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

12/01/2011

CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
PATIENT TRACKING     N/A          
M0014_BRANCH_STATE   Branch State TRUE     46494-1    
M0016_BRANCH_ID   Branch ID (Optional) TRUE     46495-8    
M0018_PHYSICIAN_ID   Primary Referring Physician National Provider ID (NPI) TRUE     44954-6    
M0020_PAT_ID   Patient ID Number TRUE     46496-6    
M0030_START_CARE_DT   Start of Care Date TRUE     46497-4    
M0032_ROC_DT   Resumption of Care Date TRUE     46498-2    
M0040_PAT_FNAME   Patient's First Name TRUE     45392-8    
M0040_PAT_MI   Patient's Middle Initial TRUE     45393-6    
M0040_PAT_LNAME   Patient's Last Name TRUE     45394-4    
M0040_PAT_SUFFIX   Patient's Suffix TRUE     45395-1    
M0050_PAT_ST   Patient State of Residence TRUE     46499-0    
M0060_PAT_ZIP   Patient Zip Code TRUE     45401-7    
M0063_MEDICARE_NUM   Medicare Number, Including Suffix TRUE     45397-7    
M0064_SSN   Patient's Social Security Number TRUE     45396-9    
M0065_MEDICAID_NUM   Medicaid Number TRUE     45400-9    
M0066_PAT_BIRTH_DT   Date of Birth TRUE     21112-8    
M0069_PAT_GENDER   Gender TRUE     46607-8    
M0069_PAT_GENDER 1 Male TRUE     46607-8 LA2-8 1.3.6.1.4.1.12009.10.1.138
M0069_PAT_GENDER 2 Female TRUE     46607-8 LA3-6 1.3.6.1.4.1.12009.10.1.138
M0140_ETHNIC_AI_AN 1 Race/Ethnicity: American Indian or Alaska Native TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_ASIAN 2 Race/Ethnicity: Asian TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_BLACK 3 Race/Ethnicity: Black or African-American TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_HISP 4 Race/Ethnicity: Hispanic or Latino TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_NH_PI 5 Race/Ethnicity: Native Hawaiian or Pacific Islander TRUE         2.16.840.1.113883.1.11.15836
M0140_ETHNIC_WHITE 6 Race/Ethnicity: White TRUE         2.16.840.1.113883.1.11.15836
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CLINICAL RECORD ITEMS     N/A          
M0090_INFO_COMPLETED_DT   Date Assessment Completed TRUE     46501-3    
M0100_ASSMT_REASON   Reason for Assessment TRUE     57200-8    
M0100_ASSMT_REASON 1 Start of care - further visits planned TRUE     57200-8 LA6390-4 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 3 Resumption of care (after inpatient stay) TRUE     57200-8 LA6366-4 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 4 Recertification (follow-up) reassessment TRUE     57200-8 LA6355-7 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 5 Other follow-up TRUE     57200-8 LA6312-8 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 6 Transferred to an inpatient facility - patient not discharged from agency TRUE     57200-8 LA6402-7 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 7 Transferred to an inpatient facility - patient discharged from agency TRUE     57200-8 LA6401-9 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 8 Death at home TRUE     57200-8 LA6179-1 1.3.6.1.4.1.12009.10.1.78
M0100_ASSMT_REASON 9 Discharge from agency TRUE     57200-8 LA6184-1 1.3.6.1.4.1.12009.10.1.78
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
PATIENT HISTORY AND DIAGNOSES     N/A          
M1000   Inpatient discharge facility TRUE   Question row added to facilitate message format. 57204-0    
M1000_DC_LTC_14_DA 1 Past 14 Days: Dschrgd From LTC NH TRUE     57204-0 LA12115-4 1.3.6.1.4.1.12009.10.1.81
M1000_DC_SNF_14_DA 2 Past 14 Days: Discharged from Skilled Nursing Facility TRUE     57204-0 LA10080-2 1.3.6.1.4.1.12009.10.1.81
M1000_DC_IPPS_14_DA 3 Past 14 Days: Dschrgd From Short Stay Acute Hospital TRUE     57204-0 LA12117-0 1.3.6.1.4.1.12009.10.1.81
M1000_DC_LTCH_14_DA 4 Past 14 Days: Dschrgd From Long Term Care Hospital TRUE     57204-0 LA10000-0 1.3.6.1.4.1.12009.10.1.81
M1000_DC_IRF_14_DA 5 Past 14 Days: Discharged From Inpatient Rehab Facility TRUE     57204-0 LA9986-6 1.3.6.1.4.1.12009.10.1.81
M1000_DC_PSYCH_14_DA 6 Past 14 Days: Dschrgd From Psychiatric Hospital Or Unit TRUE     57204-0 LA10065-3 1.3.6.1.4.1.12009.10.1.81
M1000_DC_OTH_14_DA 7 Past 14 Days: Dschrgd From Other TRUE   This is handled in the CDA by making "Other" a null, and including the text response in the <originalText> field 57204-0 LA6310-2 1.3.6.1.4.1.12009.10.1.81
M1000_DC_NONE_14_DA N/A Past 14 Days: Not Discharged from Inpatient Facility TRUE     57204-0 LA6342-5 1.3.6.1.4.1.12009.10.1.81
M1005_INP_DISCHARGE_DT   Most Recent Inpatient Discharge Date TRUE     46503-9    
M1010   Inpatient Diagnosis TRUE   Question row added to facilitate message format.      
M1010_14_DAY_INP1_ICD a Inpatient Stay Within Last 14 Days: ICD Code 1 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP2_ICD b Inpatient Stay Within Last 14 Days: ICD Code 2 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP3_ICD c Inpatient Stay Within Last 14 Days: ICD Code 3 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP4_ICD d Inpatient Stay Within Last 14 Days: ICD Code 4 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP5_ICD e Inpatient Stay Within Last 14 Days: ICD Code 5 TRUE     46504-7   2.16.840.1.113883.6.103
M1010_14_DAY_INP6_ICD f Inpatient Stay Within Last 14 Days: ICD Code 6 TRUE     46504-7   2.16.840.1.113883.6.103
M1016   Diagnosis Requiring Regimen Change TRUE   Question row added to facilitate message format.      
M1016_CHGREG_ICD1 a Regimen Change in Past 14 Days: ICD Code 1 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD2 b Regimen Change in Past 14 Days: ICD Code 2 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD3 c Regimen Change in Past 14 Days: ICD Code 3 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD4 d Regimen Change in Past 14 Days: ICD Code 4 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD5 e Regimen Change In Past 14 Days: ICD Code 5 TRUE     46507-0   2.16.840.1.113883.6.103
M1016_CHGREG_ICD6 f Regimen Change In Past 14 Days: ICD Code 6 TRUE     46507-0   2.16.840.1.113883.6.103
M1020_PRIMARY_DIAG_ICD a Primary Diagnosis ICD Code TRUE     46511-2   2.16.840.1.113883.6.103
M1022_OTH_DIAG1_ICD b Other Diagnosis 1: ICD Code TRUE     46513-8   2.16.840.1.113883.6.103
M1022_OTH_DIAG2_ICD c Other Diagnosis 2: ICD Code TRUE     46515-3   2.16.840.1.113883.6.103
M1022_OTH_DIAG3_ICD d Other Diagnosis 3: ICD Code TRUE     46517-9   2.16.840.1.113883.6.103
M1022_OTH_DIAG4_ICD e Other Diagnosis 4: ICD Code TRUE     46519-5   2.16.840.1.113883.6.103
M1022_OTH_DIAG5_ICD f Other Diagnosis 5: ICD Code TRUE     46521-1   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_A3 a Case Mix Diagnosis: Primary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_B3 b Case Mix Diagnosis: First Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_C3 c Case Mix Diagnosis: Second Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_D3 d Case Mix Diagnosis: Third Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_E3 e Case Mix Diagnosis: Fourth Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_F3 f Case Mix Diagnosis: Fifth Secondary, Column 3 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_A4 a Case Mix Diagnosis: Primary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_B4 b Case Mix Diagnosis: First Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_C4 c Case Mix Diagnosis: Second Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_D4 d Case Mix Diagnosis: Third Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_E4 e Case Mix Diagnosis: Fourth Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1024_PMT_DIAG_ICD_F4 f Case Mix Diagnosis: Fifth Secondary, Column 4 TRUE     49561-4   2.16.840.1.113883.6.103
M1030   Therapies the patient receives at home TRUE 4 - None of the Above Question row added to facilitate message format. 46466-9    
M1030_THH_IV_INFUSION 1 Therapies Received at Home: Intravenous, Infusion TRUE     46466-9 LA6244-3 1.3.6.1.4.1.12009.10.1.142
M1030_THH_PAR_NUTRITION 2 Therapies Received at Home: Parenteral Nutrition TRUE     46466-9 LA6321-9 1.3.6.1.4.1.12009.10.1.142
M1030_THH_ENT_NUTRITION 3 Therapies Received at Home: Enteral Nutrition TRUE     46466-9 LA6194-0 1.3.6.1.4.1.12009.10.1.142
M1032   Risk for hospitalization TRUE 6 - Other
7 - None of the Above
Question row added to facilitate message format. 57319-6    
M1032_HOSP_RISK_RCNT_DCLN 1 Risk For Hospitalization: Recent Decline In Mental, Emotional Or Behavior Status TRUE     57319-6 LA12130-3 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_MLTPL_HOSPZTN 2 Risk For Hospitalization: Multiple Hospitalizations (2 Or More) In Past 12 Mo TRUE     57319-6 LA12131-1 1.3.6.1.4.1.12009.10.1.83
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 TRUE     57319-6 LA12132-9 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_5PLUS_MDCTN 4 Risk For Hospitalization: Taking Five Or More Medications TRUE     57319-6 LA12133-7 1.3.6.1.4.1.12009.10.1.83
M1032_HOSP_RISK_FRAILTY 5 Risk For Hospitalization: Frailty Indicators TRUE     57319-6 LA12134-5 1.3.6.1.4.1.12009.10.1.83
M1034_PTNT_OVRAL_STUS   Patient's Overall Status TRUE 0 - Patient stable
1 - Patient temporarily facing high health risk
UK - Unknown
  57206-5    
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. TRUE     57206-5 LA12139-4 1.3.6.1.4.1.12009.10.1.84
M1034_PTNT_OVRAL_STUS 3 The patient has serious progressive conditions that could lead to death within a year. TRUE     57206-5 LA10096-8 1.3.6.1.4.1.12009.10.1.84
M1036   Risk factors, either present or past, likely to affect current health status and/or outcome TRUE 5 - None of the Above
UK - Unknown
Question row added to facilitate message format. 57207-3    
M1036_RSK_SMOKING 1 High Risk Factor: Smoking TRUE     57207-3 LA8928-9 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_OBESITY 2 High Risk Factor: Obesity TRUE     57207-3 LA6301-1 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_ALCOHOLISM 3 High Risk Factor: Alcoholism TRUE     57207-3 LA6152-8 1.3.6.1.4.1.12009.10.1.85
M1036_RSK_DRUGS 4 High Risk Factor: Drugs TRUE     57207-3 LA6189-0 1.3.6.1.4.1.12009.10.1.85
M1040_INFLNZ_RCVD_AGNCY   Influenza Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No   57208-1    
M1040_INFLNZ_RCVD_AGNCY 1 Yes TRUE     57208-1 LA33-6 1.3.6.1.4.1.12009.10.1.86
M1040_INFLNZ_RCVD_AGNCY NA Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season. TRUE     57208-1 LA12150-1 1.3.6.1.4.1.12009.10.1.86
M1045_INFLNZ_RSN_NOT_RCVD   Influenza Vaccine: Reason Not Received In Agency TRUE 7 - None of the Above   57209-9    
M1045_INFLNZ_RSN_NOT_RCVD 1 Received from another health care provider (e.g., physician) TRUE     57209-9 LA12151-9 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 2 Received from your agency previously during this year's flu season TRUE     57209-9 LA12152-7 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 3 Offered and declined TRUE     57209-9 LA186-9 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 4 Assessed and determined to have medical contraindication(s) TRUE     57209-9 LA12154-3 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 5 Not indicated; patient does not meet age/condition guidelines for influenza vaccine TRUE     57209-9 LA12155-0 1.3.6.1.4.1.12009.10.1.87
M1045_INFLNZ_RSN_NOT_RCVD 6 Inability to obtain vaccine due to declared shortage TRUE     57209-9 LA12156-8 1.3.6.1.4.1.12009.10.1.87
M1050_PPV_RCVD_AGNCY   Pneumococcal Vaccine: Did Patient Receive The Influenza Vaccine TRUE 0 - No   57210-7    
M1050_PPV_RCVD_AGNCY 1 Yes TRUE     57210-7 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1055_PPV_RSN_NOT_RCVD_AGNCY   Pneumococcal Vaccine: Reason Not Received In Agency TRUE 5 - None of the Above   57211-5    
M1055_PPV_RSN_NOT_RCVD_AGNCY 1 Patient has received PPV in the past TRUE     57211-5 LA12158-4 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 2 Offered and declined TRUE     57211-5 LA186-9 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 3 Assessed and determined to have medical contraindication(s) TRUE     57211-5 LA12154-3 1.3.6.1.4.1.12009.10.1.88
M1055_PPV_RSN_NOT_RCVD_AGNCY 4 Not indicated; patient does not meet age/condition guidelines for PPV TRUE     57211-5 LA12161-8 1.3.6.1.4.1.12009.10.1.88
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
LIVING ARRANGEMENTS     N/A          
M1100_PTNT_LVG_STUTN   Patient Living Situation TRUE     57212-3    
M1100_PTNT_LVG_STUTN 1 Patient Lives Alone - Around the clock TRUE     57212-3 LA12163-4 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 2 Patient Lives Alone - Regular daytime TRUE     57212-3 LA12164-2 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 3 Patient Lives Alone - Regular nighttime TRUE     57212-3 LA12165-9 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 4 Patient Lives Alone - Occasional / short-term assistance TRUE     57212-3 LA12166-7 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 5 Patient Lives Alone - No assistance available TRUE     57212-3 LA12167-5 1.3.6.1.4.1.12009.10.1.89
M1100_PTNT_LVG_STUTN 6 Patient Lives with Other Person - Around the clock TRUE     57213-1 LA12163-4 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 7 Patient Lives with Other Person - Regular daytime TRUE     57213-1 LA12164-2 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 8 Patient Lives with Other Person - Regular nighttime TRUE     57213-1 LA12165-9 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 9 Patient Lives with Other Person - Occasional / short-term assistance TRUE     57213-1 LA12166-7 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 10 Patient Lives with Other Person - No assistance available TRUE     57213-1 LA12167-5 1.3.6.1.4.1.12009.10.1.67
M1100_PTNT_LVG_STUTN 11 Patient Lives in Congregrate Situation - Around the clock TRUE     57214-9 LA12163-4 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 12 Patient Lives in Congregrate Situation - Regular daytime TRUE     57214-9 LA12164-2 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 13 Patient Lives in Congregrate Situation - Regular nighttime TRUE     57214-9 LA12165-9 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 14 Patient Lives in Congregrate Situation - Occasional / short-term assistance TRUE     57214-9 LA12166-7 1.3.6.1.4.1.12009.10.1.68
M1100_PTNT_LVG_STUTN 15 Patient Lives in Congregrate Situation - No assistance available TRUE     57214-9 LA12167-5 1.3.6.1.4.1.12009.10.1.68
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
SENSORY STATUS     N/A          
M1200_VISION   Sensory Status: Vision TRUE 0 - Normal vision   57215-6    
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. TRUE     57215-6 LA12169-1 1.3.6.1.4.1.12009.10.1.90
M1200_VISION 2 Severely impaired: cannot locate objects without hearing or touching them or patient nonresponsive. TRUE     57215-6 LA6375-5 1.3.6.1.4.1.12009.10.1.90
M1210_HEARG_ABLTY   Ability To Hear TRUE 0 - Adequates
UK - Unable to assess hearing
  57216-4    
M1210_HEARG_ABLTY 1 Mildly to Moderately Impaired: difficulty hearing in some environments or speaker may need to increase volume or speak distinctly. TRUE     57216-4 LA12124-6 1.3.6.1.4.1.12009.10.1.91
M1210_HEARG_ABLTY 2 Severely Impaired: absence of useful hearing. TRUE     57216-4 LA12125-3 1.3.6.1.4.1.12009.10.1.91
M1220_UNDRSTG_VERBAL_CNTNT   Understanding Of Verbal Content In Patient's Own Language TRUE 0 - Understands
UK - Unable to assess understanding
  57217-2    
M1220_UNDRSTG_VERBAL_CNTNT 1 Usually Understands: understands most conversations, but misses some part/intent of message.  Requires cues at times to understand. TRUE     57217-2 LA12176-6 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT 2 Sometimes Understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand. TRUE     57217-2 LA12177-4 1.3.6.1.4.1.12009.10.1.92
M1220_UNDRSTG_VERBAL_CNTNT 3 Rarely/Never Understands TRUE     57217-2 LA81-5 1.3.6.1.4.1.12009.10.1.92
M1230_SPEECH   Sensory Status: Speech TRUE 0 - Expresses complex ideas, feelings, and needs clearly   57218-0    
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). TRUE     1 LA12181-6 1.3.6.1.4.1.12009.10.1.93
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. TRUE     2 LA12182-4 1.3.6.1.4.1.12009.10.1.93
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. TRUE     3 LA12183-2 1.3.6.1.4.1.12009.10.1.93
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). TRUE     4 LA12184-0 1.3.6.1.4.1.12009.10.1.93
M1230_SPEECH 5 Patient nonresponsive or unable to speak. TRUE     5 LA6336-7 1.3.6.1.4.1.12009.10.1.93
M1242_PAIN_FREQ_ACTVTY_MVMT   Frequency Of Pain Interfering With Patient's Activity Or Movement TRUE 0 - Patient has no pain   57220-6    
M1242_PAIN_FREQ_ACTVTY_MVMT 1 Patient has pain that does not interfere with activity or movement TRUE     57220-6 LA12190-7 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 2 Less often than daily TRUE     57220-6 LA6249-2 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 3 Daily, but not constantly TRUE     57220-6 LA6177-5 1.3.6.1.4.1.12009.10.1.95
M1242_PAIN_FREQ_ACTVTY_MVMT 4 All of the time TRUE     57220-6 LA6154-4 1.3.6.1.4.1.12009.10.1.95
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
INTEGUMENTARY STATUS     N/A          
M1302_RISK_OF_PRSR_ULCR   Does This Patient Have A Risk Of Developing PUs TRUE 0 - No   57280-0    
M1302_RISK_OF_PRSR_ULCR 1 Yes TRUE     57280-0 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1306_UNHLD_STG2_PRSR_ULCR   Patient Has At Least 1 Unhealed PU At Stage 2 Or Higher TRUE 0 - No   57307-1    
M1306_UNHLD_STG2_PRSR_ULCR 1 Yes TRUE     57307-1 LA33-6 1.3.6.1.4.1.12009.10.1.62
M1308_NBR_PRSULC_STG2 a No. Pressure Ulcers - Stage 2 TRUE 0   55124-2    
M1308_NBR_STG2_AT_SOC_ROC   Number PU Stage 2 At SOC/ROC TRUE 0   54886-7    
M1308_NBR_PRSULC_STG3 b No. Pressure Ulcers - Stage 3 TRUE 0   55125-9    
M1308_NBR_STG3_AT_SOC_ROC   Number PU Stage 3 At SOC/ROC TRUE 0   54887-5    
M1308_NBR_PRSULC_STG4 c No. Pressure Ulcers - Stage 4 TRUE 0   55126-7    
M1308_NBR_STG4_AT_SOC_ROC   Number PU Stage 4 At SOC/ROC TRUE 0   54890-9    
M1308_NSTG_DRSG d1 Unstageable Due To Non-removable Dressing Or Device TRUE 0   54893-3    
M1308_NSTG_DRSG_SOC_ROC   Unstageable Due To Non-removable Dressing Or Device At SOC/ROC TRUE 0   54894-1    
M1308_NSTG_CVRG d2 Unstageable Due To Coverage By Slough Or Eschar TRUE 0   54946-9    
M1308_NSTG_CVRG_SOC_ROC   Unstageable Due To Coverage By Slough Or Eschar At SOC/ROC TRUE 0   54947-7    
M1308_NSTG_DEEP_TISUE d3 Unstageable Due To Suspected Deep Tissue Injury In Evolution TRUE 0   54950-1    
M1308_NSTG_DEEP_TISUE_SOC_ROC   Unstageable Due To Suspected Deep Tissue Injury In Evolution At SOC/ROC TRUE 0   54951-9    
M1310_PRSR_ULCR_LNGTH   Head To Toe Length Of Stage III Or IV Pu With Largest Area TRUE     57226-3    
M1312_PRSR_ULCR_WDTH   Width At Right Angles Of Stage III Or IV Pu With Largest Area TRUE     52729-1    
M1314_PRSR_ULCR_DEPTH   Depth Of Stage III Or IV Pu With Largest Area TRUE     57228-9    
M1320_STUS_PRBLM_PRSR_ULCR   Status Of Most Problematic Pressure Ulcer TRUE     57229-7    
M1320_STUS_PRBLM_PRSR_ULCR 0 Newly epithelialized TRUE     57229-7 LA12197-2 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 1 Fully granulating TRUE     57229-7 LA6203-9 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 2 Early/partial granulation TRUE     57229-7 LA6193-2 1.3.6.1.4.1.12009.10.1.98
M1320_STUS_PRBLM_PRSR_ULCR 3 Not healing TRUE     57229-7 LA6300-3 1.3.6.1.4.1.12009.10.1.98
M1322_NBR_PRSULC_STG1   No. Pressure Ulcers - Stage 1 TRUE 0   46536-9    
M1322_NBR_PRSULC_STG1 1 One TRUE     46536-9 LA6306-0 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 2 Two TRUE     46536-9 LA6404-3 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 3 Three TRUE     46536-9 LA6395-3 1.3.6.1.4.1.12009.10.1.143
M1322_NBR_PRSULC_STG1 4 Four or more TRUE     46536-9 LA6200-5 1.3.6.1.4.1.12009.10.1.143
M1332_NUM_STAS_ULCR   No. Stasis Ulcers TRUE     57233-9    
M1332_NUM_STAS_ULCR 1 One TRUE     57233-9 LA6306-0 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 2 Two TRUE     57233-9 LA6404-3 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 3 Three TRUE     57233-9 LA6395-3 1.3.6.1.4.1.12009.10.1.102
M1332_NUM_STAS_ULCR 4 Four or more TRUE     57233-9 LA6200-5 1.3.6.1.4.1.12009.10.1.102
M1334_STUS_PRBLM_STAS_ULCR   Status Of Most Problematic Stasis Ulcer TRUE     57234-7    
M1334_STUS_PRBLM_STAS_ULCR 0 Newly epithelialized TRUE     57234-7 LA12197-2 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 1 Fully granulating TRUE     57234-7 LA6203-9 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 2 Early/partial granulation TRUE     57234-7 LA6193-2 1.3.6.1.4.1.12009.10.1.103
M1334_STUS_PRBLM_STAS_ULCR 3 Not healing TRUE     57234-7 LA6300-3 1.3.6.1.4.1.12009.10.1.103
M1340_SRGCL_WND_PRSNT   Does This Patient Have A Surgical Wound TRUE 0 - No   57235-4    
M1340_SRGCL_WND_PRSNT 1 Yes, patient has at least one (observable) surgical wound TRUE     57235-4 LA12633-6 1.3.6.1.4.1.12009.10.1.69
M1340_SRGCL_WND_PRSNT 2 Surgical wound known but not observable due to non-removable dressing [ Go to M1350 ] TRUE     57235-4 LA12634-4 1.3.6.1.4.1.12009.10.1.69
M1342_STUS_PRBLM_SRGCL_WND   Status Of Most Problematic Surgical Wound TRUE     57236-2    
M1342_STUS_PRBLM_SRGCL_WND 0 Newly epithelialized TRUE     57236-2 LA12197-2 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 1 Fully granulating TRUE     57236-2 LA6203-9 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 2 Early/partial granulation TRUE     57236-2 LA6193-2 1.3.6.1.4.1.12009.10.1.103
M1342_STUS_PRBLM_SRGCL_WND 3 Not healing TRUE     57236-2 LA6300-3 1.3.6.1.4.1.12009.10.1.103
M1350_LESION_OPEN_WND   Has Skin Lesion Or Open Wound TRUE 0 - No   46534-4    
M1350_LESION_OPEN_WND 1 Yes TRUE     46534-4 LA33-6 1.3.6.1.4.1.12009.10.1.62
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
RESPIRATORY STATUS     N/A          
M1400_WHEN_DYSPNEIC   When Dyspneic TRUE 0 - Patient is not short of breath   57237-0    
M1400_WHEN_DYSPNEIC 1 When walking more than 20 feet, climbing stairs TRUE     57237-0 LA6443-1 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 2 With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet) TRUE     57237-0 LA6446-4 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 3 With minimal exertion (e.g., while eating, talking, or performing other ADLs) or with agitation TRUE     57237-0 LA6445-6 1.3.6.1.4.1.12009.10.1.104
M1400_WHEN_DYSPNEIC 4 At rest (during day or night) TRUE     57237-0 LA6158-5 1.3.6.1.4.1.12009.10.1.104
M1410   Respiratory treatments utilized at home: TRUE 4 - None of the Above Question row added to facilitate message format. 57238-8    
M1410_RESPTX_OXYGEN 1 Respiratory Treatments: Oxygen TRUE     57238-8 LA6319-3 1.3.6.1.4.1.12009.10.1.105
M1410_RESPTX_VENTILATOR 2 Respiratory Treatments: Ventilator TRUE     57238-8 LA6438-1 1.3.6.1.4.1.12009.10.1.105
M1410_RESPTX_AIRPRESS 3 Respiratory Treatments: Airway Pressure TRUE     57238-8 LA12231-9 1.3.6.1.4.1.12009.10.1.105
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CARDIAC STATUS     N/A          
M1500_SYMTM_HRT_FAILR_PTNTS   Symptoms In Heart Failure Patients TRUE 0 - No
NA - Patient does not have diagnosis of heart failure
  57239-6    
M1500_SYMTM_HRT_FAILR_PTNTS 1 Yes TRUE     57239-6 LA33-6 1.3.6.1.4.1.12009.10.1.106
M1500_SYMTM_HRT_FAILR_PTNTS 2 Not assessed TRUE     57239-6 LA9348-9 1.3.6.1.4.1.12009.10.1.106
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
ELIMINATION STATUS     N/A          
M1600_UTI   Treated for Urinary Tract Infection in Past 14 Days TRUE 0 - No
UK - Unknown
  46552-6    
M1600_UTI 1 Yes TRUE     46552-6 LA33-6 1.3.6.1.4.1.12009.10.1.144
M1600_UTI NA Patient on prophylactic treatment TRUE     46552-6 LA6337-5 1.3.6.1.4.1.12009.10.1.144
M1610_UR_INCONT   Urinary Incontinence or Urinary Catheter Present TRUE     46553-4    
M1610_UR_INCONT 0 No incontinence or catheter (includes anuria or ostomy for urinary drainage) TRUE     46553-4 LA6278-1 1.3.6.1.4.1.12009.10.1.145
M1610_UR_INCONT 1 Patient is incontinent TRUE     46553-4 LA6332-6 1.3.6.1.4.1.12009.10.1.145
M1610_UR_INCONT 2 Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic) TRUE     46553-4 LA6339-1 1.3.6.1.4.1.12009.10.1.145
M1615_INCNTNT_TIMING   When Urinary Incontinence Occurs TRUE     57241-2    
M1615_INCNTNT_TIMING 0 Timed-voiding defers incontinence TRUE     57241-2 LA6397-9 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 1 Occasional stress incontinence TRUE     57241-2 LA12244-2 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 2 During the night only TRUE     57241-2 LA6192-4 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 3 During the day only TRUE     57241-2 LA12246-7 1.3.6.1.4.1.12009.10.1.108
M1615_INCNTNT_TIMING 4 During the day and night TRUE     57241-2 LA6191-6 1.3.6.1.4.1.12009.10.1.108
M1620_BWL_INCONT   Bowel Incontinence Frequency TRUE     46587-2    
M1620_BWL_INCONT 0 Very rarely or never has bowel incontinence TRUE     46587-2 LA6440-7 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 1 Less than once weekly TRUE     46587-2 LA6252-6 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 2 One to three times weekly TRUE     46587-2 LA6307-8 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 3 Four to six times weekly TRUE     46587-2 LA6201-3 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 4 On a daily basis TRUE     46587-2 LA6302-9 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT 5 More often than once daily TRUE     46587-2 LA6263-3 1.3.6.1.4.1.12009.10.1.146
M1620_BWL_INCONT NA Patient has ostomy for bowel elimination TRUE     46587-2 LA6330-0 1.3.6.1.4.1.12009.10.1.146
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
NEURO/ EMOTIONAL/ BEHAVIORAL STATUS     N/A          
M1700_COG_FUNCTION   Cognitive Functioning TRUE 0 - Alert/oriented   46589-8    
M1700_COG_FUNCTION 1 Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions. TRUE     46589-8 LA6362-3 1.3.6.1.4.1.12009.10.1.148
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. TRUE     46589-8 LA6359-9 1.3.6.1.4.1.12009.10.1.148
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. TRUE     46589-8 LA6360-7 1.3.6.1.4.1.12009.10.1.148
M1700_COG_FUNCTION 4 Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium. TRUE     46589-8 LA6399-5 1.3.6.1.4.1.12009.10.1.148
M1710_WHEN_CONFUSED   When Confused (Reported or Observed) TRUE 0 - Never   58104-1    
M1710_WHEN_CONFUSED 1 In new or complex situations only TRUE     58104-1 LA6231-0 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 2 On awakening or at night only TRUE     58104-1 LA6303-7 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 3 During the day and evening, but not constantly TRUE     58104-1 LA6190-8 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED 4 Constantly TRUE     58104-1 LA6174-2 1.3.6.1.4.1.12009.10.1.137
M1710_WHEN_CONFUSED NA Patient nonresponsive TRUE     58104-1 LA6335-9 1.3.6.1.4.1.12009.10.1.137
M1720_WHEN_ANXIOUS   When Anxious (Reported or Observed) TRUE 0 - None of the time   46591-4    
M1720_WHEN_ANXIOUS 1 Less often than daily TRUE     46591-4 LA6249-2 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS 2 Daily, but not constantly TRUE     46591-4 LA6177-5 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS 3 All of the time TRUE     46591-4 LA6154-4 1.3.6.1.4.1.12009.10.1.149
M1720_WHEN_ANXIOUS NA Patient nonresponsive TRUE     46591-4 LA6335-9 1.3.6.1.4.1.12009.10.1.149
M1730_STDZ_DPRSN_SCRNG   Has The Patient Been Screened For Depression Using Stdzed Screen Tool TRUE     57242-0    
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”) TRUE     57242-0 LA12254-1 1.3.6.1.4.1.12009.10.1.110
M1730_PHQ2_LACK_INTRST 1a PHQ2 Pfizer Little Interest Or Pleasure In Doing Things TRUE     44250-9    
M1730_PHQ2_LACK_INTRST 1a-0 Not at all (0 - 1 days) TRUE     44250-9 LA6568-5 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-1 Several days (2-6 days) TRUE     44250-9 LA6569-3 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-2 More than half of the days (7-11 days) TRUE     44250-9 LA6570-1 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-3 Nearly every day (12-14 days) TRUE     44250-9 LA6571-9 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_LACK_INTRST 1a-NA Unable to respond TRUE          
M1730_PHQ2_DPRSN 1b PHQ2 Pfizer Feeling Down, Depressed Or Hopeless TRUE     44255-8    
M1730_PHQ2_DPRSN 1b-0 Not at all (0 - 1 days) TRUE     44255-8 LA6568-5 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-1 Several days (2-6 days) TRUE     44255-8 LA6569-3 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-2 More than half of the days (7-11 days) TRUE     44255-8 LA6570-1 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-3 Nearly every day (12-14 days) TRUE     44255-8 LA6571-9 1.3.6.1.4.1.12009.10.1.158
M1730_PHQ2_DPRSN 1b-NA Unable to respond TRUE          
M1730_STDZ_DPRSN_SCRNG 2 Yes, with a different standardized assessment-and the patient meets criteria for further evaluation for depression. TRUE     57242-0 LA12255-8 1.3.6.1.4.1.12009.10.1.110
M1740   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): TRUE 7 - None of the Above Question row added to facilitate message format. 46473-5    
M1740_BD_MEM_DEFICIT 1 Behavior Demonstrated: Memory Deficit TRUE     46473-5 LA6260-9 1.3.6.1.4.1.12009.10.1.150
M1740_BD_IMP_DECISN 2 Behavior Demonstrated: Impaired Decision-making TRUE     46473-5 LA6228-6 1.3.6.1.4.1.12009.10.1.150
M1740_BD_VERBAL 3 Behavior Demonstrated: Verbal Disruption TRUE     46473-5 LA6439-9 1.3.6.1.4.1.12009.10.1.150
M1740_BD_PHYSICAL 4 Behavior Demonstrated: Physical Aggression TRUE     46473-5 LA6347-4 1.3.6.1.4.1.12009.10.1.150
M1740_BD_SOC_INAPPRO 5 Behavior Demonstrated: Socially Inappropriate TRUE     46473-5 LA6187-4 1.3.6.1.4.1.12009.10.1.150
M1740_BD_DELUSIONS 6 Behavior Demonstrated: Delusions TRUE     46473-5 LA6181-7 1.3.6.1.4.1.12009.10.1.150
M1745_BEH_PROB_FREQ   Frequency of Behavior Problems TRUE 0 - Never   46592-2    
M1745_BEH_PROB_FREQ 1 Less than once a month TRUE     46592-2 LA6251-8 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 2 Once a month TRUE     46592-2 LA6304-5 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 3 Several times each month TRUE     46592-2 LA6374-8 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 4 Several times a week TRUE     46592-2 LA6371-4 1.3.6.1.4.1.12009.10.1.151
M1745_BEH_PROB_FREQ 5 At least daily TRUE     46592-2 LA6157-7 1.3.6.1.4.1.12009.10.1.151
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
ADL/IADLs     N/A          
M1800_CUR_GROOMING   Current: Grooming TRUE     46595-5    
M1800_CUR_GROOMING 0 Able to groom self unaided, with or without the use of assistive devices or adapted methods. TRUE     46595-5 LA6131-2 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 1 Grooming utensils must be placed within reach before able to complete grooming activities. TRUE     46595-5 LA6207-0 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 2 Someone must assist the patient to groom self. TRUE     46595-5 LA6379-7 1.3.6.1.4.1.12009.10.1.152
M1800_CUR_GROOMING 3 Patient depends entirely upon someone else for grooming needs. TRUE     46595-5 LA6326-8 1.3.6.1.4.1.12009.10.1.152
M1810_CUR_DRESS_UPPER   Current: Dress Upper Body TRUE     46597-1    
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. TRUE     46597-1 LA6129-6 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 1 Able to dress upper body without assistance if clothing is laid out or handed to the patient. TRUE     46597-1 LA6127-0 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 2 Someone must help the patient put on upper body clothing. TRUE     46597-1 LA6381-3 1.3.6.1.4.1.12009.10.1.153
M1810_CUR_DRESS_UPPER 3 Patient depends entirely upon another person to dress the upper body. TRUE     46597-1 LA6325-0 1.3.6.1.4.1.12009.10.1.153
M1820_CUR_DRESS_LOWER   Current: Dress Lower Body TRUE     46599-7    
M1820_CUR_DRESS_LOWER 0 Able to obtain, put on, and remove clothing and shoes without assistance. TRUE     46599-7 LA6138-7 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 1 Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient. TRUE     46599-7 LA6126-2 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 2 Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes. TRUE     46599-7 LA6380-5 1.3.6.1.4.1.12009.10.1.154
M1820_CUR_DRESS_LOWER 3 Patient depends entirely upon another person to dress lower body. TRUE     46599-7 LA6324-3 1.3.6.1.4.1.12009.10.1.154
M1830_CRNT_BATHG   Current: Bathing TRUE     57243-8    
M1830_CRNT_BATHG 0 Able to bathe self in shower or tub independently, including getting in and out of tub/shower. TRUE     57243-8 LA12264-0 1.3.6.1.4.1.12009.10.1.112
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. TRUE     57243-8 LA12265-7 1.3.6.1.4.1.12009.10.1.112
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. TRUE     57243-8 LA12266-5 1.3.6.1.4.1.12009.10.1.112
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. TRUE     57243-8 LA12267-3 1.3.6.1.4.1.12009.10.1.112
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. TRUE     57243-8 LA12268-1 1.3.6.1.4.1.12009.10.1.112
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. TRUE     57243-8 LA12269-9 1.3.6.1.4.1.12009.10.1.112
M1830_CRNT_BATHG 6 Unable to participate effectively in bathing and is bathed totally by another person. TRUE     57243-8 LA12270-7 1.3.6.1.4.1.12009.10.1.112
M1840_CUR_TOILTG   Current: Toileting TRUE     57244-6    
M1840_CUR_TOILTG 0 Able to get to and from the toilet and transfer independently with or without a device. TRUE     57244-6 LA12271-5 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 1 When reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer. TRUE     57244-6 LA12272-3 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 2 Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance). TRUE     57244-6 LA6415-9 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 3 Unable to get to and from the toilet or bedside commode but is able to use a bedpan/urinal independently. TRUE     57244-6 LA6416-7 1.3.6.1.4.1.12009.10.1.113
M1840_CUR_TOILTG 4 Is totally dependent in toileting. TRUE     57244-6 LA6245-0 1.3.6.1.4.1.12009.10.1.113
M1845_CUR_TOILTG_HYGN   Current: Toileting Hygiene TRUE     57245-3    
M1845_CUR_TOILTG_HYGN 0 Able to manage toileting hygiene and clothing management without assistance. TRUE     57245-3 LA12276-4 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 1 Able to manage toileting hygiene and clothing management without assistance if supplies/implements are laid out for the patient. TRUE     57245-3 LA12277-2 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 2 Someone must help the patient to maintain toileting hygiene and/or adjust clothing. TRUE     57245-3 LA12278-0 1.3.6.1.4.1.12009.10.1.114
M1845_CUR_TOILTG_HYGN 3 Patient depends entirely upon another person to maintain toileting hygiene. TRUE     57245-3 LA12279-8 1.3.6.1.4.1.12009.10.1.114
M1850_CUR_TRNSFRNG   Current: Transferring TRUE     57246-1    
M1850_CUR_TRNSFRNG 0 Able to independently transfer. TRUE     57246-1 LA6136-1 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 1 Able to transfer with minimal human assistance or with use of an assistive device. TRUE     57246-1 LA12281-4 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 2 Able to bear weight and pivot during the transfer process but unable to transfer self. TRUE     57246-1 LA12282-2 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 3 Unable to transfer self and is unable to bear weight or pivot when transferred by another person. TRUE     57246-1 LA6426-6 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 4 Bedfast, unable to transfer but is able to turn and position self in bed. TRUE     57246-1 LA6161-9 1.3.6.1.4.1.12009.10.1.115
M1850_CUR_TRNSFRNG 5 Bedfast, unable to transfer and is unable to turn and position self. TRUE     57246-1 LA6160-1 1.3.6.1.4.1.12009.10.1.115
M1860_CRNT_AMBLTN   Current: Ambulation TRUE     57247-9    
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). TRUE     57247-9 LA12286-3 1.3.6.1.4.1.12009.10.1.116
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. TRUE     57247-9 LA12287-1 1.3.6.1.4.1.12009.10.1.116
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. TRUE     57247-9 LA12288-9 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 3 Able to walk only with the supervision or assistance of another person at all times. TRUE     57247-9 LA6147-8 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 4 Chairfast, unable to ambulate but is able to wheel self independently. TRUE     57247-9 LA6171-8 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 5 Chairfast, unable to ambulate and is unable to wheel self. TRUE     57247-9 LA6170-0 1.3.6.1.4.1.12009.10.1.116
M1860_CRNT_AMBLTN 6 Bedfast, unable to ambulate or be up in a chair. TRUE     57247-9 LA6159-3 1.3.6.1.4.1.12009.10.1.116
M1870_CUR_FEEDING   Current: Feeding TRUE     57248-7    
M1870_CUR_FEEDING 0 Able to independently feed self. TRUE     57248-7 LA6133-8 1.3.6.1.4.1.12009.10.1.117
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. TRUE     57248-7 LA12294-7 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 2 Unable to feed self and must be assisted or supervised throughout the meal/snack. TRUE     57248-7 LA6414-2 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 3 Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy. TRUE     57248-7 LA6142-9 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 4 Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy. TRUE     57248-7 LA6422-5 1.3.6.1.4.1.12009.10.1.117
M1870_CUR_FEEDING 5 Unable to take in nutrients orally or by tube feeding. TRUE     57248-7 LA6423-3 1.3.6.1.4.1.12009.10.1.117
M1880_CUR_PREP_LT_MEALS   Current: Prepare Light Meals TRUE 0 - Able to independently prepare all light meals   57249-5    
M1880_CUR_PREP_LT_MEALS 1 Unable to prepare light meals on a regular basis due to physical, cognitive, or mental limitations. TRUE     57249-5 LA6420-9 1.3.6.1.4.1.12009.10.1.118
M1880_CUR_PREP_LT_MEALS 2 Unable to prepare any light meals or reheat any delivered meals. TRUE     57249-5 LA6419-1 1.3.6.1.4.1.12009.10.1.118
M1890_CUR_PHONE_USE   Current: Telephone Use TRUE 0 - Able to dial numbers and answer calls appropriately and as desired.   46569-0    
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. TRUE     46569-0 LA6146-0 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 2 Able to answer the telephone and carry on a normal conversation but has difficulty with placing calls. TRUE     46569-0 LA6121-3 1.3.6.1.4.1.12009.10.1.155
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. TRUE     46569-0 LA6122-1 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 4 UNABLE to answer the telephone at all but can listen if assisted with equipment. TRUE     46569-0 LA6409-2 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE 5 Totally unable to use the telephone. TRUE     46569-0 LA6400-1 1.3.6.1.4.1.12009.10.1.155
M1890_CUR_PHONE_USE NA Patient does not have a telephone. TRUE     46569-0 LA6327-6 1.3.6.1.4.1.12009.10.1.155
M1910_MLT_FCTR_FALL_RISK_ASMT   Has Patient Had A Multi-factor Fall Risk Assessment? TRUE 0 - No multi-factor falls risk assessment conducted
1 - Yes, and it does not indicate a risk for falls
  57254-5    
M1910_MLT_FCTR_FALL_RISK_ASMT 2 Yes, and it indicates a risk for falls. TRUE     57254-5 LA12307-7 1.3.6.1.4.1.12009.10.1.120
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
MEDICATIONS     N/A          
M2020_CRNT_MGMT_ORAL_MDCTN   Current: Management Of Oral Medications TRUE 0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.
NA - No oral medications prescribed.
  57285-9    
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. TRUE     57285-9 LA12322-6 1.3.6.1.4.1.12009.10.1.125
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 TRUE     57285-9 LA12323-4 1.3.6.1.4.1.12009.10.1.125
M2020_CRNT_MGMT_ORAL_MDCTN 3 Unable to take medication unless administered by another person. TRUE     57285-9 LA12324-2 1.3.6.1.4.1.12009.10.1.125
M2030_CRNT_MGMT_INJCTN_MDCTN   Current: Management Of Injectable Medications TRUE     57284-2    
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. TRUE     57284-2 LA12327-5 1.3.6.1.4.1.12009.10.1.126
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 TRUE     57284-2 LA12328-3 1.3.6.1.4.1.12009.10.1.126
M2030_CRNT_MGMT_INJCTN_MDCTN 3 Unable to take injectable medication unless administered by another person. TRUE     57284-2 LA12329-1 1.3.6.1.4.1.12009.10.1.126
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
CARE MANAGEMENT     N/A          
M2100_CARE_TYPE_SRC_ADL a Care Mgmt, Types And Sources Of Assist: ADL TRUE 0 - No assistance needed in this area   57260-2    
M2100_CARE_TYPE_SRC_ADL a-1 Caregiver(s) currently provide assistance TRUE     57260-2 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57260-2 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-3 Caregiver(s) not likely to provide assistance TRUE     57260-2 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-4 Unclear if Caregiver(s) will provide assistance TRUE     57260-2 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADL a-5 Assistance needed, but no Caregiver(s) available TRUE     57260-2 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b Care Mgmt, Types And Sources Of Assist: IADL TRUE 0 - No assistance needed in this area   57261-0    
M2100_CARE_TYPE_SRC_IADL b-1 Caregiver(s) currently provide assistance TRUE     57261-0 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57261-0 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-3 Caregiver(s) not likely to provide assistance TRUE     57261-0 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-4 Unclear if Caregiver(s) will provide assistance TRUE     57261-0 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_IADL b-5 Assistance needed, but no Caregiver(s) available TRUE     57261-0 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c Care Mgmt, Types And Sources Of Assist: Medication Admin TRUE 0 - No assistance needed in this area   57262-8    
M2100_CARE_TYPE_SRC_MDCTN c-1 Caregiver(s) currently provide assistance TRUE     57262-8 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57262-8 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-3 Caregiver(s) not likely to provide assistance TRUE     57262-8 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-4 Unclear if Caregiver(s) will provide assistance TRUE     57262-8 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_MDCTN c-5 Assistance needed, but no Caregiver(s) available TRUE     57262-8 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d Care Mgmt, Types And Sources Of Assist: Med Procs Tx TRUE 0 - No assistance needed in this area   57263-6    
M2100_CARE_TYPE_SRC_PRCDR d-1 Caregiver(s) currently provide assistance TRUE     57263-6 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57263-6 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-3 Caregiver(s) not likely to provide assistance TRUE     57263-6 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-4 Unclear if Caregiver(s) will provide assistance TRUE     57263-6 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_PRCDR d-5 Assistance needed, but no Caregiver(s) available TRUE     57263-6 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e Care Mgmt, Types And Sources Of Assist: Equipment TRUE 0 - No assistance needed in this area   57264-4    
M2100_CARE_TYPE_SRC_EQUIP e-1 Caregiver(s) currently provide assistance TRUE     57264-4 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57264-4 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-3 Caregiver(s) not likely to provide assistance TRUE     57264-4 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-4 Unclear if Caregiver(s) will provide assistance TRUE     57264-4 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_EQUIP e-5 Assistance needed, but no Caregiver(s) available TRUE     57264-4 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f Care Mgmt, Types And Sources Of Assist: Supervision And Safety TRUE 0 - No assistance needed in this area   57265-1    
M2100_CARE_TYPE_SRC_SPRVSN f-1 Caregiver(s) currently provide assistance TRUE     57265-1 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57265-1 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-3 Caregiver(s) not likely to provide assistance TRUE     57265-1 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-4 Unclear if Caregiver(s) will provide assistance TRUE     57265-1 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_SPRVSN f-5 Assistance needed, but no Caregiver(s) available TRUE     57265-1 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g Care Mgmt, Types And Sources Of Assist: Advocacy Or Facilitation TRUE 0 - No assistance needed in this area   57266-9    
M2100_CARE_TYPE_SRC_ADVCY g-1 Caregiver(s) currently provide assistance TRUE     57266-9 LA12336-6 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-2 Caregiver(s) need training/ supportive services to provide assistance TRUE     57266-9 LA12337-4 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-3 Caregiver(s) not likely to provide assistance TRUE     57266-9 LA12338-2 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-4 Unclear if Caregiver(s) will provide assistance TRUE     57266-9 LA12339-0 1.3.6.1.4.1.12009.10.1.128
M2100_CARE_TYPE_SRC_ADVCY g-5 Assistance needed, but no Caregiver(s) available TRUE     57266-9 LA12340-8 1.3.6.1.4.1.12009.10.1.128
M2110_ADL_IADL_ASTNC_FREQ   How Often Recv ADL Or IADL Assistance From Any TRUE 5 - No assistance received
UK - Unknown
  57267-7    
M2110_ADL_IADL_ASTNC_FREQ 1 At least daily TRUE     57267-7 LA6157-7 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 2 Three or more times per week TRUE     57267-7 LA6396-1 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 3 One to two times per week TRUE     57267-7 LA6308-6 1.3.6.1.4.1.12009.10.1.129
M2110_ADL_IADL_ASTNC_FREQ 4 Received, but less often than weekly TRUE     57267-7 LA12344-0 1.3.6.1.4.1.12009.10.1.129
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
THERAPY NEED AND PLAN OF CARE     N/A          
M2250_PLAN_SMRY_DBTS_FT_CARE b Plan Of Care Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
  57270-1    
M2250_PLAN_SMRY_DBTS_FT_CARE b-1 Yes TRUE     57270-1 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_FALL_PRVNT c Plan Of Care Synopsis: Falls Prevention Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
  57271-9    
M2250_PLAN_SMRY_FALL_PRVNT c-1 Yes TRUE     57271-9 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_DPRSN_INTRVTN d Plan Of Care Synopsis: Depression Interventions TRUE 0 - No
NA - Patient is not assessed to be at risk for falls
  57272-7    
M2250_PLAN_SMRY_DPRSN_INTRVTN d-1 Yes TRUE     57272-7 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_PRVNT f Plan Of Care Synopsis: PU Prevention TRUE 0 - No
NA - Patient is not assessed to be at risk for pressure ulcers
  57274-3    
M2250_PLAN_SMRY_PRSULC_PRVNT f-1 Yes TRUE     57274-3 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2250_PLAN_SMRY_PRSULC_TRTMT g Plan Of Care Synopsis: PU Moist Treatment TRUE 0 - No
NA - Patient has no pressure ulcers with need for moist wound healing
  57275-0    
M2250_PLAN_SMRY_PRSULC_TRTMT g-1 Yes TRUE     57275-0 LA33-6 1.3.6.1.4.1.12009.10.1.130
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
EMERGENT CARE     N/A          
M2300_EMER_USE_AFTR_LAST_ASMT   Emergent Care: Use Since Last Oasis Data Collection TRUE 0 - No
UK - Unknown
  57276-8    
M2300_EMER_USE_AFTR_LAST_ASMT 1 Yes, used hospital emergency department WITHOUT hospital admission TRUE     1 LA12351-5 1.3.6.1.4.1.12009.10.1.131
M2300_EMER_USE_AFTR_LAST_ASMT 2 Yes, used hospital emergency department WITH hospital admission TRUE     2 LA12352-3 1.3.6.1.4.1.12009.10.1.131
M2310   Reason for emergent care TRUE 19 - Other than above reasons
UK - Reason Unknown
Question row added to facilitate message format. 57277-6    
M2310_ECR_MEDICATION 1 Emergent Care Reason: Medication TRUE     57277-6 LA6229-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_INJRY_BY_FALL 2 Emergent Care Reason: Injury Caused By Fall TRUE     57277-6 LA12355-6 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_RSPRTRY_INFCTN 3 Emergent Care Reason: Respiratory Infection TRUE     57277-6 LA12356-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_RSPRTRY_OTHR 4 Emergent Care Reason: Respiratory Other TRUE     57277-6 LA12357-2 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_HRT_FAILR 5 Emergent Care Reason: Heart Failure TRUE     57277-6 LA12358-0 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_CRDC_DSRTHM 6 Emergent Care Reason: Cardiac Dysrhythmia TRUE     57277-6 LA12359-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_MI_CHST_PAIN 7 Emergent Care Reason: Myocardial Infarction Or Chest Pain TRUE     57277-6 LA12360-6 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_OTHR_HRT_DEASE 8 Emergent Care Reason: Other Heart Disease TRUE     57277-6 LA12361-4 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_STROKE_TIA 9 Emergent Care Reason: Stroke (CVA) Or TIA TRUE     57277-6 LA12362-2 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_HYPOGLYC 10 Emergent Care Reason: Hypoglycemia TRUE     57277-6 LA6223-7 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_GI_PRBLM 11 Emergent Care: GI Bleeding, Obstruction, Constipation, Impaction TRUE     57277-6 LA12364-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_DHYDRTN_MALNTR 12 Emergent Care Reason: Dehydration, Malnutrition TRUE     57277-6 LA12365-5 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_UTI 13 Emergent Care Reason: Urinary Track Infection TRUE     57277-6 LA6437-3 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_CTHTR_CMPLCTN 14 Emergent Care Reason: IV Catheter-related Infection Or Complication TRUE     57277-6 LA12367-1 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_WND_INFCTN_DTRORTN 15 Emergent Care Reason: Wound Infection Or Deterioration TRUE     57277-6 LA12368-9 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_UNCNTLD_PAIN 16 Emergent Care Reason: Uncontrolled Pain TRUE     57277-6 LA6430-8 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_MENTL_BHVRL_PRBLM 17 Emergent Care Reason: Acute Mental/Behavioral Health Problem TRUE     57277-6 LA12370-5 1.3.6.1.4.1.12009.10.1.132
M2310_ECR_DVT_PULMNRY 18 Emergent Care Reason: Deep Vein Thrombosis, Pulmonary Embolus TRUE     57277-6 LA6180-9 1.3.6.1.4.1.12009.10.1.132
CMS Question ID Answer CMS Description
Light Blue Shading Indicates Start of New Question per CMS Data Dictionary
Final Summary Items Response(s) Triggering Omission of OASIS Question from Summary General Guidance LOINC Question Code LOINC Answer Code LOINC Answer Set OID
DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY     N/A          
M2400_INTRVTN_SMRY_DBTS_FT a Intervention Synopsis: Diabetic Foot Care TRUE 0 - No
NA - Patient is not diabetic or is bilateral amputee
  57270-1    
M2400_INTRVTN_SMRY_DBTS_FT a-1 Yes TRUE     57270-1 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_FALL_PRVNT b Intervention Synopsis: Falls Prevention Intervention TRUE 0 - No
NA - Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment
  57271-9    
M2400_INTRVTN_SMRY_FALL_PRVNT b-1 Yes TRUE     57271-9 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_DPRSN c Intervention Synopsis: Depression Intervention TRUE 0 - No
NA - Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment
  57272-7    
M2400_INTRVTN_SMRY_DPRSN c-1 Yes TRUE     57272-7 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PAIN_MNTR d Intervention Synopsis: Intervention To Monitor And Mitigate Pain TRUE 0 - No
NA - Formal assessment did not indicate pain since the last OASIS assessment
  57273-5    
M2400_INTRVTN_SMRY_PAIN_MNTR d-1 Yes TRUE     57273-5 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_PRVN e Intervention Synopsis: Intervention To Prevent Pressure Ulcers TRUE 0 - No
NA - Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment
  57274-3    
M2400_INTRVTN_SMRY_PRSULC_PRVN e-1 Yes TRUE     57274-3 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2400_INTRVTN_SMRY_PRSULC_WET f Intervention Synopsis: Pressure Ulcer Treatment Based On Moist Wound Treatment TRUE 0 - No
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 wound healing
  57275-0    
M2400_INTRVTN_SMRY_PRSULC_WET f-1 Yes TRUE     57275-0 LA33-6 1.3.6.1.4.1.12009.10.1.130
M2410_INPAT_FACILITY   Inpatient Facility TRUE NA - No inpatient facility admission   46578-1    
M2410_INPAT_FACILITY 1 Hospital TRUE     46578-1 LA6218-7 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 2 Rehabilitation facility TRUE     46578-1 LA6357-3 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 3 Nursing home TRUE     46578-1 LA27-8 1.3.6.1.4.1.12009.10.1.156
M2410_INPAT_FACILITY 4 Hospice TRUE     46578-1 LA6216-1 1.3.6.1.4.1.12009.10.1.156
M2420_DSCHRG_DISP   Discharge Disposition TRUE 4 - Unknown because patient moved to a geographic location not served by this agency
UK - Other Unknown
  57278-4    
M2420_DSCHRG_DISP 1 Patient remained in the community (without formal assistive services) TRUE     57278-4 LA12374-7 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP 2 Patient remained in the community (with formal assistive services) TRUE     57278-4 LA12375-4 1.3.6.1.4.1.12009.10.1.133
M2420_DSCHRG_DISP 3 Patient transferred to a non-institutional hospice TRUE     57278-4 LA12376-2 1.3.6.1.4.1.12009.10.1.133
M2430   Reason for hospitalization TRUE 20 - Other than above reasons
UK - Reason Unknown
Question row added to facilitate message format. 57279-2    
M2430_HOSP_MED 1 Hospitalized: Medication TRUE     57279-2 LA6229-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_INJRY_BY_FALL 2 Hospitalized: Injury Caused By Fall TRUE     57279-2 LA12355-6 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_RSPRTRY_INFCTN 3 Hospitalized: Respiratory TRUE     57279-2 LA12356-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_RSPRTRY_OTHR 4 Hospitalized: Other Respiratory TRUE     57279-2 LA12357-2 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_HRT_FAILR 5 Hospitalized: Heart Failure TRUE     57279-2 LA12358-0 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_CRDC_DSRTHM 6 Hospitalized: Cardiac Dysrhythmia TRUE     57279-2 LA12359-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_MI_CHST_PAIN 7 Hospitalized: Myocardial Infarction Or Chest Pain TRUE     57279-2 LA12360-6 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_OTHR_HRT_DEASE 8 Hospitalized: Other Heart Disease TRUE     57279-2 LA12361-4 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_STROKE_TIA 9 Hospitalized: Stroke (CVA) Or TIA TRUE     57279-2 LA12362-2 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_HYPOGLYC 10 Hospitalized: Hypoglycemia TRUE     57279-2 LA6223-7 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_GI_PRBLM 11 Hospitalized: GI Bleeding, Obstruction, Constipation, Impaction TRUE     57279-2 LA12364-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_DHYDRTN_MALNTR 12 Hospitalized: Dehydration, Malnutrition TRUE     57279-2 LA12365-5 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_UR_TRACT 13 Hospitalized: Urinary Tract TRUE     57279-2 LA6437-3 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_CTHTR_CMPLCTN 14 Hospitalized: IV Catheter Related Infection Or Complication TRUE     57279-2 LA12367-1 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_WND_INFCTN 15 Hospitalized: Wound Infection Or Deterioration TRUE     57279-2 LA12368-9 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_PAIN 16 Hospitalized: Pain TRUE     57279-2 LA6430-8 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_MENTL_BHVRL_PRBLM 17 Hospitalized: Acute Mental/Behavior Health Problem TRUE     57279-2 LA12370-5 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_DVT_PULMNRY 18 Hospitalized: Deep vein thrombosis, Pulmonary embolus TRUE     57279-2 LA6180-9 1.3.6.1.4.1.12009.10.1.134
M2430_HOSP_SCHLD_TRTMT 19 Hospitalized: Scheduled Treatment Or Procedure TRUE     57279-2 LA12397-8 1.3.6.1.4.1.12009.10.1.134
M2440   Reason for nursing home admission TRUE 6 - Other
UK - Unknown
Question row added to facilitate message format. 46477-6    
M2440_NH_THERAPY 1 Admitted to Nursing Home: Therapy TRUE     46477-6 LA6393-8 1.3.6.1.4.1.12009.10.1.157
M2440_NH_RESPITE 2 Admitted to Nursing Home: Respite TRUE     46477-6 LA6365-6 1.3.6.1.4.1.12009.10.1.157
M2440_NH_HOSPICE 3 Admitted to Nursing Home: Hospice TRUE     46477-6 LA6217-9 1.3.6.1.4.1.12009.10.1.157
M2440_NH_PERMANENT 4 Admitted to Nursing Home: Permanent Placement TRUE     46477-6 LA6345-8 1.3.6.1.4.1.12009.10.1.157
M2440_NH_UNSAFE_HOME 5 Admitted to Nursing Home: Unsafe at Home TRUE     46477-6 LA6434-0 1.3.6.1.4.1.12009.10.1.157
M0903_LAST_HOME_VISIT   Date of Last Home Visit TRUE     46581-5    
M0906_DC_TRAN_DTH_DT   Discharge, Transfer, Death Date TRUE     46582-3    

 


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