<?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>04</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>1326011024</M0018_PHYSICIAN_ID>
						<M0018_PHYSICIAN_UK>0</M0018_PHYSICIAN_UK>
						<M0020_PAT_ID>14485</M0020_PAT_ID>
						<M0030_START_CARE_DT>20250623</M0030_START_CARE_DT>
						<M0032_ROC_DT>^</M0032_ROC_DT>
						<M0032_ROC_DT_NA>1</M0032_ROC_DT_NA>
						<M0040_PAT_FNAME>Dwan</M0040_PAT_FNAME>
						<M0040_PAT_MI>^</M0040_PAT_MI>
						<M0040_PAT_LNAME>Moses</M0040_PAT_LNAME>
						<M0040_PAT_SUFFIX>^</M0040_PAT_SUFFIX>
						<M0050_PAT_ST>MD</M0050_PAT_ST>
						<M0060_PAT_ZIP>21207</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>30819609690</M0065_MEDICAID_NUM>
						<M0065_MEDICAID_NA>0</M0065_MEDICAID_NA>
						<M0066_PAT_BIRTH_DT>19690831</M0066_PAT_BIRTH_DT>
						<M0069_PAT_GENDER>2</M0069_PAT_GENDER>
						<M0150_CPAY_NONE>0</M0150_CPAY_NONE>
						<M0150_CPAY_MCARE_FFS>0</M0150_CPAY_MCARE_FFS>
						<M0150_CPAY_MCARE_HMO>0</M0150_CPAY_MCARE_HMO>
						<M0150_CPAY_MCAID_FFS>1</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>02</M0080_ASSESSOR_DISCIPLINE>
						<M0090_INFO_COMPLETED_DT>20251017</M0090_INFO_COMPLETED_DT>
						<M0100_ASSMT_REASON>04</M0100_ASSMT_REASON>
						<M0110_EPISODE_TIMING>02</M0110_EPISODE_TIMING>
						<M1800_CRNT_GROOMING>02</M1800_CRNT_GROOMING>
						<M1810_CRNT_DRESS_UPPER>02</M1810_CRNT_DRESS_UPPER>
						<M1820_CRNT_DRESS_LOWER>02</M1820_CRNT_DRESS_LOWER>
						<M1830_CRNT_BATHG>02</M1830_CRNT_BATHG>
						<M1840_CRNT_TOILTG>01</M1840_CRNT_TOILTG>
					    <M1850_CRNT_TRNSFRNG>01</M1850_CRNT_TRNSFRNG>
						<M1860_CRNT_AMBLTN>03</M1860_CRNT_AMBLTN>
						<GG0130A4>09</GG0130A4>    
						<GG0130B4>09</GG0130B4>
					    <GG0130C4>09</GG0130C4>
						<GG0130E4>WF</GG0130E4>
						<GG0130F4>WF</GG0130F4>
						<GG0130G4>WF</GG0130G4>
						<GG0130H4>09</GG0130H4>
						<GG0170A4>09</GG0170A4>
						<GG0170B4>09</GG0170B4>
						<GG0170C4>09</GG0170C4>
                        <GG0170D4>09</GG0170D4>
						<GG0170E4>09</GG0170E4>
					    <GG0170F4>09</GG0170F4>
						<GG0170I4>09</GG0170I4>
				           
						<GG0170J4>^</GG0170J4>
						<GG0170K4>^</GG0170K4>
						<GG0170L4>^</GG0170L4>
                         
                         <GG0170M4>09</GG0170M4>

                            
                        <GG0170N4>^</GG0170N4>
                        
                        
                         <GG0170Q4>0</GG0170Q4>
                        
						<GG0170R4>^</GG0170R4>
                          
         			    
						<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>1</M1033_HOSP_RISK_COMPLIANCE>
						<M1033_HOSP_RISK_5PLUS_MDCTN>1</M1033_HOSP_RISK_5PLUS_MDCTN>
						<M1033_HOSP_RISK_CRNT_EXHSTN>0</M1033_HOSP_RISK_CRNT_EXHSTN>
						<M1033_HOSP_RISK_OTHR_RISK>0</M1033_HOSP_RISK_OTHR_RISK>
						<M1033_HOSP_RISK_NONE_ABOVE>0</M1033_HOSP_RISK_NONE_ABOVE>
				<M1306_UNHLD_STG2_PRSR_ULCR>0</M1306_UNHLD_STG2_PRSR_ULCR>
				  </ASSESSMENT>
			
