CMS Data Element Library - FHIR Implementation Guide - Local Development build (v0.0.1). See the Directory of published versions

Questionnaire List

As of 30 April 2020, these are the questionnaires that should be available based on the content of the public DEL database.

Functional Assessment Standardized Items

FHIR ID	Status	Subset
FASI-FA-1.0	Draft	FASI

Hospice Item Set

FHIR ID	Status	Subset
HIS-HD-2.00.0	Active	Hospice Discharge Record
HIS-HA-2.00.0	Active	Hospice Admission Record
HIS-HD-1.00.0	Retired	Hospice Discharge Record
HIS-HA-1.00.0	Retired	Hospice Admission Record

Inpatient Rehabilitation Facility Patient Assessment Instrument

FHIR ID	Status	Subset
IRF-PAI-ID-3.0	Active	IRF Discharge
IRF-PAI-IA-3.0	Active	IRF Admission
IRF-PAI-IA-1.10	Retired	IRF Admission
IRF-PAI-ID-1.10	Retired	IRF Discharge
IRF-PAI-ID-1.2	Retired	IRF Discharge
IRF-PAI-IA-1.2	Retired	IRF Admission
IRF-PAI-IA-1.3	Retired	IRF Admission
IRF-PAI-ID-1.3	Retired	IRF Discharge
IRF-PAI-ID-1.4	Retired	IRF Discharge
IRF-PAI-IA-1.4	Retired	IRF Admission
IRF-PAI-IA-1.5	Retired	IRF Admission
IRF-PAI-ID-1.5	Retired	IRF Discharge
IRF-PAI-IA-2.0	Retired	IRF Admission
IRF-PAI-ID-2.0	Retired	IRF Discharge
IRF-PAI-IA-4.0	Draft	IRF Admission
IRF-PAI-ID-4.0	Draft	IRF Discharge

Long Term Care Hospital Continuity Assessment Record and Evaluation Data Set

FHIR ID	Status	Subset
LCDS-LP-4.00	Active	LCDS Planned Discharge
LCDS-LA-4.00	Active	LCDS Admission
LCDS-LU-4.00	Active	LCDS Unplanned Discharge
LCDS-LE-4.00	Active	LCDS Expired
LCDS-LU-1.01	Retired	LCDS Unplanned Discharge
LCDS-LE-1.01	Retired	LCDS Expired
LCDS-LA-1.01	Retired	LCDS Admission
LCDS-LP-1.01	Retired	LCDS Planned Discharge
LCDS-LE-2.01	Retired	LCDS Expired
LCDS-LA-2.01	Retired	LCDS Admission
LCDS-LP-2.01	Retired	LCDS Planned Discharge
LCDS-LU-2.01	Retired	LCDS Unplanned Discharge
LCDS-LU-3.00	Retired	LCDS Unplanned Discharge
LCDS-LP-3.00	Retired	LCDS Planned Discharge
LCDS-LA-3.00	Retired	LCDS Admission
LCDS-LE-3.00	Retired	LCDS Expired
LCDS-LE-5.00	Draft	LCDS Expired
LCDS-LA-5.00	Draft	LCDS Admission
LCDS-LP-5.00	Draft	LCDS Planned Discharge
LCDS-LU-5.00	Draft	LCDS Unplanned Discharge

Minimum Data Set

FHIR ID	Status	Subset
MDS3.0-SP-1.17	Active	Swing Bed PPS Assessment
MDS3.0-SS-1.17	Active	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NP-1.17	Active	Nursing Home PPS Assessment
MDS3.0-NC-1.17	Active	Nursing Home Comprehensive Assessment
MDS3.0-ND-1.17	Active	Nursing Home Discharge Assessment
MDS3.0-SO-1.17	Active	Swing Bed OMRA Other Assessment
MDS3.0-ST-1.17	Active	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-NSD-1.17	Active	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-IPA-1.17	Active	Interim Payment Assessment
MDS3.0-NOD-1.17	Active	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-SSD-1.17	Active	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-NQ-1.17	Active	Nursing Home Quarterly Assessment
MDS3.0-NS-1.17	Active	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-OSA-1.17	Active	Optional State Assessment
MDS3.0-NPE-1.17	Active	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-SD-1.17	Active	Swing Bed Discharge Assessment
MDS3.0-NO-1.17	Active	Nursing Home OMRA Other Assessment
MDS3.0-NT-1.17	Active	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-SOD-1.17	Active	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-SD-1.00.2	Retired	Swing Bed Discharge Assessment
MDS3.0-NS-1.00.2	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-ST-1.00.2	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-SS-1.00.2	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NT-1.00.2	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-NQ-1.00.2	Retired	Nursing Home Quarterly Assessment
MDS3.0-IPA-1.00.2	Retired	Interim Payment Assessment
MDS3.0-NOD-1.00.2	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-ND-1.00.2	Retired	Nursing Home Discharge Assessment
MDS3.0-SP-1.00.2	Retired	Swing Bed PPS Assessment
MDS3.0-NC-1.00.2	Retired	Nursing Home Comprehensive Assessment
MDS3.0-NO-1.00.2	Retired	Nursing Home OMRA Other Assessment
MDS3.0-SO-1.00.2	Retired	Swing Bed OMRA Other Assessment
MDS3.0-NP-1.00.2	Retired	Nursing Home PPS Assessment
MDS3.0-NPE-1.00.2	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-OSA-1.00.2	Retired	Optional State Assessment
MDS3.0-SOD-1.00.2	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-NSD-1.00.2	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-SSD-1.00.2	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-SS-1.00.6	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NS-1.00.6	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-NSD-1.00.6	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-IPA-1.00.6	Retired	Interim Payment Assessment
MDS3.0-ST-1.00.6	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-OSA-1.00.6	Retired	Optional State Assessment
MDS3.0-SSD-1.00.6	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-NPE-1.00.6	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-NT-1.00.6	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-SP-1.00.6	Retired	Swing Bed PPS Assessment
MDS3.0-NP-1.00.6	Retired	Nursing Home PPS Assessment
MDS3.0-SD-1.00.6	Retired	Swing Bed Discharge Assessment
MDS3.0-NC-1.00.6	Retired	Nursing Home Comprehensive Assessment
MDS3.0-ND-1.00.6	Retired	Nursing Home Discharge Assessment
MDS3.0-SO-1.00.6	Retired	Swing Bed OMRA Other Assessment
MDS3.0-NO-1.00.6	Retired	Nursing Home OMRA Other Assessment
MDS3.0-NOD-1.00.6	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-SOD-1.00.6	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-NQ-1.00.6	Retired	Nursing Home Quarterly Assessment
MDS3.0-ST-1.10	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-SD-1.10	Retired	Swing Bed Discharge Assessment
MDS3.0-NP-1.10	Retired	Nursing Home PPS Assessment
MDS3.0-IPA-1.10	Retired	Interim Payment Assessment
MDS3.0-NO-1.10	Retired	Nursing Home OMRA Other Assessment
MDS3.0-NT-1.10	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-SP-1.10	Retired	Swing Bed PPS Assessment
MDS3.0-NSD-1.10	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-NPE-1.10	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-SOD-1.10	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-NQ-1.10	Retired	Nursing Home Quarterly Assessment
MDS3.0-SSD-1.10	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-OSA-1.10	Retired	Optional State Assessment
MDS3.0-NOD-1.10	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-ND-1.10	Retired	Nursing Home Discharge Assessment
MDS3.0-NS-1.10	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-SS-1.10	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NC-1.10	Retired	Nursing Home Comprehensive Assessment
MDS3.0-SO-1.10	Retired	Swing Bed OMRA Other Assessment
MDS3.0-NQ-1.11	Retired	Nursing Home Quarterly Assessment
MDS3.0-ST-1.11	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-SSD-1.11	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-SP-1.11	Retired	Swing Bed PPS Assessment
MDS3.0-SD-1.11	Retired	Swing Bed Discharge Assessment
MDS3.0-SS-1.11	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-SO-1.11	Retired	Swing Bed OMRA Other Assessment
MDS3.0-SOD-1.11	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-NS-1.11	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-NSD-1.11	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-NOD-1.11	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-NO-1.11	Retired	Nursing Home OMRA Other Assessment
MDS3.0-ND-1.11	Retired	Nursing Home Discharge Assessment
MDS3.0-NC-1.11	Retired	Nursing Home Comprehensive Assessment
MDS3.0-NP-1.11	Retired	Nursing Home PPS Assessment
MDS3.0-NT-1.11	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-NPE-1.11	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-OSA-1.11	Retired	Optional State Assessment
MDS3.0-IPA-1.11	Retired	Interim Payment Assessment
MDS3.0-NO-1.12	Retired	Nursing Home OMRA Other Assessment
MDS3.0-OSA-1.12	Retired	Optional State Assessment
MDS3.0-NSD-1.12	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-NP-1.12	Retired	Nursing Home PPS Assessment
MDS3.0-SO-1.12	Retired	Swing Bed OMRA Other Assessment
MDS3.0-SOD-1.12	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-SSD-1.12	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-NPE-1.12	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-NQ-1.12	Retired	Nursing Home Quarterly Assessment
MDS3.0-NC-1.12	Retired	Nursing Home Comprehensive Assessment
MDS3.0-ND-1.12	Retired	Nursing Home Discharge Assessment
MDS3.0-NS-1.12	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-IPA-1.12	Retired	Interim Payment Assessment
MDS3.0-SD-1.12	Retired	Swing Bed Discharge Assessment
MDS3.0-SP-1.12	Retired	Swing Bed PPS Assessment
MDS3.0-SS-1.12	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NT-1.12	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-ST-1.12	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-NOD-1.12	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-NSD-1.13	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-SD-1.13	Retired	Swing Bed Discharge Assessment
MDS3.0-SS-1.13	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NS-1.13	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-NP-1.13	Retired	Nursing Home PPS Assessment
MDS3.0-NOD-1.13	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-ST-1.13	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-SOD-1.13	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-IPA-1.13	Retired	Interim Payment Assessment
MDS3.0-NO-1.13	Retired	Nursing Home OMRA Other Assessment
MDS3.0-OSA-1.13	Retired	Optional State Assessment
MDS3.0-SSD-1.13	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-SO-1.13	Retired	Swing Bed OMRA Other Assessment
MDS3.0-ND-1.13	Retired	Nursing Home Discharge Assessment
MDS3.0-NPE-1.13	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-NQ-1.13	Retired	Nursing Home Quarterly Assessment
MDS3.0-SP-1.13	Retired	Swing Bed PPS Assessment
MDS3.0-NT-1.13	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-NC-1.13	Retired	Nursing Home Comprehensive Assessment
MDS3.0-NO-1.14	Retired	Nursing Home OMRA Other Assessment
MDS3.0-NS-1.14	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-NOD-1.14	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-SOD-1.14	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-ND-1.14	Retired	Nursing Home Discharge Assessment
MDS3.0-SO-1.14	Retired	Swing Bed OMRA Other Assessment
MDS3.0-NC-1.14	Retired	Nursing Home Comprehensive Assessment
MDS3.0-SS-1.14	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NP-1.14	Retired	Nursing Home PPS Assessment
MDS3.0-SD-1.14	Retired	Swing Bed Discharge Assessment
MDS3.0-NT-1.14	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-SP-1.14	Retired	Swing Bed PPS Assessment
MDS3.0-NPE-1.14	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-OSA-1.14	Retired	Optional State Assessment
MDS3.0-SSD-1.14	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-IPA-1.14	Retired	Interim Payment Assessment
MDS3.0-ST-1.14	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-NSD-1.14	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-NQ-1.14	Retired	Nursing Home Quarterly Assessment
MDS3.0-OSA-1.15	Retired	Optional State Assessment
MDS3.0-NSD-1.15	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-SOD-1.15	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-ST-1.15	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-NS-1.15	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-NPE-1.15	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-SSD-1.15	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-SD-1.15	Retired	Swing Bed Discharge Assessment
MDS3.0-SS-1.15	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-ND-1.15	Retired	Nursing Home Discharge Assessment
MDS3.0-IPA-1.15	Retired	Interim Payment Assessment
MDS3.0-NQ-1.15	Retired	Nursing Home Quarterly Assessment
MDS3.0-NO-1.15	Retired	Nursing Home OMRA Other Assessment
MDS3.0-NP-1.15	Retired	Nursing Home PPS Assessment
MDS3.0-SP-1.15	Retired	Swing Bed PPS Assessment
MDS3.0-NT-1.15	Retired	Nursing Home Tracking Assessment (entry/expired)
MDS3.0-SO-1.15	Retired	Swing Bed OMRA Other Assessment
MDS3.0-NOD-1.15	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-NC-1.15	Retired	Nursing Home Comprehensive Assessment
MDS3.0-NOD-1.16	Retired	Nursing Home OMRA Other and Discharge Assessment
MDS3.0-NC-1.16	Retired	Nursing Home Comprehensive Assessment
MDS3.0-SD-1.16	Retired	Swing Bed Discharge Assessment
MDS3.0-SO-1.16	Retired	Swing Bed OMRA Other Assessment
MDS3.0-NPE-1.16	Retired	Nursing Home/Swing Bed Part A PPS Discharge
MDS3.0-SP-1.16	Retired	Swing Bed PPS Assessment
MDS3.0-ND-1.16	Retired	Nursing Home Discharge Assessment
MDS3.0-SOD-1.16	Retired	Swing Bed OMRA Other and Discharge Assessment
MDS3.0-OSA-1.16	Retired	Optional State Assessment
MDS3.0-NQ-1.16	Retired	Nursing Home Quarterly Assessment
MDS3.0-SSD-1.16	Retired	Swing Bed OMRA Start of Therapy and Discharge Assessment
MDS3.0-NSD-1.16	Retired	Nursing Home OMRA Start of Therapy and Discharge Assessment
MDS3.0-IPA-1.16	Retired	Interim Payment Assessment
MDS3.0-NO-1.16	Retired	Nursing Home OMRA Other Assessment
MDS3.0-ST-1.16	Retired	Swing Bed Tracking Assessment (entry/expired)
MDS3.0-NS-1.16	Retired	Nursing Home OMRA Start of Therapy Assessment
MDS3.0-NP-1.16	Retired	Nursing Home PPS Assessment
MDS3.0-SS-1.16	Retired	Swing Bed OMRA Start of Therapy Assessment
MDS3.0-NT-1.16	Retired	Nursing Home Tracking Assessment (entry/expired)

Outcome and Assessment Information Set

FHIR ID	Status	Subset
OASIS-DC-D1-012020	Active	Discharge from Agency
OASIS-DAH-D1-012020	Active	Death at Home
OASIS-SOC-D1-012020	Active	Start of Care
OASIS-FU-D1-012020	Active	Follow-up
OASIS-ROC-D1-012020	Active	Resumption of Care
OASIS-TRN-D1-012020	Active	Transfer to an Inpatient Facility
OASIS-SOC-C-082009	Retired	Start of Care
OASIS-FU-C-082009	Retired	Follow-up
OASIS-DAH-C-082009	Retired	Death at Home
OASIS-ROC-C-082009	Retired	Resumption of Care
OASIS-DC-C-082009	Retired	Discharge from Agency
OASIS-TRN-C-082009	Retired	Transfer to an Inpatient Facility
OASIS-TRN-C1-012015	Retired	Transfer to an Inpatient Facility
OASIS-FU-C1-012015	Retired	Follow-up
OASIS-SOC-C1-012015	Retired	Start of Care
OASIS-DAH-C1-012015	Retired	Death at Home
OASIS-ROC-C1-012015	Retired	Resumption of Care
OASIS-DC-C1-012015	Retired	Discharge from Agency
OASIS-DC-C1-102015	Retired	Discharge from Agency
OASIS-DAH-C1-102015	Retired	Death at Home
OASIS-FU-C1-102015	Retired	Follow-up
OASIS-TRN-C1-102015	Retired	Transfer to an Inpatient Facility
OASIS-SOC-C1-102015	Retired	Start of Care
OASIS-ROC-C1-102015	Retired	Resumption of Care
OASIS-TRN-C2-012017	Retired	Transfer to an Inpatient Facility
OASIS-FU-C2-012017	Retired	Follow-up
OASIS-SOC-C2-012017	Retired	Start of Care
OASIS-DAH-C2-012017	Retired	Death at Home
OASIS-DC-C2-012017	Retired	Discharge from Agency
OASIS-ROC-C2-012017	Retired	Resumption of Care
OASIS-ROC-D-012019	Retired	Resumption of Care
OASIS-DAH-D-012019	Retired	Death at Home
OASIS-TRN-D-012019	Retired	Transfer to an Inpatient Facility
OASIS-FU-D-012019	Retired	Follow-up
OASIS-SOC-D-012019	Retired	Start of Care
OASIS-DC-D-012019	Retired	Discharge from Agency
OASIS-SOC-E	Draft	Start of Care
OASIS-TRN-E	Draft	Transfer to an Inpatient Facility
OASIS-DAH-E	Draft	Death at Home
OASIS-ROC-E	Draft	Resumption of Care
OASIS-FU-E	Draft	Follow-up
OASIS-DC-E	Draft	Discharge from Agency