Item Summary
ASMT_SYS_CD
TRANS_TYPE_CD
ITM_SBST_CD
ITM_SET_VRSN_CD
SPEC_VRSN_CD
CORRECTION_NUM
STATE_CD
HHA_AGENCY_ID
NATL_PRVDR_ID
SFW_ID
SFW_NAME
SFW_EMAIL_ADR
SFW_PROD_NAME
SFW_PROD_VRSN_CD
ACY_DOC_CD
CONTROL_ITEMS_FILLER
M0018_PHYSICIAN_ID
M0018_PHYSICIAN_UK
M0010_CCN
M0014_BRANCH_STATE
M0016_BRANCH_ID
M0020_PAT_ID
M0030_START_CARE_DT
M0032_ROC_DT
M0032_ROC_DT_NA
M0040_PAT_FNAME
M0040_PAT_MI
M0040_PAT_LNAME
M0040_PAT_SUFFIX
M0050_PAT_ST
M0060_PAT_ZIP
M0064_SSN
M0064_SSN_UK
M0063_MEDICARE_NUM
M0063_MEDICARE_NA
M0065_MEDICAID_NUM
M0065_MEDICAID_NA
M0069_PAT_GENDER
M0066_PAT_BIRTH_DT
M0150_CPAY_NONE
M0150_CPAY_MCARE_FFS
M0150_CPAY_MCARE_HMO
M0150_CPAY_MCAID_FFS
M0150_CPAY_MCAID_HMO
M0150_CPAY_WRKCOMP
M0150_CPAY_TITLEPGMS
M0150_CPAY_OTH_GOVT
M0150_CPAY_PRIV_INS
M0150_CPAY_PRIV_HMO
M0150_CPAY_SELFPAY
M0150_CPAY_OTHER
M0150_CPAY_UK
M0080_ASSESSOR_DISCIPLINE
M0090_INFO_COMPLETED_DT
M0100_ASSMT_REASON
M0102_PHYSN_ORDRD_SOCROC_DT
M0102_PHYSN_ORDRD_SOCROC_DT_NA
M0104_PHYSN_RFRL_DT
M0110_EPISODE_TIMING
M1000_DC_LTC_14_DA
M1000_DC_SNF_14_DA
M1000_DC_IPPS_14_DA
M1000_DC_LTCH_14_DA
M1000_DC_IRF_14_DA
M1000_DC_PSYCH_14_DA
M1000_DC_OTH_14_DA
M1000_DC_NONE_14_DA
M1005_INP_DISCHARGE_DT
M1005_INP_DSCHG_UNKNOWN
M0906_DC_TRAN_DTH_DT
A1005A
A1005B
A1005C
A1005D
A1005E
A1005X
A1005Y
A1010A
A1010B
A1010C
A1010D
A1010E
A1010F
A1010G
A1010H
A1010I
A1010J
A1010K
A1010L
A1010M
A1010N
A1010X
A1010Y
A1010Z
A1110A
A1110B
A1250A
A1250B
A1250C
A1250X
A1250Y
M2301_EMER_USE_AFTR_LAST_ASMT
M2310_ECR_MEDICATION
M2310_ECR_HYPOGLYC
M2310_ECR_OTHER
M2310_ECR_UNKNOWN
M2410_INPAT_FACILITY
M2420_DSCHRG_DISP
A2121
A2120
A2122A
A2122B
A2122C
A2122D
A2122E
A2123
A2124A
A2124B
A2124C
A2124D
A2124E
B0200
B1000
B1300
C0100
C0200
C0300A
C0300B
C0300C
C0400A
C0400B
C0400C
C0500
C1310A
C1310B
C1310C
C1310D
M1700_COG_FUNCTION
M1710_WHEN_CONFUSED
M1720_WHEN_ANXIOUS
D0150A1
D0150A2
D0150B1
D0150B2
D0150C1
D0150C2
D0150D1
D0150D2
D0150E1
D0150E2
D0150F1
D0150F2
D0150G1
D0150G2
D0150H1
D0150H2
D0150I1
D0150I2
D0160
D0700
M1740_BD_MEM_DEFICIT
M1740_BD_IMP_DECISN
M1740_BD_VERBAL
M1740_BD_PHYSICAL
M1740_BD_SOC_INAPPRO
M1740_BD_DELUSIONS
M1740_BD_NONE
M1745_BEH_PROB_FREQ
M1100_PTNT_LVG_STUTN
M2102_CARE_TYPE_SRC_ADL
M2102_CARE_TYPE_SRC_MDCTN
M2102_CARE_TYPE_SRC_PRCDR
M2102_CARE_TYPE_SRC_SPRVSN
M1800_CRNT_GROOMING
M1810_CRNT_DRESS_UPPER
M1820_CRNT_DRESS_LOWER
M1830_CRNT_BATHG
M1840_CRNT_TOILTG
M1845_CRNT_TOILTG_HYGN
M1850_CRNT_TRNSFRNG
M1860_CRNT_AMBLTN
GG0100A
GG0100B
GG0100C
GG0100D
GG0110A
GG0110B
GG0110C
GG0110D
GG0110E
GG0110Z
GG0130A1
GG0130A2
GG0130A3
GG0130A4
GG0130B1
GG0130B2
GG0130B3
GG0130B4
GG0130C1
GG0130C2
GG0130C3
GG0130C4
GG0130E1
GG0130E2
GG0130E3
GG0130F1
GG0130F2
GG0130F3
GG0130G1
GG0130G2
GG0130G3
GG0130H1
GG0130H2
GG0130H3
GG0170A1
GG0170A2
GG0170A3
GG0170A4
GG0170B1
GG0170B2
GG0170B3
GG0170B4
GG0170C_MOBILITY_SOCROC_PERF
GG0170C_MOBILITY_DSCHG_GOAL
GG0170C3
GG0170C4
GG0170D1
GG0170D2
GG0170D3
GG0170D4
GG0170E1
GG0170E2
GG0170E3
GG0170E4
GG0170F1
GG0170F2
GG0170F3
GG0170F4
GG0170G1
GG0170G2
GG0170G3
GG0170I1
GG0170I2
GG0170I3
GG0170I4
GG0170J1
GG0170J2
GG0170J3
GG0170J4
GG0170K1
GG0170K2
GG0170K3
GG0170L1
GG0170L2
GG0170L3
GG0170L4
GG0170M1
GG0170M2
GG0170M3
GG0170M4
GG0170N1
GG0170N2
GG0170N3
GG0170N4
GG0170O1
GG0170O2
GG0170O3
GG0170P1
GG0170P2
GG0170P3
GG0170Q1
GG0170Q3
GG0170Q4
GG0170R1
GG0170R2
GG0170R3
GG0170R4
GG0170RR1
GG0170RR3
GG0170S1
GG0170S2
GG0170S3
GG0170SS1
GG0170SS3
M1600_UTI
M1610_UR_INCONT
M1620_BWL_INCONT
M1630_OSTOMY
M1028_ACTV_DIAG_PVD_PAD
M1028_ACTV_DIAG_DM
M1028_ACTV_DIAG_NOA
M1021_PRIMARY_DIAG_ICD
M1021_PRIMARY_DIAG_SEVERITY
M1023_OTH_DIAG1_ICD
M1023_OTH_DIAG1_SEVERITY
M1023_OTH_DIAG2_ICD
M1023_OTH_DIAG2_SEVERITY
M1023_OTH_DIAG3_ICD
M1023_OTH_DIAG3_SEVERITY
M1023_OTH_DIAG4_ICD
M1023_OTH_DIAG4_SEVERITY
M1023_OTH_DIAG5_ICD
M1023_OTH_DIAG5_SEVERITY
M1033_HOSP_RISK_HSTRY_FALLS
M1033_HOSP_RISK_WEIGHT_LOSS
M1033_HOSP_RISK_MLTPL_HOSPZTN
M1033_HOSP_RISK_MLTPL_ED_VISIT
M1033_HOSP_RISK_MNTL_BHV_DCLN
M1033_HOSP_RISK_COMPLIANCE
M1033_HOSP_RISK_5PLUS_MDCTN
M1033_HOSP_RISK_CRNT_EXHSTN
M1033_HOSP_RISK_OTHR_RISK
M1033_HOSP_RISK_NONE_ABOVE
J0510
J0520
J0530
J1800
J1900A
J1900B
J1900C
M1400_WHEN_DYSPNEIC
M1060_HEIGHT_A
M1060_WEIGHT_B
K0520A1
K0520A4
K0520A5
K0520B1
K0520B4
K0520B5
K0520C1
K0520C4
K0520C5
K0520D1
K0520D4
K0520D5
K0520Z1
K0520Z4
K0520Z5
M1870_CRNT_FEEDING
M1306_UNHLD_STG2_PRSR_ULCR
M1307_OLDST_STG2_AT_DSCHRG
M1307_OLDST_STG2_ONST_DT
M1311_NBR_PRSULC_STG2_A1
M1311_NBR_ULC_SOCROC_STG2_A2
M1311_NBR_PRSULC_STG3_B1
M1311_NBR_ULC_SOCROC_STG3_B2
M1311_NBR_PRSULC_STG4_C1
M1311_NBR_ULC_SOCROC_STG4_C2
M1311_NSTG_DRSG_D1
M1311_NSTG_DRSG_SOCROC_D2
M1311_NSTG_CVRG_E1
M1311_NSTG_CVRG_SOCROC_E2
M1311_NSTG_DEEP_TSUE_F1
M1311_NSTG_DEEP_TSUE_SOCROC_F2
M1322_NBR_PRSULC_STG1
M1324_STG_PRBLM_ULCER
M1330_STAS_ULCR_PRSNT
M1332_NBR_STAS_ULCR
M1334_STUS_PRBLM_STAS_ULCR
M1340_SRGCL_WND_PRSNT
M1342_STUS_PRBLM_SRGCL_WND
N0415A1
N0415A2
N0415E1
N0415E2
N0415F1
N0415F2
N0415H1
N0415H2
N0415I1
N0415I2
N0415J1
N0415J2
N0415Z1
M2001_DRUG_RGMN_RVW
M2003_MDCTN_FLWP
M2005_MDCTN_INTRVTN
M2010_HIGH_RISK_DRUG_EDCTN
M2020_CRNT_MGMT_ORAL_MDCTN
M2030_CRNT_MGMT_INJCTN_MDCTN
O0110A1A
O0110A1C
O0110A2A
O0110A2C
O0110A3A
O0110A3C
O0110A10A
O0110A10C
O0110B1A
O0110B1C
O0110C1A
O0110C1C
O0110C2A
O0110C2C
O0110C3A
O0110C3C
O0110C4A
O0110C4C
O0110D1A
O0110D1C
O0110D2A
O0110D2C
O0110D3A
O0110D3C
O0110E1A
O0110E1C
O0110F1A
O0110F1C
O0110G1A
O0110G1C
O0110G2A
O0110G2C
O0110G3A
O0110G3C
O0110H1A
O0110H1C
O0110H2A
O0110H2C
O0110H3A
O0110H3C
O0110H4A
O0110H4C
O0110H10A
O0110H10C
O0110I1A
O0110I1C
O0110J1A
O0110J1C
O0110J2A
O0110J2C
O0110J3A
O0110J3C
O0110O1A
O0110O1C
O0110O2A
O0110O2C
O0110O3A
O0110O3C
O0110O4A
O0110O4C
O0110Z1A
O0110Z1C
M1041_IN_INFLNZ_SEASON
M1046_INFLNZ_RECD_CRNT_SEASON
M2200_THER_NEED_NBR
M2200_THER_NEED_NA
M2401_INTRVTN_SMRY_FALL_PRVNT
M2401_INTRVTN_SMRY_DPRSN
M2401_INTRVTN_SMRY_PAIN_MNTR
M2401_INTRVTN_SMRY_PRSULC_PRVN
M2401_INTRVTN_SMRY_PRSULC_WET
ITEM_FILLER_001
ITEM_FILLER_002
ITEM_FILLER_003
ITEM_FILLER_004
ITEM_FILLER_005
ITEM_FILLER_006
ITEM_FILLER_007
ITEM_FILLER_008
ITEM_FILLER_009
ITEM_FILLER_010
ITEM_FILLER_011
ITEM_FILLER_012
ITEM_FILLER_013
ITEM_FILLER_014
ITEM_FILLER_015
ITEM_FILLER_016
ITEM_FILLER_017
ITEM_FILLER_018
ITEM_FILLER_019
ITEM_FILLER_020
ITEM_FILLER_021
ITEM_FILLER_022
ITEM_FILLER_023
ITEM_FILLER_024
ITEM_FILLER_025
ITEM_FILLER_026
ITEM_FILLER_027
ITEM_FILLER_028
ITEM_FILLER_029
ITEM_FILLER_030
ITEM_FILLER_031
ITEM_FILLER_032
ITEM_FILLER_033
ITEM_FILLER_034
ITEM_FILLER_035
ITEM_FILLER_036
ITEM_FILLER_037
ITEM_FILLER_038
ITEM_FILLER_039
ITEM_FILLER_040
ITEM_FILLER_041
ITEM_FILLER_042
ITEM_FILLER_043
ITEM_FILLER_044
ITEM_FILLER_045
ITEM_FILLER_046
ITEM_FILLER_047
ITEM_FILLER_048
ITEM_FILLER_049
ITEM_FILLER_050
ITEM_FILLER_051
ITEM_FILLER_052
ITEM_FILLER_053
ITEM_FILLER_054
ITEM_FILLER_055
ITEM_FILLER_056
ITEM_FILLER_057
ITEM_FILLER_058
ITEM_FILLER_059
ITEM_FILLER_060
ITEM_FILLER_061
ITEM_FILLER_062
ITEM_FILLER_063
ITEM_FILLER_064
ITEM_FILLER_065
ITEM_FILLER_066
ITEM_FILLER_067
ITEM_FILLER_068
ITEM_FILLER_069
ITEM_FILLER_070
ITEM_FILLER_071
ITEM_FILLER_072
ITEM_FILLER_073
ITEM_FILLER_074
ITEM_FILLER_075
ITEM_FILLER_076
ITEM_FILLER_077
ITEM_FILLER_078
ITEM_FILLER_079
ITEM_FILLER_080
ITEM_FILLER_081
ITEM_FILLER_082
ITEM_FILLER_083
ITEM_FILLER_084
ITEM_FILLER_085
ITEM_FILLER_086
ITEM_FILLER_087
ITEM_FILLER_088
ITEM_FILLER_089
ITEM_FILLER_090
ITEM_FILLER_091
ITEM_FILLER_092
ITEM_FILLER_093
ITEM_FILLER_094
ITEM_FILLER_095
ITEM_FILLER_096
ITEM_FILLER_097
ITEM_FILLER_098
ITEM_FILLER_099
ITEM_FILLER_100
ITEM_FILLER_101
ITEM_FILLER_102
ITEM_FILLER_103
ITEM_FILLER_104
ITEM_FILLER_105
ITEM_FILLER_106
ITEM_FILLER_107
ITEM_FILLER_108
ITEM_FILLER_109
ITEM_FILLER_110
ITEM_FILLER_111
ITEM_FILLER_112
ITEM_FILLER_113
ITEM_FILLER_114
ITEM_FILLER_115
ITEM_FILLER_116
ITEM_FILLER_117
ITEM_FILLER_118
ITEM_FILLER_119
ITEM_FILLER_120
ITEM_FILLER_121
ITEM_FILLER_122
ITEM_FILLER_123
ITEM_FILLER_124
ITEM_FILLER_125
ITEM_FILLER_126
ITEM_FILLER_127
ITEM_FILLER_128
ITEM_FILLER_129
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ITEM_FILLER_131
ITEM_FILLER_132
ITEM_FILLER_133
ITEM_FILLER_134
ITEM_FILLER_135
ITEM_FILLER_136
ITEM_FILLER_137
ITEM_FILLER_138
ITEM_FILLER_139
ITEM_FILLER_140
ITEM_FILLER_141
ITEM_FILLER_142
ITEM_FILLER_143
ITEM_FILLER_144
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ITEM_FILLER_146
ITEM_FILLER_147
ITEM_FILLER_148
ITEM_FILLER_149
ITEM_FILLER_150
ITEM_FILLER_151
ITEM_FILLER_152
ITEM_FILLER_153
ITEM_FILLER_154
ITEM_FILLER_155
ITEM_FILLER_156
ITEM_FILLER_157
ITEM_FILLER_158
ITEM_FILLER_159
ITEM_FILLER_160
ITEM_FILLER_161
ITEM_FILLER_162
ITEM_FILLER_163
ITEM_FILLER_164
ITEM_FILLER_166
ITEM_FILLER_167
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ITEM_FILLER_169
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ITEM_FILLER_171
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ITEM_FILLER_173
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ITEM_FILLER_183
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ITEM_FILLER_188
ITEM_FILLER_189
ITEM_FILLER_190
ITEM_FILLER_191
ITEM_FILLER_192
ITEM_FILLER_193
ITEM_FILLER_194
ITEM_FILLER_195
ITEM_FILLER_196
ITEM_FILLER_197
ITEM_FILLER_198
ITEM_FILLER_199
ITEM_FILLER_200
ITEM_FILLER_201
ITEM_FILLER_202
ITEM_FILLER_203
ITEM_FILLER_204
ITEM_FILLER_205
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ITEM_FILLER_207
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ITEM_FILLER_209
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ITEM_FILLER_214
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ITEM_FILLER_216
ITEM_FILLER_217
ITEM_FILLER_218
ITEM_FILLER_219
ITEM_FILLER_220
ITEM_FILLER_221
ITEM_FILLER_222
ITEM_FILLER_223
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ITEM_FILLER_229
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ITEM_FILLER_231
ITEM_FILLER_232
ITEM_FILLER_233
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ITEM_FILLER_248
ITEM_FILLER_249
ITEM_FILLER_250
ITEM_FILLER_251
ITEM_FILLER_252
ITEM_FILLER_253
ITEM_FILLER_254
ASMT_ITEMS_FILLER
LEGACY_ITEMS_FILLER
CALC_FILLER_001
HHA_ASMT_INT_ID
ORIG_ASMT_INT_ID
RES_INT_ID
ASMT_EFF_DATE
FAC_INT_ID
SUBMISSION_ID
SUBMISSION_DATE
SUBMISSION_COMPLETE_DATE
SUBMITTING_USER_ID
RES_MATCH_CRITERIA
RESIDENT_AGE
BIRTHDATE_SUBM_IND
CALC_HIPPS_CODE
CALC_HIPPS_VERSION
C_CCN_NUM
C_HICN_MBI_IND
C_SSNRI_TRNSLTN_HICN_TXT
C_SSNRI_TRNSLTN_MBI_TXT
CALCULATED_ITEMS_FILLER
DATA_END_INDICATOR
CR
LF
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 06/30/2022 04:52:57 PM