-1010
| Property | Specification |
| Data System | IRF-PAI |
| Data Specs | V1.12.1 |
| Edit Type | Format |
| Severity | Fatal |
| Edit Text | Invalid Data Value: The submitted value for this item is not in the valid range of acceptable values. |
| Version Notes | [V1.12.1]-Removed mappings to items ITM_SET_VRSN_CD and SPEC_VRSN_CD. |
| Item List | |
| Item ID | Description |
| ASMT_SYS_CD | Assessment System Code |
| STATE_CD | State Code |
| CORRECTION_NUM | Correction Number |
| 8 | Gender |
| 9A | Race: American Indian/Alaskan Native |
| 9B | Race: Asian |
| 9C | Race: Black or African American |
| 9D | Ethnicity: Hispanic or Latino |
| 9E | Race: Native Hawaiian or other Pacific Islander |
| 9F | Race: White |
| 10 | Marital Status |
| 14 | Admission Class |
| 15A | Admit From |
| 16A | Pre-hospital Living Setting |
| 17 | Pre-Hospital Living With |
| 20A | Primary Payment Source |
| 20B | Secondary Payment Source |
| 21A | Impairment Group: Admission |
| 21D | Impairment Group: Discharge |
| 24A1 | Arthritis Conditions Recorded |
| 25A | Height |
| 26A | Weight |
| 27A | Swallowing Status: Admission |
| 27D | Swallowing Status: Discharge |
| 29A | Bladder Level of Assistance: Admission |
| 29D | Bladder Level of Assistance: Discharge |
| 30A | Bladder Frequency of Accidents: Admission |
| 30D | Bladder Frequency of Accidents: Discharge |
| 31A | Bowel Level of Assistance: Admission |
| 31D | Bowel Level of Assistance: Discharge |
| 32A | Bowel Frequency of Accidents: Admission |
| 32D | Bowel Frequency of Accidents: Discharge |
| 33A | Tub Transfer: Admission |
| 33D | Tub Transfer: Discharge |
| 34A | Shower Transfer: Admission |
| 34D | Shower Transfer: Discharge |
| 35A | Distance Walked: Admission |
| 35D | Distance Walked: Discharge |
| 36A | Distance Traveled in Wheelchair: Admission |
| 36D | Distance Traveled in Wheelchair: Discharge |
| 37A | Walk: Admission |
| 37D | Walk: Discharge |
| 38A | Wheelchair: Admission |
| 38D | Wheelchair: Discharge |
| 39AA | Self-Care -Eating: Admission |
| 39AD | Self-Care -Eating: Discharge |
| 39AG | Self-Care -Eating: Goal |
| 39BA | Self-Care -Grooming: Admission |
| 39BD | Self-Care -Grooming: Discharge |
| 39BG | Self-Care -Grooming: Goal |
| 39CA | Self-Care -Bathing: Admission |
| 39CD | Self-Care -Bathing: Discharge |
| 39CG | Self-Care -Bathing: Goal |
| 39DA | Self-Care -Dressing - Upper: Admission |
| 39DD | Self-Care -Dressing - Upper: Discharge |
| 39DG | Self-Care -Dressing - Upper: Goal |
| 39EA | Self-Care -Dressing - Lower: Admission |
| 39ED | Self-Care -Dressing - Lower: Discharge |
| 39EG | Self-Care -Dressing - Lower: Goal |
| 39FA | Self-Care -Toileting: Admission |
| 39FD | Self-Care -Toileting: Discharge |
| 39FG | Self-Care -Toileting: Goal |
| 39GA | Sphincter Control -Bladder: Admission |
| 39GD | Sphincter Control -Bladder: Discharge |
| 39GG | Sphincter Control -Bladder: Goal |
| 39HA | Sphincter Control -Bowel: Admission |
| 39HD | Sphincter Control -Bowel: Discharge |
| 39HG | Sphincter Control -Bowel: Goal |
| 39IA | Transfers -Bed, Chair, Wheelchair: Admission |
| 39ID | Transfers -Bed, Chair, Wheelchair: Discharge |
| 39IG | Transfers -Bed, Chair, Wheelchair: Goal |
| 39JA | Transfers -Toilet: Admission |
| 39JD | Transfers -Toilet: Discharge |
| 39JG | Transfers -Toilet: Goal |
| 39KA | Transfers -Tub, Shower: Admission |
| 39KD | Transfers - Tub, Shower: Discharge |
| 39KG | Transfers -Tub, Shower: Goal |
| 39LA | Locomotion -Walk/Wheelchair: Admission |
| 39LAA | Locomotion -Walk/Wheelchair/both: Admission |
| 39LD | Locomotion -Walk/Wheelchair: Discharge |
| 39LDD | Locomotion -Walk/Wheelchair/both: Discharge |
| 39LG | Locomotion -Walk/Wheelchair: Goal |
| 39MA | Locomotion -Stairs: Admission |
| 39MD | Locomotion -Stairs: Discharge |
| 39MG | Locomotion -Stairs: Goal |
| 39NA | Communication -Comprehension: Admission |
| 39NAA | Communication -Comp Auditory/Visual/Both:Admission |
| 39ND | Communication -Comprehension: Discharge |
| 39NDD | Communication -Comp Auditory/Visual/Both:Discharge |
| 39NG | Communication -Comprehension: Goal |
| 39OA | Communication -Expression: Admission |
| 39OAA | Communication -Expr Vocal/Nonvocal/Both: Admission |
| 39OD | Communication -Expression: Discharge |
| 39ODD | Communication -Expr Vocal/Nonvocal/Both: Discharge |
| 39OG | Communication -Expression: Goal |
| 39PA | Social Cognition -Social Interaction: Admission |
| 39PD | Social Cognition -Social Interaction: Discharge |
| 39PG | Social Cognition -Social Interaction: Goal |
| 39QA | Social Cognition -Problem Solving: Admission |
| 39QD | Social Cognition -Problem Solving: Discharge |
| 39QG | Social Cognition -Problem Solving: Goal |
| 39RA | Social Cognition -Memory: Admission |
| 39RD | Social Cognition -Memory: Discharge |
| 39RG | Social Cognition -Memory: Goal |
| 41 | Patient Discharged Against Medical Advice |
| 42 | Program Interruption(s) Indicator |
| 44C | Patient Discharged Alive |
| 44D | Discharge to Living Setting |
| 45 | Discharge to Living With |
| O0401AA | Physical Therapy - Individual Minutes Week 1 |
| O0401AB | Physical Therapy - Concurrent Minutes Week 1 |
| O0401AC | Physical Therapy - Group Minutes Week 1 |
| O0401AD | Physical Therapy - Co-treatment Minutes Week 1 |
| O0401BA | Occupational Therapy - Individual Minutes Week 1 |
| O0401BB | Occupational Therapy - Concurrent Minutes Week 1 |
| O0401BC | Occupational Therapy - Group Minutes Week 1 |
| O0401BD | Occupational Therapy - Co-treatment Minutes Week 1 |
| O0401CA | SLP Therapy - Individual Minutes Week 1 |
| O0401CB | SLP Therapy - Concurrent Minutes Week 1 |
| O0401CC | SLP Therapy - Group Minutes Week 1 |
| O0401CD | SLP Therapy - Co-treatment Minutes Week 1 |
| O0402AA | Physical Therapy - Individual Minutes Week 2 |
| O0402AB | Physical Therapy - Concurrent Minutes Week 2 |
| O0402AC | Physical Therapy - Group Minutes Week 2 |
| O0402AD | Physical Therapy - Co-treatment Minutes Week 2 |
| O0402BA | Occupational Therapy - Individual Minutes Week 2 |
| O0402BB | Occupational Therapy - Concurrent Minutes Week 2 |
| O0402BC | Occupational Therapy - Group Minutes Week 2 |
| O0402BD | Occupational Therapy - Co-treatment Minutes Week 2 |
| O0402CA | SLP Therapy - Individual Minutes Week 2 |
| O0402CB | SLP Therapy - Concurrent Minutes Week 2 |
| O0402CC | SLP Therapy - Group Minutes Week 2 |
| O0402CD | SLP Therapy - Co-treatment Minutes Week 2 |
| M0210_1 | Pressure Ulcers Present on Admission |
| M0210_2 | Pressure Ulcers Present on Discharge |
| M0300A1_1 | Number of Stage 1 pressure ulcers: Admission |
| M0300A1_2 | Number of Stage 1 pressure ulcers: Discharge |
| M0300A2_2 | Nbr Disch Stg 1 PU were Adm Stg 1 PU |
| M0300A3_2 | Nbr Disch Stg 1 PU new |
| M0300B1_1 | Number of Stage 2 pressure ulcers: Admission |
| M0300B1_2 | Number of Stage 2 pressure ulcers: Discharge |
| M0300B2_2 | Nbr Disch Stg 2 PU were Adm Stg 2 PU |
| M0300B3_2 | Nbr Disch Stg 2 PU were Adm Unstg PU |
| M0300B4_2 | Nbr Disch Stg 2 PU new/worsened |
| M0300C1_1 | Number of Stage 3 pressure ulcers: Admission |
| M0300C1_2 | Number of Stage 3 pressure ulcers: Discharge |
| M0300C2_2 | Nbr Disch Stg 3 PU were Adm Stg 3 PU |
| M0300C3_2 | Nbr Disch Stg 3 PU were Adm Unstg PU |
| M0300C4_2 | Nbr Disch Stg 3 PU new/worsened |
| M0300D1_1 | Number of Stage 4 pressure ulcers: Admission |
| M0300D1_2 | Number of Stage 4 pressure ulcers: Discharge |
| M0300D2_2 | Nbr Disch Stg 4 PU were Adm Stg 4 PU |
| M0300D3_2 | Nbr Disch Stg 4 PU were Adm Unstg PU |
| M0300D4_2 | Nbr Disch Stg 4 PU new/worsened |
| M0300E1_1 | Nbr Unstg non-remov drsg pressure ulcers: Adm |
| M0300E1_2 | Nbr Unstg non-remov drsg pressure ulcers: Dschrg |
| M0300E2_2 | Nbr Unstg NRD Disch PU were Adm Unstg NRD PU |
| M0300E3_2 | Nbr Unstg NRD Disch PU were Adm Stageable PU |
| M0300F1_1 | Nbr Unstg slough/eschar pressure ulcers: Adm |
| M0300F1_2 | Nbr Unstg slough/eschar pressure ulcers: Dschrg |
| M0300F2_2 | Nbr Unstg S/E Disch PU were Adm Unstg S/E PU |
| M0300F3_2 | Nbr Unstg S/E Disch PU were Adm Stageable PU |
| M0300G1_1 | Nbr Unstg DTI pressure ulcers: Adm |
| M0300G1_2 | Nbr Unstg DTI pressure ulcers: Dschrg |
| M0300G2_2 | Nbr Unstg DTI Disch PU were Adm Unstg DTI PU |
| M0900A | Number of Stage 1 Healed Pressure Ulcers |
| M0900B | Number of Stage 2 Healed Pressure Ulcers |
| M0900C | Number of Stage 3 Healed Pressure Ulcers |
| M0900D | Number of Stage 4 Healed Pressure Ulcers |
| I0900A | Peripheral Vascular Disease (PVD) |
| I0900B | Peripheral Arterial Disease ( PAD) |
| I2900A | Diabetes Mellitus (DM) |
| I2900B | Diabetic Retinopathy |
| I2900C | Diabetic Nephropathy |
| I2900D | Diabetic Neuropathy |
| O0250A | Was influenza vaccine received |
| O0250C | If influenza vaccine not received, state reason |
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Generated: 09/09/2015 03:29:57 PM