| 46456-0 | CMS certification number:ID:Pt:Agency:Nom:OASIS | |
| 46493-3 | Medicaid provider number:ID:Pt:Agency:Nom:OASIS | |
| 46494-1 | State location of agency branch:Loc:RptPeriod:Agency:Nom:CMS Assessment | |
| 46495-8 | Branch number:ID:RptPeriod:Agency:Nom:CMS Assessment | |
| 46496-6 | Agency patient number:ID:RptPeriod:^Patient:Nom:CMS Assessment | |
| 46497-4 | Start of care date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 46498-2 | Resumption of care date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 45965-1 | Name:-:Pt:^Patient:Set: | |
| 46499-0 | State of residence | |
| 45401-7 | Postal code | |
| 45397-7 | Medicare or comparable # | |
| 45396-9 | Social Security # | |
| 45400-9 | Medicaid # | |
| 21112-8 | Birth date | |
| 46098-0 | Sex | |
| 46608-6 | Primary referring physician ID:ID:Pt:Provider:Nom: | |
| 46500-5 | Discipline of person completing assessment:Type:RptPeriod:Provider:Nom:CMS Assessment | |
| 46501-3 | Date assessment information completed:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 46502-1 | Reason for assessment:Find:Pt:^Patient:Nom:OASIS | |
| 46463-6 | Race or ethnicity | |
| 46464-4 | Current payment sources for home care:Find:Pt:^Patient:Nom:OASIS | |
| 46457-8 | Inpatient discharge facility:Type:Pt:^Patient:Nom:OASIS | |
| 86470-2 | Most recent inpatient discharge date in the last 14D:Date:14D:^Patient:Qn:CMS Assessment | |
| 69365-5 | Inpatient facility diagnoses - OASIS B1:-:Pt:^Patient:-:OASIS | |
| 46506-2 | Medical or treatment regimen change in past 14D:Find:14D:^Patient:Ord:OASIS | |
| 69323-4 | Changed medical regimen diagnoses - OASIS - B1:-:Pt:^Patient:-:OASIS | |
| 46465-1 | Conditions prior to medical or treatment regimen change or inpatient stay within past 14D:Find:14D:^Patient:Nom:OASIS | |
| 69325-9 | Diagnosis and severity index - OASIS B1:-:Pt:^Patient:-:OASIS | |
| 46610-2 | Payment diagnosis:-:Pt:^Patient:-: | |
| 46466-9 | Therapeutic substance administered at home:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 46523-7 | Overall prognosis for recovery from this episode:Find:Pt:^Patient:Ord:OASIS | |
| 46524-5 | Rehabilitative prognosis:Find:Pt:^Patient:Ord:OASIS | |
| 46525-2 | Life expectancy:Find:Pt:^Patient:Ord:OASIS | |
| 46467-7 | Risk factors | |
| 46526-0 | Current residence:Type:Pt:^Patient:Nom:OASIS | |
| 46468-5 | Current living arrangement:Type:Pt:^Patient:Nom: | |
| 46469-3 | Assisting person(s) other than home care agency staff:Find:Pt:^Patient:Nom:OASIS | |
| 46527-8 | Primary caregiver:Find:Pt:^Patient:Nom:OASIS | |
| 46528-6 | Frequency of primary caregiver assistance:Find:Pt:^Patient:Ord:OASIS | |
| 46470-1 | Type of primary caregiver assistance:-:Pt:^Patient:-: | |
| 46529-4 | Sensory status - vision:Find:Pt:^Patient:Ord:OASIS | |
| 46530-2 | Sensory status - hearing and ability to understand spoken language:Find:Pt:^Patient:Ord:OASIS | |
| 46531-0 | Sensory status - speech and oral expression of language:Find:Pt:^Patient:Ord:OASIS | |
| 46532-8 | Sensory status - frequency of pain:Find:Pt:^Patient:Ord:OASIS | |
| 46533-6 | Experiencing intractable pain:Find:Pt:^Patient:Ord:OASIS | |
| 46534-4 | Skin lesion or open wound:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 46535-1 | Pressure injury:Find:Pt:^Patient:Ord:OASIS | |
| 46460-2 | Number of pressure injuries at each stage:-:Pt:^Patient:-: | |
| 46541-9 | Stage of most problematic pressure injury:Find:Pt:^Patient:Ord:OASIS | |
| 46542-7 | Status of most problematic pressure injury:Find:Pt:^Patient:Ord:OASIS | |
| 46543-5 | Stasis pressure injury:Find:Pt:^Patient:Ord:OASIS | |
| 46544-3 | Number of stasis ulcers:Num:Pt:^Patient:Qn:OASIS | |
| 46545-0 | Unobserved stasis pressure injury:Find:Pt:^Patient:Ord:OASIS | |
| 46546-8 | Status of most problematic stasis pressure injury:Find:Pt:^Patient:Ord:OASIS | |
| 46547-6 | Surgical wound:Find:Pt:^Patient:Ord:OASIS | |
| 46548-4 | Number of surgical wounds:Num:Pt:^Patient:Qn:OASIS | |
| 46549-2 | Unobserved surgical wound:Find:Pt:^Patient:Ord:OASIS | |
| 46550-0 | Status of most problematic surgical wound:Find:Pt:^Patient:Ord:OASIS | |
| 46551-8 | When short of breath:Find:Pt:^Patient:Ord:OASIS | |
| 46471-9 | At home respiratory treatments:Find:Pt:^Patient:Nom:OASIS | |
| 46552-6 | Treated for urinary tract infection in past 14D:Find:14D:^Patient:Ord:CMS Assessment | |
| 46553-4 | Urinary incontinence or urinary catheter present:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 46586-4 | When urinary incontinence occurs:Find:Pt:^Patient:Ord:OASIS | |
| 46587-2 | Bowel incontinence frequency:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 46588-0 | Ostomy for bowel elimination:Find:Pt:^Patient:Ord:OASIS | |
| 46589-8 | Cognitive functioning:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 46590-6 | When confused:Find:Pt:^Patient:Ord:OASIS | |
| 46591-4 | When anxious:Find:Pt:^Patient:Ord:OASIS | |
| 46472-7 | Depressive feelings:Find:Pt:^Patient:Nom:OASIS | |
| 46473-5 | Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per W:Find:RptPeriod:^Patient:Nom:CMS Assessment | |
| 46592-2 | Frequency of behavior problems:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 46593-0 | Receives psychiatric nursing:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 46478-4 | Grooming:-:Pt:^Patient:-: | |
| 46479-2 | Ability to dress upper body:-:Pt:^Patient:-: | |
| 46480-0 | Ability to dress lower body:-:Pt:^Patient:-: | |
| 46606-0 | Bathing ability:-:Pt:^Patient:-: | |
| 46481-8 | Toileting:-:Pt:^Patient:-:OASIS | |
| 46482-6 | Transferring:-:Pt:^Patient:-:OASIS | |
| 46483-4 | Locomotion:-:Pt:^Patient:-: | |
| 46484-2 | Feeding or eating:-:Pt:^Patient:-:OASIS | |
| 46485-9 | Planning & preparing light meals:-:Pt:^Patient:-: | |
| 46486-7 | Transportation:-:Pt:^Patient:-: | |
| 46487-5 | Laundry:-:Pt:^Patient:-: | |
| 46488-3 | Housekeeping:-:Pt:^Patient:-: | |
| 46489-1 | Shopping:-:Pt:^Patient:-: | |
| 46490-9 | Ability to use telephone:-:Pt:^Patient:-: | |
| 46491-7 | Management of oral medications:-:Pt:^Patient:-: | |
| 46492-5 | Management of inhalant &or mist medications:-:Pt:^Patient:-: | |
| 46574-0 | Prior - management of injectable medications:Find:Pt:^Patient:Ord:OASIS | |
| 46098-0 | Sex | |
| 46575-7 | Current ability - management of injectable medications:Find:Pt:^Patient:Ord:OASIS | |
| 46576-5 | Management of equipment:Find:Pt:^Patient:Ord:OASIS | |
| 46577-3 | Management of equipment:Find:Pt:^Caregiver:Ord:OASIS | |
| 46583-1 | Therapy need:Find:Pt:^Patient:Ord:OASIS | |
| 46461-0 | Emergent care:Find:Pt:^Patient:Nom:OASIS | |
| 46474-3 | Emergent care reason:Find:Pt:^Patient:Nom:OASIS | |
| 46578-1 | Admitted to:Type:RptPeriod:Inpatient facility:Nom:CMS Assessment | |
| 55128-3 | Discharge disposition:Type:Pt:^Patient:Nom: | |
| 46475-0 | Discharge support services or assistance:Find:Pt:^Patient:Nom:OASIS | |
| 46580-7 | Acute care hospitalization reason:Find:Pt:^Patient:Ord:OASIS | |
| 46476-8 | Reason for hospitalization:Find:Pt:^Patient:Nom:OASIS | |
| 46477-6 | Reason for nursing home admission:Find:Pt:^Patient:Nom:OASIS | |
| 46581-5 | Date of last home visit:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 46582-3 | Discharge, transfer, death date:Date:Pt:^Patient:Qn: | |
| 46462-8 | Outcome and assessment information set (OASIS) form - version B1:-:Pt:^Patient:-: | |