OASIS
21
03
E1-012025E2-042026
3.013.02
#correctionNumXml#00
#getTimeZone.Agency_State#
#getTimeZone.Agency_Medicare_ID#
#getTimeZone.Natl_Provider_ID#
830423655
Home Care Business Services
info@myhomecarebiz.com
PowerPath
1.0001
^
#getTimeZone.CMS_Cert_No#
^
N
#GetPhy.Phys_NPI#^
01
#Pt_Agy_ID#
#DateFormat(M0030_START_CARE_DT,"yyyymmdd")#
#DateFormat(F176,"yyyymmdd")#
01
#LEFT(Pt_First,12)#^
#LEFT(Pt_Middle,1)#^
#Trim(Replace(Pat_Last,'-','','all'))#
#Trim(LEFT(Pt_Suffix,1))#^
#Pt_State#
#REReplace(Pt_Zip,"-","","ALL")#
#M0063#
10
#Replace(Pt_SSN,"-","","ALL")#^
10
#M0065#
10
#DateFormat(Pt_DOB,"yyyymmdd")#
12
12
#M0150_CPAY_NONE#
#M0150_CPAY_MCARE_FFS#
#M0150_CPAY_MCARE_HMO#
#M0150_CPAY_MCAID_FFS#
#M0150_CPAY_MCAID_HMO#
#M0150_CPAY_WRKCOMP#
#M0150_CPAY_TITLEPGMS#
#M0150_CPAY_OTH_GOVT#
#M0150_CPAY_PRIV_INS#
#M0150_CPAY_PRIV_HMO#
#M0150_CPAY_SELFPAY#
#M0150_CPAY_OTHER#
#M0150_CPAY_UK#
#M0080#
#DateFormat(F176,"yyyymmdd")#^
03
#DateFormat(F176,"yyyymmdd")#^
01
^#DateFormat(F176,"yyyymmdd")#
UKNA01
#M1000_DC_LTC_14_DA#
#M1000_DC_SNF_14_DA#
#M1000_DC_IPPS_14_DA#
#M1000_DC_LTCH_14_DA#
#M1000_DC_IRF_14_DA#
#M1000_DC_PSYCH_14_DA#
#M1000_DC_OTH_14_DA#
#M1000_DC_NONE_14_DA#
#DateFormat(F181,"yyyymmdd")#^
^10
#A1005A#
#A1005B#
#A1005C#
#A1005D#
#A1005E#
#A1005X#
#A1005Y#
#A1010A#
#A1010B#
#A1010C#
#A1010D#
#A1010E#
#A1010F#
#A1010G#
#A1010H#
#A1010I#
#A1010J#
#A1010K#
#A1010L#
#A1010M#
#A1010N#
#A1010X#
#A1010Y#
#A1010Z#
#Left(F222,1)#
#Left(F223,1)#
#Trim(Pt_language)#0
#Left(Interpreter,1)#
#A1250A#
#A1250B#
#A1250C#
#A1250X#
#A1250Y#
#A1255#
#Left(F33,1)#
0#Left(F34,1)#^
0#Left(F35,1)#NA
0#Left(F36,1)#NA
0
^
^
^
^
^
^
^
^
#Left(F46,1)#
#Left(F47,1)#
#Left(F48,1)#
#Left(F49,1)#
1
#Left(F38,1)#
#Left(F39,1)#
#Left(F40,1)#
#Left(F41,1)#
#Left(F42,1)#
#Left(F43,1)#
#Left(F44,1)#
#C0500#
-
-
-
-
10
0#Left(F51,1)#^
10
0#Left(F53,1)#0
^
^
^
^
^
^
^
^
^
^
^
^
^
^
0
#D0160#
#Left(F54,1)#
0#Left(F55,1)#^
#Left(F56,1)#
0#Left(F57,1)#^
#Left(F58,1)#
0#Left(F59,1)#^
#Left(F60,1)#
0#Left(F61,1)#^
#Left(F62,1)#
0#Left(F63,1)#^
#Left(F64,1)#
0#Left(F65,1)#^
#Left(F66,1)#
0#Left(F67,1)#^
#Round(D0160)#
#Left(F69,1)#^
#M1740_BD_MEM_DEFICIT#
#M1740_BD_IMP_DECISN#
#M1740_BD_VERBAL#
#M1740_BD_PHYSICAL#
#M1740_BD_SOC_INAPPRO#
#M1740_BD_DELUSIONS#
#M1740_BD_NONE#
0#Left(F71,1)#^
010#Left(Living,1)##Left(Living,2)#
0#Left(F72,1)#^
0#Left(F74,1)#^
0#Left(F75,1)#^
0#Left(F76,1)#^
0#Left(F77,1)#^
0#Left(F78,1)#^
0#Left(F79,1)#^
0#Left(F80,1)#^
0#Left(F81,1)#^
0#Left(F105,2)##Left(F105,2)#09
0#Left(F106,2)##Left(F106,2)#09
#Left(F82,1)#^
#Left(F83,1)#^
#Left(F84,1)#^
#Left(F85,1)#^
#GG0110A#
#GG0110B#
#GG0110C#
#GG0110D#
#GG0110E#
#GG0110Z#
#Left(F87,2)#09
#Left(F88,2)#09
#Left(F89,2)#09
#Left(F90,2)#09
#Left(F91,2)#09
#Left(F92,2)#09
#Left(F93,2)#09
#Left(F94,2)#09
#Left(F95,2)#09
#Left(F96,2)#09
#Left(F97,2)#09
#Left(F98,2)#09
#Left(F99,2)#09
#Left(F100,2)#09
0#Left(F101,2)##Left(F101,2)#09
0#Left(F102,2)##Left(F102,2)#09
0#Left(F103,2)##Left(F103,2)#09
0#Left(F104,2)##Left(F104,2)#09
#Left(F107,2)#09
#Left(F108,2)#09
#Left(F109,2)#09
#Left(F110,2)#09
#Left(F111,2)#09
#Left(F112,2)#09
#Left(F113,2)#09
#Left(F114,2)#09
#Left(F115,2)#09
#Left(F116,2)#09
^
-
^
-
^
-
#Left(F117,2)#09
#Left(F118,2)#09
#Left(F119,2)#09
#Left(F120,2)#09
#Left(F121,2)#09
#Left(F122,2)#09
#Left(F123,2)#09
#Left(F124,2)#09
^
-
#Left(F125,2)#09
#Left(F126,2)#09
^
-
#Left(F127,2)#09
#Left(F128,2)#09
#Left(F129,2)#09
#Left(F130,2)#09
#Left(F131,1)#0
^
^
^
^
^
^
#Left(F132,2)#09
#Left(F133,2)#09
#Left(F134,1)#09
#Left(F135,2)#09
#Left(F136,2)#09
#Left(F137,1)#09
NAUK0#Left(F138,1)#
0#Left(F139,1)#^
NAUK0#Left(F140,1)#
0#Left(F141,1)#^
#ICD1#
^#Severity1#
#ICD2#
^#Severity2#
#ICD3#
^#Severity3#
#ICD4#
^#Severity4#
#ICD5#
^#Severity5#
#ICD6#
^#Severity6#
#M1028_ACTV_DIAG_PVD_PAD#
#M1028_ACTV_DIAG_DM#
#M1028_ACTV_DIAG_NOA#
0#Left(F147,1)#^
#M1033_HOSP_RISK_HSTRY_FALLS#
#M1033_HOSP_RISK_WEIGHT_LOSS#
#M1033_HOSP_RISK_MLTPL_HOSPZTN#
#M1033_HOSP_RISK_MLTPL_ED_VISIT#
#M1033_HOSP_RISK_MNTL_BHV_DCLN#
#M1033_HOSP_RISK_COMPLIANCE#
#M1033_HOSP_RISK_5PLUS_MDCTN#
#M1033_HOSP_RISK_CRNT_EXHSTN#
#M1033_HOSP_RISK_OTHR_RISK#
#M1033_HOSP_RISK_NONE_ABOVE#
#Left(F144,1)#^
^
^
#Left(F145,1)#
#Left(F146,1)#
0#Left(F156,1)#^
#F149#^
#F150#^
#K0520A#
#K0520B#
#K0520C#
#K0520D#
#K0520Z#
10
0#Left(F158,1)#00
0#Left(F159,1)#00
0#Left(F160,1)#00
0#Left(F161,1)#00
0#Left(F162,1)#00
0#Left(F163,1)#00
^
^
^
^
^
^
0#Left(F164,1)#00
#Left(F165,2)#0#Left(F165,1)#
NA
0#Left(F166,1)#
^0#Left(F167,1)#
^0#Left(F168,1)#
0#Left(F169,1)#
0#Left(F170,1)#^
#Left(F201,1)#^
^
^
^
^
#Left(F202,1)#^
NA0#Left(F203,1)#
NA0#Left(F204,1)#
NA0#Left(F205,1)#
#Left(F206,1)#0
^#Left(F207,1)#
#Left(F208,1)#0
^#Left(F209,1)#
#Left(F210,1)#0
^#Left(F211,1)#
#Left(F212,1)#0
^#Left(F213,1)#
#Left(F214,1)#0
^#Left(F215,1)#
#Left(F216,1)#0
^#Left(F217,1)#
10
00#Left(F219,1)#^
01
1
10
10
10
0
0
0
0
#Left(O0110B1a,1)#^
1
#Left(O0110C2a,1)#^
#Left(O0110C3a,1)#^
#Left(O0110C4a,1)#^
0
0
0
0
1
#Left(O0110D2a,1)#^
#Left(O0110D3a,1)#^
0
0
0
#Left(O0110E1a,1)#^
#Left(O0110F1a,1)#^
1
#Left(O0110G2a,1)#^
#Left(O0110G3a,1)#^
0
0
0
1
10
10
10
10
0
0
0
0
0
#Left(O0110I1a,1)#^
1
#Left(O0110J2a,1)#^
#Left(O0110J3a,1)#^
0
0
0
1
#Left(O0110O2a,1)#^
#Left(O0110O3a,1)#^
#Left(O0110O4a,1)#^
0
0
0
0
#O0110Z1a#
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