LASTNAME, JEAN M
MDS Type	AA8b	A3a	Ab1	R2b	R4	Vb2	Vb4	A4a
01		12/19/01	12/6/01	12/19/01		12/19/01	12/19/01
06			10/31/01		11/20/01
01		11/14/01	10/31/01	11/14/01		11/14/01	11/14/01

TYPE LEGEND ========================================================= TYPE 01 = ADMISSION TYPE 02 = ANNUAL TYPE 03 = SIGNIFICANT CHANGE TYPE 04 = SIGNIFICANT CORRECTION OF FULL TYPE 05 = QUARTERLY TYPE 06 = DISCHARED - RETURN NOT ANTICIPATED TYPE 07 = DISCHARED - RETURN ANTICIPATED TYPE 08 = DISCHARED - PRIOR TO COMPLETING INITIAL ASSESSMENT TYPE 09 = REENTRY TYPE 10 = SIGNIFICANT CORRECTION OF QUARTERLY TYPE 0 = NONE OF THE ABOVE DATE LEGEND ========================================================= AA8b = MEDICARE PPS OR STATE ASSESSMENT VALUE A3a = ASSESSMENT REFERENCE DATE Ab1 = DATE OF ENTRY R2b = DATE RN ASSESSMENT COORDINATOR SIGNED AS COMPLETE R4 = DISCHARGE DATE Vb2 = DATE OF SIGNATURE OF RN COORDINATOR FOR RAP ASSESSMENT VB4 = DATE OF SIGNATURE OF PERSON COMPLETING CARE PLANNING A4a = DATE OF REENTRY