Global: ^DG(45.9

FileMan FileNo	FileMan Filename	Package
45.9	PAF	Registration

Package	Total	Routines
Registration	17	DGRUG DGRUG1 DGRUG16 DGRUGBGJ DGRUGC DGRUGC1 DGRUGDR DGRUGGR DGRUGIX DGRUGPI DGRUGPP DGRUGPP1 DGRUGS DGRUGSA DGRUGU1 DGRUGV DGRUGV16

Package	Total	Routines
Registration	11	DGRUG DGRUG1 DGRUG16 DGRUGBGJ DGRUGC DGRUGDR DGRUGGR DGRUGPP1 DGRUGSA DGRUGV DGRUGV16

Package	Total	FileMan Files
Registration	3	RUG-II(#45.91)[71] WARD LOCATION(#42)[70] VA PATIENT(#2)[.01]
Kernel	1	NEW PERSON(#200)[82, 84, #45.9001(1)]

Field #	Name	Loc	Type	Details
.001	NUMBER		NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99999999)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `MAR 24, 1987` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 1 AND 99999999` DESCRIPTION: This field contains an internal entry number as created by VA FileMan.
.01	NAME	0;1	POINTER TO VA PATIENT FILE (#2)	**********************REQUIRED FIELD********************** VA PATIENT(#2) INPUT TRANSFORM: `S DIC("S")="I $D(DFN),DFN=Y" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `APR 22, 1988` DESCRIPTION: This field contains the name of the long-term care patient for which this assessment was completed. SCREEN: `S DIC("S")="I $D(DFN),DFN=Y"` EXPLANATION: `<<>>` UNEDITABLE CROSS-REFERENCE: `45.9^B` 1)= S ^DG(45.9,"B",$E(X,1,30),DA)="" 2)= K ^DG(45.9,"B",$E(X,1,30),DA)
2	ASSESSMENT DATE	0;2	DATE	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S %DT="EXP",%DT(0)="-0" D ^%DT K %DT S X=Y K:Y<1 X I $D(X) D ASD^DGRUGC1 K %` LAST EDITED: `MAR 01, 1989` DESCRIPTION: `Enter the month,day and year the assessment is completed. The date must be after the date of admission/transfer in.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `45.9^AD^MUMPS` 1)= S L=+^DG(45.9,DA,0) I L>0 S ^DG(45.9,"AD",L,X,DA)="" 2)= S L=+^DG(45.9,DA,0) I L>0 K ^DG(45.9,"AD",L,X,DA) CROSS-REFERENCE: `45.9^AA` 1)= S ^DG(45.9,"AA",$E(X,1,30),DA)="" 2)= K ^DG(45.9,"AA",$E(X,1,30),DA) CROSS-REFERENCE: `45.9^AP^MUMPS` 1)= S L=$P(^DG(45.9,DA,0),"^",6) I L>0 S ^DG(45.9,"AP",L,X,DA)="" 2)= S L=$P(^DG(45.9,DA,0),"^",6) I L>0 K ^DG(45.9,"AP",L,X,DA)
3	SSN	0;3	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>9!($L(X)<9) X` LAST EDITED: `NOV 14, 1986` HELP-PROMPT: `ANSWER MUST BE 9 CHARACTERS IN LENGTH` DESCRIPTION: This field contains the patient's SSN. This data is added automatically when the patient assessment is created either through a RUG background job or through the 'Create a PAI' option.
4	SEX	0;4	SET	'M' FOR MALE; 'F' FOR FEMALE; DESCRIPTION: This field contains the patient's sex. This data is added automatically when the patient assessment record is created either through a RUG background job or the 'Create a PAI' option.
5	YEAR OF BIRTH	0;5	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>9999)!(X<1800)!(X?.E1"."1N.N) X` LAST EDITED: `MAR 09, 1998` HELP-PROMPT: `Enter the patient's 4-digit Year of Birth.` DESCRIPTION: This field contains the year in which this patient was born. This data is added automatically when the patient's assessment record is created either through a RUG background job or the 'Create a PAI' menu option.
6	ASSESSMENT PURPOSE	0;6	SET	**********************REQUIRED FIELD********************** '1' FOR ADMISSION/TRANSFER; '2' FOR SEMI-ANNUAL CENSUS; '3' FOR CONTRACT NURSING HOME; LAST EDITED: `APR 16, 1996` DESCRIPTION: `Enter "1" if the assessment is being completed within approximately one week after admission/transfer into the intermediate medicine or nursing home care unit. Enter "2" if the assessment is completed on patients in bed` as of a semi-annual survey date. If semi-annual assessment date coincides with the day on which an admission/transfer assessment would have been done, record "2" as the purpose. Enter "3" if the assessment is for a Contract Nursing Home patient. UNEDITABLE
7	DATE OF ADMISSION/TRANSFER IN	0;7	DATE	INPUT TRANSFORM: `S %DT="ET" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `MAR 13, 1987` DESCRIPTION: `This field will contain the date/time this patient was either admitted to or transferred to a ward whose service is either intermediate care (I) or nursing home care (NHCU). This date must be selected from the choices` given under the 'Create a PAI' option. It may also be created automatically by one of the RUG background jobs (the nightly job or the semi-annual job). CROSS-REFERENCE: `45.9^AT^MUMPS` 1)= S L=$P(^DG(45.9,DA,0),"^",6),DFN=+^DG(45.9,DA,0) I L S ^DG(45.9,"AT",L,X,DFN,DA)="" 2)= S L=$P(^DG(45.9,DA,0),"^",6),DFN=+^DG(45.9,DA,0) I L K ^DG(45.9,"AT",L,X,DFN,DA) CROSS-REFERENCE: `45.9^AC` 1)= S ^DG(45.9,"AC",$E(X,1,30),DA)="" 2)= K ^DG(45.9,"AC",$E(X,1,30),DA)
8	MEDICAL CENTER	0;8	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>999)!(X<100)!(X?.E1"."1N.N) X` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 100 AND 999` DESCRIPTION: This field contains the facility's number (3 digit number) and is transmitted to Austin to indicate which facility transmitted the data.
9	BED SECTION	0;9	SET	'I' FOR INTERMEDIATE MEDICINE; 'N' FOR NHCU; DESCRIPTION: This field contains the bedsection under which this patient was treated. Only patients residing on wards with a service of Intermediate care or Nursing home care are eligible to have a PAF form completed.
10	TRACHEOSTOMY CARE/SUCTIONING	0;10	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Care for a tracheostomy, including Daily Self-care patients suctioning. Exclude any self-care patients who do not need daily staff help.
11	SUCTIONING-GENERAL(DAILY)	0;11	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Nasal or oral techniques for clearing Daily Any tracheostomy away fluid or secretions. May be for suctioning a respiratory problem.
12	OXYGEN(DAILY)	0;12	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Administration of oxygen by nasal Daily Inhalators,oxygen in catheter,mask (nasal or oronasal), room,but not in use funnel/cone or oxygen tent for conditions resulting from oxygen deficiency.
13	RESPIRATORY CARE	0;13	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Care for any portion of the respiratory Daily Suctioning tract,especially the lungs. This care may include one or more of the following: percussion or cupping,postural drainage, positive pressure machine,possibly oxygen to administer drugs,etc.
14	TUBE FEEDING	0;14	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Primary food intake by means of a tube None None.Includes specifically, nasogastric, nasoduodenal, gastrostomy nasojejunal, esophagostomy, jejunostomy, or gastrostomy.
15	PARENTERAL FEEDING	0;15	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Intravenous or subcutaneous route for None None.Gastrostomy the administration of fluids used to not applicable. maintain fluid,nutritional intake, electrolyte balance.
16	WOUND CARE	0;16	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Subcutaneous lesion(s) resulting Care must be Decubiti from surgery,trauma or open needed for at Stasis ulcers cancerous ulcers. least 3 consecutive Skin tears weeks. Feeding tubes
17	CHEMOTHERAPY	0;17	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Treatment of carcinoma through IV None None and/or oral chemical agents,as ordered by a physician.
18	TRANSFUSIONS	0;18	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- Introduction of whole blood or blood components directly into the blood stream. None None
19	DIALYSIS/APHORESIS	0;19	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS --------------------------------------------------------------------------- The process of removing impurities from None None the blood of persons who have renal disease. Include within this definition patients receiving aphoresis,that is, any of the processes used to separate blood components in order to remove known or suspected pathogenic elements.
20	RADIATION THERAPY	0;20	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `---------------------------------------------------------------------------` DEFINITION SPECIFIC FREQUENCY EXCLUSIONS -------------------------------------------------------------------------- Treatment of carcinoma by means of None None ionizing radiation.
21	TUBE FEEDING ROUTE	0;21	SET	'1' FOR 1> N/A - NOT TUBE FED; '2' FOR 2> NASOGASTRIC; '3' FOR 3> NASODUODENAL; '4' FOR 4> NASOJEJUNAL; '5' FOR 5> ESOPHAGOSTOMY; '6' FOR 6> JEJUNOSTOMY; '7' FOR 7> GASTROSTOMY; LAST EDITED: `OCT 30, 1988` DESCRIPTION: `Definition: Tube Feeding Routes - Nasogastric - Transnasal route ending in the stomach. Nasoduodenal - Transnasal route ending in the duodenum (the first part of` the small intestine). Nasojejunal - Transnasal route ending in the jejunum (the second part of the small intestine). Esophagostomy - The feeding tube is passed through a surgically-created opening in the lower neck region ending in the stomach. Jejunostomy - The feeding tube passes through a surgically-created opening in the abdominal region into the jejunum. Gastrostomy - The feeding tube passes through a surgically-created opening in the abdominal region into the stomach.
22	RESERVED1	0;22	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field is reserved for future use. It is left blank to mimic the actual Long Term Care Patient Assessment Instrument (VA form 10-0064a).
23	DECUBITUS LEVEL	0;23	SET	'0' FOR NO REDDENED SKIN; '1' FOR REDDENED SKIN,POTENTIAL BREAKDOWN; '2' FOR SUPERFICIAL LAYER OF BROKEN OR BLISTERED SKIN; '3' FOR SUBCUTANEOUS SKIN BROKEN DOWN; '4' FOR NECROTIC BREAKDOWN; '5' FOR AT LEVEL 4,DOES NOT FULFILL QUALIFIERS; DESCRIPTION: `For a patient to be coded as level 4, documentation by a licensed clinician (e.g.,physician,podiatrist,R.N.) must exist which describes the following three components:` 1. a description of the patient's decubitus 2. the active treatment plan 3. circumstances or medical condition which led to the decubitus. (An exception to this documentation can be made for newly admitted patients whose decubitus developed before admission and involved unknown causes or circumstances.)
24	COMATOSE	0;24	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field contains a yes/no response whether or not the patient is comatose. This data should be obtained from a nurse on the ward where this patient resides.
25	DEHYDRATION	0;25	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: If this patient suffers from dehydration, enter a YES in this field. Otherwise, respond NO. This data should be obtained from a nurse on the ward where this patient resides.
26	INTERNAL BLEEDING	0;26	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: If this patient suffers from internal bleeding, enter a YES in this field. Otherwise, respond NO. This data should be obtained from a nurse on the ward where this patient resides (or resided).
27	STASIS ULCER	0;27	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: Open lesion, usually in lower extremities, caused by decreased blood flow from chronic venous insufficiency.
28	TERMINALLY ILL	0;28	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
29	RESERVE2	0;29	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
30	RESERVE3	0;30	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
31	RESERVE4	0;31	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
32	QUADRIPLEGIA	0;32	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `Includes both complete and incomplete paralysis of all limbs. (ICD-9-CM 344.0) Does not include paraplegia or any other forms of paralysis.`
33	MULTIPLE SCLEROSIS	0;33	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `(ICD-9-CM 340) Does not include any other diseases of the central nervous system.`
34	URINARY TRACT INFECTION	0;34	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `Site of infection does not have to be specified. (ICD-9-CM 599.0)`
35	HEMIPLEGIA	0;35	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: `Includes both complete and incomplete paralysis of one side of the body regardless of cause. (ICD-9-CM 342.9)`
36	RESERVE5	0;36	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
37	RESERVE6	0;37	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
38	RESERVE7	0;38	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
39	RESERVE8	0;39	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `MAY 13, 1987` DESCRIPTION: This field has been left unused to follow numbering guidelines on the RUG-II PAF form. Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.
40	EATING	0;40	SET	'1' FOR 1> FEEDS SELF; '2' FOR 2> INTERMITTENT SUPERVISION; '3' FOR 3> CONTINUED HELP; '4' FOR 4> HAND FED; '5' FOR 5> TUBE FED; LAST EDITED: `APR 20, 1987` DESCRIPTION: Enter the code which best represents the method under which this patient receives nutritional intake.
41	MOBILITY	0;41	SET	'1' FOR 1> WALKS,NO SUPERVISION; '2' FOR 2> WALKS,INTERMITTENT SUPERVISION; '3' FOR 3> WALKS,CONSTANT SUPERVISION; '4' FOR 4> WHEELS,NO SUPERVISION; '5' FOR 5> WHEELED; LAST EDITED: `APR 20, 1987` DESCRIPTION: Enter the code which best represents the method under which this patient is transported (or transports himself) from place to place.
42	TRANSFER	0;42	SET	'1' FOR 1> NO SUPERVISION; '2' FOR 2> INTERMITTENT SUPERVISION; '3' FOR 3> ASSISTANCE OF 1 PERSON; '4' FOR 4> ASSISTANCE OF 2 PEOPLE; '5' FOR 5> CANNOT GET OUT OF BED; LAST EDITED: `APR 20, 1987` DESCRIPTION: Enter the code which best represents how this patient is moved.
43	TOILETING	0;43	SET	'1' FOR 1> NO SUPERVISION; '2' FOR 2> INTERMITTENT SUPERVISION; '3' FOR 3> CONTINENT,REQUIRES SUPERVISION; '4' FOR 4> INCONTINENT,NOT TAKEN TO TOILET; '5' FOR 5> INCONTINENT,TAKEN TO TOILET; LAST EDITED: `APR 20, 1987` DESCRIPTION: Enter the code which best represents the manner in which this patient transported to and from the toilet.
44	VERBAL DISRUPTION	0;44	SET	'1' FOR 1> NONE IN PAST 4 WEEKS; '2' FOR 2> 1-3 TIMES IN PAST 4 WEEKS; '3' FOR 3> SHORT LIVED AT LEAST ONCE A WEEK; '4' FOR 4> UNPREDICTABLE; '5' FOR 5> AT LEVEL 4,DOES NOT FULFILL QUALIFIERS; LAST EDITED: `APR 20, 1987` DESCRIPTION: Choose from the available choices, the item that best describes this patient's verbal disruption. Verbal disruption is considered yelling, baiting, threatening, etc.
45	PHYSICAL AGGRESSION	0;45	SET	'1' FOR 1> NONE IN PAST 4 WEEKS; '2' FOR 2> UNPREDICTABLE IN PAST 4 WEEKS; '3' FOR 3> PREDICTABLE DURING SPECIFIC ROUTINES; '4' FOR 4> UNPREDICTABLE,AT LEAST ONCE A WEEK; '5' FOR 5> AT LEVEL 4,DOES NOT FULFILL QUALIFIERS; LAST EDITED: `APR 20, 1987` DESCRIPTION: `Enter from the available choices, the item that best describes the amount of physical agression behavior this patient exibits. Physical agression is described as assertive or combative behavior to self or others with the` possibiltity of injury. Examples include hits self, throws objects, punches, and makes dangerous maneuvers with a wheelchair.
46	DISRUPTIVE BEHAVIOR	0;46	SET	'1' FOR 1> NONE IN PAST 4 WEEKS; '2' FOR 2> NOT DISRUPTIVE TO OTHERS; '3' FOR 3> DISRUPTIVE IN PAST 4 WEEKS; '4' FOR 4> AT LEAST ONCE A WEEK; '5' FOR 5> AT LEVEL 4,DOES NOT FULFILL QUALIFIERS; LAST EDITED: `APR 20, 1987` DESCRIPTION: `Enter from the available choices, the item that best describes the amount of disruptive behavior this patient exibits. This would include disruptive, infantile, or socially inappropriate behavior and can be described as` childish, repetitive or antisocial physical behavior which creates disruption with others. Examples include constantly undressing self, stealing, smearing feces, and sexually displaying oneself to others. Exclude verbal actions and read choices for other exclusions.
47	HALLUCINATIONS	0;47	SET	'1' FOR NO; '2' FOR YES; '3' FOR YES,BUT DOES NOT FULFILL THE QUALIFIERS; LAST EDITED: `FEB 17, 1991` DESCRIPTION: `Enter from the available choices the item that best describes the patient's hallucinations (or lack thereof). Hallucinations are described as visual, auditory, or tactile perceptions that have no basis in external` reality. In order to be recorded her, the hallucinations must be experienced at least once per week during the past four weeks.
48	PHYSICAL THERAPY LEVEL	0;48	SET	'1' FOR 1> DOES NOT RECEIVE; '2' FOR 2> MAINTENANCE PROGRAM; '3' FOR 3> RESTORATIVE PROGRAM; '4' FOR 4> NON-QUALIFYING PROGRAM; LAST EDITED: `FEB 16, 1988` DESCRIPTION: `Enter the appropriate code denoting the level of physical therapy that this patient receives. The following are the choices available:` DOES NOT RECEIVE: patient does not receive physical therapy MAINTENANCE PROGRAM: patient requires and is currently receiving physical therapy to help stabilize or slow functional deteriorization. RESTORATIVE PROGRAM: patient requires and is currently receiving physical therapy for four or more consecutive weeks with a restorative goal. NON-QUALIFYING PROGRAM: patient requires and receives restorative therapy, but does not meet the qualifiers stated in the instructions.
49	PT DAYS PER WEEK	0;49	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 0 AND 7` DESCRIPTION: Enter the number of days a week (0-7) that this patient receives physical therapy. Enter 0 if this patient does not receive physical therapy (pysical theraphy level was listed as 1).
49.5	PT HOURS/MINUTES PER WEEK	0;63	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1` LAST EDITED: `NOV 30, 1988` HELP-PROMPT: `Type a Number between 0 and 5059, 0 Decimal Digits` DESCRIPTION: `Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros` should be left off. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
50	OCCUPATIONAL THERAPY LEVEL	0;50	SET	'1' FOR 1> DOES NOT RECEIVE; '2' FOR 2> MAINTENANCE PROGRAM; '3' FOR 3> RESTORATIVE PROGRAM; '4' FOR 4> NON-QUALIFYING PROGRAM; LAST EDITED: `APR 20, 1987` DESCRIPTION: `Enter the appropriate code denoting the level of occupational therapy that this patient receives. The following are the choices available:` DOES NOT RECEIVE: patient does not receive occupational therapy. MAINTENANCE PROGRAM: patient requires and is currently receiving occupational therapy to help stabilize or slow functional deteriorization. RESTORATIVE PROGRAM: patient requires and is currently receiving occupational therapy for four or more consecutive weeks with a restorative goal. NON-QUALIFYING PROGRAM: patient requires and receives restorative therapy, but does not meet the qualifiers stated in the instructions.
51	OT DAYS PER WEEK	0;51	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 0 AND 7` DESCRIPTION: Enter the number of days a week (0-7) this patient receives occupational therapy. Enter 0 if this patient does not receive occupational therapy (occupational therapy level was listed as 1).
51.5	OT HOURS/MINUTES PER WEEK	0;64	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1` LAST EDITED: `NOV 30, 1988` HELP-PROMPT: `Type a Number between 0 and 5059, 0 Decimal Digits` DESCRIPTION: `Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros` should be left off. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
52	CORRECTIVE THERAPY LEVEL	0;52	SET	'1' FOR 1> DOES NOT RECEIVE; '2' FOR 2> MAINTENANCE PROGRAM; '3' FOR 3> RESTORATIVE PROGRAM; '4' FOR 4> NON-QUALIFYING PROGRAM; LAST EDITED: `APR 20, 1987` DESCRIPTION: `Enter the appropriate code denoting the level of corrective therapy that this patient receives. The following are the choices available:` DOES NOT RECEIVE: patient does not receive corrective therapy. MAINTENANCE PROGRAM: patient requires and is currently receiving corrective therapy to help stabilize or slow functional deteriorization. RESTORATIVE PROGRAM: patient requires and is currently receiving corrective therapy for four or more consecutive weeks with a restorative goal. NON-QUALIFYING PROGRAM: patient requires and receives restorative therapy, but does not meet the qualifiers stated in the instructions.
53	CT DAYS PER WEEK	0;53	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 0 AND 7` DESCRIPTION: Enter the number of days a week (0-7) that this patient receives corrective therapy. Enter 0 if this patient does not receive corrective therapy (corrective therapy level was listed as 1).
53.5	CT HOURS/MINUTES PER WEEK	0;65	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1` LAST EDITED: `NOV 30, 1988` HELP-PROMPT: `Type a Number between 0 and 5059, 0 Decimal Digits` DESCRIPTION: `Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros` should be left off. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
54	MANUAL ARTS THERAPY LEVEL	0;54	SET	'1' FOR 1> DOES NOT RECEIVE; '2' FOR 2> MAINTENANCE PROGRAM; '3' FOR 3> RESTORATIVE PROGRAM; '4' FOR 4> NON-QUALIFYING PROGRAM; LAST EDITED: `APR 20, 1987` DESCRIPTION: `Enter the appropriate code denoting the level of manual arts therapy that this patient receives. The following are the choices available:` DOES NOT RECEIVE: patient does not receive manual arts therapy. MAINTENANCE PROGRAM: patient requires and is currently receiving manual arts therapy to help stabilize or slow functional deteriorization. RESTORATIVE PROGRAM: patient requires and is currently receiving manual arts therapy for four or more consecutive weeks with a restorative goal. NON-QUALIFYING PROGRAM: patient requires and receives restorative therapy, but does not meet the qualifiers stated in the instructions.
55	MAT DAYS PER WEEK	0;55	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 0 AND 7` DESCRIPTION: Enter the number of days a week (0-7) that this patient receives manual arts therapy. Enter 0 if this patient does not receive manual arts therapy (manual arts therapy level was listed as 1).
55.5	MAT HOURS/MINUTES PER WEEK	0;66	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1` LAST EDITED: `NOV 30, 1988` HELP-PROMPT: `Type a Number between 0 and 5059, 0 Decimal Digits` DESCRIPTION: `Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros` should be left off. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
56	EDUCATIONAL THERAPY LEVEL	0;56	SET	'1' FOR 1> DOES NOT RECEIVE; '2' FOR 2> MAINTENANCE PROGRAM; '3' FOR 3> RESTORATIVE PROGRAM; '4' FOR 4> NON-QUALIFYING PROGRAM; LAST EDITED: `APR 20, 1987` DESCRIPTION: `Enter the appropriate code denoting the level of educational therapy that this patient receives. The following are the choices available:` DOES NOT RECEIVE: patient does not receive educational therapy. MAINTENANCE PROGRAM: patient requires and is currently receiving educational therapy to help stabilize or slow functional deteriorization. RESTORATIVE PROGRAM: patient requires and is currently receiving educational therapy for four or more consecutive weeks with a restorative goal. NON-QUALIFYING PROGRAM: patient requires and receives restorative therapy, but does not meet the qualifiers stated in the instructions.
57	ET DAYS PER WEEK	0;57	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 0 AND 7` DESCRIPTION: Enter the number of days a week (0-7) that this patient receives educational therapy. Enter 0 if this patient does not receive educational therapy (educational therapy level was listed as 1).
57.5	ET HOURS/MINUTES PER WEEK	0;67	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1` LAST EDITED: `NOV 30, 1988` HELP-PROMPT: `Type a Number between 0 and 5059, 0 Decimal Digits` DESCRIPTION: `Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros` should be left off. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
58	CHRONIC VENTILATOR DEP. (CVD)	0;58	SET	'2' FOR YES; '1' FOR NO; LAST EDITED: `OCT 30, 1988` DESCRIPTION: `Definition: Chronic ventilator dependent - Patient is, or in the past six months has been, dependent upon mechanical respiratory support to sustain life. The definition of 'mechanical' includes either negative or` positive pressure ventilators, rocking beds, or pneumobelts. Specific Frequency: Patients who are currently being supported by a mechanical respirator must have been supported for at least 6 hours a day for each of the past 30 days. This question should also be answered 'yes' for any patient who is not now being supported by a mechanical respirator because of successful weaning attempts but who had been supported for at least 6 hours a day in any 5 of the last 6 months. Exclusions: Any patient not meeting either of the specific frequency requirements. The term 'mechanical' excludes phrenic nerve pacemakers used to generate breathing through diaphragm pacemaking.
59	TIME SINCE BECOMING CVD	0;59	SET	'1' FOR 1> N/A - NOT CVD; '2' FOR 2> LESS THAN 2 MONTHS; '3' FOR 3> 2 TO 6 MONTHS; '4' FOR 4> 6 TO 36 MONTHS; '5' FOR 5> MORE THAN 36 MONTHS; LAST EDITED: `OCT 30, 1988` DESCRIPTION: Enter a number 1 through 5 specifying the length of time since the patient has become CVD.
60	WEANING ATTEMPT FREQUENCY	0;60	SET	'1' FOR 1> N/A - NOT CVD; '2' FOR 2> NO ATTEMPTS IN THE PAST SIX MONTHS; '3' FOR 3> DAILY ATTEMPTS; '4' FOR 4> WEEKLY ATTEMPTS; '5' FOR 5> MONTHLY ATTEMPTS; LAST EDITED: `OCT 30, 1988` DESCRIPTION: Enter a number 1 through 5 corresponding to the frequency of weaning attempts for this patient.
61	IS PNP>-20CM AND VC>15ML	0;61	SET	'1' FOR 1> N/A - NOT CVD; '2' FOR 2> NO; '3' FOR 3> YES; '4' FOR 4> NOT MEASURED IN THE LAST 2 MONTHS; LAST EDITED: `OCT 30, 1988` DESCRIPTION: Is peak negative pressure more than -20 cm H2O and vital capacity greater than 15 ml/kg based on the most recent measurement?
62	CAUSE FOR RESPIRATORY FAILURE	0;62	SET	'1' FOR 1> N/A - NOT CVD; '2' FOR 2> COPD; '3' FOR 3> AMYOTROPHIC LATERAL SCLEROSIS; '4' FOR 4> STROKE/HEAD INJURY; '5' FOR 5> SPINAL CORD INJURY; '6' FOR 6> KYPHOSCOLIOSIS; '7' FOR 7> 2 OR MORE OF THE ABOVE; '8' FOR 8> NONE OF THE ABOVE; '9' FOR 9> UNKNOWN; LAST EDITED: `OCT 30, 1988` DESCRIPTION: Enter primary cause (diagnosis) for the respiratory failure. Note: COPD is chronic obstructive pulmonary disease.
70	LOCATION	R;1	VARIABLE POINTER	WARD LOCATION(#42) LAST EDITED: `APR 17, 1996` DESCRIPTION: `Enter the location where this patient was when this patient assessment instrument was completed. If a ward is selected, it must have a service or either Intermediate medicine or nursing home care. If a CNH is selected,` it must be an active CNH vendor.
71	RUG-II GROUP	R;2	POINTER TO RUG-II FILE (#45.91)	RUG-II(#45.91) LAST EDITED: `MAR 14, 1987` DESCRIPTION: `Enter the RUG-II group (1-17) that this patient was categorized into. This field is completed by the RUG-II software based on the responses to all of the assessment questions. It should not be altered in any way. Any` changes should be made through the appropriate RUG-II menu options. WRITE AUTHORITY: ^ CROSS-REFERENCE: `45.9^AR^MUMPS` 1)= S R=$P(^DG(45.9,DA,0),"^",6),R1=$P(^(0),"^",2) I R,R1 S ^DG(45.9,"AR",X,R,R1,DA)="" 2)= S R=$P(^DG(45.9,DA,0),"^",6),R1=$P(^(0),"^",2) I R,R1 K ^DG(45.9,"AR",X,R,R1,DA)
72	ADL SUM	R;3	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `NOV 04, 1986` HELP-PROMPT: `TYPE A WHOLE NUMBER BETWEEN 0 AND 10` DESCRIPTION: `The ADL sum is the sum of the numeric codes given for the eating, toileting, and transfer questions. This sum is computed automatically by the RUG-II software and should not be altered. Any changes should be made through` the appropriate RUG-II menu option. The ADL sum, along with responses to various questions in the patient assessment instrument, is used to compute the RUG-II group under which this patient will be placed. WRITE AUTHORITY: ^
73	DATE EDITED	U;0	DATE Multiple #45.9001	45.9001 DESCRIPTION: This multiple stores the user and dates on which this patient assessment instrument was edited. WRITE AUTHORITY: ^
74	CATEGORY	R;4	SET	'1' FOR HEAVY REHABILITATION; '2' FOR SPECIAL CARE; '3' FOR CLINICAL COMPLEX; '4' FOR BEHAVIORAL; '5' FOR PHYSICAL; LAST EDITED: `MAR 09, 1987` DESCRIPTION: `This field stores the category under which this patient assessment instrument has been grouped. The category is determined automatically by the RUG-II module based on responses to various questions on the assessment form.` This field should NOT be altered in any way. WRITE AUTHORITY: ^
80	RECORD STATUS	C;1	SET	'1' FOR COMPLETED; '2' FOR CLOSED; '3' FOR RELEASE; '4' FOR TRANSMITTED; '0' FOR OPEN; '5' FOR INCOMPLETE; LAST EDITED: `MAR 14, 1987` DESCRIPTION: `Enter the code that best respresents the status of this record. Statuses are updated automatically by the RUG-II module and should not be altered except through options on the RUG-II menu. Altering this data could have` negative impacts on the performance of the RUG software including rejections of records transmitted to Austin. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `45.9^AS` 1)= S ^DG(45.9,"AS",$E(X,1,30),DA)="" 2)= K ^DG(45.9,"AS",$E(X,1,30),DA) CROSS-REFERENCE: `^^TRIGGER^45.9^84` 1)= Q 1.4)= S DIH=$S($D(^DG(45.9,DIV(0),"C")):^("C"),1:""),DIV=X X "F %=0:0 Q:$L($P(DIH,U,4,99)) S DIH=DIH_U" S %=$P(DIH,U,6,999),DIU=$P(DIH,U,5),^("C")=$P(DIH,U,1,4)_U_DIV_$S(%]"":U_%,1:""),DIH=45.9,DIG=84 D ^DICR:$N(^DD(DIH,D IG,1,0))>0 2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=$S('$D(^DG(45.9,DA,"C")):0,$P(^("C"),U)'=0:0,X=2:1,1:0) I X S X=DIV S Y(1)=$S($D(^DG(45.9,D0,"C")):^("C"),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV S X=DUZ X ^DD(45.9,80, 1,2,2.4) 2.4)= S DIH=$S($D(^DG(45.9,DIV(0),"C")):^("C"),1:""),DIV=X X "F %=0:0 Q:$L($P(DIH,U,4,99)) S DIH=DIH_U" S %=$P(DIH,U,6,999),DIU=$P(DIH,U,5),^("C")=$P(DIH,U,1,4)_U_DIV_$S(%]"":U_%,1:""),DIH=45.9,DIG=84 D ^DICR:$N(^DD(DIH,D IG,1,0))>0 CREATE CONDITION)= S X=$S('$D(RMOFLG):0,X=0:1,1:0) CREATE VALUE)= NO EFFECT DELETE CONDITION)= S X=$S('$D(^DG(45.9,DA,"C")):0,$P(^("C"),U)'=0:0,X=2:1,1:0) DELETE VALUE)= S X=DUZ FIELD)= REO
81	CLOSE OUT DATE	C;2	DATE	INPUT TRANSFORM: `S %DT="ET" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `NOV 05, 1986` DESCRIPTION: `Enter the date this record was closed. This is the date on which the user chose to close the record after all assessment questions were answered correctly. This field is updated automatically by the RUG-II software and` should not be altered.
82	CLOSED OUT BY	C;3	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `OCT 06, 1990` DESCRIPTION: `This field stores the name of the person who chose to complete this assessment once all questions on the patient assessment instrument were answered appropriately. This field is updated automatically by the RUG-II` software and should not be altered.
83	TRANSMISSION DATE	C;4	DATE	INPUT TRANSFORM: `S %DT="ET" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `NOV 17, 1986` DESCRIPTION: If this patient assessment instrument has been transmitted, this field will indicate the date this record was transmitted to Austin. The transmission software will automatically update this field. CROSS-REFERENCE: `45.9^T` 1)= S ^DG(45.9,"T",$E(X,1,30),DA)="" 2)= K ^DG(45.9,"T",$E(X,1,30),DA)
84	REOPENED BY	C;5	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `OCT 06, 1990` DESCRIPTION: If this record required reopening after it was closed, this field will contain the name of the individual that reopened the record. Records which have already been transmitted and need changing may also be reopened. NOTES: `TRIGGERED by the RECORD STATUS field of the PAF File`

Field #

Name

Loc

Type

Details

.001

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>99999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: MAR 24, 1987
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 1 AND 99999999

DESCRIPTION:

This field contains an internal entry number as created by VA FileMan.

.01

NAME

0;1

POINTER TO VA PATIENT FILE (#2)

************************REQUIRED FIELD************************

VA PATIENT(#2)

INPUT TRANSFORM: S DIC("S")="I $D(DFN),DFN=Y" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: APR 22, 1988

DESCRIPTION:

This field contains the name of the long-term care patient for which this assessment was completed.

SCREEN: S DIC("S")="I $D(DFN),DFN=Y"
EXPLANATION: <<>>
```
UNEDITABLE
```

CROSS-REFERENCE: 45.9^B

1)= S ^DG(45.9,"B",$E(X,1,30),DA)=""

2)= K ^DG(45.9,"B",$E(X,1,30),DA)

2

ASSESSMENT DATE

0;2

DATE

************************REQUIRED FIELD************************

INPUT TRANSFORM: S %DT="EXP",%DT(0)="-0" D ^%DT K %DT S X=Y K:Y<1 X I $D(X) D ASD^DGRUGC1 K %
LAST EDITED: MAR 01, 1989
DESCRIPTION: Enter the month,day and year the assessment is completed. The date must be after the date of admission/transfer in.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

CROSS-REFERENCE: 45.9^AD^MUMPS

1)= S L=+^DG(45.9,DA,0) I L>0 S ^DG(45.9,"AD",L,X,DA)=""

2)= S L=+^DG(45.9,DA,0) I L>0 K ^DG(45.9,"AD",L,X,DA)

CROSS-REFERENCE: 45.9^AA

1)= S ^DG(45.9,"AA",$E(X,1,30),DA)=""

2)= K ^DG(45.9,"AA",$E(X,1,30),DA)

CROSS-REFERENCE: 45.9^AP^MUMPS

1)= S L=$P(^DG(45.9,DA,0),"^",6) I L>0 S ^DG(45.9,"AP",L,X,DA)=""

2)= S L=$P(^DG(45.9,DA,0),"^",6) I L>0 K ^DG(45.9,"AP",L,X,DA)

3

SSN

0;3

FREE TEXT

************************REQUIRED FIELD************************

INPUT TRANSFORM: K:$L(X)>9!($L(X)<9) X
LAST EDITED: NOV 14, 1986
HELP-PROMPT: ANSWER MUST BE 9 CHARACTERS IN LENGTH

DESCRIPTION:

This field contains the patient's SSN.  This data is added automatically when the patient assessment is created either through a RUG background job or through the 'Create a PAI' option.

4

SEX

0;4

SET

'M' FOR MALE;
'F' FOR FEMALE;

DESCRIPTION:

This field contains the patient's sex.  This data is added automatically when the patient assessment record is created either through a RUG background job or the 'Create a PAI' option.

5

YEAR OF BIRTH

0;5

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1800)!(X?.E1"."1N.N) X
LAST EDITED: MAR 09, 1998
HELP-PROMPT: Enter the patient's 4-digit Year of Birth.

DESCRIPTION:

This field contains the year in which this patient was born.  This data is added automatically when the patient's assessment record is created either through a RUG background job or the 'Create a PAI' menu option.

6

ASSESSMENT PURPOSE

0;6

SET

************************REQUIRED FIELD************************

'1' FOR ADMISSION/TRANSFER;
'2' FOR SEMI-ANNUAL CENSUS;
'3' FOR CONTRACT NURSING HOME;

LAST EDITED: APR 16, 1996

DESCRIPTION: Enter "1" if the assessment is being completed within approximately one week after admission/transfer into the intermediate medicine or nursing home care unit. Enter "2" if the assessment is completed on patients in bed

as of a semi-annual survey date. If semi-annual assessment date coincides with the day on which an admission/transfer assessment would have been done, record "2" as the purpose.  Enter "3" if the assessment is for a

Contract Nursing Home patient.

UNEDITABLE

7

DATE OF ADMISSION/TRANSFER IN

0;7

DATE

INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 13, 1987
DESCRIPTION: This field will contain the date/time this patient was either admitted to or transferred to a ward whose service is either intermediate care (I) or nursing home care (NHCU). This date must be selected from the choices
```
given under the 'Create a PAI' option.  It may also be created automatically by one of the RUG background jobs (the nightly job or the semi-annual job).
```

CROSS-REFERENCE: 45.9^AT^MUMPS

1)= S L=$P(^DG(45.9,DA,0),"^",6),DFN=+^DG(45.9,DA,0) I L S ^DG(45.9,"AT",L,X,DFN,DA)=""

2)= S L=$P(^DG(45.9,DA,0),"^",6),DFN=+^DG(45.9,DA,0) I L K ^DG(45.9,"AT",L,X,DFN,DA)

CROSS-REFERENCE: 45.9^AC

1)= S ^DG(45.9,"AC",$E(X,1,30),DA)=""

2)= K ^DG(45.9,"AC",$E(X,1,30),DA)

8

MEDICAL CENTER

0;8

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>999)!(X<100)!(X?.E1"."1N.N) X
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 100 AND 999

DESCRIPTION:

This field contains the facility's number (3 digit number) and is transmitted to Austin to indicate which facility transmitted the data.

9

BED SECTION

0;9

SET

'I' FOR INTERMEDIATE MEDICINE;
'N' FOR NHCU;

DESCRIPTION:

This field contains the bedsection under which this patient was treated.  Only patients residing on wards with a service of Intermediate care or Nursing home care are eligible to have a PAF form completed.

10

TRACHEOSTOMY CARE/SUCTIONING

0;10

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                          SPECIFIC

FREQUENCY       EXCLUSIONS

---------------------------------------------------------------------------

Care for a tracheostomy, including       Daily           Self-care patients suctioning. Exclude any self-care patients who do not need daily staff help.

11

SUCTIONING-GENERAL(DAILY)

0;11

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                       SPECIFIC

FREQUENCY         EXCLUSIONS

---------------------------------------------------------------------------

Nasal or oral techniques for clearing    Daily          Any tracheostomy away fluid or secretions. May be for                    suctioning a respiratory problem.

12

OXYGEN(DAILY)

0;12

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                        SPECIFIC

FREQUENCY         EXCLUSIONS

---------------------------------------------------------------------------

Administration of oxygen by nasal       Daily          Inhalators,oxygen in catheter,mask (nasal or oronasal),                     room,but not in use funnel/cone or oxygen tent for conditions resulting from oxygen

deficiency.

13

RESPIRATORY CARE

0;13

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                               SPECIFIC

FREQUENCY      EXCLUSIONS

---------------------------------------------------------------------------

Care for any portion of the respiratory           Daily         Suctioning tract,especially the lungs. This care may include one or more of the following: percussion or cupping,postural drainage, positive pressure

machine,possibly oxygen to administer drugs,etc.

14

TUBE FEEDING

0;14

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                         SPECIFIC

FREQUENCY        EXCLUSIONS

---------------------------------------------------------------------------

Primary food intake by means of a tube    None             None.Includes specifically, nasogastric, nasoduodenal,                   gastrostomy nasojejunal, esophagostomy, jejunostomy, or gastrostomy.

15

PARENTERAL FEEDING

0;15

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                         SPECIFIC

FREQUENCY      EXCLUSIONS

---------------------------------------------------------------------------

Intravenous or subcutaneous route for       None           None.Gastrostomy the administration of fluids used to                       not applicable.  maintain fluid,nutritional intake, electrolyte balance.

16

WOUND CARE

0;16

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                    SPECIFIC

FREQUENCY             EXCLUSIONS

---------------------------------------------------------------------------

Subcutaneous lesion(s) resulting       Care must be          Decubiti from surgery,trauma or open            needed for at         Stasis ulcers cancerous ulcers.                      least 3 consecutive   Skin tears

weeks.                Feeding tubes

17

CHEMOTHERAPY

0;17

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                          SPECIFIC

FREQUENCY          EXCLUSIONS

---------------------------------------------------------------------------

Treatment of carcinoma through IV         None               None and/or oral chemical agents,as ordered by a physician.

18

TRANSFUSIONS

0;18

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                            SPECIFIC

FREQUENCY          EXCLUSIONS

---------------------------------------------------------------------------

Introduction of whole blood or blood components directly into the blood stream.     None                None

19

DIALYSIS/APHORESIS

0;19

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                         SPECIFIC

FREQUENCY         EXCLUSIONS

---------------------------------------------------------------------------

The process of removing impurities from      None               None the blood of persons who have renal disease. Include within this definition patients receiving aphoresis,that is, any of the processes used to separate

blood components in order to remove known or suspected pathogenic elements.

20

RADIATION THERAPY

0;20

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION: ---------------------------------------------------------------------------

DEFINITION                    SPECIFIC

FREQUENCY             EXCLUSIONS

--------------------------------------------------------------------------

Treatment of carcinoma by means of       None                  None ionizing radiation.

21

TUBE FEEDING ROUTE

0;21

SET

'1' FOR 1> N/A - NOT TUBE FED;
'2' FOR 2> NASOGASTRIC;
'3' FOR 3> NASODUODENAL;
'4' FOR 4> NASOJEJUNAL;
'5' FOR 5> ESOPHAGOSTOMY;
'6' FOR 6> JEJUNOSTOMY;
'7' FOR 7> GASTROSTOMY;

LAST EDITED: OCT 30, 1988

DESCRIPTION: Definition: Tube Feeding Routes - Nasogastric - Transnasal route ending in the stomach. Nasoduodenal - Transnasal route ending in the duodenum (the first part of

the small intestine).  Nasojejunal   - Transnasal route ending in the jejunum (the second part of

the small intestine).  Esophagostomy - The feeding tube is passed through a surgically-created

opening in the lower neck region ending in the stomach.  Jejunostomy   - The feeding tube passes through a surgically-created

opening in the abdominal region into the jejunum.  Gastrostomy   - The feeding tube passes through a surgically-created

opening in the abdominal region into the stomach.

22

RESERVED1

0;22

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field is reserved for future use.  It is left blank to mimic the actual Long Term Care Patient Assessment Instrument (VA form 10-0064a).

23

DECUBITUS LEVEL

0;23

SET

'0' FOR NO REDDENED SKIN;
'1' FOR REDDENED SKIN,POTENTIAL BREAKDOWN;
'2' FOR SUPERFICIAL LAYER OF BROKEN OR BLISTERED SKIN;
'3' FOR SUBCUTANEOUS SKIN BROKEN DOWN;
'4' FOR NECROTIC BREAKDOWN;
'5' FOR AT LEVEL 4,DOES NOT FULFILL QUALIFIERS;

DESCRIPTION: For a patient to be coded as level 4, documentation by a licensed clinician (e.g.,physician,podiatrist,R.N.) must exist which describes the following three components:

1. a description of the patient's decubitus

2. the active treatment plan

3. circumstances or medical condition which led to the decubitus. (An

exception to this documentation can be made for newly admitted

patients whose decubitus developed before admission and involved

unknown causes or circumstances.)

24

COMATOSE

0;24

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field contains a yes/no response whether or not the patient is comatose.  This data should be obtained from a nurse on the ward where this patient resides.

25

DEHYDRATION

0;25

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

If this patient suffers from dehydration, enter a YES in this field.  Otherwise, respond NO.  This data should be obtained from a nurse on the ward where this patient resides.

26

INTERNAL BLEEDING

0;26

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

If this patient suffers from internal bleeding, enter a YES in this field.  Otherwise, respond NO.  This data should be obtained from a nurse on the ward where this patient resides (or resided).

27

STASIS ULCER

0;27

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

Open lesion, usually in lower extremities, caused by decreased blood flow from chronic venous insufficiency.

28

TERMINALLY ILL

0;28

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

29

RESERVE2

0;29

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

30

RESERVE3

0;30

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

31

RESERVE4

0;31

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

32

QUADRIPLEGIA

0;32

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987
DESCRIPTION: Includes both complete and incomplete paralysis of all limbs. (ICD-9-CM 344.0) Does not include paraplegia or any other forms of paralysis.

33

MULTIPLE SCLEROSIS

0;33

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987
DESCRIPTION: (ICD-9-CM 340) Does not include any other diseases of the central nervous system.

34

URINARY TRACT INFECTION

0;34

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987
DESCRIPTION: Site of infection does not have to be specified. (ICD-9-CM 599.0)

35

HEMIPLEGIA

0;35

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987
DESCRIPTION: Includes both complete and incomplete paralysis of one side of the body regardless of cause. (ICD-9-CM 342.9)

36

RESERVE5

0;36

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

37

RESERVE6

0;37

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

38

RESERVE7

0;38

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

39

RESERVE8

0;39

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: MAY 13, 1987

DESCRIPTION:

This field has been left unused to follow numbering guidelines on the RUG-II PAF form.  Should VACO MAS or another RUG contact require that fields be added to the form, this field may be used.

40

EATING

0;40

SET

'1' FOR 1> FEEDS SELF;
'2' FOR 2> INTERMITTENT SUPERVISION;
'3' FOR 3> CONTINUED HELP;
'4' FOR 4> HAND FED;
'5' FOR 5> TUBE FED;

LAST EDITED: APR 20, 1987

DESCRIPTION:

Enter the code which best represents the method under which this patient receives nutritional intake.

41

MOBILITY

0;41

SET

'1' FOR 1> WALKS,NO SUPERVISION;
'2' FOR 2> WALKS,INTERMITTENT SUPERVISION;
'3' FOR 3> WALKS,CONSTANT SUPERVISION;
'4' FOR 4> WHEELS,NO SUPERVISION;
'5' FOR 5> WHEELED;

LAST EDITED: APR 20, 1987

DESCRIPTION:

Enter the code which best represents the method under which this patient is transported (or transports himself) from place to place.

42

TRANSFER

0;42

SET

'1' FOR 1> NO SUPERVISION;
'2' FOR 2> INTERMITTENT SUPERVISION;
'3' FOR 3> ASSISTANCE OF 1 PERSON;
'4' FOR 4> ASSISTANCE OF 2 PEOPLE;
'5' FOR 5> CANNOT GET OUT OF BED;

LAST EDITED: APR 20, 1987

DESCRIPTION:

Enter the code which best represents how this patient is moved.

43

TOILETING

0;43

SET

'1' FOR 1> NO SUPERVISION;
'2' FOR 2> INTERMITTENT SUPERVISION;
'3' FOR 3> CONTINENT,REQUIRES SUPERVISION;
'4' FOR 4> INCONTINENT,NOT TAKEN TO TOILET;
'5' FOR 5> INCONTINENT,TAKEN TO TOILET;

LAST EDITED: APR 20, 1987

DESCRIPTION:

Enter the code which best represents the manner in which this patient transported to and from the toilet.

44

VERBAL DISRUPTION

0;44

SET

'1' FOR 1> NONE IN PAST 4 WEEKS;
'2' FOR 2> 1-3 TIMES IN PAST 4 WEEKS;
'3' FOR 3> SHORT LIVED AT LEAST ONCE A WEEK;
'4' FOR 4> UNPREDICTABLE;
'5' FOR 5> AT LEVEL 4,DOES NOT FULFILL QUALIFIERS;

LAST EDITED: APR 20, 1987

DESCRIPTION:

Choose from the available choices, the item that best describes this patient's verbal disruption.  Verbal disruption is considered yelling, baiting, threatening, etc.

45

PHYSICAL AGGRESSION

0;45

SET

'1' FOR 1> NONE IN PAST 4 WEEKS;
'2' FOR 2> UNPREDICTABLE IN PAST 4 WEEKS;
'3' FOR 3> PREDICTABLE DURING SPECIFIC ROUTINES;
'4' FOR 4> UNPREDICTABLE,AT LEAST ONCE A WEEK;
'5' FOR 5> AT LEVEL 4,DOES NOT FULFILL QUALIFIERS;

LAST EDITED: APR 20, 1987
DESCRIPTION: Enter from the available choices, the item that best describes the amount of physical agression behavior this patient exibits. Physical agression is described as assertive or combative behavior to self or others with the
```
possibiltity of injury.  Examples include hits self, throws objects, punches, and makes dangerous maneuvers with a wheelchair.
```

46

DISRUPTIVE BEHAVIOR

0;46

SET

'1' FOR 1> NONE IN PAST 4 WEEKS;
'2' FOR 2> NOT DISRUPTIVE TO OTHERS;
'3' FOR 3> DISRUPTIVE IN PAST 4 WEEKS;
'4' FOR 4> AT LEAST ONCE A WEEK;
'5' FOR 5> AT LEVEL 4,DOES NOT FULFILL QUALIFIERS;

LAST EDITED: APR 20, 1987

DESCRIPTION: Enter from the available choices, the item that best describes the amount of disruptive behavior this patient exibits. This would include disruptive, infantile, or socially inappropriate behavior and can be described as

childish, repetitive or antisocial physical behavior which creates disruption with others.  Examples include constantly undressing self, stealing, smearing feces, and sexually displaying oneself to others.  Exclude verbal

actions and read choices for other exclusions.

47

HALLUCINATIONS

0;47

SET

'1' FOR NO;
'2' FOR YES;
'3' FOR YES,BUT DOES NOT FULFILL THE QUALIFIERS;

LAST EDITED: FEB 17, 1991
DESCRIPTION: Enter from the available choices the item that best describes the patient's hallucinations (or lack thereof). Hallucinations are described as visual, auditory, or tactile perceptions that have no basis in external
```
reality.  In order to be recorded her, the hallucinations must be experienced at least once per week during the past four weeks.
```

48

PHYSICAL THERAPY LEVEL

0;48

SET

'1' FOR 1> DOES NOT RECEIVE;
'2' FOR 2> MAINTENANCE PROGRAM;
'3' FOR 3> RESTORATIVE PROGRAM;
'4' FOR 4> NON-QUALIFYING PROGRAM;

LAST EDITED: FEB 16, 1988

DESCRIPTION: Enter the appropriate code denoting the level of physical therapy that this patient receives. The following are the choices available:

DOES NOT RECEIVE:  patient does not receive physical therapy

MAINTENANCE PROGRAM:  patient requires and is currently receiving

physical therapy to help stabilize or slow

functional deteriorization.

RESTORATIVE PROGRAM:  patient requires and is currently receiving

physical therapy for four or more consecutive

weeks with a restorative goal.

NON-QUALIFYING PROGRAM:  patient requires and receives restorative

therapy, but does not meet the qualifiers

stated in the instructions.

49

PT DAYS PER WEEK

0;49

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 0 AND 7

DESCRIPTION:

Enter the number of days a week (0-7) that this patient receives physical therapy.  Enter 0 if this patient does not receive physical therapy (pysical theraphy level was listed as 1).

49.5

PT HOURS/MINUTES PER WEEK

0;63

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1
LAST EDITED: NOV 30, 1988
HELP-PROMPT: Type a Number between 0 and 5059, 0 Decimal Digits
DESCRIPTION: Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros
```
should be left off.
```
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

50

OCCUPATIONAL THERAPY LEVEL

0;50

SET

'1' FOR 1> DOES NOT RECEIVE;
'2' FOR 2> MAINTENANCE PROGRAM;
'3' FOR 3> RESTORATIVE PROGRAM;
'4' FOR 4> NON-QUALIFYING PROGRAM;

LAST EDITED: APR 20, 1987

DESCRIPTION: Enter the appropriate code denoting the level of occupational therapy that this patient receives. The following are the choices available:

DOES NOT RECEIVE:  patient does not receive occupational therapy.

MAINTENANCE PROGRAM:  patient requires and is currently receiving

occupational therapy to help stabilize or slow

functional deteriorization.

RESTORATIVE PROGRAM:  patient requires and is currently receiving

occupational therapy for four or more consecutive

weeks with a restorative goal.

NON-QUALIFYING PROGRAM:  patient requires and receives restorative

therapy, but does not meet the qualifiers

stated in the instructions.

51

OT DAYS PER WEEK

0;51

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 0 AND 7

DESCRIPTION:

Enter the number of days a week (0-7) this patient receives occupational therapy.  Enter 0 if this patient does not receive occupational therapy (occupational therapy level was listed as 1).

51.5

OT HOURS/MINUTES PER WEEK

0;64

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1
LAST EDITED: NOV 30, 1988
HELP-PROMPT: Type a Number between 0 and 5059, 0 Decimal Digits
DESCRIPTION: Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros
```
should be left off.
```
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

52

CORRECTIVE THERAPY LEVEL

0;52

SET

'1' FOR 1> DOES NOT RECEIVE;
'2' FOR 2> MAINTENANCE PROGRAM;
'3' FOR 3> RESTORATIVE PROGRAM;
'4' FOR 4> NON-QUALIFYING PROGRAM;

LAST EDITED: APR 20, 1987

DESCRIPTION: Enter the appropriate code denoting the level of corrective therapy that this patient receives. The following are the choices available:

DOES NOT RECEIVE:  patient does not receive corrective therapy.

MAINTENANCE PROGRAM:  patient requires and is currently receiving

corrective therapy to help stabilize or slow

functional deteriorization.

RESTORATIVE PROGRAM:  patient requires and is currently receiving

corrective therapy for four or more consecutive

weeks with a restorative goal.

NON-QUALIFYING PROGRAM:  patient requires and receives restorative

therapy, but does not meet the qualifiers

stated in the instructions.

53

CT DAYS PER WEEK

0;53

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 0 AND 7

DESCRIPTION:

Enter the number of days a week (0-7) that this patient receives corrective therapy.  Enter 0 if this patient does not receive corrective therapy (corrective therapy level was listed as 1).

53.5

CT HOURS/MINUTES PER WEEK

0;65

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1
LAST EDITED: NOV 30, 1988
HELP-PROMPT: Type a Number between 0 and 5059, 0 Decimal Digits
DESCRIPTION: Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros
```
should be left off.
```
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

54

MANUAL ARTS THERAPY LEVEL

0;54

SET

'1' FOR 1> DOES NOT RECEIVE;
'2' FOR 2> MAINTENANCE PROGRAM;
'3' FOR 3> RESTORATIVE PROGRAM;
'4' FOR 4> NON-QUALIFYING PROGRAM;

LAST EDITED: APR 20, 1987

DESCRIPTION: Enter the appropriate code denoting the level of manual arts therapy that this patient receives. The following are the choices available:

DOES NOT RECEIVE:  patient does not receive manual arts therapy.

MAINTENANCE PROGRAM:  patient requires and is currently receiving

manual arts therapy to help stabilize or slow

functional deteriorization.

RESTORATIVE PROGRAM:  patient requires and is currently receiving

manual arts therapy for four or more consecutive

weeks with a restorative goal.

NON-QUALIFYING PROGRAM:  patient requires and receives restorative

therapy, but does not meet the qualifiers

stated in the instructions.

55

MAT DAYS PER WEEK

0;55

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 0 AND 7

DESCRIPTION:

Enter the number of days a week (0-7) that this patient receives manual arts therapy.  Enter 0 if this patient does not receive manual arts therapy (manual arts therapy level was listed as 1).

55.5

MAT HOURS/MINUTES PER WEEK

0;66

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1
LAST EDITED: NOV 30, 1988
HELP-PROMPT: Type a Number between 0 and 5059, 0 Decimal Digits
DESCRIPTION: Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros
```
should be left off.
```
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

56

EDUCATIONAL THERAPY LEVEL

0;56

SET

'1' FOR 1> DOES NOT RECEIVE;
'2' FOR 2> MAINTENANCE PROGRAM;
'3' FOR 3> RESTORATIVE PROGRAM;
'4' FOR 4> NON-QUALIFYING PROGRAM;

LAST EDITED: APR 20, 1987

DESCRIPTION: Enter the appropriate code denoting the level of educational therapy that this patient receives. The following are the choices available:

DOES NOT RECEIVE:  patient does not receive educational therapy.

MAINTENANCE PROGRAM:  patient requires and is currently receiving

educational therapy to help stabilize or slow

functional deteriorization.

RESTORATIVE PROGRAM:  patient requires and is currently receiving

educational therapy for four or more consecutive

weeks with a restorative goal.

NON-QUALIFYING PROGRAM:  patient requires and receives restorative

therapy, but does not meet the qualifiers

stated in the instructions.

57

ET DAYS PER WEEK

0;57

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>7)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 0 AND 7

DESCRIPTION:

Enter the number of days a week (0-7) that this patient receives educational therapy.  Enter 0 if this patient does not receive educational therapy (educational therapy level was listed as 1).

57.5

ET HOURS/MINUTES PER WEEK

0;67

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>5059)!(X<0)!(X?.E1"."1N.N) X I $D(X) D HM^DGRUGC1
LAST EDITED: NOV 30, 1988
HELP-PROMPT: Type a Number between 0 and 5059, 0 Decimal Digits
DESCRIPTION: Enter a number 0 through 5059 in the format HHMM. For example, if the patient has received 3 hours and 30 minutes of therapy per week, enter 330. Enter 30 if the patient received only 30 minutes per week. Leading zeros
```
should be left off.
```
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

58

CHRONIC VENTILATOR DEP. (CVD)

0;58

SET

'2' FOR YES;
'1' FOR NO;

LAST EDITED: OCT 30, 1988

DESCRIPTION: Definition: Chronic ventilator dependent - Patient is, or in the past six months has been, dependent upon mechanical respiratory support to sustain life. The definition of 'mechanical' includes either negative or

positive pressure ventilators, rocking beds, or pneumobelts.

Specific Frequency:  Patients who are currently being supported by a mechanical respirator must have been supported for at least 6 hours a day for each of the past 30 days.  This question should also be answered 'yes' for

any patient who is not now being supported by a mechanical respirator because of successful weaning attempts but who had been supported for at least 6 hours a day in any 5 of the last 6 months.

Exclusions:  Any patient not meeting either of the specific frequency requirements.  The term 'mechanical' excludes phrenic nerve pacemakers used to generate breathing through diaphragm pacemaking.

59

TIME SINCE BECOMING CVD

0;59

SET

'1' FOR 1> N/A - NOT CVD;
'2' FOR 2> LESS THAN 2 MONTHS;
'3' FOR 3> 2 TO 6 MONTHS;
'4' FOR 4> 6 TO 36 MONTHS;
'5' FOR 5> MORE THAN 36 MONTHS;

LAST EDITED: OCT 30, 1988

DESCRIPTION:

Enter a number 1 through 5 specifying the length of time since the patient has become CVD.

60

WEANING ATTEMPT FREQUENCY

0;60

SET

'1' FOR 1> N/A - NOT CVD;
'2' FOR 2> NO ATTEMPTS IN THE PAST SIX MONTHS;
'3' FOR 3> DAILY ATTEMPTS;
'4' FOR 4> WEEKLY ATTEMPTS;
'5' FOR 5> MONTHLY ATTEMPTS;

LAST EDITED: OCT 30, 1988

DESCRIPTION:

Enter a number 1 through 5 corresponding to the frequency of weaning attempts for this patient.

61

IS PNP>-20CM AND VC>15ML

0;61

SET

'1' FOR 1> N/A - NOT CVD;
'2' FOR 2> NO;
'3' FOR 3> YES;
'4' FOR 4> NOT MEASURED IN THE LAST 2 MONTHS;

LAST EDITED: OCT 30, 1988

DESCRIPTION:

Is peak negative pressure more than -20 cm H2O and vital capacity greater than 15 ml/kg based on the most recent measurement?

62

CAUSE FOR RESPIRATORY FAILURE

0;62

SET

'1' FOR 1> N/A - NOT CVD;
'2' FOR 2> COPD;
'3' FOR 3> AMYOTROPHIC LATERAL SCLEROSIS;
'4' FOR 4> STROKE/HEAD INJURY;
'5' FOR 5> SPINAL CORD INJURY;
'6' FOR 6> KYPHOSCOLIOSIS;
'7' FOR 7> 2 OR MORE OF THE ABOVE;
'8' FOR 8> NONE OF THE ABOVE;
'9' FOR 9> UNKNOWN;

LAST EDITED: OCT 30, 1988

DESCRIPTION:

Enter primary cause (diagnosis) for the respiratory failure.  Note:  COPD is chronic obstructive pulmonary disease.

70

LOCATION

R;1

VARIABLE POINTER

WARD LOCATION(#42)

LAST EDITED: APR 17, 1996
DESCRIPTION: Enter the location where this patient was when this patient assessment instrument was completed. If a ward is selected, it must have a service or either Intermediate medicine or nursing home care. If a CNH is selected,
```
it must be an active CNH vendor.
```

71

RUG-II GROUP

R;2

POINTER TO RUG-II FILE (#45.91)

RUG-II(#45.91)

LAST EDITED: MAR 14, 1987
DESCRIPTION: Enter the RUG-II group (1-17) that this patient was categorized into. This field is completed by the RUG-II software based on the responses to all of the assessment questions. It should not be altered in any way. Any
```
changes should be made through the appropriate RUG-II menu options.
```
```
WRITE AUTHORITY:  ^
```

CROSS-REFERENCE: 45.9^AR^MUMPS

1)= S R=$P(^DG(45.9,DA,0),"^",6),R1=$P(^(0),"^",2) I R,R1 S ^DG(45.9,"AR",X,R,R1,DA)=""

2)= S R=$P(^DG(45.9,DA,0),"^",6),R1=$P(^(0),"^",2) I R,R1 K ^DG(45.9,"AR",X,R,R1,DA)

72

ADL SUM

R;3

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: NOV 04, 1986
HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 0 AND 10
DESCRIPTION: The ADL sum is the sum of the numeric codes given for the eating, toileting, and transfer questions. This sum is computed automatically by the RUG-II software and should not be altered. Any changes should be made through
```
the appropriate RUG-II menu option.  The ADL sum, along with responses to various questions in the patient assessment instrument, is used to compute the RUG-II group under which this patient will be placed.
```
```
WRITE AUTHORITY:  ^
```

73

DATE EDITED

U;0

DATE Multiple #45.9001

45.9001

DESCRIPTION:

This multiple stores the user and dates on which this patient assessment instrument was edited.

WRITE AUTHORITY:  ^

74

Customize PDF page

Package: Registration

Global: ^DG(45.9

Information

Description

Directly Accessed By Routines, Total: 17

Accessed By FileMan Db Calls, Total: 11

Pointer To FileMan Files, Total: 4

Fields, Total: 78

ICR, Total: 1