Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information. OASIS-C Items Mapping -- Model Of Meaning

12/01/2011

CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
PATIENT TRACKING              
M0010_CCN   CMS Certification Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0014_BRANCH_STATE   Branch State     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0016_BRANCH_ID   Branch ID (Optional)     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI)     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0018_PHYSICIAN_UK   Primary Referring Physician NPI: Unknown     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0020_PAT_ID   Patient ID Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0030_START_CARE_DT   Start of Care Date     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0032_ROC_DT   Resumption of Care Date     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0032_ROC_DT_NA NA No Resumption of Care Date     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_FNAME   Patient's First Name     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_MI   Patient's Middle Initial     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_LNAME   Patient's Last Name     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0040_PAT_SUFFIX   Patient's Suffix     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0050_PAT_ST   Patient State of Residence     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0060_PAT_ZIP   Patient Zip Code     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0063_MEDICARE_NUM   Medicare Number, Including Suffix     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0063_MEDICARE_NA NA No Medicare Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0064_SSN   Patient's Social Security Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0064_SSN_UK UK No Social Security Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0065_MEDICAID_NUM   Medicaid Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0065_MEDICAID_NA NA No Medicaid Number     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0066_PAT_BIRTH_DT   Date of Birth     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0069_PAT_GENDER   Gender     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0069_PAT_GENDER 1 Male     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0069_PAT_GENDER 2 Female     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native *ONC Final Rule (7/28/2010) requires use of the Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997.  This is not a vocabulary.
*HITSP Component C-32 ( HITSP Summary Documents Using HL7 Continuity of Care Document (CCD)) requires use of the CDC Race and Ethnicity vocabulary for reporting race and ethnicity (see Column Q).
*See DSTU for detailis on representation of Race/Ethnicity data.
ETHNICITY PATTERN     1002-5  
M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian   Ethnicity Pattern     2028-9  
M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American   Ethnicity Pattern     2054-5  
M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino   Ethnicity Pattern     2135-2  
M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander   Ethnicity Pattern     2076-8  
M0140_ETHNIC_WHITE 6 Race/Ethnicity: White   Ethnicity Pattern     2106-3  
M0150   Current payment sources for home care Question row/description added to facilitate message format.   Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_NONE 0 Current Payment Sources for Home Care: None; no charge for current services     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCARE_FFS 1 Current Payment Sources for Home Care: Medicare Traditional Fee-for-Service     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCARE_HMO 2 Current Payment Sources for Home Care: Medicare HMO/Managed Care     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCAID_FFS 3 Current Payment Sources for Home Care: Medicaid Traditional Fee-for-Service     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_MCAID_HMO 4 Current Payment Sources for Home Care: Medicaid HMO/Managed Care     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_WRKCOMP 5 Current Payment Sources for Home Care: Worker's Compensation     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_TITLEPGMS 6 Current Payment Sources for Home Care: Title Programs     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_OTH_GOVT 7 Current Payment Sources for Home Care: Other Government     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_PRIV_INS 8 Current Payment Sources for Home Care: Private Insurance     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_PRIV_HMO 9 Current Payment Sources for Home Care: Private HMO/Managed Care     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_SELFPAY 10 Current Payment Sources for Home Care: Self-Pay     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_OTHER 11 Current Payment Sources for Home Care: Other     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0150_CPAY_UK UK Current Payment Sources for Home Care: Unknown     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CLINICAL RECORD ITEMS              
M0080_ASSESSOR_DISCIPLINE   Discipline of Person Completing Assessment   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0080_ASSESSOR_DISCIPLINE 1 RN   Question/Answer pattern 224535009 registered nurse (occupation)    
M0080_ASSESSOR_DISCIPLINE 2 PT   Question/Answer pattern 36682004 physiotherapist (occupation)    
M0080_ASSESSOR_DISCIPLINE 3 SLP/ST   Question/Answer pattern 159026005 speech/language therapist (occupation)    
M0080_ASSESSOR_DISCIPLINE 4 OT   Question/Answer pattern 80546007 occupational therapist (occupation)    
M0090_INFO_COMPLETED_DT   Date Assessment Completed     406543005 date of visit (observable entity)    
M0100_ASSMT_REASON   Reason for Assessment     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 1 Start of care - further visits planned     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 3 Resumption of care (after inpatient stay)     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 4 Recertification (follow-up) reassessment     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 5 Other follow-up     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 6 Transferred to an inpatient facility - patient not discharged from agency     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 7 Transferred to an inpatient facility - patient discharged from agency     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 8 Death at home     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0100_ASSMT_REASON 9 Discharge from agency     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0102_PHYSN_ORDRD_SOCROC_DT   Physician Ordered SOC/ROC Date     Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0102_PHYSN_ORDRD_SOCROC_DT_NA NA Physician Ordered SOC/ROC Date - NA     Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0104_PHYSN_RFRL_DT   Physician Date Of Referral     Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M0110_EPISODE_TIMING   Episode Timing     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING 1 Early     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING 2 Later     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING NA Not applicable: No Medicare case mix group to be defined by this assessment.     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
M0110_EPISODE_TIMING UK Unknown     Concept Not Mapped (Reason #1) – This demographic/ administrative data element is mapped to the CDA Header or is not relevant/ useful to other providers/clinicians      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
PATIENT HISTORY AND DIAGNOSES              
M1000   Inpatient discharge facility Question row/description added to facilitate message format.          
M1000_DC_LTC_14_DA 1 Past 14 Days: Dschrgd From LTC NH   Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_SNF_14_DA 2 Past 14 Days: Discharged from Skilled Nursing Facility   Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_IPPS_14_DA 3 Past 14 Days: Dschrgd From Short Stay Acute Hospital   Assertion pattern 308283009 discharge from hospital (procedure)    
M1000_DC_LTCH_14_DA 4 Past 14 Days: Dschrgd From Long Term Care Hospital   Assertion pattern 306561002 discharge from establishment (procedure)    
M1000_DC_IRF_14_DA 5 Past 14 Days: Discharged From Inpatient Rehab Facility   Assertion pattern 308018004 discharge from rehabilitation service (procedure)    
M1000_DC_PSYCH_14_DA 6 Past 14 Days: Dschrgd From Psychiatric Hospital Or Unit   Assertion pattern 306607005 discharge from psychiatry service (procedure)    
M1000_DC_OTH_14_DA 7 Past 14 Days: Dschrgd From Other   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1000_DC_NONE_14_DA N/A Past 14 Days: Not Discharged from Inpatient Facility   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date     442864001 date of discharge (observable entity)    
M1005_INP_DSCHG_UNKNOWN UK Inpatient Discharge Date Unknown     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1010   Inpatient Diagnosis Question row/description added to facilitate message format.          
M1010_14_DAY_INP1_ICD a Inpatient Stay Within Last 14 Days: ICD Code 1     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP2_ICD b Inpatient Stay Within Last 14 Days: ICD Code 2     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP3_ICD c Inpatient Stay Within Last 14 Days: ICD Code 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP4_ICD d Inpatient Stay Within Last 14 Days: ICD Code 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP5_ICD e Inpatient Stay Within Last 14 Days: ICD Code 5     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1010_14_DAY_INP6_ICD f Inpatient Stay Within Last 14 Days: ICD Code 6     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012   Inpatient Procedure Question row/description added to facilitate message format.          
M1012_INP_PRCDR1_ICD a Inpatient ICD Procedure1 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_PRCDR2_ICD b Inpatient ICD Procedure2 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_PRCDR3_ICD c Inpatient ICD Procedure3 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_PRCDR4_ICD d Inpatient ICD Procedure4 Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1012_INP_NA_ICD NA Inpatient ICD Procedure Code - NA     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1012_INP_UK_ICD UK Inpatient ICD Procedure Code - UK     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1016   Diagnosis Requiring Regimen Change Question row/description added to facilitate message format.          
M1016_CHGREG_ICD1 a Regimen Change in Past 14 Days: ICD Code 1     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD2 b Regimen Change in Past 14 Days: ICD Code 2     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD3 c Regimen Change in Past 14 Days: ICD Code 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD4 d Regimen Change in Past 14 Days: ICD Code 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD5 e Regimen Change In Past 14 Days: ICD Code 5     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD6 f Regimen Change In Past 14 Days: ICD Code 6     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1016_CHGREG_ICD_NA NA Regimen Change In Past 14 Days: Not Applicable     Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1018   Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days Question row/description added to facilitate message format.          
M1018_PRIOR_UR_INCON 1 Prior Condition: Urinary Incontinence   Assertion pattern 267002001 history of - urinary disease (situation)    
M1018_PRIOR_CATH 2 Prior Condition: Indwelling/Suprapubic Catheter   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_INTRACT_PAIN 3 Prior Condition: Intractable Pain   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_IMPR_DECSN 4 Prior Condition: Impaired Decision-making   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_DISRUPTIVE 5 Prior Condition: Disruptive or Socially Inappropriate Behavior   Assertion pattern 161473006 history of - behavior problem (situation)    
M1018_PRIOR_MEM_LOSS 6 Prior Condition: Memory Loss, Supervision Required   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_NONE 7 Prior Condition: None of the Above   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1018_PRIOR_NOCHG_14D NA Prior Condition: No Inpatient Discharge, No Change in Regimen in Past 14 Days   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1018_PRIOR_UNKNOWN UK Prior Condition: Unknown   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1020_PRIMARY_DIAG_SEVERITY   Primary Diagnosis Severity Rating            
M1020_PRIMARY_DIAG_SEVERITY 0 Asymptomatic, no treatment needed            
M1020_PRIMARY_DIAG_SEVERITY 1 Symptoms well controlled with current therapy            
M1020_PRIMARY_DIAG_SEVERITY 2 Symptoms controlled with difficulty            
M1020_PRIMARY_DIAG_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1020_PRIMARY_DIAG_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG1_SEVERITY   Other Diagnosis 1: Severity Rating            
M1022_OTH_DIAG1_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG1_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG1_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG1_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG1_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG2_SEVERITY   Other Diagnosis 2: Severity Rating            
M1022_OTH_DIAG2_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG2_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG2_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG2_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG2_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG3_SEVERITY   Other Diagnosis 3: Severity Rating            
M1022_OTH_DIAG3_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG3_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG3_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG3_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG3_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG4_SEVERITY   Other Diagnosis 4: Severity Rating            
M1022_OTH_DIAG4_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG4_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG4_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG4_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG4_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1022_OTH_DIAG5_SEVERITY   Other Diagnosis 5: Severity Rating            
M1022_OTH_DIAG5_SEVERITY 0 Asymptomatic, no treatment needed            
M1022_OTH_DIAG5_SEVERITY 1 Symptoms well controlled with current therapy            
M1022_OTH_DIAG5_SEVERITY 2 Symptoms controlled with difficulty            
M1022_OTH_DIAG5_SEVERITY 3 Symptoms poorly controlled; patient needs frequent adjustment in treatment & dose monitoring            
M1022_OTH_DIAG5_SEVERITY 4 Symptoms poorly controlled; history of re-hospitalizations            
M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4     Concept Not Mapped (Reason #6) – Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping      
M1030   Therapies the patient receives at home Question row/description added to facilitate message format.          
M1030_THH_IV_INFUSION 1 Therapies Received at Home: Intravenous, Infusion   Assertion pattern 14152002 intravenous infusion (procedure)    
M1030_THH_PAR_NUTRITION 2 Therapies Received at Home: Parenteral Nutrition   Assertion pattern 25156005 intravenous feeding of patient (regime/therapy)    
M1030_THH_ENT_NUTRITION 3 Therapies Received at Home: Enteral Nutrition   Assertion pattern 229912004 enteral feeding (regime/therapy)    
M1030_THH_NONE_ABOVE 4 Therapies Received at Home: None of the Above   Assertion pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1032   Risk for hospitalization Question row/description added to facilitate message format. QUESTION/ANSWER PATTERN 102485007 personal risk factor (observable entity)    
M1032_HOSP_RISK_RCNT_DCLN 1 Risk For Hospitalization: Recent Decline In Mental, Emotional Or Behavior Status   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1032_HOSP_RISK_MLTPL_HOSPZTN 2 Risk For Hospitalization: Multiple Hospitalizations (2 Or More) In Past 12 Mo   Question/Answer pattern 310537006 previous multiple hospital admissions (finding)    
M1032_HOSP_RISK_HSTRY_FALLS 3 Risk For Hospitalization: History Of Falls (2 Or More Falls Or Any Fall With An Injury) In Past Year   Question/Answer pattern 428942009 history of fall (situation)    
M1032_HOSP_RISK_5PLUS_MDCTN 4 Risk For Hospitalization: Taking Five Or More Medications   Question/Answer pattern 182848008 patient on numerous drugs (finding)    
M1032_HOSP_RISK_FRAILTY 5 Risk For Hospitalization: Frailty Indicators   Question/Answer pattern 248279007 frailty (finding)    
M1032_HOSP_RISK_OTHR 6 Risk For Hospitalization: Other   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1032_HOSP_RISK_NONE_ABOVE 7 Risk For Hospitalization: None Of The Above   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1034_PTNT_OVRAL_STUS   Patient's Overall Status   QUESTION/ANSWER PATTERN 406221003 health status (observable entity)    
M1034_PTNT_OVRAL_STUS 0 The patient is stable with no heightened risk(s) for serious complications and death (beyond those typical of the patient’s age).   Question/Answer pattern 359746009 patient's condition stable (finding)    
M1034_PTNT_OVRAL_STUS 1 The patient is temporarily facing high health risk(s) but is likely to return to being stable without heightened risk(s) for serious complications and death (beyond those typical of the patient’s age).   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1034_PTNT_OVRAL_STUS 2 The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1034_PTNT_OVRAL_STUS 3 The patient has serious progressive conditions that could lead to death within a year.   Question/Answer pattern 300936002 terminal illness (clinical finding)    
M1034_PTNT_OVRAL_STUS UK The patient’s situation is unknown or unclear.   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1036   Risk factors, either present or past, likely to affect current health status and/or outcome Question row/description added to facilitate message format.          
M1036_RSK_SMOKING 1 High Risk Factor: Smoking   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_OBESITY 2 High Risk Factor: Obesity   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_ALCOHOLISM 3 High Risk Factor: Alcoholism   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_DRUGS 4 High Risk Factor: Drugs   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1036_RSK_NONE 5 High Risk Factor: None of the Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1036_RSK_UNKNOWN UK High Risk Factor: Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine   ASSERTION PATTERN        
M1040_INFLNZ_RCVD_AGNCY 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD     Concept Not Mapped - No comparable CVX concept is available.
M1040_INFLNZ_RCVD_AGNCY 1 Yes   Assertion pattern 86198006 influenza vaccination (procedure)   141
M1040_INFLNZ_RCVD_AGNCY NA Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season.   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination     Concept Not Mapped - No comparable CVX concept is available.
M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency   QUESTION/ANSWER PATTERN 429684009 reason for nonvaccination (observable entity)   Concept Not Mapped - No comparable CVX concept is available.
M1045_INFLNZ_RSN_NOT_RCVD 1 Received from another health care provider (e.g., physician)   Question/Answer pattern 425457005 history of vaccination (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 2 Received from your agency previously during this year's flu season   Question/Answer pattern 425457005 history of vaccination (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 3 Offered and declined   Question/Answer pattern 315640000 influenza vaccination declined (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 4 Assessed and determined to have medical contraindication(s)   Question/Answer pattern 390796006 influenza vaccination contraindicated (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 5 Not indicated; patient does not meet age/condition guidelines for influenza vaccine   Question/Answer pattern 407573008 influenza vaccination not indicated (situation)    
M1045_INFLNZ_RSN_NOT_RCVD 6 Inability to obtain vaccine due to declared shortage   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1045_INFLNZ_RSN_NOT_RCVD 7 None of the above   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Pneumococcal Vaccine   ASSERTION PATTERN        
M1050_PPV_RCVD_AGNCY 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD     Concept Not Mapped - No comparable CVX concept is available.
M1050_PPV_RCVD_AGNCY 1 Yes   Assertion pattern 12866006 pneumococcal vaccination (procedure)   Concept Not Mapped - CVX cod 109 (pneumococcal vaccine, unspecified formulation) was inactivated 9/30/2010.  The three active codes for pneumococcal vaccine specify the valent (13, 7 or 23).  Information on the valent is not available in the OASIS questionnaire.
M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency   QUESTION/ANSWER PATTERN 429684009 reason for nonvaccination (observable entity)   Concept Not Mapped - No comparable CVX concept is available.
M1055_PPV_RSN_NOT_RCVD_AGNCY 1 Patient has received PPV in the past   Question/Answer pattern 425457005 history of vaccination (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 2 Offered and declined   Question/Answer pattern 401086001 pneumococcal vaccination declined (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 3 Assessed and determined to have medical contraindication(s)   Question/Answer pattern 390795005 pneumococcal vaccination contraindicated (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 4 Not indicated; patient does not meet age/condition guidelines for PPV   Question/Answer pattern 415119001 pneumococcal vaccination not indicated (situation)    
M1055_PPV_RSN_NOT_RCVD_AGNCY 5 None of the above   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
LIVING ARRANGEMENTS              
M1100_PTNT_LVG_STUTN   Patient Living Situation   QUESTION/ANSWER PATTERN 224209007 residence and accommodation circumstances (observable entity)    
M1100_PTNT_LVG_STUTN 1 Patient Lives Alone - Around the clock   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 2 Patient Lives Alone - Regular daytime   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 3 Patient Lives Alone - Regular nighttime   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 4 Patient Lives Alone - Occasional / short-term assistance   Question/Answer pattern 105529008 lives alone (finding)    
M1100_PTNT_LVG_STUTN 5 Patient Lives Alone - No assistance available   Question/Answer pattern 105529008 lives alone (finding)    
M1100   Patient lives with other person Question row/description added to facilitate message format.          
M1100_PTNT_LVG_STUTN 6 Patient Lives with Other Person - Around the clock   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 7 Patient Lives with Other Person - Regular daytime   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 8 Patient Lives with Other Person - Regular nighttime   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 9 Patient Lives with Other Person - Occasional / short-term assistance   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100_PTNT_LVG_STUTN 10 Patient Lives with Other Person - No assistance available   Question/Answer pattern 160724009 independent housing, not alone (finding)    
M1100   Patient lives in congregated situtation Question row/description added to facilitate message format.          
M1100_PTNT_LVG_STUTN 11 Patient Lives in Congregrate Situation - Around the clock   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 12 Patient Lives in Congregrate Situation - Regular daytime   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 13 Patient Lives in Congregrate Situation - Regular nighttime   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 14 Patient Lives in Congregrate Situation - Occasional / short-term assistance   Question/Answer pattern 105530003 living in residential institution (finding)    
M1100_PTNT_LVG_STUTN 15 Patient Lives in Congregrate Situation - No assistance available   Question/Answer pattern 105530003 living in residential institution (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
SENSORY STATUS              
M1200_VISION   Sensory Status: Vision   QUESTION/ANSWER PATTERN 405183003 sensory function status: vision (observable entity)    
M1200_VISION 0 Normal vision: sees adequately in most situations; can see medication labels, newsprint.   Question/Answer pattern 45089002 normal vision (finding)    
M1200_VISION 1 Partially impaired: cannot see medication labels or newsprint, but can see obstacles in path, and the surrounding layout; can count fingers at arm's length.   Question/Answer pattern 424883003 Difficulty seeing small print (finding)    
M1200_VISION 2 Severely impaired: cannot locate objects without hearing or touching them or patient nonresponsive.   Question/Answer pattern 267727004 blind or low vision - both eyes (disorder)    
M1210_HEARG_ABLTY   Ability To Hear   QUESTION/ANSWER PATTERN 364019009 ability to hear (observable entity)    
M1210_HEARG_ABLTY 0 Adequate: hears normal conversation without difficulty.   Question/Answer pattern 16233902 Hearing Normal (finding)    
M1210_HEARG_ABLTY 1 Mildly to Moderately Impaired: difficulty hearing in some environments or speaker may need to increase volume or speak distinctly.   Question/Answer pattern 162340000 Hearing difficulty (finding)    
M1210_HEARG_ABLTY 2 Severely Impaired: absence of useful hearing.   Question/Answer pattern 15188001 hearing loss (disorder)    
M1210_HEARG_ABLTY UK Unable to assess hearing.   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language   QUESTION/ANSWER PATTERN 395660004 ability to comprehend concepts (observable entity)    
M1220_UNDRSTG_VERBAL_CNTNT 0 Understands: clear comprehension without cues or repetitions   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1220_UNDRSTG_VERBAL_CNTNT 1 Usually Understands: understands most conversations, but misses some part/intent of message.  Requires cues at times to understand.   Question/Answer pattern 64270008 disturbance of understanding (finding)    
M1220_UNDRSTG_VERBAL_CNTNT 2 Sometimes Understands: understands only basic conversations or simple, direct phrases.  Frequently requires cues to understand.   Question/Answer pattern 422501005 abnormal ability to understand (finding)    
M1220_UNDRSTG_VERBAL_CNTNT 3 Rarely/Never Understands   Question/Answer pattern 53314000 akatamathesia (finding)    
M1220_UNDRSTG_VERBAL_CNTNT UK Unable to assess understanding   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1230_SPEECH   Sensory Status: Speech   QUESTION/ANSWER PATTERN 288598006 ability to use verbal communication (observable entity)    
M1230_SPEECH 0 Expresses complex ideas, feelings, and needs clearly, completely, and easily in all situations with no observable impairment.   Question/Answer pattern 286657001 able to express self (finding)    
M1230_SPEECH 1 Minimal difficulty in expressing ideas and needs (may take extra time; makes occasional errors in word choice, grammar or speech intelligibility; needs minimal prompting or assistance).   Question/Answer pattern 286659003 difficulty expressing self (finding)    
M1230_SPEECH 2 Expresses simple ideas or needs with moderate difficulty (needs prompting or assistance, errors in word choice, organization or speech intelligibility). Speaks in phrases or short sentences.   Question/Answer pattern 286410009 difficulty speaking intelligibly (finding)    
M1230_SPEECH 3 Has severe difficulty expressing basic ideas or needs and requires maximal assistance or guessing by listener. Speech limited to single words or short phrases.   Question/Answer pattern 288614000 difficulty using words (finding)    
M1230_SPEECH 4 Unable to express basic needs even with maximal prompting or assistance but is not comatose or unresponsive (e.g., speech is nonsensical or unintelligible).   Question/Answer pattern 286409004 does not speak intelligibly (finding)    
M1230_SPEECH 5 Patient nonresponsive or unable to speak.   Question/Answer pattern 286369003 unable to speak (finding)    
M1240_FRML_PAIN_ASMT   Has Patient Had A Formal Pain Assessment   QUESTION/ANSWER PATTERN 225399009 pain assessment (procedure)    
M1240_FRML_PAIN_ASMT 0 No standardized assessment conducted   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1240_FRML_PAIN_ASMT 1 Yes, and it does not indicate severe pain   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1240_FRML_PAIN_ASMT 2 Yes, and it indicates severe pain   Question/Answer pattern 76948002 severe pain (finding)    
M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement   QUESTION/ANSWER PATTERN 405160001 pain level: disruptive effects (observable entity)    
M1242_PAIN_FREQ_ACTVTY_MVMT 0 Patient has no pain   Question/Answer pattern 81765008 no pain (situation)    
M1242_PAIN_FREQ_ACTVTY_MVMT 1 Patient has pain that does not interfere with activity or movement   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1242_PAIN_FREQ_ACTVTY_MVMT 2 Less often than daily   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1242_PAIN_FREQ_ACTVTY_MVMT 3 Daily, but not constantly   Question/Answer pattern 162455005 has the symptom daily (finding)    
M1242_PAIN_FREQ_ACTVTY_MVMT 4 All of the time   Question/Answer pattern 162449000 symptom is continuous (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
INTEGUMENTARY STATUS              
M1300_PRSR_ULCR_RISK_ASMT   Was Patient Assessed For Risk Of Developing PUs   QUESTION/ANSWER PATTERN 225392000 pressure sore risk assessment (procedure)    
M1300_PRSR_ULCR_RISK_ASMT 0 No assessment conducted   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1300_PRSR_ULCR_RISK_ASMT 1 Yes, based on an evaluation of clinical factors, e.g., mobility, incontinence, nutrition, etc., without use of standardized tool   Question/Answer pattern 398214005 patient condition assessed (procedure)    
M1300_PRSR_ULCR_RISK_ASMT 2 Yes, using a standardized tool, e.g., Braden, Norton, other   Question/Answer pattern 445536008 assessment using assessment scale (procedure)    
M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs   ASSERTION PATTERN        
M1302_RISK_OF_PRSR_ULCR 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1302_RISK_OF_PRSR_ULCR 1 Yes   Assertion pattern 285304000 at risk of pressure sore (finding)    
M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher   ASSERTION PATTERN        
M1306_UNHLD_STG2_PRSR_ULCR 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1306_UNHLD_STG2_PRSR_ULCR 1 Yes   Assertion pattern 399912005 pressure sore (disorder)    
M1307_OLDST_STG2_AT_DSCHRG   Status Of Oldest Stage II Pressure Ulcer At Discharge   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1307_OLDST_STG2_AT_DSCHRG 1 Was present at the most recent SOC/ROC assessment   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1307_OLDST_STG2_AT_DSCHRG 2 Developed since the most recent SOC/ROC assessment   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1307_OLDST_STG2_AT_DSCHRG NA No non-epithelialized Stage II pressure ulcers are present at discharge   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1307_OLDST_STG2_ONST_DT   Date Of Onset Of Oldest Stage II Pressure Ulcer     298059007 date of onset (observable entity)    
M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4     264892003 number of pressure sores (observable entity)    
M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device     264892003 number of pressure sores (observable entity)    
M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar     264892003 number of pressure sores (observable entity)    
M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution     264892003 number of pressure sores (observable entity)    
M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area     401238003 length of wound (observable entity)    
M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area     401239006 width of wound (observable entity)    
M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area     425094009 depth of wound (observable entity)    
M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer   QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1320_STUS_PRBLM_PRSR_ULCR 0 Newly epithelialized   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1320_STUS_PRBLM_PRSR_ULCR 1 Fully granulating   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1320_STUS_PRBLM_PRSR_ULCR 2 Early/partial granulation   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1320_STUS_PRBLM_PRSR_ULCR 3 Not healing   Question/Answer pattern 271618001 impaired wound healing (finding)    
M1320_STUS_PRBLM_PRSR_ULCR NA No observable pressure ulcer   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1   QUESTION/ANSWER PATTERN 264892003 number of pressure sores (observable entity)    
M1322_NBR_PRSULC_STG1 0 Zero   Question/Answer pattern 260413007 none (qualifier value)    
M1322_NBR_PRSULC_STG1 1 One   Question/Answer pattern 38112003 one (qualifier value)    
M1322_NBR_PRSULC_STG1 2 Two   Question/Answer pattern 19338005 two (qualifier value)    
M1322_NBR_PRSULC_STG1 3 Three   Question/Answer pattern 79605009 three (qualifier value)    
M1322_NBR_PRSULC_STG1 4 Four or more   Question/Answer pattern 9362000 four (qualifier value)    
M1324_STG_PRBLM_ULCER   Stage of Most Problematic Pressure Ulcer   QUESTION/ANSWER PATTERN 420592002 pressure ulcer stage (observable entity)    
M1324_STG_PRBLM_ULCER 1 Stage I   Question/Answer pattern 421076008 pressure ulcer stage 1 (disorder)    
M1324_STG_PRBLM_ULCER 2 Stage II   Question/Answer pattern 420324007 pressure ulcer stage 2 (disorder)    
M1324_STG_PRBLM_ULCER 3 Stage III   Question/Answer pattern 421927004 pressure ulcer stage 3 (disorder)    
M1324_STG_PRBLM_ULCER 4 Stage IV   Question/Answer pattern 420597008 pressure ulcer stage 4 (disorder)    
M1324_STG_PRBLM_ULCER NA No observable pressure ulcer or unhealed pressure ulcer   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1330_STAS_ULCR_PRSNT   Does This Patient Have A Stasis Ulcer   ASSERTION PATTERN        
M1330_STAS_ULCR_PRSNT 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1330_STAS_ULCR_PRSNT 1 Yes, patient has BOTH observable and unobservable stasis ulcers   Assertion pattern 371032004 stasis ulcer (disorder)    
M1330_STAS_ULCR_PRSNT 2 Yes, patient has observable stasis ulcers ONLY   Assertion pattern 371032004 stasis ulcer (disorder)    
M1330_STAS_ULCR_PRSNT 3 Yes, patient has unobservable stasis ulcers ONLY (known but not observable due to non-removable dressing)   Assertion pattern 371032004 stasis ulcer (disorder)    
M1332_NUM_STAS_ULCR   No. Stasis Ulcers   QUESTION/ANSWER PATTERN 264893008 number of ulcers (observable entity)    
M1332_NUM_STAS_ULCR 1 One   Question/Answer pattern 38112003 one (qualifier value)    
M1332_NUM_STAS_ULCR 2 Two   Question/Answer pattern 19338005 two (qualifier value)    
M1332_NUM_STAS_ULCR 3 Three   Question/Answer pattern 79605009 three (qualifier value)    
M1332_NUM_STAS_ULCR 4 Four or more   Question/Answer pattern 9362000 four (qualifier value)    
M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer   QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1334_STUS_PRBLM_STAS_ULCR 0 Newly epithelialized   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1334_STUS_PRBLM_STAS_ULCR 1 Fully granulating   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1334_STUS_PRBLM_STAS_ULCR 2 Early/partial granulation   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1334_STUS_PRBLM_STAS_ULCR 3 Not healing   Question/Answer pattern 271618001 impaired wound healing (finding)    
M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound   ASSERTION PATTERN        
M1340_SRGCL_WND_PRSNT 0 No [ Go to M1350 ]   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1340_SRGCL_WND_PRSNT 1 Yes, patient has at least one (observable) surgical wound   Assertion pattern 419635000 surgical wound finding (finding)    
M1340_SRGCL_WND_PRSNT 2 Surgical wound known but not observable due to non-removable dressing [ Go to M1350 ]   Assertion pattern 419635000 surgical wound finding (finding)    
M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound   QUESTION/ANSWER PATTERN 406214003 wound healing status (observable entity)    
M1342_STUS_PRBLM_SRGCL_WND 0 Newly epithelialized   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1342_STUS_PRBLM_SRGCL_WND 1 Fully granulating   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1342_STUS_PRBLM_SRGCL_WND 2 Early/partial granulation   Question/Answer pattern 225541009 granulation of tissue (finding)    
M1342_STUS_PRBLM_SRGCL_WND 3 Not healing   Question/Answer pattern 271618001 impaired wound healing (finding)    
M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound   ASSERTION PATTERN        
M1350_LESION_OPEN_WND 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1350_LESION_OPEN_WND 1 Yes   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
RESPIRATORY STATUS              
M1400_WHEN_DYSPNEIC   When Dyspneic   QUESTION/ANSWER PATTERN 248546008 ease of respiration (observable entity)    
M1400_WHEN_DYSPNEIC 0 Patient is not short of breath   Question/Answer pattern 276362002 breathing easily (finding)    
M1400_WHEN_DYSPNEIC 1 When walking more than 20 feet, climbing stairs   Question/Answer pattern 390871002 breathless - strenuous exertion (finding)    
M1400_WHEN_DYSPNEIC 2 With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet)   Question/Answer pattern 161939006 breathless - moderate exertion (finding)    
M1400_WHEN_DYSPNEIC 3 With minimal exertion (e.g., while eating, talking, or performing other ADLs) or with agitation   Question/Answer pattern 161940008 breathless - mild exertion (finding)    
M1400_WHEN_DYSPNEIC 4 At rest (during day or night)   Question/Answer pattern 161941007 dyspnea at rest (finding)    
M1410   Respiratory treatments utilized at home: Question row/description added to facilitate message format.          
M1410_RESPTX_OXYGEN 1 Respiratory Treatments: Oxygen   Assertion Pattern 57485005 oxygen therapy (procedure)    
M1410_RESPTX_VENTILATOR 2 Respiratory Treatments: Ventilator   Assertion Pattern 40617009 artificial respiration (procedure)    
M1410_RESPTX_AIRPRESS 3 Respiratory Treatments: Airway Pressure   Assertion Pattern 243141005 mechanically assisted spontaneous ventilation (procedure)    
M1410_RESPTX_NONE 4 Respiratory Treatments: None of the Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CARDIAC STATUS              
M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients   ASSERTION PATTERN        
M1500_SYMTM_HRT_FAILR_PTNTS 0 No   Assertion Pattern 84114007 heart failure (disorder)    
M1500_SYMTM_HRT_FAILR_PTNTS 1 Yes   Assertion Pattern 84114007 heart failure (disorder)    
M1500_SYMTM_HRT_FAILR_PTNTS 2 Not assessed   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1500_SYMTM_HRT_FAILR_PTNTS NA Patient does not have diagnosis of heart failure   Assertion Pattern 103330002 no Dx - Qualifier    
M1510   Heart failure follow-up Question row/description added to facilitate message format.          
M1510_HRT_FAILR_NO_ACTN 0 Heart Failure Follow Up:  No Action   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_PHYSN_CNTCT 1 Heart Failure Follow Up:  Physician Contacted   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_ER_TRTMT 2 Heart Failure Follow Up:  ER Treatment Advised   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_PHYSN_TRTMT 3 Heart Failure Follow Up: Physician-Ordered Treatment Implemented   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_CLNCL_INTRVTN 4 Heart Failure Follow Up:  Patient Education Or Other Clinical Interventions   Assertion Pattern 390884006 heart failure follow-up (finding)    
M1510_HRT_FAILR_CARE_PLAN_CHG 5 Heart Failure Follow Up: Change In Care Plan Orders Obtained   Assertion Pattern 390884006 heart failure follow-up (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
ELIMINATION STATUS              
M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days   ASSERTION PATTERN        
M1600_UTI 0 No   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1600_UTI 1 Yes   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1600_UTI NA Patient on prophylactic treatment   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1600_UTI UK Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present   QUESTION/ANSWER PATTERN 406218000 urinary continence status (observable entity)    
M1610_UR_INCONT 0 No incontinence or catheter (includes anuria or ostomy for urinary drainage)   Question/Answer pattern 45850009 continent of urine (finding)    
M1610_UR_INCONT 1 Patient is incontinent   Question/Answer pattern 165232002 urinary incontinence (finding)    
M1610_UR_INCONT 2 Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic)   Question/Answer pattern 410024004 catheterization of urinary bladder (procedure)    
M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs   QUESTION/ANSWER PATTERN 422058003 number of urinary incontinence episodes (observable entity)    
M1615_INCNTNT_TIMING 0 Timed-voiding defers incontinence   Question/Answer pattern 386401000 prompted voiding (procedure)    
M1615_INCNTNT_TIMING 1 Occasional stress incontinence   Question/Answer pattern 22220005 genuine stress incontinence (finding)    
M1615_INCNTNT_TIMING 2 During the night only   Question/Answer pattern 8009008 nocturnal enuresis (finding)    
M1615_INCNTNT_TIMING 3 During the day only   Question/Answer pattern 307143006 during day (qualifier value)    
M1615_INCNTNT_TIMING 4 During the day and night   Question/Answer pattern 224943009 night and day (qualifier value)    
M1620_BWL_INCONT   Bowel Incontinence Frequency   QUESTION/ANSWER PATTERN 422291001 number of bowel incontinence episodes (observable entity)    
M1620_BWL_INCONT 0 Very rarely or never has bowel incontinence   Question/Answer pattern 24029004 bowels: fully continent (finding)    
M1620_BWL_INCONT 1 Less than once weekly   Question/Answer pattern 165230005 bowels: occasional accident (finding)    
M1620_BWL_INCONT 2 One to three times weekly   Question/Answer pattern 70232002 frequent (qualifier value)    
M1620_BWL_INCONT 3 Four to six times weekly   Question/Answer pattern 27732004 high frequency (qualifier value)    
M1620_BWL_INCONT 4 On a daily basis   Question/Answer pattern 69620002 daily (qualifier value)    
M1620_BWL_INCONT 5 More often than once daily   Question/Answer pattern 69620002 daily (qualifier value)    
M1620_BWL_INCONT NA Patient has ostomy for bowel elimination   Question/Answer pattern 225577002 stoma finding (finding)    
M1620_BWL_INCONT UK Unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1630_OSTOMY   Ostomy for Bowel Elimination   QUESTION/ANSWER PATTERN 405001001 bowel elimination status (observable entity)    
M1630_OSTOMY 0 Patient does NOT have an ostomy for bowel elimination.   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1630_OSTOMY 1 Patient's ostomy was NOT related to an inpatient stay and did NOT necessitate change in medical or treatment regimen.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1630_OSTOMY 2 The ostomy WAS related to an inpatient stay or DID necessitate change in medical or treatment regimen.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
NEURO/EMOTIONAL/BEHAVIORAL  STATUS              
M1700_COG_FUNCTION   Cognitive Functioning   QUESTION/ANSWER PATTERN 311465003 cognitive functions (observable entity)    
M1700_COG_FUNCTION 0 Alert/oriented, able to focus and shift attention, comprehends and recalls task directions independently.   Question/Answer pattern 248234008 mentally alert (finding)    
M1700_COG_FUNCTION 1 Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1700_COG_FUNCTION 2 Requires assistance/direction in specific situations (e.g., all tasks involving shifting of attention) or consistently requires low stimulus environmnt due to distractibility.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1700_COG_FUNCTION 3 Requires considerable assist in routine situations. Is not alert and oriented or is unable to shift attention and recall directions more than half the time.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1700_COG_FUNCTION 4 Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium.   Question/Answer pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1710_WHEN_CONFUSED   When Confused (Reported or Observed)   QUESTION/ANSWER PATTERN 363871006 mental state (observable entity)    
M1710_WHEN_CONFUSED 0 Never   Question/Answer pattern 225439006 not confused (finding)    
M1710_WHEN_CONFUSED 1 In new or complex situations only   Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 2 On awakening or at night only   Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 3 During the day and evening, but not constantly   Question/Answer pattern 281793005 intermittent confusion (finding)    
M1710_WHEN_CONFUSED 4 Constantly   Question/Answer pattern 40917007 clouded consciousness (finding)    
M1710_WHEN_CONFUSED NA Patient nonresponsive   Question/Answer pattern 422768004 unresponsive (finding)    
M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed)   QUESTION/ANSWER PATTERN 405051006 level of anxiety (observable entity)    
M1720_WHEN_ANXIOUS 0 None of the time   Question/Answer pattern 260413007 none (qualifier value)    
M1720_WHEN_ANXIOUS 1 Less often than daily   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1720_WHEN_ANXIOUS 2 Daily, but not constantly   Question/Answer pattern 69620002 daily (qualifier value)    
M1720_WHEN_ANXIOUS 3 All of the time   Question/Answer pattern 255238004 continuous (qualifier value)    
M1720_WHEN_ANXIOUS NA Patient nonresponsive   Question/Answer pattern 422768004 unresponsive (finding)    
M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool   ASSERTION PATTERN        
M1730_STDZ_DPRSN_SCRNG 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1730_STDZ_DPRSN_SCRNG 1 Yes, patient was screened using the PHQ-2©* scale. (Instructions for this two-question tool: Ask patient: “Over the last two weeks, how often have you been bothered by any of the following problems”)   Assertion pattern 171207006 depression screening (procedure)    
M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1730_PHQ2_LACK_INTRST 1a-0 Not at all (0 - 1 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_LACK_INTRST 1a-1 Several days (2-6 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_LACK_INTRST 1a-2 More than half of the days (7-11 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_LACK_INTRST 1a-3 Nearly every day (12-14 days)   Question/Answer pattern 69620002 daily (qualifier value)    
M1730_PHQ2_LACK_INTRST 1a-NA Unable to respond   Question/Answer pattern 422768004 unresponsive (finding)    
M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M1730_PHQ2_DPRSN 1b-0 Not at all (0 - 1 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_DPRSN 1b-1 Several days (2-6 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_DPRSN 1b-2 More than half of the days (7-11 days)   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_PHQ2_DPRSN 1b-3 Nearly every day (12-14 days)   Question/Answer pattern 69620002 daily (qualifier value)    
M1730_PHQ2_DPRSN 1b-NA Unable to respond   Question/Answer pattern 422768004 unresponsive (finding)    
M1730_STDZ_DPRSN_SCRNG 2 Yes, with a different standardized assessment-and the patient meets criteria for further evaluation for depression.   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1730_STDZ_DPRSN_SCRNG 3 Yes, patient was screened with a different standardized assessment-and the patient does not meet criteria for further evaluation for depression.   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): Question row/description added to facilitate message format.          
M1740_BD_MEM_DEFICIT 1 Behavior Demonstrated: Memory Deficit   Assertion Pattern 386807006 memory impairment (finding)    
M1740_BD_IMP_DECISN 2 Behavior Demonstrated: Impaired Decision-making   Assertion Pattern 247585004 difficulty making decisions (finding)    
M1740_BD_VERBAL 3 Behavior Demonstrated: Verbal Disruption   Assertion Pattern 284616006 verbally threatening behavior (finding)    
M1740_BD_PHYSICAL 4 Behavior Demonstrated: Physical Aggression   Assertion Pattern 284615005 physically threatening behavior (finding)    
M1740_BD_SOC_INAPPRO 5 Behavior Demonstrated: Socially Inappropriate   Assertion Pattern 112082005 inappropriate behavior (finding)    
M1740_BD_DELUSIONS 6 Behavior Demonstrated: Delusions   Assertion Pattern 2073000 delusions (finding)    
M1740_BD_NONE 7 Behavior Demonstrated: None of the Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M1745_BEH_PROB_FREQ   Frequency of Behavior Problems   QUESTION/ANSWER PATTERN 162458007 / 54319003 symptom frequency (observable entity) & disruptive behavior disorder (disorder)    
M1745_BEH_PROB_FREQ 0 Never   Question/Answer pattern 51746009 normal behavior (finding)    
M1745_BEH_PROB_FREQ 1 Less than once a month   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1745_BEH_PROB_FREQ 2 Once a month   Question/Answer pattern 162458007 has the symptom monthly (finding)    
M1745_BEH_PROB_FREQ 3 Several times each month   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M1745_BEH_PROB_FREQ 4 Several times a week   Question/Answer pattern 162457002 has the symptom weekly (finding)    
M1745_BEH_PROB_FREQ 5 At least daily   Question/Answer pattern 162455005 has the symptom daily (finding)    
M1750_REC_PSYCH_NURS   Receives Psychiatric Nursing   ASSERTION PATTERN        
M1750_REC_PSYCH_NURS 0 No   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1750_REC_PSYCH_NURS 1 Yes   Assertion Pattern 305570008 under care of psychiatric nurse (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
ADL/IADLs              
M1800_CUR_GROOMING   Current: Grooming   QUESTION/ANSWER PATTERN 165225006 ability to perform grooming activity (observable entity)    
M1800_CUR_GROOMING 0 Able to groom self unaided, with or without the use of assistive devices or adapted methods.   Question/Answer pattern 284856006 able to perform grooming activity (finding)    
M1800_CUR_GROOMING 1 Grooming utensils must be placed within reach before able to complete grooming activities.   Question/Answer pattern 225964003 assisting with personal hygiene (procedure)    
M1800_CUR_GROOMING 2 Someone must assist the patient to groom self.   Question/Answer pattern 284857002 unable to perform grooming activity (finding)    
M1800_CUR_GROOMING 3 Patient depends entirely upon someone else for grooming needs.   Question/Answer pattern 165226007 dependent for grooming (finding)    
M1810_CUR_DRESS_UPPER   Current: Dress Upper Body   QUESTION/ANSWER PATTERN 284967006 ability to perform dressing activity (observable entity)    
M1810_CUR_DRESS_UPPER 0 Able to get clothes out of closets and drawers, put them on and remove them from the upper body without assistance.   Question/Answer pattern 129035000 independent with dressing (finding)    
M1810_CUR_DRESS_UPPER 1 Able to dress upper body without assistance if clothing is laid out or handed to the patient.   Question/Answer pattern 129039006 needs help with dressing (finding)    
M1810_CUR_DRESS_UPPER 2 Someone must help the patient put on upper body clothing.   Question/Answer pattern 424445006 difficulty with dressing upper body (finding)    
M1810_CUR_DRESS_UPPER 3 Patient depends entirely upon another person to dress the upper body.   Question/Answer pattern 284969009 unable to perform dressing activity (finding)    
M1820_CUR_DRESS_LOWER   Current: Dress Lower Body   QUESTION/ANSWER PATTERN 284967006 ability to perform dressing activity (observable entity)    
M1820_CUR_DRESS_LOWER 0 Able to obtain, put on, and remove clothing and shoes without assistance.   Question/Answer pattern 129035000 independent with dressing (finding)    
M1820_CUR_DRESS_LOWER 1 Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient.   Question/Answer pattern 129039006 needs help with dressing (finding)    
M1820_CUR_DRESS_LOWER 2 Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes.   Question/Answer pattern 425353005 difficulty with dressing lower body (finding)    
M1820_CUR_DRESS_LOWER 3 Patient depends entirely upon another person to dress lower body.   Question/Answer pattern 284969009 unable to perform dressing activity (finding)    
M1830_CRNT_BATHG   Current: Bathing   QUESTION/ANSWER PATTERN 284797005 ability to perform bathing activity (observable entity)    
M1830_CRNT_BATHG 0 Able to bathe self in shower or tub independently, including getting in and out of tub/shower.   Question/Answer pattern 129041007 independent bathing (finding)    
M1830_CRNT_BATHG 1 With the use of devices, is able to bathe self in shower or tub independently, including getting in and out of the tub/shower.   Question/Answer pattern 284798000 able to perform bathing activity (finding)    
M1830_CRNT_BATHG 2 Able to bathe in shower or tub with the intermittent assistance of another person:  (a) for intermittent supervision or encouragement or reminders, OR (b) to get in and out of the shower or tub, OR (c) for washing difficult to reach areas.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 3 Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 4 Unable to use the shower or tub, but able to bathe self independently with or without the use of devices at the sink, in chair, or on commode.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 5 Unable to use the shower or tub, but able to participate in bathing self in bed, at the sink, in bedside chair, or on commode, with the assistance or supervision of another person throughout the bath.   Question/Answer pattern 129040008 bathing assisted (finding)    
M1830_CRNT_BATHG 6 Unable to participate effectively in bathing and is bathed totally by another person.   Question/Answer pattern 129043005 dependent for bathing (finding)    
M1840_CUR_TOILTG   Current: Toileting   QUESTION/ANSWER PATTERN 301537008 ability to get on and off toilet (observable entity)    
M1840_CUR_TOILTG 0 Able to get to and from the toilet and transfer independently with or without a device.   Question/Answer pattern 301538003 able to get on and off toilet (finding)    
M1840_CUR_TOILTG 1 When reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer.   Question/Answer pattern 301538003 able to get on and off toilet (finding)    
M1840_CUR_TOILTG 2 Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance).   Question/Answer pattern 301539006 unable to get on and off toilet (finding)    
M1840_CUR_TOILTG 3 Unable to get to and from the toilet or bedside commode but is able to use a bedpan/urinal independently.   Question/Answer pattern 301539006 unable to get on and off toilet (finding)    
M1840_CUR_TOILTG 4 Is totally dependent in toileting.   Question/Answer pattern 129078005 dependent in toilet (finding)    
M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene   QUESTION/ANSWER PATTERN 284899001 ability to perform toileting activities (observable entity)    
M1845_CUR_TOILTG_HYGN 0 Able to manage toileting hygiene and clothing management without assistance.   Question/Answer pattern 284900006 able to perform toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 1 Able to manage toileting hygiene and clothing management without assistance if supplies/implements are laid out for the patient.   Question/Answer pattern 284900006 able to perform toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 2 Someone must help the patient to maintain toileting hygiene and/or adjust clothing.   Question/Answer pattern 284905001 difficulty performing toileting activities (finding)    
M1845_CUR_TOILTG_HYGN 3 Patient depends entirely upon another person to maintain toileting hygiene.   Question/Answer pattern 284901005 unable to perform toileting activities (finding)    
M1850_CUR_TRNSFRNG   Current: Transferring   QUESTION/ANSWER PATTERN 364666007 ability to transfer location (observable entity)    
M1850_CUR_TRNSFRNG 0 Able to independently transfer.   Question/Answer pattern 129079002 transfer independent (finding)    
M1850_CUR_TRNSFRNG 1 Able to transfer with minimal human assistance or with use of an assistive device.   Question/Answer pattern 129047006 transfer assisted (finding)    
M1850_CUR_TRNSFRNG 2 Able to bear weight and pivot during the transfer process but unable to transfer self.   Question/Answer pattern 302264008 transfer assisted (finding)    
M1850_CUR_TRNSFRNG 3 Unable to transfer self and is unable to bear weight or pivot when transferred by another person.   Question/Answer pattern 302264008 unable to transfer (finding)    
M1850_CUR_TRNSFRNG 4 Bedfast, unable to transfer but is able to turn and position self in bed.   Question/Answer pattern 301681008 able to move in bed (finding)    
M1850_CUR_TRNSFRNG 5 Bedfast, unable to transfer and is unable to turn and position self.   Question/Answer pattern 301682001 unable to move in bed (finding)    
M1860_CRNT_AMBLTN   Current: Ambulation   QUESTION/ANSWER PATTERN 282097004 ability to walk (observable entity)    
M1860_CRNT_AMBLTN 0 Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (i.e., needs no human assistance or assistive device).   Question/Answer pattern 165245003 independent walking (finding)    
M1860_CRNT_AMBLTN 1 With the use of a one-handed device (e.g. cane, single crutch, hemi-walker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings.   Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1860_CRNT_AMBLTN 2 Requires use of a two-handed device (e.g., walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces.   Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1860_CRNT_AMBLTN 3 Able to walk only with the supervision or assistance of another person at all times.   Question/Answer pattern 371152001 assisted (qualifier value)    
M1860_CRNT_AMBLTN 4 Chairfast, unable to ambulate but is able to wheel self independently.   Question/Answer pattern 165243005 independent in wheelchair (finding)    
M1860_CRNT_AMBLTN 5 Chairfast, unable to ambulate and is unable to wheel self.   Question/Answer pattern 413121008 dependent on helper pushing wheelchair (finding)    
M1860_CRNT_AMBLTN 6 Bedfast, unable to ambulate or be up in a chair.   Question/Answer pattern 160685001 bed-ridden (finding)    
M1870_CUR_FEEDING   Current: Feeding   QUESTION/ANSWER PATTERN 165221002 feeding ability (observable entity)    
M1870_CUR_FEEDING 0 Able to independently feed self.   Question/Answer pattern 165224005 independent feeding (finding)    
M1870_CUR_FEEDING 1 Able to feed self independently but requires: (a) meal set-up; OR (b) intermittent assistance or supervision from another person; OR (c) a liquid, pureed or ground meat diet.   Question/Answer pattern 371157007 has difficulty doing (qualifier value)    
M1870_CUR_FEEDING 2 Unable to feed self and must be assisted or supervised throughout the meal/snack.   Question/Answer pattern 371152001 assisted (qualifier value)    
M1870_CUR_FEEDING 3 Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy.   Question/Answer pattern 83813007 tube feeding diet (finding)    
M1870_CUR_FEEDING 4 Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy.   Question/Answer pattern 83813007 tube feeding diet (finding)    
M1870_CUR_FEEDING 5 Unable to take in nutrients orally or by tube feeding.   Question/Answer pattern 288885009 unable to eat (finding)    
M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals   QUESTION/ANSWER PATTERN 286488009 ability to prepare meal (observable entity)    
M1880_CUR_PREP_LT_MEALS 0 (a) Able to independently plan and prepare all light meals for self or reheat delivered meals; OR (b) Is physically, cognitively, and mentally able to prepare light meals on a regular basis but has not routinely performed light meal preparation in the pas   Question/Answer pattern 286489001 able to prepare meal (finding)    
M1880_CUR_PREP_LT_MEALS 1 Unable to prepare light meals on a regular basis due to physical, cognitive, or mental limitations.   Question/Answer pattern 286490005 unable to prepare meal (finding)    
M1880_CUR_PREP_LT_MEALS 2 Unable to prepare any light meals or reheat any delivered meals.   Question/Answer pattern 286490005 unable to prepare meal (finding)    
M1890_CUR_PHONE_USE   Current: Telephone Use   QUESTION/ANSWER PATTERN 300730001 ability to use telephone (observable entity)    
M1890_CUR_PHONE_USE 0 Able to dial numbers and answer calls appropriately and as desired.   Question/Answer pattern 129048001 telephone independent (finding)    
M1890_CUR_PHONE_USE 1 Able to use a specially adapted telephone (i.e., large numbers on the dial, teletype phone for the deaf) and call essential numbers.   Question/Answer pattern 300731002 able to use telephone (finding)    
M1890_CUR_PHONE_USE 2 Able to answer the telephone and carry on a normal conversation but has difficulty with placing calls.   Question/Answer pattern 300736007 difficulty using telephone (finding)    
M1890_CUR_PHONE_USE 3 Able to answer the telephone only some of the time or is able to carry on only a limited conversation.   Question/Answer pattern 300736007 difficulty using telephone (finding)    
M1890_CUR_PHONE_USE 4 UNABLE to answer the telephone at all but can listen if assisted with equipment.   Question/Answer pattern 129071004 telephone dependent (finding)    
M1890_CUR_PHONE_USE 5 Totally unable to use the telephone.   Question/Answer pattern 300733004 unable to use telephone (finding)    
M1890_CUR_PHONE_USE NA Patient does not have a telephone.   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1900_PRIOR_ADLIADL_SELF a Prior Functioning ADL/IADL: Self-care (grooming, Bathing, Dressing)   QUESTION/ANSWER PATTERN 284779002 ability to perform personal hygiene activity (observable entity)    
M1900_PRIOR_ADLIADL_SELF a-0 Independent   Question/Answer pattern 371153006 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_SELF a-1 Needed Some Help   Question/Answer pattern 371152001 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_SELF a-2 Dependent   Question/Answer pattern 371154000 dependent (qualifier value)    
M1900_PRIOR_ADLIADL_AMBLTN b Prior Functioning ADL/IADL: Ambulation   QUESTION/ANSWER PATTERN 282097004 ability to walk (observable entity)    
M1900_PRIOR_ADLIADL_AMBLTN b-0 Independent   Question/Answer pattern 165245003 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_AMBLTN b-1 Needed Some Help   Question/Answer pattern 427512004 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_AMBLTN b-2 Dependent   Question/Answer pattern 282145008 dependent (qualifier value)    
M1900_PRIOR_ADLIADL_TRNSFR c Prior Functioning ADL/IADL: Transfer   QUESTION/ANSWER PATTERN 364666007 ability to transfer location (observable entity)    
M1900_PRIOR_ADLIADL_TRNSFR c-0 Independent   Question/Answer pattern 129079002 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_TRNSFR c-1 Needed Some Help   Question/Answer pattern 129047006 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_TRNSFR c-2 Dependent   Question/Answer pattern 129059005 dependent (qualifier value)    
M1900_PRIOR_ADLIADL_HSEHOLD d Prior Functioning ADL/IADL: Household Tasks   QUESTION/ANSWER PATTERN 285809000 ability to perform domestic activities (observable entity)    
M1900_PRIOR_ADLIADL_HSEHOLD d-0 Independent   Question/Answer pattern 129072006 independently able (qualifier value)    
M1900_PRIOR_ADLIADL_HSEHOLD d-1 Needed Some Help   Question/Answer pattern 129051008 assisted (qualifier value)    
M1900_PRIOR_ADLIADL_HSEHOLD d-2 Dependent   Question/Answer pattern 129031009 dependent (qualifier value)    
M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment?   QUESTION/ANSWER PATTERN 414191008 fall risk assessment (procedure)    
M1910_MLT_FCTR_FALL_RISK_ASMT 0 No multi-factor falls risk assessment conducted.   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M1910_MLT_FCTR_FALL_RISK_ASMT 1 Yes, and it does not indicate a risk for falls.   Question/Answer pattern 298345007 does not fall (finding)    
M1910_MLT_FCTR_FALL_RISK_ASMT 2 Yes, and it indicates a risk for falls.   Question/Answer pattern 129839007 at risk for falls (finding)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
MEDICATIONS              
M2000_DRUG_RGMN_RVW   Drug Regimen Review   QUESTION/ANSWER PATTERN 182836005 review of medication (procedure)    
M2000_DRUG_RGMN_RVW 0 Not assessed/reviewed   Question/Answer pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2000_DRUG_RGMN_RVW 1 No problems found during review   Question/Answer pattern 408358005 no significant drug interactions (finding)    
M2000_DRUG_RGMN_RVW 2 Problems found during review   Question/Answer pattern 309298003 drug therapy finding (finding)    
M2000_DRUG_RGMN_RVW NA Patient is not taking any medications   Question/Answer pattern 182849000 no drug therapy prescribed (situation)    
M2002_MDCTN_FLWP   Medication Follow-up   ASSERTION PATTERN        
M2002_MDCTN_FLWP 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2002_MDCTN_FLWP 1 Yes   Assertion pattern 304561000 informing health care professional (procedure)    
M2004_MDCTN_INTRVTN   Medication Intervention   ASSERTION PATTERN        
M2004_MDCTN_INTRVTN 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2004_MDCTN_INTRVTN 1 Yes   Assertion pattern 182836005 review of medication (procedure)    
M2004_MDCTN_INTRVTN NA No clinically significant medication issues identified since the previous OASIS assessment   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2010_HIGH_RISK_DRUG_EDCTN   Patient/Caregiver High Risk Drug Education   ASSERTION PATTERN        
M2010_HIGH_RISK_DRUG_EDCTN 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2010_HIGH_RISK_DRUG_EDCTN 1 Yes   Assertion pattern 967006 medication education (procedure)    
M2010_HIGH_RISK_DRUG_EDCTN NA Patient not taking any high risk drugs OR patient/caregiver fully knowledgeable about special precautions associated with all high-risk medications   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2015_DRUG_EDCTN_INTRVTN   Patient/Caregiver Drug Education Intervention   ASSERTION PATTERN        
M2015_DRUG_EDCTN_INTRVTN 0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2015_DRUG_EDCTN_INTRVTN 1 Yes   Assertion pattern 396074002 medication administration education (procedure)    
M2015_DRUG_EDCTN_INTRVTN NA Patient not taking any drugs   Assertion pattern 182849000 no drug therapy prescribed (situation)    
M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications   QUESTION/ANSWER PATTERN 404982001 ability to self-administer non-parenteral medication (observable entity)    
M2020_CRNT_MGMT_ORAL_MDCTN 0 Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.   Question/Answer pattern 285034004 able to manage medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 1 Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart.   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person at the appropriate times   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN 3 Unable to take medication unless administered by another person.   Question/Answer pattern 408366001 unable to use medication (finding)    
M2020_CRNT_MGMT_ORAL_MDCTN NA No oral medications prescribed.   Question/Answer pattern 182849000 no drug therapy prescribed (situation)    
M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications   QUESTION/ANSWER PATTERN 404983006 ability to self-administer parenteral medication (observable entity)    
M2030_CRNT_MGMT_INJCTN_MDCTN 0 Able to independently take the correct medication(s) and proper dosage(s) at the correct times.   Question/Answer pattern 285034004 able to manage medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 1 Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart.   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 2 Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection   Question/Answer pattern 285038001 difficulty managing medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN 3 Unable to take injectable medication unless administered by another person.   Question/Answer pattern 408366001 unable to use medication (finding)    
M2030_CRNT_MGMT_INJCTN_MDCTN NA No injectable medications prescribed.   Question/Answer pattern 182849000 no drug therapy prescribed (situation)    
M2040_PRIOR_MGMT_ORAL_MDCTN a Prior Med Mgmt: Oral Medications   QUESTION/ANSWER PATTERN 404982001 ability to self-administer non-parenteral medication (observable entity)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-0 Independent   Question/Answer pattern 371153006 independently able (qualifier value)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-1 Needed Some Help   Question/Answer pattern 371152001 assisted (qualifier value)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-2 Dependent   Question/Answer pattern 371154000 dependent (qualifier value)    
M2040_PRIOR_MGMT_ORAL_MDCTN a-NA Not Applicable   Question/Answer pattern 385432009 not applicable (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b Prior Med Mgmt: Injectable Medications   QUESTION/ANSWER PATTERN 404983006 ability to self-administer parenteral medication (observable entity)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-0 Independent   Question/Answer pattern 371153006 independently able (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-1 Needed Some Help   Question/Answer pattern 371152001 assisted (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-2 Dependent   Question/Answer pattern 371154000 dependent (qualifier value)    
M2040_PRIOR_MGMT_INJCTN_MDCTN b-NA Not Applicable   Question/Answer pattern 385432009 not applicable (qualifier value)    
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
CARE MANAGEMENT              
M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL   QUESTION/ANSWER PATTERN 413634008 basic activity of daily living (observable entity)    
M2100_CARE_TYPE_SRC_ADL a-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_ADL a-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_ADL a-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_ADL a-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_ADL a-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_ADL a-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL   QUESTION/ANSWER PATTERN 414514009 instrumental activity of daily living (observable entity)    
M2100_CARE_TYPE_SRC_IADL b-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_IADL b-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_IADL b-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_IADL b-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_IADL b-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_IADL b-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin   QUESTION/ANSWER PATTERN 285033005 ability to manage medication (observable entity)    
M2100_CARE_TYPE_SRC_MDCTN c-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_MDCTN c-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_MDCTN c-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_MDCTN c-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx   QUESTION/ANSWER PATTERN 304897000 ability to comply with treatment (observable entity)    
M2100_CARE_TYPE_SRC_PRCDR d-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_PRCDR d-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_PRCDR d-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_PRCDR d-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_EQUIP e-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_EQUIP e-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_EQUIP e-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_EQUIP e-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety   QUESTION/ANSWER PATTERN Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_SPRVSN f-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_SPRVSN f-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_SPRVSN f-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_SPRVSN f-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation   QUESTION/ANSWER PATTERN 372038002 advocacy (regime/therapy)    
M2100_CARE_TYPE_SRC_ADVCY g-0 No assistance needed in this area   Question/Answer pattern 371153006 independently able (qualifier value)    
M2100_CARE_TYPE_SRC_ADVCY g-1 Caregiver(s) currently provide assistance   Question/Answer pattern 184156005 has a carer (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-2 Caregiver(s) need training/ supportive services to provide assistance   Question/Answer pattern 423320002 caregiver difficulty providing healthcare (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-3 Caregiver(s) not likely to provide assistance   Question/Answer pattern 224489008 carer is unwilling to care (finding)    
M2100_CARE_TYPE_SRC_ADVCY g-4 Unclear if Caregiver(s) will provide assistance   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2100_CARE_TYPE_SRC_ADVCY g-5 Assistance needed, but no Caregiver(s) available   Question/Answer pattern 276039008 no carer (finding)    
M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any   QUESTION/ANSWER PATTERN 105389006 personal care assistance at home (procedure)    
M2110_ADL_IADL_ASTNC_FREQ 1 At least daily   Question/Answer pattern 69620002 daily (qualifier value)    
M2110_ADL_IADL_ASTNC_FREQ 2 Three or more times per week   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2110_ADL_IADL_ASTNC_FREQ 3 One to two times per week   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2110_ADL_IADL_ASTNC_FREQ 4 Received, but less often than weekly   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2110_ADL_IADL_ASTNC_FREQ 5 No assistance received   Question/Answer pattern 260413007 none (qualifier value)    
M2110_ADL_IADL_ASTNC_FREQ UK Unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
THERAPY NEED AND PLAN OF CARE              
M2200_THER_NEED_NUM   Therapy Need: Number of Visits     409023009 professional / ancillary services care (regime/therapy)    
M2200_THER_NEED_NA   Therapy Need: Not Applicable   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PTNT_SPECF a Plan Of Care Synopsis: Patient Specific Parameters   ASSERTION PATTERN        
M2250_PLAN_SMRY_PTNT_SPECF a-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PTNT_SPECF a-1 Yes   Assertion pattern 370836008 monitoring physiological parameters (regime/therapy)    
M2250_PLAN_SMRY_PTNT_SPECF a-NA Physician has chosen not to establish patient -specific parameters for this patient. Agency will use standardized clinical guidelines accessible for all care providers to reference.   Assertion pattern 372921003 providing care according to standard (regime/therapy)    
M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care   ASSERTION PATTERN        
M2250_PLAN_SMRY_DBTS_FT_CARE b-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_DBTS_FT_CARE b-1 Yes   Assertion pattern 385957006 foot care management (procedure)    
M2250_PLAN_SMRY_DBTS_FT_CARE b-NA Patient is not diabetic or is bilateral amputee.   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions   ASSERTION PATTERN        
M2250_PLAN_SMRY_FALL_PRVNT c-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_FALL_PRVNT c-1 Yes   Assertion pattern 386296001 fall prevention (procedure)    
M2250_PLAN_SMRY_FALL_PRVNT c-NA Patient is not assessed to be at risk for falls.   Assertion pattern 298345007 does not fall (finding)    
M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions   ASSERTION PATTERN        
M2250_PLAN_SMRY_DPRSN_INTRVTN d-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_DPRSN_INTRVTN d-1 Yes   Assertion pattern 401174001 depression management program (regime/therapy)    
M2250_PLAN_SMRY_DPRSN_INTRVTN d-NA Patient has not diagnosis or symptoms of depression.   Assertion pattern 134417007 level of mood - normal (finding)    
M2250_PLAN_SMRY_PAIN_INTRVTN e Plan Of Care Synopsis: Pain Interventions   ASSERTION PATTERN        
M2250_PLAN_SMRY_PAIN_INTRVTN e-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PAIN_INTRVTN e-1 Yes   Assertion pattern 278414003 pain management (procedure)    
M2250_PLAN_SMRY_PAIN_INTRVTN e-NA No pain identified   Assertion pattern 301379001 no present pain (finding)    
M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention   ASSERTION PATTERN        
M2250_PLAN_SMRY_PRSULC_PRVNT f-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PRSULC_PRVNT f-1 Yes   Assertion pattern 225996006 pressure sore prevention (procedure)    
M2250_PLAN_SMRY_PRSULC_PRVNT f-NA Patient is not assessed to be at risk for pressure ulcers.   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment   ASSERTION PATTERN        
M2250_PLAN_SMRY_PRSULC_TRTMT g-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2250_PLAN_SMRY_PRSULC_TRTMT g-1 Yes   Assertion pattern 225357008 pressure sore care (regime/therapy)    
M2250_PLAN_SMRY_PRSULC_TRTMT g-NA Patient has no pressure ulcers with need for moist wound healing.   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
EMERGENT CARE              
M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection   ASSERTION PATTERN        
M2300_EMER_USE_AFTR_LAST_ASMT 0 No   Assertion Pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2300_EMER_USE_AFTR_LAST_ASMT 1 Yes, used hospital emergency department WITHOUT hospital admission   Assertion Pattern 50331008 emergency room admission, followed by release (procedure)    
M2300_EMER_USE_AFTR_LAST_ASMT 2 Yes, used hospital emergency department WITH hospital admission   Assertion Pattern 183452005 emergency hospital admission (procedure)    
M2300_EMER_USE_AFTR_LAST_ASMT UK Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310   Reason for emergent care Question row/description added to facilitate message format. ASSERTION PATTERN        
M2310_ECR_MEDICATION 1 Emergent Care Reason: Medication   Assertion Pattern 62014003 adverse reaction to drug (disorder)    
M2310_ECR_INJRY_BY_FALL 2 Emergent Care Reason: Injury Caused By Fall   Assertion Pattern 398117008 falling injury (disorder)    
M2310_ECR_RSPRTRY_INFCTN 3 Emergent Care Reason: Respiratory Infection   Assertion Pattern 275498002 respiratory tract infection (disorder)    
M2310_ECR_RSPRTRY_OTHR 4 Emergent Care Reason: Respiratory Other   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310_ECR_HRT_FAILR 5 Emergent Care Reason: Heart Failure   Assertion Pattern 84114007 heart failure (disorder)    
M2310_ECR_CRDC_DSRTHM 6 Emergent Care Reason: Cardiac Dysrhythmia   Assertion Pattern 44808001 conduction disorder of the heart (disorder)    
M2310_ECR_MI_CHST_PAIN 7 Emergent Care Reason: Myocardial Infarction Or Chest Pain   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_OTHR_HRT_DEASE 8 Emergent Care Reason: Other Heart Disease   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310_ECR_STROKE_TIA 9 Emergent Care Reason: Stroke (CVA) Or TIA   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_HYPOGLYC 10 Emergent Care Reason: Hypoglycemia   Assertion Pattern 302866003 hypoglycemia (disorder)    
M2310_ECR_GI_PRBLM 11 Emergent Care: GI Bleeding, Obstruction, Constipation, Impaction   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_DHYDRTN_MALNTR 12 Emergent Care Reason: Dehydration, Malnutrition   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_UTI 13 Emergent Care Reason: Urinary Track Infection   Assertion Pattern 68566005 urinary tract infectious disease (disorder)    
M2310_ECR_CTHTR_CMPLCTN 14 Emergent Care Reason: IV Catheter-related Infection Or Complication   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_WND_INFCTN_DTRORTN 15 Emergent Care Reason: Wound Infection Or Deterioration   Assertion Pattern 271618001 impaired wound healing (finding)    
M2310_ECR_UNCNTLD_PAIN 16 Emergent Care Reason: Uncontrolled Pain   Assertion Pattern 39565009 pain crisis (finding)    
M2310_ECR_MENTL_BHVRL_PRBLM 17 Emergent Care Reason: Acute Mental/Behavioral Health Problem   Assertion Pattern 413307004 mental health problem (finding)    
M2310_ECR_DVT_PULMNRY 18 Emergent Care Reason: Deep Vein Thrombosis, Pulmonary Embolus   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2310_ECR_OTHER 19 Emergent Care Reason: Other Than Above   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2310_ECR_UNKNOWN UK Emergent Care Reason: Unknown   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
CMS Question ID Answer CMS Description
Light Orange Shading Indicates Start of New Question per CMS Data Dictionary
General Guidance Mapping Based on the Following Pattern for Representation of Data Element SNOMED CT Code SNOMED CT Fully Specified Name CDC Race & Ethnicity Codes* Codes for Vaccines Administered (CVX)
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY              
M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_DBTS_FT a-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_DBTS_FT a-1 Yes   Assertion pattern 385957006 foot care management (procedure)    
M2400_INTRVTN_SMRY_DBTS_FT a-NA Patient is not diabetic or is bilateral amputee   Assertion pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_FALL_PRVNT b-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_FALL_PRVNT b-1 Yes   Assertion pattern 386296001 fall prevention (procedure)    
M2400_INTRVTN_SMRY_FALL_PRVNT b-NA Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment   Assertion pattern 298345007 does not fall (finding)    
M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_DPRSN c-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_DPRSN c-1 Yes   Assertion pattern 401174001 depression management program (regime/therapy)    
M2400_INTRVTN_SMRY_DPRSN c-NA Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PAIN_MNTR d-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_PAIN_MNTR d-1 Yes   Assertion pattern 278414003 pain management (procedure)    
M2400_INTRVTN_SMRY_PAIN_MNTR d-NA Formal assessment did not indicate pain since the last OASIS asessment   Assertion pattern 301379001 no present pain (finding)    
M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PRSULC_PRVN e-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_PRSULC_PRVN e-1 Yes   Assertion pattern 225996006 pressure sore prevention (procedure)    
M2400_INTRVTN_SMRY_PRSULC_PRVN e-NA Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment   ASSERTION PATTERN        
M2400_INTRVTN_SMRY_PRSULC_WET f-0 No   Assertion pattern Concept Not Mapped (Reason #4) – Negated/ frequency/ qualifier data elements addressed through the vendor information model or in the CCD      
M2400_INTRVTN_SMRY_PRSULC_WET f-1 Yes   Assertion pattern 225357008 pressure sore care (regime/therapy)    
M2400_INTRVTN_SMRY_PRSULC_WET f-NA Dressings that support the principles of moist wound healing not indicated for this patient's pressure ulcers OR patient has no pressure ulcers with need for moist would healing   Assertion pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2410_INPAT_FACILITY   Inpatient Facility   QUESTION/ANSWER PATTERN 306101007 referral to establishment (procedure)    
M2410_INPAT_FACILITY 1 Hospital   Question/Answer pattern 32485007 hospital admission (procedure)    
M2410_INPAT_FACILITY 2 Rehabilitation facility   Question/Answer pattern 305382000 admission to rehabilitation department (procedure)    
M2410_INPAT_FACILITY 3 Nursing home   Question/Answer pattern 304567001 admission for long-term care (procedure)    
M2410_INPAT_FACILITY 4 Hospice   Question/Answer pattern 305336008 admission to hospice (procedure)    
M2410_INPAT_FACILITY NA No inpatient facility admission   Question/Answer pattern 385432009 not applicable (qualifier value)    
M2420_DSCHRG_DISP   Discharge Disposition   QUESTION/ANSWER PATTERN 107726003 patient disposition (procedure)    
M2420_DSCHRG_DISP 1 Patient remained in the community (without formal assistive services)   Question/Answer pattern 31879006 lives in a community (finding)    
M2420_DSCHRG_DISP 2 Patient remained in the community (with formal assistive services)   Question/Answer pattern 160725005 lives alone - help available (finding)    
M2420_DSCHRG_DISP 3 Patient transferred to a non-institutional hospice   Question/Answer pattern Concept Not Mapped (Reason #2) – No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping      
M2420_DSCHRG_DISP 4 Unknown because patient moved to a geographic location not served by this agency   Question/Answer pattern 413328008 transfer out of area (finding)    
M2420_DSCHRG_DISP UK Other unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430   Reason for hospitalization            
M2430_HOSP_MED 1 Hospitalized: Medication   Assertion Pattern 62014003 adverse reaction to drug (disorder)    
M2430_HOSP_INJRY_BY_FALL 2 Hospitalized: Injury Caused By Fall   Assertion Pattern 398117008 falling injury (disorder)    
M2430_HOSP_RSPRTRY_INFCTN 3 Hospitalized: Respiratory   Assertion Pattern 275498002 respiratory tract infection (disorder)    
M2430_HOSP_RSPRTRY_OTHR 4 Hospitalized: Other Respiratory   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430_HOSP_HRT_FAILR 5 Hospitalized: Heart Failure   Assertion Pattern 84114007 heart failure (disorder)    
M2430_HOSP_CRDC_DSRTHM 6 Hospitalized: Cardiac Dysrhythmia   Assertion Pattern 44808001 conduction disorder of the heart (disorder)    
M2430_HOSP_MI_CHST_PAIN 7 Hospitalized: Myocardial Infarction Or Chest Pain   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_OTHR_HRT_DEASE 8 Hospitalized: Other Heart Disease   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430_HOSP_STROKE_TIA 9 Hospitalized: Stroke (CVA) Or TIA   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_HYPOGLYC 10 Hospitalized: Hypoglycemia   Assertion Pattern 302866003 hypoglycemia (disorder)    
M2430_HOSP_GI_PRBLM 11 Hospitalized: GI Bleeding, Obstruction, Constipation, Impaction   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_DHYDRTN_MALNTR 12 Hospitalized: Dehydration, Malnutrition   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_UR_TRACT 13 Hospitalized: Urinary Tract   Assertion Pattern 68566005 urinary tract infectious disease (disorder)    
M2430_HOSP_CTHTR_CMPLCTN 14 Hospitalized: IV Catheter Related Infection Or Complication   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_WND_INFCTN 15 Hospitalized: Wound Infection Or Deterioration   Assertion Pattern 271618001 impaired wound healing (finding)    
M2430_HOSP_PAIN 16 Hospitalized: Pain   Assertion Pattern 39565009 pain crisis (finding)    
M2430_HOSP_MENTL_BHVRL_PRBLM 17 Hospitalized: Acute Mental/Behavior Health Problem   Assertion Pattern 413307004 mental health problem (finding)    
M2430_HOSP_DVT_PULMNRY 18 Hospitalized: Deep vein thrombosis, Pulmonary embolus   Assertion Pattern Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      
M2430_HOSP_SCHLD_TRTMT 19 Hospitalized: Scheduled Treatment Or Procedure   Assertion Pattern 304566005 admission for treatment (procedure)    
M2430_HOSP_OTHER 20 Hospitalized: Other   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2430_HOSP_UK UK Hospitalized: UK   Assertion Pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2440   Reason for nursing home admission Question row/description added to facilitate message format. QUESTION/ANSWER PATTERN 25675004 patient transfer to skilled nursing facility (SNF) (procedure)    
M2440_NH_THERAPY 1 Admitted to Nursing Home: Therapy   Question/Answer pattern 276239002 therapy (regime/therapy)    
M2440_NH_RESPITE 2 Admitted to Nursing Home: Respite   Question/Answer pattern 105386004 respite care of patient (regime/therapy)    
M2440_NH_HOSPICE 3 Admitted to Nursing Home: Hospice   Question/Answer pattern 385763009 hospice care (regime/therapy)    
M2440_NH_PERMANENT 4 Admitted to Nursing Home: Permanent Placement   Question/Answer pattern 304567001 admission for long-term care (procedure)    
M2440_NH_UNSAFE_HOME 5 Admitted to Nursing Home: Unsafe at Home   Question/Answer pattern 225861007 unsafe to be left alone (finding)    
M2440_NH_OTHER 6 Admitted to Nursing Home: Other   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M2440_NH_UNKNOWN UK Admitted to Nursing Home: Unknown   Question/Answer pattern Concept Not Mapped (Reason #5) – Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT      
M0903_LAST_HOME_VISIT   Date of Last Home Visit     406543005 date of visit (observable entity)    
M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date     Concept Not Mapped (Reason #3) – Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination      

 

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