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US · guidance

HOPE Admission (ADM) v1.02, Item J2030

Screening for Shortness of Breath

activein force · 2025-10-01 – presentcompiled-edition

J2030. Screening for Shortness of Breath

Enter Code A. Was the patient screened for shortness of breath?

0. No — Skip to J2050, Symptom Impact Screening

1. Yes

B. Date of first screening for shortness of breath:

Month Day Year

Enter Code C. Did the screening indicate the patient had shortness of breath?

0. No — Skip to J2050, Symptom Impact Screening

1. Yes

History

HOPE Admission (ADM) v1.02, effective October 1, 2025 (OMB control number 0938-1153).

Provenance

Source
cms.gov
Retrieved
2026-09-17
Edition
hope-v1.02
Content hash
f1e05218815182fd08f5ac1876aac388fe708c4b819fb4fde7f947d3a12622a3
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