MDS Record Layout
| Data Type | Length | Field Name | Field Description |
|---|---|---|---|
| DATE | 8 | Assessment Beginning Version Date | Beginning date of the submission file that contains the version of this assessment. |
| DATE | 8 | Assessment Correction Version Date | Date of the submission file that contains the correction or inactivation request of this assessment. |
| CHAR | 2 | Assessment Correction Version | Number of the assessment. 00 = Original, 01 = First correction, 02 = Second correction, etc. |
| CHAR | 1 | Assessment Modification Indicator | Designates version of the assessment. C = Current, M = Modified, X = Inactive. |
| DATE | 8 | Care Planning Lock Date | Care Planning Lock Date |
| DATE | 8 | Created Date | For OASIS and MDS Assessments, it is the date the record submitted was saved to the state database. Otherwise it is the date that the options were entered into the system. |
| DATE | 8 | Effective Date | For MDS, the effective date is based on the (AA8A) Primary Reason for Assessment field. The effective date will be the R4 Discharge Date for any discharge (RFA 06, 07, 08); the A4A Reentry Date for any re-entry (RFA 09); or the R2B Complete Date for any other type of assessment (RFA 01, 02, 03, 04, 05, 10, 00.) For SB, this date is the same as the Completion Date as is equal to the following dates: 15 (R4) - Discharge Date, 16 (A4a) - Reentry Date and 45b (R2b) - Completion Date. |
| NUM | 10 | Facility Internal ID | The CMS facility internal identifier that is unique within a state. For the NATL_MDS_FAC_SUBMSN_SMRY, NATL_HHA_FAC_SUBMSN_SMRY, OBQI_ROLLUPS, OBQI_CMIX_RISK_ADJSTD_ROLLUPS, OBQI_RAO_RISK_ADJSTD_ROLLUPS, OBQI_BRIEFG_BOOK_MISC_MSR and MEGA_QI_INITL_ROLLUP tables, if the number is a positive value, it is the CMS facility internal identifier. Other values include: -1 = the data is averaged to the state, -2 = the data is averaged to the region and -3 = the data is averaged to the whole nation. |
| NUM | 10 | MDS Assessment Internal ID | Unique identifier for a version of an assessment when combined with state ID. |
| CHAR | 5 | MDS Data Specs Version Code | This field indicates which version of the MDS layout is being submitted for this assessment. |
| NUM | 10 | MDS Submission Sequence Number | Unique identifier of the submission file that contains this assessment when combined with state identifier. |
| CHAR | 5 | MDS Version Completed Code | This field indicates which version of the MDS RAI form was completed for this assessment. |
| NUM | 9 | Medicaid CMI Value for RUG Group | This field contains the Medicaid Case Mix Index generated in the RUG calculation for this assessment by the state MDS system. |
| CHAR | 3 | Medicaid RUG CMI Set Used | This field contains the Medicaid set code that was used in the RUG calculation for this assessment by the state MDS system. |
| CHAR | 3 | Medicaid RUG Group | This field contains the Medicaid RUG group calculated for this assessment by the state MDS system. |
| CHAR | 2 | Medicaid RUG Version | This field contains the Medicaid RUG calculator version used for this assessment by the state MDS system. |
| NUM | 9 | Medicare CMI Value for RUG Group | This field contains the Medicare Case Mix Index generated in the RUG calculation for this assessment by the state MDS system. |
| CHAR | 3 | Medicare RUG CMI Set Used | This field contains the Medicare set code that was used in the RUG calculation for this assessment by the state MDS system. |
| CHAR | 3 | Medicare RUG Group | This field contains the Medicare RUG group calculated for this assessment by the state MDS system. |
| CHAR | 2 | Medicare RUG Version | This field contains the Medicare RUG calculator version used for this assessment by the state MDS system. |
| NUM | 10 | Original Assessment Internal ID | Original version (ASMT INT ID) of this assessment where Correction Number is 00. |
| DATE | 8 | Previous Record Date | Previous Record Date |
| DATE | 8 | Resident Change Timestamp | This is a timestamp indicating when the resident identifying information was changed. It is used to distinguish which version of the resident identifying information was in effect during a particular time period. |
| NUM | 10 | Resident Internal ID | A unique number, assigned by the submission system, which identifies a resident. The combination of State Code and Resident Internal ID uniquely identifies the resident in the national repository. |
| CHAR | 2 | Resident Match Criteria | This field is used in determining if a record should be written to the resident history table. It is a number showing which of the resident matching criteria was positive for a match, and is zero if it is a new resident. |
| CHAR | 9 | Software Vendor ID | This field contains the identification number of the software vendor or agent the facility is using to automate the MDS requirement. |
| CHAR | 5 | Software Version | This field contains the version number of the vendor software being used by the facility or the facility's agent to automate the assessment submission process. |
| CHAR | 5 | State Case Mix Group | Multistate supplement: state (Medicaid) case mix group. |
| CHAR | 2 | State ID | The two-character state abbreviation. |
| DATE | 8 | State Prepared Date | This field represents the date when the state prepared the data to be pulled to the national. Used for replication purposes only. |
| DATE | 8 | Submission Date | The date the submission was received by the system. |
| CHAR | 1 | Submission Requirement | 0 = Default for all records prior to the submission requirement field being added to the database, 1 = Facility has right to see the data, 2 = Facility and state have rights to see the data, 3 = Facility, state and national have rights to see the data. |
| DATE | 8 | Target Date | For MDS, the target date is the R4 Discharge Date for any discharge, the A4A Reentry Date for any re-entry and the A3A Assessment Reference Date for any other type of assessment. For IRF-PAI, the Target Date is 12: Admission Date. For SB the Target Date is the same as the Event Date and is equal to the following dates: 10a (A3a) - Assessment Reference Date, 15 (R4) - Discharge Date and 16 (A4a) - Reentry Date. |
| DATE | 8 | Updated Date | This is the date the row was last updated in the assessment table in the state system. |
| CHAR | 5 | (A2) Room Number | Identification and background information: room number. |
| DATE | 8 | (A3A) Assessment Reference Date | Identification and background information: last day of MDS observation period. |
| DATE | 8 | (A4A) Reentry Date | Identification and background information: date of reentry. |
| CHAR | 1 | (A4B) Admitted From | Identification and background information: admitted from (at re-entry). 1 = Private home/apartment with no home health services, 2 = Private home/apartment with home health services, 3 = Board and care/assisted living/group home, 4 = Nursing home, 5 = Acute care hospital, 6 = Psychiatric hospital, MR/DD facility, 7 = Rehabilitation hospital, 8 = Other. |
| CHAR | 1 | (A5) Marital Status | Identification and background information: marital status. 1 = Never married, 2 = Married, 3 = Widowed, 4 = Separated, 5 = Divorced. |
| CHAR | 12 | (A6) Medical Record Number | Identification and background information: facility medical record number. |
| CHAR | 1 | (A7A) Medicaid Per Diem | Identification and background information: current payment sources - medicaid per diem. 0 = No, 1 = Yes. The '&' was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7B) Medicare Per Diem | Identification and background information: current payment sources - Medicare per diem. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7C) Medicare Ancillary Part A | Identification and background information: current payment sources - Medicare ancillary part A. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7D) Medicare Ancillary Part B | Identification and background information: current payment sources - Medicare ancillary part B. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7E) CHAMPUS Per Diem | Identification and background information: current payment sources - CHAMPUS per diem. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7F) VA Per Diem | Identification and background information: current payment sources - VA per diem. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7G) Self/Family Pay Full Per Diem | Identification and background information: current payment sources - self or family pays for per diem. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7H) Medicaid Resident Liability/Medicare Co-Pay | Identification and background information: current payment sources - Medicaid resident liability or Medicare copay. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7I) Private Insurance Per Diem | Identification and background information: current payment sources - private insurance per diem. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A7J) Other Per Diem | Identification and background information: current payment sources - other per diem. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A9A) Legal Guardian | Identification and background information: Responsibility/legal guardian - legal guardian. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A9B) Other Legal Oversight | Identification and background information: responsibility/legal guardian - other legal oversight. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A9C) Power of Attorney/Health Care | Identification and background information: responsibility/legal guardian - durable power attorney/health. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A9D) Power of Attorney/Financial | Identification and background information: responsibility/legal guardian - durable power attorney/financial. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A9E) Family Member Responsible | Identification and background information: responsibility/legal guardian - family member responsible. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A9F) Patient Responsible for Self | Identification and background information - responsibility/legal guardian - patient responsible for self. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A9G) None of Above Legal Guardian | Identification and background information: responsibility/legal guardian - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10A) Living Will | Identification and background information: advanced directives - living will. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10B) Do Not Resuscitate | Identification and background information: advanced directives - do not resuscitate. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10C) Do Not Hospitalize | Identification and background information: advanced directives - do not hospitalize. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10D) Organ Donation | Identification and background information: advanced directives - organ donation. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10E) Autopsy Request | Identification and background information: advanced directives - autopsy request. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10F) Feeding Restrictions | Identification and background information: advanced directives - feeding restrictions. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10G) Medication Restrictions | Identification and background information: advanced directives - medication restrictions. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10H) Other Treatment Restrictions | Identification and background information: advanced directives - other treatment restrictions. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (A10I) None of the Above Advanced Directives | Identification and background information: advanced directives - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 12 | (AA1A) First Name | Resident's first name. |
| CHAR | 1 | (AA1B) Middle Initial | Resident's middle initial. |
| CHAR | 18 | (AA1C) Last Name | Resident's last name. |
| CHAR | 3 | (AA1D) Name Suffix | Resident's name suffix. |
| CHAR | 1 | (AA2) Gender | Resident's gender. 1 = Male, 2 = Female. |
| DATE | 8 | (AA3) Birth Date | Resident's birthdate. If only the year (YYYY) was submitted, the month is defaulted to 01 and the day is defaulted to 01. If only the month and year are submitted, the day is defaulted to 01. If this field is null, either no date was submitted or an invalid date was submitted. |
| CHAR | 1 | (AA4) Race/Ethnicity | Resident's race/ethnicity. 1 = American Indian/Alaskan Native, 2 = Asian/Pacific Islander, 3 = Black, not of Hispanic origin, 4 = Hispanic, 5 = White, not of Hispanic origin. |
| CHAR | 9 | (AA5A) Social Security Number | Social Security number. |
| CHAR | 12 | (AA5B) HIC / Resident Medicare Number | Medicare number (or comparable railroad insurance number). |
| CHAR | 15 | (AA6A) Facility Medicaid Number | State facility provider number. |
| CHAR | 12 | (AA6B) Facility Medicare Number | Federal facility provider number. |
| CHAR | 14 | (AA7) Patient Medicaid Number | Patient's Medicaid number. |
| CHAR | 2 | (AA8A) Primary Reason for Assessment | Primary reason for assessment. 01 = Admission assessment, 02 = Annual assessment, 03 = Significant change in status assessment, 04 = Significant correction to full prior assessment, 05 = Quarterly review assessment, 06 = Discharged - return not anticipated, 07 = Discharged - return anticipated, 08 = Discharged prior to completing initial assessment, 09 = Reentry tracking record, 10 = Significant correction to prior quarterly assessment, 00 = NONE OF ABOVE. |
| CHAR | 1 | (AA8B) Assessment Codes for Medicare PPS State | Special reason for assessment. 1 = Medicare 5-day assessment, 2 = Medicare 30-day assessment, 3 = Medicare 60-day assessment, 4 = Medicare 90-day assessment, 5 = Medicare readmission/return assessment, 6 = Other state required assessment, 7 = Medicare 14-day assessment, 8 = Other Medicare required assessment. |
| DATE | 8 | (AB1) Date of Entry | Demographic information: date of entry - date the stay began. |
| CHAR | 1 | (AB2) Admitted From | Demographic information: admitted from (at entry). 1 = Private home/apartment with no home health services, 2 = Private home/apartment with home health services, 3 = Board and care/assisted living/group home, 4 = Nursing home, 5 = Acute care hospital, 6 = Psychiatric hospital, MR/DD facility, 7 = Rehabilitation hospital, 8 = Other. |
| CHAR | 1 | (AB3) Lived Alone Prior to Entry | Demographic information: lived alone (prior to entry). 0 = No, 1 = Yes, 2 = In other facility. |
| CHAR | 5 | (AB4) ZIP Code of Prior Primary Residence | Demographic information: ZIP code of prior primary residence. |
| CHAR | 1 | (AB5A) Prior Stay in This Nursing Home | Demographic information: residential history prior to entry - prior stay at this nursing home. 0 = No, 1 = Yes, '-' = Unknown. |
| CHAR | 1 | (AB5B) Stay in Other Nursing Home | Demographic information: residential history prior to entry - stay in other nursing home. 0 = No, 1 = Yes, '-' = Unknown. |
| CHAR | 1 | (AB5C) Other Residential Facility | Demographic information: residential history prior to entry - other residential facility. 0 = No, 1 = Yes, '-' = Unknown. |
| CHAR | 1 | (AB5D) MH/Psychiatric Setting | Demographic information: residential history prior to entry - MH/psychiatric setting. 0 = No, 1 = Yes, '-' = Unknown. |
| CHAR | 1 | (AB5E) MR/DD Setting | Demographic information: residential history prior to entry - MR/DD setting. 0 = No, 1 = Yes, '-' = Unknown. |
| CHAR | 1 | (AB5F) None of Above Residential History | Demographic information: residential history prior to entry - none of above. 0 = No, 1 = Yes. |
| CHAR | 21 | (AB6) Lifetime Occupation | Demographic information: lifetime occupation(s). |
| CHAR | 1 | (AB7) Education | Demographic information: education (highest level completed). 1 = No schooling, 2 = 8th grade/less, 3 = 9-11 grades, 4 = High school, 5 = Technical or trade school, 6 = Some college, 7 = Bachelor's degree, 8 = Graduate degree. |
| CHAR | 1 | (AB8A) Language | Demographic information: primary language. 0 = English, 1 = Spanish, 2 = French, 3 = Other. |
| CHAR | 9 | (AB8B) Other Language | Demographic information: if other (language), specify. |
| CHAR | 1 | (AB9) Mental Health History | Demographic information: mental health history. 0 = No, 1 = Yes. -1=Unknown |
| CHAR | 1 | (AB10A) No MR/DD | Demographic information: conditions related to MR/DD status - non-applicable - no MR/DD. 0 = No, 1 = Yes. |
| CHAR | 1 | (AB10B) Downs Syndrome | Demographic information: conditions related to MR/DD status - Down's Syndrome. 0 = No, 1 = Yes. |
| CHAR | 1 | (AB10C) Autism | Demographic information: conditions related to MR/DD status - autism. 0 = No, 1 = Yes. |
| CHAR | 1 | (AB10D) Epilepsy | Demographic information: conditions related to MR/DD status - MR/DD with organic condition - epilespy. 0 = No, 1 = Yes. |
| CHAR | 1 | (AB10E) Other Organic Condition Related to MR/DD | Demographic information: conditions related to MR/DD status - MR/DD with organic condition - other organic condition related to MR/DD. 0 = No, 1 = Yes. |
| CHAR | 1 | (AB10F) MR/DD with No Organic Condition | Demographic information: conditions related to MR/DD status - MR/DD with organic condition - MR/DD with no organic condition. 0 = No, 1 = Yes. |
| DATE | 8 | (AB11) Background Information Completed Date | Demographic information: date background information was completed. |
| CHAR | 1 | (AC1A) Stays Up Late at Night | Customary routine: cycle of daily events - stays up late at night. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1B) Naps Regularly During Day | Customary routine: cycle of daily events - naps regularly during day. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1C) Goes Out 1+ Days a Week | Customary routine: cycle of daily events - goes out one or more days a week. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1D) Stays Busy With Hobbies/Reading/Fixed Daily Routine | Customary routine: cycle of daily events - stays busy with hobbies/fixed routine. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1E) Spends Most of Time Alone/Watching TV | Customary routine: cycle of daily events - spends most time alone or watching TV. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1F) Moves Independently Indoors | Customary routine: cycle of daily events - moves independently indoors. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1G) Use of Tobacco Products at Least Daily | Customary routine: cycle of daily events - use of tobacco daily. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1H) None of Above Cycle of Daily Events | Customary routine: cycle of daily events - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1I) Distinct Food Preferences | Customary routine: eating patterns - distinct food preferences. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1J) Eats Between Meals | Customary routine: eating patterns - eats between meals most days. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1K) Use of Alcoholic Beverages at Least Weekly | Customary routine: eating patterns - use of alcohol weekly. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1L) None of Above Eating Patterns | Customary routine: eating patterns - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1M) In Bedclothes Much of Day | Customary routine: ADL patterns - in bedclothes much of day. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1N) Wakens to Toilet Most Nights | Customary routine: ADL patterns - wakens to toilet most nights. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1O) Has Irregular Bowel Movement Pattern | Customary routine: ADL patterns - has irregular bowel movement pattern. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1P) Showers for Bathing | Customary routine: ADL patterns - showers for bathing. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1Q) Bathing in PM | Customary routine: ADL patterns - bathing in PM. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1R) None of Above ADL Patterns | Customary routine: ADL patterns - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1S) Daily Contact with Relatives/Close Friends | Customary routine: involvement patterns - daily contact with relatives/friends. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1T) Usually Attends Church/Temple/Synagogue | Customary routine: involvement patterns - usually attends church, temple, etc. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1U) Finds Strength in Faith | Customary routine: involvement patterns - finds strength in faith. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1V) Daily Animal Companion/Presence | Customary routine: involvement patterns - daily animal companion. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1W) Involved in Group Activities | Customary routine: involvement patterns - involved in group activities. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1X) None of Above Involvement Patterns | Customary routine: involvement patterns - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (AC1Y) Unknown Customary Routine | Customary routine: involvement patterns - unknown customary routine. 0 = No, 1 = Yes. |
| CHAR | 1 | (B1) Comatose | Cognitive patterns: comatose. 0 = No, 1 = Yes. If 1 then skip to Section G. |
| CHAR | 1 | (B2A) Short Term Memory | Cognitive patterns: short-term memory OK. 0 = Memory OK, 1 = Memory problem. |
| CHAR | 1 | (B2B) Long Term Memory | Cognitive patterns: long-term memory OK. 0 = Memory OK, 1 = Memory problem. |
| CHAR | 1 | (B3A) Current Season | Cognitive patterns: memory/recall ability - current season. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (B3B) Location of Own Room | Cognitive patterns: memory/recall ability - location of own room. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (B3C) Staff Names/Faces | Cognitive patterns: memory/recall ability - staff names/faces. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (B3D) That He/She is in Nursing Home | Cognitive patterns: memory/recall ability - that he/she in nursing home. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (B3E) None of Above are Recalled | Cognitive patterns: memory/recall ability - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (B4) Daily Decision Making Skills | Cognitive patterns: cognitive skills/daily decision making. 0 = Independent, 1 = Modified independence, 2 = Moderately impaired, 3 = Severely impaired. |
| CHAR | 1 | (B5A) Easily Distracted | Cognitive patterns: indicators of delirium - easily distracted. 0 = Behavior not present, 1 = Behavior present, not of recent onset, 2 = Behavior present, over last seven days appears different from resident's usual functioning. |
| CHAR | 1 | (B5B) Altered Perception | Cognitive patterns: indicators of delirium - periods of altered perception/awareness. 0 = Behavior not present, 1 = Behavior present, not of recent onset, 2 = Behavior present, over last seven days appears different from resident's usual functioning. |
| CHAR | 1 | (B5C) Disorganized Speech | Cognitive patterns: indicators of delirium - episodes of disorganized speech. 0 = Behavior not present, 1 = Behavior present, not of recent onset, 2 = Behavior present, over last seven days appears different from resident's usual functioning. |
| CHAR | 1 | (B5D) Restlessness | Cognitive patterns: indicators of delirium - periods of restlessness. 0 = Behavior not present, 1 = Behavior present, not of recent onset, 2 = Behavior present, over last seven days appears different from resident's usual functioning. |
| CHAR | 1 | (B5E) Lethargy | Cognitive patterns: indicators of delirium - periods of lethargy. 0 = Behavior not present, 1 = Behavior present, not of recent onset, 2 = Behavior present, over last seven days appears different from resident's usual functioning. |
| CHAR | 1 | (B5F) Varied Mental Function | Cognitive patterns: indicators of delirium - mental function varies during day. 0 = Behavior not present, 1 = Behavior present, not of recent onset, 2 = Behavior present, over last seven days appears different from resident's usual functioning. |
| CHAR | 1 | (B6) Change in Cognitive Status | Cognitive patterns: indicators of Delirium - change in cognitive status as compared to status 90 days ago. 0 = No Change, 1 = Improved, 2 = Deteriorated. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C1) Hearing | Communications/hearing patterns: hearing. 0 = Hears adequately, 1 = Minimal difficulty, 2 = Hears in special situations only, 3 = Highly impaired. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C2A) Hearing Aid Present and Used | Communications/hearing patterns: communication devices/techniques - hearing aid present/used during last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C2B) Hearing Aid Present and Not Used Regularly | Communications/hearing patterns: communication devices/techniques - hearing aid present/not used regularly. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C2C) Other Receptive Communication Techniques Used | Communications/hearing patterns: communication devices/techniques - other receptive communication techniques used. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C2D) None of Above Communication Devices | Communications/hearing patterns: communication devices/techniques - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C3A) Speech | Communications/hearing patterns: modes of expression - speech. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C3B) Writing Messages to Express Needs | Communications/hearing patterns: modes of expression - writing messages. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C3C) American Sign Language/Braille | Communications/hearing patterns: modes of expression - American Sign language/Braille. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C3D) Signs/Gestures/Sounds | Communications/hearing patterns: modes of expression - signs/gestures/sounds. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C3E) Communication Board | Communications/hearing patterns: modes of expression - communication board. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C3F) Other Mode of Expression | Communications/hearing patterns: modes of expression - other. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C3G) None of Above Modes of Expression | Communications/hearing patterns: modes of expression - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C4) Making Self Understood | Communications/hearing patterns: making self understood. 0 = Understood, 1 = Usually understood, 2 = Sometimes understood, 3 = Rarely/never understood. |
| CHAR | 1 | (C5) Speech Clarity | Communications/hearing patterns: speech clarity. 0 = Clear speech, 1 = Unclear speech, 2 = No speech. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (C6) Ability to Understand Others | Communications/hearing patterns: ability to understand others. 0 = Understands, 1 = Usually understands, 2 = Sometimes understands, 3 = Rarely/never understands. |
| CHAR | 1 | (C7) Change in Communication/Hearing | Communications/hearing patterns: change in communication/hearing. 0 = No change, 1 = Improved, 2 = Deteriorated. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (D1) Vision | Vision Patterns: vision. 0 = Adequate, 1 = Impaired, 2 = Moderately impaired, 3 = Highly impaired, 4 = Severely impaired, (-) = Unknown, (sp) = Blank. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (D2A) Side Vision Problems | Vision patterns: visual limitations/difficulties - side vision problems. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (D2B) Experiences Seeing Halos/Rings Around Light/Flashes of Light | Vision patterns: visual limitations/difficulties - sees halos/rings/flashes/curtains. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (D2C) None of Above Visual Limitations | Vision patterns: visual limitations/difficulties - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (D3) Visual Appliances | Vision patterns: visual appliances. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (E1A) Negative Statements | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - negative statements. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1B) Repetitive Questions | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - repetitive questions. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1C) Repetitive Verbalizations | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - repetitive verbalizations. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1D) Persistent Anger | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - persistent anger with self/others. 0 = Indicator not exhibited in last 30 days; 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1E) Self Depreciation | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - self depreciation. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1F) Unrealistic Fears | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - expression of what appears to be unrealistic fears. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1G) States Something Terrible About to Happen | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - recurrent statements that something is about to happen. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1H) Repetitive Health Complaints | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - repetitive health complaints. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1I) Repetitive Anxious Complaints | Mood and behavior patterns: indicators of depression, anxiety, sad mood - verbal expressions of distress - repetitive anxious complaints/concerns - non-health related. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1J) Unpleasant Mood | Mood and behavior patterns: indicators of depression, anxiety, sad mood - sleep cycle issues - unpleasant mood in morning. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1K) Insomnia | Mood and behavior patterns: indicators of depression, anxiety, sad mood - sleep cycle issues - insomnia/change in sleeping pattern. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1L) Sad Facial Expressions | Mood and behavior patterns: indicators of depression, anxiety, sad mood - sad/apathetic/anxious appearance - sad/pained/worried facial expressions. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1M) Crying | Mood and behavior patterns: indicators of depression, anxiety, sad mood - sad/apathetic/anxious appearance - crying/tearfulness. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1N) Repetitive Physical Movements | Mood and behavior patterns: indicators of depression, anxiety, sad mood - sad/apathetic/anxious appearance - repetitive physical movements. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1O) Withdrawal | Mood and behavior patterns: indicators of depression, anxiety, sad mood - loss of interest - withdrawal from activities of interest. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E1P) Reduced Social Interaction | Mood and behavior patterns: indicators of depression, anxiety, sad mood - loss of interest - reduced social interaction. 0 = Indicator not exhibited in last 30 days, 1 = Indicator of this type exhibited up to five days a week, 2 = Indicator of this type exhibited daily or almost daily (6, 7 days a week), (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E2) Mood Persistance | Mood and behavior patterns: mood persistence. One or more indicators not easily altered by attempts to console over last 7 days. 0 = No mood indicators, 1 = Indicators present, easily altered, 2 = Indicators present, not easily altered, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E3) Change in Mood | Mood and behavior patterns: change in mood as compared to status 90 days ago. 0 = No change, 1 = Improved, 2 = Deteriorated, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4AA) Wandering Frequency | Mood and behavior patterns: behavioral symptoms - wandering - behavior symptom frequency. 0 = Behavior not exhibited in last seven days, 1 = Behavior of this type occurred 1 to 3 days in last seven days, 2 = Behavior of this type occurred 4 to 6 days, but less than daily, 3 = Behavior of this type occurred daily, (-) = Unknown, (sp)=Blank. |
| CHAR | 1 | (E4AB) Wandering Alterability | Mood and behavior patterns: behavioral symptoms - wandering - behavior symptom alterability. 0 = Behavior not present OR behavior was easily altered, 1 = Behavior was not easily altered, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4BA) Verbally Abusive Frequency | Mood and behavior patterns: behavioral symptoms - verbally abusive behavioral symptoms - behavior symptom frequency. 0 = Behavior not exhibited in last 7 days, 1 = Behavior of this type occurred 1 to 3 days in last 7 days, 2 = Behavior of this type occurred 4 to 6 days, but less than daily, 3 = Behavior of this type occurred daily, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4BB) Verbally Abusive Alterability | Mood and behavior patterns: behavioral symptoms - verbally abusive behavioral symptoms - behavior symptom alterability. 0 = Behavior not present OR behavior was easily altered, 1 = Behavior was not easily altered, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4CA) Physcially Abusive Frequency | Mood and behavior patterns: behavioral symptoms - physically abusive behavioral symptoms - behavior symptom frequency. 0 = Behavior not exhibited in last seven days, 1 = Behavior of this type occurred 1 to 3 days in last seven days, 2 = Behavior of this type occurred 4 to 6 days, but less than daily, 3 = Behavior of this type occurred daily, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4CB) Physically Abusive Alterability | Mood and behavior patterns: behavioral symptoms - physically abusive behavioral symptoms - behavior symptom alterability. 0 = Behavior not present OR behavior was easily altered, 1 = Behavior was not easily altered, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4DA) Socially Inappropriate Behavior Frequency | Mood and behavior patterns: behavioral symptoms - socially inappropriate/disruptive behavioral symptoms - behavior symptom frequency. 0 = Behavior not exhibited in last seven days, 1 = Behavior of this type occurred 1 to 3 days in last seven days, 2 = Behavior of this type occurred 4 to 6 days, but less than daily, 3 = Behavior of this type occurred daily, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4DB) Socially Inappropriate Behavior Alterability | Mood and behavior patterns: behavioral symptoms - socially inappropriate/disruptive behavioral symptoms - behavior symptom alterability. 0 = Behavior not present OR behavior was easily altered, 1 = Behavior was not easily altered, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4EA) Resists Care Frequency | Mood and behavior patterns: behavioral symptoms - resists care - behavior symptom frequency. 0 = Behavior not exhibited in last seven days, 1 = Behavior of this type occurred 1 to 3 days in last seven days, 2 = Behavior of this type occurred 4 to 6 days, but less than daily, 3 = Behavior of this type occurred daily, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E4EB) Resists Care Alterability | Mood and behavior patterns: behavioral symptoms - resists care - behavior symptom alterability. 0 = Behavior not present OR behavior was easily altered, 1 = Behavior was not easily altered, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (E5) Change in Behavioral Symptoms | Mood and behavior patterns: change in behavior symptoms. 0 = No change, 1 = Improved, 2 = Deteriorated, (-) = Unknown, (sp) = Blank. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F1A) At Ease Interacting with Others | Psychosocial well-being: sense of initiative/involvement - at ease interacting with others. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F1B) At Ease Doing Planned Activities | Psychosocial well-being: sense of initiative/involvement - at ease doing planned/structured activities. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F1C) At Ease Doing Self-Initiated Activities | Psychosocial well-being: sense of initiative/involvement - at ease doing self-initiated activities. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F1D) Establishes Own Goals | Psychosocial well-being: sense of initiative/involvement - establishes own goals. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F1E) Pursues Involvement in Life of Facility | Psychosocial well-being: sense of initiative/involvement - pursues involvement in life of facility. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F1F) Accepts Invitations Into Most Group Activities | Psychosocial well-being: sense of initiative/involvement - accepts invitations to most group activities. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F1G) None of Above Sense of Initiative | Psychosocial well-being: sense of initiative/involvement - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2A) Covert/Open Conflict with Staff | Psychosocial well-being: unsettled relationships - covert/open conflict with or repeated criticism of staff. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2B) Unhappy With Roommate | Psychosocial well-being: unsettled relationships - unhappy with roommate. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2C) Unhappy With Residents Other Than Roommate | Psychosocial well-being: unsettled relationships - unhappy with other residents. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2D) Openly Express Conflict with Family/Friends | Psychosocial well-being: unsettled relationships - openly expresses conflict/anger with family/friends. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2E) Absense of Personal Contact with Family/Friends | Psychosocial well-being: unsettled relationships - absence of personal contact with family/friends. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2F) Recent Loss of Close Family Member/Friend | Psychosocial well-being: unsettled relationships - recent loss of close family member/friend. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2G) Does Not Adjust Well Easily to Change in Routine | Psychosocial well-being: unsettled relationships - does not easily adjust to routine change. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F2H) None of Above Unsettled Relationships | Psychosocial well-being: unsettled relationships - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F3A) Strong Identifications with Past Roles | Psychosocial well-being: past roles - strong identification with past roles. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F3B) Expresses Sadness/Anger Over Lost Roles | Psychosocial well-being: past roles - expresses sadness/anger/empty feeling over lost roles/status. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F3C) Perceived Daily Routine is Very Different from Prior Pattern in Community | Psychosocial well-being: past roles - resident perceives that daily routine (customary routine, activities) is very different from prior pattern in the community. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (F3D) None of Above Past Roles | Psychosocial well-being: past roles - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1AA) Bed Mobility Self Performance | Psychosocial functioning and structural problems: bed mobility - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, ( -) = Unknown. |
| CHAR | 1 | (G1AB) Bed Mobility Support Provided | Psychosocial functioning and structural problems: bed mobility - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1BA) Transfer Self Performance | Physical functioning and structural problems: transfer - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, ( -) = Unknown. |
| CHAR | 1 | (G1BB) Transfer Support Provided | Physical functioning and structural problems: transfer - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1CA) Walk In Room Self Performance | Physical functioning and structural problems: walk in room - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, ( -) = Unknown. |
| CHAR | 1 | (G1CB) Walk in Room Support Provided | Physical functioning and structural problems: walk in room - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1DA) Walk In Corridor Self Performance | Physical functioning and structural problems: walk in corridor - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, ( -) = Unknown. |
| CHAR | 1 | (G1DB) Walk in Corridor Support Provided | Physical functioning and structural problems: walk in corridor - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1EA) Locomotion on Unit Self Performance | Physical functioning and structural problems: locomotion on unit - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur , (-) = Unknown. |
| CHAR | 1 | (G1EB) Locomotion on Unit Support Provided | Physical functioning and structural problems: locomotion on unit - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1FA) Locomotion off Unit Self Performance | Physical functioning and structural problems: locomotion off unit - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, ( -) = Unknown. |
| CHAR | 1 | (G1FB) Locomotion off Unit Support Provided | Physical functioning and structural problems: locomotion off unit - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1GA) Dressing Self Performance | Physical functioning and structural problems: dressing - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, ( -) = Unknown. |
| CHAR | 1 | (G1GB) Dressing Support Provided | Physical functioning and structural problems: dressing - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1HA) Eating Self Performance | Physical functioning and structural problems: eating - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, (-) = Unknown. |
| CHAR | 1 | (G1HB) Eating Support Provided | Physical functioning and structural problems: eating - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire 7 days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1IA) Toilet Use Self Performance | Physical functioning and structural problems: toilet use - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited Assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, (-) = Unknown. |
| CHAR | 1 | (G1IB) Toilet Use Support Provided | Physical functioning and structural problems: toilet use - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G1JA) Personal Hygiene Self Performance | Physical functioning and structural problems: personal hygiene - ADL self-performance. 0 = Independent, 1 = Supervision, 2 = Limited assistance, 3 = Extensive assistance, 4 = Total dependence, 8 = Activity did not occur, ( -) = Unknown. |
| CHAR | 1 | (G1JB) Personal Hygiene Support Provided | Physical functioning and structural problems: personal hygiene - ADL support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G2A) Bathing Self Performance | Physical functioning and structural problems: bathing - bath self performance. 0 = Independent, 1 = Supervision, 2 = Physical help limited to transfer only, 3 = Physical help in part of bathing activity, 4 = Total dependence, 8 = Activity itself did not occur during entire seven days. |
| CHAR | 1 | (G2B) Bathing Support | Physical functioning and structural problems: bathing - bathing support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assist, 3 = Two or more persons physical assist, 8 = ADL activity itself did not occur during entire seven days, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G3A) Balance while Standing | Physical functioning and structural problems: test of balance - balance while standing in last 7 days. 0 = Maintained position as required in test, 1 = Unsteady, but able to rebalance self without physical support, 2 = Partial physical support, 3 = Not able to attempt test without physical help, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G3B) Balance while Sitting | Physical functioning and structural problems: test of balance - balance while sitting in last 7 days. 0 = Maintained position as required in test, 1 = Unsteady, but able to rebalance self without physical support, 2 = Partial physical support, 3 = Not able to attempt test without physical help, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G4AA) Neck Range of Motion | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - neck - range of motion. 0 = No limitation, 1 = Limitation on one side, 2 = Limitation on both side, (-) = Unknown. |
| CHAR | 1 | (G4AB) Neck Voluntary Movement | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - voluntary movement - neck. 0 = No loss, 1 = Partial loss, 2 = Full loss, (-) = Unknown. |
| CHAR | 1 | (G4BA) Arm Range of Motion | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - arm - including shoulder or elbow - range of motion. 0 = No limitation, 1 = Limitation on one side, 2 = Limitation on both sides, (-) = Unknown. |
| CHAR | 1 | (G4BB) Arm Voluntary Movement | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - arm - including shoulder or elbow - voluntary movement. 0 = No loss, 1 = Partial loss, 2 = Full loss, (-) = Unknown. |
| CHAR | 1 | (G4CA) Hand Range of Motion | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - hand, including wrist or fingers, range of motion. 0 = No limitation, 1 = Limitation on one side, 2 = Limitation on both sides, (-) = Unknown. |
| CHAR | 1 | (G4CB) Hand Voluntary Movement | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - hand - including wrist or fingers - voluntary movement. 0 = No loss, 1 = Partial loss, 2 = Full loss, (-) = Unknown. |
| CHAR | 1 | (G4DA) Leg Range of Motion | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - leg - including hip or knee - range of motion. 0 = No limitation, 1 = Limitation on one side, 2 = Limitation on both sides, (-)= Unknown. |
| CHAR | 1 | (G4DB) Leg Voluntary Movement | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - leg - including hip or knee - voluntary movement. 0 = No loss, 1 = Partial loss, 2 = Full loss, (-) = Unknown. |
| CHAR | 1 | (G4EA) Foot Range of Motion | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - foot - including ankle or toes - range of motion. 0 = No limitation, 1 = Limitation on one side, 2 = Limitation on both sides, (-) = Unknown. |
| CHAR | 1 | (G4EB) Foot Voluntary Movement | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - foot - including ankle or toes - voluntary movement. 0 = No loss, 1 = Partial loss, 2 = Full loss, (-) = Unknown. |
| CHAR | 1 | (G4FA) Other Limitation of Range of Motion | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - other limitations or loss - range of motion. 0 = No limitation, 1 = Limitation on one side, 2 = Limitation on both sides, (-) = Unknown. |
| CHAR | 1 | (G4FB) Other Limitation of Voluntary Movement | Physical functioning and structural problems: functional limitation in range of motion in last 7 days - other limitations or loss - voluntary movement. 0 = No loss, 1 = Partial loss, 2 = Full loss, (-) = Unknown. |
| CHAR | 1 | (G5A) Cane/Walker/Crutch | Physical functioning and structural problems: modes of locomotion in last 7 days - cane/walker/crutch. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G5B) Wheeled Self | Physical functioning and structural problems: modes of locomotion in last 7 days - wheeled self. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G5C) Other Person Wheeled | Physical functioning and structural problems: modes of locomotion in last 7 days - other person wheeled. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G5D) Wheelchair Primary Mode of Locomotion | Physical functioning and structural problems: modes of locomotion in last 7 days - wheelchair for primary locomotion. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G5E) None of Above Modes of Locomotion | Physical functioning and structural problems: modes of locomotion in last 7 days - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G6A) Bedfast All/Most of Time | Physical functioning and structural problems: modes of transfer in last 7 days - bedfast all or most of the time. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G6B) Bed Rails Used for Bed Mobility/Transfer | Physical functioning and structural problems: modes of transfer in last 7 days - bed rails for bed mobility/transfer. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G6C) Lifted Manually | Physical functioning and structural problems: modes of transfer in last 7 days - lifted manually. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G6D) Lifted Mechanically | Physical functioning and structural problems: modes of transfer in last 7 days - lifted mechanically. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G6E) Transfer Aid | Physical functioning and structural problems: modes of transfer in last 7 days - transfer aid. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G6F) None of Above Modes of Transfer | Physical functioning and structural problems: modes of transfer in last 7 days - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (G7) Task Segmentation | This field indicates if some or all of ADL activities were broken into subtasks during the last seven days so that the resident could perform them. 0 = No, 1 = Yes, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G8A) Resident Believes he/she Capable of Increased Independence | Physical functioning and structural problems: ADL functional rehabilitation potential - resident - increased independence capability. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G8B) Staff Believes Resident is Capable of Increased Independence | Physical functioning and structural problems: ADL functional rehabilitation potential - staff - increased independence capability. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G8C) Resident Able to Perform Tasks/Activity but is Slow | Physical functioning and structural problems: ADL functional rehabilitation potential - resident is slow performing tasks/activity. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G8D) Difference in ADL Performance Morning to Evening | Physical functioning and structural problems: ADL functional rehabilitation potential - morning to evening difference in ADLs. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G8E) None of Above Rehabilitation Potential | Physical functioning and structural problems: ADL functional rehabilitation potential - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (G9) Change in ADL Function | This field indicates if the resident's ADL self-performance status has changed as compared to the status of 90 days ago (or since last assessment if less than 90 days). 0 = No change, 1 = Improved, 2 = Deteriorated, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H1A) Bowel Continence | Continence in last 14 days: continence self control - bowel continence. 0 = Continent, 1 = Usually continent, 2 = Occasionally incontinent, 3 = Frequently incontinent, 4 = Incontinent, (-) = Unknown. |
| CHAR | 1 | (H1B) Bladder Continence | Continence in last 14 days: continence self control - bladder continence. 0 = Continent, 1 = Usually continent, 2 = Occasionally incontinent, 3 = Frequently incontinent, 4 = Incontinent, (-) = Unknown. |
| CHAR | 1 | (H2A) Bowel Elimination Pattern Regular | Continence in last 14 days: bowel elimination pattern - bowel elimination pattern regular. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H2B) Constipation | Continence in last 14 days: bowel elimination pattern - constipation. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H2C) Diarrhea | Continence in last 14 days: bowel elimination pattern - diarrhea. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H2D) Fecal Impaction | Continence in last 14 days: bowel elimination pattern - fecal impaction. 0 = No, 1 = Yes. |
| CHAR | 1 | (H2E) None of Above Bowel Elimination Pattern | Continence in last 14 days: bowel elimination pattern - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (H3A) Any Scheduled Toileting Plan | Continence in last 14 days: appliances and programs - any scheduled toileting plan. 0 = No, 1 = Yes. |
| CHAR | 1 | (H3B) Bladder Retraining Program | Continence in last 14 days: appliances and programs - bladder retraining program. 0 = No, 1 = Yes. |
| CHAR | 1 | (H3C) External Condom Catheter | Continence in last 14 days: appliances and programs - external (condom) catheter. 0 = No, 1 = Yes. |
| CHAR | 1 | (H3D) Indwelling Catheter | Continence in last 14 days: appliances and programs - indwelling catheter. 0 = No, 1 = Yes. |
| CHAR | 1 | (H3E) Intermittent Catheter | Continence in last 14 days: appliances and programs - intermittent catheter. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H3F) Did Not Use Toilet Room/Commode/Urinal | Continence in last 14 days: appliances and programs - did not use toilet/commode/urinal. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H3G) Pads/Briefs Used | Continence in last 14 days: appliances and programs - pads/briefs used. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H3H) Enemas/Irrigation | Continence in last 14 days: appliances and programs - enemas/irrigation. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (H3I) Ostomy Present | Continence in last 14 days: appliances and programs - ostomy present. 0 = No, 1 = Yes. |
| CHAR | 1 | (H3J) None of Above Appliances and Programs | Continence in last 14 days: appliances and programs - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (H4) Change in Urinary Continence | Continence in last 14 days: change in urinary continence since last assessment. 0 = No change, 1 = Improved, 3 = Deteriorated, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1A) Diabetes Mellitus | Disease diagnosis: diseases - endocrine/metabolic/nutritional - diabetes mellitus. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1AA) Seizure Disorder | Disease diagnosis: diseases - neurological - seizure disorder. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1B) Hyperthyroidism | Disease diagnosis: diseases - endocrine/metabolic/nutritional - hyperthyroidism. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1BB) Transient Ischemic Attack | Disease diagnosis: diseases - neurological - transcient ischemic attached (TIA). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1C) Hypothyroidism | Disease diagnosis: diseases - endocrine/metabolic/nutritional - hypothyroidism. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1CC) Traumatic Brain Injury | Disease diagnosis: diseases - neurological - traumatic brain injury. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1D) Arteriosclerotic Heart Disease | Disease diagnosis: diseases - heart/circulation - arteriosclerotic heart disease (ASHD). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1DD) Anxiety Disorder | Disease diagnosis: diseases - psychiatric/mood - anxiety disorder. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1E) Cardiac Dysrhythmias | Disease diagnosis: diseases - heart/circulation - cardiac dysrhythmia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1EE) Depression | Disease diagnosis: diseases - psychiatric/mood - depression. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1F) Congestive Heart Failure | Disease diagnosis: diseases - heart/circulation - congestive heart failure. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1FF) Manic Depression Bipolar Disease | Disease diagnosis: diseases - psychiatric/mood - Manic Depressive (Bipolar Disease). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1G) Deep Vein Thrombosis | Disease diagnosis: diseases - heart circulation - deep vein thrombosis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1GG) Schizophrenia | Disease diagnosis: diseases - psychiatric/mood - schizophrenia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1H) Hypertension | Disease diagnosis: diseases - heart/circulation - hypertension. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1HH) Asthma | Disease diagnosis: diseases - pulmonary - asthma. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1I) Hypotension | Disease diagnosis: diseases - heart/circulation - hypotension. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1II) Emphysema/COPD | Disease diagnosis: diseases - pulmonary - emphysema/COPD. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1J) Peripheral Vascular Disease | Disease diagnosis: diseases - heart/circulation - peripheral vascular disease. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1JJ) Cataracts | Disease diagnosis: diseases - sensory - cataracts. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1K) Other Cardiovascular Disease | Disease diagnosis: diseases - heart/circulation - other cardiovascular disease. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1KK) Diabetic Retinopathy | Disease diagnosis: diseases - sensory - diabetic retinopathy. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1L) Arthritis | Disease diagnosis: diseases - musculoskeletal - arthritis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1LL) Glaucoma | Disease diagnosis: diseases - sensory - glaucoma. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1M) Hip Fracture | Disease diagnosis: diseases - musculoskeletal - hip fracture. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1MM) Macular Degeneration | Disease diagnosis: diseases - sensory - macular degeneration. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1N) Missing Limb | Disease diagnosis: diseases - musculoskeletal - missing limb. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1NN) Allergies | Disease diagnosis: diseases - other - allergies. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1O) Osteoporosis | Disease diagnosis: diseases - musculoskeletal - osteoporsis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1OO) Anemia | Disease diagnosis: diseases - other - anemia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1P) Pathological Bone Fracture | Disease diagnosis: diseases - musculoskeletal - pathological bone fracture. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1PP) Cancer | Disease diagnosis: diseases - other - cancer. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1Q)Alzheimers Disease | Disease diagnosis: diseases - neurological - Alzheimer's disease. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1QQ) Renal Failure | Disease diagnosis: diseases - other - renal failure. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1R) Aphasia | Disease diagnosis: diseases - neurological - aphasia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1RR) None of Above Diseases | Disease diagnosis: diseases - other - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1S) Cerebral Palsy | Disease diagnosis: diseases - neurological - cerebral palsy. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1T) Cerebrovascular Accident/Stroke | Disease diagnosis: diseases - neurological - cerebrovascular accident (stroke). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1U) Dementia Other than Alzheimers Disease | Disease diagnosis: diseases - neurological - dementia other than Alzheimer's. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1V) Hemiplegia/Hemiparesis | Disease diagnosis: diseases - neurological - hemiplegia/hemiparesis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1W) Multiple Sclerosis | Disease diagnosis: diseases - neurological - multiple sclerosis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1X) Paraplegia | Disease diagnosis: diseases - neurological - paraplegia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1Y) Parkinsons Disease | Disease diagnosis: diseases - neurological - Parkinson's disease. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I1Z) Quadriplegia | Disease diagnosis: diseases - neurological - quadriplegia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2A) Antibiotic Resistant Infection | Disease diagnosis: infections - antibiotic resistant infection. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2B) Clostridium Difficile | Disease diagnosis: infections - clostridium difficile (c. diff.). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2C) Conjunctivitis | Disease diagnosis: infections - conjunctivitis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2D) HIV Infection | Disease diagnosis: infections - HIV infection. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2E) Pneumonia | Disease diagnosis: infections - pneumonia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2F) Respiratory Infection | Disease diagnosis: infections - respiratory infection. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2G) Septicemia | Disease diagnosis: infections - septicemia. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2H) Sexually Transmitted Diseases | Disease diagnosis: infections - sexually transmitted diseases. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2I) Tuberculosis | Disease diagnosis: infections - tuberculosis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2J) Urinary Tract Infection | Disease diagnosis: infections - urinary tract infection in last 30 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2K) Viral Hepititis | Disease diagnosis: infections - viral hepatitis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2L) Wound Infection | Disease diagnosis: infections - wound infection. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (I2M) None of Above Infections | Disease diagnosis: infections - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 7 | (I3A) Other Diagnosis/ICD-9 Codes | Disease diagnosis: other current or more detailed diagnoses (ICD9) - other diagnosis A. |
| CHAR | 7 | (I3B) Other Diagnosis/ICD-9 Codes | Disease diagnosis: other current or more detailed diagnoses (ICD9) - other diagnosis B. |
| CHAR | 7 | (I3C) Other Diagnosis/ICD-9 Codes | Disease diagnosis: other current or more detailed diagnoses (ICD9) - other diagnosis C. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 7 | (I3D) Other Diagnosis/ICD-9 Codes | Disease diagnosis: other current or more detailed diagnoses (ICD9) - other diagnosis D. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 7 | (I3E) Other Diagnosis/ICD-9 Codes | Disease diagnosis: other current or more detailed diagnoses (ICD9) - other diagnosis E. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1A) Weight Gain/Loss of 3+ Pounds | Health conditions: problem conditions - indicators of fluid status - weight fluctuations 3+ pounds in seven days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1B) Inability to Lie Flat Due to Shortness of Breath | Health conditions: problem conditions - indicators of fluid status - inability to lie flat - shortness of breath in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1C) Dehydrated/Output Exceeds Input | Health conditions: problem conditions - indicators of fluid status - dehydrated - output exceeds input in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1D) Insufficient Fluid | Health conditions: problem conditions - indicators of fluid status - insufficient fluid in last three days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1E) Delusions | Health conditions: problem conditions - other - delusions in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1F) Dizziness/Vertigo | Health conditions: problem conditions - other - dizziness/vertigo in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1G) Edema | Health conditions: problem conditions - other - edema in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1H) Fever | Health conditions: problem conditions - other - fever in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1I) Hallucinations | Health conditions: problem conditions - other - hallucinations in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1J) Internal Bleeding | Health conditions: problem conditions - other - internal bleeding in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1K) Recurrent Lung Aspirations | Health conditions: problem conditions - other - recurrent lung aspirations in last 90 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1L) Shortness of Breath | Health conditions: problem conditions - other - shortness of breath in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1M) Syncope/Fainting | Health conditions: problem conditions - other - syncope (fainting) in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1N) Unsteady Gait | Health conditions: problem conditions - other - unsteady gait in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1O) Vomiting | Health conditions: problem conditions - other - vomiting in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J1P) None of Above Problem Conditions | Health conditions: problem conditions - other - none of Above in last 7 days. 0 = No, 1 = Yes. |
| CHAR | 1 | (J2A) Pain Frequency | Health conditions: pain symptoms - frequency in last 7 days. If 0 = No, skip to J4. 0 = No pain, 1 = Pain less than daily, 2 = Pain daily, (-) = Unknown. |
| CHAR | 1 | (J2B) Pain Intensity | Health conditions: pain symptoms - intensity in last 7 days. 1 = Mild pain, 2 = Moderate pain, 3 = Times when pain is horrible or excruciating, (-) = Unknown, (sp) = Blank. |
| CHAR | 1 | (J3A) Back Pain | Health conditions: pain site - back pain in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3B) Bone Pain | Health conditions: pain site - bone pain in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3C) Chest Pain while Doing Usual Activities | Health conditions: pain site - chest pain during usual activities in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3D) Headache | Health conditions: pain site - headache in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3E) Hip Pain | Health conditions: pain site - hip pain in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3F) Incisional Pain | Health conditions: pain site - incisional pain in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3G) Joint Pain | Health conditions: pain site - joint pain (other than hip) in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3H) Soft Tissue Pain | Health conditions: pain site - soft tissue pain (lesion, muscle) in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3I) Stomach Pain | Health conditions: pain site - stomach pain in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J3J) Other Pain Site | Health conditions: pain site - other in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (J4A) Fell in Past 30 Days | Health conditions: accidents - fell in past 30 days. 0 = No, 1 = Yes. |
| CHAR | 1 | (J4B) Fell in Past 31-180 Days | Health conditions: accidents - fell in past 31-180 days. 0 = No, 1 = Yes. |
| CHAR | 1 | (J4C) Hip Fracture in Last 180 Days | Health conditions: accidents - hip fracture in last 180 days. 0 = No, 1 = Yes. |
| CHAR | 1 | (J4D) Other Fracture in Last 180 Days | Health conditions: accidents - other fracture in last 180 days. 0 = No, 1 = Yes. |
| CHAR | 1 | (J4E) None of Above Accidents | Health conditions: accidents - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (J5A) Conditions/Disease Make Residents Mood/Behavior Unstable | Health conditions: stability of conditions - conditions/diseases lead to instabilitiy. 0 = No, 1 = Yes. |
| CHAR | 1 | (J5B) Resident Experiencing Episode of Recurrent/Chronic Problem | Health conditions: stability of conditions - resident experiencing acute episode/flare-up. 0 = No, 1 = Yes. |
| CHAR | 1 | (J5C) End Stage Disease | Health conditions: stability of conditions - end-stage disease, 6 or fewer months to live. 0 = No, 1 = Yes. |
| CHAR | 1 | (J5D) None of Above Stability of Conditions | Health conditions: stability of conditions - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (K1A) Chewing Problem | Oral/nutritional status: oral problems - chewing problem. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K1B) Swallowing Problem | Oral/nutritional status: oral problems - swallowing problems. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K1C) Mouth Pain | Oral/nutritional status: oral problems - mouth pain. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K1D) None of Above Oral Problems | Oral/nutritional status: oral problems - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 2 | (K2A) Height | Oral/nutritional status: height and weight - height (inches). |
| CHAR | 3 | (K2B) Weight | Oral/nutritional status: height and weight - weight (pounds). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K3A) Weight Loss | Oral/nutritional status: weight change - weight loss. 5% or more in 30 days; 10% or more in 180 days. 0 = No, 1 = Yes, (-) = Unknown. |
| CHAR | 1 | (K3B) Weight Gain | Oral/nutritional status: weight change - weight gain. 5% or more in 30 days; 10%or more 180 days. 0 = No, 1 = Yes, (-) = Unknown. |
| CHAR | 1 | (K4A) Complains About the Taste of Many Foods | Oral/nutritional status: nutritional problems - complains about taste of many foods. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K4B) Regular Complaints of Hunger | Oral/nutritional status: nutritional problems - regular complaints of hunger. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K4C) Leaves 25 percent or more Food Uneaten at Most Meals | Oral/nutritional status: nutritional problems - leaves 25% or more food uneaten at most meals. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K4D) None of Above Nutritional Problems | Oral/nutritional status: nutritional problems - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K5A) Parenteral IV | Oral/nutritional status: nutritional approaches in last 7 days - parenteral/IV. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K5B) Feeding Tube | Oral/nutritional status: nutritional approaches in last 7 days - feeding tube. 0 = No, 1 = Yes. |
| CHAR | 1 | (K5C) Mechanically Altered Diet | Oral/nutritional status: nutritional approaches in last 7 days - mechanically altered diet. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K5D) Syringe Oral Feeding | Oral/nutritional status: nutritional approaches in last 7 days - syringe (oral feeding). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K5E) Therapeutic Diet | Oral/nutritional status: nutritional approaches in last 7 days - therapeutic diet. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K5F) Dietary Supplement Between Meals | Oral/nutritional status: nutritional approaches in last 7 days - dietary supplement between meals. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K5G) Plate Guard, Stabilized Built-Up Utensil, Etc. | Oral/nutritional status: nutritional approaches in last 7 days - plate guard, stabilized utensil, etc. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K5H) On a Planned Weight Change Program | Oral/nutritional status: nutritional approaches in last 7 days - on a planned weight change program. 0 = No, 1 = Yes. |
| CHAR | 1 | (K5I) None of Above Nutritional Approaches | Oral/nutritional status: nutritional approaches in last 7 days - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (K6A) Calories Received in Last 7 Days | Oral/nutritional status: parenteral of enteral intake - total calories (%) received in last seven days. 0 = None 1=1% to 25%, 2 = 26% to 50%, 3 = 51% to 75%, 4 = 76% to 100%, (-) = Unknown, (sp) = Blank. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (K6B) Fluid Intake Per Day | Oral/nutritional status: parenteral of enteral intake - average fluid intake (daily) in last seven days. 0 = None, 1 = 1 to 500 cc/day, 2 = 501 to 1000 cc/day, 3 = 1001 to 1500 cc/day, 4 = 1501 to 2000 cc/day, 5 = 2001 or more cc/day, (-) = Unknown, (sp) = Blank. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (L1A) Debris Present in Mouth Prior to Going to Bed | Oral/dental status: oral status and disease prevention - debris in mouth before bed. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (L1B) Has Dentures/Removable Bridge | Oral/dental status: oral status and disease prevention - has dentures or removable bridge. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (L1C) Some/All Natural Teeth Lost | Oral/dental status: oral status and disease prevention - some/all natural teeth lost. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (L1D) Broken/Loose/Carious Teeth | Oral/dental status: oral status and disease prevention - broken, loose, or carious teeth. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (L1E) Inflamed/Swollen/Bleeding Gums | Oral/dental status - oral status and disease prevention: inflamed/bleeding gums, oral abscesses, etc. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (L1F) Daily Cleaning of Teeth/Dentures | Oral/dental status: oral status and disease prevention - daily cleaning teeth/dentures or mouth care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (L1G) None of Above Oral Status | Oral/dental status: oral status and disease prevention - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M1A) Stage 1 Ulcers | Skin condition: ulcers - stage 1 in last 7 days. This field indicates the number of stage one ulcers on the resident's body. A stage one ulcer is a persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved. |
| CHAR | 1 | (M1B) Stage 2 Ulcers | Skin condition: ulcers - stage 2 in last 7 days. This field indicates the number of stage two ulcers on the resident's body. A stage two ulcer is a partial thickness loss of skin layers that presents clinically as an abrasion, blister, or shallow crater. |
| CHAR | 1 | (M1C) Stage 3 Ulcers | Skin condition: ulcers - stage 3 in last 7 days. The number of stage three ulcers on the resident's body. In a stage three ulcer, a full thickness of skin is lost, exposing the subcutaneous tissues. It presents as a deep crater with or without undermining adjacent tissue. |
| CHAR | 1 | (M1D) Stage 4 Ulcers | Skin condition: ulcers - stage 4 in last 7 days. This field indicates the number of stage four ulcers on the resident's body. In a stage four ulcer, a full thickness of skin and subcutaneous tissue is lost, exposing muscle or bone. |
| CHAR | 1 | (M2A) Pressure Ulcers | Skin condition: type of ulcer - pressure ulcer. This field indicates the highest stage indicator of a pressure ulcer in the last seven days. A pressure ulcer is any lesion caused by pressure resulting in damage of underlying tissue. 0 = None, 1 = Stage 1, 2 = Stage 2, 3 = Stage 3, 4 = Stage 4, (-) = Unknown. |
| CHAR | 1 | (M2B) Stasis Ulcers | Skin condition: type of ulcer - stasis ulcer. This field indicates the highest stage indicator of a stasis ulcer in the last seven days. A stasis ulcer is an open lesion caused by poor circulation in the lower extremities. 0 = None, 1 = Stage 1, 2 = Stage 2, 3 = Stage 3, 4 = Stage 4, (-) = Unknown. |
| CHAR | 1 | (M3) History of Resolved Ulcers | Skin condition: history of resolved ulcers. This field indicates if the resident had an ulcer that was resolved or cured in the last 90 days. 0 = No, 1 = Yes, (-) = Unknown. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4A) Abrasions/Bruises | Skin condition: other skin problems or lesions present in last 7 days - abrasions, bruises. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4B) Burns 2nd/3rd Degree | Skin condition: other skin problems or lesions present in last 7 days - burns (second or third degree). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4C) Open Lesions Other Than Ulcers/Rashes/Cuts | Skin condition: other skin problems or lesions present in last 7 days - open lesions other than ulcers, rashes, cuts. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4D) Rashes | Skin condition: other skin problems or lesions present in last 7 days - rashes - e.g., intertrigo, eczema, etc. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4E) Skin Desensitized to Pain/Pressure | Skin condition: other skin problems or lesions present in last 7 days - skin desensitized to pain or pressure. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4F) Skin Tears/Cuts | Skin condition: other skin problems or lesions present in last 7 days - skin tears or cuts (other than surgery). 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4G) Surgical Wounds | Skin condition: other skin problems or lesions present in last 7 days - surgical wounds. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M4H) None of Above Skin Problems | Skin condition: other skin problems or lesions present in last 7 days - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5A) Pressure Relieving Devices for Chair | Skin condition: skin treatments in last 7 days - pressure relieving device(s) for chair. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5B) Pressure Relieving Devices for Bed | Skin condition: skin treatments in last 7 days - pressure relieving device(s) for bed. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5C) Turning/Repositioning Program | Skin condition: skin treatments in last 7 days - turning/repositioning program. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5D) Nutrition/Hydration Intervention to Manage Skin Problems | Skin condition: skin treatments in last 7 days - nutrition/hydration intervention. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5E) Ulcer Care | Skin condition: skin treatments in last 7 days - ulcer care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5F) Surgical Wound Care | Skin condition: skin treatments in last 7 days - surgical wound care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5G) Application of Dressings | Skin condition: skin treatments in last 7 days - application of dressings. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5H) Application of Ointments/Medications | Skin condition: skin treatments in last 7 days - application of ointments/medications other than to feet. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5I) Other Preventative or Protective Skin Care | Skin condition: skin treatments in last 7 days - other preventative/protective skin care other than to feet. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M5J) None of Above Skin Treatments | Skin condition: skin treatments in last 7 days - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M6A) Resident Has 1 or More Foot Problems | Skin condition: foot problems and care in last 7 days - resident has one or more foot problems. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M6B) Infection of Foot | Skin condition: foot problems and care in last 7 days - infection of foot - e.g., cellulitis, etc. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M6C) Open Lesions on Foot | Skin condition: foot problems and care in last 7 days - open lesions on foot. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M6D) Nails/Calluses Trimmed on Foot | Skin condition: foot problems and care - nails/calluses trimmed in last 90 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M6E) Received Preventative/Protective Foot Care | Skin condition: foot problems and care in last 7 days - received preventative/protective foot care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M6F) Application of Dressings to Foot | Skin condition: foot problems and care in last 7 days - application of dressings. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (M6G) None of Above Foot Problems | Skin condition: foot problems and care in last 7 days - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N1A) Morning | Activity pursuit patterns: time awake over last 7 days - morning. This field indicates if the resident is awake all or most of the morning (i.e., naps no more than one hour during the morning). 0 = No, 1 = Yes. |
| CHAR | 1 | (N1B) Afternoon | Activity pursuit patterns: time awake over last 7 days - afternoon. This field indicates if the resident is awake all or most of the afternoon (i.e., naps no more than one hour during the afternoon). 0 = No, 1 = Yes. |
| CHAR | 1 | (N1C) Evening | Activity pursuit patterns: time awake over last 7 days - evening. This field indicates if the resident is awake all or most of the evening (i.e., naps no more than one hour during the evening). 0 = No, 1 = Yes. |
| CHAR | 1 | (N1D) None of Above Time Awake | Activity pursuit patterns: time awake over last 7 days - none of above. 0 = No, 1 = Yes. |
| CHAR | 1 | (N2) Time Involved in Activities | Activity pursuit patterns: average time involved in activities. If B1 = 1, skip to section O. 0 = Most, 1 = Some, 2 = Little, 3 = None. |
| CHAR | 1 | (N3A) Prefers Own Room | Activity pursuit patterns: preferred activity settings - own room. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N3B) Prefers Day/Activity Room | Activity pursuit patterns: preferred activity settings - day/activity room. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N3C) Prefers Inside NH/Off Unit | Activity pursuit patterns: preferred activity settings - Inside NH/off unit. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N3D) Prefers Outside Activity | Activity pursuit patterns: preferred activity settings - outside facility. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N3E) None of Above Preferred Activity Settings | Activity pursuit patterns: preferred activity settings - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4A) Cards/Other Games | Activity pursuit patterns: general activity preferences - cards/other games. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4B) Crafts/Arts | Activity pursuit patterns: general activity preferences - crafts/arts. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4C) Exercises/Sports | Activity pursuit patterns: general activity preferences - exercise/sports. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4D) Music | Activity pursuit patterns: general activity preferences - music. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4E) Reading/Writing | Activity pursuit patterns: general activity preferences - reading/writing. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4F) Spiritual/Religious Activities | Activity pursuit patterns: general activity preferences - spiritual/religious activities. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4G) Trips/Shopping | Activity pursuit patterns: general activity preferences - trips/shopping. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4H) Walking/Wheeling Outdoors | Activity pursuit patterns: general activity preferences - walking/wheeling outdoors. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4I) Watching TV | Activity pursuit patterns: general activity preferences - watching TV. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4J) Gardening or Plants | Activity pursuit patterns: general activity preferences - gardening or plants. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4K) Talking or Conversing | Activity pursuit patterns: general activity preferences - talking or conversing. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4L) Helping Others | Activity pursuit patterns: general activity preferences - helping others. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N4M) None of Above Activity Preferences | Activity pursuit patterns: general activity preferences - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N5A) Type of Activities Currently Involved In | Activity pursuit patterns: prefers change in daily routine - type of activities involved in. 0 = No change, 1 = Slight change, 2 = Major change. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (N5B) Extent of Involvement | Activity pursuit patterns: prefers change in daily routine - extent of involvement in activities. 0 = No change, 1 = Slight change, 2 = Major change. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 2 | (O1) Number of Medications | Medications: number of medications. This field indicates the number of different medications taken by the resident in the last seven days. |
| CHAR | 1 | (O2) New Medications | Medications: new medications. This field indicates if the resident began receiving new medications during the last 90 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (O3) Injections | Medications: injections (number days). This field indicates the number of days the resident received injections during the last seven days. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (O4A) Antipsychotic | Medications: days received the following medication during the last 7 days - antipsychotic. |
| CHAR | 1 | (O4B) Antianxiety | Medications: days received the following medication during the last 7 days - antianxiety. |
| CHAR | 1 | (O4C) Antidepressant | Medications: days received the following medication during the last 7 days - antidepressants. |
| CHAR | 1 | (O4D) Hypnotic | Medications: days received the following medication during the last 7 days - hypnotic. |
| CHAR | 1 | (O4E) Diuretic | Medications: days received the following medication during the last 7 days - diuretic. |
| CHAR | 1 | (P1AA) Chemotherapy | Special treatments and procedures: special treatments, procedures, and programs - special care - treatments in last 14 days - chemotherapy. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AB) Dialysis | Special treatments and procedures: special treatments, procedures and programs - special care - treatments in last 14 days - dialysis. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AC) IV Medication | Special treatments and procedures: special treatments, procedures and programs - special care - treatments in last 14 days - IV medication. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AD) Intake/Output | Special treatments and procedures: special treatments, procedures and programs - special care - treatments in last 14 days - intake/ouput. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AE) Monitoring Acute Medical Condition | Special treatments and procedures: special treatments, procedures, and programs - special care - treatments in last 14 days - monitoring acute medical condition. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AF) Ostomy Care | Special treatments and procedures: special treatments, procedures and programs - special care - treatments in last 14 days - ostomy care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AG) Oxygen Therapy | Special treatments and procedures: special treatments, procedures and programs - special care - treatments in last 14 days - oxygen therapy. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AH) Radiation | Special treatments and procedures: special treatments, procedures and programs - special care - treatments in last 14 days - radiation. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AI) Suctioning | Special treatments and procedures: special treatments, procedures, and programs - special care - treatments in last 14 days - suctioning. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AJ) Tracheostomy Care | Special treatments and procedures: special treatments, procedures and programs - special care - treatments - tracheostomy care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AK) Transfusions | Special treatments and procedures: special treatments, procedures and programs - special care - treatments in last 14 days - transfusions. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AL) Ventilator/Respirator | Special treatments and procedures: special treatments, procedures, and programs - special care - treatments in last 14 days - ventilator or respirator. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AM) Alcohol/Drug Treatment Program | Special treatments and procedures: special treatments, procedures and programs - special care - programs in last 14 days - alcohol/drug treatment program. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AN) Alzheimers/Dementia Special Care Unit | Special treatments and procedures: special treatments, procedures and programs - special care - programs in last 14 days - Alzheimer's/dementia special care unit. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AO) Hospice Care | Special treatments and procedures: special treatments, procedures, and programs - special care - programs in last 14 days - hospice care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AP) Pediatric Unit | Special treatments and procedures: special treatments, procedures, and programs - special care - programs in last 14 days - pediatric unit. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AQ) Respite Care | Special treatments and procedures: special treatments, procedures, and programs - special care - programs in last 14 days - respite care. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AR) Training in Community Skills | Special treatments and procedures: special treatments, procedures, and programs - special care - programs in last 14 days - training in community skills. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1AS) None of Above Special Treatments | Special treatments and procedures: special treatments, procedures, and programs - special care - programs in last 14 days - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1BAA) Speech Therapy Days | Special treatments and procedures: special treatments, procedures, and programs - therapies - speech - number of days for 15 minutes or more (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 4 | (P1BAB) Speech Therapy Minutes | Special treatments and procedures: special treatments, procedures, and programs - therapies - speech - total number of minutes (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1BBA) Occupational Therapy Days | Special treatments and procedures: special treatments, procedures, and programs - therapies - occupational therapy - number of days for 15 minutes or more (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 4 | (P1BBB) Occupational Therapy Minutes | Special treatments and procedures: special treatments, procedures, and programs - therapies - occupational therapy - total number of minutes (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1BCA) Physical Therapy Days | Special treatments and procedures: special treatments, procedures, and programs - therapies - physical therapy - number of days for 15 minutes or more (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 4 | (P1BCB) Physical Therapy Minutes | Special treatments and procedures: special treatments, procedures, and programs - therapies - physical therapy - total number of minutes (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1BDA) Respiratory Therapy Days | Special treatments and procedures: special treatments, procedures, and programs - therapies - respiratory therapy - number days for 15 minutes or more (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 4 | (P1BDB) Respiratory Therapy Minutes | Special treatments and procedures: special treatments, procedures, and programs - therapies - respiratory therapy - total number of minutes (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P1BEA) Psychological Therapy Days | Special treatments and procedures: special treatments, procedures, and programs - therapies - psychological therapy - number of days for 15 minutes or more (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 4 | (P1BEB) Psychological Therapy Minutes | Special treatments and procedures: special treatments, procedures, and programs - therapies - psychological therapy - total number of minutes (last seven days). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P2A) Special Behavior Symptom Evaluation Program | Special treatments and procedures: intervention programs for mood, behavior, cognitive loss - special behavior symptom evaluation program used in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P2B) Evaluation by Licensed Mental Health Specialist | Special treatments and procedures: intervention programs for mood, behavior, cognitive loss - evaluation by licensed MH specialist used in last 90 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P2C) Group Therapy | Special treatments and procedures: intervention programs for mood, behavior, cognitive loss - group therapy used in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P2D) Resident-Specific Deliberate Changes in Environment | Special treatments and procedures: intervention programs for mood, behavior, cognitive loss - resident-specific changes in environment to address mood/behavior patterns used in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P2E) Reorientation | Special treatments and procedures: intervention programs for mood, behavior, cognitive loss - reorientation used in last 7 days. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P2F) None of Above Intervention Programs | Special treatments and procedures: intervention programs for mood, behavior, cognitive loss - none of above. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3A) Passive Range of Motion | Special treatments and procedures: nursing rehabilitation/restorative care - range of motion (passive). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3B) Active Range of Motion | Special treatments and procedures: nursing rehabilitation/restorative care - range of motion (active). The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3C) Splint or Brace Assistance | Special treatments and procedures: nursing rehabilitation/restorative care - splint or brace assistance. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3D) Bed Mobility | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - bed mobility. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3E) Transfer | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - transfer. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3F) Walking | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - walking. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3G) Dressing/Grooming | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - dressing or grooming. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3H) Eating/Swallowing | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - eating or swallowing. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3I) Amputation/Prosthesis Care | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - amputation/prosthesis care. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3J) Communication | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - communication. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P3K) Other Nursing Rehabilitation | Special treatments and procedures: nursing rehabilitation/restorative care - training and skill practice - other. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P4A) Full Bed Rails | Special treatments and procedures: devices and restraints - full bed rails on all sides of bed. 0 = Not used, 1 = Used less than daily, 2 = Used daily. |
| CHAR | 1 | (P4B) Other Side Rails | Special treatments and procedures: devices and restraints - other types of side rails used. 0 = Not used, 1 = Used less than daily, 2 = Used daily. |
| CHAR | 1 | (P4C) Trunk Restraint | Special treatments and procedures: devices and restraints - trunk restraint. 0 = Not used, 1 = Used less than daily, 2 = Used daily. |
| CHAR | 1 | (P4D) Limb Restraint | Special treatments and procedures: devices and restraints - limb restraint. 0 = Not used, 1 = Used less than daily, 2 = Used daily. |
| CHAR | 1 | (P4E) Chair Prevents Rising | Special treatments and procedures: devices and restraints - chair prevents rising. 0 = Not used, 1 = Used less than daily, 2 = Used daily. |
| CHAR | 2 | (P5) Hospital Stays | Special treatments and procedures: hospital stays. The number of times the resident was admitted with an overnight stay in last 90 days. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 2 | (P6) Emergency Room Visits | Special treatments and procedures: emergency room (ER) visits. The number of times the resident visited the ER without an overnight stay in last 90 days. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 2 | (P7) Physician Visits | Special treatments and procedures: physician visits. The number of days the physician or an authorized assistant or practitioner visited in last 14 days. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 2 | (P8) Physicians Orders | Special treatments and procedures: physician orders. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (P9) Abnormal Lab Values | Special treatments and procedures: abnormal lab values. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (Q1A) Resident Wishes to Return to Community | Discharge potential and overall status: discharge potential - resident wishes to return to community. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (Q1B) Resident Supported by Someone Positive Toward Discharge | Discharge potential and overall status: discharge potential - support person positive toward discharge. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (Q1C) Discharge within 90 Days | Discharge potential and overall status: discharge potential - stay projected to be of short duration. 0 = No, 1 = Within 30 days, 2 = Within 31-90 days, 3 = Discharge status uncertain. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (Q2) Change in Care Needs | Discharge potential and overall status: overall change in care needs. 0 = No change, 1 = Improved, 2 = Deteriorated. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (R1A) Resident Participated in Assessment | Assessment/discharge information: participation in assessment - resident. 0 = No, 1 = Yes. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (R1B) Family Participation in Assessment | Assessment/discharge information: participation in assessment - family. 0 = No, 1 = Yes, 2 = No Family. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (R1C) Significant Other Participation in Assessment | Assessment/discharge information: participation in assessment - significant other. 0 = No, 1 = Yes, 2 = None. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| DATE | 8 | (R2B) Date Assessment Complete | Assessment/discharge information: participation in assessment - date RN coordinator signed assessment as complete. |
| CHAR | 1 | (R3A) Resident Discharge Disposition Code | Assessment/discharge information: code for resident discharge disposition. 1 = Private home/apartment with no home health services, 2 = Private home/apartment with home health services, 3 = Board and care/assisted living, 4 = Another nursing facility, 5 = Acute care hospital, 6 = Psychiatric hospital, MR/DD facility, 7 = Rehabilitation hospital, 8 = Deceased, 9 = Other. |
| CHAR | 1 | (R3B) State Code | Assessment/discharge information: optional state code. |
| DATE | 8 | (R4) Discharge Date | Assessment/discharge information: discharge date. |
| CHAR | 1 | (T1AA) Recreation Therapy Days | Multistate supplement: special treatments and procedures - recreation therapy - number of days. |
| CHAR | 4 | (T1AB) Recreation Therapy Minutes | Multistate supplement: special treatments and procedures - recreation therapy - total number of minutes. |
| CHAR | 1 | (T1B) Ordered Therapies | Multistate supplement: special treatments and procedures - ordered therapies. 0 = No, 1 = Yes. |
| CHAR | 2 | (T1C) Therapy Days | Multistate supplement: special treatments and procedures - estimate of days of therapy until day 15. |
| CHAR | 4 | (T1D) Therapy Minutes | Multistate supplement: special treatments and procedures - estimate of minutes of therapy until day 15. |
| CHAR | 1 | (T2A) Furthest Distance Walked | Multistate Supplemen: walking when most self sufficient - furthest distance walked. 0 = 150 + feet, 1 = 51 - 149 feet, 2 = 26 - 50 feet, 3 = 10 - 25 feet, 4 = Less than 10 feet. |
| CHAR | 1 | (T2B) Time Walked | Multistate supplement: walking when most self sufficient - time walked without sitting down. 0 = 1-2 minutes, 1 = 3-4 minutes, 2 = 5-10 minutes, 3 = 11-15 minutes, 4 = 16-30 minutes, 5 = 31+ minutes. |
| CHAR | 1 | (T2C) Self Performance in Walking | Multistate supplement: walking when most self sufficient - self-performance in walking. 1 = Independent, 2 = Supervision, 3 = Extensive Assistance. |
| CHAR | 1 | (T2D) Walking Support Provided | Multistate supplement: walking when most self sufficient - walking support provided. 0 = No setup or physical help from staff, 1 = Setup help only, 2 = One person physical assistant, 3 = Two or more persons physical assistant. |
| CHAR | 1 | (T2E) Parallel Bars Used by Resident | Multistate supplement: walking when most self sufficient - parallel bars used. 0 = No, 1 = Yes. |
| CHAR | 5 | (T3) Medicare Calculated RUG | Multistate Supplement - Medicare Case Mix Group. Medicare RUG value calculated by state system. |
| CHAR | 1 | (VA01A) Delirium Triggered | RAP summary: delirium - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA01B) Delirium Care Planning Decision | RAP summary: delirium - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA02A) Cognitive Loss Triggered | RAP summary: cognitive loss - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA02B) Cognitive Loss Care Planning Decision | RAP summary: cognitive loss - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA03A) Visual Function Triggered | RAP summary: visual function - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA03B) Visual Function Care Planning Decision | RAP summary: visual function - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA04A) Communication Triggered | RAP summary: communication - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA04B) Communication Care Planning Decision | RAP summary: communication - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA05A) ADL Functional Potential Triggered | RAP summary: ADL functional/rehabilitation potential - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA05B) ADL Functional Potential Care Planning Decision | RAP summary: ADL functional/rehabilitation potential - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA06A) Urinary Incontinence Triggered | RAP summary: urinary incontinence and indwelling catheter - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA06B) Urinary Incontinence Care Planning Decision | RAP summary: urinary incontinence and indwelling catheter - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA07A) Psychosocial Well-being Triggered | RAP summary: psychological well-being - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA07B) Psychosocial Well-being Care Planning Decision | RAP summary: psychological well-being - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA08A) Mood State Triggered | RAP summary: mood state - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA08B) Mood State Care Planning Decision | RAP summary: mood state - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA09A) Behavioral Symptoms Triggered | RAP summary: behavioral symptoms - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA09B) Behavioral Symptoms Care Planning Decision | RAP summary: behavioral symptoms - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA10A) Activities Triggered | RAP summary: activities - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA10B) Activities Care Planning Decision | RAP summary: activities - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA11A) Falls Triggered | RAP summary: falls - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA11B) Falls Care Planning Decision | RAP summary: falls - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA12A) Nutritional Status Triggered | RAP summary: nutritional status - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA12B) Nutritional Status Care Planning Decision | RAP summary: nutritional status - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA13A) Feeding Tubes Triggered | RAP summary: feeding tubes - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA13B) Feeding Tubes Care Planning Decision | RAP summary: feeding tubes - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA14A) Dehydration Triggered | RAP summary: dehydration/fluid maintenance - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA14B) Dehydration Care Planning Decision | RAP summary: dehydration/fluid maintenance - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA15A) Dental Care Triggered | RAP summary: dental care - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA15B) Dental Care Care Planning Decision | RAP summary: dental care - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA16A) Pressure Ulcers Triggered | RAP summary: pressure ulcers - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA16B) Pressure Ulcers Care Planning Decision | RAP summary: pressure ulcers - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA17A) Psychotropic Drug Use Triggered | RAP summary: psychotropic drug use - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA17B) Psychotropic Drug Use Care Planning Decision | RAP summary: psychotropic drug use - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA18A) Physical Restraints Triggered | RAP summary: physical restraints - triggered. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 1 | (VA18B) Physical Restraints Care Planning Decision | RAP summary: physical restraints - proceed with care. 0 = Not triggered, 1 = Triggered, (-) = Determination precluded by missing data. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| DATE | 8 | (VB2) RAP Date | RAP summary: RAP assessment signature date. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| DATE | 8 | (VB4) Care Planning Decision Date | RAP Summary: care plan signature date. The '&' character was a valid value for 'Unknown' before the 1.04 data specifications. |
| CHAR | 10 | (W1) National Provider ID | Mandated by HIPAA as a unique provider number assigned for each health care provider to be used in standard electronic health care transactions. |
| CHAR | 1 | (W2A) Influenza vaccine received in facility | Influenza vaccine received in facility |
| CHAR | 1 | (W2B) Reason influenza vaccine not received | Reason influenza vaccine not received. -1=Unknown, -2=Space, 1=Not in the facility during this year's flu season, 2=Received outside of this facility, 3=Not eligible, 4=Offered and declined, 5=Not offered, 6=Inability to obtain vaccine |
| CHAR | 1 | (W3A) Resident up to date with PPV status | Resident up to date with Pneumococcal Polysaccharide Vaccine (PPV) status. |
| CHAR | 1 | (W3B) Reason PPV not received | Reason Pneumococcal Polysaccharide Vaccine (PPV) not received. -1=Unknown, -2=Space, 1=Not eligible, 2=Offered and declined, 3=Not offered |