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Data Element Search by Assessment Instrument Version

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List of Data Element Search Results

Assessment
Instrument
Item ID Section Name Short Name

IRF-PAI

1

Identification Information

{Facility/Provider} information

IRF-PAI

10

Identification Information

Marital status

IRF-PAI

11

Identification Information

ZIP code of {patient's/resident's} pre-hospital residence

IRF-PAI

12

Identification Information

Admission date

IRF-PAI

13

Identification Information

Assessment reference date

IRF-PAI

14

Identification Information

Admission class

IRF-PAI

15A

Identification Information

Admit from

IRF-PAI

16A

Identification Information

Pre-hospital living setting

IRF-PAI

17

Identification Information

Pre-hospital living with

IRF-PAI

1A

Identification Information

{Facility/Provider} name

IRF-PAI

1B

Identification Information

CMS Certification Number (CCN)

IRF-PAI

2

Identification Information

Medicare number

IRF-PAI

20

Payer Information

Payment source

IRF-PAI

20A

Payer Information

Primary source

IRF-PAI

20B

Payer Information

Secondary source

IRF-PAI

21A

Medical Information

Impairment group - admission

IRF-PAI

21D

Medical Information

Impairment group - discharge

IRF-PAI

22

Medical Information

Etiologic diagnosis code

IRF-PAI

22A

Medical Information

Etiologic diagnosis code A (ICD code)

IRF-PAI

22B

Medical Information

Etiologic diagnosis code B (ICD code)

IRF-PAI

22C

Medical Information

Etiologic diagnosis code C (ICD code)

IRF-PAI

23

Medical Information

Date of onset

IRF-PAI

24

Medical Information

Comorbid conditions

IRF-PAI

24A

Medical Information

Comorbid condition 1 (ICD code)

IRF-PAI

24A1

Medical Information

Arthritis conditions recorded

IRF-PAI

24B

Medical Information

Comorbid condition 2 (ICD code)

IRF-PAI

24C

Medical Information

Comorbid condition 3 (ICD code)

IRF-PAI

24D

Medical Information

Comorbid condition 4 (ICD code)

IRF-PAI

24E

Medical Information

Comorbid condition 5 (ICD code)

IRF-PAI

24F

Medical Information

Comorbid condition 6 (ICD code)

IRF-PAI

24G

Medical Information

Comorbid condition 7 (ICD code)

IRF-PAI

24H

Medical Information

Comorbid condition 8 (ICD code)

IRF-PAI

24I

Medical Information

Comorbid condition 9 (ICD code)

IRF-PAI

24J

Medical Information

Comorbid condition 10 (ICD code)

IRF-PAI

24K

Medical Information

Comorbid condition 11 (ICD code)

IRF-PAI

24L

Medical Information

Comorbid condition 12 (ICD code)

IRF-PAI

24M

Medical Information

Comorbid condition 13 (ICD code)

IRF-PAI

24N

Medical Information

Comorbid condition 14 (ICD code)

IRF-PAI

24O

Medical Information

Comorbid condition 15 (ICD code)

IRF-PAI

24P

Medical Information

Comorbid condition 16 (ICD code)

IRF-PAI

24Q

Medical Information

Comorbid condition 17 (ICD code)

IRF-PAI

24R

Medical Information

Comorbid condition 18 (ICD code)

IRF-PAI

24S

Medical Information

Comorbid condition 19 (ICD code)

IRF-PAI

24T

Medical Information

Comorbid condition 20 (ICD code)

IRF-PAI

24U

Medical Information

Comorbid condition 21 (ICD code)

IRF-PAI

24V

Medical Information

Comorbid condition 22 (ICD code)

IRF-PAI

24W

Medical Information

Comorbid condition 23 (ICD code)

IRF-PAI

24X

Medical Information

Comorbid condition 24 (ICD code)

IRF-PAI

24Y

Medical Information

Comorbid condition 25 (ICD code)

IRF-PAI

25A

Medical Information

Height (in inches)

IRF-PAI

26A

Medical Information

Weight (in pounds)

IRF-PAI

3

Identification Information

Medicaid number

IRF-PAI

4

Identification Information

{Patient/Resident} first name

IRF-PAI

40

Discharge Information

Discharge date

IRF-PAI

41

Discharge Information

{Patient/Resident} discharged against medical advice

IRF-PAI

42

Discharge Information

Were there program interruption(s) during stay

IRF-PAI

43

Discharge Information

Program interruption dates

IRF-PAI

43A

Discharge Information

First interruption date

IRF-PAI

43B

Discharge Information

First interruption return date

IRF-PAI

43C

Discharge Information

Second interruption date

IRF-PAI

43D

Discharge Information

Second interruption return date

IRF-PAI

43E

Discharge Information

Third interruption date

IRF-PAI

43F

Discharge Information

Third interruption return date

IRF-PAI

44C

Discharge Information

{Patient/Resident} discharged alive

IRF-PAI

44D

Discharge Information

Discharge to living setting

IRF-PAI

45

Discharge Information

Discharge to living with

IRF-PAI

46

Discharge Information

Diagnosis for interruption or death (ICD code)

IRF-PAI

47

Discharge Information

Complications during rehabilitation stay

IRF-PAI

47A

Discharge Information

Complication during rehab stay 1 (ICD code)

IRF-PAI

47B

Discharge Information

Complication during rehab stay 2 (ICD code)

IRF-PAI

47C

Discharge Information

Complication during rehab stay 3 (ICD code)

IRF-PAI

47D

Discharge Information

Complication during rehab stay 4 (ICD code)

IRF-PAI

47E

Discharge Information

Complication during rehab stay 5 (ICD code)

IRF-PAI

47F

Discharge Information

Complication during rehab stay 6 (ICD code)

IRF-PAI

5A

Identification Information

{Patient/Resident} last name

IRF-PAI

5B

Identification Information

{Patient/Resident} identification number

IRF-PAI

6

Identification Information

Birth date

IRF-PAI

7

Identification Information

Social security number

IRF-PAI

8

Identification Information

Gender

IRF-PAI

A1005

Section A: Administrative Information

Ethnicity. Check all that apply

IRF-PAI

A1010

Section A: Administrative Information

Race. Check all that apply

IRF-PAI

A1110

Section A: Administrative Information

Language

IRF-PAI

A1110A

Section A: Administrative Information

Preferred language

IRF-PAI

A1110B

Section A: Administrative Information

Interpreter

IRF-PAI

A1250

Section A: Administrative Information

Transportation (from NACHC). Check all that apply

IRF-PAI

A2121

Section A: Administrative Information

Provision of current reconciled medication list to subsequent provider

IRF-PAI

A2122

Section A: Administrative Information

Route of current reconciled medication list to subsequent provider. Check all that apply

IRF-PAI

A2123

Section A: Administrative Information

Provision of current reconciled medication list to {patient/resident}

IRF-PAI

A2124

Section A: Administrative Information

Route of current reconciled medication list transmission to {patient/resident}. Check all that apply

IRF-PAI

B0200

Section B: Hearing, Speech, and Vision

Hearing

IRF-PAI

B1000

Section B: Hearing, Speech, and Vision

Vision

IRF-PAI

B1300

Section B: Hearing, Speech, and Vision

Health literacy

IRF-PAI

BB0700

Section B: Hearing, Speech, and Vision

Expression of ideas and wants

IRF-PAI

BB0800

Section B: Hearing, Speech, and Vision

Understanding verbal and non-verbal content

IRF-PAI

C0100

Section C: Cognitive Patterns

BIMS: should {patient/resident} interview be conducted

IRF-PAI

C0200

Section C: Cognitive Patterns

BIMS: repetition of three words

IRF-PAI

C0300

Section C: Cognitive Patterns

Temporal orientation (orientation to year, month, and day)

IRF-PAI

C0300A

Section C: Cognitive Patterns

BIMS: able to report correct year

IRF-PAI

C0300B

Section C: Cognitive Patterns

BIMS: able to report correct month

IRF-PAI

C0300C

Section C: Cognitive Patterns

BIMS: able report correct day of week

IRF-PAI

C0400

Section C: Cognitive Patterns

BIMS: Recall

IRF-PAI

C0400A

Section C: Cognitive Patterns

BIMS: able to recall "sock"

IRF-PAI

C0400B

Section C: Cognitive Patterns

BIMS: able to recall "blue"

IRF-PAI

C0400C

Section C: Cognitive Patterns

BIMS: able to recall "bed"

IRF-PAI

C0500

Section C: Cognitive Patterns

BIMS: summary score

IRF-PAI

C0600

Section C: Cognitive Patterns

Staff assessment mental status: conduct assessment

IRF-PAI

C0900

Section C: Cognitive Patterns

Staff assessment: memory/recall ability. Check all that apply

IRF-PAI

C1310

Section C: Cognitive Patterns

Signs and symptoms of delirium (from CAM)

IRF-PAI

C1310A

Section C: Cognitive Patterns

CAM: Acute onset mental status change

IRF-PAI

C1310B

Section C: Cognitive Patterns

CAM: Inattention

IRF-PAI

C1310C

Section C: Cognitive Patterns

CAM: Disorganized Thinking

IRF-PAI

C1310D

Section C: Cognitive Patterns

CAM: Altered Level of Consciousness

IRF-PAI

D0150

Section D: Mood

Patient mood interview (PHQ-2 to 9) (from Pfizer Inc.)

IRF-PAI

D0150A1

Section D: Mood

PHQ-2 to 9: little interest or pleasure - presence

IRF-PAI

D0150A2

Section D: Mood

PHQ-2 to 9: little interest or pleasure - frequency

IRF-PAI

D0150B1

Section D: Mood

PHQ-2 to 9: feeling down, depressed - presence

IRF-PAI

D0150B2

Section D: Mood

PHQ-2 to 9: feeling down, depressed - frequency

IRF-PAI

D0150C1

Section D: Mood

PHQ-2 to 9: trouble with sleep - presence

IRF-PAI

D0150C2

Section D: Mood

PHQ-2 to 9: trouble with sleep - frequency

IRF-PAI

D0150D1

Section D: Mood

PHQ-2 to 9: feeling tired/little energy - presence

IRF-PAI

D0150D2

Section D: Mood

PHQ-2 to 9: feeling tired/little energy - frequency

IRF-PAI

D0150E1

Section D: Mood

PHQ-2 to 9: poor appetite or overeating - presence

IRF-PAI

D0150E2

Section D: Mood

PHQ-2 to 9: poor appetite or overeating - frequency

IRF-PAI

D0150F1

Section D: Mood

PHQ-2 to 9: feeling bad about yourself - presence

IRF-PAI

D0150F2

Section D: Mood

PHQ-2 to 9: feeling bad about yourself - frequency

IRF-PAI

D0150G1

Section D: Mood

PHQ-2 to 9: trouble concentrating - presence

IRF-PAI

D0150G2

Section D: Mood

PHQ-2 to 9: trouble concentrating - frequency

IRF-PAI

D0150H1

Section D: Mood

PHQ-2 to 9: slow, fidgety, restless - presence

IRF-PAI

D0150H2

Section D: Mood

PHQ-2 to 9: slow, fidgety, restless - frequency

IRF-PAI

D0150I1

Section D: Mood

PHQ-2 to 9: thoughts better off dead - presence

IRF-PAI

D0150I2

Section D: Mood

PHQ-2 to 9: thoughts better off dead - frequency

IRF-PAI

D0160

Section D: Mood

PHQ-2 to 9: total severity score

IRF-PAI

D0700

Section D: Mood

Social Isolation (from Creative Commons)

IRF-PAI

GG0100

Section GG: Functional Abilities and Goals

Prior functioning: everyday activities

IRF-PAI

GG0100A

Section GG: Functional Abilities and Goals

Prior function - self care

IRF-PAI

GG0100B

Section GG: Functional Abilities and Goals

Indoor mobility (ambulation)

IRF-PAI

GG0100C

Section GG: Functional Abilities and Goals

Prior function - stairs

IRF-PAI

GG0100D

Section GG: Functional Abilities and Goals

Prior function - functional cognition

IRF-PAI

GG0110

Section GG: Functional Abilities and Goals

Prior device use. Check all that apply

IRF-PAI

GG0130

Section GG: Functional Abilities and Goals

Self-care

IRF-PAI

GG0130A1

Section GG: Functional Abilities and Goals

Self-care (admission performance) - eating

IRF-PAI

GG0130A2

Section GG: Functional Abilities and Goals

Self-care (discharge goal) - eating

IRF-PAI

GG0130A3

Section GG: Functional Abilities and Goals

Self-care (discharge performance) - eating

IRF-PAI

GG0130B1

Section GG: Functional Abilities and Goals

Self-care (admission performance) - oral hygiene

IRF-PAI

GG0130B2

Section GG: Functional Abilities and Goals

Self-care (discharge goal) - oral hygiene

IRF-PAI

GG0130B3

Section GG: Functional Abilities and Goals

Self-care (discharge performance) - oral hygiene

IRF-PAI

GG0130C1

Section GG: Functional Abilities and Goals

Self-care (admission performance) - toileting hygiene

IRF-PAI

GG0130C2

Section GG: Functional Abilities and Goals

Self-care (discharge goal) - toileting hygiene

IRF-PAI

GG0130C3

Section GG: Functional Abilities and Goals

Self-care (discharge performance) - toileting hygiene

IRF-PAI

GG0130E1

Section GG: Functional Abilities and Goals

Self-care (admission performance) - shower/bathe self

IRF-PAI

GG0130E2

Section GG: Functional Abilities and Goals

Self-care (discharge goal) - shower/bathe self

IRF-PAI

GG0130E3

Section GG: Functional Abilities and Goals

Self-care (discharge performance) - shower/bathe self

IRF-PAI

GG0130F1

Section GG: Functional Abilities and Goals

Self-care (admission performance) - upper body dressing

IRF-PAI

GG0130F2

Section GG: Functional Abilities and Goals

Self-care (discharge Goal) - upper body dressing

IRF-PAI

GG0130F3

Section GG: Functional Abilities and Goals

Self-care (discharge performance) - upper body dressing

IRF-PAI

GG0130G1

Section GG: Functional Abilities and Goals

Self-care (admission performance) - lower body dressing

IRF-PAI

GG0130G2

Section GG: Functional Abilities and Goals

Self-care (discharge goal) - lower body dressing

IRF-PAI

GG0130G3

Section GG: Functional Abilities and Goals

Self-care (discharge performance) - lower body dressing

IRF-PAI

GG0130H1

Section GG: Functional Abilities and Goals

Self-care (admission performance) - on/off footwear

IRF-PAI

GG0130H2

Section GG: Functional Abilities and Goals

Self-care (discharge goal) - on/off footwear

IRF-PAI

GG0130H3

Section GG: Functional Abilities and Goals

Self-care (discharge performance) - on/off footwear

IRF-PAI

GG0170

Section GG: Functional Abilities and Goals

Mobility

IRF-PAI

GG0170A1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - roll left and right

IRF-PAI

GG0170A2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - roll left and right

IRF-PAI

GG0170A3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - roll left and right

IRF-PAI

GG0170B1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - sit to lying

IRF-PAI

GG0170B2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - sit to lying

IRF-PAI

GG0170B3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - sit to lying

IRF-PAI

GG0170C1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - lying to sitting on side of bed

IRF-PAI

GG0170C2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - lying to sitting on side of bed

IRF-PAI

GG0170C3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - lying to sitting on side of bed

IRF-PAI

GG0170D1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - sit to stand

IRF-PAI

GG0170D2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - sit to stand

IRF-PAI

GG0170D3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - sit to stand

IRF-PAI

GG0170E1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - chair/bed-to-chair transfer

IRF-PAI

GG0170E2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - chair/bed-to-chair transfer

IRF-PAI

GG0170E3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - chair/bed-to-chair transfer

IRF-PAI

GG0170F1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - toilet transfer

IRF-PAI

GG0170F2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - toilet transfer

IRF-PAI

GG0170F3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - toilet transfer

IRF-PAI

GG0170G1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - car transfer

IRF-PAI

GG0170G2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - car transfer

IRF-PAI

GG0170G3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - car transfer

IRF-PAI

GG0170I1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - walk 10 feet

IRF-PAI

GG0170I2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - walk 10 feet

IRF-PAI

GG0170I3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - walk 10 feet

IRF-PAI

GG0170J1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - walk 50 feet w/2 turns

IRF-PAI

GG0170J2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - walk 50 feet w/2 turns

IRF-PAI

GG0170J3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - walk 50 feet w/2 turns

IRF-PAI

GG0170K1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - walk 150 feet

IRF-PAI

GG0170K2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - walk 150 feet

IRF-PAI

GG0170K3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - walk 150 feet

IRF-PAI

GG0170L1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - walk 10 feet uneven surface

IRF-PAI

GG0170L2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - walk 10 feet uneven surface

IRF-PAI

GG0170L3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - walk 10 feet uneven surface

IRF-PAI

GG0170M1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - 1 step (curb)

IRF-PAI

GG0170M2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - 1 step (curb)

IRF-PAI

GG0170M3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - 1 step (curb)

IRF-PAI

GG0170N1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - 4 steps

IRF-PAI

GG0170N2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - 4 steps

IRF-PAI

GG0170N3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - 4 steps

IRF-PAI

GG0170O1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - 12 steps

IRF-PAI

GG0170O2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - 12 steps

IRF-PAI

GG0170O3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - 12 steps

IRF-PAI

GG0170P1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - picking up object

IRF-PAI

GG0170P2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - picking up object

IRF-PAI

GG0170P3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - picking up object

IRF-PAI

GG0170Q1

Section GG: Functional Abilities and Goals

Does the {patient/resident} use a wheelchair and/or scooter

IRF-PAI

GG0170Q3

Section GG: Functional Abilities and Goals

Does the {patient/resident} use a wheelchair and/or scooter

IRF-PAI

GG0170R1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - wheel 50 feet w/2 turns

IRF-PAI

GG0170R2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - wheel 50 feet w/2 turns

IRF-PAI

GG0170R3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - wheel 50 feet w/2 turns

IRF-PAI

GG0170RR1

Section GG: Functional Abilities and Goals

Indicate the type of wheelchair or scooter used

IRF-PAI

GG0170RR3

Section GG: Functional Abilities and Goals

Indicate the type of wheelchair or scooter used

IRF-PAI

GG0170S1

Section GG: Functional Abilities and Goals

Functional mobility (admission performance) - wheel 150 feet

IRF-PAI

GG0170S2

Section GG: Functional Abilities and Goals

Functional mobility (discharge goal) - wheel 150 feet

IRF-PAI

GG0170S3

Section GG: Functional Abilities and Goals

Functional mobility (discharge performance) - wheel 150 feet

IRF-PAI

GG0170SS1

Section GG: Functional Abilities and Goals

Indicate the type of wheelchair or scooter used

IRF-PAI

GG0170SS3

Section GG: Functional Abilities and Goals

Indicate the type of wheelchair or scooter used

IRF-PAI

H0350

Section H: Bladder and Bowel

Bladder continence

IRF-PAI

H0400

Section H: Bladder and Bowel

Bowel continence

IRF-PAI

I0000

Section I: Active Diagnoses

Active diagnoses (comorbidities and co-existing conditions). Check all that apply

IRF-PAI

J0510

Section J: Health Conditions

Pain effect on sleep

IRF-PAI

J0520

Section J: Health Conditions

Pain interference with therapy activities

IRF-PAI

J0530

Section J: Health Conditions

Pain interference with day-to-day activities

IRF-PAI

J1750

Section J: Health Conditions

History of falls

IRF-PAI

J1800

Section J: Health Conditions

Falls since admission: any falls

IRF-PAI

J1900

Section J: Health Conditions

Number of falls since admission/entry or reentry

IRF-PAI

J1900A

Section J: Health Conditions

Falls since admit/prior assessment: no injury

IRF-PAI

J1900B

Section J: Health Conditions

Falls since admit/prior assessment: injury (except major)

IRF-PAI

J1900C

Section J: Health Conditions

Falls since admit/prior assessment: major injury

IRF-PAI

J2000

Section J: Health Conditions

Prior surgery

IRF-PAI

K0520

Section K: Swallowing/Nutritional Status

Nutritional approaches. Check all that apply

IRF-PAI

M0210

Section M: Skin Conditions

Unhealed pressure ulcer(s)/injuries

IRF-PAI

M0300

Section M: Skin Conditions

Current number of unhealed pressure ulcers/injuries at each stage

IRF-PAI

M0300A

Section M: Skin Conditions

Stage 1 pressure injuries: number present

IRF-PAI

M0300A1

Section M: Skin Conditions

Number of stage 1 pressure injuries

IRF-PAI

M0300B

Section M: Skin Conditions

Current number of stage 2 pressure ulcers

IRF-PAI

M0300B1

Section M: Skin Conditions

Stage 2 pressure ulcers: number present

IRF-PAI

M0300B2

Section M: Skin Conditions

Stage 2 pressure ulcers: number at admit/reentry

IRF-PAI

M0300C

Section M: Skin Conditions

Current number of stage 3 pressure ulcers

IRF-PAI

M0300C1

Section M: Skin Conditions

Stage 3 pressure ulcers: number present

IRF-PAI

M0300C2

Section M: Skin Conditions

Stage 3 pressure ulcers: number at admit/reentry

IRF-PAI

M0300D

Section M: Skin Conditions

Current number of stage 4 pressure ulcers

IRF-PAI

M0300D1

Section M: Skin Conditions

Stage 4 pressure ulcers: number present

IRF-PAI

M0300D2

Section M: Skin Conditions

Stage 4 pressure ulcers: number at admit/reentry

IRF-PAI

M0300E

Section M: Skin Conditions

Current number of unstageable: dressing/device pressure ulcers

IRF-PAI

M0300E1

Section M: Skin Conditions

Unstaged due to dressing/device: number present

IRF-PAI

M0300E2

Section M: Skin Conditions

Unstaged due to dressing/device: number at admit/reentry

IRF-PAI

M0300F

Section M: Skin Conditions

Current number of unstageable: slough and/or eschar

IRF-PAI

M0300F1

Section M: Skin Conditions

Unstaged slough/eschar: number present

IRF-PAI

M0300F2

Section M: Skin Conditions

Unstaged slough/eschar: number at admit/reentry

IRF-PAI

M0300G

Section M: Skin Conditions

Current number of unstageable: deep tissue pressure injuries

IRF-PAI

M0300G1

Section M: Skin Conditions

Unstageable - deep tissue injury: number present

IRF-PAI

M0300G2

Section M: Skin Conditions

Unstageable - deep tissue injury: number at admission/reentry

IRF-PAI

N0415

Section N: Medications

High-risk drug classes: use and indication. Check all that apply

IRF-PAI

N2001

Section N: Medications

Drug regimen review

IRF-PAI

N2003

Section N: Medications

Medication follow-up

IRF-PAI

N2005

Section N: Medications

Medication intervention

IRF-PAI

O0110

Section O: Special Treatments, Procedures, and Programs

Special treatments, procedures, and programs. Check all that apply

IRF-PAI

O0401

Therapy Information

Week 1: total number of minutes provided

IRF-PAI

O0401A

Therapy Information

Physical therapy

IRF-PAI

O0401Aa

Therapy Information

Physical therapy - individual minutes week 1

IRF-PAI

O0401Ab

Therapy Information

Physical therapy - concurrent minutes week 1

IRF-PAI

O0401Ac

Therapy Information

Physical therapy - group minutes week 1

IRF-PAI

O0401Ad

Therapy Information

Physical therapy - co-treatment minutes week 1

IRF-PAI

O0401B

Therapy Information

Occupational therapy

IRF-PAI

O0401Ba

Therapy Information

Occupational therapy - individual minutes week 1

IRF-PAI

O0401Bb

Therapy Information

Occupational therapy - concurrent minutes week 1

IRF-PAI

O0401Bc

Therapy Information

Occupational therapy - group minutes week 1

IRF-PAI

O0401Bd

Therapy Information

Occupational therapy - co-treatment minutes week 1

IRF-PAI

O0401C

Therapy Information

Speech-language pathology

IRF-PAI

O0401Ca

Therapy Information

SLP therapy - individual minutes week 1

IRF-PAI

O0401Cb

Therapy Information

SLP therapy - concurrent minutes week 1

IRF-PAI

O0401Cc

Therapy Information

SLP therapy - group minutes week 1

IRF-PAI

O0401Cd

Therapy Information

SLP therapy - co-treatment minutes week 1

IRF-PAI

O0402

Therapy Information

Week 2: total number of minutes provided

IRF-PAI

O0402A

Therapy Information

Physical therapy

IRF-PAI

O0402Aa

Therapy Information

Physical therapy - individual minutes week 2

IRF-PAI

O0402Ab

Therapy Information

Physical therapy - concurrent minutes week 2

IRF-PAI

O0402Ac

Therapy Information

Physical therapy - group minutes week 2

IRF-PAI

O0402Ad

Therapy Information

Physical therapy - co-treatment minutes week 2

IRF-PAI

O0402B

Therapy Information

Occupational therapy

IRF-PAI

O0402Ba

Therapy Information

Occupational therapy - individual minutes week 2

IRF-PAI

O0402Bb

Therapy Information

Occupational therapy - concurrent minutes week 2

IRF-PAI

O0402Bc

Therapy Information

Occupational therapy - group minutes week 2

IRF-PAI

O0402Bd

Therapy Information

Occupational therapy - co-treatment minutes week 2

IRF-PAI

O0402C

Therapy Information

Speech-language pathology

IRF-PAI

O0402Ca

Therapy Information

SLP therapy - individual minutes week 2

IRF-PAI

O0402Cb

Therapy Information

SLP therapy - concurrent minutes week 2

IRF-PAI

O0402Cc

Therapy Information

SLP therapy - group minutes week 2

IRF-PAI

O0402Cd

Therapy Information

SLP therapy - co-treatment minutes week 2