| 45971-9 | Residential history 5Y prior to entry:-:Pt:^Patient:Set: | 6 |
| 45972-7 | Language:-:Pt:^Patient:Set: | 2 |
| 45973-5 | Conditions related to mental retardation and developmental disabilities status:-:Pt:^Patient:Set: | 2 |
| 45974-3 | Mental retardation and developmental disabilities with organic condition:-:Pt:^Patient:Set: | 5 |
| 45975-0 | Customary routine section:-:Pt:^Patient:-: | 1 |
| 45976-8 | Customary routine in year prior to date of entry:-:Pt:^Patient:Set: | 5 |
| 45977-6 | Cycle of daily events:-:Pt:^Patient:Set: | 8 |
| 45978-4 | Eating patterns:-:Pt:^Patient:Set: | 4 |
| 45979-2 | ADL patterns:-:Pt:^Patient:Set: | 6 |
| 45980-0 | Involvement patterns:-:Pt:^Patient:Set: | 6 |
| 45981-8 | MDS full assessment form - version 2.0:-:Pt:^Patient:-: | 23 |
| 45982-6 | Identification and background information section:-:Pt:^Patient:-: | 10 |
| 45984-2 | Current payment sources for nursing home stay:-:Pt:^Patient:Set: | 10 |
| 45985-9 | Responsibility &or legal guardian:-:Pt:^Patient:Set: | 7 |
| 45986-7 | Advance directives:-:Pt:^Patient:Set: | 9 |
| 45987-5 | Cognitive patterns section:-:Pt:^Patient:-: | 6 |
| 45988-3 | Memory:-:Pt:^Patient:Set: | 8 |
| 45989-1 | Memory recall &or ability:-:Pt:^Patient:Set: | 15 |
| 45990-9 | Indicators of delirium - periodic disorded thinking or awareness:-:Pt:^Patient:Set: | 24 |
| 45991-7 | Communication and hearing patterns section:-:Pt:^Patient:-: | 7 |
| 45992-5 | Communication devices and techniques:-:Pt:^Patient:Set: | 4 |
| 45993-3 | Modes of expression:-:Pt:^Patient:Set: | 7 |
| 45994-1 | Vision patterns section:-:Pt:^Patient:-: | 3 |
| 45995-8 | Visual limitations and dificulties:-:Pt:^Patient:Set: | 3 |
| 45996-6 | Mood and behavior patterns section:-:Pt:^Patient:-: | 5 |
| 45997-4 | Indicators of depression, anxiety, sad mood:-:Pt:^Patient:Set: | 16 |
| 45998-2 | Verbal expressions of distress:-:Pt:^Patient:Set: | 36 |
| 45999-0 | Sleep-cycle issues:-:Pt:^Patient:Set: | 8 |
| 46000-6 | Sad, apethetic, anxious appearance:-:Pt:^Patient:Set: | 12 |
| 46001-4 | Behavioral symptoms:-:Pt:^Patient:Set: | 40 |
| 46002-2 | Psychosocial well being section:-:Pt:^Patient:-: | 3 |
| 46003-0 | Sense of initiative &or involvement:-:Pt:^Patient:Set: | 7 |
| 46004-8 | Unsettled releationships:-:Pt:^Patient:Set: | 8 |
| 46005-5 | Past roles:-:Pt:^Patient:Set: | 4 |
| 46006-3 | Physical functioning and stuctural problems section:-:Pt:^Patient:Set: | 9 |
| 46007-1 | ADL self performance or support:-:Pt:^Patient:Set: | 60 |
| 46008-9 | Bathing:-:RptPeriod:^Patient:-:CMS Assessment | 34 |
| 46009-7 | Test for balance:-:Pt:^Patient:Set: | 6 |
| 46010-5 | Functional limitation in range of motion:-:Pt:^Patient:Set: | 48 |
| 46011-3 | Modes of locomotion:-:Pt:^Patient:Set: | 5 |
| 46012-1 | Modes of transfer:-:Pt:^Patient:Set: | 6 |
| 46013-9 | ADL functional rehabilitation potential:-:Pt:^Patient:Set: | 5 |
| 46014-7 | Continence in last 14D section:-:Pt:^Patient:Set: | 4 |
| 46015-4 | Continence self-control categories:-:Pt:^Patient:Set: | 8 |
| 46016-2 | Bowel elimination pattern:-:Pt:^Patient:Set: | 5 |
| 46017-0 | Continence appliances and programs:-:Pt:^Patient:Set: | 10 |
| 46018-8 | Disease or condition diagnoses section:-:Pt:^Patient:-: | 3 |
| 46019-6 | Diseases or conditions:-:Pt:^Patient:Set: | 8 |
| 46020-4 | Endocrine, metabolic or nutritional diseases or conditions:-:Pt:^Patient:Set: | 3 |
| 46021-2 | Heart or circulation diseases or conditions:-:Pt:^Patient:Set: | 8 |