Attachment B - OASIS-C1 to OASIS-C1/ICD-9

Table of Changes to OASIS-C1 to Create “OASIS-C1/ICD-9 Version”

Table 1: Changes to OMB-approved OASIS-C1 – substitution of ICD-9 items for ICD-10 items:

OASIS Item	OASIS-C1 with ICD-10 (currently approved by OMB)	OASIS-C1/ICD-9 Version	Reason for Change
M1010 / M1011	M1011 (contains ICD-10 terminology and formatting)	M1011 deleted Replaced with M1010 (currently approved OASIS-C item using ICD-9)	PAMA necessitates the removal of OASIS-C1 items containing ICD-10-specific terminology, formatting and instructions. Items currently in use in OASIS-C that have ICD-9-specific references, formatting and instructions have been substituted.
M1016 / M1017	M1017 (contains ICD-10 terminology and formatting)	M1017 deleted. Replaced with M1016 (currently approved OASIS-C item using ICD-9)
M1020 – M1025	M1021, M1023, M1025 (contains ICD-10 terminology, formatting and instructions)	M1021, M1023, M1025 deleted. Replaced with M1020, M1022, M1024 (currently approved OASIS-C items using ICD-9)

Table 2: Changes to OMB-approved OASIS-C1 – Time Point and Skip Pattern direction changes REQUIRED:

OASIS Item	OASIS-C1 with ICD-10	OASIS-C1/ICD-9 Version	Reason
Time Points Table (page 3) Items Used at Follow-Up	Includes “M1011” at Follow-Up Time Point	“M1011” - deleted at Follow-Up Time Point	PAMA necessitates the removal of ICD-10-specific items in the Time Points Table. The ICD-9 version of this item is not collected at Follow-up in OASIS-C and so will not be included in OASIS-C1.
Time Points Table (page 3) Items Used at Follow-Up	Includes “M1021” at Follow-Up Time Point	“M1021” – deleted at Follow-Up Time Point. “M1020”substituted	PAMA necessitates the removal of ICD-10-specific items in the Time Points Table and replacement with the substituted ICD-9-specific items
M1000	Instructions for response NA now state: Go to M1017	Instructions for response NA now state: Go to M1016	PAMA necessitates the removal of ICD-10-specific items. Therefore, instructions to use ICD-10-specific items in the M1000 Skip Instructions must be replaced  with instruction to use the substituted ICD-9-specific items
M1340	For response options 0 and 2, directions read “At TRN/DC, go to M1400”	For response options 0 and 2, directions changed to “At FU/DC, go to M1400” because item is collected at Follow-up and Discharge, not Transfer (TRN)	M1350 was deleted at Follow-up and Discharge as part of OASIS-C1 burden reduction. Directions to skip M1350 at Follow-up were inadvertently omitted from M1340.

Table 3: Additional edits to the OMB-approved version of OASIS-C1 due to typographical or other identified errors that should be corrected with this item set change:

OASIS Item	OASIS-C1 with ICD-10	OASIS-C1/ICD-9 Version	Reason
M0060	“Zip”	“Zip” deleted. Replaced with: ZIP	ZIP (an acronym for Zone Improvement Plan) should be capitalized.
M1051	Includes term “PPV” at end of item stem	“PPV” deleted. Replaced with: (e.g., pneumovax)	CMS has previously indicated that references to the proprietary term “Pneumococcal polysaccharide vaccine (PPV)” should be deleted in all data sets, and replaced with the more generic terms “Pneumococcal Vaccine” and “pneumovax”.
M1056	Includes term “PPV” twice in item stem	“PPV” deleted. Replaced with: Pneumococcal Vaccine and (e.g., pneumovax)
M1056	Response 3 includes the term “PPV”	“PPV” deleted. Replaced with: Pneumococcal Vaccine
M1306, M1308, M1309	The word “unstageable” appears in quotes and uncapitalized numerous times in these items	The word “unstageable” deleted Replaced with: Unstageable	NPUAP guidance indicates the correct term is:  Unstageable (without quotes, and capitalized)
M1320	Beginning parenthesis but no end parenthesis at end of item stem.	End parenthesis placed after “dressing/device” at end of item stem	End parenthesis mistakenly omitted.
Multiple Items	“For example” appears numerous times followed by a colon.	Replaced each instance of “for example” followed by a colon, with “for example” followed by a comma.	It is grammatically more correct to use a comma after the phrase “for example.”
Multiple Items	Spacing and font of skip instructions, e.g., [Go to M2010 ], vary among items.	Edited font and spacing to make consistent throughout the document.	Document is more readable if consistent formats are used throughout.

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