| LP90976-9 | Therapies in last 7 days | COMPONENT | 1 |
| LP90977-7 | Start date of speech language pathology and audiology services | COMPONENT | 1 |
| LP90978-5 | End date of speech language pathology and audiology services | COMPONENT | 1 |
| LP90979-3 | Start date of occupational therapy | COMPONENT | 1 |
| LP90980-1 | End date of occupational therapy | COMPONENT | 1 |
| LP90981-9 | Start date of physical therapy | COMPONENT | 1 |
| LP90982-7 | End date of physical therapy | COMPONENT | 1 |
| LP90983-5 | Start date of respiratory therapy | COMPONENT | 1 |
| LP90984-3 | End date of respiratory therapy | COMPONENT | 1 |
| LP90985-0 | Start date of psychological therapy by any licensed mental health professional | COMPONENT | 1 |
| LP90986-8 | End date of psychological therapy by any licensed mental health professional | COMPONENT | 1 |
| LP90987-6 | Total minutes of recreational and music therapy in last 7 days | COMPONENT | 1 |
| LP90988-4 | Number of days with at least 15 minutes of recreational and music therapy in last 7 days | COMPONENT | 1 |
| LP90989-2 | Start date of recreational and music therapy | COMPONENT | 1 |
| LP90990-0 | End date of recreational and music therapy | COMPONENT | 1 |
| LP90991-8 | Nursing rehabilitation/restorative care in last 7 days | COMPONENT | 1 |
| LP90992-6 | Number of physician visits in last 14 days | COMPONENT | 1 |
| LP90994-2 | Restraints | COMPONENT | 2 |
| LP90995-9 | Physical restraints | COMPONENT | 2 |
| LP90996-7 | Physical restraints used in bed - bed rail of any type | COMPONENT | 1 |
| LP90997-5 | Physical restraints used in bed - trunk restraint | COMPONENT | 1 |
| LP90998-3 | Physical restraints used in bed - limb restraint | COMPONENT | 1 |
| LP90999-1 | Physical restraints used in bed - other | COMPONENT | 1 |
| LP91000-7 | Physical restraints used in chair or out of bed - trunk restraint | COMPONENT | 1 |
| LP91001-5 | Physical restraints used in chair or out of bed - limb restraint | COMPONENT | 1 |
| LP91002-3 | Physical restraints used in chair or out of bed - chair prevents rising | COMPONENT | 1 |
| LP91003-1 | Physical restraints used in chair or out of bed - other | COMPONENT | 1 |
| LP91006-4 | Return to community | COMPONENT | 3 |
| LP91007-2 | Resident's overall goals | COMPONENT | 1 |
| LP91008-0 | Goals established during assessment process | COMPONENT | 1 |
| LP91010-6 | Therapy supplement for Medicare PPS | COMPONENT | 1 |
| LP91012-2 | Therapies ordered to begin in first 14 days of stay | COMPONENT | 1 |
| LP91013-0 | Therapy evaluations completed | COMPONENT | 1 |
| LP91014-8 | Assessment administration | COMPONENT | 2 |
| LP91015-5 | Medicare part A billing | COMPONENT | 1 |
| LP91016-3 | Medicare part A - HIPPS code for billing | COMPONENT | 1 |
| LP91017-1 | Medicare part A - RUG version code | COMPONENT | 1 |
| LP91018-9 | State Medicaid billing | COMPONENT | 1 |
| LP91019-7 | State case mix - RUG group | COMPONENT | 1 |
| LP91020-5 | State case mix - RUG version code | COMPONENT | 1 |
| LP91021-3 | Insurance billing | COMPONENT | 1 |
| LP91022-1 | Insurance case mix - RUG group | COMPONENT | 1 |
| LP91023-9 | Insurance case mix - RUG version code | COMPONENT | 1 |
| LP91024-7 | Tissue type | COMPONENT | 2 |
| LP91029-6 | Version code | COMPONENT | 1 |
| LP91030-4 | Specifications | SYSTEM | 1 |
| LP91031-2 | Production or test indicator | COMPONENT | 1 |
| LP91032-0 | Submission | SYSTEM | 1 |
| LP91033-8 | State assigned facility submission ID | COMPONENT | 1 |
| LP91035-3 | Federal employer tax ID | COMPONENT | 2 |