A0310B


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Property Specification
Data System MDS
Data Specs V1.14.1
Description Type of assessment: PPS
Group Asmt
Type Code
Length 2
Fixed Start-End 272-273
Version Notes [V1.14.0]-Removed item value [06] (readmission/return assessment).

Item Subsets
Active NC,NQ,NP,NS,NSD,NO,NOD,ND,NT,SP,SS,SSD,SO,SOD,SD,ST
Inactive XX
State optional

Item Values
Value LOINC Text
01 5-day scheduled assessment
02 14-day scheduled assessment
03 30-day scheduled assessment
04 60-day scheduled assessment
05 90-day scheduled assessment
07 Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment)
99 None of the above

Item Edits
Edit ID Type Severity Edit Text
-3676 Format Fatal Values of Code and Checklist Items:
Only the coded values listed in the "Item Values" table of the Detailed Data Specifications Report may be submitted for this item.
-3607 Consistency Fatal The Item Subset Code (ISC) is a two- or three-character code that indicates the type of record that is being submitted. The set of active items is controlled by the ISC. The characters of the ISC are defined as follows:

Character 1 indicates the type of provider and is based upon the value of A0200, as follows:
a) If A0200 is equal to [1] (nursing home record), then character 1 of the ISC is equal to [N].
b) If A0200 is equal to [2] (swing bed record), then character 1 of the ISC is equal to [S].

Characters 2 and 3 indicate the type of record and are based upon the values of the Reason For Assessment (RFA) items A0310A, A0310B, A0310C, A0310D, and A0310F. The "Item Subset Code (ISC) Report" that accompanies the data specs lists all possible combinations of the RFA items and their associated ISCs. If the ISC that is listed in the report is equal to dashes, then the combination of RFA items is not allowed. If a record is submitted with one of these invalid RFA combinations, a fatal error will occur and it will be rejected.

The ISC_VAL table that is contained in the data specifications Access database is used to generate the ISC report and can be used by programmers as a lookup table. In addition, an appendix of the overview document that accompanies these data specifications contains source code for a Visual Basic function (GetISC()) that can be used to determine the ISC that is associated with any combination of the RFA items.

For a more complete explanation of the meaning and use of the ISC codes, please refer to the documentation that accompanies these data specifications.
-3608 Consistency Fatal a) If A0200=[1] (this is a nursing home record) and A0310E is equal to [1], then A0310A must equal [01,02,03,04,05,06] OR A0310B must equal [01,02,03,04,05,06,07] OR A0310F must equal [10,11].

b) If A0200=[2] (this is a swing bed record) and A0310E is equal to [1], then A0310B must equal [01,02,03,04,05,06,07] OR A0310F must equal [10,11].
-3571 Consistency Fatal If this is a PPS assessment (A0310B=[01,02,03,04,05,06,07]), then the Medicare or comparable railroad insurance number (A0600B) must be present (not [^]). Thus, the submission will be rejected if this is a PPS assessment and A0600B is equal to [^].
-3796 Consistency Fatal The submission system will recalculate the ISC and compare the recalculated value with the value that is submitted in ITM_SBST_CD. If A0050 (formerly X0100)=[3] (the record is an inactivation), then the recalculated ISC value will be [XX]. If A0050=[1,2] (the record is a new record or a modification record), then the recalculated ISC value will be based upon the submitted RFA values. In either case, if the recalculated value does not match the value submitted in ITM_SBST_CD, a fatal error will result.
-3811 Consistency Fatal ***THIS EDIT WAS DELETED IN V1.12.0 OF THE DATA SPECS.
-3819 Consistency Fatal a) If A2300 (assessment reference date) minus A1600 (entry date) is greater than or equal to 7 days, then the following items in Column 1 must be equal to [^]: K0510A1, K0510B1, K0510C1, K0510D1, K0510Z1.
b) If A2300 (assessment reference date) minus A1600 (entry date) is less than or equal to 6 days, then the following rules apply:
---b1) If the following items in Column 1 are active, they must not equal [^]: K0510A1 and K0510B1.
---b2) If A0310G=[2] and A0310A=[99] and A0310B=[99], then if the following items in Column 1 are active, they must equal [^]: K0510C1, K0510D1 and K0510Z1.
---b3) If A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if the following items in Column 1 are active, they must not equal [^]: K0510C1, K0510D1 and K0510Z1.
---b4) If A0310G=[1,^], then if the following items in Column 1 are active, they must not equal [^]: K0510C1, K0510D1 and K0510Z1.
-3825 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if C0100 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if C0100 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if C0100 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if C0100 is active it must equal [-].
-3826 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from C0100 through C0600 must equal [^] and all active items from C0700 through C1000 must not equal [^].
-3835 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if D0100 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if D0100 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if D0100 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if D0100 is active it must equal [-].
-3836 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from D0100 through D0650 must equal [^].
-3837 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from J0200 through J0850 must equal [^].
-3831 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if J0200 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if J0200 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if J0200 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if J0200 is active it must equal [-].
-3824 Consistency Fatal a) If A0310G=[2] and A0310A=[99] and A0310B=[99], then if the following items in Column 2 are active, they must equal [^]: K0510C2, K0510D2 and K0510Z2.
b) If A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05,06,07]), then if the following items in Column 2 are active, they must not equal [^]: K0510C2, K0510D2 and K0510Z2.
c) If A0310G=[1,^], then if the following items in Column 2 are active, they must not equal [^]: K0510C2, K0510D2 and K0510Z2.

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Generated: 05/08/2014
MDS 3.0 dataspecs V1.14.1 | http://www.careplans.com