OASIS-E2 changes, item by item
OASIS-E2 took effect April 1, 2026. Here is every change in the CMS change table, and the time points each one touches.
What changed in E2
Abbreviations: SOC start of care, ROC resumption of care, DC discharge, TRN transfer, DAH death at home.
| Topic | Time points | What changed |
|---|---|---|
| A1255 Transportation | SOC, ROC | Added. In the past 12 months, has lack of reliable transportation kept the patient from appointments, work or daily needs? Answers: Yes, No, declines, unable to respond. |
| A1250 Transportation | SOC, ROC, DC | Removed. The old check-all-that-apply item is replaced by A1255, to match the item used in other CMS programs. |
| A0810 Sex | SOC | Added, replacing M0069 Gender. Same answers (Male, Female); no change in the number of data elements. |
| M0069 Gender | SOC | Removed, replaced by A0810 Sex. |
| B0200 Hearing | ROC | Added to resumption of care, so it's available at the start of the quality episode. |
| B1000 Vision | ROC | Added to resumption of care, for the same reason as hearing. |
| A1110 Language | ROC | Preferred language and interpreter need added to resumption of care. |
| O0350 COVID-19 vaccination | TRN, DAH, DC | Removed from transfer, death at home and discharge. |
| M0102 skip | SOC, ROC | When a physician-ordered date is entered, skip to A1255 instead of A1250. |
| M1000 skip | ROC | The not-discharged answer now skips to B0200 Hearing instead of B1300 Health Literacy. |
| J1900 falls, B and C | TRN, DAH, DC | The injury and major injury answers now read “As described in the OASIS manual”, to match other post-acute settings. |
Source: CMS, Change Table for OASIS-E2, on the OASIS Data Sets page. Always check the current OASIS guidance manual for coding instructions.
What it means at start of care
Ask the new single-answer transportation question, record A0810 Sex where M0069 used to be, and follow the new M0102 skip to A1255.
How VisitNote handles OASIS
More to ask at resumption
Hearing, vision and preferred language are now collected at ROC too. A visit that didn't cover them leaves a short question for the nurse.
E2 in VisitNote
VisitNote's OASIS items, answer choices and skip rules follow the E2 instrument, including A1255 and A0810. The AI scribe suggests answers from what was said in the visit, each with its sentence, and the clinician confirms every one.
OASIS-E2 questions
When did OASIS-E2 take effect?
April 1, 2026, according to the CMS OASIS Data Sets page. OASIS-E1 was effective January 1, 2025.
What items were added in OASIS-E2?
A1255 Transportation at SOC and ROC, and A0810 Sex at SOC. B0200 Hearing, B1000 Vision and A1110 Language were added to the ROC time point.
What items were removed in OASIS-E2?
A1250 Transportation (replaced by A1255), M0069 Gender (replaced by A0810 Sex), and O0350 COVID-19 vaccination status at transfer, death at home and discharge.
Is the new transportation item still check-all-that-apply?
No. A1255 asks one question about the past 12 months, answered Yes, No, Patient declines to respond, or Patient unable to respond.
Does VisitNote use the OASIS-E2 item set?
Yes. Its OASIS items, answer choices and skip rules follow OASIS-E2. Contradictions and skipped items are checked before signing and again in QA.
See it with your own notes.
A walkthrough of the phone app and the office workspace, with fictional patients.