Item Summary
ASMT_SYS_CD
ITM_SBST_CD
ITM_SET_VRSN_CD
SPEC_VRSN_CD
PRODN_TEST_CD
STATE_CD
FAC_ID
SFTWR_VNDR_ID
SFTWR_VNDR_NAME
SFTWR_VNDR_EMAIL_ADR
SFTWR_PROD_NAME
SFTWR_PROD_VRSN_CD
FAC_DOC_ID
STATE_PDPM_OBRA_CD
A0050
A0100A
A0100B
A0100C
A0200
A0300A
A0300B
A0410
A0500A
A0500B
A0500C
A0500D
A0600A
A0600B
A0700
A0800
A0900
A1005A
A1005B
A1005C
A1005D
A1005E
A1005X
A1005Y
A1010A
A1010B
A1010C
A1010D
A1010E
A1010F
A1010G
A1010H
A1010I
A1010J
A1010K
A1010L
A1010M
A1010N
A1010X
A1010Y
A1010Z
A1110A
A1110B
A1200
A1300A
A1300B
A1300C
A1300D
A1600
A1900
A2300
A2400B
A2400C
B0100
B0700
C0100
C0200
C0300A
C0300B
C0300C
C0400A
C0400B
C0400C
C0500
C0600
C0700
C1000
D0100
D0200A1
D0200A2
D0200B1
D0200B2
D0200C1
D0200C2
D0200D1
D0200D2
D0200E1
D0200E2
D0200F1
D0200F2
D0200G1
D0200G2
D0200H1
D0200H2
D0200I1
D0200I2
D0300
D0500A1
D0500A2
D0500B1
D0500B2
D0500C1
D0500C2
D0500D1
D0500D2
D0500E1
D0500E2
D0500F1
D0500F2
D0500G1
D0500G2
D0500H1
D0500H2
D0500I1
D0500I2
D0500J1
D0500J2
D0600
E0100A
E0100B
E0100Z
E0200A
E0200B
E0200C
E0800
E0900
G0110A1
G0110A2
G0110B1
G0110B2
G0110H1
G0110H2
G0110I1
G0110I2
H0200C
H0500
I2000
I2100
I2900
I4300
I4400
I4900
I5100
I5200
I5300
I6200
I6300
I7900
J1100C
J1100Z
J1550A
J1550B
J1550C
J1550D
J1550Z
K0300
K0510A1
K0510A2
K0510B1
K0510B2
K0510Z1
K0510Z2
K0710A3
K0710B3
M0210
M0300A
M0300B1
M0300C1
M0300D1
M0300F1
M1030
M1040A
M1040B
M1040C
M1040D
M1040E
M1040F
M1040Z
M1200A
M1200B
M1200C
M1200D
M1200E
M1200F
M1200G
M1200H
M1200I
M1200Z
N0300
N0350A
N0350B
O0100A1
O0100A2
O0100B1
O0100B2
O0100C1
O0100C2
O0100D1
O0100D2
O0100E1
O0100E2
O0100F1
O0100F2
O0100H1
O0100H2
O0100I1
O0100I2
O0100J1
O0100J2
O0100M2
O0100Z1
O0100Z2
O0400A1
O0400A2
O0400A3
O0400A4
O0400A5
O0400A6
O0400B1
O0400B2
O0400B3
O0400B4
O0400B5
O0400B6
O0400C1
O0400C2
O0400C3
O0400C4
O0400C5
O0400C6
O0400D2
O0420
O0450A
O0500A
O0500B
O0500C
O0500D
O0500E
O0500F
O0500G
O0500H
O0500I
O0500J
O0600
O0700
X0150
X0200A
X0200C
X0300
X0400
X0500
X0570A
X0570B
X0700A
X0800
X0900A
X0900B
X0900C
X0900D
X0900Z
X1050A
X1050Z
X1100A
X1100B
X1100E
Z0200A
Z0200B
Z0200C
Z0250A
Z0250B
Z0500B
ASSESSMENT_ID
ORIGINAL_ASSESSMENT_ID
RESIDENT_INTERNAL_ID
TARGET_DATE
FACILITY_PROVIDER_INTERNAL_ID
SUBMISSION_ID
SUBMISSION_DATE
SUBMISSION_COMPLETE_DATE
SUBMITTING_USER_ID
RESIDENT_MATCH_CRITERIA
RESIDENT_AGE
BIRTHDATE_SUBMIT_CODE
CBSA_URBAN_RURAL_CODE
STATE_EXTRACT_FILE_ID
RECALCULATED_Z0100A
RECALCULATED_Z0100B
CALC_ITEM_FILLER_007
RECALCULATED_Z0200A
CMI_VALUE_FOR_RECALC_Z0200A
CMI_SET_FOR_RECALC_Z0200A
RECALCULATED_Z0200B
RECALCULATED_Z0200C
RECALCULATED_Z0250A
CMI_VALUE_FOR_RECALC_Z0250A
CMI_SET_FOR_RECALC_Z0250A
RECALCULATED_Z0250B
MEDICARE_RUG4_HIER_GRP
MEDICARE_RUG4_HIER_VERSION
MEDICARE_RUG3_IDX_MAX_GRP
MEDICARE_RUG3_IDX_MAX_VERSION
MEDICARE_RUG3_IDX_MAX_CMI_VAL
MEDICARE_RUG3_IDX_MAX_CMI_SET
MEDICARE_RUG3_HIER_GRP
MEDICARE_RUG3_HIER_VERSION
C_CCN_NUM
C_HICN_MBI_IND
C_SSNRI_TRNSLTN_HICN_TXT
C_SSNRI_TRNSLTN_MBI_TXT
DATA_END_INDICATOR
CR
LF
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 06/06/2023 01:46:59 PM