OSA Item Summary

Item

Group

Type

Length

Fixed Start-End

Description

ASMT_SYS_CD Control Code 10 1-10 Assessment system code
ITM_SBST_CD Control Code 3 11-13 Item subset code
ITM_SET_VRSN_CD Control Code 10 14-23 Item set version code
SPEC_VRSN_CD Control Code 10 24-33 Specifications version code
PRODN_TEST_CD Control Code 1 34-34 Production/test indicator
STATE_CD Control Code 2 35-36 Facility"s state postal code
FAC_ID Control Text 16 37-52 Assigned facility/provider submission ID
SFTWR_VNDR_ID Control Text 9 53-61 Software vendor federal employer tax ID
SFTWR_VNDR_NAME Control Text 30 62-91 Software vendor company name
SFTWR_VNDR_EMAIL_ADR Control Text 50 92-141 Software vendor email address
SFTWR_PROD_NAME Control Text 50 142-191 Software product name
SFTWR_PROD_VRSN_CD Control Text 20 192-211 Software product version code
FAC_DOC_ID Control Text 20 212-231 Facility document ID
STATE_PDPM_OBRA_CD Control Code 1 1827-1827 State calculation of PDPM for OBRA
A0050 Asmt Code 1 1216-1216 Type of transaction (formerly X0100)
A0100A Asmt Text 10 232-241 Facility National Provider Identifier (NPI)
A0100B Asmt Text 12 242-253 Facility CMS Certification Number (CCN)
A0100C Asmt Text 15 254-268 State provider number
A0200 Asmt Code 1 269-269 Type of provider
A0300A Asmt Code 1 1701-1701 State Payment Assessment Purpose
A0300B Asmt Code 1 1702-1702 State Payment Assessment Type
A0410 Asmt Code 1 279-279 Submission requirement
A0500A Asmt Text 12 280-291 Resident first name
A0500B Asmt Text 1 292-292 Resident middle initial
A0500C Asmt Text 18 293-310 Resident last name
A0500D Asmt Text 3 311-313 Resident name suffix
A0600A Asmt Text 9 314-322 Social Security Number
A0600B Asmt Text 12 323-334 Medicare number
A0700 Asmt Text 14 335-348 Medicaid number
A0800 Asmt Code 1 350-350 Gender
A0900 Asmt Date 8 351-358 Birthdate
A1005A Asmt Checklist 1 1828-1828 Ethnicity: No, not Hispanic, Latino/a, Spanish
A1005B Asmt Checklist 1 1829-1829 Ethnicity: Yes, Mex, Mex Amer, Chicano/a
A1005C Asmt Checklist 1 1830-1830 Ethnicity: Yes, Puerto Rican
A1005D Asmt Checklist 1 1831-1831 Ethnicity: Yes, Cuban
A1005E Asmt Checklist 1 1832-1832 Ethnicity: Yes, another Hispanic/Latino/Spanish
A1005X Asmt Checklist 1 1833-1833 Ethnicity: Patient unable to respond
A1005Y Asmt Checklist 1 1834-1834 Ethnicity: Patient declines to respond
A1010A Asmt Checklist 1 1835-1835 Race: White
A1010B Asmt Checklist 1 1836-1836 Race: Black or African American
A1010C Asmt Checklist 1 1837-1837 Race: American Indian or Alaska Native
A1010D Asmt Checklist 1 1838-1838 Race: Asian Indian
A1010E Asmt Checklist 1 1839-1839 Race: Chinese
A1010F Asmt Checklist 1 1840-1840 Race: Filipino
A1010G Asmt Checklist 1 1841-1841 Race: Japanese
A1010H Asmt Checklist 1 1842-1842 Race: Korean
A1010I Asmt Checklist 1 1843-1843 Race: Vietnamese
A1010J Asmt Checklist 1 1844-1844 Race: Other Asian
A1010K Asmt Checklist 1 1845-1845 Race: Native Hawaiian
A1010L Asmt Checklist 1 1846-1846 Race: Guamanian or Chamorro
A1010M Asmt Checklist 1 1847-1847 Race: Samoan
A1010N Asmt Checklist 1 1848-1848 Race: Other Pacific Islander
A1010X Asmt Checklist 1 1849-1849 Race: Patient unable to respond
A1010Y Asmt Checklist 1 1850-1850 Race: Patient declines to respond
A1010Z Asmt Checklist 1 1851-1851 Race: None of the above
A1110A Asmt Text 15 1852-1866 Preferred language
A1110B Asmt Code 1 1867-1867 Does the patient need or want an interpreter
A1200 Asmt Code 1 381-381 Marital status
A1300A Asmt Text 12 382-393 Medical record number
A1300B Asmt Text 10 394-403 Room number
A1300C Asmt Text 23 404-426 Name by which resident prefers to be addressed
A1300D Asmt Text 23 427-449 Lifetime occupation(s)
A1600 Asmt Date 8 457-464 Entry date (date of admission/reentry in facility)
A1900 Asmt Date 8 1485-1492 Admission date
A2300 Asmt Date 8 486-493 Assessment reference date
A2400B Asmt Date 8 495-502 Start date of most recent Medicare stay
A2400C Asmt Date 8 503-510 End date of most recent Medicare stay
B0100 Asmt Code 1 511-511 Comatose
B0700 Asmt Code 1 515-515 Makes self understood
C0100 Asmt Code 1 519-519 BIMS: should resident interview be conducted
C0200 Asmt Code 1 520-520 BIMS res interview: repetition of three words
C0300A Asmt Code 1 521-521 BIMS res interview: able to report correct year
C0300B Asmt Code 1 522-522 BIMS res interview: able to report correct month
C0300C Asmt Code 1 523-523 BIMS res interview: can report correct day of week
C0400A Asmt Code 1 524-524 BIMS res interview: able to recall "sock"
C0400B Asmt Code 1 525-525 BIMS res interview: able to recall "blue"
C0400C Asmt Code 1 526-526 BIMS res interview: able to recall "bed"
C0500 Asmt Number 2 527-528 BIMS res interview: summary score
C0600 Asmt Code 1 529-529 Staff asmt mental status: conduct asmt
C0700 Asmt Code 1 530-530 Staff asmt mental status: short-term memory OK
C1000 Asmt Code 1 537-537 Cognitive skills for daily decision making
D0100 Asmt Code 1 543-543 PHQ: should resident mood interview be conducted
D0200A1 Asmt Code 1 544-544 PHQ res: little interest or pleasure - presence
D0200A2 Asmt Code 1 545-545 PHQ res: little interest or pleasure - frequency
D0200B1 Asmt Code 1 546-546 PHQ res: feeling down, depressed - presence
D0200B2 Asmt Code 1 547-547 PHQ res: feeling down, depressed - frequency
D0200C1 Asmt Code 1 548-548 PHQ res: trouble with sleep - presence
D0200C2 Asmt Code 1 549-549 PHQ res: trouble with sleep - frequency
D0200D1 Asmt Code 1 550-550 PHQ res: feeling tired/little energy - presence
D0200D2 Asmt Code 1 551-551 PHQ res: feeling tired/little energy - frequency
D0200E1 Asmt Code 1 552-552 PHQ res: poor appetite or overeating - presence
D0200E2 Asmt Code 1 553-553 PHQ res: poor appetite or overeating - frequency
D0200F1 Asmt Code 1 554-554 PHQ res: feeling bad about self - presence
D0200F2 Asmt Code 1 555-555 PHQ res: feeling bad about self - frequency
D0200G1 Asmt Code 1 556-556 PHQ res: trouble concentrating - presence
D0200G2 Asmt Code 1 557-557 PHQ res: trouble concentrating - frequency
D0200H1 Asmt Code 1 558-558 PHQ res: slow, fidgety, restless - presence
D0200H2 Asmt Code 1 559-559 PHQ res: slow, fidgety, restless - frequency
D0200I1 Asmt Code 1 560-560 PHQ res: thoughts better off dead - presence
D0200I2 Asmt Code 1 561-561 PHQ res: thoughts better off dead - frequency
D0300 Asmt Number 2 562-563 PHQ res: total mood severity score
D0500A1 Asmt Code 1 565-565 PHQ staff: little interest or pleasure - presence
D0500A2 Asmt Code 1 566-566 PHQ staff: little interest or pleasure - frequency
D0500B1 Asmt Code 1 567-567 PHQ staff: feeling down, depressed - presence
D0500B2 Asmt Code 1 568-568 PHQ staff: feeling down, depressed - frequency
D0500C1 Asmt Code 1 569-569 PHQ staff: trouble with sleep - presence
D0500C2 Asmt Code 1 570-570 PHQ staff: trouble with sleep - frequency
D0500D1 Asmt Code 1 571-571 PHQ staff: feeling tired/little energy - presence
D0500D2 Asmt Code 1 572-572 PHQ staff: feeling tired/little energy - frequency
D0500E1 Asmt Code 1 573-573 PHQ staff: poor appetite or overeating - presence
D0500E2 Asmt Code 1 574-574 PHQ staff: poor appetite or overeating - frequency
D0500F1 Asmt Code 1 575-575 PHQ staff: feeling bad about self - presence
D0500F2 Asmt Code 1 576-576 PHQ staff: feeling bad about self - frequency
D0500G1 Asmt Code 1 577-577 PHQ staff: trouble concentrating - presence
D0500G2 Asmt Code 1 578-578 PHQ staff: trouble concentrating - frequency
D0500H1 Asmt Code 1 579-579 PHQ staff: slow, fidgety, restless - presence
D0500H2 Asmt Code 1 580-580 PHQ staff: slow, fidgety, restless - frequency
D0500I1 Asmt Code 1 581-581 PHQ staff: thoughts better off dead - presence
D0500I2 Asmt Code 1 582-582 PHQ staff: thoughts better off dead - frequency
D0500J1 Asmt Code 1 583-583 PHQ staff: short-tempered - presence
D0500J2 Asmt Code 1 584-584 PHQ staff: short-tempered - frequency
D0600 Asmt Number 2 585-586 PHQ staff: total mood score
E0100A Asmt Checklist 1 588-588 Psychosis: hallucinations
E0100B Asmt Checklist 1 589-589 Psychosis: delusions
E0100Z Asmt Checklist 1 590-590 Psychosis: none of the above
E0200A Asmt Code 1 591-591 Physical behav symptoms directed toward others
E0200B Asmt Code 1 592-592 Verbal behav symptoms directed toward others
E0200C Asmt Code 1 593-593 Other behav symptoms not directed toward others
E0800 Asmt Code 1 601-601 Rejection of care: presence and frequency
E0900 Asmt Code 1 602-602 Wandering: presence and frequency
G0110A1 Asmt Code 1 646-646 Bed mobility: self-performance
G0110A2 Asmt Code 1 647-647 Bed mobility: support provided
G0110B1 Asmt Code 1 648-648 Transfer: self-performance
G0110B2 Asmt Code 1 649-649 Transfer: support provided
G0110H1 Asmt Code 1 660-660 Eating: self-performance
G0110H2 Asmt Code 1 661-661 Eating: support provided
G0110I1 Asmt Code 1 662-662 Toilet use: self-performance
G0110I2 Asmt Code 1 663-663 Toilet use: support provided
H0200C Asmt Code 1 689-689 Urinary toileting program: current program/trial
H0500 Asmt Code 1 692-692 Bowel toileting program being used
I2000 Asmt Checklist 1 711-711 Pneumonia
I2100 Asmt Checklist 1 712-712 Septicemia
I2900 Asmt Checklist 1 717-717 Diabetes mellitus (DM)
I4300 Asmt Checklist 1 727-727 Aphasia
I4400 Asmt Checklist 1 728-728 Cerebral palsy
I4900 Asmt Checklist 1 731-731 Hemiplegia or hemiparesis
I5100 Asmt Checklist 1 733-733 Quadriplegia
I5200 Asmt Checklist 1 734-734 Multiple sclerosis
I5300 Asmt Checklist 1 736-736 Parkinson"s disease
I6200 Asmt Checklist 1 747-747 Asthma (COPD) or chronic lung disease
I6300 Asmt Checklist 1 748-748 Respiratory failure
I7900 Asmt Checklist 1 750-750 None of above active diseases within last 7 days
J1100C Asmt Checklist 1 851-851 Short breath/trouble breathing: lying flat
J1100Z Asmt Checklist 1 852-852 Short breath/trouble breathing: none of above
J1550A Asmt Checklist 1 855-855 Problem conditions: fever
J1550B Asmt Checklist 1 856-856 Problem conditions: vomiting
J1550C Asmt Checklist 1 857-857 Problem conditions: dehydrated
J1550D Asmt Checklist 1 858-858 Problem conditions: internal bleeding
J1550Z Asmt Checklist 1 859-859 Problem conditions: none of the above
K0300 Asmt Code 1 877-877 Weight loss
K0510A1 Asmt Checklist 1 1444-1444 Nutrition approach: Not Res: parenteral/IV feeding
K0510A2 Asmt Checklist 1 1445-1445 Nutrition approach: Res: parenteral /IV feeding
K0510B1 Asmt Checklist 1 1446-1446 Nutrition approach: Not Res: feeding tube
K0510B2 Asmt Checklist 1 1447-1447 Nutrition approach: Res: feeding tube
K0510Z1 Asmt Checklist 1 1452-1452 Nutrition approach: Not Res: none of the above
K0510Z2 Asmt Checklist 1 1453-1453 Nutrition approach: Res: none of the above
K0710A3 Asmt Code 1 1468-1468 Prop calories parenteral/tube feed: 7 days
K0710B3 Asmt Code 1 1471-1471 Avg fluid intake per day IV/tube: 7 days
M0210 Asmt Code 1 898-898 Resident has 1+ unhealed PU/injuries
M0300A Asmt Number 1 899-899 Stage 1 pressure injuries: number present
M0300B1 Asmt Number 1 900-900 Stage 2 pressure ulcers: number present
M0300C1 Asmt Number 1 910-910 Stage 3 pressure ulcers: number present
M0300D1 Asmt Number 1 912-912 Stage 4 pressure ulcers: number present
M0300F1 Asmt Number 1 916-916 Unstaged slough/eschar: number present
M1030 Asmt Number 1 940-940 Number of venous and arterial ulcers
M1040A Asmt Checklist 1 941-941 Other skin probs: infection of the foot
M1040B Asmt Checklist 1 942-942 Other skin probs: diabetic foot ulcer(s)
M1040C Asmt Checklist 1 943-943 Other skin probs: other open lesion(s) on the foot
M1040D Asmt Checklist 1 944-944 Other skin probs: lesions not ulcers, rashes, cuts
M1040E Asmt Checklist 1 945-945 Other skin probs: surgical wound(s)
M1040F Asmt Checklist 1 946-946 Other skin probs: burns (second or third degree)
M1040Z Asmt Checklist 1 947-947 Other skin probs: none of the above
M1200A Asmt Checklist 1 948-948 Skin/ulcer/injry treat: prssr rduce dvc for chair
M1200B Asmt Checklist 1 949-949 Skin/ulcer/injry treat: prssr reducing dvc for bed
M1200C Asmt Checklist 1 950-950 Skin/ulcer/injry treat: turning/repositioning
M1200D Asmt Checklist 1 951-951 Skin/ulcer/injry treat: nutrition/hydration
M1200E Asmt Checklist 1 952-952 Skin/ulcer/injry treat: prssr ulcer/injry care
M1200F Asmt Checklist 1 953-953 Skin/ulcer/injry treat: surgical wound care
M1200G Asmt Checklist 1 954-954 Skin/ulcer/injry treat: application of dressings
M1200H Asmt Checklist 1 955-955 Skin/ulcer/injry treat: apply ointments/meds
M1200I Asmt Checklist 1 956-956 Skin/ulcer/injry treat: apply dressings to feet
M1200Z Asmt Checklist 1 957-957 Skin/ulcer/injry treat: none of the above
N0300 Asmt Number 1 958-958 Number of days injectable medications received
N0350A Asmt Number 1 959-959 Insulin: insulin injections
N0350B Asmt Number 1 960-960 Insulin: orders for insulin
O0100A1 Asmt Checklist 1 969-969 Treatment: chemotherapy - while not resident
O0100A2 Asmt Checklist 1 970-970 Treatment: chemotherapy - while resident
O0100B1 Asmt Checklist 1 971-971 Treatment: radiation - while not resident
O0100B2 Asmt Checklist 1 972-972 Treatment: radiation - while resident
O0100C1 Asmt Checklist 1 973-973 Treatment: oxygen therapy - while not resident
O0100C2 Asmt Checklist 1 974-974 Treatment: oxygen therapy - while resident
O0100D1 Asmt Checklist 1 975-975 Treatment: suctioning - while not resident
O0100D2 Asmt Checklist 1 976-976 Treatment: suctioning - while resident
O0100E1 Asmt Checklist 1 977-977 Treatment: tracheostomy care - while not resident
O0100E2 Asmt Checklist 1 978-978 Treatment: tracheostomy care - while resident
O0100F1 Asmt Checklist 1 979-979 Treat: Invsv Mech Vent - while not resident
O0100F2 Asmt Checklist 1 980-980 Treat: Invsv Mech Vent - while resident
O0100H1 Asmt Checklist 1 983-983 Treatment: IV medications - while not resident
O0100H2 Asmt Checklist 1 984-984 Treatment: IV medications - while resident
O0100I1 Asmt Checklist 1 985-985 Treatment: transfusions - while not resident
O0100I2 Asmt Checklist 1 986-986 Treatment: transfusions - while resident
O0100J1 Asmt Checklist 1 987-987 Treatment: dialysis - while not resident
O0100J2 Asmt Checklist 1 988-988 Treatment: dialysis - while resident
O0100M2 Asmt Checklist 1 993-993 Treatment: isolate/quarantine - while resident
O0100Z1 Asmt Checklist 1 994-994 Treatment: none of above - while not resident
O0100Z2 Asmt Checklist 1 995-995 Treatment: none of above - while resident
O0400A1 Asmt Number 4 1008-1011 Speech-language/audiology: individ minutes
O0400A2 Asmt Number 4 1012-1015 Speech-language/audiology: concur minutes
O0400A3 Asmt Number 4 1016-1019 Speech-language/audiology: group minutes
O0400A4 Asmt Number 1 1020-1020 Speech-language/audiology: number of days
O0400A5 Asmt Date 8 1021-1028 Speech-language/audiology: start date
O0400A6 Asmt Date 8 1029-1036 Speech-language/audiology: end date
O0400B1 Asmt Number 4 1037-1040 Occupational therapy: individ minutes
O0400B2 Asmt Number 4 1041-1044 Occupational therapy: concur minutes
O0400B3 Asmt Number 4 1045-1048 Occupational therapy: group minutes
O0400B4 Asmt Number 1 1049-1049 Occupational therapy: number of days
O0400B5 Asmt Date 8 1050-1057 Occupational therapy: start date
O0400B6 Asmt Date 8 1058-1065 Occupational therapy: end date
O0400C1 Asmt Number 4 1066-1069 Physical therapy: individ minutes
O0400C2 Asmt Number 4 1070-1073 Physical therapy: concur minutes
O0400C3 Asmt Number 4 1074-1077 Physical therapy: group minutes
O0400C4 Asmt Number 1 1078-1078 Physical therapy: number of days
O0400C5 Asmt Date 8 1079-1086 Physical therapy: start date
O0400C6 Asmt Date 8 1087-1094 Physical therapy: end date
O0400D2 Asmt Number 1 1099-1099 Respiratory therapy: number of days
O0420 Asmt Number 1 1484-1484 Distinct calendar days of therapy
O0450A Asmt Code 1 1429-1429 Has therapy resumed
O0500A Asmt Number 1 1110-1110 Range of motion (passive): number of days
O0500B Asmt Number 1 1111-1111 Range of motion (active): number of days
O0500C Asmt Number 1 1112-1112 Splint or brace assistance: number of days
O0500D Asmt Number 1 1113-1113 Bed mobility training: number of days
O0500E Asmt Number 1 1114-1114 Transfer training: number of days
O0500F Asmt Number 1 1115-1115 Walking training: number of days
O0500G Asmt Number 1 1116-1116 Dressing and/or grooming training: number of days
O0500H Asmt Number 1 1117-1117 Eating and/or swallowing training: number of days
O0500I Asmt Number 1 1118-1118 Amputation/prosthesis training: number of days
O0500J Asmt Number 1 1119-1119 Communication training: number of days
O0600 Asmt Number 2 1120-1121 Physician examinations: number of days
O0700 Asmt Number 2 1122-1123 Physician orders: number of days
X0150 Asmt Code 1 1217-1217 Correction: type of provider
X0200A Asmt Text 12 1218-1229 Correction: resident first name
X0200C Asmt Text 18 1230-1247 Correction: resident last name
X0300 Asmt Code 1 1248-1248 Correction: resident gender
X0400 Asmt Date 8 1249-1256 Correction: resident birth date
X0500 Asmt Text 9 1257-1265 Correction: resident social security number
X0570A Asmt Code 1 1826-1826 Correction: Optional State Assessment Purpose
X0570B Asmt Code 1 1824-1824 Correction: Optional State Assessment Type
X0700A Asmt Date 8 1273-1280 Correction: assessment reference date
X0800 Asmt Number 2 1297-1298 Correction: correction number
X0900A Asmt Checklist 1 1299-1299 Correction: modif reasons - transcription error
X0900B Asmt Checklist 1 1300-1300 Correction: modif reasons - data entry error
X0900C Asmt Checklist 1 1301-1301 Correction: modif reasons - software error
X0900D Asmt Checklist 1 1302-1302 Correction: modif reasons - item coding error
X0900Z Asmt Checklist 1 1303-1303 Correction: modif reasons - other error
X1050A Asmt Checklist 1 1304-1304 Correction: inact reasons - event did not occur
X1050Z Asmt Checklist 1 1305-1305 Correction: inact reasons - other reason
X1100A Asmt Text 12 1306-1317 Correction: attestor first name
X1100B Asmt Text 18 1318-1335 Correction: attestor last name
X1100E Asmt Date 8 1336-1343 Correction: attestation date
Z0200A Asmt Text 10 1379-1388 State case mix: Group
Z0200B Asmt Text 10 1389-1398 State case mix: Version code
Z0200C Asmt Code 1 1825-1825 State case mix: Short Stay Assessment
Z0250A Asmt Text 10 1399-1408 State case mix: Alternate group
Z0250B Asmt Text 10 1409-1418 State case mix: Alternate version code
Z0500B Asmt Date 8 1419-1426 Date RN signed assessment as complete
ASSESSMENT_ID Calc Number 15 2951-2965 Assessment internal ID
ORIGINAL_ASSESSMENT_ID Calc Number 15 2966-2980 Original assessment ID
RESIDENT_INTERNAL_ID Calc Number 10 2981-2990 Resident internal ID
TARGET_DATE Calc Date 8 2927-2934 Target date
FACILITY_PROVIDER_INTERNAL_ID Calc Number 10 3063-3072 Facility/provider internal ID
SUBMISSION_ID Calc Number 15 3021-3035 Submission ID
SUBMISSION_DATE Calc Date 8 3036-3043 Submission date
SUBMISSION_COMPLETE_DATE Calc Date 8 3044-3051 Submission processing completion date
SUBMITTING_USER_ID Calc Text 30 2991-3020 Submitter user ID
RESIDENT_MATCH_CRITERIA Calc Number 2 3052-3053 Resident matching criteria
RESIDENT_AGE Calc Number 8 2935-2942 Age of resident on the target date
BIRTHDATE_SUBMIT_CODE Calc Code 1 3258-3258 Birth date submit code
CBSA_URBAN_RURAL_CODE Calc Code 1 3054-3054 CBSA urban/rural code.
STATE_EXTRACT_FILE_ID Calc Number 8 3055-3062 State extract file identifier
RECALCULATED_Z0100A Calc Text 7 3073-3079 Calculated Medicare Part A: HIPPS code
RECALCULATED_Z0100B Calc Text 10 3080-3089 Calculated Medicare Part A: Version Code
CALC_ITEM_FILLER_007 Calc Text 10 3108-3117 Item filler: replaces RECALCULATED_Z0150B
RECALCULATED_Z0200A Calc Text 10 3128-3137 Calculated State case mix: Group
CMI_VALUE_FOR_RECALC_Z0200A Calc Text 7 3148-3154 CMI value returned for State Group
CMI_SET_FOR_RECALC_Z0200A Calc Text 3 3155-3157 Set Code used for State Group
RECALCULATED_Z0200B Calc Text 10 3138-3147 Calculated State case mix: Version code
RECALCULATED_Z0200C Calc Text 1 3296-3296 Calculated State case mix: Short Stay Assessment
RECALCULATED_Z0250A Calc Text 10 3158-3167 Calculated State case mix: Alternative group
CMI_VALUE_FOR_RECALC_Z0250A Calc Text 7 3178-3184 Alternate CMI value returned for State Group
CMI_SET_FOR_RECALC_Z0250A Calc Text 3 3185-3187 Alternate Set Code used for State Group
RECALCULATED_Z0250B Calc Text 10 3168-3177 Calculated State case mix: Alt version code
MEDICARE_RUG4_HIER_GRP Calc Text 10 3188-3197 RUG IV Medicare hierarchical group
MEDICARE_RUG4_HIER_VERSION Calc Text 10 3198-3207 RUG IV Medicare hierarchical version
MEDICARE_RUG3_IDX_MAX_GRP Calc Text 10 3208-3217 RUG III Medicare index max group
MEDICARE_RUG3_IDX_MAX_VERSION Calc Text 10 3218-3227 RUG III Medicare index max version
MEDICARE_RUG3_IDX_MAX_CMI_VAL Calc Text 7 3228-3234 RUG III Medicare index max case mix index
MEDICARE_RUG3_IDX_MAX_CMI_SET Calc Text 3 3235-3237 RUG III Medicare index max case mix index set
MEDICARE_RUG3_HIER_GRP Calc Text 10 3238-3247 RUG III Medicare hierarchical group
MEDICARE_RUG3_HIER_VERSION Calc Text 10 3248-3257 RUG III Medicare hierarchical version
C_CCN_NUM Calc Text 12 3259-3270 Calculated facility CMS certification number (CCN)
C_HICN_MBI_IND Calc Text 1 3271-3271 Calculated HICN MBI Indicator
C_SSNRI_TRNSLTN_HICN_TXT Calc Text 12 3272-3283 SSNRI Translation HICN Text
C_SSNRI_TRNSLTN_MBI_TXT Calc Text 12 3284-3295 SSNRI Translation MBI Text
DATA_END_INDICATOR Calc Code 1 3688-3688 End of data terminator code
CR Calc Code 1 3689-3689 Carriage return (ASCII 013)
LF Calc Code 1 3690-3690 Line feed character (ASCII 010)

NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 06/06/2023 01:46:59 PM