| 57120-8 | Type of nursing provider:Type:Pt:{Nursing unit}:Nom:NMMDS | optional |
| 57121-6 | Type of client:Type:Pt:{Nursing unit}:Nom:NMMDS | optional |
| 57122-4 | Type of encounter:Type:Pt:{Nursing unit}:Nom:NMMDS | optional |
| 57123-2 | Hours designated:Time:Pt:{Nursing unit}:Qn:Estimate | optional |
| 57124-0 | Care capacity:Num:Pt:{Nursing unit}:Qn:Estimate | optional |
| 57125-7 | Care provided:Num:Pt:{Nursing unit}:Qn: | optional |