NumberSAS NameVariable Name
1 BENE_ID Encrypted 723 Beneficiary ID
2 ASMT_ID Encrypted Assessment ID
3 AGENT_ID Agent ID
4 AST_BEG_VER_DT Assessment Beginning Version Date
5 ASMT_CRCTN_VRSN_NUM Assessment Correction Version Number
6 ASMT_END_VRSN_DT Assessment Ending Version Date
7 IRF_ASMT_INT_ID Encrypted D16Assessment Internal ID
8 AST_MOD_CD Assessment Modification Code
9 CALCTD_AGE_TXT Calculated Age Code
10 CALCTD_CMG_TXT Calculated CMG Code
11 CALCTD_CMG_VRSN_TXT Calculated CMG Version Code
12 CALCTD_CGNTV_SCALE_TXT Calculated Cognitive Scale Code
13 CALCTD_MOTOR_SCALE_TXT Calculated Motor Scale Code
14 ORGNL_ASMT_INT_ID Encrypted D189Original Assessment Internal ID
15 PRVDR_INT_NUM Provider Internal Number
16 RES_CHG_TIMESTAMP Resident Data Update Timestamp
17 RSDNT_MATCH_CRTR_CD Resident Match Criteria Code
18 SFTWR_ID Software ID
19 SFT_VER Software Version
20 STATE_CD State Code
21 SUBMISSION_DATE Submission Date
22 SUBMSN_SQNC_NUM Submission Sequence Number
23 SBMTD_CMG_TXT Submitted CMG Code
24 SBMTD_CMG_VRSN_TXT Submitted CMG Version Code
25 TRGT_DT Target Date
26 VRSN_CD1 Version Code 1
27 VRSN_CD2 Version Code 2
28 FAC_MDCR_PRVDR_NUM (1B) Facility Medicare Provider Number
29 BIRTH_DT (6) Birth Date
30 GNDR_CD (8) Gender Code
31 ETH_AMRCN_INDN_AK_NTV_SW (9A) Race: American Indian/Alaskan Native
32 ETH_ASN_SW (9B) Race: Asian
33 ETH_AFRCN_AMRCN_SW (9C) Race: Black or African American
34 ETH_HSPNC_LTN_SW (9D) Ethnicity: Hispanic or Latino
35 ETH_NTV_HI_PCFC_ISLDR_SW (9E) Race: Native Hawaiian or other Pacific Islander
36 ETH_WHT_SW (9F) Race: White
37 MRTL_STUS_CD (10) Marital Status
38 ZIP_CD (11) ZIP code of patients pre-hospital residence
39 ADMSN_DT (12) Admission Date
40 ASMT_RFRNC_DT (13) Assessment Reference Date
41 ADMSN_CLS_CD (14) Admission Class
42 ADMT_FROM_CD (15) Admit From (at date of admission)
43 PRE_HOSP_LVG_SET_CD (16) Pre-Hospital Living Setting
44 PRE_HOSP_LVG_WTH_CD (17) Pre-Hospital Living With
45 PRE_HOSP_VCTNL_CTGRY_CD (18) Pre-Hospital Vocational Category
46 PRE_HOSP_VCTNL_EFRT_CD (19) Pre-Hospital Vocational Effort
47 PRMRY_PMT_SRC_CD (20A) Primary Payment Source
48 SCNDRY_PMT_SRC_CD (20B) Secondary Payment Source
49 IMPRMNT_GRP_ADMSN_CD (21a) Impairment Group: Admission
50 IMPRMNT_GRP_DSCHRG_CD (21d) Impairment Group: Discharge
51 ETLGC_DGNS_CD (22) Etiologic Diagnosis Code (ICD-9 Code)
52 ONST_DT (23) Date of Onset
53 CMRBD_COND_A_CD (24A) Comorbid Conditions (ICD-9 Code)
54 CMRBD_COND_B_CD (24B) Comorbid Conditions (ICD-9 Code)
55 CMRBD_COND_C_CD (24C) Comorbid Conditions (ICD-9 Code)
56 CMRBD_COND_D_CD (24D) Comorbid Conditions (ICD-9 Code)
57 CMRBD_COND_E_CD (24E) Comorbid Conditions (ICD-9 Code)
58 CMRBD_COND_F_CD (24F) Comorbid Conditions (ICD-9 Code)
59 CMRBD_COND_G_CD (24G) Comorbid Conditions (ICD-9 Code)
60 CMRBD_COND_H_CD (24H) Comorbid Conditions (ICD-9 Code)
61 CMRBD_COND_I_CD (24I) Comorbid Conditions (ICD-9 Code)
62 CMRBD_COND_J_CD (24J) Comorbid Conditions (ICD-9 Code)
200 CMRBD_CONDS_K_CD 24K Comorbid Conditions: ICD Code K
201 CMRBD_CONDS_L_CD 24L Comorbid Conditions: ICD Code L
202 CMRBD_CONDS_M_CD 24M Comorbid Conditions: ICD Code M
203 CMRBD_CONDS_N_CD 24N Comorbid Conditions: ICD Code N
204 CMRBD_CONDS_O_CD 24O Comorbid Conditions: ICD Code O
205 CMRBD_CONDS_P_CD 24P Comorbid Conditions: ICD Code P
206 CMRBD_CONDS_Q_CD 24Q Comorbid Conditions: ICD Code Q
207 CMRBD_CONDS_R_CD 24R Comorbid Conditions: ICD Code R
208 CMRBD_CONDS_S_CD 24S Comorbid Conditions: ICD Code S
209 CMRBD_CONDS_T_CD 24T Comorbid Conditions: ICD Code T
210 CMRBD_CONDS_U_CD 24U Comorbid Conditions: ICD Code U
211 CMRBD_CONDS_V_CD 24V Comorbid Conditions: ICD Code V
212 CMRBD_CONDS_W_CD 24W Comorbid Conditions: ICD Code W
213 CMRBD_CONDS_X_CD 24X Comorbid Conditions: ICD Code X
63 CMTS_SW (25) Comatose: Admission
64 DLRS_SW (26) Delirious: Admission
65 SWLWG_ADMSN_CD (27a) Swallowing Status: Admission
66 SWLWG_DSCHRG_CD (27d) Swallowing Status: Discharge
67 DHYDRTN_ADMSN_SW (28a) Clinical Signs of Dehydration: Admission
68 DHYDRTN_DSCHRG_SW (28d) Clinical Signs of Dehydration: Discharge
69 BLADR_ASTNC_ADMSN_CD (29a) Bladder Level of Assistance: Admission
70 BLADR_ASTNC_DSCHRG_CD (29d) Bladder Level of Assistance: Discharge
71 BLADR_ACDNT_ADMSN_CD (30a) Bladder Frequency of Accidents: Admission
72 BLADR_ACDNT_DSCHRG_CD (30d) Bladder Frequency of Accidents: Discharge
73 BWL_ASTNC_ADMSN_CD (31a) Bowel Level of Assistance: Admission
74 BWL_ASTNC_DSCHRG_CD (31d) Bowel Level of Assistance: Discharge
75 BWL_ACDNT_ADMSN_CD (32a) Bowel Frequency of Accidents: Admission
76 BWL_ACDNT_DSCHRG_CD (32d) Bowel Frequency of Accidents: Discharge
77 TUB_TRNSFR_ADMSN_CD (33a) Tub Transfer: Admission
78 TUB_TRNSFR_DSCHRG_CD (33d) Tub Transfer: Discharge
79 SHWR_TRNSFR_ADMSN_CD (34a) Shower Transfer: Admission
80 SHWR_TRNSFR_DSCHRG_CD (34d) Shower Transfer: Discharge
81 DSTNC_WLKD_ADMSN_CD (35a) Distance Walked: Admission
82 DSTNC_WLKD_DSCHRG_CD (35d) Distance Walked: Discharge
83 DSTNC_WC_ADMSN_CD (36a) Distance Traveled in Wheelchair: Admission
84 DSTNC_WC_DSCHRG_CD (36d) Distance Traveled in Wheelchair: Discharge
85 WLK_ADMSN_CD (37a) Walk: Admission
86 WLK_DSCHRG_CD (37d) Walk: Discharge
87 WC_ADMSN_CD (38a) Wheelchair: Admission
88 WC_DSCHRG_CD (38d) Wheelchair: Discharge
89 EATG_ADMSN_CD (39Aa) Self-Care: Eating: Admission
90 EATG_DSCHRG_CD (39Ad) Self-Care: Eating: Discharge
91 EATG_GOAL_CD (39Ag) Self-Care: Eating: Goal
92 GRMG_ADMSN_CD (39Ba) Self-Care: Grooming: Admission
93 GRMG_DSCHRG_CD (39Bd) Self-Care: Grooming: Discharge
94 GRMG_GOAL_CD (39Bg) Self-Care: Grooming: Goal
95 BATHG_ADMSN_CD (39Ca) Self-Care: Bathing: Admission
96 BATHG_DSCHRG_CD (39Cd) Self-Care: Bathing: Discharge
97 BATHG_GOAL_CD (39Cg) Self-Care: Bathing: Goal
98 DRSG_UPR_ADMSN_CD (39Da) Self-Care: Dressing-Upper: Admission
99 DRSG_UPR_DSCHRG_CD (39Dd) Self-Care: Dressing-Upper: Discharge
100 DRSG_UPR_GOAL_CD (39Dg) Self-Care: Dressing-Upper: Goal
101 DRSG_LWR_ADMSN_CD (39Ea) Self-Care: Dressing-Lower: Admission
102 DRSG_LWR_DSCHRG_CD (39Ed) Self-Care: Dressing-Lower: Discharge
103 DRSG_LWR_GOAL_CD (39Eg) Self-Care: Dressing-Lower: Goal
104 TOILTG_ADMSN_CD (39Fa) Self-Care: Toileting: Admission
105 TOILTG_DSCHRG_CD (39Fd) Self-Care: Toileting: Discharge
106 TOILTG_GOAL_CD (39Fg) Self-Care: Toileting: Goal
107 SPHNCTR_BLADR_ADMSN_CD (39Ga) Sphincter Control - Bladder: Admission
108 SPHNCTR_BLADR_DSCHRG_CD (39Gd) Sphincter Control - Bladder: Discharge
109 SPHNCTR_BLADR_GOAL_CD (39Gg) Sphincter Control - Bladder: Goal
110 SPHNCTR_BWL_ADMSN_CD (39Ha) Sphincter Control - Bowel: Admission
111 SPHNCTR_BWL_DSCHRG_CD (39Hd) Sphincter Control - Bowel: Discharge
112 SPHNCTR_BWL_GOAL_CD (39Hg) Sphincter Control - Bowel: Goal
113 BED_CHR_WC_ADMSN_CD (39Ia) Transfers - Bed, chair, wheelchair: Admission
114 BED_CHR_WC_DSCHRG_CD (39Id) Transfers - Bed, chair, wheelchair: Discharge
115 BED_CHR_WC_GOAL_CD (39Ig) Transfers - Bed, chair, wheelchair: Goal
116 TOILT_ADMSN_CD (39Ja) Transfers - Toilet: Admission
117 TOILT_DSCHRG_CD (39Jd) Transfers - Toilet: Discharge
118 TOILT_GOAL_CD (39Jg) Transfers - Toilet: Goal
119 TUB_SHWR_ADMSN_CD (39Ka) Transfers - Tub, Shower: Admission
120 TUB_SHWR_DSCHRG_CD (39Kd) Transfers - Tub, Shower: Discharge
121 TUB_SHWR_GOAL_CD (39Kg) Transfers - Tub, Shower: Goal
122 WLK_WC_ADMSN_CD (39La) Locomotion - Walk/wheelchair: Admission
123 WLK_WC_BOTH_ADMSN_CD (39Laa) Locomotion - Walk/wheelchair/both: Admission
124 WLK_WC_DSCHRG_CD (39Ld) Locomotion - Walk/wheelchair: Discharge
125 WLK_WC_BOTH_DSCHRG_CD (39Ldd) Locomotion - Walk/wheelchair/both: Discharge
126 WLK_WC_GOAL_CD (39Lg) Locomotion - Walk/wheelchair: Goal
127 STR_ADMSN_CD (39Ma) Locomotion - Stairs: Admission
128 STR_DSCHRG_CD (39Md) Locomotion - Stairs: Discharge
129 STR_GOAL_CD (39Mg) Locomotion - Stairs: Goal
130 CMPRHNSN_ADMSN_CD (39Na) Communication - Comprehension: Admission
131 CMPRHNSN_ADTRY_VISL_ADMSN_CD (39Naa) Communication - Auditory/Visual/Both: Admission
132 CMPRHNSN_DSCHRG_CD (39Nd) Communication - Comprehension: Discharge
133 CMPRHNSN_ADTRY_VISL_DSCHRG_CD (39Ndd) Communication - Auditory/Visual/Both: Discharge
134 CMPRHNSN_GOAL_CD (39Ng) Communication - Comprehension: Goal
135 EXPRSN_ADMSN_CD (39Oa) Communication - Expression: Admission
136 EXPRSN_VCL_NVCL_ADMSN_CD (39Oaa) Communication - Vocal/Nonvocal/Both: Admission
137 EXPRSN_DSCHRG_CD (39Od) Communication - Expression: Discharge
138 EXPRSN_VCL_NVCL_DSCHRG_CD (39Odd) Communication - Vocal/Nonvocal/Both: Discharge
139 EXPRSN_GOAL_CD (39Og) Communication - Expression: Goal
140 SCL_INTRCTN_ADMSN_CD (39Pa) Social Cognition - Social Interaction: Admission
141 SCL_INTRCTN_DSCHRG_CD (39Pd) Social Cognition - Social Interaction: Discharge
142 SCL_INTRCTN_GOAL_CD (39Pg) Social Cognition - Social Interaction: Goal
143 PRBLM_SLVG_ADMSN_CD (39Qa) Social Cognition - Problem Solving: Admission
144 PRBLM_SLVG_DSCHRG_CD (39Qd) Social Cognition - Problem Solving: Discharge
145 PRBLM_SLVG_GOAL_CD (39Qg) Social Cognition - Problem Solving: Goal
146 MEMRY_ADMSN_CD (39Ra) Social Cognition - Memory: Admission
147 MEMRY_DSCHRG_CD (39Rd) Social Cognition - Memory: Discharge
148 MEMRY_GOAL_CD (39Rg) Social Cognition - Memory: Goal
149 DSCHRG_DT (40) Discharge Date
150 DSCHRG_AGNST_MDCL_ADVC_SW (41) Patient Discharged Against Medical Advice
151 PGM_INTRPTN_SW (42) Program Interruption(s)
152 TRNSFR_1_DT (43A) First Interruption Date
153 RTRN_1_DT (43B) First Return Date
154 TRNSFR_2_DT (43C) Second Interruption Date
155 RTRN_2_DT (43D) Second Return Date
156 TRNSFR_3_DT (43E) Third Interruption Date
157 RTRN_3_DT (43F) Third Return Date
158 DSCHRG_TO_LVG_SETG_CD (44A) Discharge to Living Setting
159 DSCHRG_WTH_HOME_HLTH_SRVC_SW (44B) Was Patient Discharged with Home Health Services?
160 DSCHRG_TO_LVG_WTH_CD (45) Discharge to Living With
161 DGNS_TRNSFR_DEATH_CD (46) Diagnosis for Interruption or Death (ICD-9 Code)
162 CMPLCTN_DRNG_REHAB_A_CD (47A) Complications During Rehabilitation Stay (ICD-9 Code)
163 CMPLCTN_DRNG_REHAB_B_CD (47B) Complications During Rehabilitation Stay (ICD-9 Code)
164 CMPLCTN_DRNG_REHAB_C_CD (47C) Complications During Rehabilitation Stay (ICD-9 Code)
165 CMPLCTN_DRNG_REHAB_D_CD (47D) Complications During Rehabilitation Stay (ICD-9 Code)
166 CMPLCTN_DRNG_REHAB_E_CD (47E) Complications During Rehabilitation Stay (ICD-9 Code)
167 CMPLCTN_DRNG_REHAB_F_CD (47F) Complications During Rehabilitation Stay (ICD-9 Code)
168 SOB_EXRTN_ADMSN_SW (48a) Shortness of Breath With Exertion: Admission
169 SOB_EXRTN_DSCHRG_SW (48d) Shortness of Breath With Exertion: Discharge
170 SOB_REST_ADMSN_SW (49a) Shortness of Breath At Rest: Admission
171 SOB_REST_DSCHRG_SW (49d) Shortness of Breath At Rest: Discharge
172 DFCLTY_CLRG_ARWY_ADMSN_SW (50a) Weak Cough and Difficulty Clearing Airway Secretions: Admission
173 DFCLTY_CLRG_ARWY_DSCHRG_SW (50d) Weak Cough and Difficulty Clearing Airway Secretions: Discharge
174 MOST_SVR_PN_RATE_ADMSN_CD (51a) Rate the Highest Level of Pain Reported by the Patient Within the Assessment Period: Admission
175 MOST_SVR_PN_RATE_DSCHRG_CD (51d) Rate the Highest Level of Pain Reported by the Patient Within the Assessment Period: Discharge
176 HIGHST_PRSR_ULCR_ADMSN_CD (52Aa) Highest Current Pressure Ulcer stage: Admission
177 HIGHST_PRSR_ULCR_DSCHRG_CD (52Ad) Highest Current Pressure Ulcer stage: Discharge
178 PRSR_ULCR_ADMSN_CNT (52Ba) Number of Current Pressure Ulcers: Admission
179 PRSR_ULCR_DSCHRG_CNT (52Bd) Number of Current Pressure Ulcers: Discharge
180 LRGST_PRSR_ULCR_ADMSN_NUM (52Ca) Length Multiplied by Width: Admission
181 LRGST_PRSR_ULCR_DSCHRG_NUM (52Cd) Length Multiplied by Width: Discharge
182 EXDT_AMT_ADMSN_CD (52Da) Exudate Amount: Admission
183 EXDT_AMT_DSCHRG_CD (52Dd) Exudate Amount: Discharge
184 TISUE_TYPE_ADMSN_CD (52Ea) Tissue Type: Admission
185 TISUE_TYPE_DSCHRG_CD (52Ed) Tissue Type: Discharge
186 TOT_PUSH_SCRE_ADMSN_NUM (52Fa) Total PUSH Score: Admission
187 TOT_PUSH_SCRE_DSCHRG_NUM (52Fd) Total PUSH Score: Discharge
188 STNDG_BAL_PRBLM_ADMSN_SW (53a) Standing Balance Problem: Admission
189 STNDG_BAL_PRBLM_DSCHRG_SW (53d) Standing Balance Problem: Discharge
190 TOT_FALL_DRNG_REHAB_STAY_NUM (54) Total Number of Falls During the Rehabilitation Stay: Discharge
215 UNHLD_PRSR_ULCR_AT_ADMSN_CD M0210 Unhealed Pressure Ulcers at Admission Number
216 M0210 Unhealed Pressure Ulcers at Discharge Number
217 STG_1_PRSR_ULCR_ADMSN_NUM M0300A1 Stage 1 Pressure Ulcers Admissson Number
218 M0300A1 Stage 1 Pressure Ulcers Discharge Number
219 STG_1_PRSR_ULCR_DSCHRG_POA_NUM M0300A2 Stage 1 Pressure Ulcers Discharge Present on Admission Number
220 STG_1_PRSR_ULCR_DSCHRG_NOT_NUM M0300A3 Stage 1 Pressure Ulcers Discharge Not Present on Admission Number
221 STG_2_PRSR_ULCR_DSCHRG_POA_NUM M0300B2 Stage 2 Pressure Ulcers Discharge Present on Admission Number
222 STG_2_ULCR_DSCHRG_UNSTGBL_NUM M0300B3 Stage 2 Pressure Ulcers Discharge Unstageable on Admission Number
223 STG_2_PRSR_ULCR_DSCHRG_NOT_NUM M0300B4 Stage 2 Pressure Ulcers Discharge Not Present or Lesser Stage on Admission Number
224 STG_3_PRSR_ULCR_DSCHRG_POA_NUM M0300C2 Stage 3 Pressure Ulcers Discharge Present on Admission Number
225 STG_3_ULCR_DSCHRG_UNSTGBL_NUM M0300C3 Stage 3 Pressure Ulcers Discharge Unstageable on Admission Number
226 STG_4_PRSR_ULCR_DSCHRG_POA_NUM M0300D2 Stage 4 Pressure Ulcers Discharge Present on Admission Number
227 UNSTGBL_PRSR_ULCR_ADMSN_NUM M0300E1 Unstageable Pressure Ulcers non-Removable Dressing Admission Number
228 UNSTGBL_PRSR_ULCR_DSCHRG_NUM M0300E1 Unstageable Pressure Ulcers non-Removable Dressing Discharge Number
229 UNSTGBL_PRSR_ULCR_NON_NUM M0300E2 Unstageable Pressure Ulcers non-Removable Dressing Discharge on Admission Number
230 UNSTGBL_PRSR_ULCR_STG_NUM M0300E3 Unstageable Pressure Ulcers non-Removable Dressing Discharge Stageable on Admission Number
231 UNSTGBL_ULCR_AND_OR_ADMSN_NUM M0300F1 Unstageable Pressure Ulcers Slough and/or Eschar Admission Number
232 UNSTGBL_ULCR_AND_OR_DSCHRG_NUM M0300F1 Unstageable Pressure Ulcers Slough and/or Eschar Discharge Number
233 UNSTGBL_ULCR_TISUE_ADMSN_NUM M0300F2 Unstageable Pressure Ulcers Slough/Eschar on Admission Number
234 UNSTGBL_PRSR_TISUE_STG_NUM M0300F3 Unstageable Pressure Ulcers Slough and/or Eschar Discharge Stageable on Admission Number
235 UNSTGBL_ULCR_DTI_ADMSN_NUM M0300G1 Unstageable Pressure Ulcers DTI Admission Number
236 UNSTGBL_ULCR_DTI_DSCHRG_NUM M0300G1 Unstageable Pressure Ulcers DTI Discharge Number
237 UNSTGBL_ULCR_DTI_PU_NUM M0300G2 Unstageable Pressure Ulcers DTI Disch were Unst DTI PU Admission
238 HLG_STG_1_ULCR_NUM M0900A Healed Stage 1 Ulcers Number
239 HLG_STG_2_ULCR_NUM M0900B Healed Stage 2 Ulcers Number
240 HLG_STG_3_ULCR_NUM M0900C Healed Stage 3 Ulcers Number
241 PRPHRL_VSCLR_DEASE_IND I0900A Peripheral Vascular Disease Code
242 DBTC_NPHRTY_IND I2900C Diabetic Nephropathy Code
243 O0250B_INFLNZ_RCVD_DT O0250B Influenza Received Date
244 CALCD_CCN_NUM Calculated CCN - Calculated CMS Certification Number
245 ETLGC_DGNS_A_CD 22A Etiologic Diagnosis A
246 INDVDL_PT_WK_1_NUM O0401AA PT: Total Minutes Individual Therapy Week 1
247 CNCRNT_PT_WK_1_NUM O0401AB PT: Total Minutes Concurrent Therapy Week 1
248 GRP_PT_WK_1_NUM O0401AC PT: Total Minutes Group Therapy Week 1
249 CO_TRTMT_PT_WK_1_NUM O0401AD PT: Total Minutes Co-treatment Therapy Week 1
250 INDVDL_OT_WK_1_NUM O0401BA OT: Total Minutes Individual Therapy Week 1
251 CNCRNT_OT_WK_1_NUM O0401BB OT: Total Minutes Concurrent Therapy Week 1
252 GRP_OT_WK_1_NUM O0401BC OT: Total Minutes Group Therapy Week 1
253 CO_TRTMT_OT_WK_1_NUM O0401BD OT: Total Minutes Co-treatment Therapy Week 1
254 INDVDL_SPCH_THRPY_WK_1_NUM O0401CA SLP: Total Minutes Individual Therapy Week 1
255 CNCRNT_SPCH_THRPY_WK_1_NUM O0401CB SLP: Total Minutes Concurrent Therapy Week 1
256 GRP_SPCH_THRPY_WK_1_NUM O0401CC SLP: Total Minutes Group Therapy Week 1
257 CO_TRTMT_SPCH_THRPY_WK_1_NUM O0401CD SLP: Total Minutes Co-treatment Therapy Week 1
258 INDVDL_PT_WK_2_NUM O0402AA PT: Total Minutes Individual Therapy Week 2
259 CNCRNT_PT_WK_2_NUM O0402AB PT: Total Minutes Concurrent Therapy Week 2
260 GRP_PT_WK_2_NUM O0402AC PT: Total Minutes Group Therapy Week 2
261 CO_TRTMT_PT_WK_2_NUM O0402AD PT: Total Minutes Co-treatment Therapy Week 2
262 INDVDL_OT_WK_2_NUM O0402BA OT: Total Minutes Individual Therapy Week 2
263 CNCRNT_OT_WK_2_NUM O0402BB OT: Total Minutes Concurrent Therapy Week 2
264 GRP_OT_WK_2_NUM O0402BC OT: Total Minutes Group Therapy Week 2
265 CO_TRTMT_OT_WK_2_NUM O0402BD OT: Total Minutes Co-treatment Therapy Week 2
266 INDVDL_SPCH_THRPY_WK_2_NUM O0402CA SLP: Total Minutes Individual Therapy Week 2
267 CNCRNT_SPCH_THRPY_WK_2_NUM O0402CB SLP: Total Minutes Concurrent Therapy Week 2
268 GRP_SPCH_THRPY_WK_2_NUM O0402CC SLP: Total Minutes Group Therapy Week 2
269 CO_TRTMT_SPCH_THRPY_WK_2_NUM O0402CD SLP: Total Minutes Co-treatment Therapy Week 2
270 CALCD_BIRTH_DT_SBMT_CD Calculated Birth Date Submit Code
271 DBTC_NEUROPATHY_IND Diabetic Neuropathy Indicator
272 HEALED_STG_2_PRSR_ULCRS_NUM M0900B Healed Stage 2 Pressure Ulcers Number
273 HEALED_STG_3_PRSR_ULCRS_NUM M0900C Healed Stage 3 Pressure Ulcers Number
274 HEALED_STG_4_PRSR_ULCRS_NUM M0900D Healed Stage 4 Pressure Ulcers Number
275 PROCD_DT Processed Date
276 PRPHRL_ARTERIAL_IND I0900B Peripheral Arterial Code
277 SFTWR_PROD_NAME Software Product Name (IRF)
278 STG_2_PRSR_ULCRS_ADMSN_NUM 48AA/M0300B1 Stage 2 Pressure Ulcers Admission Number. When Discharge Date is on or after Oct. 1,2014, M0300B1 Stage 2 Pressure Ulcers Admission Number will be displayed
279 STG_2_PRSR_ULCRS_DSCHRG_NUM 48AD/M0300B1 Stage 2 Pressure Ulcers Discharge Number. When Discharge Date is on or after Oct. 1,2014, M0300B1 Stage 2 Pressure Ulcers Discharge Number will be displayed
280 STG_3_PRSR_ULCR_DSCHRG_NOT_NUM M0300C4 Stage 3 Pressure Ulcers Discharge Not Present or Lesser Stage on Admission Number
281 STG_3_PRSR_ULCRS_ADMSN_NUM 48BA/M0300C1 Stage 3 Pressure Ulcers Admission Number. When Discharge Date is on or after Oct. 1,2014, M0300C1 Stage 3 Pressure Ulcers Admission Number will be displayed
282 STG_3_PRSR_ULCRS_DSCHRG_NUM 48BD/M0300C1 Stage 3 Pressure Ulcers Discharge Number. When Discharge Date is on or after Oct. 1,2014, M0300C1 Stage 3 Pressure Ulcers Discharge Number will be displayed
283 STG_4_PRSR_ULCR_DSCHRG_NOT_NUM M0300D4 Stage 4 Pressure Ulcers Discharge Not Present or Lesser Stage on Admission Number
284 STG_4_PRSR_ULCRS_ADMSN_NUM 48CA/M0300D1 Stage 4 Pressure Ulcers Admission Number. When Discharge Date is on or after Oct. 1,2014, M0300D1 Stage 4 Pressure Ulcers Admission Number will be displayed
285 STG_4_PRSR_ULCRS_DSCHRG_NUM 48CD/M0300D1 Stage 4 Pressure Ulcers Discharge Number. When Discharge Date is on or after Oct. 1,2014, M0300D1 Stage 4 Pressure Ulcers Discharge Number will be displayed
286 WORSENING_STG_2_PRSR_ULCRS_NUM M0800A Worsening Stage 2 Pressure Ulcers Number
287 WORSENING_STG_3_PRSR_ULCRS_NUM M0800B Worsening Stage 3 Pressure Ulcers Number
288 WORSENING_STG_4_PRSR_ULCRS_NUM M0800C Worsening Stage 4 Pressure Ulcers Number
289 FAC_ID Facility ID (IRF-PAI)
290 SFTWR_VNDR_NAME Software Vendor Name (IRF-PAI)
291 HGT_NUM 25A Height Number
292 WT_NUM 26A Weight Number
293 DSCHRG_ALIVE_IND 44C Discharged Alive
294 DSCHRG_DSTNTN_CD 44D Discharge Destination Code
295 STG_4_ULCR_DSCHRG_UNSTGBL_NUM M0300D3 Stage 4 Pressure Ulcers Discharge Unstageable on Admission Number
296 STG_4_ULCR_DSCHRG_UNSTGBL_NUM M0900D Healed Stage 4 Ulcers Number
297 DML_IND I2900A Diabetes Mellitus Code
298 INFLNZ_RCVD_IND O0250A Influenza Received Code (IRF)
299 RSN_INFLNZ_NOT_RCVD_CD O0250C Reason Influenza Not Received Code (IRF)
300 DBTC_RETINOPATHY_IND I2900B Diabetic Retinopathy Code
301 BB0700_EXPRSN_IDEA_WNT_IND BB0700 Expression Idea Want Code: Admission
302 BB0800_UNDRSTND_VRBL_NON_VRBL BB0800 Undrstnd Vrbl/Non-Vrbl Content (3-day asmt period)
303 C0100_CNDCTD_MENTL_STUS_CD C0100 Brief Interview for Mental Status Be Conducted Code (IRF)
304 C0200_WORD_RPETE_1ST_ATMPT_CD C0200 BIMS: Number of Words Repeated After First Attempt (IRF)
305 C0300A_RPT_YR_CD C0300A BIMS: Temporal Orientation - Able to Report Correct Year (IRF)
306 C0300B_RPT_MO_CD C0300B BIMS: Temporal Orientation - Able to Report Correct Month (IRF)
307 C0300C_RPT_DAY_CD C0300C BIMS: Temporal Orientation - Able to Report Correct Day of Week (IRF)
308 C0400A_RCLL_1ST_WORD_CD C0400A BIMS: Recall - Able to Recall Sock (IRF)
309 C0400B_RCLL_2ND_WORD_CD C0400B BIMS: Recall - Able to Recall Blue (IRF)
310 C0400C_RCLL_3RD_WORD_CD C0400C BIMS: Recall - Able to Recall Bed (IRF)
311 C0500_BIMS_SCRE_NUM C0500 Brief Interview for Mental Status (BIMS) Score Number (IRF)
312 C0600_CNDCT_STF_MENTL_STUS_CD C0600 Staff to Conduct Brief Interview for Mental Status (IRF)
313 C0900A_RCLL_CRNTL_SEASN_CD C0900A Memory/Recall - Current Season (3-day Asmt Prd)
314 C0900B_RCLL_LCTN_ROOM_CD C0900B Memory/Recall - Loc Of Own Room (3-day Asmt Prd)
315 C0900C_RCLL_STF_NAME_CD C0900C Memory/Recall - Staff Names/Faces (3-day Asmt Prd)
316 C0900E_RCLL_HOSP_IND C0900E Memory/Recall - in Hospital Unit (3-day Asmt Prd)
317 C0900Z_RCLL_NONE_CD C0900Z Memory/Recall - None Of The Above (3-day Asmt Prd)
318 GG0100A_PRIOR_SELF_CARE_IND GG0100A Prior Functioning - Self Care Code
319 GG0100B_PRIOR_INDR_MBLTY_IND GG0100B Prior Functioning - Indoor Mobility Code
320 GG0100C_PRIOR_STRS_IND GG0100C Prior Functioning - Stairs CodeGG0100C Prior Functioning - Stairs Code
321 GG0100D_PRIOR_FNCTNL_CGNTN_IND GG0100D Prior Functioning - Functional Cognition Code
322 GG0110A_PRIOR_MNL_WLCHR_IND GG0110A Prior Device Use - Manual Wheelchair Code
323 GG0110B_PRIOR_MTRZD_WLCHR_IND GG0110B Prior Device Use - Motorized Wheelchair and/or Scooter Code
324 GG0110C_PRIOR_MCHNCL_LIFT_IND GG0110C Prior Device Use - Mechanical Lift Code
325 GG0110D_PRIOR_WLKR_IND GG0110D Prior Device Use - Walker Code
326 GG0110E_PRIOR_ORTHTCS_IND GG0110E Prior Device Use - Orthotics Prosthetics Code
327 GG0110Z_PRIOR_NONE_OF_THE_ABV GG0110Z Prior Device Use - None of Above Code
328 GG0130A1_EATG_ABILITY_STRT_CD GG0130A1 Admission Performance Eating Code
329 GG0130A2_EATG_GOAL_BY_END_CD GG0130A2 Discharge Goal Eating Code
330 GG0130A3_EATG_ABILITY_END_CD GG0130A3 Discharge Performance Eating Code
331 GG0130B1_ORAL_ABILITY_STRT_CD GG0130B1 Admission Performance Oral Hygiene Code
332 GG0130B2_ORAL_GOAL_BY_END_CD GG0130B2 Discharge Goal Oral Hygiene Code
333 GG0130B3_ORAL_ABILITY_END_CD GG0130B3 Discharge Performance Oral Hygiene Code
334 GG0130C1_TOILT_ABILITY_STRT_CD GG0130C1 Admission Performance Toileting Hygiene Code
335 GG0130C2_TOILT_GOAL_BY_END_CD GG0130C2 Discharge Goal Toileting Hygiene Code
336 GG0130C3_TOILT_ABILITY_END_CD GG0130C3 Discharge Performance Toileting Hygiene Code
337 GG0130E1_BTHE_SELF_STRT_CD GG0130E1 Admission Performance Bathing Code
338 GG0130E2_BTHE_SELF_GOAL_CD GG0130E2 Discharge Goal Bathing Code
339 GG0130E3_BTHE_SELF_END_CD GG0130E3 Discharge Performance Bathing Code
340 GG0130F1_UPR_DRSNG_STRT_CD GG0130F1 Admission Performance Upper Body Dressing Code
341 GG0130F2_UPR_DRSNG_GOAL_CD GG0130F2 Discharge Goal Upper Dressing Code
342 GG0130F3_UPR_DRSNG_END_CD GG0130F3 Discharge Performance Upper Dressing Code
343 GG0130G1_LWR_DRSNG_STRT_CD GG0130G1 Admission Performance Lower Body Dressing Code
344 GG0130G2_LWR_DRSNG_GOAL_CD GG0130G2 Discharge Goal Lower Dressing Code
345 GG0130G3_LWR_DRSNG_END_CD GG0130G3 Discharge Performance Lower Dressing Code
346 GG0130H1_ON_OFF_FTWR_STRT_CD GG0130H1 Admission Performance Footwear Code
347 GG0130H2_ON_OFF_FTWR_GOAL_CD GG0130H2 Discharge Goal Footwear Code
348 GG0130H3_ON_OFF_FTWR_END_CD GG0130H3 Discharge Performance Footwear Code
349 GG0170A1_ROLL_STRT_CD GG0170A1 Admission Performance Roll Left Right Code
350 GG0170A2_ROLL_GOAL_CD GG0170A2 Discharge Goal Roll Left Right Code
351 GG0170A3_ROLL_END_CD GG0170A3 Discharge Performance Roll Left Right Code
325 GG0170B1_SIT_LYNG_STRT_CD GG0170B1 Admission Performance Sit to Lying Code
353 GG0170B2_SIT_LYNG_GOAL_END_CD GG0170B2 Discharge Goal Sit to Lying Code
354 GG0170B3_SIT_LYNG_END_CD GG0170B3 Discharge Performance Sit to Lying Code
355 GG0170C1_STTG_BED_SIDE_STRT_CD GG0170C1 Admission Performance Lying to Sit Code
356 GG0170C2_STTG_BED_SIDE_GOAL_CD GG0170C2 Discharge Goal Lying to Sit Code
357 GG0170C3_STTG_BED_SIDE_END_CD GG0170C3 Discharge Performance Lying to Sit Code
358 GG0170D1_STTG_STNDG_STRT_CD GG0170D1 Admission Performance Sit to Stand Code
359 GG0170D2_STTG_STNDG_GOAL_CD GG0170D2 Discharge Goal Sit to Stand Code
360 GG0170D3_STTG_STNDG_END_CD GG0170D3 Discharge Performance Sit to Stand Code
361 GG0170E1_TRNSFR_STRT_CD GG0170E1 Admission Performance Chair/Bed to Chair Transfer Code
362 GG0170E2_TRNSFR_GOAL_BY_END_CD GG0170E2 Discharge Goal Chair/Bed Transfer Code
363 GG0170E3_TRNSFR_END_CD GG0170E3 Discharge Performance Chair to Bed Code
364 GG0170F1_TOILT_TRNSFR_STRT_CD GG0170F1 Admission Performance Toilet Transfer Code
365 GG0170F2_TOILT_TRNSFR_GOAL_CD GG0170F2 Discharge Goal Toilet Transfer Code
366 GG0170F3_TOILT_TRNSFR_END_CD GG0170F3 Discharge Performance Toilet Transfer Code
367 GG0170G1_CAR_TRNSFR_STRT_CD GG0170G1 Admission Performance Car Transfer Code
368 GG0170G2_CAR_TRNSFR_GOAL_CD GG0170G2 Discharge Goal Car Transfer Code
369 GG0170G3_CAR_TRNSFR_END_CD GG0170G3 Discharge Performance Car Transfer Code
370 GG0170H1_RSDNT_WLK_STRT_CD GG0170H1 Admission Performance Patient Walk Code
371 GG0170H3_RSDNT_WLK_END_CD GG0170H3 Discharge Performance Patient Walk Code
372 GG0170I1_WLK_10_FEET_STRT_CD GG0170I1 Admission Performance Walk 10 Feet Code
373 GG0170I2_WLK_10_FEET_GOAL_CD GG0170I2 Discharge Goal Walk 10 Feet Code
374 GG0170I3_WLK_10_FEET_END_CD GG0170I3 Discharge Performance Walk 10 Feet Code
375 GG0170J1_WLK_50_2_TURN_STRT_CD GG0170J1 Admission Performance Walk 50 Feet Code
376 GG0170J2_WLK_50_2_TURN_GOAL_CD GG0170J2 Discharge Goal Walk 50 Feet Code
377 GG0170J3_WLK_50_2_TURN_END_CD GG0170J3 Discharge Performance Walk 50 Feet Code
378 GG0170K1_WLK_150_STRT_CD GG0170K1 Admission Performance Walk 150 Feet Code
379 GG0170K2_WLK_150_BYGOAL_CD GG0170K2 Discharge Goal Walk 150 Feet Code
380 GG0170K3_WLK_150_END_CD GG0170K3 Discharge Performance Walk 150 Feet Code
381 GG0170L1_WLKG_UNEVEN_STRT_CD GG0170L1 Admission Performance Walk 10 Feet On Uneven Surface Code
382 GG0170L2_WLKG_UNEVEN_GOAL_CD GG0170L2 Discharge Goal Walk 10 Feet On Uneven Surface Code
383 GG0170L3_WLKG_UNEVEN_END_CD GG0170L3 Discharge Performance Walk 10 Feet On Uneven Surface Code
384 GG0170M1_1_STP_STRT_CD GG0170M1 Admission Performance 1 Step Code
385 GG0170M2_1_STP_GOAL_CD GG0170M2 Discharge Goal 1 Step Code
386 GG0170M3_1_STP_END_CD GG0170M3 Discharge Performance 1 Step Code
387 GG0170N1_4_STP_STRT_CD GG0170N1 Admission Performance 4 Steps Code
388 GG0170N2_4_STP_GOAL_CD GG0170N2 Discharge Goal 4 Steps Code
389 GG0170N3_4_STP_END_CD GG0170N3 Discharge Performance 4 Steps Code
390 GG0170O1_12_STP_STRT_CD GG0170O1 Admission Performance 12 Steps Code
391 GG0170O2_12_STP_GOAL_CD GG0170O2 Discharge Goal 12 Steps Code
392 GG0170O3_12_STP_END_CD GG0170O3 Discharge Performance 12 Steps Code
393 GG0170P1_PCKNG_UP_OBJ_STRT_CD GG0170P1 Admission Performance Pick up Object Code
394 GG0170P2_PCKNG_UP_OBJ_GOAL_CD GG0170P2 Discharge Goal Pick up Object Code
395 GG0170P3_PCKNG_UP_OBJ_END_CD GG0170P3 Discharge Performance Pick up Object Code
396 GG0170Q1_USE_WLCHR_STRT_CD GG0170Q1 Does patient use wheelchair and/or scooter (Adm)
397 GG0170Q3_USE_WLCHR_END_CD GG0170Q3 Does patient use wheelchair and/or scooter (Dschg)
398 GG0170RR1_TYPE_OF_WLCHR_STRT_C GG0170RR1 Indicate type of wheelchair or scooter (Adm)
399 GG0170RR3_TYPE_OF_WLCHR_END_CD GG0170RR3 Indicate type of wheelchair or scooter (Dschg)
400 GG0170S1_WHEEL_150_STRT_CD GG0170S1 Admission Performance Wheelchair 150 Feet Code
401 GG0170S2_WHEEL_150_GOAL_CD GG0170S2 Discharge Goal Wheelchair 150 Feet Code
402 GG0170S3_WHEEL150_END_CD GG0170S3 Discharge Performance Wheelchair 150 Feet Code
403 GG0170SS1_TYPE_OF_WLCHR_150_ST GG0170SS1 Indicate type of wheelchair or scooter (Adm)
404 GG0170SS3_TYPE_OF_WLCHR150_END GG0170SS3 Indicate type of wheelchair or scooter (Dschg)
405 H0350_URNRY_CNTNC_IND H0350 Urinary Continence Code
406 H0400_BWL_CNTNC_IND H0400 Bowel Continence Code
407 I0900_PRPHRL_VSCLR_DEASE_IND I0900 Peripheral Vascular Disease (PVD) Code
408 I2900_DML_CD I2900 Diabetes Mellitus (DM) Code
409 I7900_NO_ACTV_DEASE_CD I7900 No Active Disease Code
410 J1750_HSTRY_OF_FLS_IND J1750 History of Falls Code
411 J1800_FALL_LAST_ASMT_CD J1800 Falls Since Admission or Prior Assessment Code
412 J1900A_FALL_NO_INJURY_CD J1900A Number of Falls Since Admission or Prior Assessment With No Injury Code
413 J1900B_FALL_INJURY_CD J1900B Number of Falls Since Admission or Prior Assessment With Injury Except Major Code
414 J1900C_FALL_MAJ_INJURY_CD J1900C Number of Falls Since Admission or Prior Assessment With Major Injury Code
415 J2000_PRIOR_SRGRY_IND J2000 Prior Surgery Code
416 K0110A_SWLNG_RGLR_FOOD_SW K0110A Swallowing Regular Food Code
417 K0110B_SWLNG_MDFYD_FOOD_SW K0110B Swallowing Modified Food Code
418 K0110C_SWLNG_TUBE_SW K0110C Swallowing Tube Code
419 M0800A_WRSNG_STG_2_ULCRS_NUM M0800A Pressure Ulcers - Number of Worsening Stage 2 Pressure Ulcers Since Admission
420 M0800B_WRSNG_STG_3_ULCRS_NUM M0800B Pressure Ulcers - Number of Worsening Stage 3 Pressure Ulcers Since Admission
421 M0800C_WRSNG_STG_4_ULCRS_NUM M0800C Pressure Ulcers - Number of Worsening Stage 4 Pressure Ulcers Since Admission
422 M0800D_WRSNG_DRSNG_ULCRS_NUM M0800D Pressure Ulcers - Number of Worsening Unstageable Non-removable dressing Pressure Ulcers Since Admission
423 M0800E_WRSNG_ESC_ULCRS_NUM M0800E Pressure Ulcers - Number of Worsening Unstageable Slough and/or Eschar Pressure Ulcers Since Admission
424 M0800F_WRSNG_DTI_ULCRS_NUM M0800F Pressure Ulcers - Number of Worsening Unstageable Deep tissue injury Pressure Ulcers Since Admission
425 N2001_DRUG_RGMN_RVW_IND N2001 Drug Regimen Review
426 N2003_MDCTN_FLW_UP_IND N2003 Medication Follow-up
427 N2005_MDCTN_INTRVTN_IND N2005 Medication Intervention
428 O0100N_TOT_PRNTRL_NTRTN_SW O0100N Total Parenteral Nutrition Code