OASIS edit -5681
Edit -5681 is a fatal consistency edit in CMS's OASIS-E2 data specifications V3.02.0, effective for records with completion dates on or after 2026-04-01. A fatal edit rejects the record: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted." It checks 6 items: M0100_ASSMT_REASON, M1311_NBR_PRSULC_STG2_A1, M1311_NBR_PRSULC_STG3_B1, M1311_NBR_PRSULC_STG4_C1, M1322_NBR_PRSULC_STG1, M1324_STG_PRBLM_ULCER. CMS's action: "Make appropriate corrections to the records and resubmit."
What CMS's data specification says about -5681
CMS's OASIS-E2 Data Submission Specifications V3.02.0 (HTML edit page oe_5681.html, generated 11/05/2025) list edit -5681 with edit type Consistency and severity Fatal. The edit text, as CMS publishes it:
(a) If M0100_ASSMT_REASON = [01,03], and M1322_NBR_PRSULC_STG1 and M1311_NBR_PRSULC_STG2_A1 and M1311_NBR_PRSULC_STG3_B1 and M1311_NBR_PRSULC_STG4_C1 are all equal to [00,^], then if M1324_STG_PRBLM_ULCER is active it must be equal to [NA]. (b) If M0100_ASSMT_REASON=[09], and if M1311_NBR_PRSULC_STG2_A1, M1311_NBR_PRSULC_STG3_B1 and M1311_NBR_PRSULC_STG4_C1 are all equal to [00,-,^], then M1324_STG_PRBLM_ULCER must be equal to [01, NA].
CMS's version note for -5681:
[V3.02.0]-Corrected typo in subedit b for valid M1324_STG_PRBLM_ULCER values - 01 instead of 1.
CMS's overview document defines this edit type: "Consistency edits define logical constraints among multiple items."
What the iQIES error message for -5681 says
CMS's OASIS Error Message Reference Guide v2.4 (Excel, posted 2026-02-05 on the QTSO reference manuals page) has 2 current entries for this edit. Each is copied in full, with whitespace normalised:
-5681a
- Error ID
- -5681a
- Severity
- Fatal
- Type
- Consistency
- Error message
- If M0100_ASSMT_REASON = [01,03], and M1322_NBR_PRSULC_STG1 and M1311_NBR_PRSULC_STG2_A1 and M1311_NBR_PRSULC_STG3_B1 and M1311_NBR_PRSULC_STG4_C1 are all equal to [00,^], then if M1324_STG_PRBLM_ULCER is active it must be equal to [NA].
- Potential cause
- The value submitted in item M1324 (Stage of Most Problematic Unhealed Observable PU) is not consistent with the values submitted in items M0100 (Assessment Reason), M1322 (Current Number of Stage I PU), and M1311 (Current Number of Unhealed PU at Each Stage) items.
- Tips
- IF M0100 is 01 or 03,AND M1322 is 00 or skipped (^)AND M1311A1, M1311B1, and M1311C1 are all 00 or skipped (^),THEN M1324 must be NA.
- Action
- Make appropriate corrections to the records and resubmit.
- Effective start date
- 2020-01-01
- Effective end date
- 2099-12-31 (CMS uses this date for an open-ended entry)
-5681b
- Error ID
- -5681b
- Severity
- Fatal
- Type
- Consistency
- Error message
- If M0100_ASSMT_REASON=[09], and if M1311_NBR_PRSULC_STG2_A1, M1311_NBR_PRSULC_STG3_B1 and M1311_NBR_PRSULC_STG4_C1 are all equal to [00,-,^], then M1324_STG_PRBLM_ULCER must be equal to [01, NA].
- Potential cause
- The value submitted in item M1324 (Stage of Most Problematic Unhealed Observable PU) is not consistent with the values submitted in M0100 (Assessment Reason) and M1311 (Current Number of Unhealed PU at Each Stage) items.
- Tips
- IF M0100 is 09,AND M1311A1, M1311B1, and M1311C1 are all 00, dash, or skipped (^),THEN M1324 must be 01 or NA.
- Action
- Make appropriate corrections to the records and resubmit.
- Effective start date
- 2020-01-01
- Effective end date
- 2099-12-31 (CMS uses this date for an open-ended entry)
Items this edit checks
CMS's Item List for -5681 names 6 items.
| Item ID | Description (CMS) | Item page |
|---|---|---|
| M0100_ASSMT_REASON | Reason for assessment | M0100 |
| M1311_NBR_PRSULC_STG2_A1 | Number of Stage 2 Pressure Ulcers | M1311 |
| M1311_NBR_PRSULC_STG3_B1 | Number of Stage 3 Pressure Ulcers | M1311 |
| M1311_NBR_PRSULC_STG4_C1 | Number of Stage 4 Pressure Ulcers | M1311 |
| M1322_NBR_PRSULC_STG1 | Number of stage 1 pressure injuries | M1322 |
| M1324_STG_PRBLM_ULCER | Stage of most problematic pressure ulcer/injury | M1324 |
Related edits
Other current edits whose CMS Item List shares one or more items with -5681 (the broad -3060 value edit, which covers 365 items, is left out):
| Edit ID | Severity | Type | iQIES label | Items shared |
|---|---|---|---|---|
| -5661 | Fatal | Consistency | No label in the guide | 4 |
| -3090 | Fatal | Format | Invalid Value | 3 |
| -3100 | Fatal | Format | Invalid Numeric Format | 3 |
| -5112 | Fatal | Skip pattern | No label in the guide | 3 |
| -5123 | Fatal | Skip pattern | No label in the guide | 3 |
| -5132 | Fatal | Consistency | No label in the guide | 3 |
| -4171 | Fatal | Consistency | No label in the guide | 2 |
| -4182 | Fatal | Consistency | No label in the guide | 2 |
What happens to the record
CMS's overview, section 6.4, on fatal edits: "Violation of a fatal edit will result in rejection of the submission file." CMS's iQIES error message guide: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted."
Which records this edit applies to
Data specifications version 3.02 has an effective start date of 2026-04-01 and no end date (CMS overview, Table 1). CMS selects the edit set by the record's completion date: "When a submitted record is validated by the iQIES system, its completion date is evaluated and is used to load the appropriate set of edits for the specifications in effect on that date."
Frequently asked questions
Is OASIS edit -5681 fatal or a warning?
Fatal. CMS lists edit -5681 with severity Fatal in the OASIS-E2 data specifications V3.02.0. The CMS overview states: "Violation of a fatal edit will result in rejection of the submission file." The iQIES error guide adds: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted."
Which OASIS items can trigger edit -5681?
CMS's Item List for edit -5681 names 6 items: M0100_ASSMT_REASON, M1311_NBR_PRSULC_STG2_A1, M1311_NBR_PRSULC_STG3_B1, M1311_NBR_PRSULC_STG4_C1, M1322_NBR_PRSULC_STG1, M1324_STG_PRBLM_ULCER. The full list with descriptions is in the table above.
How do I fix OASIS edit -5681?
CMS's OASIS Error Message Reference Guide v2.4 gives this action for -5681a: "Make appropriate corrections to the records and resubmit." Its tips: "IF M0100 is 01 or 03, AND M1322 is 00 or skipped (^) AND M1311A1, M1311B1, and M1311C1 are all 00 or skipped (^), THEN M1324 must be NA." The guide has 2 entries for this edit (-5681a, -5681b); each is quoted above.
Which records does edit -5681 apply to?
Under version 3.02 of the data specifications, records whose completion date, item M0090_INFO_COMPLETED_DT, is on or after 2026-04-01, the effective start date CMS gives that version. Records completed earlier are checked under the version in effect on their completion date (CMS overview, Table 1 and section 3.2); the effective start date on each guide entry above is the date CMS's error guide gives that entry. The CMS overview states: "When a submitted record is validated by the iQIES system, its completion date is evaluated and is used to load the appropriate set of edits for the specifications in effect on that date."
What changed for edit -5681 in V3.02.0?
CMS's version note reads: "[V3.02.0]-Corrected typo in subedit b for valid M1324_STG_PRBLM_ULCER values - 01 instead of 1."
Sources
- CMS, OASIS-E2 Data Submission Specifications V3.02.0 FINAL (zip): HTML edit page
oe_5681.htmland the Unduplicated Edits By ID Report. https://www.cms.gov/files/zip/oasis-e2-data-specs-v3-02-0-final-zip.zip (download page: https://www.cms.gov/medicare/quality/home-health/data-specifications) - CMS, OASIS Data Submission Specifications Overview, Version 3.02.0, October 29, 2025 (in the same zip).
- CMS QTSO, OASIS Error Message Reference Guide v2.4 (Excel), posted 2026-02-05. https://qtso.cms.gov/system/files/qtso/OASIS%20Error%20Message%20Reference%20Guide%20FINAL%202.4.26.xlsx
CMS text on this page is copied from CMS's documents without rewording; whitespace is normalised, and one rendering artifact in CMS's HTML (a double quote standing in for an apostrophe) is corrected to the apostrophe in CMS's PDF report. This page is maintained by Logicly, which is not affiliated with CMS. Checked against the CMS files on 2026-10-16.