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US · guidance

HOPE All Items v1.01, Item F2100

Other Life-Sustaining Treatment Preferences

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

F2100. Other Life-Sustaining Treatment Preferences

A. Was the patient/responsible party asked about preferences regarding life-sustaining treatments other

than CPR? - Select the most accurate response

Enter Code

0. No — Skip to F2200, Hospitalization Preference

1. Yes, and discussion occurred

2. Yes, but the patient/responsible party refused to discuss

B. Date the patient/responsible party was first asked about preferences regarding life-sustaining

treatments other than CPR:

Month Day Year

History

HOPE All Items v1.01, effective October 1, 2025 (OMB control number 0938-1153).

Provenance

Source
cms.gov
Retrieved
2026-09-17
Edition
hope-v1.02
Content hash
584d50db463e29ddbcee75ad2d4bc73a895157de41bb508fc9f53645abf8c7b9
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