| LP90046-1 | Received non-medication intervention for pain in last 7 days | COMPONENT | 1 |
| LP90047-9 | Pain assessment interview should be conducted | COMPONENT | 1 |
| LP90048-7 | Pain presence | COMPONENT | 1 |
| LP90050-3 | Pain has made it hard to sleep | COMPONENT | 1 |
| LP90054-5 | Non-verbal sounds of pain in last 5 days | COMPONENT | 1 |
| LP90055-2 | Vocal complaints of pain in last 5 days | COMPONENT | 1 |
| LP90056-0 | Facial expressions of pain in last 5 days | COMPONENT | 1 |
| LP90057-8 | Protective body movements or postures in last 5 days | COMPONENT | 1 |
| LP90058-6 | None of these signs of pain observed or documented in last 5 days | COMPONENT | 1 |
| LP90059-4 | Adequacy of current therapeutic regimen to control pain in last 7 days | COMPONENT | 1 |
| LP90060-2 | Shortness of breath or trouble breathing with exertion in last 7 days | COMPONENT | 1 |
| LP90061-0 | Shortness of breath or trouble breathing when sitting at rest in last 7 days | COMPONENT | 1 |
| LP90062-8 | Shortness of breath or trouble breathing when lying flat in last 7 days | COMPONENT | 1 |
| LP90063-6 | None of the above shortness of breath symptoms in last 7 days | COMPONENT | 1 |
| LP90065-1 | Life expectancy of less than 6 months | COMPONENT | 1 |
| LP90068-5 | Fall history on admission | COMPONENT | 1 |
| LP90069-3 | Fall one or more times in the last month prior to admission | COMPONENT | 1 |
| LP90070-1 | Fall one or more times in the last 2 to 6 months prior to admission | COMPONENT | 1 |
| LP90071-9 | Any fracture related to a fall in the 6 months prior to admission | COMPONENT | 1 |
| LP90072-7 | Any falls since admission or prior assessment | COMPONENT | |
| LP90073-5 | Number of falls since admission or prior assessment | COMPONENT | 1 |
| LP90074-3 | Number of falls since admission or prior assessment - no injury | COMPONENT | 1 |
| LP90075-0 | Number of falls since admission or prior assessment - injury except major | COMPONENT | 1 |
| LP90076-8 | Number of falls since admission or prior assessment - major injury | COMPONENT | 1 |
| LP90077-6 | Loss of liquids/solids from mouth when eating or drinking in last 7 days | COMPONENT | 1 |
| LP90078-4 | Holding food in mouth/cheeks or residual food in mouth after meals in last 7 days | COMPONENT | 1 |
| LP90079-2 | Coughing or choking during meals or when swallowing medications in last 7 days | COMPONENT | 1 |
| LP90080-0 | Complaints of difficulty or pain with swallowing in last 7 days | COMPONENT | 1 |
| LP90081-8 | Signs or symptoms of possible swallowing disorder - none of the above | COMPONENT | 1 |
| LP90082-6 | Weight loss of 5% or more in the last month or loss of 10% or more in last 6 months | COMPONENT | 1 |
| LP90083-4 | Parenteral/IV feeding in last 7 days | COMPONENT | 1 |
| LP90084-2 | Nasogastric or abdominal feeding tube in last 7 days | COMPONENT | 1 |
| LP90085-9 | Mechanically altered diet - require change in texture of food or liquids in last 7 days | COMPONENT | 1 |
| LP90086-7 | Therapeutic diet in last 7 days | COMPONENT | 1 |
| LP90087-5 | Nutritional approaches in last 7 days - none of the above | COMPONENT | 1 |
| LP90088-3 | Average fluid intake per day by parenteral or tube feedings | COMPONENT | |
| LP90089-1 | Able to perform dental exam | COMPONENT | 1 |
| LP90090-9 | Broken or loosely fitting full or partial denture in last 7 days | COMPONENT | 1 |
| LP90091-7 | No natural teeth or tooth fragments in last 7 days | COMPONENT | 1 |
| LP90092-5 | Abnormal mouth tissue in last 7 days | COMPONENT | 1 |
| LP90093-3 | Obvious or likely cavity or broken natural teeth in last 7 days | COMPONENT | 1 |
| LP90094-1 | Inflamed or bleeding gums or loose natural teeth in last 7 days | COMPONENT | 1 |
| LP90095-8 | Mouth or facial pain, discomfort or difficulty with chewing in last 7 days | COMPONENT | 1 |
| LP90096-6 | Dental status - none of the above in last 7 days | COMPONENT | 1 |
| LP90097-4 | Pressure injury risk by resident has a stage 1 or greater, a scar over bony prominence, or a non-removable dressing, device in last 7 days | COMPONENT | 1 |
| LP90098-2 | Pressure injury risk by formal assessment | COMPONENT | 1 |
| LP90099-0 | Pressure injury risk by clinical judgment | COMPONENT | 1 |
| LP90100-6 | Pressure injury risk - none of the above | COMPONENT | 1 |
| LP90102-2 | Date of most recent routine pressure ulcer assessment | COMPONENT | 1 |
| LP90104-8 | One or more unhealed pressure ulcer(s) at Stage 2 or higher, or one or more likely pressure ulcers that are unstageable | COMPONENT | 1 |