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Matrix Column
Shared NH/SB Subsets
IPA - Interim Payment
A \u2014 Identification Information
A0050
Type of Record
x Applies
›
A0100
Facility Provider Numbers
x Applies
›
A0200
Type of Provider
x Applies
›
A0310
Type of Assessment
x Applies
›
A0410
Unit Certification or Licensure Designation
x Applies
›
A0500
Legal Name of Resident
x Applies
›
A0600
Social Security and Medicare Numbers
x Applies
›
A0700
Medicaid Number
x Applies
›
A0810
Sex
x Applies
›
A0900
Birth Date
x Applies
›
A1005
Ethnicity
x Applies
›
A1010
Race
x Applies
›
A1110
Language
x Applies
›
A1200
Marital Status
x Applies
›
A1300
Optional Resident Items
x Applies
›
A2300
Assessment Reference Date
x Applies
›
A2400
Medicare Stay
x Applies
›
B \u2014 Hearing, Speech, and Vision
C \u2014 Cognitive Patterns
C0100
Should Brief Interview for Mental Status Be Conducted?
x Applies
›
C0200
Repetition of Three Words
x Applies
›
C0300
Temporal Orientation (Orientation to Year, Month,
x Applies
›
C0400
Recall
x Applies
›
C0500
BIMS Summary Score
x Applies
›
C0600
Should the Staff Assessment for Mental Status (C0700–
x Applies
›
C0700
Short-term Memory OK
x Applies
›
C1000
Cognitive Skills for Daily Decision Making
x Applies
›
D \u2014 Mood
E \u2014 Behavior
GG \u2014 Functional Abilities and Goals
H \u2014 Bladder and Bowel
I \u2014 Active Diagnoses
J \u2014 Health Conditions
K \u2014 Swallowing and Nutritional Status
M \u2014 Skin Conditions
N \u2014 Medications
O \u2014 Special Treatments, Procedures, and Programs
X \u2014 Correction Request
Z \u2014 Assessment Administration
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