<?xml version="1.0" encoding="UTF-8"?>
					<ASSESSMENT>
						<ASMT_SYS_CD>OASIS</ASMT_SYS_CD>
						<TRANS_TYPE_CD>1</TRANS_TYPE_CD>
						<ITM_SBST_CD>01</ITM_SBST_CD>
						<ITM_SET_VRSN_CD>E1-012025</ITM_SET_VRSN_CD>
						<SPEC_VRSN_CD>3.01</SPEC_VRSN_CD>
						<CORRECTION_NUM>00</CORRECTION_NUM>
						<STATE_CD>MD</STATE_CD>
						<HHA_AGENCY_ID>MD217058</HHA_AGENCY_ID>
						<NATL_PRVDR_ID>1487113239</NATL_PRVDR_ID>
						<SFW_ID>830423655</SFW_ID>
						<SFW_NAME>Home Care Business Services</SFW_NAME>
						<SFW_EMAIL_ADR>info@myhomecarebiz.com</SFW_EMAIL_ADR>
						<SFW_PROD_NAME>PowerPath</SFW_PROD_NAME>
						<SFW_PROD_VRSN_CD>1.0001</SFW_PROD_VRSN_CD>
						<ACY_DOC_CD>^</ACY_DOC_CD>
						<M0010_CCN>217058</M0010_CCN>
						<M0014_BRANCH_STATE>^</M0014_BRANCH_STATE>
						<M0016_BRANCH_ID>N</M0016_BRANCH_ID>
						<M0018_PHYSICIAN_ID>1235314436</M0018_PHYSICIAN_ID>
						<M0018_PHYSICIAN_UK>0</M0018_PHYSICIAN_UK>
						<M0020_PAT_ID>21492</M0020_PAT_ID>
						<M0030_START_CARE_DT>20260117</M0030_START_CARE_DT>
						<M0032_ROC_DT>^</M0032_ROC_DT>
						<M0032_ROC_DT_NA>1</M0032_ROC_DT_NA>
						<M0040_PAT_FNAME>Frederick</M0040_PAT_FNAME>
						<M0040_PAT_MI>^</M0040_PAT_MI>
						<M0040_PAT_LNAME>Koepper</M0040_PAT_LNAME>
						<M0040_PAT_SUFFIX>^</M0040_PAT_SUFFIX>
						<M0050_PAT_ST>MD</M0050_PAT_ST>
						<M0060_PAT_ZIP>21054</M0060_PAT_ZIP>
						<M0063_MEDICARE_NUM>^</M0063_MEDICARE_NUM>
						<M0063_MEDICARE_NA>1</M0063_MEDICARE_NA>
						<M0064_SSN>^</M0064_SSN>
						<M0064_SSN_UK>1</M0064_SSN_UK>
						<M0065_MEDICAID_NUM>^</M0065_MEDICAID_NUM>
						<M0065_MEDICAID_NA>1</M0065_MEDICAID_NA>
						<M0066_PAT_BIRTH_DT>19470526</M0066_PAT_BIRTH_DT>
						<M0069_PAT_GENDER>1</M0069_PAT_GENDER>
						<M0150_CPAY_NONE>0</M0150_CPAY_NONE>
						<M0150_CPAY_MCARE_FFS>0</M0150_CPAY_MCARE_FFS>
						<M0150_CPAY_MCARE_HMO>1</M0150_CPAY_MCARE_HMO>
						<M0150_CPAY_MCAID_FFS>0</M0150_CPAY_MCAID_FFS>
						<M0150_CPAY_MCAID_HMO>0</M0150_CPAY_MCAID_HMO>
						<M0150_CPAY_WRKCOMP>0</M0150_CPAY_WRKCOMP>
						<M0150_CPAY_TITLEPGMS>0</M0150_CPAY_TITLEPGMS>
						<M0150_CPAY_OTH_GOVT>0</M0150_CPAY_OTH_GOVT>
						<M0150_CPAY_PRIV_INS>0</M0150_CPAY_PRIV_INS>
						<M0150_CPAY_PRIV_HMO>0</M0150_CPAY_PRIV_HMO>
						<M0150_CPAY_SELFPAY>0</M0150_CPAY_SELFPAY>
						<M0150_CPAY_OTHER>0</M0150_CPAY_OTHER>
						<M0150_CPAY_UK>0</M0150_CPAY_UK>
						<M0080_ASSESSOR_DISCIPLINE>01</M0080_ASSESSOR_DISCIPLINE>
						<M0090_INFO_COMPLETED_DT>20260117</M0090_INFO_COMPLETED_DT>
						<M0100_ASSMT_REASON>01</M0100_ASSMT_REASON>
						<M0102_PHYSN_ORDRD_SOCROC_DT>20260117</M0102_PHYSN_ORDRD_SOCROC_DT>
						<M0102_PHYSN_ORDRD_SOCROC_DT_NA>0</M0102_PHYSN_ORDRD_SOCROC_DT_NA>
						
                        <M0104_PHYSN_RFRL_DT>^</M0104_PHYSN_RFRL_DT>    
						<M0110_EPISODE_TIMING>01</M0110_EPISODE_TIMING>
						<M1000_DC_LTC_14_DA>0</M1000_DC_LTC_14_DA>
						<M1000_DC_SNF_14_DA>0</M1000_DC_SNF_14_DA>
						<M1000_DC_IPPS_14_DA>1</M1000_DC_IPPS_14_DA>
						<M1000_DC_LTCH_14_DA>0</M1000_DC_LTCH_14_DA>
						<M1000_DC_IRF_14_DA>0</M1000_DC_IRF_14_DA>
						<M1000_DC_PSYCH_14_DA>0</M1000_DC_PSYCH_14_DA>
						<M1000_DC_OTH_14_DA>0</M1000_DC_OTH_14_DA>
						<M1000_DC_NONE_14_DA>0</M1000_DC_NONE_14_DA>
						<M1005_INP_DISCHARGE_DT>20260114</M1005_INP_DISCHARGE_DT>
                        
                        <M1005_INP_DSCHG_UNKNOWN>0</M1005_INP_DSCHG_UNKNOWN>   
						<A1005A>1</A1005A>
						<A1005B>0</A1005B>
						<A1005C>0</A1005C>
						<A1005D>0</A1005D>
						<A1005E>0</A1005E>
						<A1005X>0</A1005X>
						<A1005Y>0</A1005Y>
						<A1010A>1</A1010A>
						<A1010B>0</A1010B>
						<A1010C>0</A1010C>
						<A1010D>0</A1010D>
						<A1010E>0</A1010E>
						<A1010F>0</A1010F>
						<A1010G>0</A1010G>
						<A1010H>0</A1010H>
						<A1010I>0</A1010I>
						<A1010J>0</A1010J>
						<A1010K>0</A1010K>
						<A1010L>0</A1010L>
						<A1010M>0</A1010M>
						<A1010N>0</A1010N>
						<A1010X>0</A1010X>
						<A1010Y>0</A1010Y>
						<A1010Z>0</A1010Z>
						<B0200>0</B0200>
						<B1000>1</B1000>
						<A1110A>English</A1110A>
						<A1110B>0</A1110B>
						<A1250A>0</A1250A>
						<A1250B>1</A1250B>
						<A1250C>0</A1250C>
						<A1250X>0</A1250X>
						<A1250Y>0</A1250Y>
						<B1300>3</B1300>
						<M1700_COG_FUNCTION>00</M1700_COG_FUNCTION>
						<M1710_WHEN_CONFUSED>01</M1710_WHEN_CONFUSED>
						<M1720_WHEN_ANXIOUS>01</M1720_WHEN_ANXIOUS>
                        
                        <C0100>1</C0100>
                            
                        <C0200>3</C0200>
						<C0300A>3</C0300A>
						<C0300B>2</C0300B>
						<C0300C>1</C0300C>
						<C0400A>2</C0400A>
						<C0400B>2</C0400B>
						<C0400C>2</C0400C>
						<C0500>15</C0500>
                        <C1310A>-</C1310A>
						<C1310B>-</C1310B>
						<C1310C>-</C1310C>
						<C1310D>-</C1310D>    
                             
                        <D0150A1>0</D0150A1>
                        <D0150A2>0</D0150A2>
                        <D0150B1>0</D0150B1>
                       	<D0150B2>0</D0150B2>
                            
                        <D0150C1>^</D0150C1>
						<D0150C2>^</D0150C2>
						<D0150D1>^</D0150D1>
						<D0150D2>^</D0150D2>
						<D0150E1>^</D0150E1>
						<D0150E2>^</D0150E2>
						<D0150F1>^</D0150F1>
						<D0150F2>^</D0150F2>
						<D0150G1>^</D0150G1>
						<D0150G2>^</D0150G2>
						<D0150H1>^</D0150H1>
						<D0150H2>^</D0150H2>
						<D0150I1>^</D0150I1>
						<D0150I2>^</D0150I2>
                        
                        <D0160>0</D0160>
                        
                       	<D0700>0</D0700>
						<M1740_BD_MEM_DEFICIT>0</M1740_BD_MEM_DEFICIT>
						<M1740_BD_IMP_DECISN>0</M1740_BD_IMP_DECISN>
						<M1740_BD_VERBAL>0</M1740_BD_VERBAL>
						<M1740_BD_PHYSICAL>0</M1740_BD_PHYSICAL>
						<M1740_BD_SOC_INAPPRO>0</M1740_BD_SOC_INAPPRO>
						<M1740_BD_DELUSIONS>0</M1740_BD_DELUSIONS>
						<M1740_BD_NONE>1</M1740_BD_NONE>
						<M1745_BEH_PROB_FREQ>00</M1745_BEH_PROB_FREQ>
						<M1100_PTNT_LVG_STUTN>06</M1100_PTNT_LVG_STUTN> 
						<M2102_CARE_TYPE_SRC_SPRVSN>01</M2102_CARE_TYPE_SRC_SPRVSN>
						<M1800_CRNT_GROOMING>01</M1800_CRNT_GROOMING>
						<M1810_CRNT_DRESS_UPPER>02</M1810_CRNT_DRESS_UPPER>
						<M1820_CRNT_DRESS_LOWER>02</M1820_CRNT_DRESS_LOWER>
						<M1830_CRNT_BATHG>05</M1830_CRNT_BATHG>
						<M1840_CRNT_TOILTG>04</M1840_CRNT_TOILTG>
						<M1845_CRNT_TOILTG_HYGN>03</M1845_CRNT_TOILTG_HYGN>
						<M1850_CRNT_TRNSFRNG>04</M1850_CRNT_TRNSFRNG>
						<M1860_CRNT_AMBLTN>05</M1860_CRNT_AMBLTN>
						<GG0170C_MOBILITY_SOCROC_PERF>09</GG0170C_MOBILITY_SOCROC_PERF>
						<GG0170C_MOBILITY_DSCHG_GOAL>09</GG0170C_MOBILITY_DSCHG_GOAL>
						<GG0100A>2</GG0100A>
						<GG0100B>2</GG0100B>
						<GG0100C>2</GG0100C>
						<GG0100D>1</GG0100D>
						<GG0110A>0</GG0110A>
						<GG0110B>0</GG0110B>
						<GG0110C>0</GG0110C>
						<GG0110D>1</GG0110D>
						<GG0110E>0</GG0110E>
						<GG0110Z>0</GG0110Z>
                        <GG0130A1>05</GG0130A1>    
						<GG0130A2>06</GG0130A2>
						<GG0130B1>05</GG0130B1>
						<GG0130B2>06</GG0130B2>
						<GG0130C1>01</GG0130C1>
						<GG0130C2>03</GG0130C2>
						<GG0130E1>03</GG0130E1>
						<GG0130E2>04</GG0130E2>
						<GG0130F1>03</GG0130F1>
						<GG0130F2>05</GG0130F2>
						<GG0130G1>03</GG0130G1>
						<GG0130G2>05</GG0130G2>
						<GG0130H1>03</GG0130H1>
						<GG0130H2>05</GG0130H2>
						<GG0170A1>09</GG0170A1>
						<GG0170A2>09</GG0170A2>
						<GG0170B1>09</GG0170B1>
						<GG0170B2>09</GG0170B2>
						<GG0170D1>06</GG0170D1>
						<GG0170D2>06</GG0170D2>
						<GG0170E1>06</GG0170E1>
						<GG0170E2>06</GG0170E2>
						<GG0170F1>01</GG0170F1>
						<GG0170F2>03</GG0170F2>
						<GG0170G1>06</GG0170G1>
						<GG0170G2>05</GG0170G2>
						<GG0170I1>01</GG0170I1>
						<GG0170I2>02</GG0170I2>
                         
                        <GG0170J1>01</GG0170J1>
						<GG0170J2>02</GG0170J2>
						<GG0170K1>01</GG0170K1>
						<GG0170K2>02</GG0170K2>
						<GG0170L1>01</GG0170L1>
						<GG0170L2>02</GG0170L2>
                         
                        <GG0170M1>01</GG0170M1>
						<GG0170M2>02</GG0170M2>
                            
						<GG0170N1>01</GG0170N1>
						<GG0170N2>02</GG0170N2>
                          
                        <GG0170O1>01</GG0170O1>
						<GG0170O2>02</GG0170O2>
                            
						<GG0170P1>01</GG0170P1>
						<GG0170P2>02</GG0170P2>
	        		    <GG0170Q1>1</GG0170Q1>
                        
                        <GG0170R1>03</GG0170R1>
						<GG0170R2>06</GG0170R2>
						<GG0170RR1>1</GG0170RR1>
						<GG0170S1>03</GG0170S1>
						<GG0170S2>06</GG0170S2>
						<GG0170SS1>1</GG0170SS1>
                           
         			    <M1600_UTI>00</M1600_UTI>
						<M1610_UR_INCONT>01</M1610_UR_INCONT>
						<M1620_BWL_INCONT>04</M1620_BWL_INCONT>
						<M1630_OSTOMY>00</M1630_OSTOMY> 
						<M1021_PRIMARY_DIAG_ICD>K62.5^^^</M1021_PRIMARY_DIAG_ICD>
                    	<M1021_PRIMARY_DIAG_SEVERITY>02</M1021_PRIMARY_DIAG_SEVERITY>
						<M1023_OTH_DIAG1_ICD>D62.^^^^</M1023_OTH_DIAG1_ICD>
						<M1023_OTH_DIAG1_SEVERITY>02</M1023_OTH_DIAG1_SEVERITY>
						<M1023_OTH_DIAG2_ICD>C18.9^^^</M1023_OTH_DIAG2_ICD>
						<M1023_OTH_DIAG2_SEVERITY>02</M1023_OTH_DIAG2_SEVERITY>
						<M1023_OTH_DIAG3_ICD>C78.7^^^</M1023_OTH_DIAG3_ICD>
						<M1023_OTH_DIAG3_SEVERITY>02</M1023_OTH_DIAG3_SEVERITY>
						<M1023_OTH_DIAG4_ICD>S92.514D</M1023_OTH_DIAG4_ICD>
						<M1023_OTH_DIAG4_SEVERITY>02</M1023_OTH_DIAG4_SEVERITY>
						<M1023_OTH_DIAG5_ICD>I70.211^</M1023_OTH_DIAG5_ICD>
						<M1023_OTH_DIAG5_SEVERITY>02</M1023_OTH_DIAG5_SEVERITY>
						<M1028_ACTV_DIAG_PVD_PAD>0</M1028_ACTV_DIAG_PVD_PAD>
						<M1028_ACTV_DIAG_DM>0</M1028_ACTV_DIAG_DM>
						<M1028_ACTV_DIAG_NOA>1</M1028_ACTV_DIAG_NOA>
						<M1400_WHEN_DYSPNEIC>00</M1400_WHEN_DYSPNEIC>
						<M1033_HOSP_RISK_HSTRY_FALLS>0</M1033_HOSP_RISK_HSTRY_FALLS>
						<M1033_HOSP_RISK_WEIGHT_LOSS>0</M1033_HOSP_RISK_WEIGHT_LOSS>
						<M1033_HOSP_RISK_MLTPL_HOSPZTN>0</M1033_HOSP_RISK_MLTPL_HOSPZTN>
						<M1033_HOSP_RISK_MLTPL_ED_VISIT>0</M1033_HOSP_RISK_MLTPL_ED_VISIT>
						<M1033_HOSP_RISK_MNTL_BHV_DCLN>0</M1033_HOSP_RISK_MNTL_BHV_DCLN>
						<M1033_HOSP_RISK_COMPLIANCE>0</M1033_HOSP_RISK_COMPLIANCE>
						<M1033_HOSP_RISK_5PLUS_MDCTN>1</M1033_HOSP_RISK_5PLUS_MDCTN>
						<M1033_HOSP_RISK_CRNT_EXHSTN>1</M1033_HOSP_RISK_CRNT_EXHSTN>
						<M1033_HOSP_RISK_OTHR_RISK>1</M1033_HOSP_RISK_OTHR_RISK>
						<M1033_HOSP_RISK_NONE_ABOVE>0</M1033_HOSP_RISK_NONE_ABOVE>
						<J0510>2</J0510>
                        
                         <J0520>0</J0520>
						<J0530>3</J0530>
                         
						<M1870_CRNT_FEEDING>01</M1870_CRNT_FEEDING>
						<M1060_HEIGHT_A>67</M1060_HEIGHT_A>
						<M1060_WEIGHT_B>236</M1060_WEIGHT_B>
						<K0520A1>0</K0520A1>
						<K0520B1>0</K0520B1>
						<K0520C1>0</K0520C1>
						<K0520D1>0</K0520D1>
						<K0520Z1>1</K0520Z1>
						<M1306_UNHLD_STG2_PRSR_ULCR>0</M1306_UNHLD_STG2_PRSR_ULCR>
                        
                        <M1311_NBR_PRSULC_STG2_A1>^</M1311_NBR_PRSULC_STG2_A1>
						<M1311_NBR_PRSULC_STG3_B1>^</M1311_NBR_PRSULC_STG3_B1>
						<M1311_NBR_PRSULC_STG4_C1>^</M1311_NBR_PRSULC_STG4_C1>
						<M1311_NSTG_DRSG_D1>^</M1311_NSTG_DRSG_D1>
						<M1311_NSTG_CVRG_E1>^</M1311_NSTG_CVRG_E1>
						<M1311_NSTG_DEEP_TSUE_F1>^</M1311_NSTG_DEEP_TSUE_F1>    
                            
						<M1322_NBR_PRSULC_STG1>00</M1322_NBR_PRSULC_STG1>
                          
                        <M1324_STG_PRBLM_ULCER>NA</M1324_STG_PRBLM_ULCER>
                        
					    <M1330_STAS_ULCR_PRSNT>00</M1330_STAS_ULCR_PRSNT>    
						<M1332_NBR_STAS_ULCR>^</M1332_NBR_STAS_ULCR>    
						<M1334_STUS_PRBLM_STAS_ULCR>^</M1334_STUS_PRBLM_STAS_ULCR>    
						<M1340_SRGCL_WND_PRSNT>00</M1340_SRGCL_WND_PRSNT>
						<M1342_STUS_PRBLM_SRGCL_WND>^</M1342_STUS_PRBLM_SRGCL_WND>
                        <M2001_DRUG_RGMN_RVW>0</M2001_DRUG_RGMN_RVW>
						
						<M2003_MDCTN_FLWP>^</M2003_MDCTN_FLWP>    
						<M2010_HIGH_RISK_DRUG_EDCTN>00</M2010_HIGH_RISK_DRUG_EDCTN>
						<M2020_CRNT_MGMT_ORAL_MDCTN>03</M2020_CRNT_MGMT_ORAL_MDCTN>
						<M2030_CRNT_MGMT_INJCTN_MDCTN>NA</M2030_CRNT_MGMT_INJCTN_MDCTN>
										
						<N0415A1>1</N0415A1>
						<N0415A2>1</N0415A2>
						<N0415E1>0</N0415E1>
						<N0415E2>^</N0415E2>
						<N0415F1>0</N0415F1>
						<N0415F2>^</N0415F2>
						<N0415H1>1</N0415H1>
						<N0415H2>1</N0415H2>
						<N0415I1>0</N0415I1>
						<N0415I2>^</N0415I2>
						<N0415J1>0</N0415J1>
						<N0415J2>^</N0415J2>
						<N0415Z1>0</N0415Z1>
					
						<M2200_THER_NEED_NBR>^</M2200_THER_NEED_NBR>
						<M2200_THER_NEED_NA>1</M2200_THER_NEED_NA>
                         
						<O0110A1A>1</O0110A1A>
						<O0110A2A>0</O0110A2A>
						<O0110A3A>0</O0110A3A>
						<O0110A10A>1</O0110A10A>
                         
						<O0110B1A>0</O0110B1A>
                         
                        <O0110C1A>0</O0110C1A>
						<O0110C2A>0</O0110C2A>
						<O0110C3A>0</O0110C3A>
						<O0110C4A>0</O0110C4A>
                           
                        <O0110D1A>0</O0110D1A>
						<O0110D2A>0</O0110D2A>
						<O0110D3A>0</O0110D3A>
                             
						<O0110E1A>0</O0110E1A>
						<O0110F1A>0</O0110F1A>
                       
                        
                        <O0110G1A>0</O0110G1A>
						<O0110G2A>0</O0110G2A>
						<O0110G3A>0</O0110G3A>
                               
                          <O0110H1A>0</O0110H1A>
						<O0110H2A>0</O0110H2A>
						<O0110H3A>0</O0110H3A>
						<O0110H4A>0</O0110H4A>
						<O0110H10A>0</O0110H10A>
                           
                         <O0110I1A>0</O0110I1A>
                         
                        <O0110J1A>0</O0110J1A>
						<O0110J2A>0</O0110J2A>
						<O0110J3A>0</O0110J3A>
                        
                        <O0110O1A>0</O0110O1A>
						<O0110O2A>0</O0110O2A>
						<O0110O3A>0</O0110O3A>
                        <O0110O4A>0</O0110O4A> 
                             
						<O0110Z1A>0</O0110Z1A>
                            
				  </ASSESSMENT>
			
