54849-5  Fall history on admission [CMS Assessment]Fall history on admission [CMS Assessment]Fall history on admission: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  54849-5   Fall history on admission [CMS Assessment]Fall history on admission [CMS Assessment]Fall history on admission: -: Pt: ^Patient: -: CMS Assessment    
       54850-3   Did the resident fall one or more times in the last month prior to admission?    
       54851-1   Did the resident fall one or more times in the last 2 - 6 months prior to admission?    
       54852-9   Did the resident have any fracture related to a fall in the 6 months prior to admission?    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Fall history on admission  Pt  ^Patient  CMS Assessment
  Long Common Name:  Fall history on admission [CMS Assessment]

OBSERVATION ID IN FORM
J1700

SKIP LOGIC
Complete only if A0310A = 01 or A0310E = 1

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  54580-6 Minimum Data Set - version 3.0
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP90068-5  Fall history on admission 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP91302-7  History 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time  
  Fall Hx on admission Random  
  Hx Survey  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   J1700     1.16.1 
   CMS MDS   J1700     1.15.1 
   CMS MDS   J1700     1.14.1 
   CMS MDS   J1700     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:46:04 PM
  Attachment Units Required: N
  Long Common Name: Fall history on admission [CMS Assessment]
  Fully Specified Name: Fall history on admission: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 4
  ID: 49180
  # of Panel Elements: 4
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



54850-3   Fall one or more times in the last month prior to admission [CMS Assessment]Fall one or more times in the last month prior to admission [CMS Assessment]Fall one or more times in the last Mo prior to admission: Find: 1Mo: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Fall one or more times in the last Mo prior to admission  Find  1Mo  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Did the resident fall one or more times in the last month prior to admission?
  Long Common Name:  Fall one or more times in the last month prior to admission [CMS Assessment]

OBSERVATION ID IN FORM
J1700A

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Changed month to Mo in component based on current LOINC model. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.

NORMATIVE ANSWER LIST    (LL1502-5)  
 
Source: Centers for Disease Control and Prevention
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Unable to determine       9       LA11137-9  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  54580-6 Minimum Data Set - version 3.0
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP90069-3  Fall one or more times in the last Mo prior to admission   [Fall one or more times in the last month prior to admission] 
Property   LP6813-2  Find   [Finding] 
Time   LP6920-5  1Mo   [1 month] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP183665-1  Mo 
Fragments for synonyms   LP200101-6  Last 

RELATED NAMES
  1 month Findings Qualitative
  1 month (30 days) month Screen
  30 days Ordinal Survey
  Centers for Medicare and Medicaid Assessment Past  
  Fall one or more times in the last month prior to admission QL  
  Finding Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   J1700A     1.16.1 
   CMS MDS   J1700A     1.15.1 
   CMS MDS   J1700A     1.14.1 
   CMS MDS   J1700A     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:46:04 PM
  Attachment Units Required: N
  Long Common Name: Fall one or more times in the last month prior to admission [CMS Assessment]
  Fully Specified Name: Fall one or more times in the last Mo prior to admission: Find: 1Mo: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 12
  ID: 49181
  Status (Raw): ACTIVE


54851-1   Fall one or more times in the last 2 to 6 months prior to admission [CMS Assessment]Fall one or more times in the last 2 to 6 months prior to admission [CMS Assessment]Fall one or more times in the last 2 to 6Mo prior to admission: Find: 6Mo: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Fall one or more times in the last 2 to 6Mo prior to admission  Find  6Mo  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Did the resident fall one or more times in the last 2 - 6 months prior to admission?
  Long Common Name:  Fall one or more times in the last 2 to 6 months prior to admission [CMS Assessment]

OBSERVATION ID IN FORM
J1700B

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.

NORMATIVE ANSWER LIST    (LL1502-5)  
 
Source: Centers for Disease Control and Prevention
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Unable to determine       9       LA11137-9  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  54580-6 Minimum Data Set - version 3.0
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP90070-1  Fall one or more times in the last 2 to 6Mo prior to admission   [Fall one or more times in the last 2 to 6 months prior to admission] 
Property   LP6813-2  Find   [Finding] 
Time   LP203021-3  6Mo   [6 months] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP200101-6  Last 
Fragments for synonyms   LP20740-4 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Ordinal Screen
  Fall one or more times in the last 2 to 6 months prior to admission Past Survey
  Finding QL  
  Findings Qual  
  II Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   J1700B     1.16.1 
   CMS MDS   J1700B     1.15.1 
   CMS MDS   J1700B     1.14.1 
   CMS MDS   J1700B     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:46:05 PM
  Attachment Units Required: N
  Long Common Name: Fall one or more times in the last 2 to 6 months prior to admission [CMS Assessment]
  Fully Specified Name: Fall one or more times in the last 2 to 6Mo prior to admission: Find: 6Mo: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 14
  ID: 49182
  Status (Raw): ACTIVE


54852-9   Any fracture related to a fall in the 6 months prior to admission [CMS Assessment]Any fracture related to a fall in the 6 months prior to admission [CMS Assessment]Any fracture related to a fall in the 6Mo prior to admission: Find: 6Mo: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Any fracture related to a fall in the 6Mo prior to admission  Find  6Mo  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Did the resident have any fracture related to a fall in the 6 months prior to admission?
  Long Common Name:  Any fracture related to a fall in the 6 months prior to admission [CMS Assessment]

OBSERVATION ID IN FORM
J1700C

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.

NORMATIVE ANSWER LIST    (LL1502-5)  
 
Source: Centers for Disease Control and Prevention
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Unable to determine       9       LA11137-9  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  54580-6 Minimum Data Set - version 3.0
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP90071-9  Any fracture related to a fall in the 6Mo prior to admission   [Any fracture related to a fall in the 6 months prior to admission] 
Property   LP6813-2  Find   [Finding] 
Time   LP203021-3  6Mo   [6 months] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Any fracture related to a fall in the 6 months prior to admission Ordinal Screen
  Centers for Medicare and Medicaid Assessment Ql Survey
  Finding Qual  
  Findings Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   J1700C     1.16.1 
   CMS MDS   J1700C     1.15.1 
   CMS MDS   J1700C     1.14.1 
   CMS MDS   J1700C     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:46:05 PM
  Attachment Units Required: N
  Long Common Name: Any fracture related to a fall in the 6 months prior to admission [CMS Assessment]
  Fully Specified Name: Any fracture related to a fall in the 6Mo prior to admission: Find: 6Mo: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 12
  ID: 49183
  Status (Raw): ACTIVE

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  Code System: http://snomed.info/sct
  This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

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