| 50786-3 | Date of entry:TmStp:Pt:^Patient:Qn: | |
| 45410-8 | Admitted from (at entry):Type:Pt:Facility:Nom:MDS | |
| 45411-6 | Lived alone prior to admission:Find:Pt:^Patient:Ord:MDS | |
| 52539-4 | Prior postal code | |
| 45971-9 | Residential history 5Y prior to entry:-:Pt:^Patient:Set: | |
| 21843-8 | Hx of Usual occupation | |
| 82589-3 | Highest level of educ | |
| 45972-7 | Language:-:Pt:^Patient:Set: | |
| 45420-7 | Mental health history:Find:Pt:^Patient:Ord:MDS | |
| 45973-5 | Conditions related to mental retardation and developmental disabilities status:-:Pt:^Patient:Set: | |
| 45427-2 | Date background information form completed:Date:Pt:^Patient:Qn:MDS | |