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US · guidance

CMS SOM App. B, Tag G542

[§484.55(c) … The comprehensive assessment must accurately reflect the patient's

activein force · 2026-07-22 – presentas-observed

status, and must include, at a minimum, the following information:]

(8) Incorporation of the current version of the Outcome and Assessment

Information Set (OASIS) items, using the language and groupings of the OASIS

items, as specified by the Secretary. The OASIS data items determined by the

Secretary must include: clinical record items, demographics and patient history,

living arrangements, supportive assistance, sensory status, integumentary status,

respiratory status, elimination status, neuro/emotional/behavioral status, activities

of daily living, medications, equipment management, emergent care, and data items

collected at inpatient facility admission or discharge only.

History

Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
631f10482213948c9e80a69163e2a1ab54e3ccc50b3ea620b910e1a06afadccb
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