHASIA25b(I1r)Aphasia
93I1S_CEREBRAL_PALSY25c(I1s)Cerebral Palsy
94I1V_HEMIPLEGIA25d(I1v)Hemiplegia/Hemiparesis
95I1W_M_S25e(I1w)Multiple Sclerosis
96I1Z_QUADRIPLEGIA25f(I1z)Quadriplegia
97I2E_PNEUMONIA26a(I2e)Pneumonia
98I2G_SEPTICEMIA26b(I2g)Septicemia
99J1C_DEHYDRATED27a(J1c)Dehydrated - Output Exceeds Input
100J1E_DELUSIONS27b(J1e)Delusions
101J1H_FEVER27c(J1h)Fever
102J1I_HALLUCINATIONS27d(J1i)Hallucinations
103J1J_INTERN_BLEED27e(J1j)Internal Bleeding
104J1O_VOMIT27f(J1o)Vomiting
105K3A_WEIGHT_LOSS28(K3a)Unplanned Weight Loss
106K5A_PARENTERAL_IV29a(K5a)Parenteral IV
107K5B_FEED_TUBE29b(K5b)Feeding Tube
108K6A_TOTAL_CALORIES30a(K6a)Parenteral or Enteral Intake
109K6B_FLUID_INTAKE30b(K6b)Average Fluid Intake In Last 7 Days
110M1A_STAGE_1_ULCER31a(M1a)Ulcers - Stage 1
111M1B_STAGE_2_ULCER31b(M1b)Ulcers - Stage 2
112M1C_STAGE_3_ULCER31c(M1c)Ulcers - Stage 3
113M1D_STAGE_4_ULCER31d(M1d)Ulcers - Stage 4
114M2A_PRES_ULCER32(M2a)Pressure Ulcer
115M4B_BURNS33a(M4b)Burns (Second or Third Degree)
116M4C_OPEN_LESIONS33b(M4c)Open Lesions Other Than Ulcers, Rashes, Cuts
117M4G_SURG_WOUND33c(M4g)Surgical Wounds
118M5A_RELIEF_CHAIR34a(M5a)Pressure Relieving Device(s) for Chair
119M5B_RELIEF_BED34b(M5b)Pressure Relieving Device(s) for Bed
120M5C_TURN_REPO34c(M5c)Turning/Repositioning Program
121M5D_INTER_SKIN_PROB34d(M5d)Nutrition/Hydration Intervention
122M5E_ULCER_CARE34e(M5e)Ulcer Care
123M5F_SURG_WOUND_CAR34f(M5f)Surgical Wound Care
124M5G_APP_DRESSINGS34g(M5g)Application of Dressings
125M5H_APP_MEDS34h(M5h)Application of Ointments/Medications
126M6B_INFECT_FOOT35a(M6b)Infection of the Foot
127M6C_LESIONS_FOOT35b(M6c)Open Lesions of the Foot
128M6F_DRESSINGS_FOOT35c(M6f)Application of Dressing (Foot)
129N1A_MORNING36a(N1a)Time Awake - Morning
130N1B_AFTERNOON36b(N1b)Time Awake - Afternoon
131N1C_EVENING36c(N1c)Time Awake - Evening
132O3_INJECTIONS37(O3)Injections
133P1AA_CHEMO38aa(P1aa)Special Care - Chemotherapy
134P1AB_DIALYSIS38ab(P1ab)Special Care - Dialysis
135P1AC_IV_MED38ac(P1ac)Special Care - IV Medication
136P1AG_OXYGEN38ac(P1ag)Special Care - IV Medication
137P1AH_RADIATION38ae(P1ah)Special Care - Radiation
138P1AI_SUCTION38af(P1ai)Special Care - Suctioning
139P1AJ_TRACH_CARE38ag(P1aj)Special Care - Tracheostomy Care
140P1AK_TRANSFUSION38ah(P1ak)Special Care - Transfusions
141P1AL_VENTILATOR38ai(P1al)Special Care - Ventilator or Respirator
142P1BAA_SPCH_THR_DAY38baA(P1baA)Speech Language Pathology & Audiology - Days
143P1BAB_SPCH_THR_MIN38baB(P1baB)Speech Language Pathology & Audiology - Minutes
144P1BBA_OCC_THPY_DAY38bbA(P1bbA)Occupational Therapy Days
145P1BBB_OCC_THPY_MIN38bbB(P1bbB)Occupational Therapy Minutes
146P1BCA_PHY_THPY_DAY38bcA(P1bcA)Physical Therapy Days
147P1BCB_PHY_THPY_MIN38bcB(P1bcB)Physical Therapy Minutes
148P1BDA_RES_THPY_DAY38bdA(P1bdA)Respiratory Therapy Days
149P1BDB_RES_THPY_MIN38bdB(P1bdB)Respiratory Therapy Minutes
150P3A_NR_MOTION_PASS39a(P3a)Nursing Rehab: Range of Motion (Passive)
151P3B_NR_MOTION_ACTV39b(P3b)Nursing Rehab: Range of Motion (Active)
152P3C_NR_SPLINT39c(P3c)Nursing Rehab: Splint/Brace Assistance
153P3D_NR_BED_MOBILE39d(P3d)Nursing Rehab: Bed Mobility
154P3E_NR_TRANSFER39e(P3e)Nursing Rehab: Transfer
155P3F_NR_WALKING39f(P3f)Nursing Rehab: Walking
156P3G_NR_DRESS_GROOM39g(P3g)Nursing Rehab: Dressing or Grooming
157P3H_NR_EATING39h(P3h)Nursing Rehab: Eating or Swallowing
158P3I_NR_AMPUTA_CARE39i(P3i)Nursing Rehab: Amputation/Prosthesis Care
159P3J_NR_COMMUNICAT39j(P3j)Nursing Rehab: Communication
160P7_PHYS_VISIT40(P7)Physician Visits
161P8_PHYS_ORDERS41(P8)Physician Orders
162T1B_ORDER_THPY42a(T1b)Ordered Therapies
163T1C_THPY_DAYS42b(T1c)Ordered Therapies - Days
164T1D_THPY_MIN42c(T1d)Ordered Therapies - Minutes
165T3MCARE_CALC_RUG43-Medicare (T3)Case Mix Group - Medicare
166T3STATE_CALC_RUG43-State(T3)Case Mix Group - State
167HIPPS_CD44HIPPS Code
168R2B_COMPLETE_DT45b(R2b)Signature Completion Date
CSV