Error message
Matrix Column
Program and Policy Use
Administrative (Tech Need / Edits / Processing)
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
›
A1010
Race
+ Supporting item
›
A1550
Conditions Related to Intellectual
+ Supporting item
›
A1600
Entry Date
x Applies
›
A1700
Type of Entry
x Applies
›
A1805
Entered From
x Applies
›
A1900
Admission Date (Date this episode of care in this facility
x Applies
›
A2000
Discharge Date
x Applies
›
A2105
Discharge Status
x Applies
›
A2200
Previous Assessment Reference Date for Significant
x Applies
›
A2300
Assessment Reference Date
x Applies
›
A2400
Medicare Stay
x Applies
›
C \u2014 Cognitive Patterns
E \u2014 Behavior
F \u2014 Preferences for Customary Routine and Activities
GG \u2014 Functional Abilities and Goals
H \u2014 Bladder and Bowel
J \u2014 Health Conditions
K \u2014 Swallowing and Nutritional Status
L \u2014 Oral/Dental Status
M \u2014 Skin Conditions
Q \u2014 Participation in Assessment and Goal Setting
X \u2014 Correction Request
X0150
Type of Provider (A0200 on existing record to be
x Applies
›
X0200
Name of Resident (A0500 on existing record to be
x Applies
›
X0310
Sex (A0810 on existing record to be modified/inactivated)
x Applies
›
X0400
Birth Date (A0900 on existing record to be
x Applies
›
X0500
Social Security Number (A0600A on existing record to be
x Applies
›
X0600
Type of Assessment/Tracking (A0310 on existing record
x Applies
›
X0700
Date on Existing Record to Be Modified/Inactivated –
x Applies
›
X0800
Correction Attestation Section
x Applies
›
X0900
Reasons for Modification
x Applies
›
X1050
Reasons for Inactivation
x Applies
›
X1100
RN Assessment Coordinator Attestation of Completion
x Applies
›
Z \u2014 Assessment Administration
No items match your search.