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Property Specification
Data System OASIS
Data Specs V3.01.1
Edit Type Format
Severity Fatal
Edit Text VALUES OF CODE AND CHECKLIST ITEMS
Only the coded values listed in the "Item Values" table of the Detailed Data Specifications Report may be submitted for this item.
Version Notes [V3.01.0]-Removed mappings to the goal items for GG0130 and GG0170, M0110_EPISODE_TIMING and M2200_THER_NEED_NA, since those items were deleted. Added mapping to new item O0350.

Item List
Item ID Description
ASMT_SYS_CD Assessment system code
TRANS_TYPE_CD Transaction type code
ITM_SBST_CD Item subset code
STATE_CD Agency"s state postal code
M0018_PHYSICIAN_UK Attending physician NPI: Unknown
M0014_BRANCH_STATE Branch state
M0032_ROC_DT_NA No resumption of care date
M0050_PAT_ST Patient state of residence
M0064_SSN_UK No Social Security number
M0063_MEDICARE_NA No Medicare number
M0065_MEDICAID_NA No Medicaid number
M0069_PAT_GENDER Gender
M0150_CPAY_NONE Payment sources: no charge for current services
M0150_CPAY_MCARE_FFS Payment sources: Medicare fee-for-service
M0150_CPAY_MCARE_HMO Payment sources: Medicare HMO/managed care
M0150_CPAY_MCAID_FFS Payment sources: Medicaid fee-for-service
M0150_CPAY_MCAID_HMO Payment sources: Medicaid HMO/managed care
M0150_CPAY_WRKCOMP Payment sources: worker"s compensation
M0150_CPAY_TITLEPGMS Payment sources: title programs
M0150_CPAY_OTH_GOVT Payment sources: other government
M0150_CPAY_PRIV_INS Payment sources: private insurance
M0150_CPAY_PRIV_HMO Payment sources: private HMO/managed care
M0150_CPAY_SELFPAY Payment sources: self-pay
M0150_CPAY_OTHER Payment sources: other
M0150_CPAY_UK Payment sources: unknown
M0080_ASSESSOR_DISCIPLINE Discipline of person completing assessment
M0100_ASSMT_REASON Reason for assessment
M0102_PHYSN_ORDRD_SOCROC_DT_NA Physician ordered SOC/ROC date - NA
M1000_DC_LTC_14_DA Past 14 days: disch from LTC NH
M1000_DC_SNF_14_DA Past 14 days: disch from skilled nursing facility
M1000_DC_IPPS_14_DA Past 14 days: disch from short stay acute hospital
M1000_DC_LTCH_14_DA Past 14 days: disch from long term care hospital
M1000_DC_IRF_14_DA Past 14 days: disch from inpatient rehab facility
M1000_DC_PSYCH_14_DA Past 14 days: disch from psych hospital or unit
M1000_DC_OTH_14_DA Past 14 days: disch from other
M1000_DC_NONE_14_DA Past 14 days: not disch from inpatient facility
M1005_INP_DSCHG_UNKNOWN Inpatient discharge date unknown
A1005A Ethnicity: No, Not Hispanic, Latino/a, Spanish
A1005B Ethnicity: Yes, Mex, Mex Amer, Chicano/a
A1005C Ethnicity: Yes, Puerto Rican
A1005D Ethnicity: Yes, Cuban
A1005E Ethnicity: Yes, Another Hispanic/Latino/Spanish
A1005X Ethnicity: Patient unable to respond
A1005Y Ethnicity: Patient declines to respond
A1010A Race: White
A1010B Race: Black or African American
A1010C Race: American Indian or Alaska Native
A1010D Race: Asian Indian
A1010E Race: Chinese
A1010F Race: Filipino
A1010G Race: Japanese
A1010H Race: Korean
A1010I Race: Vietnamese
A1010J Race: Other Asian
A1010K Race: Native Hawaiian
A1010L Race: Guamanian or Chamorro
A1010M Race: Samoan
A1010N Race: Other Pacific Islander
A1010X Race: Patient unable to respond
A1010Y Race: Patient declines to respond
A1010Z Race: None of the above
A1110B Do you need or want an interpreter
A1250A Transportation: Yes, medical
A1250B Transportation: Yes, non-medical
A1250C Transportation: No
A1250X Transportation: Patient unable to respond
A1250Y Transportation: Patient declines to respond
M2301_EMER_USE_AFTR_LAST_ASMT Emergent care: use since most recent SOC/ROC
M2310_ECR_MEDICATION Emergent care reason: medication
M2310_ECR_HYPOGLYC Emergent care reason: hypoglycemia/hyperglycemia
M2310_ECR_OTHER Emergent care reason: other than above
M2310_ECR_UNKNOWN Emergent care reason: unknown
M2410_INPAT_FACILITY Inpatient facility
M2420_DSCHRG_DISP Discharge disposition
A2121 Current Reconciled Medication List - Prvdr (Dis)
A2120 Current Reconciled Medication List - Prvdr (Tra)
A2122A Provider Trans - Electronic Health Record
A2122B Provider Trans - Health Info Exchange
A2122C Provider Trans - Verbal
A2122D Provider Trans - Paper-based
A2122E Provider Trans - Other Methods
A2123 Current Reconciled Medication List - Ptnt (Dis)
A2124A Patient Trans - Electronic Health Record
A2124B Patient Trans - Health Info Exchange
A2124C Patient Trans - Verbal
A2124D Patient Trans - Paper-based
A2124E Patient Trans - Other Methods
B0200 Hearing
B1000 Vision
B1300 Health Literacy
C0100 Brief Interview for Mental Status
C0200 Repetition of three words
C0300A Temporal Orientation: Able to report correct year
C0300B Temporal Orientation: Able to report correct month
C0300C Temporal Orientation: Able to report correct day
C0400A Recall: Able to recall "sock"
C0400B Recall: Able to recall "blue"
C0400C Recall: Able to recall "bed"
C1310A Delirium: Acute Onset Mental Status Change
C1310B Delirium: Inattention
C1310C Delirium: Disorganized thinking
C1310D Delirium: Altered level of consciousness
M1700_COG_FUNCTION Cognitive functioning
M1710_WHEN_CONFUSED When confused (reported or observed)
M1720_WHEN_ANXIOUS When anxious (reported or observed)
D0150A1 Mood: Little interest/pleasure doing things: Pres
D0150A2 Mood: Little interest/pleasure doing things: Freq
D0150B1 Mood: Feeling down, depressed, or hopeless: Pres
D0150B2 Mood: Feeling down, depressed, or hopeless: Freq
D0150C1 Mood: Trouble falling or staying asleep: Pres
D0150C2 Mood: Trouble falling or staying asleep: Freq
D0150D1 Mood: Feeling tired or having little energy: Pres
D0150D2 Mood: Feeling tired or having little energy: Freq
D0150E1 Mood: Poor appetite or overeating: Pres
D0150E2 Mood: Poor appetite or overeating: Freq
D0150F1 Mood: Feeling bad about yourself: Pres
D0150F2 Mood: Feeling bad about yourself: Freq
D0150G1 Mood: Trouble concentrating on things: Pres
D0150G2 Mood: Trouble concentrating on things: Freq
D0150H1 Mood: Moving or speaking so slowly: Pres
D0150H2 Mood: Moving or speaking so slowly: Freq
D0150I1 Mood: Thoughts of better off dead: Pres
D0150I2 Mood: Thoughts of better off dead: Freq
D0700 Social Isolation
M1740_BD_MEM_DEFICIT Behavior demonstrated: memory deficit
M1740_BD_IMP_DECISN Behavior demonstrated: impaired decision-making
M1740_BD_VERBAL Behavior demonstrated: verbal disruption
M1740_BD_PHYSICAL Behavior demonstrated: physical aggression
M1740_BD_SOC_INAPPRO Behavior demonstrated: socially inappropriate
M1740_BD_DELUSIONS Behavior demonstrated: delusions
M1740_BD_NONE Behavior demonstrated: none of the above
M1745_BEH_PROB_FREQ Frequency of behavior problems
M1100_PTNT_LVG_STUTN Patient living situation
M2102_CARE_TYPE_SRC_ADL Care mgmt, types/sources: ADL
M2102_CARE_TYPE_SRC_MDCTN Care mgmt, types/sources: med admin
M2102_CARE_TYPE_SRC_PRCDR Care mgmt, types/sources: med procs tx
M2102_CARE_TYPE_SRC_SPRVSN Care mgmt, types/sources: supervision and safety
M1800_CRNT_GROOMING Current: grooming
M1810_CRNT_DRESS_UPPER Current: dress upper body
M1820_CRNT_DRESS_LOWER Current: dress lower body
M1830_CRNT_BATHG Current: bathing
M1840_CRNT_TOILTG Current: toileting
M1845_CRNT_TOILTG_HYGN Current: toileting hygiene
M1850_CRNT_TRNSFRNG Current: transferring
M1860_CRNT_AMBLTN Current: ambulation
GG0100A Prior Function - Self Care
GG0100B Prior Function - Indoor Mobility (Ambulation)
GG0100C Prior Function - Stairs
GG0100D Prior Function - Functional Cognition
GG0110A Prior Device - Manual wheelchair
GG0110B Prior Device - Motorized wheelchair and/or scooter
GG0110C Prior Device - Mechanical lift
GG0110D Prior Device - Walker
GG0110E Prior Device - Orthotics/Prosthetics
GG0110Z Prior Device - None of the above
GG0130A1 Eating (SOC/ROC Perf)
GG0130A3 Eating (Dischg Perf)
GG0130A4 Eating (Follow-Up Perf)
GG0130B1 Oral Hygiene (SOC/ROC Perf)
GG0130B3 Oral Hygiene (Dschrg Perf)
GG0130B4 Oral Hygiene (Follow-Up Perf)
GG0130C1 Toileting hygiene (SOC/ROC Perf)
GG0130C3 Toileting hygiene (Dschrg Perf)
GG0130C4 Toileting hygiene (Follow-Up Perf)
GG0130E1 Shower/bathe self (SOC/ROC Perf)
GG0130E3 Shower/bathe self (Dschrg Perf)
GG0130F1 Upper body dressing (SOC/ROC Perf)
GG0130F3 Upper body dressing (Dschrg Perf)
GG0130G1 Lower body dressing (SOC/ROC Perf)
GG0130G3 Lower body dressing (Dschrg Perf)
GG0130H1 Put on/take off footwear (SOC/ROC Perf)
GG0130H3 Put on/take off footwear (Dschrg Perf)
GG0170A1 Roll left and right (SOC/ROC Perf)
GG0170A3 Roll left and right (Dschrg Perf)
GG0170A4 Roll left and right (Follow-Up Perf)
GG0170B1 Sit to lying (SOC/ROC Perf)
GG0170B3 Sit to lying (Dschrg Perf)
GG0170B4 Sit to lying (Follow-Up Perf)
GG0170C_MOBILITY_SOCROC_PERF Lying to sitting on bed side (SOC/ROC Perf)
GG0170C3 Lying to sitting on bed side (Dschrg Perf)
GG0170C4 Lying to sitting on bed side (Follow-Up Perf)
GG0170D1 Sit to stand (SOC/ROC Perf)
GG0170D3 Sit to stand (Dschrg Perf)
GG0170D4 Sit to stand (Follow-Up Perf)
GG0170E1 Chair/bed-to-chair transfer (SOC/ROC Perf)
GG0170E3 Chair/bed-to-chair transfer (Dschrg Perf)
GG0170E4 Chair/bed-to-chair transfer (Follow-Up Perf)
GG0170F1 Toilet transfer (SOC/ROC Perf)
GG0170F3 Toilet transfer (Dschrg Perf)
GG0170F4 Toilet transfer (Follow-Up Perf)
GG0170G1 Car transfer (SOC/ROC Perf)
GG0170G3 Car transfer (Dschrg Perf)
GG0170I1 Walk 10 feet (SOC/ROC Perf)
GG0170I3 Walk 10 feet (Dschrg Perf)
GG0170I4 Walk 10 feet (Follow-Up Perf)
GG0170J1 Walk 50 feet with two turns (SOC/ROC Perf)
GG0170J3 Walk 50 feet with two turns (Dschrg Perf)
GG0170J4 Walk 50 feet with two turns (Follow-Up Perf)
GG0170K1 Walk 150 feet (SOC/ROC Perf)
GG0170K3 Walk 150 feet (Dschrg Perf)
GG0170L1 Walking 10 feet uneven surf (SOC/ROC Perf)
GG0170L3 Walking 10 feet uneven surf (Dschrg Perf)
GG0170L4 Walking 10 feet uneven surf (Follow-Up Perf)
GG0170M1 1 step (curb) (SOC/ROC Perf)
GG0170M3 1 step (curb) (Dschrg Perf)
GG0170M4 1 step (curb) (Follow-Up Perf)
GG0170N1 4 steps (SOC/ROC Perf)
GG0170N3 4 steps (Dschrg Perf)
GG0170N4 4 steps (Follow-Up Perf)
GG0170O1 12 steps (SOC/ROC Perf)
GG0170O3 12 steps (Dschrg Perf)
GG0170P1 Picking up object (SOC/ROC Perf)
GG0170P3 Picking up object (Dschrg Perf)
GG0170Q1 Use wheelchair and/or scooter (SOC/ROC Perf)
GG0170Q3 Use wheelchair and/or scooter (Dschrg Perf)
GG0170Q4 Use wheelchair and/or scooter (Follow-Up Perf)
GG0170R1 Wheel 50 feet with two turns (SOC/ROC Perf)
GG0170R3 Wheel 50 feet with two turns (Dschrg Perf)
GG0170R4 Wheel 50 feet with two turns (Follow-Up Perf)
GG0170RR1 Type of wheelchair or scooter (SOC/ROC Perf)
GG0170RR3 Type of wheelchair or scooter (Dschg Perf)
GG0170S1 Wheel 150 feet (SOC/ROC Perf)
GG0170S3 Wheel 150 feet (Dschrg Perf)
GG0170SS1 Type of wheelchair or scooter (SOC/ROC Perf)
GG0170SS3 Type of wheelchair or scooter (Dschrg Perf)
M1600_UTI Treated for urinary tract infection past 14 days
M1610_UR_INCONT Urinary incontinence or urinary catheter present
M1620_BWL_INCONT Bowel incontinence frequency
M1630_OSTOMY Ostomy for bowel elimination
M1028_ACTV_DIAG_PVD_PAD Active Diagnoses - PVD or PAD
M1028_ACTV_DIAG_DM Active Diagnoses - Diabetes Mellitus
M1028_ACTV_DIAG_NOA Active Diagnoses - None of the above
M1021_PRIMARY_DIAG_SEVERITY Primary diagnosis severity rating
M1023_OTH_DIAG1_SEVERITY Other diagnosis 1: severity rating
M1023_OTH_DIAG2_SEVERITY Other diagnosis 2: severity rating
M1023_OTH_DIAG3_SEVERITY Other diagnosis 3: severity rating
M1023_OTH_DIAG4_SEVERITY Other diagnosis 4: severity rating
M1023_OTH_DIAG5_SEVERITY Other diagnosis 5: severity rating
M1033_HOSP_RISK_HSTRY_FALLS Hosp risk: 2+ falls or injury fall in past year
M1033_HOSP_RISK_WEIGHT_LOSS Hosp risk: unintentional weight loss
M1033_HOSP_RISK_MLTPL_HOSPZTN Hosp risk: 2+ hospitalizations in past 6 months
M1033_HOSP_RISK_MLTPL_ED_VISIT Hosp risk: 2+ emergcy dept visits in past 6 months
M1033_HOSP_RISK_MNTL_BHV_DCLN Hosp risk: decline mental/emotional/behav status
M1033_HOSP_RISK_COMPLIANCE Hosp risk: difficulty with medical instructions
M1033_HOSP_RISK_5PLUS_MDCTN Hosp risk: taking five or more medications
M1033_HOSP_RISK_CRNT_EXHSTN Hosp risk: current exhaustion
M1033_HOSP_RISK_OTHR_RISK Hosp risk: other risk(s) not listed
M1033_HOSP_RISK_NONE_ABOVE Hosp risk: none of the above
J0510 Pain effect on sleep
J0520 Pain interference with therapy activities
J0530 Pain interference with day-to-day activities
J1800 Falls since SOC/ROC: any falls
J1900A Num falls since SOC/ROC: no injury
J1900B Num falls since SOC/ROC: injury (except major)
J1900C Num falls since SOC/ROC: major injury
M1400_WHEN_DYSPNEIC When dyspneic
K0520A1 Nutritional Approaches (Admission): Parenteral
K0520A4 Nutritional Approaches (7 days): Parenteral
K0520A5 Nutritional Approaches (Discharge): Parenteral
K0520B1 Nutritional Approaches (Admission): Feeding tube
K0520B4 Nutritional Approaches (7 days): Feeding tube
K0520B5 Nutritional Approaches (Discharge): Feeding Tube
K0520C1 Nutritional Approaches (Admission) : Mech Alt Diet
K0520C4 Nutritional Approaches (7 days): Mech Alt Diet
K0520C5 Nutritional Approaches (Discharge): Mech Alt Diet
K0520D1 Nutritional Approaches (Admission) : Therapeutic
K0520D4 Nutritional Approaches (7 day): Therapeutic
K0520D5 Nutritional Approaches (Discharge): Therapeutic
K0520Z1 Nutritional Approaches (Admission) : None
K0520Z4 Nutritional Approaches (7 days): None
K0520Z5 Nutritional Approaches (Discharge): None
M1870_CRNT_FEEDING Current: feeding
M1306_UNHLD_STG2_PRSR_ULCR Patient has 1+ unhealed PU/injury at stage 2+
M1307_OLDST_STG2_AT_DSCHRG Status of oldest stage 2 pressure ulcer at disch
M1322_NBR_PRSULC_STG1 Number of stage 1 pressure injuries
M1324_STG_PRBLM_ULCER Stage of most problematic pressure ulcer/injury
M1330_STAS_ULCR_PRSNT Does this patient have a stasis ulcer
M1332_NBR_STAS_ULCR Number of stasis ulcers
M1334_STUS_PRBLM_STAS_ULCR Status of most problematic stasis ulcer
M1340_SRGCL_WND_PRSNT Does this patient have a surgical wound
M1342_STUS_PRBLM_SRGCL_WND Status of most problematic surgical wound
N0415A1 High-Risk Drug (Is Taking): Antipsychotic
N0415A2 High-Risk Drug (Indication) : Antipsychotic
N0415E1 High-Risk Drug (Is taking): Anticoagulant
N0415E2 High-Risk Drug (Indication): Anticoagulant
N0415F1 High-Risk Drug (Is taking): Antibiotic
N0415F2 High-Risk Drug (Indication): Antibiotic
N0415H1 High-Risk Drug (Is taking): Opioid
N0415H2 High-Risk Drug (Indication): Opioid
N0415I1 High-Risk Drug (Is taking): Antiplatelet
N0415I2 High-Risk Drug (Indication): Antiplatelet
N0415J1 High-Risk Drug (Is taking): Hypoglycemic
N0415J2 High-Risk Drug (Indication): Hypoglycemic
N0415Z1 High-Risk Drug (Is taking): None of the above
M2001_DRUG_RGMN_RVW Drug regimen review
M2003_MDCTN_FLWP Medication follow-up
M2005_MDCTN_INTRVTN Medication intervention
M2010_HIGH_RISK_DRUG_EDCTN Patient/caregiver high risk drug education
M2020_CRNT_MGMT_ORAL_MDCTN Current: management of oral medications
M2030_CRNT_MGMT_INJCTN_MDCTN Current: management of injectable medications
O0110A1A Treatment: Chemotherapy (Admission)
O0110A1C Treatment: Chemotherapy (Discharge)
O0110A2A Treatment: Chemo - IV (Admission)
O0110A2C Treatment: Chemo - IV (Discharge)
O0110A3A Treatment: Chemo - Oral (Admission)
O0110A3C Treatment: Chemo - Oral (Discharge)
O0110A10A Treatment: Chemo - Other (Admission)
O0110A10C Treatment: Chemo - Other (Discharge)
O0110B1A Treatment: Radiation (Admission)
O0110B1C Treatment: Radiation (Discharge)
O0110C1A Therapies: Oxygen Therapy (Admission)
O0110C1C Therapies: Oxygen Therapy (Discharge)
O0110C2A Therapies: Oxygen - Continuous (Admission)
O0110C2C Therapies: Oxygen - Continuous (Discharge)
O0110C3A Therapies: Oxygen - Intermittent (Admission)
O0110C3C Therapies: Oxygen - Intermittent (Discharge)
O0110C4A Therapies: Oxygen - High-concentration (Admission)
O0110C4C Therapies: Oxygen - High-concentration (Discharge)
O0110D1A Therapies: Suctioning (Admission)
O0110D1C Therapies: Suctioning (Discharge)
O0110D2A Therapies: Suctioning - Scheduled (Admission)
O0110D2C Therapies: Suctioning - Scheduled (Discharge)
O0110D3A Therapies: Suctioning - As Needed (Admission)
O0110D3C Therapies: Suctioning - As Needed (Discharge)
O0110E1A Therapies: Tracheostomy Care (Admission)
O0110E1C Therapies: Tracheostomy Care (Discharge)
O0110F1A Therapies: Invasive Mechanical Ventilator (Admis)
O0110F1C Therapies: Invasive Mechanical Ventilator (Disch)
O0110G1A Therapies: Non-Invas Mechanical Ventilator (Admis)
O0110G1C Therapies: Non-Invas Mechanical Ventilator (Disch)
O0110G2A Therapies: BiPAP (Admission)
O0110G2C Therapies: BiPAP (Discharge)
O0110G3A Therapies: CPAP (Admission)
O0110G3C Therapies: CPAP (Discharge)
O0110H1A Other: IV Medications (Admission)
O0110H1C Other: IV Medications (Discharge)
O0110H2A Other: IV - Vasoactive medications (Admission)
O0110H2C Other: IV - Vasoactive medications (Discharge)
O0110H3A Other: IV - Antibiotics (Admission)
O0110H3C Other: IV - Antibiotics (Discharge)
O0110H4A Other: IV - Anticoagulation (Admission)
O0110H4C Other: IV - Anticoagulation (Discharge)
O0110H10A Other: IV - Other (Admission)
O0110H10C Other: IV - Other (Discharge)
O0110I1A Other: Transfusions (Admission)
O0110I1C Other: Transfusions (Discharge)
O0110J1A Other: Dialysis (Admission)
O0110J1C Other: Dialysis (Discharge)
O0110J2A Other: Hemodialysis (Admission)
O0110J2C Other: Hemodialysis (Discharge)
O0110J3A Other: Peritoneal dialysis (Admission)
O0110J3C Other: Peritoneal dialysis (Discharge)
O0110O1A Other: IV Access (Admission)
O0110O1C Other: IV Access (Discharge)
O0110O2A Other: IV Access - Peripheral (Admission)
O0110O2C Other: IV Access - Peripheral (Discharge)
O0110O3A Other: IV Access - Mid-line (Admission)
O0110O3C Other: IV Access - Mid-line (Discharge)
O0110O4A Other: IV Access - Central (Admission)
O0110O4C Other: IV Access - Central (Discharge)
O0110Z1A Other: None of the above (Admission)
O0110Z1C Other: None of the above (Discharge)
O0350 COVID-19 Vaccination Up To Date
M1041_IN_INFLNZ_SEASON Does episode include Oct 1 thru Mar 31
M1046_INFLNZ_RECD_CRNT_SEASON Did patient receive influenza vaccine
M2401_INTRVTN_SMRY_FALL_PRVNT Intervention synopsis: falls prevention
M2401_INTRVTN_SMRY_DPRSN Intervention synopsis: depression intervention
M2401_INTRVTN_SMRY_PAIN_MNTR Intervention synopsis: monitor and mitigate pain
M2401_INTRVTN_SMRY_PRSULC_PRVN Intervention synopsis: prevent pressure ulcers
M2401_INTRVTN_SMRY_PRSULC_WET Intervention synopsis: PU moist wound treatment

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Generated: 07/03/2024 11:06:32 AM