24 09:29:46 EDT 2008 QIES
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1 Wed Sep 24 9:29:46 EDT 28 QIES Workbench Record Layout Report For Job: OASIS Dump of Everything for dictionary ( ) Report Name: OASIS Dump of Everything for dictionary Data Type Offset Length DP Field Name DATE 1 8 Assessment Beginning Version Date DATE 9 8 Assessment Correction Version Date DATE 17 8 Assessment Effective Date CHAR 25 1 Assessment Modification Indicator CHAR 26 1 Birthdate Submit Indicator CHAR 27 1 Branch Identifier CHAR 37 5 Calculated HIPPS Code CHAR 42 5 Calculated HIPPS Version NUM 47 2 Correction Number NUM 49 1 Facility Internal ID NUM HHA Assessment Internal ID NUM 74 1 HHA Submission Sequence Number DATE 84 8 Lock Date CHAR 92 2 Masking Algorithm Version Code CHAR National Provider Identifier NUM Original Assessment Internal ID DATE Resident Data Update Timestamp NUM Resident Internal ID NUM Resident Matching Criteria CHAR Software Vendor Tax ID CHAR Software Version CHAR State ID DATE State Prepared Date DATE Submission Date CHAR Submitted HIPPS Code CHAR Submitted HIPPS Version CHAR Version Code CHAR Version Completed Code CHAR 22 6 (M1) Agency Medicare Number CHAR (M11) Episode Timing CHAR (M12) Agency Medicaid Number CHAR (M14) Branch State CHAR (M16) Branch Identifier Number CHAR (M2) Patient ID file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
2 DATE (M3) Start of Care Date NUM (M32) Resumption of Care Date Not Applicable DATE (M32) Resumption of Care Date CHAR (M4) Patient First Name CHAR (M4) Patient Last Name CHAR (M4) Patient Middle Initial CHAR (M4) Patient Suffix CHAR (M5) Patient State CHAR (M6) Patient ZIP Code CHAR (M63) Medicare Number NUM (M63) No Medicare Number NUM (M64) Social Security Number Unknown CHAR (M64) Social Security Number NUM (M65) No Medicaid Number CHAR (M65) Patient Medicaid Number DATE (M66) Patient Birth Date NUM (M69) Gender NUM (M72) Primary Referring Physician ID Unknown CHAR (M72) Primary Referring Physician ID CHAR (M8) Discipline of Person Completing Assessment DATE (M9) Date Assessment Completed CHAR 47 2 (M1) Assessment Reason NUM 49 1 (M14) American Indian or Alaska Native NUM 41 1 (M14) Asian NUM (M14) Black or African-American NUM (M14) Hispanic or Latino NUM (M14) Native Hawiian or Pacific Islander NUM (M14) Unknown Race/Ethnicity NUM (M14) White NUM (M15) Medicaid Fee-For-Service NUM (M15) Medicaid HMO/Managed Care NUM (M15) Medicare Fee-For-Service NUM (M15) Medicare HMO/Managed Care NUM 42 1 (M15) No Charge for Current Services NUM (M15) Other Government NUM (M15) Other Payment Source NUM (M15) Private HMO/Managed Care NUM (M15) Private Insurance NUM (M15) Self-Pay NUM (M15) Title Programs file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
3 NUM (M15) Unknown Payment Source NUM (M15) Workers Compensation NUM (M16) Limited Financial Factors - Food NUM 43 1 (M16) Limited Financial Factors - Medical Expenses NUM (M16) Limited Financial Factors - Medicine/Medical Supplies NUM (M16) Limited Financial Factors - None NUM (M16) Limited Financial Factors - Other NUM (M16) Limited Financial Factors - Rent/Utilities NUM (M17) Hospital NUM (M17) Nursing Home NUM (M17) Other Inpatient Facility NUM (M17) Patient Not Discharged From Inpatient Facility NUM (M17) Rehabilitation Facility CHAR 44 1 (M175) Inpatient Facility Admitted From during past 14 Days - Hospital CHAR (M175) Inpatient Facility Admitted From during past 14 Days - Not Discharged from an Inpatient Facility CHAR (M175) Inpatient Facility Admitted From during past 14 Days - Other Nursing Home CHAR (M175) Inpatient Facility Admitted From during past 14 Days - Other CHAR (M175) Inpatient Facility Admitted From during past 14 Days - Rehabilitation Facility CHAR (M175) Inpatient Facility Admitted From during past 14 Days - Skilled Nursing Facility CHAR (M18) Inpatient Discharge Date Unknown DATE (M18) Inpatient Discharge Date CHAR (M19) Inpatient Diagnosis and ICD Code - a CHAR (M19) Inpatient Diagnosis and ICD Code - b NUM (M2) Medical/Treatment Regimen Change CHAR 47 7 (M21) Medical Diagnosis and ICD Code - a CHAR (M21) Medical Diagnosis and ICD Code - b CHAR (M21) Medical Diagnosis and ICD Code - c CHAR (M21) Medical Diagnosis and ICD Code - d CHAR (M22) Disruptive/Socially Inappropriate Behavior CHAR (M22) Impaired Decision Making CHAR 5 1 (M22) Indwelling/Suprapubic Catheter CHAR 51 1 (M22) Intractable Pain CHAR 52 1 (M22) Memory Loss to Extent Supervision Required CHAR 53 1 (M22) No Inpatient Discharge and No Regimen Change file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
4 CHAR 54 1 (M22) None of the Above Regimen Change CHAR 55 1 (M22) Unknown Regimen Change CHAR 56 1 (M22) Urinary Incontinence CHAR 57 2 (M23) Primary Diagnosis Severity Rating - a CHAR 59 7 (M23) Primary Diagnosis and ICD Code - a CHAR (M24) Other Diagnosis Severity Rating - b CHAR (M24) Other Diagnosis Severity Rating - c CHAR 52 2 (M24) Other Diagnosis Severity Rating - d CHAR (M24) Other Diagnosis Severity Rating - e CHAR (M24) Other Diagnosis Severity Rating - f CHAR (M24) Other Diagnosis and ICD Code - b CHAR (M24) Other Diagnosis and ICD Code - c CHAR 54 7 (M24) Other Diagnosis and ICD Code - d CHAR (M24) Other Diagnosis and ICD Code - e CHAR (M24) Other Diagnosis and ICD Code - f CHAR (M245) Payment Diagnosis: First Secondary ICD CHAR (M245) Payment Diagnosis: Primary ICD CHAR (M246) A3 - Case Mix Diagnosis CHAR (M246) A4 - Case Mix Diagnosis CHAR (M246) B3 - Case Mix Diagnosis CHAR (M246) B4 - Case Mix Diagnosis CHAR 63 7 (M246) C3 - Case Mix Diagnosis CHAR 61 7 (M246) C4 - Case Mix Diagnosis CHAR (M246) D3 - Case Mix Diagnosis CHAR (M246) D4 - Case Mix Diagnosis CHAR (M246) E3 - Case Mix Diagnosis CHAR (M246) E4 - Case Mix Diagnosis CHAR (M246) F3 - Case Mix Diagnosis CHAR (M246) F4 - Case Mix Diagnosis NUM (M25) Enteral Nutrition NUM 66 1 (M25) Intravenous or Infusion Therapy NUM (M25) None of the Above Therapies NUM (M25) Parenteral Nutrition CHAR (M26) Overall Prognosis CHAR (M27) Rehabilitive Prognosis CHAR (M28) Life Expectancy NUM (M29) Alcohol Dependency NUM 67 1 (M29) Drug Dependency NUM (M29) Heavy Smoking NUM (M29) None of Above High Risk Factors file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
5 NUM (M29) Obesity NUM (M29) Unknown High Risk Factors CHAR (M3) Current Residence NUM (M31) Narrow or Obstructed Doorways NUM (M31) No Structural Barriers NUM (M31) Stairs Inside Home Must Be Used NUM 68 1 (M31) Stairs Inside Home Used Optionally NUM (M31) Stairs Leading Inside Home NUM (M32) Improperly Stored Hazardous Materials NUM (M32) Inadequate Cooling NUM (M32) Inadequate Floor/Roof/Windows NUM (M32) Inadequate Heating NUM (M32) Inadequate Lighting NUM (M32) Inadequate Stair Railings NUM (M32) Lack of Fire Safety Devices NUM (M32) Lead-Based Paint NUM 69 1 (M32) No Safety Hazards NUM (M32) Other Safety Hazards NUM (M32) Unsafe Floor Coverings NUM (M32) Unsafe Gas/Electric Appliance NUM (M33) Cluttered/Soiled Living Area NUM (M33) Contaminated Water NUM (M33) Inadequate Sewage Disposal NUM (M33) Inadequate/Improper Food Storage NUM (M33) Insects/Rodents Present NUM (M33) No Cooking Facilities NUM 7 1 (M33) No Food Refrigeration NUM 71 1 (M33) No Running Water NUM 72 1 (M33) No Sanitation Hazards NUM 73 1 (M33) No Scheduled Trash Pickup NUM 74 1 (M33) No Toileting Facilities NUM 75 1 (M33) Other Sanitation Hazards NUM 76 1 (M33) Outdoor Toileting Facilities Only NUM 77 1 (M34) Lives Alone NUM 78 1 (M34) Lives With Friend NUM 79 1 (M34) Lives With Other Family Member NUM 71 1 (M34) Lives With Other Than Above NUM (M34) Lives With Paid Help NUM (M34) Lives With Spouse/Significant Other NUM (M35) None of the Above Assisting Persons file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
6 NUM (M35) Paid Help NUM (M35) Person Residing in Home NUM (M35) Relatives/Friends/Neighbors Living Outside Home NUM (M35) Unknown Assisting Persons CHAR (M36) Primary Caregiver CHAR 72 2 (M37) Frequency Patient Receives Assistance CHAR (M38) ADL Assistance CHAR (M38) Advocates Participation in Medical Care CHAR (M38) Environmental Support CHAR (M38) Financial Agent/Power of Attorney/Conservator of Finance CHAR (M38) Health Care Agent/Conservator of Person/Power of Attorney CHAR (M38) IADL Assistance CHAR (M38) Psychosocial Support CHAR (M38) Unknown Primary Caregiver Assistance CHAR 73 2 (M39) Vision CHAR (M4) Hearing CHAR (M41) Speech CHAR (M42) Frequency of Pain NUM (M43) Intractable Pain NUM (M44) Skin Lesion/Open Wound CHAR 74 1 (M445) Pressure Ulcer CHAR (M45) Number Stage 1 Pressure Ulcers CHAR (M45) Number Stage 2 Pressure Ulcers CHAR (M45) Number Stage 3 Pressure Ulcers CHAR (M45) Number Stage 4 Pressure Ulcers CHAR (M45) Unobservable Pressure Ulcer CHAR 75 2 (M46) Stage of Most Problematic Pressure Ulcer CHAR (M464) Status of Most Problematic Pressure Ulcer CHAR (M468) Stasis Ulcer CHAR (M47) Number Stasis Ulcers CHAR (M474) Unobservable Stasis Ulcer CHAR (M476) Status of Most Problematic Stasis Ulcer CHAR 76 1 (M482) Surgical Wound CHAR (M484) Number Surgical Wounds CHAR (M486) Unobservable Surgical Wound CHAR (M488) Status of Most Problematic Surgical Wound CHAR (M49) Patient Dyspneic/Short of Breath NUM (M5) Continuous Positive Airway Pressure file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
7 NUM (M5) None of the Above Respiratory Treatments NUM 77 1 (M5) Oxygen NUM (M5) Ventilator CHAR (M51) Urinary Tract Infection CHAR (M52) Urinary Incontinence CHAR (M53) When Urinary Incontinence Occurs CHAR (M54) Bowel Incontinence Frequency CHAR 78 2 (M55) Ostomy for Bowel Elimination CHAR (M56) Cognitive Functioning CHAR (M57) When Confused CHAR (M58) When Anxious NUM (M59) Depressed Mood NUM (M59) Hopelessness NUM 79 1 (M59) None of the Above Depressive Feelings NUM (M59) Recurrent Thoughts of Death NUM (M59) Sense of Failure/Self Reproach NUM (M59) Thoughts of Suicide NUM (M6) A Suicide Attempt NUM (M6) Agitation NUM (M6) Diminished Interest in Most Activities NUM (M6) Indecisiveness, Lack of Concentration NUM (M6) None of the Above Behaviors Observed NUM (M6) Recent Change in Appetite or Weight NUM 8 1 (M6) Sleep Disturbances NUM 81 1 (M61) Delusional/Hallucinatory/Paranoid Behavior NUM 82 1 (M61) Disruptive/Infantile/Inappropriate Behavior NUM 83 1 (M61) Impaired Decision Making NUM 84 1 (M61) Memory Deficit NUM 85 1 (M61) None of the Above Behaviors Demonstrated NUM 86 1 (M61) Physical Aggression NUM 87 1 (M61) Verbal disruption CHAR 88 2 (M62) Frequency of Behavior Problems NUM 81 1 (M63) Psychiatric Nursing Services CHAR (M64) Current Grooming CHAR (M64) Prior Grooming CHAR (M65) Current Ability to Dress Upper Body CHAR (M65) Prior Ability to Dress Upper Body CHAR (M66) Current Ability to Dress Lower Body CHAR (M66) Prior Ability to Dress Lower Body CHAR (M67) Current Bathing file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
8 CHAR (M67) Prior Bathing CHAR (M68) Current Toileting CHAR (M68) Prior Toileting CHAR (M69) Current Transferring CHAR (M69) Prior Transferring CHAR (M7) Current Ambulation/Locomotion CHAR (M7) Prior Ambulation/Locomotion CHAR (M71) Current Feeding/Eating CHAR (M71) Prior Feeding/Eating CHAR (M72) Current Preparing Light Meals CHAR (M72) Prior Preparing Light Meals CHAR (M73) Current Transportation CHAR (M73) Prior Transportation CHAR (M74) Current Laundry CHAR (M74) Prior Laundry CHAR (M75) Current Housekeeping CHAR (M75) Prior Housekeeping CHAR (M76) Current Shopping CHAR (M76) Prior Shopping CHAR (M77) Current Ability to Use Telephone CHAR (M77) Prior Ability to Use Telephone CHAR (M78) Current Management of Oral Medications CHAR (M78) Prior Management of Oral Medications CHAR (M79) Current Management of Inhalant Medications CHAR (M79) Prior Management of Inhalant Medications CHAR (M8) Current Management of Injectable Medications CHAR (M8) Prior Management of Injectable Medications CHAR (M81) Patient Management of Equipment CHAR (M82) Caregiver Management of Equipment CHAR (M825) Therapy Need NUM (M826) Number of Therapy Visits NUM (M826) Therapy Need Not Applicable NUM (M83) Doctors Office Emergency Visit NUM 89 1 (M83) Hospital Emergency Room NUM (M83) No Emergent Care Services NUM (M83) Outpatient Department Emergency NUM (M83) Unknown Emergent Care CHAR (M84) Cardiac Problems CHAR (M84) GI Bleeding, Obstruction CHAR (M84) Hypo/Hyperglycemia, Diabetes Out of Control file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
9 CHAR (M84) Improper Medication Administration CHAR (M84) Injury Caused by Fall/Accident CHAR (M84) Nausea/Dehydration/Malnutrition/Constipaton/Impaction CHAR 9 1 (M84) Other than Above Reasons for Emergent Care CHAR 91 1 (M84) Respiratory Problems CHAR 92 1 (M84) Unknown Emergent Care Reason CHAR 93 1 (M84) Wound Infection CHAR 94 2 (M855) Inpatient Facility Where Admitted CHAR 96 2 (M87) Discharge Disposition CHAR 98 1 (M88) Assistance/Services Provided By Community Resources CHAR 99 1 (M88) Assistance/Services Provided by Family/Friends CHAR 91 1 (M88) No Assistance/Services Received CHAR (M89) Reason Admitted to Hospital CHAR (M895) Chemotherapy CHAR (M895) Deep Vein Thrombosis/Pulmonary Embolus CHAR (M895) Exacerbation of CHF/Fluid Overload/Heart Failure CHAR (M895) GI Bleeding, Obstruction CHAR (M895) Hypo/Hyperglycemia, Diabetes Out of Control CHAR (M895) IV Catheter-Related Infection CHAR (M895) Improper Medication Administration CHAR 92 1 (M895) Injury Caused by Fall/Accident CHAR (M895) Myocardial Infarction/Stroke CHAR (M895) Other Than Above Reason for Hospitalization CHAR (M895) Psychotic Episode CHAR (M895) Respiratory Problems CHAR (M895) Scheduled Surgical Procedure CHAR (M895) Uncontrolled Pain CHAR (M895) Urinary Tract Infection CHAR (M895) Wound or Tube Site Infection CHAR (M9) Hospice Care CHAR 93 1 (M9) Other Reason Admitted to Nursing Home CHAR (M9) Permanent Placement CHAR (M9) Respite Care CHAR (M9) Therapy Services CHAR (M9) Unknown Reason Admitted to Nursing Home CHAR (M9) Unsafe for Care at Home DATE (M93) Date of Last Home Visit file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
10 DATE (M96) Discharge/Transfer/Death Date file:////sph-hpm2.ad.umn.edu/.../drupal/data%2entry%2docs/rif%2data%2file%2docs/rif%2oasis%2b%2cms.html[4/12/212 1:35:42 AM]
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