M1400 When is the patient dyspneic or noticeably Short of Breath?

checked> 0 - Never, patient is not Short of breath checked> 1 - When walking more than 20 feet, climbing stairs checked> 2 - With moderate exertion checked> 3 - With minimal exertion or with agitation checked> 4 - At rest (during day or night)

M1610 Urinary incontinence or urinary Catheter Presence

checked> 0 - No incontinence or catheter (includes anuria or ostomy for urinary drainage) checked> 1 - Patient is incontinent checked> 2 - Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic)

M1620 Bowel incontinence Frequency

checked> 0- Very rarely or never has bowel incontinence checked> 1 - Less than once weekly checked> 2 - One to three times weekly checked> 3 - Four to six times weekly checked> 4 - On a daily basis checked> 5 - More often than once daily checked> NA - Patient has ostomy for bowel elimination checked> UK - Unknown

M1630 Ostomy for Bowel Elimination: Doees pt have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay, or b) necessitated a change in medical or treatment regimen?

checked> 0 - Patient does not have an ostomy for bowel elimination checked> 1 - Patient's ostomy was not related to an inpatient stay and did not necessitate change in regimen checked> 2 - The ostomy was related to an inpatient stay or did necessitate change in regimen

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