Reminder: DUA and VRDC access needs to be extended or renewed annually. Read more.
Put the patient/resident at significant risk for physical illness or injury?
For patients/residents who demonstrated any indicators of potential pain or distress listed in F7: Observational Assessment of Pain or Distress, is there any evidence that these indicators resolved or diminished in response to pain medications or treatments over the past 3 days?
Did the patient/resident have altered level of consciousness, as indicated by ANY of the following criteria?
• Vigilant – startled easily to any sound or touch
• Lethargic – repeatedly dozed off when being asked questions, but responded to voice or touch
• Stuporous – very difficult to arouse and keep aroused for the interview
• Comatose – could not be aroused
Did the patient/resident have difficulty focusing attention, for example, being easily distracted or having difficulty keeping track of what was being said?
Did the patient/resident reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is offered by members of the care team or caregiver and necessary to achieve the patient’s/resident’s goals for health and well-being?
Indicates whether the provider’s taxonomy value maps to the dietary and nutritional service provider category; ever in the calendar year.
A flag to indicate whether the beneficiary is blind or has serious difficulty seeing, even when wearing glasses; ever in the calendar year.
A flag to indicate whether the beneficiary is deaf or has serious difficulty hearing; ever in the calendar year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition; ever in the calendar year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing; ever in the calendar year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has difficulty dressing or bathing. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition; ever in the calendar year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 15 years old or older and has difficulty doing errands alone such as visiting a doctor’s office or shopping because of a physical, mental, or emotional condition in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty walking or climbing stairs in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty walking or climbing stairs in the month. There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary is 5 years old or older and has serious difficulty walking or climbing stairs in the month. There are separate variables for each of the 12 months during the year.