Section A

Identification Information

 

 
 Date PostedPublication
9/26/2017 Section A - Identification Information (Complete Section A) 
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9/26/2017 A0050 - Type of Record 
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9/26/2017 A0100 - Facility Provider Numbers 
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9/26/2017 A0200 - Type of Provider 
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9/26/2017 A0310 - Type of Assessment 
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9/26/2017 A0410 - Unit Certification or Licensure Designation 
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9/26/2017 A0500 - Legal Name of Resident 
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9/26/2017 A0600 - Social Security and Medicare Numbers 
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9/26/2017 A0700 - Medicaid Number 
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9/26/2017 A0800 - Gender 
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9/26/2017 A0900 - Birth Date 
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9/26/2017 A1000 - Race/Ethnicity 
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9/26/2017 A1100 - Language 
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9/26/2017 A1200 - Marital Status 
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9/26/2017 A1300 - Optional Resident Items 
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9/26/2017 A1500 - Preadmission Screening and Resident Review (PASRR) 
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9/26/2017 A1510 - Level II PASRR Conditions 
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9/26/2017 A1550 - Conditions Related to Mental Retardation/Developmental Delay Status 
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9/26/2017 A1600 - Entry Date 
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9/26/2017 A1600-A1800 - Most Recent Admission Entry or Reentry Into This Facility 
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9/26/2017 A1700 - Type of Entry 
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9/26/2017 A1800 - Entered From 
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9/26/2017 A1900 - Admission Date 
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9/26/2017 A2000 - Discharge Date 
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9/26/2017 A2100 - Discharge Status 
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9/26/2017 A2200 - Previous Assessment Reference Date for Significant Correction 
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9/26/2017 A2300 - Assessment Reference Date 
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9/26/2017 A2400 - Medicare Stay 
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