| 58198-3 | Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58198-3 | Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58198-3 | Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58198-3 | Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58198-3 | Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58198-3 | Type of record:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 54581-4 | Facility provider #s | |
| 54581-4 | Facility provider #s | |
| 54581-4 | Facility provider #s | |
| 54581-4 | Facility provider #s | |
| 54581-4 | Facility provider #s | |
| 54581-4 | Facility provider #s | |
| 52455-3 | Admission date | |
| 52455-3 | Admission date | |
| 106631-5 | Site of Service at Admission:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 52455-3 | Admission date | |
| 106631-5 | Site of Service at Admission:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 52455-3 | Admission date | |
| 52454-6 | Reason for assessment:Find:Pt:^Patient:Nom: | |
| 52454-6 | Reason for assessment:Find:Pt:^Patient:Nom: | |
| 52454-6 | Reason for assessment:Find:Pt:^Patient:Nom: | |
| 52455-3 | Admission date | |
| 52454-6 | Reason for assessment:Find:Pt:^Patient:Nom: | |
| 52455-3 | Admission date | |
| 52454-6 | Reason for assessment:Find:Pt:^Patient:Nom: | |
| 54503-8 | Legal name of patient:-:Pt:^Patient:-: | |
| 52454-6 | Reason for assessment:Find:Pt:^Patient:Nom: | |
| 52525-3 | Discharge date | |
| 52525-3 | Discharge date | |
| 54503-8 | Legal name of patient:-:Pt:^Patient:-: | |
| 45966-9 | Social Security & Medicare numbers:-:Pt:^Patient:-: | |
| 54503-8 | Legal name of patient:-:Pt:^Patient:-: | |
| 54503-8 | Legal name of patient:-:Pt:^Patient:-: | |
| 54503-8 | Legal name of patient:-:Pt:^Patient:-: | |
| 54503-8 | Legal name of patient:-:Pt:^Patient:-: | |
| 45966-9 | Social Security & Medicare numbers:-:Pt:^Patient:-: | |
| 106632-3 | Patient ZIP Code:Loc:RptPeriod:^Patient:Nom:CMS Assessment | |
| 106632-3 | Patient ZIP Code:Loc:RptPeriod:^Patient:Nom:CMS Assessment | |
| 45400-9 | Medicaid # | |
| 45400-9 | Medicaid # | |
| 45966-9 | Social Security & Medicare numbers:-:Pt:^Patient:-: | |
| 45966-9 | Social Security & Medicare numbers:-:Pt:^Patient:-: | |
| 46098-0 | Sex | |
| 46098-0 | Sex | |
| 45400-9 | Medicaid # | |
| 45966-9 | Social Security & Medicare numbers:-:Pt:^Patient:-: | |
| 45966-9 | Social Security & Medicare numbers:-:Pt:^Patient:-: | |
| 45400-9 | Medicaid # | |
| 45400-9 | Medicaid # | |
| 45400-9 | Medicaid # | |
| 21112-8 | Birth date | |
| 46098-0 | Sex | |
| 46098-0 | Sex | |
| 21112-8 | Birth date | |
| 21112-8 | Birth date | |
| 46098-0 | Sex | |
| 52556-8 | Payment sources:Type:Pt:^Patient:Nom: | |
| 21112-8 | Birth date | |
| 46098-0 | Sex | |
| 52556-8 | Payment sources:Type:Pt:^Patient:Nom: | |
| 21112-8 | Birth date | |
| 106721-4 | Reason for Discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 106721-4 | Reason for Discharge:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 21112-8 | Birth date | |
| 69854-8 | Hispanic, latino-a, or spanish | |
| 69854-8 | Hispanic, latino-a, or spanish | |
| 103708-4 | Race:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 103708-4 | Race:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 93186-5 | Preferred lang + interp need | |
| 93186-5 | Preferred lang + interp need | |
| 52556-8 | Payment sources:Type:Pt:^Patient:Nom: | |
| 52556-8 | Payment sources:Type:Pt:^Patient:Nom: | |
| 85398-6 | Admitted from:Type:Pt:Facility:Nom: | |
| 85398-6 | Admitted from:Type:Pt:Facility:Nom: | |
| 85950-4 | Living situation and availability of assistance:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 85950-4 | Living situation and availability of assistance:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 94912-3 | Availability of caregiver assistance:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 94912-3 | Availability of caregiver assistance:Find:RptPeriod:^Patient:Ord:CMS Assessment | |