| 54582-2 | Provider type |
| 54586-3 | State required assessment MDSv3 (qualitative) |
| 54591-3 | Admitted from Facility |
| 54606-9 | Repetition of three words (qualitative) |
| 54607-7 | Temporal orientation - current year (qualitative) |
| 54608-5 | Temporal orientation - current month (qualitative) |
| 54610-1 | Recall |
| 54611-9 | Recall - sock (qualitative) |
| 54612-7 | Recall - blue (qualitative) |
| 54613-5 | Recall - bed (qualitative) |
| 54618-4 | Memory/recall ability |
| 54619-2 | Can recall current season in last 7 days (qualitative) |
| 54620-0 | Can recall location of own room in last 7 days (qualitative) |
| 54621-8 | Can recall staff names and faces in last 7 days (qualitative) |
| 54622-6 | Can recall that he or she is in a nursing home in last 7 days (qualitative) |
| 54623-4 | None of the above were recalled in last 7 days (qualitative) |
| 54625-9 | Procedural memory OK in last 7D MDSv3 (qualitative) |
| 54626-7 | Delirium |
| 54656-4 | Staff assessment of mood should be conductedr MDSv3 (qualitative) |
| 54678-8 | Hallucinations in last 7 days (qualitative) |
| 54679-6 | Illusions in last 7D MDSv3 (qualitative) |
| 54680-4 | Delusions in last 7 days (qualitative) |
| 54681-2 | Psychoses - none of the above in last 7 days (qualitative) |
| 54716-6 | Resident prefers choosing clothes to wear (qualitative) |
| 54717-4 | Resident prefers caring for personal belongings (qualitative) |
| 54718-2 | Resident prefers receiving tub bath (qualitative) |
| 54719-0 | Resident prefers receiving shower (qualitative) |
| 54720-8 | Resident prefers receiving bed bath (qualitative) |
| 54721-6 | Resident prefers receiving sponge bath (qualitative) |
| 54722-4 | Resident prefers snacks between meals (qualitative) |
| 54723-2 | Resident prefers staying up past 8:00 p.m. (qualitative) |
| 54724-0 | Resident prefers family or significant other involvement in care discussions (qualitative) |
| 54725-7 | Resident prefers use of phone in private (qualitative) |
| 54726-5 | Resident prefers place to lock personal belongings (qualitative) |
| 54727-3 | Resident prefers reading books, newspapers, magazines (qualitative) |
| 54728-1 | Resident prefers listening to music (qualitative) |
| 54729-9 | Resident prefers being around animals such as pets (qualitative) |
| 54730-7 | Resident prefers keeping up with the news (qualitative) |
| 54731-5 | Resident prefers doing things with groups of people (qualitative) |
| 54732-3 | Resident prefers participating in favorite activities (qualitative) |
| 54733-1 | Resident prefers spending time away from the nursing home (qualitative) |
| 54734-9 | Resident prefers spending time outdoors (qualitative) |
| 54735-6 | Resident prefers participating in religious activities or practices (qualitative) |
| 54736-4 | Resident prefers none of the above (qualitative) |
| 54737-2 | Bed mobility in last 7D MDSv3 (qualitative) |
| 54738-0 | Transfer in last 7 days (qualitative) |
| 54739-8 | Toilet transfer in last 7D MDSv3 (qualitative) |
| 54740-6 | Toileting in last 7D MDSv3 (qualitative) |
| 54741-4 | Walk in room in last 7D MDSv3 (qualitative) |
| 54742-2 | Walk in facility in last 7D MDSv3 (qualitative) |
| 54743-0 | Locomotion in last 7D MDSv3 (qualitative) |
| 54744-8 | Dressing upper body in last 7 days (qualitative) |
| 54745-5 | Dressing lower body in last 7D MDSv3 (qualitative) |
| 54746-3 | Eating in last 7D MDSv3 (qualitative) |
| 54747-1 | Grooming &or personal hygiene in last 7D MDSv3 (qualitative) |
| 54748-9 | Bathing in last 7 days (qualitative) |
| 54756-2 | Cane/crutch normally used in last 7 days (qualitative) |
| 54757-0 | Walker normally used in last 7 days (qualitative) |
| 54758-8 | Wheelchair (manual or electric) normally used in last 7 days (qualitative) |
| 54759-6 | Limb prosthesis normally used in last 7 days (qualitative) |
| 54760-4 | Mobility aids - none of the above were normally used in last 7 days (qualitative) |
| 54761-2 | Bedfast (qualitative) |
| 54762-0 | Indwelling catheter used in last 7 days (qualitative) |
| 54763-8 | External catheter used in last 7 days (qualitative) |
| 54764-6 | Ostomy (including suprapubic catheter, ileostomy, and colostomy) present in last 7 days (qualitative) |
| 54765-3 | Intermittent catheterization used in last 7 days (qualitative) |
| 54766-1 | Appliances - none of the above used in last 7 days (qualitative) |
| 54775-2 | Anemia in last 7 days (qualitative) |
| 54776-0 | Atrial fibrillation and other dysrhythmias in last 7 days (qualitative) |
| 54777-8 | Coronary artery disease in last 7 days (qualitative) |
| 54778-6 | Deep venous thrombosis/pulmonary embolus or pulmonary thrombo-embolism in last 7 days (qualitative) |
| 54780-2 | Hypertension in last 7 days (qualitative) |
| 54781-0 | Orthostatic hypotension in last 7 days (qualitative) |
| 54783-6 | Cirrhosis in last 7 days (qualitative) |
| 54784-4 | Gastroesophageal reflux disease/ulcer in last 7 days (qualitative) |
| 54785-1 | Ulcerative colitis/Crohn's disease/inflammatory bowel disease in last 7 days (qualitative) |
| 54786-9 | Benign prostatic hyperplasia in last 7 days (qualitative) |
| 54787-7 | Renal insufficiency or renal failure/end-stage renal disease in last 7 days (qualitative) |
| 54788-5 | HIV infection in last 30D MDSv3 (qualitative) |
| 54789-3 | Staphylococcus aureus.methicillin resistant or Enterococcus species.vancomycin resistant or Clostridium difficile infections &or colonization in last 30D MDSv3 (qualitative) |
| 54790-1 | Pneumonia in last 7 days (qualitative) |
| 54791-9 | Septicemia in last 7 days (qualitative) |
| 54792-7 | Tuberculosis in last 7 days (qualitative) |
| 54793-5 | Urinary tract infection in last 7D MDSv3 (qualitative) |
| 54794-3 | Viral hepatitis in last 7 days (qualitative) |
| 54796-8 | Hyponatremia in last 7 days (qualitative) |
| 54797-6 | Hyperkalemia in last 7 days (qualitative) |
| 54798-4 | Hyperlipidemia in last 7 days (qualitative) |
| 54799-2 | Thyroid disorder in last 7 days (qualitative) |
| 54800-8 | Arthritis in last 7 days (qualitative) |
| 54801-6 | Osteoporosis in last 7 days (qualitative) |
| 54802-4 | Hip fracture in last 7 days (qualitative) |
| 54803-2 | Other fracture in last 7 days (qualitative) |
| 54804-0 | Alzheimer's disease in last 7 days (qualitative) |
| 54805-7 | Aphasia in last 7 days (qualitative) |
| 54806-5 | Cerebral palsy in last 7 days (qualitative) |
| 54807-3 | Cerebrovascular accident/transient ischemic attack/stroke in last 7 days (qualitative) |
| 54808-1 | Non-Alzheimer's dementia in last 7 days (qualitative) |
| 54809-9 | Hemiplegia/hemiparesis in last 7 days (qualitative) |
| 54810-7 | Paraplegia in last 7 days (qualitative) |