Search Data Variables

This field lists the severity of the other diagnosis 5.

This field lists the case mix primary diagnosis, column 3.

This field lists the case mix first secondary diagnosis, column 3.

This field lists the case mix second secondary diagnosis, column 3.

This field lists the case mix third secondary diagnosis, column 3.

This field lists the case mix fourth secondary diagnosis, column 3.

This field lists the case mix fifth secondary diagnosis, column 3.

This field lists optional diagnosis (ICD-10), column 3.

This field is checked if the patient receives enteral nutrition therapy at home.

This field is checked if the patient receives intravenous or infusion therapy at home.

This field is checked if the patient receives none of the above therapies at home.

This field is checked if the patient receives parenteral nutrition (TPN or lipids) at home.

This field is checked if the patient is at risk for hospitalization due to recent decline in mental, emotional, or behavioral status.

This field is checked if the patient is at risk for hospitalization due to frailty indicators.

This field is checked if the patient is at risk for hospitalization due to multiple hospitalizations (2 or more) in the past 12 months.

This field is checked if the patient is at risk for hospitalization is none of the above.

This field is checked if the patient is at risk for hospitalization due to taking 5 or more medications.

This field is checked if the patient is at risk for hospitalization is other.

This field is checked if the patient is at risk for hospitalization due to current exhaustion.

This field is checked if the patient is at risk for hospitalization due to reported or observed difficulty complying with any medical instructions (for example medications, diet, exercise) in the past 3 months.

This field is checked if the patient is at risk for hospitalization due to unintentional weight loss of a total o 10 pounds or more in the past 12 months.

This field describes the patient's overall status.

This field indicates if alcohol dependency is a risk factor, either present or past, likely to affect the patient's current health status and/or outcome.

This field indicates if drug dependency is a risk factor, either present or past, likely to affect the patient's current health status and/or outcome.

This field indicates if none of the above is a risk factor, either present or past, likely to affect the patient's current health status and/or outcome.

This field indicates if obesity is a risk factor, either present or past, likely to affect the patient's current health status and/or outcome.

This field indicates if smoking is a risk factor, either present or past, likely to affect the patient's current health status and/or outcome.

This field indicates if it is unknown if any of the above is a risk factor, either present or past, likely to affect the patient's current health status and/or outcome.

This field indicates if the patient received the influenza vaccine during this episode of care in agency.

This field indicates the reason why the influenza vaccine was not received from the agency during this episode of care.

This field indicates if the patient received the PPV during this episode of care in agency.

This field indicates if the patient received the PPV during this episode of care in agency.

This field indicates the reason why the PPV was not received from the agency during this episode of care.

This field indicates the best description of the patient's residential circumstance and availability of assistance.

This field indicates the patient's vision status.

This field indicates the patient's understanding of verbal content in the patient's own language.

This field indicates the patient's speech and oral (verbal) expression of language in the patient's own language.

This field indicates if the patient had a formal Pain Assessment using a standardized pain assessment tool.

This field indicates the frequency of pain interfering with patient's activity or movement.

This field indicates whether the patient was assessed for the risk of developing pressure ulcers.

This field indicates whether the patient has a risk of developing pressure ulcers.

This field indicates whether the patient has at least one unhealed pressure ulcer at stage II or higher.

This field indicates the date of onset of the oldest unhealed stage II pressure ulcer identified since most recent SOC/ROC assessment.

This field identifies the status of the oldest unhealed stage II pressure ulcer at the time of discharge, and assesses the length of time this ulcer remained unhealed while the patient received care from the agency.

This field indicates the current number of unhealed pressure ulcers at stage II (enter 0 if none).