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OASIS edit -6180: Inconsistent O0110Z Items

Edit -6180 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. iQIES reports it as "Inconsistent O0110Z Items". 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 12 items: O0110A1C, O0110B1C, O0110C1C, O0110D1C, O0110E1C, O0110F1C, and more. The iQIES error guide v2.4 has no entry for this edit effective after 2026-03-31; its last entry is quoted below.

What CMS's data specification says about -6180

CMS's OASIS-E2 Data Submission Specifications V3.02.0 (HTML edit page oe_6180.html, generated 11/05/2025) list edit -6180 with edit type Consistency and severity Fatal. The edit text, as CMS publishes it:

(a) If O0110Z1C=[1], then the following items must equal [0]: O0110A1C, O0110B1C, O0110C1C, O0110D1C, O0110E1C, O0110F1C, O0110G1C, O0110H1C, O0110I1C, O0110J1C, O0110O1C. (b) If O0110Z1C=[0], then at least one of the following items must equal [1], and the remaining items must equal [0,1]: O0110A1C, O0110B1C, O0110C1C, O0110D1C, O0110E1C, O0110F1C, O0110G1C, O0110H1C, O0110I1C, O0110J1C, O0110O1C . (c) If O0110Z1C=[-], then the following items must equal [-]: O0110A1C, O0110B1C, O0110C1C, O0110D1C, O0110E1C, O0110F1C, O0110G1C, O0110H1C, O0110I1C, O0110J1C and O0110O1C.

CMS's overview document defines this edit type: "Consistency edits define logical constraints among multiple items."

What the iQIES error message for -6180 says

CMS's OASIS Error Message Reference Guide v2.4 (Excel, posted 2026-02-05) has no entry for -6180 with an effective end date after 2026-03-31, although the data specifications V3.02.0 still list the edit as current. The guide's last entries for -6180, copied in full with the dates CMS gives:

-6180a(ended 2026-03-31)

Error ID
-6180a
Severity
Fatal
Type
Consistency
Error message
Inconsistent O0110Z Items: If on discharge, O0110Z1C none of the above is checked [1], then all of the following items O0110A1C through O0110O1C must be not checked [0].
Potential cause
The value submitted in item O0110Z1C (at Discharge) is not consistent with one or more values submitted in other Special Treatments, Procedures, and Programs at discharge
Tips
If O0110Z1C is checked [1], then the following items O0110A1C, through O0110O1C must not be checked [0].
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2023-01-01
Effective end date
2026-03-31

-6180b(ended 2026-03-31)

Error ID
-6180b
Severity
Fatal
Type
Consistency
Error message
Inconsistent O0110Z Items: If on discharge, O0110Z1c none of the above is not checked [0], then at least one of the following items O0110A1C through O0110O1C must be checked [1] and the remaining items be checked or unchecked [1,0].
Potential cause
The value submitted in item O0110Z1C (at Discharge) is not consistent with one or more values submitted in other Special Treatments, Procedures, and Programs at discharge
Tips
If O0110Z1C is not checked [0], then at least one of the items O0110A1C, through O0110O1C must be checked [1], and the remaining items must checked or not checked [0,1]
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2023-01-01
Effective end date
2026-03-31

-6180c(ended 2026-03-31)

Error ID
-6180c
Severity
Fatal
Type
Consistency
Error message
Inconsistent O0110Z Items: If on discharge, O0110Z1C none of the above is a dash [-], then the following items O0110A1C through O0110O1C must be a dash [-].
Potential cause
The value submitted in item O0110Z1C (at Discharge) is not consistent with one or more values submitted in other Special Treatments, Procedures, and Programs at discharge
Tips
If O0110Z1C is dashed [-], then the following items must also be dashed [-], O0110A1C, through O0110O1C.
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2023-01-01
Effective end date
2026-03-31

Items this edit checks

CMS's Item List for -6180 names 12 items.

Item IDDescription (CMS)Item page
O0110A1CTreatment: Chemotherapy (Discharge)O0110
O0110B1CTreatment: Radiation (Discharge)O0110
O0110C1CTherapies: Oxygen Therapy (Discharge)O0110
O0110D1CTherapies: Suctioning (Discharge)O0110
O0110E1CTherapies: Tracheostomy Care (Discharge)O0110
O0110F1CTherapies: Invasive Mechanical Ventilator (Disch)O0110
O0110G1CTherapies: Non-Invas Mechanical Ventilator (Disch)O0110
O0110H1COther: IV Medications (Discharge)O0110
O0110I1COther: Transfusions (Discharge)O0110
O0110J1COther: Dialysis (Discharge)O0110
O0110O1COther: IV Access (Discharge)O0110
O0110Z1COther: None of the above (Discharge)O0110

Other current edits whose CMS Item List shares one or more items with -6180 (the broad -3060 value edit, which covers 365 items, is left out):

Edit IDSeverityTypeiQIES labelItems shared
-6110FatalConsistencyInconsistent O0110A Items1
-6120FatalConsistencyInconsistent O0110C Items1
-6130FatalConsistencyInconsistent O0110D Items1
-6140FatalConsistencyInconsistent O0110G Items1
-6150FatalConsistencyInconsistent O0110H Items1
-6160FatalConsistencyInconsistent O0110J Items1
-6170FatalConsistencyInconsistent O0110O Items1

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 -6180 fatal or a warning?

Fatal. CMS lists edit -6180 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 -6180?

CMS's Item List for edit -6180 names 12 items: O0110A1C, O0110B1C, O0110C1C, O0110D1C, O0110E1C, O0110F1C, O0110G1C, O0110H1C, O0110I1C, O0110J1C, O0110O1C, O0110Z1C. The full list with descriptions is in the table above.

How do I fix OASIS edit -6180?

CMS's OASIS Error Message Reference Guide v2.4 has no entry for -6180 effective after 2026-03-31. Its last entry, -6180c, gave this action: "Make appropriate corrections to the records and resubmit." The data specifications V3.02.0 still list the edit as current, so the edit text above is the rule to meet.

Which records does edit -6180 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."

Sources

  1. CMS, OASIS-E2 Data Submission Specifications V3.02.0 FINAL (zip): HTML edit page oe_6180.html and 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)
  2. CMS, OASIS Data Submission Specifications Overview, Version 3.02.0, October 29, 2025 (in the same zip).
  3. 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.