RAP Version 1.20
Guidance for the only change with RAP Version 1.02 involves the ICD-9 trigger for the Dehydration RAP (RAP 14).
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 13, 2013
Notice: This documentation is in the public domain and cannot be copyrighted.
The only change with RAP Version 1.02 involves the ICD-9 trigger for the Dehydration RAP (RAP 14). In Version 1.01, the ICD-9 trigger was limited to a single code of 276.5 indicating dehydration or volume depletion. In Version 1.02, three new sub-codes under 276.5 have been added and the ICD-9 trigger is now 276.5, 276.50, 276.51 or 276.52. Version 1.02 with the new Dehydration RAP trigger will be implemented in January 2006.
There are four files available with RAP Version 1.02:
- ReadMe_RAP102.pdf
The current document in Adobe Acrobat format which can be found in the Downloads Section below.
- Changed Dehydration RAP with RAP Version 102 (v1).pdf
An Adobe Acrobat document describing the change to the Dehydration RAP trigger and related MDS Submission System changes which can be found in the Downloads Section below. To allow nursing homes some flexibility in adapting to the Dehydration RAP change, the State MDS Submission System will issue a warning rather than a fatal error if there is inconsistent Dehydration RAP triggering status due to the change in the ICD-9 trigger.
- RAP102 pseudocode.txt
A text file providing standard code (logic) for calculating the RAPs for the MDS 2.0 which can be found in the Downloads Section below. This Basic-style code includes the change for the dehydration RAP. A series of comment lines at the beginning of the code describe the features of the code and an overview of the logic used.
- test_rap102.zip
A ZIP containing test_rap102.txt, a text file containing a set of MDS test records for RAP version 1.02 in standard MDS submission format. This will be added to the site shortly. This test data set contains 1445 records and includes sets of records created while testing each RAP as follows:
- RAP 01: Records 1 thru 61
- RAP 02: Records 62 thru 92
- RAP 03: Records 93 thru 124
- RAP 04: Records 125 thru 153
- RAP 05: Records 154 thru 299
- RAP 06: Records 300 thru 356
- RAP 07: Records 357 thru 411
- RAP 08: Records 412 thru 554
- RAP 09: Records 555 thru 623
- RAP 10: Records 624 thru 683
- RAP 11: Records 684 thru 762
- RAP 12: Records 763 thru 823
- RAP 13: Records 824 thru 829
- RAP 14: Records 830 thru 964
- RAP 15: Records 965 thru 1008
- RAP 16: Records 1009 thru 1087
- RAP 17: Records 1088 thru 1402
- RAP 18: Records 1403 thru 1445
In each test record, the AA1a field (resident first name) has been set to "RAP01" for test records created while testing RAP 1, to RAP02 for test records created while testing RAP 2, etc. Also the AA1c field (resident last name) has been set to "TESTRECORD0001" for record 1, "TESTRECORD0002" for record 2, etc. Note that statuses for all 18 RAPs are included in each record (in field VA01a for RAP 01, VA02a for RAP 02, etc.), regardless of which RAP was being tested when the record was created. Also note that a RAP can be triggered in a set of records created while testing a different RAP. For example, RAP 10 is triggered in Record 1, a record created while testing RAP 1. The RAP status fields (VA01a, Va02a, etc.) include a '1' if the RAP is triggered, a '0' if the RAP is not triggered, and a '-' if the RAP status is unknown. The test records were created by starting with a "default record". The "default record" was a valid MDS 2.0 record with most items set to 0. When testing a particular RAP, values for the items influencing that RAP were systematically varied from the default values. Note that invalid (out of range) and missing (value of '-') values were often used for the RAP items. Test records with invalid or missing values allowed testing to insure the correct RAP status was assigned when such values occurred, as in some research data sets. Note that the default values caused RAPs 10 and 15 to be triggered, and these 2 RAPs are triggered in a large number of the test records.
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