LOINC Panel Details

Panel: 104607-7 - MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set:-:RptPeriod:^Patient:-:CMS Assessment

• 104607-7 - MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set:-:RptPeriod:^Patient:-:CMS Assessment (MDS v3.0 - RAI v1.19.11 - Swing Bed discharge (SD) item set) (Seq: 6, Type: N/A) None
  • 101258-2 - MDS v3.0 - RAI v1.18.11 - Identification Information:-:RptPeriod:^Patient:-:CMS Assessment (Identification Information) (Seq: 1, Type: Header (not a question)) None
    • 58198-3 - Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment (Type of Record) (Seq: 1, Type: Question, expects user entry) None
    • 54581-4 - Facility provider #s (Facility Provider Numbers) (Seq: 2, Type: Header (not a question)) None
      • 76468-8 - Organization NPI (National Provider Identifier (NPI)) (Seq: 1, Type: N/A) None
      • 69417-4 - CMS certification # Facility (CMS Certification Number (CCN)) (Seq: 2, Type: N/A) None
      • 45398-5 - State provider # Facility (Seq: 3, Type: N/A) None
    • 85632-8 - Facility type:Type:RptPeriod:Facility:Nom:CMS Assessment (Type of Provider) (Seq: 3, Type: Question, expects user entry) None
    • 90489-6 - MDS v3.0 - RAI v1.17.2 - Type of assessment:-:RptPeriod:^Patient:-:CMS Assessment (Type of Assessment) (Seq: 4, Type: Header (not a question)) None
      • 54583-0 - Federal OBRA reason for assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (Federal OBRA Reason for Assessment) (Seq: 1, Type: N/A) None
      • 54584-8 - PPS Assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (PPS Assessment) (Seq: 2, Type: N/A) None
      • 54587-1 - First assessment since the most recent admission &or reentry:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?) (Seq: 3, Type: N/A) None
      • 58108-2 - Entry &or discharge reporting:Find:RptPeriod:^Patient:Nom:CMS Assessment (Entry/discharge reporting) (Seq: 4, Type: N/A) None
      • 71440-2 - Discharge:Type:RptPeriod:^Patient:Ord:CMS Assessment (Type of discharge) (Seq: 5, Type: N/A) None
      • 90525-7 - SNF Part A Interrupted Stay:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this a SNF Part A Interrupted Stay?) (Seq: 6, Type: N/A) None
      • 86525-3 - SNF Part A PPS discharge assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this a SNF Part A PPS Discharge Assessment?) (Seq: 6, Type: N/A) None
      • 86525-3 - SNF Part A PPS discharge assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this a SNF Part A PPS Discharge Assessment?) (Seq: 7, Type: N/A) None
    • 86526-1 - Unit certification or licensure designation:Type:RptPeriod:Facility:Nom:CMS Assessment (Unit Certification or Licensure Designation) (Seq: 5, Type: N/A) None
    • 54503-8 - Legal name of patient:-:Pt:^Patient:-: (Legal Name of Resident) (Seq: 6, Type: N/A) None
      • 45392-8 - Patient First name (Seq: 1, Type: N/A) None
      • 45393-6 - Middle initial (Seq: 2, Type: N/A) None
      • 45394-4 - Patient Last name (Seq: 3, Type: N/A) None
      • 45395-1 - Patient Name suffix (Suffix) (Seq: 4, Type: N/A) None
    • 45966-9 - Social Security & Medicare numbers:-:Pt:^Patient:-: (Social Security and Medicare Numbers) (Seq: 7, Type: N/A) None
      • 45396-9 - Social Security # (Seq: 1, Type: Question, expects user entry) None
      • 45397-7 - Medicare or comparable # (Seq: 2, Type: Question, expects user entry) None
    • 45400-9 - Medicaid # (Medicaid Number) (Seq: 8, Type: N/A) None
    • 46098-0 - Sex (Gender) (Seq: 9, Type: N/A) None
    • 21112-8 - Birth date (Birth Date) (Seq: 10, Type: N/A) {mm/dd/yyyy}
    • 69854-8 - Hispanic, latino-a, or spanish (Ethnicity. Are you of Hispanic, Latino/a, or Spanish origin?) (Seq: 11, Type: N/A) None
    • 103708-4 - Race:Type:RptPeriod:^Patient:Nom:CMS Assessment (Race. What is your race?) (Seq: 12, Type: N/A) None
    • 93186-5 - Preferred lang + interp need (Language) (Seq: 13, Type: N/A) None
      • 54899-0 - Preferred language (What is your preferred language?) (Seq: 1, Type: N/A) None
      • 54588-9 - Interpreter needed (Do you need or want an interpreter to communicate with a doctor or health care staff?) (Seq: 2, Type: N/A) None
    • 45404-1 - Marital status (Marital Status) (Seq: 13, Type: N/A) None
    • 45404-1 - Marital status (Marital Status) (Seq: 14, Type: N/A) None
    • 101351-5 - Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living:Find:RptPeriod:^Patient:Nom:CMS Assessment (Transportation (from NACHC©)) (Seq: 14, Type: N/A) None
    • 54506-1 - Optional resident items:-:Pt:^Patient:-: (Optional Resident Items) (Seq: 14, Type: N/A) None
      • 46106-1 - MRN (Medical record number) (Seq: 1, Type: N/A) None
      • 45403-3 - Room # (Seq: 2, Type: N/A) None
      • 52462-9 - Nickname (Name by which resident prefers to be addressed) (Seq: 3, Type: N/A) None
      • 21843-8 - Hx of Usual occupation (Seq: 4, Type: N/A) None
    • 101351-5 - Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living:Find:RptPeriod:^Patient:Nom:CMS Assessment (Transportation (from NACHC©)) (Seq: 15, Type: N/A) None
    • 54506-1 - Optional resident items:-:Pt:^Patient:-: (Optional Resident Items) (Seq: 15, Type: N/A) None
    • 86528-7 - Most recent admission &or entry or reentry into this facility:-:RptPeriod:^Patient:-:CMS Assessment (Most Recent Admission/Entry or Reentry into this Facility) (Seq: 15, Type: N/A) None
      • 50786-3 - Date of entry:TmStp:Pt:^Patient:Qn: (Entry Date) (Seq: 1, Type: N/A) {mm/dd/yyyy}
      • 54590-5 - Entry type:Type:RptPeriod:^Patient:Nom:CMS Assessment (Type of Entry) (Seq: 2, Type: N/A) None
      • 85398-6 - Admitted from:Type:Pt:Facility:Nom: (Entered From) (Seq: 3, Type: N/A) None
    • 54506-1 - Optional resident items:-:Pt:^Patient:-: (Optional Resident Items) (Seq: 16, Type: N/A) None
    • 86528-7 - Most recent admission &or entry or reentry into this facility:-:RptPeriod:^Patient:-:CMS Assessment (Most Recent Admission/Entry or Reentry into this Facility) (Seq: 16, Type: N/A) None
    • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Dat) (Seq: 16, Type: N/A) {mm/dd/yyyy}
      • 52525-3 - Discharge date (Seq: 1, Type: N/A) {mm/dd/yyyy}
      • 45453-8 - Date of last day of MDS observation period:Date:Pt:^Patient:Qn:MDS (Seq: 1, Type: N/A) None
      • 50786-3 - Date of entry:TmStp:Pt:^Patient:Qn: (Entry Date) (Seq: 2, Type: N/A) {mm/dd/yyyy}
      • 45454-6 - Original or corrected copy of form:Num:Pt:^Patient:Ord:MDS (Seq: 2, Type: N/A) None
      • 58200-7 - Correction number:Num:RptPeriod:^Patient:Qn:CMS Assessment (Seq: 3, Type: N/A) {#}
    • 52455-3 - Admission date (Admission Date) (Seq: 16, Type: N/A) {mm/dd/yyyy}
    • 54589-7 - Preadmission Screening and Resident Review (PASRR):Find:RptPeriod:^Patient:Ord:CMS Assessment (Preadmission Screening and Resident Review (PASRR). Is the resident currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition?) (Seq: 17, Type: N/A) None
    • 52455-3 - Admission date (Admission Date) (Seq: 17, Type: N/A) {mm/dd/yyyy}
    • 86528-7 - Most recent admission &or entry or reentry into this facility:-:RptPeriod:^Patient:-:CMS Assessment (Most Recent Admission/Entry or Reentry into this Facility) (Seq: 17, Type: N/A) None
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 17, Type: N/A) None
      • 54594-7 - Medicare-covered stay since the most recent entry:Find:RptPeriod:^Patient:Ord:CMS Assessment (Has resident had Medicare-covered stay since the most recent entry?) (Seq: 1, Type: N/A) None
      • 54595-4 - Start date of most recent Medicare stay:Date:RptPeriod:^Patient:Qn:CMS Assessment (Seq: 2, Type: N/A) {mm/dd/yyyy}
      • 54596-2 - End date of most recent Medicare stay:Date:RptPeriod:^Patient:Qn:CMS Assessment (Seq: 3, Type: N/A) {mm/dd/yyyy}
    • 52525-3 - Discharge date (Discharge Date) (Seq: 17, Type: N/A) {mm/dd/yyyy}
    • 71441-0 - Level II Preadmission Screening and Resident Review (PASRR):Find:RptPeriod:^Patient:Nom:CMS Assessment (Level II Preadmission Screening and Resident Review (PASRR) Conditions) (Seq: 18, Type: N/A) None
    • 52525-3 - Discharge date (Discharge Date) (Seq: 18, Type: N/A) {mm/dd/yyyy}
    • 52455-3 - Admission date (Admission Date) (Seq: 18, Type: N/A) {mm/dd/yyyy}
    • 55128-3 - Discharge disposition:Type:Pt:^Patient:Nom: (Discharge Status) (Seq: 18, Type: N/A) None
    • 86527-9 - Conditions related to intellectual disability and developmental disability status:Find:RptPeriod:^Patient:Nom:CMS Assessment (Conditions Related to ID/DD Status) (Seq: 19, Type: N/A) None
    • 93182-4 - Provision of current reconciled medication list to subsequent provider at discharge:Find:RptPeriod:^Patient:Ord:CMS Assessment (Provision of Current Reconciled Medication List to Subsequent Provider at Discharge) (Seq: 19, Type: N/A) None
    • 52525-3 - Discharge date (Discharge Date) (Seq: 19, Type: N/A) {mm/dd/yyyy}
    • 55128-3 - Discharge disposition:Type:Pt:^Patient:Nom: (Discharge Status) (Seq: 19, Type: N/A) None
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 19, Type: N/A) None
    • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date) (Seq: 19, Type: N/A) {mm/dd/yyyy}
    • 86528-7 - Most recent admission &or entry or reentry into this facility:-:RptPeriod:^Patient:-:CMS Assessment (Most Recent Admission/Entry or Reentry into this Facility) (Seq: 20, Type: N/A) None
    • 93184-0 - Route of current reconciled medication list transmission to subsequent provider:Find:RptPeriod:^Patient:Nom:CMS Assessment (Route of Current Reconciled Medication List Transmission to Subsequent Provider) (Seq: 20, Type: N/A) None
    • 55128-3 - Discharge disposition:Type:Pt:^Patient:Nom: (Discharge Status) (Seq: 20, Type: N/A) None
    • 93182-4 - Provision of current reconciled medication list to subsequent provider at discharge:Find:RptPeriod:^Patient:Ord:CMS Assessment (Provision of Current Reconciled Medication List to Subsequent Provider at Discharge) (Seq: 20, Type: N/A) None
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 20, Type: N/A) None
    • 52455-3 - Admission date (Admission Date) (Seq: 21, Type: N/A) {mm/dd/yyyy}
    • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date. Observation end date) (Seq: 21, Type: N/A) {mm/dd/yyyy}
    • 93182-4 - Provision of current reconciled medication list to subsequent provider at discharge:Find:RptPeriod:^Patient:Ord:CMS Assessment (Provision of Current Reconciled Medication List to Subsequent Provider at Discharge) (Seq: 21, Type: N/A) None
    • 93184-0 - Route of current reconciled medication list transmission to subsequent provider:Find:RptPeriod:^Patient:Nom:CMS Assessment (Route of Current Reconciled Medication List Transmission to Subsequent Provider) (Seq: 21, Type: N/A) None
    • 52525-3 - Discharge date (Discharge Date) (Seq: 22, Type: N/A) {mm/dd/yyyy}
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 22, Type: N/A) None
    • 93184-0 - Route of current reconciled medication list transmission to subsequent provider:Find:RptPeriod:^Patient:Nom:CMS Assessment (Route of Current Reconciled Medication List Transmission to Subsequent Provider) (Seq: 22, Type: N/A) None
    • 93181-6 - Provision of current reconciled medication list to patient at discharge:Find:RptPeriod:^Patient:Ord:CMS Assessment (Provision of Current Reconciled Medication List to Resident at Discharge) (Seq: 22, Type: N/A) None
    • 55128-3 - Discharge disposition:Type:Pt:^Patient:Nom: (Discharge Status) (Seq: 23, Type: N/A) None
    • 93181-6 - Provision of current reconciled medication list to patient at discharge:Find:RptPeriod:^Patient:Ord:CMS Assessment (Provision of Current Reconciled Medication List to Resident at Discharge) (Seq: 23, Type: N/A) None
    • 93183-2 - Route of current reconciled medication list transmission to patient:Find:RptPeriod:^Patient:Nom:CMS Assessment (Route of Current Reconciled Medication List Transmission to Resident) (Seq: 23, Type: N/A) None
    • 93182-4 - Provision of current reconciled medication list to subsequent provider at discharge:Find:RptPeriod:^Patient:Ord:CMS Assessment (Provision of Current Reconciled Medication List to Subsequent Provider at Discharge) (Seq: 24, Type: N/A) None
    • 93183-2 - Route of current reconciled medication list transmission to patient:Find:RptPeriod:^Patient:Nom:CMS Assessment (Route of Current Reconciled Medication List Transmission to Resident) (Seq: 24, Type: N/A) None
    • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date. Observation end date) (Seq: 24, Type: N/A) {mm/dd/yyyy}
    • 93184-0 - Route of current reconciled medication list transmission to subsequent provider:Find:RptPeriod:^Patient:Nom:CMS Assessment (Route of Current Reconciled Medication List Transmission to Subsequent Provider) (Seq: 25, Type: N/A) None
    • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date) (Seq: 25, Type: N/A) {mm/dd/yyyy}
    • 54592-1 - Previous assessment reference date for significant correction:Date:RptPeriod:^Patient:Qn:CMS Assessment (Previous Assessment Reference Date for Significant Correction) (Seq: 25, Type: N/A) {mm/dd/yyyy}
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 25, Type: N/A) None
    • 93181-6 - Provision of current reconciled medication list to patient at discharge:Find:RptPeriod:^Patient:Ord:CMS Assessment (Provision of Current Reconciled Medication List to Resident at Discharge) (Seq: 26, Type: N/A) None
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 26, Type: N/A) None
    • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date) (Seq: 26, Type: N/A) {mm/dd/yyyy}
    • 93183-2 - Route of current reconciled medication list transmission to patient:Find:RptPeriod:^Patient:Nom:CMS Assessment (Route of Current Reconciled Medication List Transmission to Resident) (Seq: 27, Type: N/A) None
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 27, Type: N/A) None
    • 54592-1 - Previous assessment reference date for significant correction:Date:RptPeriod:^Patient:Qn:CMS Assessment (Previous Assessment Reference Date for Significant Correction) (Seq: 28, Type: N/A) {mm/dd/yyyy}
    • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date. Observation end date) (Seq: 29, Type: N/A) {mm/dd/yyyy}
    • 54507-9 - Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Stay) (Seq: 30, Type: N/A) None
  • 101259-0 - MDS v3.0 - RAI v1.18.11 - Hearing, Speech, and Vision:-:RptPeriod:^Patient:-:CMS Assessment (Hearing, Speech, and Vision) (Seq: 2, Type: Header (not a question)) None
    • 54597-0 - Comatose:Find:RptPeriod:^Patient:Ord:CMS Assessment (Comatose) (Seq: 1, Type: N/A) None
    • 103709-2 - How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy:Find:RptPeriod:^Patient:Ord:CMS Assessment (Health Literacy) (Seq: 1, Type: N/A) None
    • 95744-9 - Hearing.ability to hear:Find:RptPeriod:^Patient:Ord:CMS Assessment (Hearing) (Seq: 2, Type: N/A) None
    • 103709-2 - How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy:Find:RptPeriod:^Patient:Ord:CMS Assessment (Health Literacy) (Seq: 2, Type: N/A) None
    • 95737-3 - Expression of ideas and wants:Find:RptPeriod:^Patient:Ord:CMS Assessment (Makes Self Understood) (Seq: 2, Type: N/A) None
    • 54599-6 - Hearing aid used during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Hearing Aid) (Seq: 3, Type: N/A) None
    • 54600-2 - Speech clarity.description of speech pattern:Find:RptPeriod:^Patient:Ord:CMS Assessment (Speech Clarity) (Seq: 4, Type: N/A) None
    • 95737-3 - Expression of ideas and wants:Find:RptPeriod:^Patient:Ord:CMS Assessment (Makes Self Understood) (Seq: 5, Type: N/A) None
    • 54602-8 - Understanding verbal content:Find:RptPeriod:^Patient:Ord:CMS Assessment (Ability to Understand Others) (Seq: 6, Type: N/A) None
    • 95745-6 - Vision.ability to see in adequate light:Find:RptPeriod:^Patient:Ord:CMS Assessment (Vision) (Seq: 7, Type: N/A) None
    • 54604-4 - Corrective lenses used:Find:RptPeriod:^Patient:Ord:CMS Assessment (Corrective Lenses) (Seq: 8, Type: N/A) None
    • 103709-2 - How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy:Find:RptPeriod:^Patient:Ord:CMS Assessment (Health Literacy) (Seq: 9, Type: N/A) None
  • 101260-8 - MDS v3.0 - RAI v1.18.11 - Cognitive Patterns:-:RptPeriod:^Patient:-:CMS Assessment (Cognitive Patterns) (Seq: 3, Type: Header (not a question)) None
    • 54605-1 - Brief interview for mental status should be conducted:Find:RptPeriod:^Patient:Ord:CMS Assessment (Should Brief Interview for Mental Status (C0200-C0500) be Conducted?) (Seq: 1, Type: N/A) None
    • 103694-6 - Brief interview for mental status:-:RptPeriod:^Patient:-:CMS Assessment (Brief Interview for Mental Status (BIMS)) (Seq: 2, Type: N/A) None
      • 103696-1 - Repetition of three words:Num:RptPeriod:^Patient:Ord:CMS Assessment (Repetition of Three Words) (Seq: 1, Type: N/A) None
      • 103702-7 - Temporal orientation (orientation to year, month, and day):-:RptPeriod:^Patient:-:CMS Assessment (Temporal Orientation) (Seq: 2, Type: N/A) None
        • 103697-9 - Temporal orientation - current year:Find:RptPeriod:^Patient:Ord:CMS Assessment (Able to report correct year) (Seq: 1, Type: N/A) None
        • 103698-7 - Temporal orientation - current month:Find:RptPeriod:^Patient:Ord:CMS Assessment (Able to report correct month) (Seq: 2, Type: N/A) None
        • 103703-5 - Temporal orientation - current day of the week:Find:RptPeriod:^Patient:Ord:CMS Assessment (Able to report correct day of the week) (Seq: 3, Type: N/A) None
      • 103695-3 - Recall:-:RptPeriod:^Patient:-:CMS Assessment (Recall) (Seq: 3, Type: N/A) None
        • 103699-5 - Recall - sock:Find:RptPeriod:^Patient:Ord:CMS Assessment (Able to recall "sock") (Seq: 1, Type: N/A) None
        • 103700-1 - Recall - blue:Find:RptPeriod:^Patient:Ord:CMS Assessment (Able to recall "blue") (Seq: 2, Type: N/A) None
        • 103701-9 - Recall - bed:Find:RptPeriod:^Patient:Ord:CMS Assessment (Able to recall "bed") (Seq: 3, Type: N/A) None
      • 103704-3 - Brief interview for mental status - summary score:Score:RptPeriod:^Patient:Qn:CMS Assessment (BIMS Summary Score) (Seq: 4, Type: N/A) {score}
    • 54615-0 - Should staff assessment for mental status be conducted:Find:RptPeriod:^Patient:Ord:CMS Assessment (Should the Staff Assessment for Mental Status (C0700 - C1000) be Conducted?) (Seq: 3, Type: N/A) None
    • 96901-4 - MDS v3.0 - RAI v1.17.2 - Delirium:-:RptPeriod:^Patient:-:CMS Assessment (Delirium) (Seq: 3, Type: N/A) None
      • 95816-5 - Signs and Symptoms of Delirium (from CAM):-:RptPeriod:^Patient:-:CMS Assessment (Signs and Symptoms of Delirium (from CAM)) (Seq: 1, Type: N/A) None
        • 95813-2 - Is there evidence of an acute change in mental status from the patient's baseline:Find:RptPeriod:^Patient:Ord:CAM.CMS (Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the resident's baseline?) (Seq: 1, Type: N/A) None
        • 95812-4 - Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said:Find:RptPeriod:^Patient:Ord:CAM.CMS (Inattention - Did the resident have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?) (Seq: 2, Type: N/A) None
        • 95814-0 - Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject:Find:RptPeriod:^Patient:Ord:CAM.CMS (Disorganized Thinking - Was the resident's thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?) (Seq: 3, Type: N/A) None
        • 95815-7 - Altered level of consciousness:Find:RptPeriod:^Patient:Ord:CAM.CMS (Altered Level of Consciousness - Did the resident have altered level of consciousness, as indicated by any of the following criteria?) (Seq: 4, Type: N/A) None
    • 96908-9 - MDS v3.0 - RAI v1.17.2 - Staff assessment for mental status:-:RptPeriod:^Patient:-:CMS Assessment (Staff assessment for mental status) (Seq: 4, Type: N/A) None
      • 54616-8 - Short-term memory OK:Find:RptPeriod:^Patient:Ord:CMS Assessment (Short-term Memory OK) (Seq: 1, Type: N/A) None
      • 54617-6 - Long-term memory OK:Find:RptPeriod:^Patient:Ord:CMS Assessment (Long-term Memory OK) (Seq: 2, Type: N/A) None
      • 54624-2 - Cognitive skills for daily decision making:Find:RptPeriod:^Patient:Ord:CMS Assessment (Cognitive Skills for Daily Decision Making) (Seq: 2, Type: N/A) None
      • 95743-1 - Memory &or recall ability:Find:RptPeriod:^Patient:Nom:CMS Assessment (Memory/Recall Ability) (Seq: 3, Type: N/A) None
      • 54624-2 - Cognitive skills for daily decision making:Find:RptPeriod:^Patient:Ord:CMS Assessment (Cognitive Skills for Daily Decision Making) (Seq: 4, Type: N/A) None
    • 96901-4 - MDS v3.0 - RAI v1.17.2 - Delirium:-:RptPeriod:^Patient:-:CMS Assessment (Delirium) (Seq: 5, Type: N/A) None
  • 101261-6 - MDS v3.0 - RAI v1.18.11 - Mood:-:RptPeriod:^Patient:-:CMS Assessment (Mood) (Seq: 4, Type: Header (not a question)) None
    • 54634-1 - Should resident mood interview be conducted:Find:RptPeriod:^Patient:Ord:CMS Assessment (Should Resident Mood Interview be Conducted?) (Seq: 1, Type: N/A) None
    • 54635-8 - Resident mood interview (PHQ-9):-:2W:^Patient:-:Reported.PHQ-9.CMS (Resident Mood Interview (PHQ-2 to 9)) (Seq: 2, Type: N/A) None
      • 86843-0 - Resident mood interview (PHQ-9) - symptom presence in the last 2W:-:2W:^Patient:-:CMS Assessment (Symptom Presence) (Seq: 1, Type: N/A) None
        • 54636-6 - Little interest or pleasure in doing things in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 1, Type: N/A) None
        • 54638-2 - Feeling down, depressed or hopeless in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 2, Type: N/A) None
        • 54640-8 - Trouble falling or staying asleep, or sleeping too much in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 3, Type: N/A) None
        • 54642-4 - Feeling tired or having little energy in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 4, Type: N/A) None
        • 54644-0 - Poor appetite or overeating in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 5, Type: N/A) None
        • 54646-5 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 6, Type: N/A) None
        • 54648-1 - Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 7, Type: N/A) None
        • 54650-7 - Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 8, Type: N/A) None
        • 54652-3 - Thoughts that you would be better off dead, or of hurting yourself in some way in last 2W.presence:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Thoughts that you would be better off dead, or of hurting yourself in some way) (Seq: 9, Type: N/A) None
      • 86844-8 - Resident mood interview (PHQ-9) - symptom frequency in the last 2W:-:2W:^Patient:-:CMS Assessment (Symptom Frequency) (Seq: 2, Type: N/A) None
        • 54637-4 - Little interest or pleasure in doing things in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 1, Type: N/A) None
        • 54639-0 - Feeling down, depressed or hopeless in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 2, Type: N/A) None
        • 54641-6 - Trouble falling or staying asleep, or sleeping too much in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 3, Type: N/A) None
        • 54643-2 - Feeling tired or having little energy in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 4, Type: N/A) None
        • 54645-7 - Poor appetite or overeating in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 5, Type: N/A) None
        • 54647-3 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 6, Type: N/A) None
        • 54649-9 - Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 7, Type: N/A) None
        • 54651-5 - Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 8, Type: N/A) None
        • 54653-1 - Thoughts that you would be better off dead, or of hurting yourself in some way in last 2W.frequency:Find:2W:^Patient:Ord:Reported.PHQ-9.CMS (Seq: 9, Type: N/A) None
    • 103705-0 - Mood interview total severity score:Score:RptPeriod:^Patient:Qn:CMS Assessment (Total Severity Score) (Seq: 3, Type: N/A) {score}
    • 103706-8 - Staff assessment of resident mood (PHQ-9-OV):-:RptPeriod:^Patient:-:CMS Assessment (Staff Assessment of Resident Mood (PHQ-9-OV)) (Seq: 4, Type: N/A) None
      • 86833-1 - Staff assessment of resident mood (PHQ-9-OV) - symptom presence in the last 2W:-:2W:^Patient:-:CMS Assessment (Symptom Presence) (Seq: 1, Type: N/A) None
        • 54658-0 - Little interest or pleasure in doing things in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Little interest or pleasure in doing things) (Seq: 1, Type: N/A) None
        • 54660-6 - Feeling or appearing down, depressed or hopeless in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Feeling or appearing down, depressed, or hopeless) (Seq: 2, Type: N/A) None
        • 54662-2 - Trouble falling or staying asleep, or sleeping too much in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Trouble falling or staying asleep, or sleeping too much) (Seq: 3, Type: N/A) None
        • 54664-8 - Feeling tired or having little energy in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Feeling tired or having little energy) (Seq: 4, Type: N/A) None
        • 54666-3 - Poor appetite or overeating in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Poor appetite or overeating) (Seq: 5, Type: N/A) None
        • 54668-9 - Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Indicating that s/he feels bad about self, is a failure, or has let self or family down) (Seq: 6, Type: N/A) None
        • 54670-5 - Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Trouble concentrating on things, such as reading the newspaper or watching television) (Seq: 7, Type: N/A) None
        • 54672-1 - Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual) (Seq: 8, Type: N/A) None
        • 54673-9 - States that life isn't worth living, wishes for death, or attempts to harm self in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (States that life isn't worth living, wishes for death, or attempts to harm self) (Seq: 9, Type: N/A) None
        • 54675-4 - Being short-tempered, easily annoyed in last 2W.presence:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Being short-tempered, easily annoyed) (Seq: 10, Type: N/A) None
      • 86891-9 - Staff assessment of resident mood (PHQ-9-OV) - symptom frequency in the last 2W:-:2W:^Patient:-:CMS Assessment (Symptom Frequency) (Seq: 2, Type: N/A) None
        • 54659-8 - Little interest or pleasure in doing things in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Little interest or pleasure in doing things) (Seq: 1, Type: N/A) None
        • 54661-4 - Feeling or appearing down, depressed, or hopeless in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Feeling or appearing down, depressed, or hopeless) (Seq: 2, Type: N/A) None
        • 54663-0 - Trouble falling or staying asleep, or sleeping too much in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Trouble falling or staying asleep, or sleeping too much) (Seq: 3, Type: N/A) None
        • 54665-5 - Feeling tired or having little energy in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Feeling tired or having little energy) (Seq: 4, Type: N/A) None
        • 54667-1 - Poor appetite or overeating in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Poor appetite or overeating) (Seq: 5, Type: N/A) None
        • 54669-7 - Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Indicating that s/he feels bad about self, is a failure, or has let self or family down) (Seq: 6, Type: N/A) None
        • 54671-3 - Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Trouble concentrating on things, such as reading the newspaper or watching television) (Seq: 7, Type: N/A) None
        • 54904-8 - Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual) (Seq: 8, Type: N/A) None
        • 54674-7 - States that life isn't worth living, wishes for death, or attempts to harm self in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (States that life isn't worth living, wishes for death, or attempts to harm self) (Seq: 9, Type: N/A) None
        • 54676-2 - Being short-tempered, easily annoyed in last 2W.frequency:Find:2W:^Patient:Ord:Observed.PHQ-9.CMS (Being short-tempered, easily annoyed) (Seq: 10, Type: N/A) None
    • 93159-2 - How often do you feel lonely or isolated from those around you:Find:RptPeriod:^Patient:Ord:CMS Assessment (Social Isolation) (Seq: 4, Type: N/A) None
    • 103707-6 - Staff assessment of resident mood total severity score:Score:RptPeriod:^Patient:Qn:CMS Assessment (Total Severity Score) (Seq: 5, Type: N/A) {score}
    • 93159-2 - How often do you feel lonely or isolated from those around you:Find:RptPeriod:^Patient:Ord:CMS Assessment (Social Isolation) (Seq: 6, Type: N/A) None
  • 101262-4 - MDS v3.0 - RAI v1.18.11 - Behavior:-:RptPeriod:^Patient:-:CMS Assessment (Behavior) (Seq: 5, Type: Header (not a question)) None
    • 86597-2 - Potential indicators of psychosis:Find:RptPeriod:^Patient:Nom:CMS Assessment (Potential Indicators of Psychosis) (Seq: 1, Type: N/A) None
    • 54514-5 - Behavioral symptom - presence & frequency:-:RptPeriod:^Patient:-:CMS Assessment (Behavioral Symptom - Presence & Frequency) (Seq: 2, Type: N/A) None
      • 54682-0 - Physical behavioral symptoms directed toward others:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Physical behavioral symptoms directed toward others) (Seq: 1, Type: N/A) d/(7.d)
      • 54683-8 - Verbal behavioral symptoms directed toward others:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Verbal behavioral symptoms directed toward others) (Seq: 2, Type: N/A) d/(7.d)
      • 54684-6 - Other behavioral symptoms not directed toward others:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Other behavioral symptoms not directed toward others) (Seq: 3, Type: N/A) d/(7.d)
    • 54685-3 - Overall presence of behavioral symptoms:Find:RptPeriod:^Patient:Ord:CMS Assessment (Overall Presence of Behavioral Symptoms.Were any behavioral symptoms in questions E0200 coded 1, 2, or 3?) (Seq: 3, Type: N/A) None
    • 54692-9 - Rejection of care - presence and frequency in last 7D:NRat:7D:^Patient:Ord:CMS Assessment (Rejection of Care - Presence & Frequency) (Seq: 3, Type: N/A) d/(7.d)
    • 54515-2 - Impact on resident:-:RptPeriod:^Patient:-:CMS Assessment (Impact on Resident) (Seq: 4, Type: N/A) None
      • 54686-1 - Put the resident at significant risk for physical illness or injury:Find:RptPeriod:^Patient:Ord:CMS Assessment (Put the resident at significant risk for physical illness or injury?) (Seq: 1, Type: N/A) None
      • 54687-9 - Significantly interfere with the resident's care:Find:RptPeriod:^Patient:Ord:CMS Assessment (Significantly interfere with the resident's care?) (Seq: 2, Type: N/A) None
      • 54688-7 - Significantly interfere with the resident's participation in activities or social interactions:Find:RptPeriod:^Patient:Ord:CMS Assessment (Significantly interfere with the resident's participation in activities or social interactions?) (Seq: 3, Type: N/A) None
    • 54693-7 - Wandering - presence and frequency in last 7D:NRat:7D:^Patient:Ord:CMS Assessment (Wandering - Presence & Frequency) (Seq: 4, Type: N/A) d/(7.d)
    • 54516-0 - Impact on others:-:RptPeriod:^Patient:-:CMS Assessment (Impact on Others) (Seq: 5, Type: N/A) None
      • 54689-5 - Put others at significant risk for physical injury:Find:RptPeriod:^Patient:Ord:CMS Assessment (Put others at significant risk for physical injury?) (Seq: 1, Type: N/A) None
      • 54690-3 - Significantly intrude on the privacy or activity of others:Find:RptPeriod:^Patient:Ord:CMS Assessment (Significantly intrude on the privacy or activity of others?) (Seq: 2, Type: N/A) None
      • 54691-1 - Significantly disrupt care or living environment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Significantly disrupt care or living environment?) (Seq: 3, Type: N/A) None
    • 54692-9 - Rejection of care - presence and frequency in last 7D:NRat:7D:^Patient:Ord:CMS Assessment (Rejection of Care - Presence & Frequency) (Seq: 6, Type: N/A) d/(7.d)
    • 54693-7 - Wandering - presence and frequency in last 7D:NRat:7D:^Patient:Ord:CMS Assessment (Wandering - Presence & Frequency) (Seq: 7, Type: N/A) d/(7.d)
    • 54517-8 - Wandering - impact:-:7D:^Patient:-:CMS Assessment (Wandering - Impact) (Seq: 8, Type: N/A) None
      • 54694-5 - Wandering places resident at significant risk of getting to a potentially dangerous place in last 7D:Find:7D:^Patient:Ord:CMS Assessment (Does the wandering place the resident at significant risk of getting to a potentially dangerous place (e.g., stairs, outside of the facility)?) (Seq: 1, Type: N/A) None
      • 54695-2 - Wandering significantly intrudes on the privacy or activities of others in last 7D:Find:7D:^Patient:Ord:CMS Assessment (Does wandering significantly intrude on the privacy or activities of others?) (Seq: 2, Type: N/A) None
    • 54696-0 - Change in behavioral or other symptoms in last 7D:Find:7D:^Patient:Ord:CMS Assessment (Change in Behavior or Other Symptoms.How does resident's current behavior status, care rejection, or wandering compare to prior assessment (OBRA or Scheduled PPS)?) (Seq: 9, Type: N/A) None
  • 101264-0 - MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals:-:RptPeriod:^Patient:-:CMS Assessment (Functional Abilities) (Seq: 6, Type: Header (not a question)) None
    • 83239-4 - IRF-PAI v3.0, MDS v1.17.1, 1.17.2, OASIS E - Prior functioning: everyday activities:-:RptPeriod:^Patient:-:CMS Assessment (Prior Functioning: Everyday Activities) (Seq: 1, Type: N/A) None
      • 85070-1 - Prior functioning.self care:Find:RptPeriod:^Patient:Ord:CMS Assessment (Self-Care) (Seq: 1, Type: N/A) None
      • 85071-9 - Prior functioning.indoor mobility-ambulation:Find:RptPeriod:^Patient:Ord:CMS Assessment (Indoor Mobility (Ambulation)) (Seq: 2, Type: N/A) None
      • 85072-7 - Prior functioning.stairs:Find:RptPeriod:^Patient:Ord:CMS Assessment (Stairs) (Seq: 3, Type: N/A) None
      • 85073-5 - Prior functioning.functional cognition:Find:RptPeriod:^Patient:Ord:CMS Assessment (Functional Cognition) (Seq: 4, Type: N/A) None
    • 101266-5 - MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals - Discharge:-:RptPeriod:^Patient:-:CMS Assessment (Functional Abilities and Goals - Discharge) (Seq: 1, Type: Header (not a question)) None
      • 101429-9 - Self-Care - Discharge Performance:-:RptPeriod:^Patient:-:CMS Assessment (Self-Care - Discharge Performance) (Seq: 1, Type: N/A) None
        • 89409-7 - Eating - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Eating) (Seq: 1, Type: N/A) None
        • 89404-8 - Oral hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Oral hygiene) (Seq: 1, Type: N/A) None
        • 89389-1 - Toileting hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toileting hygiene) (Seq: 2, Type: N/A) None
        • 89404-8 - Oral hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Oral hygiene) (Seq: 2, Type: N/A) None
        • 89396-6 - Shower &or bathe self - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Shower/bathe self) (Seq: 3, Type: N/A) None
        • 89389-1 - Toileting hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toileting hygiene) (Seq: 3, Type: N/A) None
        • 89387-5 - Upper body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Upper body dressing) (Seq: 4, Type: N/A) None
        • 89396-6 - Shower &or bathe self - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Shower/bathe self) (Seq: 4, Type: N/A) None
        • 89406-3 - Lower body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lower body dressing) (Seq: 5, Type: N/A) None
        • 89387-5 - Upper body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Upper body dressing) (Seq: 5, Type: N/A) None
        • 89400-6 - Putting on and taking off footwear - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Putting on/taking off footwear) (Seq: 6, Type: N/A) None
        • 89406-3 - Lower body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lower body dressing) (Seq: 6, Type: N/A) None
        • 45606-1 - Personal hygiene - self-performance during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Personal hygiene) (Seq: 7, Type: N/A) None
        • 89400-6 - Putting on and taking off footwear - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Putting on/taking off footwear) (Seq: 7, Type: N/A) None
        • 45606-1 - Personal hygiene - self-performance during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Personal hygiene) (Seq: 8, Type: N/A) None
      • 101431-5 - Mobility - Discharge Performance:-:RptPeriod:^Patient:-:CMS Assessment (Mobility - Discharge Performance (Assessment period is the last 3 days of the stay)) (Seq: 2, Type: N/A) None
        • 89398-2 - Roll left and right - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Roll left and right) (Seq: 1, Type: N/A) None
        • 89394-1 - Sit to lying - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to lying) (Seq: 2, Type: N/A) None
        • 85927-2 - Lying to sitting on side of bed - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 3, Type: N/A) None
        • 95009-7 - Lying to sitting on side of bed - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 3, Type: N/A) None
        • 89392-5 - Sit to stand - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to stand) (Seq: 4, Type: N/A) None
        • 89414-7 - Chair &or bed-to-chair transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Chair/bed-to-chair transfer) (Seq: 5, Type: N/A) None
        • 89390-9 - Toilet transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toilet transfer) (Seq: 6, Type: N/A) None
        • 101325-9 - Tub &or shower transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Tub/shower transfer) (Seq: 7, Type: N/A) None
        • 89412-1 - Car transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Car transfer) (Seq: 7, Type: N/A) None
        • 89412-1 - Car transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Car transfer) (Seq: 8, Type: N/A) None
        • 89385-9 - Walk 10 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 8, Type: N/A) None
        • 89385-9 - Walk 10 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 9, Type: N/A) None
        • 89381-8 - Walk 50 feet with two turns - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 9, Type: N/A) None
        • 89381-8 - Walk 50 feet with two turns - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 10, Type: N/A) None
        • 89383-4 - Walk 150 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 10, Type: N/A) None
        • 89383-4 - Walk 150 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 11, Type: N/A) None
        • 89379-2 - Walking 10 feet on uneven surfaces - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walking 10 feet on uneven surfaces) (Seq: 11, Type: N/A) None
        • 89379-2 - Walking 10 feet on uneven surfaces - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walking 10 feet on uneven surfaces) (Seq: 12, Type: N/A) None
        • 95000-6 - Go up and down a curb &or step - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (1 step (curb)) (Seq: 12, Type: N/A) None
        • 89420-4 - Go up and down a curb &or step - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (1 step (curb)) (Seq: 12, Type: N/A) None
        • 89420-4 - Go up and down a curb &or step - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (1 step (curb)) (Seq: 13, Type: N/A) None
        • 89416-2 - Go up and down 4 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (4 steps) (Seq: 13, Type: N/A) None
        • 89416-2 - Go up and down 4 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (4 steps) (Seq: 14, Type: N/A) None
        • 89418-8 - Go up and down 12 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (12 steps) (Seq: 14, Type: N/A) None
        • 89418-8 - Go up and down 12 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (12 steps) (Seq: 15, Type: N/A) None
        • 89402-2 - Picking up object - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Picking up object) (Seq: 15, Type: N/A) None
        • 89402-2 - Picking up object - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Picking up object) (Seq: 16, Type: N/A) None
        • 95738-1 - Does the patient use a wheelchair or scooter:Find:RptPeriod:^Patient:Ord:CMS Assessment (Does the resident use a wheelchair and/or scooter?) (Seq: 16, Type: N/A) None
        • 95738-1 - Does the patient use a wheelchair or scooter:Find:RptPeriod:^Patient:Ord:CMS Assessment (Does the resident use a wheelchair and/or scooter?) (Seq: 17, Type: N/A) None
        • 94992-5 - Wheel 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 50 feet with two turns) (Seq: 17, Type: N/A) None
        • 94992-5 - Wheel 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 50 feet with two turns) (Seq: 18, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 18, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 19, Type: N/A) None
        • 94991-7 - Wheel 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 150 feet) (Seq: 19, Type: N/A) None
        • 94991-7 - Wheel 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 150 feet) (Seq: 20, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 20, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 21, Type: N/A) None
    • 83234-5 - Prior device use:Type:RptPeriod:^Patient:Nom:CMS Assessment (Prior Device Use) (Seq: 2, Type: N/A) None
    • 92908-3 - Functional limitation in range of motion:-:RptPeriod:^Patient:-:CMS Assessment (Functional Limitation in Range of Motion) (Seq: 3, Type: N/A) None
      • 92850-7 - Range of motion:Find:RptPeriod:Upper extremity:Ord:CMS Assessment (Upper extremity (shoulder, elbow, wrist, hand)) (Seq: 1, Type: N/A) None
      • 92851-5 - Range of motion:Find:RptPeriod:Lower extremity:Ord:CMS Assessment (Lower extremity (hip, knee, ankle, foot)) (Seq: 2, Type: N/A) None
    • 86602-0 - Mobility devices normally used during assessment period:Type:RptPeriod:^Patient:Nom:CMS Assessment (Mobility Devices) (Seq: 4, Type: N/A) None
    • 101265-7 - MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals - Admission:-:RptPeriod:^Patient:-:CMS Assessment (Functional Abilities - Admission) (Seq: 4, Type: Header (not a question)) None
      • 101321-8 - MDS v3.0 - RAI v1.18.11 - Self-Care - Admission Performance:-:RptPeriod:^Patient:-:CMS Assessment (Self-Care - Admission Performance) (Seq: 1, Type: N/A) None
        • 95019-6 - Eating - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Eating) (Seq: 1, Type: N/A) None
        • 89409-7 - Eating - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Eating) (Seq: 1, Type: N/A) None
        • 95018-8 - Oral hygiene - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Oral hygiene) (Seq: 2, Type: N/A) None
        • 89404-8 - Oral hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Oral hygiene) (Seq: 2, Type: N/A) None
        • 95017-0 - Toileting hygiene - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toileting hygiene) (Seq: 3, Type: N/A) None
        • 89389-1 - Toileting hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toileting hygiene) (Seq: 3, Type: N/A) None
        • 95015-4 - Shower &or bathe self - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Shower/bathe self) (Seq: 4, Type: N/A) None
        • 89396-6 - Shower &or bathe self - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Shower/bathe self) (Seq: 4, Type: N/A) None
        • 95014-7 - Upper body dressing - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Upper body dressing) (Seq: 5, Type: N/A) None
        • 89387-5 - Upper body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Upper body dressing) (Seq: 5, Type: N/A) None
        • 95013-9 - Lower body dressing - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lower body dressing) (Seq: 6, Type: N/A) None
        • 89406-3 - Lower body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lower body dressing) (Seq: 6, Type: N/A) None
        • 95012-1 - Putting on &or taking off footwear - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Putting on/taking off footwear) (Seq: 7, Type: N/A) None
        • 89400-6 - Putting on and taking off footwear - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Putting on/taking off footwear) (Seq: 7, Type: N/A) None
        • 45606-1 - Personal hygiene - self-performance during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Personal hygiene) (Seq: 8, Type: N/A) None
      • 101322-6 - MDS v3.0 - RAI v1.18.11 - Self-Care - Discharge Goal:-:RptPeriod:^Patient:-:CMS Assessment (Self-Care - Discharge Goal (Assessment period is the first 3 days of the stay)) (Seq: 2, Type: N/A) None
        • 89404-8 - Oral hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Seq: 1, Type: N/A) None
        • 89409-7 - Eating - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Eating) (Seq: 1, Type: N/A) None
        • 89389-1 - Toileting hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toileting hygiene) (Seq: 2, Type: N/A) None
        • 89396-6 - Shower &or bathe self - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Shower/bathe self) (Seq: 3, Type: N/A) None
        • 89387-5 - Upper body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Upper body dressing) (Seq: 4, Type: N/A) None
        • 89406-3 - Lower body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lower body dressing) (Seq: 5, Type: N/A) None
        • 89400-6 - Putting on and taking off footwear - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Putting on/taking off footwear) (Seq: 6, Type: N/A) None
        • 45606-1 - Personal hygiene - self-performance during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Personal hygiene) (Seq: 7, Type: N/A) None
      • 101323-4 - MDS v3.0 - RAI v1.18.11 - Mobility - Admission Performance:-:RptPeriod:^Patient:-:CMS Assessment (Mobility - Admission Performance) (Seq: 2, Type: N/A) None
        • 95011-3 - Roll left and right - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Roll left and right) (Seq: 1, Type: N/A) None
        • 89398-2 - Roll left and right - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Roll left and right) (Seq: 1, Type: N/A) None
        • 95010-5 - Sit to lying - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to lying) (Seq: 2, Type: N/A) None
        • 89394-1 - Sit to lying - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to lying) (Seq: 2, Type: N/A) None
        • 95009-7 - Lying to sitting on side of bed - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 3, Type: N/A) None
        • 85927-2 - Lying to sitting on side of bed - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 3, Type: N/A) None
        • 95008-9 - Sit to stand - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to stand) (Seq: 4, Type: N/A) None
        • 89392-5 - Sit to stand - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to stand) (Seq: 4, Type: N/A) None
        • 95007-1 - Chair &or bed-to-chair transfer - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Chair/bed-to-chair transfer) (Seq: 5, Type: N/A) None
        • 89414-7 - Chair &or bed-to-chair transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Chair/bed-to-chair transfer) (Seq: 5, Type: N/A) None
        • 95006-3 - Toilet transfer - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toilet transfer) (Seq: 6, Type: N/A) None
        • 89390-9 - Toilet transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toilet transfer) (Seq: 6, Type: N/A) None
        • 101325-9 - Tub &or shower transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Tub/shower transfer) (Seq: 7, Type: N/A) None
        • 89412-1 - Car transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Car transfer) (Seq: 7, Type: N/A) None
        • 95005-5 - Car transfer - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Car transfer) (Seq: 8, Type: N/A) None
        • 89385-9 - Walk 10 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 8, Type: N/A) None
        • 89412-1 - Car transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Car transfer) (Seq: 8, Type: N/A) None
        • 95004-8 - Walk 10 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 9, Type: N/A) None
        • 89381-8 - Walk 50 feet with two turns - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 9, Type: N/A) None
        • 89385-9 - Walk 10 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 9, Type: N/A) None
        • 95003-0 - Walk 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 10, Type: N/A) None
        • 89383-4 - Walk 150 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 10, Type: N/A) None
        • 89381-8 - Walk 50 feet with two turns - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 10, Type: N/A) None
        • 95002-2 - Walk 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 11, Type: N/A) None
        • 89379-2 - Walking 10 feet on uneven surfaces - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walking 10 feet on uneven surfaces) (Seq: 11, Type: N/A) None
        • 89383-4 - Walk 150 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 11, Type: N/A) None
        • 95001-4 - Walking 10 feet on uneven surfaces - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walking 10 feet on uneven surfaces) (Seq: 12, Type: N/A) None
        • 89420-4 - Go up and down a curb &or step - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (1 step (curb)) (Seq: 12, Type: N/A) None
        • 89379-2 - Walking 10 feet on uneven surfaces - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walking 10 feet on uneven surfaces) (Seq: 12, Type: N/A) None
        • 95000-6 - Go up and down a curb &or step - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (1 step (curb)) (Seq: 13, Type: N/A) None
        • 89416-2 - Go up and down 4 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (4 steps) (Seq: 13, Type: N/A) None
        • 89420-4 - Go up and down a curb &or step - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (1 step (curb)) (Seq: 13, Type: N/A) None
        • 94999-0 - Go up and down 4 steps - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (4 steps) (Seq: 14, Type: N/A) None
        • 89418-8 - Go up and down 12 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (12 steps) (Seq: 14, Type: N/A) None
        • 89416-2 - Go up and down 4 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (4 steps) (Seq: 14, Type: N/A) None
        • 94998-2 - Go up and down 12 steps - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (12 steps) (Seq: 15, Type: N/A) None
        • 89402-2 - Picking up object - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Picking up object) (Seq: 15, Type: N/A) None
        • 89418-8 - Go up and down 12 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (12 steps) (Seq: 15, Type: N/A) None
        • 94997-4 - Picking up object - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Picking up object) (Seq: 16, Type: N/A) None
        • 95738-1 - Does the patient use a wheelchair or scooter:Find:RptPeriod:^Patient:Ord:CMS Assessment (Does the resident use a wheelchair and/or scooter?) (Seq: 16, Type: N/A) None
        • 89402-2 - Picking up object - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Picking up object) (Seq: 16, Type: N/A) None
        • 95738-1 - Does the patient use a wheelchair or scooter:Find:RptPeriod:^Patient:Ord:CMS Assessment (Does the resident use a wheelchair and/or scooter?) (Seq: 17, Type: N/A) None
        • 94992-5 - Wheel 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 50 feet with two turns) (Seq: 17, Type: N/A) None
        • 94992-5 - Wheel 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 50 feet with two turns) (Seq: 18, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 18, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 19, Type: N/A) None
        • 94991-7 - Wheel 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 150 feet) (Seq: 19, Type: N/A) None
        • 94991-7 - Wheel 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 150 feet) (Seq: 20, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 20, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 21, Type: N/A) None
      • 101323-4 - MDS v3.0 - RAI v1.18.11 - Mobility - Admission Performance:-:RptPeriod:^Patient:-:CMS Assessment (Mobility - Admission Performance (Assessment period is the first 3 days of the stay)) (Seq: 3, Type: N/A) None
      • 101324-2 - MDS v3.0 - RAI v1.18.11 - Mobility - Discharge Goal:-:RptPeriod:^Patient:-:CMS Assessment (Mobility - Discharge Goal (Assessment period is the first 3 days of stay)) (Seq: 4, Type: N/A) None
        • 89398-2 - Roll left and right - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Roll left and right) (Seq: 1, Type: N/A) None
        • 89394-1 - Sit to lying - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to lying) (Seq: 2, Type: N/A) None
        • 85927-2 - Lying to sitting on side of bed - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 3, Type: N/A) None
        • 89392-5 - Sit to stand - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to stand) (Seq: 4, Type: N/A) None
        • 89414-7 - Chair &or bed-to-chair transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Chair/bed-to-chair transfer) (Seq: 5, Type: N/A) None
        • 89390-9 - Toilet transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toilet transfer) (Seq: 6, Type: N/A) None
        • 101325-9 - Tub &or shower transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Tub/shower transfer) (Seq: 7, Type: N/A) None
        • 89412-1 - Car transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Car transfer) (Seq: 8, Type: N/A) None
        • 89385-9 - Walk 10 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 9, Type: N/A) None
        • 89381-8 - Walk 50 feet with two turns - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 10, Type: N/A) None
        • 89383-4 - Walk 150 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 11, Type: N/A) None
        • 89379-2 - Walking 10 feet on uneven surfaces - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walking 10 feet on uneven surfaces) (Seq: 12, Type: N/A) None
        • 89420-4 - Go up and down a curb &or step - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (1 step (curb)) (Seq: 13, Type: N/A) None
        • 89416-2 - Go up and down 4 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (4 steps) (Seq: 14, Type: N/A) None
        • 89418-8 - Go up and down 12 steps - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (12 steps) (Seq: 15, Type: N/A) None
        • 89402-2 - Picking up object - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Picking up object) (Seq: 16, Type: N/A) None
        • 94992-5 - Wheel 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 50 feet with two turns) (Seq: 17, Type: N/A) None
        • 94991-7 - Wheel 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 150 feet) (Seq: 18, Type: N/A) None
    • 101265-7 - MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals - Admission:-:RptPeriod:^Patient:-:CMS Assessment (Functional Abilities and Goals - Admission) (Seq: 5, Type: Header (not a question)) None
    • 101266-5 - MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals - Discharge:-:RptPeriod:^Patient:-:CMS Assessment (Functional Abilities - Discharge) (Seq: 5, Type: Header (not a question)) None
    • 101266-5 - MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals - Discharge:-:RptPeriod:^Patient:-:CMS Assessment (Functional Abilities and Goals - Discharge) (Seq: 6, Type: Header (not a question)) None
    • 101267-3 - MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals - OBRA &or Interim:-:RptPeriod:^Patient:-:CMS Assessment (Functional Abilities and Goals - OBRA &or Interim) (Seq: 7, Type: Header (not a question)) None
      • 101430-7 - Self-Care - OBRA/Interim Performance:-:RptPeriod:^Patient:-:CMS Assessment (Self-Care - OBRA/Interim Performance) (Seq: 1, Type: N/A) None
        • 89409-7 - Eating - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Eating) (Seq: 1, Type: N/A) None
        • 89404-8 - Oral hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Oral hygiene) (Seq: 1, Type: N/A) None
        • 89389-1 - Toileting hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toileting hygiene) (Seq: 2, Type: N/A) None
        • 89404-8 - Oral hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Oral hygiene) (Seq: 2, Type: N/A) None
        • 89396-6 - Shower &or bathe self - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Shower/bathe self) (Seq: 3, Type: N/A) None
        • 89389-1 - Toileting hygiene - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toileting hygiene) (Seq: 3, Type: N/A) None
        • 89387-5 - Upper body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Upper body dressing) (Seq: 4, Type: N/A) None
        • 89396-6 - Shower &or bathe self - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Shower/bathe self) (Seq: 4, Type: N/A) None
        • 89406-3 - Lower body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lower body dressing) (Seq: 5, Type: N/A) None
        • 89387-5 - Upper body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Upper body dressing) (Seq: 5, Type: N/A) None
        • 89400-6 - Putting on and taking off footwear - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Putting on/taking off footwear) (Seq: 6, Type: N/A) None
        • 89406-3 - Lower body dressing - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lower body dressing) (Seq: 6, Type: N/A) None
        • 45606-1 - Personal hygiene - self-performance during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Personal hygiene) (Seq: 7, Type: N/A) None
        • 89400-6 - Putting on and taking off footwear - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Putting on/taking off footwear) (Seq: 7, Type: N/A) None
        • 45606-1 - Personal hygiene - self-performance during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Personal hygiene) (Seq: 8, Type: N/A) None
      • 101432-3 - Mobility - OBRA/Interim Performance:-:RptPeriod:^Patient:-:CMS Assessment (Mobility - OBRA/Interim Performance (Assessment period is the ARD plus 2 previous calendar days)) (Seq: 2, Type: N/A) None
        • 89398-2 - Roll left and right - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Roll left and right) (Seq: 1, Type: N/A) None
        • 89394-1 - Sit to lying - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to lying) (Seq: 1, Type: N/A) None
        • 89394-1 - Sit to lying - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to lying) (Seq: 2, Type: N/A) None
        • 95009-7 - Lying to sitting on side of bed - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 2, Type: N/A) None
        • 85927-2 - Lying to sitting on side of bed - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 2, Type: N/A) None
        • 85927-2 - Lying to sitting on side of bed - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Lying to sitting on side of bed) (Seq: 3, Type: N/A) None
        • 89392-5 - Sit to stand - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to stand) (Seq: 3, Type: N/A) None
        • 89392-5 - Sit to stand - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Sit to stand) (Seq: 4, Type: N/A) None
        • 89414-7 - Chair &or bed-to-chair transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Chair/bed-to-chair transfer) (Seq: 4, Type: N/A) None
        • 89414-7 - Chair &or bed-to-chair transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Chair/bed-to-chair transfer) (Seq: 5, Type: N/A) None
        • 89390-9 - Toilet transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toilet transfer) (Seq: 5, Type: N/A) None
        • 89390-9 - Toilet transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Toilet transfer) (Seq: 6, Type: N/A) None
        • 89385-9 - Walk 10 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 6, Type: N/A) None
        • 101325-9 - Tub &or shower transfer - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Tub/shower transfer) (Seq: 7, Type: N/A) None
        • 89381-8 - Walk 50 feet with two turns - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 7, Type: N/A) None
        • 89385-9 - Walk 10 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 10 feet) (Seq: 8, Type: N/A) None
        • 89383-4 - Walk 150 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 8, Type: N/A) None
        • 89381-8 - Walk 50 feet with two turns - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 50 feet with two turns) (Seq: 9, Type: N/A) None
        • 89383-4 - Walk 150 feet - functional goal:Find:RptPeriod:^Patient:Ord:CMS Assessment (Walk 150 feet) (Seq: 10, Type: N/A) None
        • 95738-1 - Does the patient use a wheelchair or scooter:Find:RptPeriod:^Patient:Ord:CMS Assessment (Does the resident use a wheelchair and/or scooter?) (Seq: 11, Type: N/A) None
        • 94992-5 - Wheel 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 50 feet with two turns) (Seq: 12, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 13, Type: N/A) None
        • 94991-7 - Wheel 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wheel 150 feet) (Seq: 14, Type: N/A) None
        • 95739-9 - Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the type of wheelchair or scooter used) (Seq: 15, Type: N/A) None
  • 101268-1 - MDS v3.0 - RAI v1.18.11 - Bladder and Bowel:-:RptPeriod:^Patient:-:CMS Assessment (Bladder and Bowel) (Seq: 7, Type: Header (not a question)) None
    • 86624-4 - Bladder and bowel appliances used:Find:RptPeriod:^Patient:Nom:CMS Assessment (Appliances) (Seq: 1, Type: N/A) None
    • 54530-1 - Urinary toileting program:-:RptPeriod:^Patient:-:CMS Assessment (Urinary Toileting Program) (Seq: 2, Type: N/A) None
      • 54767-9 - Trial of toileting program has been attempted on admission or reentry or since urinary incontinence was noted in this facility:Find:RptPeriod:^Patient:Ord:CMS Assessment (Has a trial of a toileting program (e.g. scheduled toileting, prompted voiding, or bladder training) been attempted on admission/reentry or since urinary incontinence was noted in this facility?) (Seq: 1, Type: N/A) None
      • 54768-7 - Response to toileting program:Find:RptPeriod:^Patient:Ord:CMS Assessment (Response. What was the resident's response to the trial program?) (Seq: 2, Type: N/A) None
      • 54769-5 - Current toileting program or trial:Find:RptPeriod:^Patient:Ord:CMS Assessment (Current toileting program or trial - Is a toileting program currently being used to manage the resident's urinary continence?) (Seq: 2, Type: N/A) None
      • 54769-5 - Current toileting program or trial:Find:RptPeriod:^Patient:Ord:CMS Assessment (Current toileting program or trial. Is a toileting program (e.g. scheduled toileting, prompted voiding, or bladder training) currently being used to manage the resident's urinary continence?) (Seq: 3, Type: N/A) None
    • 95735-7 - Bladder continence:Find:RptPeriod:^Patient:Ord:CMS Assessment (Urinary Continence) (Seq: 2, Type: N/A) None
    • 95735-7 - Bladder continence:Find:RptPeriod:^Patient:Ord:CMS Assessment (Urinary Continence) (Seq: 3, Type: N/A) None
    • 95736-5 - Bowel continence:Find:RptPeriod:^Patient:Ord:CMS Assessment (Bowel Continence) (Seq: 3, Type: N/A) None
    • 95736-5 - Bowel continence:Find:RptPeriod:^Patient:Ord:CMS Assessment (Bowel Continence) (Seq: 4, Type: N/A) None
    • 88695-2 - Used bowel toileting program:Find:RptPeriod:^Patient:Ord:CMS Assessment (Bowel Toileting Program) (Seq: 5, Type: N/A) None
    • 54773-7 - Constipation present:Find:RptPeriod:^Patient:Ord:CMS Assessment (Bowel Patterns. Constipation present?) (Seq: 6, Type: N/A) None
  • 101601-3 - CMS - Active Diagnoses:-:RptPeriod:^Patient:-:CMS Assessment (Active Diagnoses) (Seq: 8, Type: Header (not a question)) None
    • 96095-5 - Indicate the patient's primary medical condition category:Find:RptPeriod:^Patient:Nom:CMS Assessment (Indicate the resident's primary medical condition category) (Seq: 1, Type: N/A) None
    • 86671-5 - Active diagnoses:Find:RptPeriod:^Patient:Nom:CMS Assessment (Active Diagnoses in the last 7 days) (Seq: 1, Type: N/A) None
    • 52797-8 - Dx ICD code (ICD Code) (Seq: 2, Type: N/A) None
    • 86671-5 - Active diagnoses:Find:RptPeriod:^Patient:Nom:CMS Assessment (Active Diagnoses in the last 7 days) (Seq: 3, Type: N/A) None
    • 52797-8 - Dx ICD code (Additional active diagnoses) (Seq: 4, Type: N/A) None
  • 101270-7 - MDS v3.0 - RAI v1.18.11 - Health Conditions:-:RptPeriod:^Patient:-:CMS Assessment (Health Conditions) (Seq: 9, Type: Header (not a question)) None
    • 54557-4 - Pain management:-:RptPeriod:^Patient:-:CMS Assessment (Pain Management) (Seq: 1, Type: N/A) None
      • 71447-7 - Received scheduled pain medication regimen:Find:RptPeriod:^Patient:Ord:CMS Assessment (Received scheduled pain medication regimen?) (Seq: 1, Type: N/A) None
      • 71448-5 - Received PRN pain medications or was offered and declined:Find:RptPeriod:^Patient:Ord:CMS Assessment (Received PRN pain medications or was offered and declined?) (Seq: 2, Type: N/A) None
      • 71449-3 - Received non-medication intervention for pain:Find:RptPeriod:^Patient:Ord:CMS Assessment (Received non-medication intervention for pain?) (Seq: 3, Type: N/A) None
    • 54828-9 - Pain assessment interview should be conducted:Find:RptPeriod:^Patient:Ord:CMS Assessment (Should Pain Assessment Interview be Conducted?) (Seq: 1, Type: N/A) None
    • 54828-9 - Pain assessment interview should be conducted:Find:RptPeriod:^Patient:Ord:CMS Assessment (Should Pain Assessment Interview be Conducted?) (Seq: 2, Type: N/A) None
    • 101326-7 - MDS v3.0 - RAI v1.18.11 - Pain assessment interview:-:RptPeriod:^Patient:-:CMS Assessment (Pain Assessment Interview) (Seq: 2, Type: N/A) None
      • 54829-7 - Pain presence:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Presence) (Seq: 1, Type: N/A) None
      • 54830-5 - Pain frequency:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Frequency) (Seq: 2, Type: N/A) None
      • 93156-8 - How much of the time has pain made it hard for you to sleep at night:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Effect on Sleep) (Seq: 2, Type: N/A) None
      • 93156-8 - How much of the time has pain made it hard for you to sleep at night:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Effect on Sleep) (Seq: 3, Type: N/A) None
      • 93160-0 - How often have you limited your participation in rehabilitation therapy sessions due to pain over:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Interference with Therapy Activities) (Seq: 3, Type: N/A) None
      • 93160-0 - How often have you limited your participation in rehabilitation therapy sessions due to pain over:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Interference with Therapy Activities) (Seq: 4, Type: N/A) None
      • 93158-4 - How often have you limited your day-to-day activities because of pain:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Interference with Day-to-Day Activities) (Seq: 4, Type: N/A) None
      • 93158-4 - How often have you limited your day-to-day activities because of pain:Find:RptPeriod:^Patient:Ord:CMS Assessment (Pain Interference with Day-to-Day Activities) (Seq: 5, Type: N/A) None
      • 54560-8 - Pain intensity:-:RptPeriod:^Patient:-:CMS Assessment (Pain Intensity) (Seq: 6, Type: N/A) None
        • 54833-9 - Pain severity:Find:RptPeriod:^Patient:Ord:CMS Assessment (Numeric Rating Scale (00-10). Ask resident: "Please rate your worst pain over the last 5 days on a zero to ten scale, with zero being no pain and ten as the worst pain you can imagine." (Show resident 00-10 pain scale.)) (Seq: 1, Type: N/A) None
        • 54834-7 - Rate pain severity using verbal descriptor scale:Find:RptPeriod:^Patient:Ord:CMS Assessment (Verbal Descriptor Scale. Ask resident: " Please rate the intensity of your worst pain over the last 5 days." (Show resident verbal scale.)) (Seq: 2, Type: N/A) None
    • 101326-7 - MDS v3.0 - RAI v1.18.11 - Pain assessment interview:-:RptPeriod:^Patient:-:CMS Assessment (Pain Assessment Interview) (Seq: 3, Type: N/A) None
    • 54853-7 - Has the patient had any falls since admission or prior assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Any Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 3, Type: N/A) None
    • 86674-9 - Other health conditions:-:RptPeriod:^Patient:-:CMS Assessment (Other Health Conditions) (Seq: 3, Type: N/A) None
      • 86675-6 - Shortness of breath:Find:RptPeriod:^Patient:Nom:CMS Assessment (Shortness of Breath (dyspnea)) (Seq: 1, Type: N/A) None
      • 54853-7 - Has the patient had any falls since admission or prior assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Any Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 1, Type: N/A) None
      • 54845-3 - Tobacco use:Find:RptPeriod:^Patient:Ord:CMS Assessment (Current Tobacco Use) (Seq: 2, Type: N/A) None
      • 54846-1 - Life expectancy of less than 6M:Find:RptPeriod:^Patient:Ord:CMS Assessment (Prognosis) (Seq: 2, Type: N/A) None
      • 54854-5 - Number of falls since admission or prior assessment:-:RptPeriod:^Patient:-:CMS Assessment (Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 2, Type: N/A) None
      • 54846-1 - Life expectancy of less than 6M:Find:RptPeriod:^Patient:Ord:CMS Assessment (Prognosis. Does the resident have a condition or chronic disease that may result in a life expectancy of less than 6 months?) (Seq: 3, Type: N/A) None
      • 86676-4 - Problem conditions:Find:RptPeriod:^Patient:Nom:CMS Assessment (Problem Conditions) (Seq: 3, Type: N/A) None
      • 86676-4 - Problem conditions:Find:RptPeriod:^Patient:Nom:CMS Assessment (Problem Conditions) (Seq: 4, Type: N/A) None
      • 54849-5 - Fall history on admission:-:RptPeriod:^Patient:-:CMS Assessment (Fall History on Admission/Entry or Reentry) (Seq: 4, Type: N/A) None
        • 54850-3 - Fall one or more times in the last Mo prior to admission:Find:1Mo:^Patient:Ord:CMS Assessment (Did the resident fall one or more times in the last month prior to admission?) (Seq: 1, Type: N/A) None
        • 54851-1 - Fall one or more times in the last 2 to 6Mo prior to admission:Find:6Mo:^Patient:Ord:CMS Assessment (Did the resident fall one or more times in the last 2 - 6 months prior to admission?) (Seq: 2, Type: N/A) None
        • 54852-9 - Any fracture related to a fall in the 6Mo prior to admission:Find:6Mo:^Patient:Ord:CMS Assessment (Did the resident have any fracture related to a fall in the 6 months prior to admission?) (Seq: 3, Type: N/A) None
      • 54853-7 - Has the patient had any falls since admission or prior assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Any Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 4, Type: N/A) None
      • 54849-5 - Fall history on admission:-:RptPeriod:^Patient:-:CMS Assessment (Fall History on Admission/Entry or Reentry) (Seq: 5, Type: N/A) None
      • 54853-7 - Has the patient had any falls since admission or prior assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Any Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 5, Type: N/A) None
      • 54854-5 - Number of falls since admission or prior assessment:-:RptPeriod:^Patient:-:CMS Assessment (Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 5, Type: N/A) None
      • 54853-7 - Has the patient had any falls since admission or prior assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Has the resident had any falls since admission/entry or reentry or the prior assessment (OBRA or Scheduled PPS), whichever is more recent?) (Seq: 6, Type: N/A) None
      • 54854-5 - Number of falls since admission or prior assessment:-:RptPeriod:^Patient:-:CMS Assessment (Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 6, Type: N/A) None
      • 54854-5 - Number of falls since admission or prior assessment:-:RptPeriod:^Patient:-:CMS Assessment (Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 7, Type: N/A) None
    • 58117-3 - Staff pain assessment interview should be conducted:Find:RptPeriod:^Patient:Ord:CMS Assessment (Should the Staff Assessment for Pain be Conducted?) (Seq: 4, Type: N/A) None
    • 54854-5 - Number of falls since admission or prior assessment:-:RptPeriod:^Patient:-:CMS Assessment (Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent) (Seq: 4, Type: N/A) None
      • 54855-2 - Number of falls since admission or prior assessment - no injury:Num:RptPeriod:^Patient:Ord:CMS Assessment (No injury) (Seq: 1, Type: N/A) None
      • 54856-0 - Number of falls since admission or prior assessment - injury except major:Num:RptPeriod:^Patient:Ord:CMS Assessment (Injury (except major)) (Seq: 2, Type: N/A) None
      • 54857-8 - Number of falls since admission or prior assessment - major injury:Num:RptPeriod:^Patient:Ord:CMS Assessment (Major injury) (Seq: 3, Type: N/A) None
    • 86674-9 - Other health conditions:-:RptPeriod:^Patient:-:CMS Assessment (Other Health Conditions) (Seq: 4, Type: N/A) None
    • 86672-3 - Staff assessment for pain:-:RptPeriod:^Patient:-:CMS Assessment (Staff Assessment for Pain) (Seq: 5, Type: N/A) None
      • 86673-1 - Indicators of pain or possible pain:Find:RptPeriod:^Patient:Nom:CMS Assessment (Indicators of Pain or Possible Pain in the last 5 days) (Seq: 1, Type: N/A) None
      • 58118-1 - Frequency of indicator of pain or possible pain:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Frequency of Indicator of Pain or Possible Pain in the last 5 days. Frequency with which resident complains or shows evidence of pain or possible pain) (Seq: 2, Type: N/A) d/(5.d)
    • 86674-9 - Other health conditions:-:RptPeriod:^Patient:-:CMS Assessment (Other Health Conditions) (Seq: 6, Type: N/A) None
    • 83274-1 - Did the patient have major surgery during the 100D prior to admission:Find:100D:^Patient:Ord:CMS Assessment (Prior Surgery) (Seq: 7, Type: N/A) None
    • 90542-2 - Did the resident have a major surgical procedure during the prior inpatient hospital stay that requires active care during the SNF stay:Find:RptPeriod:^Patient:Ord:CMS Assessment (Recent Surgery Requiring Active SNF Care) (Seq: 8, Type: N/A) None
    • 90745-1 - Surgical procedures requiring active SNF care:Find:RptPeriod:^Patient:Nom:CMS Assessment (Surgical Procedures) (Seq: 9, Type: N/A) None
  • 101271-5 - MDS v3.0 - RAI v1.18.11 - Swallowing &or Nutritional Status:-:RptPeriod:^Patient:-:CMS Assessment (Swallowing &or Nutritional Status) (Seq: 10, Type: Header (not a question)) None
    • 86677-2 - Signs and symptoms of swallowing disorder:Find:RptPeriod:^Patient:Nom:CMS Assessment (Swallowing Disorder) (Seq: 1, Type: N/A) None
    • 54568-1 - Nutritional approaches panel:-:RptPeriod:^Patient:-:CMS Assessment (Nutritional Approaches) (Seq: 1, Type: N/A) None
      • 71444-4 - Nutritional approaches during last 7D - while not a resident:Find:7D:^Patient:Nom:CMS Assessment (Nutritional Approaches. While NOT a Resident) (Seq: 1, Type: N/A) None
      • 101327-5 - Nutritional approaches - on admission:Find:RptPeriod:^Patient:Nom:CMS Assessment (Nutritional Approaches. On Admission) (Seq: 1, Type: N/A) None
      • 101632-8 - CMS - Nutritional approaches - on admission:Find:RptPeriod:^Patient:Nom:CMS Assessment (Nutritional Approaches. On Admission) (Seq: 1, Type: N/A) None
      • 71445-1 - Nutritional approaches during last 7D - while a resident:Find:7D:^Patient:Nom:CMS Assessment (Nutritional Approaches. While a Resident) (Seq: 1, Type: N/A) None
      • 101328-3 - Nutritional approaches - at discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment (Nutritional Approaches. At Discharge) (Seq: 1, Type: N/A) None
      • 101605-4 - CMS - Nutritional approaches - at discharge:Find:RptPeriod:^{Subject}:Nom:CMS Assessment (Nutritional Approaches. At Discharge) (Seq: 1, Type: N/A) None
      • 71445-1 - Nutritional approaches during last 7D - while a resident:Find:7D:^Patient:Nom:CMS Assessment (Nutritional Approaches. While a Resident) (Seq: 2, Type: N/A) None
      • 71444-4 - Nutritional approaches during last 7D - while not a resident:Find:7D:^Patient:Nom:CMS Assessment (Nutritional Approaches. While NOT a Resident) (Seq: 2, Type: N/A) None
      • 101605-4 - CMS - Nutritional approaches - at discharge:Find:RptPeriod:^{Subject}:Nom:CMS Assessment (Nutritional Approaches. At Discharge) (Seq: 2, Type: N/A) None
      • 101328-3 - Nutritional approaches - at discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment (Nutritional Approaches. At Discharge) (Seq: 2, Type: N/A) None
      • 71445-1 - Nutritional approaches during last 7D - while a resident:Find:7D:^Patient:Nom:CMS Assessment (Nutritional Approaches. While a Resident) (Seq: 3, Type: N/A) None
      • 101328-3 - Nutritional approaches - at discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment (Nutritional Approaches. At Discharge) (Seq: 4, Type: N/A) None
      • 101605-4 - CMS - Nutritional approaches - at discharge:Find:RptPeriod:^{Subject}:Nom:CMS Assessment (Nutritional Approaches. At Discharge) (Seq: 4, Type: N/A) None
    • 54567-3 - Height and weight:-:Pt:^Patient:-: (Height and Weight) (Seq: 1, Type: N/A) None
      • 3137-7 - Body height Measured (Height (in inches)) (Seq: 1, Type: N/A) [in_us];cm;m
      • 103692-0 - Body height:Len:RptPeriod:^Patient:Qn:CMS Assessment (Height (in inches)) (Seq: 1, Type: N/A) [in_us];cm;m
      • 3141-9 - Weight Measured (Weight (in pounds)) (Seq: 2, Type: N/A) [lb_av];kg
      • 103693-8 - Body weight:Mass:RptPeriod:^Patient:Qn:CMS Assessment (Weight (in pounds)) (Seq: 2, Type: N/A) [lb_av];kg
    • 54567-3 - Height and weight:-:Pt:^Patient:-: (Height and Weight) (Seq: 2, Type: N/A) None
    • 54863-6 - Weight loss of 5% or more in the last Mo or loss of 10% or more in last 6Mo:Find:6Mo:^Patient:Ord:CMS Assessment (Weight Loss) (Seq: 2, Type: N/A) None
    • 54863-6 - Weight loss of 5% or more in the last Mo or loss of 10% or more in last 6Mo:Find:6Mo:^Patient:Ord:CMS Assessment (Weight Loss) (Seq: 3, Type: N/A) None
    • 86678-0 - Weight gain of 5% or more in the last month or gain of 10% or more in last 6Mo:Find:6Mo:^Patient:Ord:CMS Assessment (Weight Gain) (Seq: 3, Type: N/A) None
    • 86678-0 - Weight gain of 5% or more in the last month or gain of 10% or more in last 6Mo:Find:6Mo:^Patient:Ord:CMS Assessment (Weight Gain) (Seq: 4, Type: N/A) None
    • 54568-1 - Nutritional approaches panel:-:RptPeriod:^Patient:-:CMS Assessment (Nutritional Approaches) (Seq: 4, Type: N/A) None
    • 54568-1 - Nutritional approaches panel:-:RptPeriod:^Patient:-:CMS Assessment (Nutritional Approaches) (Seq: 5, Type: N/A) None
    • 90543-0 - Percent intake by artificial route while a resident and during the last 7D:-:RptPeriod:^Patient:-:CMS Assessment (Percent Intake by Artificial Route) (Seq: 6, Type: N/A) None
      • 86681-4 - Proportion of total calories the resident received through parenteral or tube feeding in last 7D - while a resident:Find:7D:^Patient:Ord:CMS Assessment (Proportion of total calories the resident received through parenteral or tube feeding. While a Resident) (Seq: 1, Type: N/A) None
      • 86687-1 - Proportion of total calories the resident received through parenteral or tube feeding during entire 7D:Find:7D:^Patient:Ord:CMS Assessment (Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days) (Seq: 2, Type: N/A) None
      • 86683-0 - Mean fluid intake per day by IV or tube feeding in last 7D - while a resident:VRat:7D:^Patient:Qn:CMS Assessment (Average fluid intake per day by IV or tube feeding. While a Resident) (Seq: 3, Type: N/A) mL/d;L/d
      • 86684-8 - Mean fluid intake per day by IV or tube feeding during entire 7D:VRat:7D:^Patient:Qn:CMS Assessment (Average fluid intake per day by IV or tube feeding. During Entire 7 Days) (Seq: 4, Type: N/A) mL/d;L/d
  • 101273-1 - MDS v3.0 - RAI v1.18.11 - Skin Conditions:-:RptPeriod:^Patient:-:CMS Assessment (Skin Conditions) (Seq: 11, Type: Header (not a question)) None
    • 101333-3 - Determination of pressure injury risk:Find:RptPeriod:^Patient:Nom:CMS Assessment (Determination of Pressure Ulcer/Injury Risk) (Seq: 1, Type: N/A) None
    • 58214-8 - One or more unhealed pressure injuries stage 1 or higher:Find:RptPeriod:^Patient:Ord:CMS Assessment (Unhealed Pressure Ulcers/Injuries) (Seq: 1, Type: N/A) None
    • 101608-8 - CMS - Determination of Pressure Ulcer/Injury Risk:Find:RptPeriod:^Patient:Nom:CMS Assessment (Determination of Pressure Ulcer/Injury Risk) (Seq: 1, Type: N/A) None
    • 57280-0 - Risk of developing pressure injuries:Find:RptPeriod:^Patient:Ord:CMS Assessment (Risk of Pressure Ulcers/Injuries) (Seq: 2, Type: N/A) None
    • 88961-8 - MDS v3.0 - RAI v1.17.2 - Current number of unhealed pressure injuries at each stage:-:RptPeriod:^Patient:-:CMS Assessment (Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage) (Seq: 2, Type: N/A) None
      • 54884-2 - Number of pressure injuries - stage 1:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Stage 1 pressure injuries) (Seq: 1, Type: N/A) {#}
      • 55124-2 - Number of pressure injuries - stage 2:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Stage 2 pressure ulcers) (Seq: 1, Type: N/A) {#}
      • 55124-2 - Number of pressure injuries - stage 2:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Stage 2 pressure ulcers) (Seq: 2, Type: N/A) {#}
      • 54886-7 - Number of pressure injuries present upon admission &or reentry - stage 2:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry) (Seq: 2, Type: N/A) {#}
      • 54886-7 - Number of pressure injuries present upon admission &or reentry - stage 2:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry) (Seq: 3, Type: N/A) {#}
      • 55125-9 - Number of pressure injuries - stage 3:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Stage 3 pressure ulcers) (Seq: 3, Type: N/A) {#}
      • 55125-9 - Number of pressure injuries - stage 3:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Stage 3 pressure ulcers) (Seq: 4, Type: N/A) {#}
      • 54887-5 - Number of pressure injuries present upon admission &or reentry - stage 3:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry) (Seq: 4, Type: N/A) {#}
      • 54887-5 - Number of pressure injuries present upon admission &or reentry - stage 3:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry) (Seq: 5, Type: N/A) {#}
      • 55126-7 - Number of pressure injuries - stage 4:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Stage 4 pressure ulcers) (Seq: 5, Type: N/A) {#}
      • 55126-7 - Number of pressure injuries - stage 4:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Stage 4 pressure ulcers) (Seq: 6, Type: N/A) {#}
      • 54890-9 - Number of pressure injuries present upon admission &or reentry - stage 4:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry) (Seq: 6, Type: N/A) {#}
      • 54890-9 - Number of pressure injuries present upon admission &or reentry - stage 4:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry) (Seq: 7, Type: N/A) {#}
      • 54893-3 - Number of pressure injuries - unstageable due to non-removable dressing or device:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of unstageable pressure ulcers/injuries due to non-removable dressing/device) (Seq: 7, Type: N/A) {#}
      • 54893-3 - Number of pressure injuries - unstageable due to non-removable dressing or device:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of unstageable pressure ulcers/injuries due to non-removable dressing/device) (Seq: 8, Type: N/A) {#}
      • 54894-1 - Number of pressure injuries present upon admission &or reentry - unstageable due to non-removable dressing:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry) (Seq: 8, Type: N/A) {#}
      • 54894-1 - Number of pressure injuries present upon admission &or reentry - unstageable due to non-removable dressing:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry) (Seq: 9, Type: N/A) {#}
      • 54946-9 - Number of pressure injuries - unstageable due to coverage of wound bed by slough &or eschar:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar) (Seq: 9, Type: N/A) {#}
      • 54946-9 - Number of pressure injuries - unstageable due to coverage of wound bed by slough &or eschar:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar) (Seq: 10, Type: N/A) {#}
      • 54947-7 - Number of pressure injuries present upon admission &or reentry - unstageable due to coverage of wound bed by slough &or eschar:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these unstageable pressure ulcers that were present upon admission/entry or reentry) (Seq: 10, Type: N/A) {#}
      • 54947-7 - Number of pressure injuries present upon admission &or reentry - unstageable due to coverage of wound bed by slough &or eschar:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these unstageable pressure ulcers that were present upon admission/entry or reentry) (Seq: 11, Type: N/A) {#}
      • 54950-1 - Number of pressure injuries - unstageable with suspected deep tissue injury in evolution:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of unstageable pressure injuries presenting as deep tissue injury) (Seq: 11, Type: N/A) {#}
      • 54950-1 - Number of pressure injuries - unstageable with suspected deep tissue injury in evolution:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of unstageable pressure injuries presenting as deep tissue injury) (Seq: 12, Type: N/A) {#}
      • 54951-9 - Number of pressure injuries present upon admission &or reentry - unstageable with suspected deep tissue injury in evolution:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these unstageable pressure injuries that were present upon admission/entry or reentry) (Seq: 12, Type: N/A) {#}
      • 54951-9 - Number of pressure injuries present upon admission &or reentry - unstageable with suspected deep tissue injury in evolution:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of these unstageable pressure injuries that were present upon admission/entry or reentry) (Seq: 13, Type: N/A) {#}
    • 58214-8 - One or more unhealed pressure injuries stage 1 or higher:Find:RptPeriod:^Patient:Ord:CMS Assessment (Unhealed Pressure Ulcers/Injuries) (Seq: 2, Type: N/A) None
    • 58214-8 - One or more unhealed pressure injuries stage 1 or higher:Find:RptPeriod:^Patient:Ord:CMS Assessment (Unhealed Pressure Ulcers/Injuries) (Seq: 3, Type: N/A) None
    • 88961-8 - MDS v3.0 - RAI v1.17.2 - Current number of unhealed pressure injuries at each stage:-:RptPeriod:^Patient:-:CMS Assessment (Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage) (Seq: 3, Type: N/A) None
    • 88961-8 - MDS v3.0 - RAI v1.17.2 - Current number of unhealed pressure injuries at each stage:-:RptPeriod:^Patient:-:CMS Assessment (Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage) (Seq: 4, Type: N/A) None
    • 101330-9 - Number of venous and arterial ulcers:Num:RptPeriod:^Patient:Qn:CMS Assessment (Number of Venous and Arterial Ulcers) (Seq: 5, Type: N/A) {#}
    • 101331-7 - Ulcers, wounds and skin problems:Find:RptPeriod:^Patient:Nom:CMS Assessment (Other Ulcers, Wounds and Skin Problems) (Seq: 6, Type: N/A) None
    • 86748-1 - Skin and pressure injury &or injury treatments during assessment period:Find:RptPeriod:^Patient:Nom:CMS Assessment (Skin and Ulcer/Injury Treatments) (Seq: 7, Type: N/A) None
  • 101274-9 - MDS v3.0 - RAI v1.18.11 - Medications:-:RptPeriod:^Patient:-:CMS Assessment (Medications) (Seq: 12, Type: Header (not a question)) None
    • 54982-4 - Number of D injectable substances received in last 7D or since admission &or reentry if less than 7D:NRat:7D:^Patient:Qn:CMS Assessment (Injections) (Seq: 1, Type: N/A) d/(7.d)
    • 93155-0 - IRF-PAI v4.0, LCDS v5.00, OASIS E - High risk drug classes - use and indication:-:RptPeriod:^Patient:-:CMS Assessment (High-Risk Drug Classes: Use and Indication) (Seq: 1, Type: N/A) None
      • 93153-5 - Drug classes of medications taken:Type:RptPeriod:^Patient:Nom:CMS Assessment (Is taking) (Seq: 1, Type: N/A) None
      • 93154-3 - Drug classes that have an indication documented:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indication noted) (Seq: 2, Type: N/A) None
    • 58217-1 - Insulin:-:RptPeriod:^Patient:-:CMS Assessment (Insulin) (Seq: 2, Type: N/A) None
      • 58127-2 - Number of D insulin injections were received in last 7D or since admission &or reentry if less than 7D:NRat:7D:^Patient:Qn:CMS Assessment (Insulin injections) (Seq: 1, Type: N/A) d/(7.d)
      • 58128-0 - Number of D the physician changed the resident's insulin orders in last 7D or since admission &or reentry if less than 7D:NRat:7D:^Patient:Qn:CMS Assessment (Orders for insulin) (Seq: 2, Type: N/A) d/(7.d)
    • 57256-0 - Medication intervention since admission &or reentry:Find:RptPeriod:^Patient:Ord:CMS Assessment (Medication Intervention) (Seq: 2, Type: N/A) None
    • 93155-0 - IRF-PAI v4.0, LCDS v5.00, OASIS E - High risk drug classes - use and indication:-:RptPeriod:^Patient:-:CMS Assessment (High-Risk Drug Classes: Use and Indication) (Seq: 3, Type: N/A) None
    • 88295-1 - Antipsychotic medication review:-:RptPeriod:^Patient:-:CMS Assessment (Antipsychotic Medication Review) (Seq: 4, Type: N/A) None
      • 88296-9 - Antipsychotic medications since admission or entry or reentry or the prior OBRA assessment, whichever is more recent:Find:RptPeriod:^Patient:Ord:CMS Assessment (Did the resident receive antipsychotic medications since admission/entry or reentry or the prior OBRA assessment, whichever is more recent?) (Seq: 1, Type: N/A) None
      • 88297-7 - Gradual dose reduction (GDR) attempted:Find:RptPeriod:^Patient:Ord:CMS Assessment (Has a gradual dose reduction (GDR) been attempted?) (Seq: 2, Type: N/A) None
      • 88298-5 - Date of last attempted gradual dose reduction:Date:RptPeriod:^Patient:Qn:CMS Assessment (Date of last attempted GDR) (Seq: 3, Type: N/A) {mm/dd/yyyy}
      • 88299-3 - Physician documented GDR as clinically contraindicated:Find:RptPeriod:^Patient:Ord:CMS Assessment (Physician documented GDR as clinically contraindicated) (Seq: 4, Type: N/A) None
      • 88300-9 - Date physician documented GDR as clinically contraindicated:Date:RptPeriod:^Patient:Qn:CMS Assessment (Date physician documented GDR as clinically contraindicated) (Seq: 5, Type: N/A) {mm/dd/yyyy}
    • 57255-2 - Drug regimen review identified potential medication issues:Find:RptPeriod:^Patient:Ord:CMS Assessment (Drug Regimen Review) (Seq: 4, Type: N/A) None
    • 57255-2 - Drug regimen review identified potential medication issues:Find:RptPeriod:^Patient:Ord:CMS Assessment (Drug Regimen Review) (Seq: 5, Type: N/A) None
    • 57281-8 - Medication follow-up:Find:RptPeriod:^Patient:Ord:CMS Assessment (Medication Follow-up) (Seq: 5, Type: N/A) None
    • 57281-8 - Medication follow-up:Find:RptPeriod:^Patient:Ord:CMS Assessment (Medication Follow-up) (Seq: 6, Type: N/A) None
    • 57256-0 - Medication intervention since admission &or reentry:Find:RptPeriod:^Patient:Ord:CMS Assessment (Medication Intervention) (Seq: 6, Type: N/A) None
    • 57256-0 - Medication intervention since admission &or reentry:Find:RptPeriod:^Patient:Ord:CMS Assessment (Medication Intervention) (Seq: 7, Type: N/A) None
  • 101275-6 - MDS v3.0 - RAI v1.18.11 - Header - Special Treatments, Procedures, and Programs:-:RptPeriod:^Patient:-:CMS Assessment (Special Treatments, Procedures, and Programs) (Seq: 13, Type: Header (not a question)) None
    • 101346-5 - MDS v3.0 - RAI v1.18.11 - Special Treatments, Procedures, and Programs:-:RptPeriod:^Patient:-:CMS Assessment (Special Treatments, Procedures, and Programs) (Seq: 1, Type: N/A) None
      • 83252-7 - Special treatments, procedures, and programs at admission:Find:RptPeriod:^Patient:Nom:CMS Assessment (Special Treatments, Procedures, and Programs - On Admission) (Seq: 1, Type: N/A) None
      • 93185-7 - Special treatments, procedures, and programs at discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment (Special Treatments, Procedures, and Programs - At Discharge) (Seq: 1, Type: N/A) None
      • 86761-4 - Procedures performed during last 14D - while a resident:Find:14D:^Patient:Nom:CMS Assessment (Special Treatments, Procedures, and Programs - While a Resident) (Seq: 1, Type: N/A) None
      • 86761-4 - Procedures performed during last 14D - while a resident:Find:14D:^Patient:Nom:CMS Assessment (Special Treatments, Procedures, and Programs - While a Resident) (Seq: 2, Type: N/A) None
      • 93185-7 - Special treatments, procedures, and programs at discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment (Special Treatments, Procedures, and Programs - At Discharge) (Seq: 2, Type: N/A) None
      • 93185-7 - Special treatments, procedures, and programs at discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment (Special Treatments, Procedures, and Programs - At Discharge) (Seq: 3, Type: N/A) None
    • 69339-0 - Influenza vaccine:-:RptPeriod:^Patient:-:CMS Assessment (Influenza Vaccine) (Seq: 2, Type: N/A) None
      • 55019-4 - Influenza virus vaccine received in facility:Find:RptPeriod:^Patient:Ord:CMS Assessment (Seq: 1, Type: N/A) None
      • 58131-4 - Flu vaccine date (Seq: 2, Type: N/A) {mm/dd/yyyy}
      • 55020-2 - Reason influenza virus vaccine not received:Find:RptPeriod:^Patient:Nom:CMS Assessment (If influenza vaccine not received, state reason:) (Seq: 3, Type: N/A) None
    • 90544-8 - Therapies during Part A Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Part A Therapies) (Seq: 2, Type: N/A) None
      • 90545-5 - Speech-language pathology and audiology services since the start date of the residents most recent Medicare Part A stay:-:RptPeriod:^Patient:-:CMS Assessment (Speech-Language Pathology and Audiology Services) (Seq: 1, Type: N/A) None
        • 90539-8 - Speech-language pathology and audiology services - individual minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 1, Type: N/A) min
        • 90536-4 - Speech-language pathology and audiology services - concurrent minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 2, Type: N/A) min
        • 90538-0 - Speech-language pathology and audiology services - group minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 3, Type: N/A) min
        • 90537-2 - Speech-language pathology and audiology services - co-treatment minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 4, Type: N/A) min
        • 90551-3 - Number of D with at least 15M of speech language pathology and audiology services during assessment period:NRat:RptPeriod:^Patient:Qn:CMS Assessment (Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 5, Type: N/A) d/{#}
      • 90546-3 - Occupational therapy since the start date of the residents most recent Medicare Part A stay:-:RptPeriod:^Patient:-:CMS Assessment (Occupational Therapy) (Seq: 2, Type: N/A) None
        • 90531-5 - Occupational therapy - individual minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 1, Type: N/A) min
        • 90527-3 - Occupational therapy - concurrent minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 2, Type: N/A) min
        • 90529-9 - Occupational therapy - group minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 3, Type: N/A) min
        • 90528-1 - Occupational therapy - co-treatment minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 4, Type: N/A) min
        • 90530-7 - Number of D with at least 15M of occupational therapy during assessment period:NRat:RptPeriod:^Patient:Qn:CMS Assessment (Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 5, Type: N/A) d/{#}
      • 90547-1 - Physical therapy since the start date of the residents most recent Medicare Part A stay:-:RptPeriod:^Patient:-:CMS Assessment (Physical Therapy) (Seq: 3, Type: N/A) None
        • 90535-6 - Physical therapy - individual minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 1, Type: N/A) min
        • 90532-3 - Physical therapy - concurrent minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 2, Type: N/A) min
        • 90534-9 - Physical therapy - group minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 3, Type: N/A) min
        • 90533-1 - Physical therapy - co-treatment minutes during assessment period:Time:RptPeriod:^Patient:Qn:CMS Assessment (Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 4, Type: N/A) min
        • 90550-5 - Number of D with at least 15M of physical therapy during assessment period:NRat:RptPeriod:^Patient:Qn:CMS Assessment (Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)) (Seq: 5, Type: N/A) d/{#}
    • 103569-0 - Is the resident's COVID-19 vaccination up to date?:Find:RptPeriod:^Patient:Ord:CMS Assessment (Resident’s COVID-19 vaccination is up to date) (Seq: 2, Type: N/A) None
    • 55021-0 - Pneumococcal vaccine:-:Pt:^Patient:-: (Pneumococcal Vaccine) (Seq: 3, Type: N/A) None
      • 55022-8 - Pneumococcal vaccination up to date:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is the resident's Pneumococcal Vaccination up to date?) (Seq: 1, Type: N/A) None
      • 45956-0 - Reason pneumococcal vaccine not received:Find:RptPeriod:^Patient:Nom:CMS Assessment (Seq: 2, Type: N/A) None
    • 90548-9 - Distinct calendar days of therapy during assessment period:Num:RptPeriod:^Patient:Qn:CMS Assessment (Distinct Calendar Days of Part A Therapy) (Seq: 3, Type: N/A) {#}
    • 90544-8 - Therapies during Part A Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Part A Therapies) (Seq: 3, Type: N/A) None
    • 86762-2 - Therapies:-:RptPeriod:^Patient:-:CMS Assessment (Therapies) (Seq: 4, Type: N/A) None
      • 86763-0 - Speech-language pathology and audiology services:-:RptPeriod:^Patient:-:CMS Assessment (Speech-Language Pathology and Audiology Services) (Seq: 1, Type: N/A) None
        • 58218-9 - Speech-language pathology and audiology services - individual minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days) (Seq: 1, Type: N/A) min
        • 58133-0 - Speech-language pathology and audiology services - concurrent minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days) (Seq: 2, Type: N/A) min
        • 58134-8 - Speech-language pathology and audiology services - group minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days) (Seq: 3, Type: N/A) min
        • 86765-5 - Speech-language pathology and audiology services - co-treatment minutes during 7D assessment period:Time:7D:^Patient:Qn:CMS Assessment (Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days) (Seq: 4, Type: N/A) min
        • 45760-6 - Number of D with at least 15M of speech language pathology and audiology services in the last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days) (Seq: 5, Type: N/A) d/(7.d)
        • 55025-1 - Start date of speech language pathology and audiology services:Date:RptPeriod:^Patient:Qn:CMS Assessment (Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started) (Seq: 6, Type: N/A) {mm/dd/yyyy}
        • 55026-9 - End date of speech language pathology and audiology services:Date:RptPeriod:^Patient:Qn:CMS Assessment (Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended) (Seq: 7, Type: N/A) {mm/dd/yyyy}
      • 86767-1 - Occupational therapy:-:RptPeriod:^Patient:-:CMS Assessment (Occupational Therapy) (Seq: 2, Type: N/A) None
        • 58219-7 - Occupational therapy - individual minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days) (Seq: 1, Type: N/A) min
        • 58136-3 - Occupational therapy - concurrent minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days) (Seq: 2, Type: N/A) min
        • 58137-1 - Occupational therapy - group minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days) (Seq: 3, Type: N/A) min
        • 86764-8 - Occupational therapy - co-treatment minutes during 7D assessment period:Time:7D:^Patient:Qn:CMS Assessment (Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days) (Seq: 4, Type: N/A) min
        • 45762-2 - Number of D with at least 15M of occupational therapy in the last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days) (Seq: 5, Type: N/A) d/(7.d)
        • 55027-7 - Start date of occupational therapy:Date:RptPeriod:^Patient:Qn:CMS Assessment (Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started) (Seq: 6, Type: N/A) {mm/dd/yyyy}
        • 55028-5 - End date of occupational therapy:Date:RptPeriod:^Patient:Qn:CMS Assessment (Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended) (Seq: 7, Type: N/A) {mm/dd/yyyy}
      • 86768-9 - Physical therapy:-:RptPeriod:^Patient:-:CMS Assessment (Physical Therapy) (Seq: 3, Type: N/A) None
        • 58220-5 - Physical therapy - individual minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days) (Seq: 1, Type: N/A) min
        • 58139-7 - Physical therapy - concurrent minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days) (Seq: 2, Type: N/A) min
        • 58140-5 - Physical therapy - group minutes in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days) (Seq: 3, Type: N/A) min
        • 86766-3 - Physical therapy - co-treatment minutes during 7D assessment period:Time:7D:^Patient:Qn:CMS Assessment (Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days) (Seq: 4, Type: N/A) min
        • 45764-8 - Number of D with at least 15M of physical therapy in the last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days) (Seq: 5, Type: N/A) d/(7.d)
        • 55029-3 - Start date of physical therapy:Date:RptPeriod:^Patient:Qn:CMS Assessment (Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started) (Seq: 6, Type: N/A) {mm/dd/yyyy}
        • 55030-1 - End date of physical therapy:Date:RptPeriod:^Patient:Qn:CMS Assessment (Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended) (Seq: 7, Type: N/A) {mm/dd/yyyy}
      • 58141-3 - Respiratory therapy:-:RptPeriod:^Patient:-:CMS Assessment (Respiratory Therapy) (Seq: 4, Type: N/A) None
        • 45767-1 - Total minutes of respiratory therapy in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Respiratory Therapy - Minutes) (Seq: 1, Type: N/A) min
        • 45766-3 - Number of D with at least 15M of respiratory therapy in the last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Days) (Seq: 1, Type: N/A) d/(7.d)
        • 45766-3 - Number of D with at least 15M of respiratory therapy in the last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Respiratory Therapy - Days) (Seq: 2, Type: N/A) d/(7.d)
      • 58142-1 - Psychological therapy:-:RptPeriod:^Patient:-:CMS Assessment (Psychological Therapy (by any licensed mental health professional)) (Seq: 5, Type: N/A) None
        • 45852-1 - Total minutes of psychological therapy by any licensed mental health professional in the last 7D:Time:7D:^Patient:Qn:CMS Assessment (Psychological Therapy (by any licensed mental health professional) - Minutes) (Seq: 1, Type: N/A) min
        • 45768-9 - Number of D with at least 15M of psychological therapy by any licensed mental health professional in the last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Days) (Seq: 1, Type: N/A) d/(7.d)
        • 45768-9 - Number of D with at least 15M of psychological therapy by any licensed mental health professional in the last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Psychological Therapy (by any licensed mental health professional) - Days) (Seq: 2, Type: N/A) d/(7.d)
      • 58143-9 - Recreational therapy:-:RptPeriod:^Patient:-:CMS Assessment (Recreational Therapy (includes recreational and music therapy)) (Seq: 6, Type: N/A) None
        • 55035-0 - Total minutes of recreational and music therapy in last 7D:Time:7D:^Patient:Qn:CMS Assessment (Recreational Therapy (includes recreational and music therapy) - Minutes) (Seq: 1, Type: N/A) min
        • 55036-8 - Number of D with at least 15M of recreational and music therapy in last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Recreational Therapy (includes recreational and music therapy) - Days) (Seq: 2, Type: N/A) d/(7.d)
    • 103569-0 - Is the resident's COVID-19 vaccination up to date?:Find:RptPeriod:^Patient:Ord:CMS Assessment (Resident’s COVID-19 vaccination is up to date) (Seq: 4, Type: N/A) None
    • 90548-9 - Distinct calendar days of therapy during assessment period:Num:RptPeriod:^Patient:Qn:CMS Assessment (Distinct Calendar Days of Part A Therapy) (Seq: 4, Type: N/A) {#}
    • 86769-7 - Distinct calendar days of therapy in last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Distinct Calendar Days of Therapy) (Seq: 5, Type: N/A) d
    • 86762-2 - Therapies:-:RptPeriod:^Patient:-:CMS Assessment (Therapies) (Seq: 5, Type: N/A) None
    • 90544-8 - Therapies during Part A Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Part A Therapies) (Seq: 5, Type: N/A) None
    • 90544-8 - Therapies during Part A Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Part A Therapies) (Seq: 6, Type: N/A) None
    • 86769-7 - Distinct calendar days of therapy in last 7D:NRat:7D:^Patient:Qn:CMS Assessment (Distinct Calendar Days of Therapy) (Seq: 6, Type: N/A) d
    • 90548-9 - Distinct calendar days of therapy during assessment period:Num:RptPeriod:^Patient:Qn:CMS Assessment (Distinct Calendar Days of Part A Therapy) (Seq: 6, Type: N/A) {#}
    • 90548-9 - Distinct calendar days of therapy during assessment period:Num:RptPeriod:^Patient:Qn:CMS Assessment (Distinct Calendar Days of Part A Therapy) (Seq: 7, Type: N/A) {#}
    • 90544-8 - Therapies during Part A Medicare stay:-:RptPeriod:^Patient:-:CMS Assessment (Part A Therapies) (Seq: 7, Type: N/A) None
    • 86773-9 - Restorative nursing programs:-:RptPeriod:^Patient:-:CMS Assessment (Restorative Nursing Programs) (Seq: 8, Type: N/A) None
      • 86774-7 - Number of D of passive range of motion in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Technique. Range of motion (passive)) (Seq: 1, Type: N/A) d/(7.d)
      • 86775-4 - Number of D of active range of motion in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Technique. Range of motion (active)) (Seq: 2, Type: N/A) d/(7.d)
      • 86776-2 - Number of D of splint or brace assistance in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Technique. Splint or brace assistance) (Seq: 3, Type: N/A) d/(7.d)
      • 86777-0 - Number of D of training & skill practice in bed mobility in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Training and Skill Practice In: Bed mobility) (Seq: 4, Type: N/A) d/(7.d)
      • 86778-8 - Number of D of training & skill practice in transfer in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Training and Skill Practice In: Transfer) (Seq: 5, Type: N/A) d/(7.d)
      • 86779-6 - Number of D of training & skill practice in walking in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Training and Skill Practice In: Walking) (Seq: 6, Type: N/A) d/(7.d)
      • 86780-4 - Number of D of training & skill practice in dressing or grooming in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Training and Skill Practice In: Dressing and/or grooming) (Seq: 7, Type: N/A) d/(7.d)
      • 86781-2 - Number of D of training & skill practice in eating or swallowing in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Training and Skill Practice In: Eating and/or swallowing) (Seq: 8, Type: N/A) d/(7.d)
      • 86782-0 - Number of D of training & skill practice in amputation or prosthesis care in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Training and Skill Practice In: Amputation/prostheses care) (Seq: 9, Type: N/A) d/(7.d)
      • 86783-8 - Number of D of training & skill practice in communication in last 7 calendar D:NRat:7D:^Patient:Qn:CMS Assessment (Training and Skill Practice In: Communication) (Seq: 10, Type: N/A) d/(7.d)
    • 90548-9 - Distinct calendar days of therapy during assessment period:Num:RptPeriod:^Patient:Qn:CMS Assessment (Distinct Calendar Days of Part A Therapy) (Seq: 8, Type: N/A) {#}
    • 86773-9 - Restorative nursing programs:-:RptPeriod:^Patient:-:CMS Assessment (Restorative Nursing Programs) (Seq: 9, Type: N/A) None
  • 101276-4 - MDS v3.0 - RAI v1.18.11 - Restraints and Alarms:-:RptPeriod:^Patient:-:CMS Assessment (Restraints and Alarms) (Seq: 14, Type: Header (not a question)) None
    • 86785-3 - Physical restraints:-:RptPeriod:^Patient:-:CMS Assessment (Physical Restraints) (Seq: 1, Type: N/A) None
      • 86786-1 - Physical restraints used in bed - bed rail used during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Bed. Bed rail) (Seq: 1, Type: N/A) d/(7.d)
      • 86787-9 - Physical restraints used in bed - trunk restraint used during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Bed. Trunk restraint) (Seq: 2, Type: N/A) d/(7.d)
      • 86788-7 - Physical restraints used in bed - limb restraint during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Bed. Limb restraint) (Seq: 3, Type: N/A) d/(7.d)
      • 86789-5 - Other physical restraints used in bed during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Bed. Other) (Seq: 4, Type: N/A) d/(7.d)
      • 86790-3 - Physical restraints used in chair or out of bed - trunk restraint used during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Chair or Out of Bed. Trunk restraint) (Seq: 5, Type: N/A) d/(7.d)
      • 86791-1 - Physical restraints used in chair or out of bed - limb restraint used during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Chair or Out of Bed. Limb restraint) (Seq: 6, Type: N/A) d/(7.d)
      • 86792-9 - Physical restraints used in chair or out of bed - chair prevents rising used during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Chair or Out of Bed. Chair prevents rising) (Seq: 7, Type: N/A) d/(7.d)
      • 86793-7 - Other physical restraints used in chair or out of bed used during assessment period:NRat:RptPeriod:^Patient:Ord:CMS Assessment (Used in Chair or Out of Bed. Other) (Seq: 8, Type: N/A) d/(7.d)
    • 88309-0 - Alarms:-:RptPeriod:^Patient:-:CMS Assessment (Alarms) (Seq: 2, Type: N/A) None
      • 88310-8 - Bed alarm used during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Bed alarm) (Seq: 1, Type: N/A) None
      • 88311-6 - Chair alarm used during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Chair alarm) (Seq: 2, Type: N/A) None
      • 88312-4 - Floor mat alarm used during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Floor mat alarm) (Seq: 3, Type: N/A) None
      • 88313-2 - Motion sensor alarm used during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Motion sensor alarm) (Seq: 4, Type: N/A) None
      • 88314-0 - Wander or elopement alarm used during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Wander/elopement alarm) (Seq: 5, Type: N/A) None
      • 88308-2 - Other alarm used during assessment period:Find:RptPeriod:^Patient:Ord:CMS Assessment (Other alarm) (Seq: 6, Type: N/A) None
  • 101277-2 - MDS v3.0 - RAI v1.18.11 - Participation in Assessment and Goal Setting:-:RptPeriod:^Patient:-:CMS Assessment (Participation in Assessment and Goal Setting) (Seq: 15, Type: Header (not a question)) None
    • 101329-1 - Participation in assessment and goal setting:-:RptPeriod:^Patient:-:CMS Assessment (Participation in Assessment and Goal Setting) (Seq: 1, Type: N/A) None
    • 101436-4 - Discharge Plan:-:RptPeriod:^Patient:-:CMS Assessment (Discharge Plan) (Seq: 1, Type: N/A) None
      • 58146-2 - Active discharge planning in place for resident return to community:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is active discharge planning already occurring for the resident to return to the community?) (Seq: 1, Type: N/A) None
    • 55056-6 - Resident's overall goals:-:RptPeriod:^Patient:-:CMS Assessment (Resident's Overall Goal) (Seq: 2, Type: N/A) None
      • 55057-4 - Goals established during assessment process:Find:RptPeriod:^Patient:Nom:CMS Assessment (Resident's overall goal established during assessment process) (Seq: 1, Type: N/A) None
      • 55058-2 - Information source for resident's overall goal:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate information source for Q0300A) (Seq: 2, Type: N/A) None
    • 101435-6 - Referral:-:RptPeriod:^Patient:-:CMS Assessment (Referral) (Seq: 2, Type: N/A) None
      • 101374-7 - Referral has been made to the local contact agency:Find:-:Patient education material:Ord:CMS Assessment (Has a referral been made to the Local Contact Agency (LCA)?) (Seq: 1, Type: Question, expects user entry) None
    • 101436-4 - Discharge Plan:-:RptPeriod:^Patient:-:CMS Assessment (Discharge Plan) (Seq: 3, Type: N/A) None
    • 101332-5 - Reason referral to local contact agency not made:Find:RptPeriod:^Patient:Nom:CMS Assessment (Reason Referral to Local Contact Agency (LCA) Not Made) (Seq: 3, Type: N/A) None
    • 86795-2 - Clinical record documents a request that questions regarding possible return to the community be asked only on comprehensive assessments:Find:RptPeriod:^Patient:Ord:CMS Assessment (Resident's Documented Preference to Avoid Being Asked Question Q0500B) (Seq: 4, Type: N/A) None
    • 101347-3 - Return to Community:-:RptPeriod:^Patient:-:CMS Assessment (Return to Community) (Seq: 5, Type: N/A) None
      • 58149-6 - Wants to talk to someone about the possibility of returning to the community:Find:RptPeriod:^Patient:Ord:CMS Assessment (Do you want to talk to someone about the possiblity of leaving this facility and returning to live and receive services in the community?) (Seq: 1, Type: N/A) None
      • 86798-6 - Information source for preference on return to community queries:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate information source for Q0500B) (Seq: 2, Type: N/A) None
    • 86796-0 - Resident's preference regarding being asked about returning to the community:-:RptPeriod:^Patient:-:CMS Assessment (Resident's Preference to Avoid Being Asked Question Q0500B Again) (Seq: 6, Type: N/A) None
      • 86797-8 - Resident (or legally authorized representative) wants to be asked about returning to the community on all assessments:Find:RptPeriod:^Patient:Ord:CMS Assessment (Does the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) want to be asked about returning to the community on all assessments?) (Seq: 1, Type: N/A) None
      • 86798-6 - Information source for preference on return to community queries:Type:RptPeriod:^Patient:Nom:CMS Assessment (Indicate information source for Q0550A) (Seq: 2, Type: N/A) None
    • 101435-6 - Referral:-:RptPeriod:^Patient:-:CMS Assessment (Referral) (Seq: 7, Type: N/A) None
    • 101332-5 - Reason referral to local contact agency not made:Find:RptPeriod:^Patient:Nom:CMS Assessment (Reason Referral to Local Contact Agency (LCA) Not Made) (Seq: 8, Type: N/A) None
  • 101279-8 - MDS v3.0 - RAI v1.18.11 - Correction Request:-:RptPeriod:^Patient:-:CMS Assessment (Correction Request) (Seq: 16, Type: Header (not a question)) None
    • 85632-8 - Facility type:Type:RptPeriod:Facility:Nom:CMS Assessment (Type of Provider) (Seq: 1, Type: N/A) None
    • 87226-7 - First and last name (Name of Resident) (Seq: 2, Type: N/A) None
      • 45392-8 - Patient First name (Seq: 1, Type: N/A) None
      • 45394-4 - Patient Last name (Seq: 2, Type: N/A) None
    • 46098-0 - Sex (Gender) (Seq: 3, Type: N/A) None
    • 21112-8 - Birth date (Birth Date) (Seq: 4, Type: N/A) {mm/dd/yyyy}
    • 45396-9 - Social Security # (Social Security Number) (Seq: 5, Type: N/A) None
    • 90492-0 - MDS v3.0 - RAI v1.17.2 - Type of assessment on existing record to be modified or inactivated:-:RptPeriod:^Patient:-:CMS Assessment (Type of Assessment) (Seq: 6, Type: N/A) None
      • 54583-0 - Federal OBRA reason for assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (Federal OBRA Reason for Assessment) (Seq: 1, Type: N/A) None
      • 54584-8 - PPS Assessment:Type:RptPeriod:^Patient:Nom:CMS Assessment (PPS Assessment) (Seq: 2, Type: N/A) None
      • 58108-2 - Entry &or discharge reporting:Find:RptPeriod:^Patient:Nom:CMS Assessment (Entry/discharge reporting) (Seq: 3, Type: N/A) None
      • 86525-3 - SNF Part A PPS discharge assessment:Find:RptPeriod:^Patient:Ord:CMS Assessment (Is this a SNF Part A PPS Discharge Assessment?) (Seq: 4, Type: N/A) None
    • 87216-8 - Date on existing record to be modified or inactivated:-:RptPeriod:^Patient:-:CMS Assessment (Date on existing record to be modified/inactivated) (Seq: 7, Type: N/A) None
      • 54593-9 - Assessment reference date - observation end date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Assessment Reference Date) (Seq: 1, Type: N/A) {mm/dd/yyyy}
      • 52525-3 - Discharge date (Discharge Date) (Seq: 2, Type: N/A) {mm/dd/yyyy}
      • 50786-3 - Date of entry:TmStp:Pt:^Patient:Qn: (Entry Date) (Seq: 3, Type: N/A) {mm/dd/yyyy}
    • 87209-3 - Correction attestation section:-:RptPeriod:^Patient:-:CMS Assessment (Correction Attestation Section) (Seq: 8, Type: N/A) None
      • 58200-7 - Correction number:Num:RptPeriod:^Patient:Qn:CMS Assessment (Correction Number) (Seq: 1, Type: N/A) {#}
      • 87217-6 - Reasons for modification:Type:RptPeriod:^Patient:Nom:CMS Assessment (Reasons for Modification) (Seq: 2, Type: N/A) None
      • 87225-9 - Reasons for inactivation:Type:RptPeriod:^Patient:Nom:CMS Assessment (Reasons for Inactivation) (Seq: 3, Type: N/A) None
      • 87218-4 - RN asessment coordinator attestation of completion:-:RptPeriod:^Patient:-:CMS Assessment (RN Assessment Coordinator Attestation of Completion) (Seq: 4, Type: N/A) None
        • 87219-2 - Attesting individual first name:Pn:RptPeriod:Provider:Nom:CMS Assessment (Attesting individual's first name) (Seq: 1, Type: N/A) None
        • 87220-0 - Attesting individual last name:Pn:RptPeriod:Provider:Nom:CMS Assessment (Attesting individual's last name) (Seq: 2, Type: N/A) None
        • 87221-8 - Attesting individual title:Type:RptPeriod:Provider:Nom:CMS Assessment (Attesting individual's title) (Seq: 3, Type: N/A) None
        • 87222-6 - Attestation date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Attestation date) (Seq: 4, Type: N/A) {mm/dd/yyyy}
        • 70127-6 - Signature verifying assessment completion:Pn:Pt:^Patient:Nom: (Signature:) (Seq: 4, Type: N/A) None
        • 87222-6 - Attestation date:Date:RptPeriod:^Patient:Qn:CMS Assessment (Attestation date) (Seq: 5, Type: N/A) {mm/dd/yyyy}
  • 101280-6 - MDS v3.0 - RAI v1.18.11 - Assessment Administration:-:RptPeriod:^Patient:-:CMS Assessment (Assessment Administration) (Seq: 17, Type: Header (not a question)) None
    • 90498-7 - MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment (Medicare Part A Billing) (Seq: 1, Type: N/A) None
      • 55065-7 - Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: (Medicare Part A HIPPS code) (Seq: 1, Type: N/A) None
      • 55081-4 - Product version code:ID:Pt:Software:Nom: (Version code) (Seq: 2, Type: N/A) None
      • 85648-4 - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment (Signature of Persons Completing the Assessment or Entry/Death Reporting) (Seq: 3, Type: N/A) None
      • 70127-6 - Signature verifying assessment completion:Pn:Pt:^Patient:Nom: (Signature of RN Assessment Coordinator Verifying Assessment Completion) (Seq: 4, Type: N/A) None
    • 85648-4 - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment (Signature of Persons Completing the Assessment or Entry/Death Reporting) (Seq: 1, Type: N/A) None
      • 85647-6 - Signature of person collecting or coordinating collection of assessment information:Pn:Pt:Provider:Nar: (Signature) (Seq: 1, Type: N/A) None
      • 85650-0 - Title of person collecting or coordinating collection of assessment information:Type:Pt:Provider:Nom: (Title) (Seq: 2, Type: N/A) None
    • 93051-1 - MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment (Insurance Billing) (Seq: 1, Type: N/A) None
      • 55071-5 - Insurance case mix - RUG group:Type:Pt:^Patient:Nom: (Billing code) (Seq: 1, Type: N/A) None
      • 55081-4 - Product version code:ID:Pt:Software:Nom: (Billing version) (Seq: 2, Type: N/A) None
    • 46501-3 - Date assessment information completed:Date:RptPeriod:^Patient:Qn:CMS Assessment (Date Assessment was Completed) (Seq: 1, Type: N/A) {mm/dd/yyyy}
    • 93053-7 - MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment (State Medicaid Billing (if required by the state)) (Seq: 2, Type: N/A) None
      • 55068-1 - State case mix - RUG group:Type:Pt:^Patient:Nom: (Case Mix group) (Seq: 1, Type: N/A) None
      • 55081-4 - Product version code:ID:Pt:Software:Nom: (Version code) (Seq: 2, Type: N/A) None
    • 70127-6 - Signature verifying assessment completion:Pn:Pt:^Patient:Nom: (Signature of RN Assessment Coordinator Verifying Assessment Completion) (Seq: 2, Type: N/A) None
      • 30947-6 - Date form completed (Date RN Assessment Coordinator signed assessment as complete:) (Seq: 2, Type: Question, expects user entry) {mm/dd/yyyy}
    • 85648-4 - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment (Signature of Persons Completing the Assessment or Entry/Death Reporting) (Seq: 2, Type: N/A) None
    • 93051-1 - MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment (Insurance Billing) (Seq: 2, Type: N/A) None
    • 93052-9 - MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment (Alternate State Medicaid Billing (if required by the state)) (Seq: 3, Type: N/A) None
      • 58212-2 - Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment (Case Mix group) (Seq: 1, Type: N/A) None
      • 55081-4 - Product version code:ID:Pt:Software:Nom: (Version code) (Seq: 2, Type: N/A) None
    • 70127-6 - Signature verifying assessment completion:Pn:Pt:^Patient:Nom: (Signature of RN Assessment Coordinator Verifying Assessment Completion) (Seq: 3, Type: N/A) None
    • 85648-4 - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment (Signature of Persons Completing the Assessment or Entry/Death Reporting) (Seq: 3, Type: N/A) None
    • 93051-1 - MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment (Insurance Billing) (Seq: 4, Type: N/A) None
    • 70127-6 - Signature verifying assessment completion:Pn:Pt:^Patient:Nom: (Signature of RN Assessment Coordinator Verifying Assessment Completion) (Seq: 4, Type: N/A) None
    • 85648-4 - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment (Signature of Persons Completing the Assessment or Entry/Death Reporting) (Seq: 5, Type: N/A) None
    • 70127-6 - Signature verifying assessment completion:Pn:Pt:^Patient:Nom: (Signature of RN Assessment Coordinator Verifying Assessment Completion) (Seq: 6, Type: N/A) None