EHI Export Implementation Guide
0.1.0 - ci-build

EHI Export Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Minimum Data Set (MDS) Export

As part of the Electronic Health Information (EHI) Bulk Data Export, the Minimum Data Set (MDS) is included. The MDS data is exported in tabular Comma Separated Value (CSV) files. These files are generated in the following directory structure:

  • [Patient ID]
    • [Patient ID].json
    • [Patient ID]-manifest.json
      • assessments
        • [Assessment ID]
          • assessment.csv
          • sections.csv
          • sectionV.csv
          • pdpmScores.csv
          • score.csv
          • sectionVRapProfile.csv
          • responses.csv

All MDS Assessments are contained within the "assessments" directory for the corresponding patient.

File Description
assessment.csv Generated one file per MDS Assessment. Contains type and description of the MDS Assessment and other top-level information. All other files generated in the folder pertain to the assessment referenced in this file.
sections.csv References and identifiers pertaining to individual sections of the MDS Assessment. The sections depend on the assessment type.
sectionV.csv Additional metadata pertaining to Section V of the MDS Assessment.
pdpmScores.csv PDPM Scores for the assessment.
score.csv Additional scoring for the assessment
sectionVRapProfile.csv RAP Profile for the MDS Assessment
responses.csv Individual responses were captured per question.

CSV Schema

assessment.csv

Column Type Nullable Description
assess_id Int No Primary Key for the MDS Assessment
name String No Name of the facility where Patient's MDS was captured
std_assess_id Int No The key of the Assessment Type
description String No The MDS Assessment Type name
created_by String No The EHR User who created the Assessment
created_date Date Time No The date and time when the Assessment was created
revision_by String No The EHR User who last updated the Assessment
revision_date Date Time No The date and time when the Assessment was last updated
client_id Int No The key of the facility resident of the Assessment
is_mds String No Yes/No is this an MDS Assessment
assess_type_code String No MDS 3.0 Item Set Code (ISC) for the MDS Assessment
assess_date Date Time No The MDS 3.0 Assessment Reference Date
status String No Assessment completion status code
adl_score Int Yes The RUG Activities of Daily Living (ADL) index score of the Assessment
adl_date Date Time Yes The date and time when the ADL Score was last computed for the Assessment
raps_date Date Time Yes The date and time when the Care Area Triggers (CAT) were last computed for the Comprehensive Assessment
rugs_index Int Yes The Medicare/Insurance RUG Score index for the Assessment
rugs_date Date Time Yes The date and time when the RUG Score was last computed for the Assessment
rugs_error String Yes The error message when the RUG Score was last computed for the Assessment
prov_state String Yes The facility's State abbreviation code assigned when the MDS was created
batch_id Int Yes The key of the submission batch for the Assessment
edited_by String No The EHR User who last edited the Assessment
edited_date Date Time No The date and time when the Assessment was last edited
locked_date Date Time Yes The date and time when the Assessment was last locked
incorrect_assess_id Int Yes The key of Modified or Canceled Assessment
cmi_set_fed String Yes The Federal CMI Weight Set model code used for RUG Score calculation of the Assessment
cmi_set_state String Yes The State CMI Weight Set model code used for RUG Score calculation of the Assessment
rugs_index_state Int Yes The State Medicaid RUG Score index for the Assessment
rugs_error_state String Yes The error message when the state Medicaid RUG Score was last computed for the Assessment
cmi_fed Double Yes The Federal CMI Weight result from RUG Score calculation of the Assessment
cmi_state Double Yes The State CMI Weight result from RUG Score calculation of the Assessment
calc_type_fed String Yes The Federal RUG Score classification method for the Assessment
calc_type_state String Yes The State RUG Score classification method for the Assessment
rugs_date_state Date Time Yes The date and time when the State Medicaid RUG code was last computed for the Assessment
alt_cmi_set_state String Yes The Alternate State CMI Weight Set model code used for RUG Score calculation of the Assessment
alt_calc_type_state String Yes The Alternate State RUG Score classification method for the Assessment
score2 String Yes The Alternate State Medicaid RUG HIPPS code for the Assessment
score3 String Yes The Alternate State Medicaid RUG index for the Assessment
cmi_code_fed String Yes The Federal RUG HIPPS code for the Assessment
cmi_code_state String Yes The State Medicaid RUG HIPPS code for the Assessment
hipps_modifier String Yes The RUG/PDPM Assessment Indicator (AI) code also known as HIPPS Modifier for the Assessment
submit_by_date Date Time Yes The date by when the MDS Assessment must be submitted
mpaf String Yes Is a MDS 2.0 Medicare Prospective Payment System Assessment Form assessment
assess_ref_date Date Time No The MDS Assessment Reference Date
primary_reason_code String Yes The A0310A Reason for Assessment response value for the MDS 3.0 Assessment
secondary_reason_code String Yes The A0310B Reason for Assessment response value for the MDS 3.0 Assessment
tertiary_reason_code String Yes The A0310C Reason for Assessment response value for the MDS 3.0 Assessment
facesheet String Yes Is a MDS 2.0 Facesheet assessment
doublescore1 Double Yes The Alternate State RUG CMI Weight result from RUG Score calculation of the Assessment
cps Int Yes The RUG calualtion Cognitive Performance Scale (CPS) function score for the Assessment
pain_scale Int Yes The RUG calualtion Pain Scale function score for the Assessment
drs Int Yes The RUG calualtion Depression Rating Scale (DRS) function score for the Assessment
communication_scale Int Yes The RUG calualtion Communication Scale function score for the Assessment
adl_short Int Yes The RUG ADL Short function score of the Assessment
adl_long Int Yes The RUG ADL Long function score of the Assessment
adl_hier Int Yes The RUG ADL Hierarchy function score of the Assessment
ise Int Yes The RUG calualtion Index of Social Engagement (ISE) function score for the Assessment
abs Int Yes The RUG calualtion Aggressive Behavior Scale (ABS) function score for the Assessment
chess_score Int Yes The Clinical Hepatic Encephalopathy Staging Scale (CHESS) function score for the Assessment
maple_date Date Time Yes The date when the CIHI Method for Assigning Priority Levels (MAPLe) determination was made
consent_status String Yes MDS 2.0 Assessment Consent status level
consent_reason String Yes MDS 2.0 Assessment Consent status reason
import_process_id Int Yes The key of the MDS Import Assessment batch
import_status String Yes The imported status of the Assessment
verify_id Int Yes The key of the MDS verification log for the Assessment
sub_req Int Yes MDS Submission Required status for the Assessment
prod_assess_id Int Yes The external key of the production Assessment migrated into PointClickCare system
migrate_error String Yes The migration error status description for the Assessment
include_cmi_state_flag String Yes Yes/No to include MDS 2.0 State cmi value
include_cmi_fed_flag String Yes Yes/No to include MDS 2.0 Federal cmi value
raps_type String Yes Comprehensive MDS Section V RAP/CAA Worksheet workflow type code for the Assessment
completed_date Date Time Yes The date and time when the MDS assessment status was set to Complete
effective_cmi_date Date Time Yes The start date and time for the CMI Value of the Assessment
reg_id Int Yes The key of the Facility's Region assignemnt for the Assessment
export_filter_date Date Time Yes The CIHI Consent Export date and time of the Assessment
version_code String Yes MDS 2.0 print eletronic signatures indicator
confirmed_by String Yes The EHR User who validated/confirmed the MDS 2.0 Assessment
confirmed_date Date Time Yes The date and time when the Assessment was validated/confirmed
temp_cmi_fed Double Yes MDS 3.0 RUG 44 to RUG 53 grouper transition CMI value
temp_cmi_code_fed String Yes MDS 3.0 RUG 44 to RUG 53 grouper transition RUG score
temp_rugs_index Int Yes MDS 3.0 RUG 44 to RUG 53 grouper transition RUG index value
inquiry_id Int Yes The key of the Referal Inquiry request for the Assessment
effective_date Date Time Yes The start date and time of the Assessment
ineffective_date Date Time Yes The stop date and time of the Assessment
strikeout_flag String Yes Yes/No indicator denoting the Assessment was struck from the chart
strikeout_desc String Yes The reason the Assessment was struck from the chart
strikeout_by String Yes The EHR User who struct the Assessment from the chart
strikeout_date Date Time Yes The start date and time when struct the Assessment from the chart
used_for_payment Int No Indicator that the Assessment will be used for payment purposes
submission_req String Yes Yes/No indicator that submission is required for the Assessment

sections.csv

Column Type Nullable Description
section_code String No Primary Key for the MDS Assessment
title String No The MDS Assessment Section name
sequence Int No The Assessment Section order indicator
description String Yes Additional Section name information
complete String Yes Section complete status of the Assessment
created_by String No The EHR User who created the Assessment
created_title String Yes The EHR User's title who created the Assessment
created_date Date Time No The date and time when the Assessment Section was created
notes String Yes Comment and notation for the Assessment section

sectionV.csv

Column Type Nullable Description
code String No The MDS Section V Care Area Assessment (CAA) sequence number
description String No The CAA description name
triggered String No Yes/No indicator of if the CAA Care Area Trigger (CAT) is applicatable for the Assessment
documentation String Yes The location and date of EHR User's triggered CAA evaluation documentation for the Assessment
addressed String Yes Yes/No indicator of EHR User's triggered CAA Care Planning Decision for the Assessment
triggered_by String Yes The CAA's reasoning for triggered status
signed_by String Yes The EHR User who afrimed/signed the CAA as complete
signed_position String Yes The EHR User's title who afrimed/signed the CAA as complete
signed_date Date Time Yes The date and time when the CAA was afrimed/signed as complete

pdpmScores.csv

Column Type Nullable Description
model_id Int No The key of the Federal PDPM CMI Weight Set model for the Assessment
hipps String Yes The Federal PDPM HIPPS score for the Assessment
clinical_category String Yes The Diagnosis Clinical Category assigned to the Assessment based upon I0020B response
pt_cmi Double Yes The PDPM calculation Phyiscal Therapy (PT) CMI weight set value result for the Assessment
ot_cmi Double Yes The PDPM calculation Occupational Therapy (OT) CMI weight set value result for the Assessment
pt_ot_group String Yes The PDPM calculation PT/OT Component Group score for the Assessment
pt_ot_clinical_category String Yes The PT/OT Clinical Category assigned to the Assessment
pt_ot_function_score Int Yes The PDPM calculation PT/OT function score for the Assessment
slp_cmi Double Yes The PDPM calculation Speech Language Pathology (SLP) CMI weight set value result for the Assessment
slp_group String Yes The PDPM calculation SLP Component Group score for the Assessment
slp_cognitive_level String Yes The PDPM calculation SLP Cognitive Level for the Assessment
slp_clinical_category String Yes The SLP Clinical Category assigned to the Assessment
slp_bims_score Double Yes The PDPM calculation Brief Interview for Mental Status (BIMS) score for the Assessment
nta_cmi Double Yes The PDPM calculation Non-Therapy Ancillary (NTA) CMI weight set value result for the Assessment
nta_group String Yes The PDPM calculation NTA Component Group score for the Assessment
nta_function_score Int Yes The PDPM calculation NTA function score for the Assessment
nta_cmi_hiv Double Yes The PDPM calculation HIV NTA CMI weight set value result for the Assessment
nursing_cmi Double Yes The PDPM calculation Nursing CMI weight set value result for the Assessment
nursing_group String Yes The PDPM calculation Nursing Component Group score for the Assessment
nursing_category String Yes The PDPM calculation Nursing Category level for the Assessment
nursing_function_score Int Yes The PDPM calculation Nursing function score for the Assessment
conditions_services String Yes The PDPM calculation Nursing Condition description for the Assessment
conditions_services_present String Yes The PDPM calculation Nursing Condition present for the Assessment
acute_neuro_flag Int Yes The Yes/No of PDPM Acute Neurologic is effective for the Assessment
swallowing_dis_flag Int Yes The Yes/No of PDPM Swallowing Disorder is effective for the Assessment
mech_alt_diet_flag Int Yes The Yes/No of PDPM Mechanically Altered Diet is effective for the Assessment
depression_flag Int Yes The Yes/No of PDPM Depression is effective for the Assessment
STATE_PDPM_OBRA_CD Int Yes The Yes/No of the State's participation in PDPM results for the Assessment
state_cmi_model_id Int Yes The key of the State PDPM CMI Weight Set model for the Assessment
state_hipps String Yes The State PDPM HIPPS score for the Assessment
state_pt_cmi Double Yes The PDPM calculation State PT CMI weight set value result for the Assessment
state_ot_cmi Double Yes The PDPM calculation State OT CMI weight set value result for the Assessment
state_slp_cmi Double Yes The PDPM calculation State SLP CMI weight set value result for the Assessment
state_nta_cmi Double Yes The PDPM calculation State NTA CMI weight set value result for the Assessment
state_nursing_cmi Double Yes The PDPM calculation State Nursing CMI weight set value result for the Assessment

score.csv

Column Type Nullable Description
description String No The RUG or PDPM calculation score type title
score String Yes The RUG or PDPM calculation score value

sectionVRapProfile.csv

Column Type Nullable Description
code String No The MDS Section V Care Area Assessment (CAA) sequence number
description String No The CAA description name
response_code String No The CAA Question Code
response String No The CAA Question response description
revision_date Date Time No The date and time when the the CAA question response was last edited
revision_by String No The EHR User who last edited the CAA question response

responses.csv

Column Type Nullable Description
assess_response_id Int No Primary Key for the MDS Assessment Response
question_key String No The MDS Question Key assigned to the response value
control_type String No The MDS Question Key user interface data entry control assigned to the response value
title String Yes The MDS Question Title assigned to the MDS Question Key
question_text String No The MDS Question Text assigned to the MDS Question Key
item_value String Yes The last entered MDS Response value assigned to the Question Key
item_description String Yes The text description assigned to the MDS Question Key Response value
revision_by String No The EHR User who last edited the MDS question key response value
revision_date Date Time No The date and time when the MDS question response was last updated
collection_date Date Time Yes The date when the MDS question response was gathered/determined
created_by String Yes The EHR User who first entered an alternate Collection Date for the MDS question
created_date Date Time Yes The date and time when a Collection Date for the MDS question was first entered
long_username String Yes The EHR User Full Name who last updated the Collection Date
revision_by String Yes The EHR User who last updated the Collection Date
revision_date Date Time Yes The date and time when the Collection Date was last updated