57190-1  Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:    
       46456-0   CMS certification number (CCN) Agency [OASIS]CMS certification number (CCN) Agency [OASIS]CMS certification number: ID: Pt: Agency: Nom: OASIS    
       46494-1   Branch State    
       46495-8   Branch ID Number    
       44954-6   National Provider Identifier (NPI)    
       46496-6   Patient ID Number    
       46497-4   Start of care date [CMS Assessment]Start of care date [CMS Assessment]Start of care date: Date: Pt: ^Patient: Qn: CMS Assessment   {mm/dd/yyyy} 
       45965-1   Patient Name    
            45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom:    
            45393-6   Middle initialMiddle initialMiddle initial: Pn: Pt: ^Patient: Nom:    
            45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom:    
            45395-1   Name suffixName suffixName suffix: Pn: Pt: ^Patient: Nom:    
       46499-0   Patient State of Residence    
       45401-7   Patient Zip Code    
       45397-7   Medicare Number    
       45396-9   Social Security number [Identifier]Social Security number [Identifier]Social Security number: ID: Pt: ^Patient: Nom:    
       45400-9   Medicaid numberMedicaid numberMedicaid number: ID: Pt: ^Patient: Nom:    
       21112-8   Birth dateBirth dateBirth date: TmStp: Pt: ^Patient: Qn:   {mm/dd/yyyy} 
       46098-0   Gender    
       57199-2   Current payment sources for home care [CMS Assessment]Current payment sources for home care [CMS Assessment]Current payment sources for home care: Type: Pt: ^Patient: Nom: CMS Assessment    
       58105-8   Other (specify)    
       57040-8   Clinical Record Items [CMS Assessment]Clinical Record Items [CMS Assessment]Clinical record items: -: Pt: ^Patient: -: CMS Assessment    
            46500-5   Discipline of Person Completing Assessment    
            46501-3   Date Assessment Completed   {mm/dd/yyyy} 
            57200-8   This Assessment is Currently Being Completed for the Following Reason:    
            57201-6   Date of Physician-ordered Start of Care (Resumption of Care) [CMS Assessment]Date of Physician-ordered Start of Care (Resumption of Care) [CMS Assessment]Date of Physician-ordered Start of Care (Resumption of Care): Date: Pt: ^Patient: Qn: CMS Assessment   {mm/dd/yyyy} 
            57202-4   Date of ReferralDate of ReferralDate of Referral: Date: Pt: ^Patient: Qn:   {mm/dd/yyyy} 
            57203-2   Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?    
       69324-2   Patient history and diagnosis    
            57204-0   From which of the following Inpatient Facilities was the patient discharged during the past 14 days? 1..7   
            58106-6   Other (specify)    
            86470-2   Inpatient Discharge Date (most recent)   {mm/dd/yyyy} 
            46458-6   Inpatient Diagnosis    
                 46504-7   Inpatient Facility Diagnosis : ICD-9-CM Code R 1..6   
            57183-6   Inpatient Procedure    
                 58050-6   Inpatient Procedure : Procedure Code R 0..4   
            46459-4   Diagnoses Requiring Medical or Treatment Change Within Past 14 Days    
                 46507-0   Changed Medical Regimen Diagnosis : ICD-9-CM Code R    
            46465-1   Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]Conditions prior to medical or treatment regimen change or inpatient stay within past 14D: Find: 14D: ^Patient: Nom: OASIS    
            46609-4   Diagnosis and severity indexDiagnosis and severity indexDiagnosis and severity index: -: Pt: ^Patient: -:    
                 46511-2   Primary diagnosis    
                 46512-0   Primary Diagnosis Symptom Control Rating    
                 46513-8   Other diagnosis 1 - ICD code [OASIS]Other diagnosis 1 - ICD code [OASIS]Other diagnosis 1 - ICD code: Prid: Pt: ^Patient: Nom: OASIS    
                 46514-6   Other diagnosis 1: Symptom Control Rating    
                 46515-3   Other diagnosis 2 - ICD code [OASIS]Other diagnosis 2 - ICD code [OASIS]Other diagnosis 2 - ICD code: Prid: Pt: ^Patient: Nom: OASIS    
                 46516-1   Other diagnosis 2: Symptom Control Rating    
                 46517-9   Other diagnosis 3 - ICD code [OASIS]Other diagnosis 3 - ICD code [OASIS]Other diagnosis 3 - ICD code: Prid: Pt: ^Patient: Nom: OASIS    
                 46518-7   Other diagnosis 3: Symptom Control Rating    
                 46519-5   Other diagnosis 4 - ICD code [OASIS]Other diagnosis 4 - ICD code [OASIS]Other diagnosis 4 - ICD code: Prid: Pt: ^Patient: Nom: OASIS    
                 46520-3   Other diagnosis 4: Symptom Control Rating    
                 46521-1   Other diagnosis 5 - ICD code [OASIS]Other diagnosis 5 - ICD code [OASIS]Other diagnosis 5 - ICD code: Prid: Pt: ^Patient: Nom: OASIS    
                 46522-9   Other diagnosis 5: Symptom Control Rating    
            58051-4   Payment diagnosis [OASIS-C]Payment diagnosis [OASIS-C]Payment diagnosis: -: Pt: ^Patient: -: OASIS-C R 1..12   
                 49561-4   Payment diagnosis [identifier]Payment diagnosis [identifier]Payment diagnosis: Prid: Pt: ^Patient: Nom: R 0..12   
            46466-9   Therapies the patient receives at home 1..3   
            57319-6   Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization?    
            57206-5   Overall Status:Which description best fits the patient's overall status?    
            57207-3   Risk factors, either present or past, likely to affect current health status and/or outcome    
       57043-2   Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?    
            57212-3   Patient lives alone [CMS Assessment]Patient lives alone [CMS Assessment]Patient lives alone: Find: Pt: ^Patient: Nom: CMS Assessment    
            57213-1   Patient lives with other person [CMS Assessment]Patient lives with other person [CMS Assessment]Patient lives with other person: Find: Pt: ^Patient: Nom: CMS Assessment    
            57214-9   Patient lives in congregated situtation [CMS Assessment]Patient lives in congregated situtation [CMS Assessment]Patient lives in congregated situtation: Find: Pt: ^Patient: Nom: CMS Assessment    
       57042-4   Sensory status [CMS Assessment]Sensory status [CMS Assessment]Sensory status: -: Pt: ^Patient: -: CMS Assessment    
            57215-6   Vision    
            57216-4   Ability to hear (with hearing aid or hearing appliance if normally used):    
            57217-2   Understanding of verbal content in patient's own language (with hearing aid or device if used)    
            57218-0   Speech and oral (verbal) expression of language (in patient's own language)    
            57219-8   Has this patient had a formal Pain Assessment using a standardized, validated pain assessment tool (appropriate to the patient’s ability to communicate the severity of pain)?    
            57220-6   Frequency of pain interfering with patient's activity or movement:    
       57044-0   Integumentary statusIntegumentary statusIntegumentary status: -: Pt: ^Patient: -:    
            57221-4   Pressure Ulcer Assessment: Was this patient assessed for Risk of Developing Pressure Ulcers?    
            57280-0   Does this patient have a Risk of Developing Pressure Ulcers?    
            57307-1   Does this patient have at lease one Unhealed Pressure Ulcer at Stage II or Higher or designated as "unstageable"    
            58102-5   Current number of unhealed (non-epithelialized) pressure ulcers at each stage    
                 57186-9   Number currently present    
                      55124-2   Stage II: Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister.   {#} 
                      55125-9   Stage III: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling   {#} 
                      55126-7   Stage IV: Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.   {#} 
                      54893-3   Unstageable: Known or likely but unstageable due to non-removable dressing or device   {#} 
                      54946-9   Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or escha   {#} 
                      54950-1   Unstageable: Suspected deep tissue injury in evolution   {#} 
                 57187-7   Number of those listed in Column 1 that were present on admission (most recent SOC/ROC)    
                      54886-7   Stage II: Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister.   {#} 
                      54887-5   Stage III: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.   {#} 
                      54890-9   Stage IV: Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.   {#} 
                      54894-1   Unstageable: Known or likely but unstageable due to non-removable dressing or device   {#} 
                      54947-7   Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar.   {#} 
                      54951-9   Unstageable: Suspected deep tissue injury in evolution.   {#} 
            57188-5   Stage III and IV pressure ulcer with the largest surface dimension (length x width)    
                 57226-3   Pressure Ulcer Length:   cm 
                 52729-1   Pressure Ulcer Width: Width of the same pressure ulcer; greatest width perpendicular to the length   cm 
                 57228-9   Pressure Ulcer Depth:   cm 
            57229-7   Status of most problematic (observable) pressure ulcer:    
            46536-9   Current Number of Stage I Pressure Ulcers:   {#} 
            57231-3   Status of most problematic unhealed (observable) pressure ulcer:    
            57232-1   Does the patient have a Stasis Ulcer?    
            57233-9   Current Number of (Observable) Stasis Ulcer(s):   {#} 
            57234-7   Status of most problematic (observable) stasis ulcer:    
            57235-4   Does this patient have a Surgical Wound?    
            57236-2   Status of most problematic (observable) surgical wound:    
            46534-4   Does this patient have a Skin Lesion or Open Wound (excluding bowel ostomy), other than those described above, that is receiving intervention by the home health agency?    
       52510-5   Respiratory statusRespiratory statusRespiratory status: -: Pt: ^Patient: -:    
            57237-0   When is the patient dyspneic or noticeably Short of Breath?    
            57238-8   Respiratory treatments utilized at home: 1..3   
       57046-5   Elimination statusElimination statusElimination status: -: Pt: ^Patient: -:    
            46553-4   Urinary incontinence or urinary catheter present [CMS Assessment]Urinary incontinence or urinary catheter present [CMS Assessment]Urinary incontinence or urinary catheter present: Find: Pt: ^Patient: Ord: CMS Assessment    
            46587-2   Bowel incontinence frequency [CMS Assessment]Bowel incontinence frequency [CMS Assessment]Bowel incontinence frequency: Find: Pt: ^Patient: Ord: CMS Assessment    
            46588-0   Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay, or b) necessitated a change in medical or treatment regimen?    
       69334-1   Neuro & emotional & behavioral status    
            46589-8   Cognitive functioning [CMS Assessment]Cognitive functioning [CMS Assessment]Cognitive functioning: Find: Pt: ^Patient: Ord: CMS Assessment    
            58104-1   When confused (reported or observed within the last 14 days):    
            86495-9   When Anxious (Reported or Observed Within the Last 14 Days)    
            57242-0   Depression Screening: Has the patient been screened for depression, using a standardized depression screening tool?    
                 58120-7   Patient Health Questionnaire 2 item (PHQ-2) [PHQ.CMS]Patient Health Questionnaire 2 item (PHQ-2) [PHQ.CMS]Patient health questionnaire 2 item: -: 2W: ^Patient: -: PHQ.CMS    
                      44250-9   Little interest or pleasure in doing things    
                      44255-8   Feeling down, depressed, or hopeless    
            46473-5   Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed):    
            46592-2   Frequency of disruptive behavior symptoms (reported or observed)    
            46593-0   Is this patient receiving Psychiatric Nursing Services at home provided by a qualified psychiatric nurse?    
       57048-1   ADL and IADLsADL and IADLsADL & IADLs: -: Pt: ^Patient: -:    
            46595-5   Grooming:    
            46597-1   Ability to dress upper body:    
            46599-7   Ability to dress lower body:    
            57243-8   Bathing:    
            57244-6   Toileting transferring:    
            57245-3   Toileting hygiene:    
            57246-1   Transferring:    
            57247-9   Ambulation/Locomotion:    
            57248-7   Feeding or eating:    
            57249-5   Ability to plan or prepare light meals    
            46569-0   Ability to use telephone:    
            58121-5   Prior Functioning ADL/​IADL [CMS Assessment]Prior Functioning ADL/​IADL [CMS Assessment]Prior Functioning ADL and IADL: -: Pt: ^Patient: -: CMS Assessment    
                 85070-1   Self-care (specifically: grooming, dressing, bathing, and toileting hygiene)    
                 86185-6   Ambulation    
                 86186-4   Transfer    
                 86187-2   Household tasks (specifically: light meal preparation, laundry, shopping, and phone use.)    
            57254-5   Has this patient had a multi-factor Fall Risk Assessment (such as falls history, use of multiple medications, mental impairment, toileting frequency, general mobility/transferring impairment, environmental hazards)?    
       52471-0   MedicationsMedicationsMedications: -: Pt: ^Patient: -:    
            57255-2   Drug regimen review identified potential medication issues [CMS Assessment]Drug regimen review identified potential medication issues [CMS Assessment]Drug regimen review identified potential medication issues: Find: Pt: ^Patient: Ord: CMS Assessment    
            57281-8   Medication follow-up [CMS Assessment]Medication follow-up [CMS Assessment]Medication follow-up: Find: Pt: ^Patient: Ord: CMS Assessment    
            57257-8   Patient/​caregiver received high risk drug education [CMS Assessment]Patient/​caregiver received high risk drug education [CMS Assessment]Patient &or caregiver received high risk drug education: Find: Pt: ^Patient: Ord: CMS Assessment    
            57285-9   Management of oral medications:    
            57284-2   Management of injectable medications:    
            57196-8   Prior medication management [CMS Assessment]Prior medication management [CMS Assessment]Prior medication management: -: Pt: ^Patient: -: CMS Assessment    
                 57258-6   Oral medications    
                 57259-4   Injectable medications    
       57049-9   Care management [CMS Assessment]Care management [CMS Assessment]Care management: -: Pt: ^Patient: -: CMS Assessment    
            57306-3   Types and sources of assistance [CMS Assessment]Types and sources of assistance [CMS Assessment]Types and sources of assistance: -: Pt: ^Patient: -: CMS Assessment    
                 57260-2   Non-agency caregiver ability and willingness to assist with ADL [CMS Assessment]Non-agency caregiver ability and willingness to assist with ADL [CMS Assessment]Non-agency caregiver ability and willingness to assist with ADL: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57261-0   Non-agency caregiver ability and willingness to assist with IADL [CMS Assessment]Non-agency caregiver ability and willingness to assist with IADL [CMS Assessment]Non-agency caregiver ability and willingness to assist with IADL: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57262-8   Non-agency caregiver ability and willingness to assist with medication administration [CMS Assessment]Non-agency caregiver ability and willingness to assist with medication administration [CMS Assessment]Non-agency caregiver ability and willingness to assist with medication administration: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57263-6   Medical procedures/treatments    
                 57264-4   Non-agency caregiver ability and willingness to assist with management of equipment [CMS Assessment]Non-agency caregiver ability and willingness to assist with management of equipment [CMS Assessment]Non-agency caregiver ability and willingness to assist with management of equipment: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57265-1   Non-agency caregiver ability and willingness to assist with supervision and safety [CMS Assessment]Non-agency caregiver ability and willingness to assist with supervision and safety [CMS Assessment]Non-agency caregiver ability and willingness to assist with supervision and safety: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57266-9   Advocacy or facilitation    
            57267-7   How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?    
       57050-7   Therapy need and plan of care [CMS Assessment]Therapy need and plan of care [CMS Assessment]Therapy need and plan of care: -: Pt: ^Patient: -: CMS Assessment    
            57268-5   Therapy need # [CMS Assessment]Therapy need # [CMS Assessment]Therapy need: Num: Pt: ^Patient: Qn: CMS Assessment   {#} 
            57197-6   Plan of Care Synopsis:    
                 57269-3   Plan of care includes patient-specific parameters for notifying physician of changes [CMS Assessment]Plan of care includes patient-specific parameters for notifying physician of changes [CMS Assessment]Plan of care includes patient-specific parameters for notifying physician of changes: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57270-1   Plan of care includes diabetic foot care [CMS Assessment]Plan of care includes diabetic foot care [CMS Assessment]Plan of care includes diabetic foot care: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57271-9   Plan of care includes fall prevention interventions [CMS Assessment]Plan of care includes fall prevention interventions [CMS Assessment]Plan of care includes fall prevention interventions: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57272-7   Depression intervention(s)    
                 57273-5   Intervention(s) to monitor and mitigate pain    
                 57274-3   Intervention(s) to prevent pressure ulcers    
                 57275-0   Plan of care includes pressure injury treatment - moist healing [CMS Assessment]Plan of care includes pressure injury treatment - moist healing [CMS Assessment]Plan of care includes pressure injury treatment - moist healing: Find: Pt: ^Patient: Ord: CMS Assessment    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Outcome and assessment information set (OASIS) form - version C - Start of care  Pt  ^Patient 
  Long Common Name:  Outcome and assessment information set (OASIS) form - version C - Start of care

FORM DATA DESCRIPTION
  Description: The OASIS is a core set of screening and assessment elements, including standardized definitions and coding categories that form the foundation of the comprehensive assessment for all clients of home health agencies certified to participate in the Medicare or Medicaid program. OASIS-C is a modification to the Outcome and Assessment Information Set (OASIS) that Home Health Agencies (HHAs) must collect in order to participate in the Medicare program. Implementation of OASIS-C, OMB #0938-0760, is required effective January 1, 2010.
 
 

TERM DEFINITION/DESCRIPTION(S)
  The OASIS is a core set of screening and assessment elements, including standardized definitions and coding categories that form the foundation of the comprehensive assessment for all clients of home health agencies certified to participate in the Medicare or Medicaid program. OASIS-C is a modification to the Outcome and Assessment Information Set (OASIS) that Home Health Agencies (HHAs) must collect in order to participate in the Medicare program. Implementation of OASIS-C, OMB #0938-0760, is required effective January1, 2010.
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.OASIS/Survey
  Panel Type: Panel
  First Released in Version: 2.29
  Last Updated in Version: 2.40
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP97309-6  Outcome and assessment information set (OASIS) form - version C - Start of care 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP21371-7  Start 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Form version Panel Random
  OASIS-C PANEL.SURVEY.OASIS Started
  OASIS-C - Start of care Panl Survey
  Outcome and assessment information set Pnl Survey.OASIS
  Pan Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: Outcome and assessment information set (OASIS) form - version C - Start of care
  Fully Specified Name: Outcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
     
  Component Word Count: 12
  ID: 51820
  # of Panel Elements: 166
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



46456-0   CMS certification number (CCN) Agency [OASIS]CMS certification number (CCN) Agency [OASIS]CMS certification number: ID: Pt: Agency: Nom: OASIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
CMS certification number  ID  Pt  Agency  Nom  OASIS
  Long Common Name:  CMS certification number (CCN) Agency [OASIS]

TERM DEFINITION/DESCRIPTION(S)
  The National Provider Identifier (NPI) will replace the Medicare/Medicaid Provider Number on Medicare claims. The NPI will assume the Medicare/Medicaid Provider Number's role as a primary identifier. However, the Medicare/Medicaid Provider Number will continue to be issued to providers and used to verify Medicare/Medicaid certification on all survey and certification, and resident/patient assessment transactions. In order to avoid confusion with the NPI, the Medicare/Medicaid Provider Number (also known as the OSCAR Provider Number, Medicare Identification Number or Provider Number) has been renamed the CMS Certification Number (CCN). The CCN continues to serve a critical role in verifying that a provider has been Medicare certified and for what type of services.
 
 

OBSERVATION ID IN FORM
M0010

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Status: Active.
Change Reason: Added "CCN" to Long Common Name for consistency in LOINC modeling.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74461-2  CMS certification number   [CMS certification number (CCN)] 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP40483-7  Agency 
Scale   LP7750-5  Nom 
Method   LP40480-3  OASIS 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  CCN Nominal Survey
  CMS certification # Num Survey.OASIS
  Ident Outcome and assessment information set  
  Identifier Point in time  
  No Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: CMS certification number (CCN) Agency [OASIS]
  Fully Specified Name: CMS certification number: ID: Pt: Agency: Nom: OASIS
     
  Component Word Count: 3
  ID: 39890
  Status (Raw): ACTIVE


46494-1   State location of agency branch [CMS Assessment]State location of agency branch [CMS Assessment]State location of agency branch: Loc: Pt: Agency: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
State location of agency branch  Loc  Pt  Agency  Nom  CMS Assessment
  Override Display Name for Form:  Branch State
  Long Common Name:  State location of agency branch [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The state where the agency branch office is located.
 
 

OBSERVATION ID IN FORM
M0014

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed SCALE from Ord to Nom to reflect answer options.

EXAMPLE ANSWER LIST    (LL3661-7)  
 
Externally Defined: Y
Source: Centers for Disease Control and Prevention
Link to external list: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.830

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75671-5  State location of agency branch 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP40483-7  Agency 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time  
  Location Random  
  Nominal Survey  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0014     D 
   CMS OASIS   M0014     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: State location of agency branch [CMS Assessment]
  Fully Specified Name: State location of agency branch: Loc: Pt: Agency: Nom: CMS Assessment
     
  Component Word Count: 5
  ID: 39934
  Status (Raw): ACTIVE


46495-8   Branch number Agency [CMS Assessment]Branch number Agency [CMS Assessment]Branch number: ID: Pt: Agency: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Branch number  ID  Pt  Agency  Nom  CMS Assessment
  Override Display Name for Form:  Branch ID Number
  Long Common Name:  Branch number Agency [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Specifies the branch identification code, as assigned by CMS. The identifier consists of 10 digits with the State code as the first two digits, followed by Q (upper case), followed by the last four digits of the current Medicare provider number, and ending with the three-digit CMS-assigned branch number.
 
 

OBSERVATION ID IN FORM
M0016

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Updated description to match 2016 OASIS manual;Changed SCALE from Ord to Nom to reflect answer options.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74574-2  Branch number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP40483-7  Agency 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Branch # No Random
  Centers for Medicare and Medicaid Assessment Nominal Survey
  Ident Num  
  Identifier Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0016     D 
   CMS OASIS   M0016     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: Branch number Agency [CMS Assessment]
  Fully Specified Name: Branch number: ID: Pt: Agency: Nom: CMS Assessment
     
  Component Word Count: 2
  ID: 39935
  Status (Raw): ACTIVE


44954-6   Physician managing NPI [Identifier]Physician managing NPI [Identifier]Physician managing NPI: ID: Pt: Provider: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Physician managing NPI  ID  Pt  Provider  Nom 
  Override Display Name for Form:  National Provider Identifier (NPI)
  Long Common Name:  Physician managing NPI [Identifier]
  Short Name:  Physician managing NPI

TERM DEFINITION/DESCRIPTION(S)
  The NPI (National Provider Identifier) code which identifies the physician who is responsible for the overall management of the patient during diagnosis and/or treatment for this cancer. The NPI equivalent of Physician--Managing [2460].
 
 

OBSERVATION ID IN FORM
M0018

FORM CODING INSTRUCTIONS
National Provider Identifier (NPI) for the attending physician who has signed the plan of care:

BASIC ATTRIBUTES
  Class/Type: ADMIN.ID/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP73109-8  Physician managing NPI 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7504-6  Provider 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 
Fragments for synonyms   LP57596-6  NPI 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  管理医师 NPI:标识符:时间点:服务提供者:名义型:管理医师 NPI:标识符:时间点:服务提供者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Medico responsabile, NPI:ID:Pt:Provider:Nom:Medico responsabile, NPI:ID:Pt:Provider:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Gestão médica NPI:ID:Pt:Provedor:Nom:Gestão médica NPI:ID:Pt:Provedor:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Врач [осуществляющий] управление NPI:ID:ТчкВрм:Провайдер:Ном:Врач [осуществляющий] управление NPI:ID:ТчкВрм:Провайдер:Ном:

RELATED NAMES
  ADMIN Intradermal Point in time
  Ident National Provider Identifier Random
  Identifier Nominal  

RELATED CODES
Code System Code Code Text Code Version
   NAACCR_ID   2465     

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: Physician managing NPI [Identifier]
  Shortname: Physician managing NPI
  Fully Specified Name: Physician managing NPI: ID: Pt: Provider: Nom:
     
  Component Word Count: 3
  ID: 36294
  Status (Raw): ACTIVE


46496-6   Agency patient number [CMS Assessment]Agency patient number [CMS Assessment]Agency patient number: ID: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Agency patient number  ID  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Patient ID Number
  Long Common Name:  Agency patient number [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Agency-specific patient identifier. This is the identification code the agency assigns to the patient and uses for record keeping purposes for this episode of care.
 
 

OBSERVATION ID IN FORM
M0020

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Added "Agency" to COMPONENT to indicate that this ID is assigned by the CMS agency; Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62677-0 PhenX domain - Ocular
  70182-1 NIH Stroke Scale
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250649-3  Agency patient number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Nominal Random
  Ident Num Survey
  Identifier Patient #  
  No Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0020     D 
   CMS OASIS   M0020     C2 
   https://www.phenxtoolkit.org   PX111402010000   PX111402_Subject_ID   
   https://www.phenxtoolkit.org   PX111501010000   PX111501_Participant_ID   

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: Agency patient number [CMS Assessment]
  Fully Specified Name: Agency patient number: ID: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 39936
  Status (Raw): ACTIVE


46497-4   Start of care date [CMS Assessment]Start of care date [CMS Assessment]Start of care date: Date: Pt: ^Patient: Qn: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Start of care date  Date  Pt  ^Patient  Qn  CMS Assessment
  Long Common Name:  Start of care date [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The date that care begins. When the first reimbursable service is delivered, this is the start of care.
 
 

OBSERVATION ID IN FORM
M0030

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75667-3  Start of care date 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21371-7  Start 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Quan Random
  Point in time Quant Started
  QNT Quantitative Survey

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0030     D 
   CMS OASIS   M0030     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: Start of care date [CMS Assessment]
  Fully Specified Name: Start of care date: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 4
  ID: 39937
  Status (Raw): ACTIVE


45965-1   Name SetName SetName: -: Pt: ^Patient: Set:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Name  Pt  ^Patient  Set 
  Override Display Name for Form:  Patient Name
  Long Common Name:  Name Set

OBSERVATION ID IN FORM
M0040

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.MDS/Survey
  Panel Type: Organizer
  First Released in Version: 2.17
  Last Updated in Version: 2.52
  Order vs. Obs.: Order
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72974-6  Name 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Pan Pnl Survey
  Panel Point in time SURVEY.MDS
  Panl Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: Name Set
  Fully Specified Name: Name: -: Pt: ^Patient: Set:
     
  Component Word Count: 1
  ID: 39362
  Status (Raw): ACTIVE


45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
First name  Pn  Pt  ^Patient  Nom 
  Long Common Name:  First name
  Short Name:  First name

OBSERVATION ID IN FORM
M0040_PAT_FNAME

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.2

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  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]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74855-5  First name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  名字:人员姓名:时间点:^患者:名义型:名字:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Primo nome:Pn:Pt:^Paziente:Nom:Primo nome:Pn:Pt:^Paziente:Nom:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Nombre:Pn:Punto temporal:^paciente:Nom:Nombre:Pn:Punto temporal:^paciente:Nom:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Ad:KişiAdı:Zmlı:^Hasta:Snf:Ad:KişiAdı:Zmlı:^Hasta:Snf:

RELATED NAMES
  ADMIN Nominal Random
  ADMIN.PATIENT Person name  
  Given name Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   4     1.4 
   CMS IRF-PAI   4     1.5 
   CMS IRF-PAI   4     2.0 
   CMS IRF-PAI   4     3.0 
   CMS LCDS   A0500A     3.00 
   CMS LCDS   A0500A     4.00 
   CMS MDS   A0500A     1.15.1 
   CMS MDS   A0500A     1.17.1 
   CMS MDS   A0500A     1.14.1 
   CMS MDS   A0500A     1.16.1 
   CMS MDS   X0200A     1.16.1 
   CMS MDS   X0200A     1.15.1 
   CMS MDS   X0200A     1.17.1 
   CMS MDS   X0200A     1.14.1 
   CMS OASIS   M0040     C2 
   CMS OASIS   M0040     D 
   https://www.phenxtoolkit.org   PX150801010100   PX150801_Participant_First_Name   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: First name
  Shortname: First name
  Fully Specified Name: First name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38740
  Status (Raw): ACTIVE


45393-6   Middle initialMiddle initialMiddle initial: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Middle initial  Pn  Pt  ^Patient  Nom 
  Long Common Name:  Middle initial
  Short Name:  Middle initial

OBSERVATION ID IN FORM
M0040_PAT_MI

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Change PROPERTY from ID to Pn to match convention for other name terms.

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  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]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75126-0  Middle initial 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  中间名首字母:人员姓名:时间点:^患者:名义型:中间名首字母:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Iniziale secondo nome:Pn:Pt:^Paziente:Nom:Iniziale secondo nome:Pn:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Person name  
  ADMIN.PATIENT Point in time  
  Nominal Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500B     3.00 
   CMS LCDS   A0500B     4.00 
   CMS MDS   A0500B     1.16.1 
   CMS MDS   A0500B     1.15.1 
   CMS MDS   A0500B     1.14.1 
   CMS MDS   A0500B     1.17.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 
   https://www.phenxtoolkit.org   PX150801010200   PX150801_Participant_Middle_Initial   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:02 PM
  Attachment Units Required: N
  Long Common Name: Middle initial
  Shortname: Middle initial
  Fully Specified Name: Middle initial: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38742
  Status (Raw): ACTIVE


45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Last name  Pn  Pt  ^Patient  Nom 
  Long Common Name:  Last name
  Short Name:  Last name

OBSERVATION ID IN FORM
M0040_PAT_LNAME

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  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]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75019-7  Last name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP200101-6  Last 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  姓氏:人员姓名:时间点:^患者:名义型:姓氏:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Cognome:Pn:Pt:^Paziente:Nom:Cognome:Pn:Pt:^Paziente:Nom:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Apellido:Pn:Punto temporal:^paciente:Nom:Apellido:Pn:Punto temporal:^paciente:Nom:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Soyad:KişiAdı:Zmlı:^Hasta:Snf:Soyad:KişiAdı:Zmlı:^Hasta:Snf:

RELATED NAMES
  ADMIN Past Random
  ADMIN.PATIENT Person name  
  Nominal Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   5A     1.4 
   CMS IRF-PAI   5A     1.5 
   CMS IRF-PAI   5A     2.0 
   CMS IRF-PAI   5A     3.0 
   CMS LCDS   A0500C     3.00 
   CMS LCDS   A0500C     4.00 
   CMS MDS   A0500C     1.15.1 
   CMS MDS   A0500C     1.17.1 
   CMS MDS   A0500C     1.14.1 
   CMS MDS   A0500C     1.16.1 
   CMS MDS   X0200C     1.16.1 
   CMS MDS   X0200C     1.15.1 
   CMS MDS   X0200C     1.17.1 
   CMS MDS   X0200C     1.14.1 
   CMS OASIS   M0040     C2 
   CMS OASIS   M0040     D 
   https://www.phenxtoolkit.org   PX150801010300   PX150801_Participant_Last_Name   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Last name
  Shortname: Last name
  Fully Specified Name: Last name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38743
  Status (Raw): ACTIVE


45395-1   Name suffixName suffixName suffix: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Name suffix  Pn  Pt  ^Patient  Nom 
  Long Common Name:  Name suffix
  Short Name:  Name suffix

OBSERVATION ID IN FORM
M0040_PAT_SUFFIX

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.4

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  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]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75158-3  Name suffix 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  姓名后缀:人员姓名:时间点:^患者:名义型:姓名后缀:人员姓名:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Person name  
  ADMIN.PATIENT Point in time  
  Nominal Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500D     3.00 
   CMS LCDS   A0500D     4.00 
   CMS MDS   A0500D     1.16.1 
   CMS MDS   A0500D     1.15.1 
   CMS MDS   A0500D     1.14.1 
   CMS MDS   A0500D     1.17.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Name suffix
  Shortname: Name suffix
  Fully Specified Name: Name suffix: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38744
  Status (Raw): ACTIVE


46499-0   State of residenceState of residenceState of residence: Loc: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
State of residence  Loc  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient State of Residence
  Long Common Name:  State of residence
  Short Name:  State of residence

TERM DEFINITION/DESCRIPTION(S)
  The state in which the patient is currently residing while receiving care.
 
 

OBSERVATION ID IN FORM
M0050

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.DEMOG/Clinical
  First Released in Version: 2.19
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-11.4

EXAMPLE ANSWER LIST    (LL3661-7)  
 
Externally Defined: Y
Source: Centers for Disease Control and Prevention
Link to external list: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.830

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75672-3  State of residence 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  居住州:位置:时间点:^患者:名义型:居住州:位置:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Location Random
  ADMIN.PATIENT Nominal  
  ADMIN.PT.DEMOG Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0050     D 
   CMS OASIS   M0050     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: State of residence
  Shortname: State of residence
  Fully Specified Name: State of residence: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38413
  Status (Raw): ACTIVE


45401-7   Postal code [Location]Postal code [Location]Postal code: Loc: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Postal code  Loc  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient Zip Code
  Long Common Name:  Postal code [Location]
  Short Name:  Postal code

OBSERVATION ID IN FORM
M0060

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.DEMOG/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Updated Component name from "ZIP code" to "Postal code", the more universal nomenclature for this concept.

HL7 ATTRIBUTES
  HL7 Field ID: PID-11.5

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  61129-3 PhenX domain - Demographics
  62611-9 PhenX domain - Respiratory
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  76464-7 American Physical Therapy Association registry panel
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75910-7  Postal code 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP345099-8  Postal code 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  邮政编码:位置:时间点:^患者:名义型:邮政编码:位置:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Codice di avviamento postale:Loc:Pt:^Paziente:Nom:Codice di avviamento postale:Loc:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Location Random
  ADMIN.PATIENT Nominal ZIP code
  ADMIN.PT.DEMOG Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0060     D 
   CMS OASIS   M0060     C2 
   https://www.phenxtoolkit.org   PX010801060000   PX010801_ZIP_Code   

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Postal code [Location]
  Shortname: Postal code
  Fully Specified Name: Postal code: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38751
  Status (Raw): ACTIVE


45397-7   Medicare or comparable numberMedicare or comparable numberMedicare or comparable number: ID: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medicare or comparable number  ID  Pt  ^Patient  Nom 
  Override Display Name for Form:  Medicare Number
  Long Common Name:  Medicare or comparable number
  Short Name:  Medicare or comparable #

OBSERVATION ID IN FORM
M0063

FORM CODING INSTRUCTIONS
including suffix

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.ID/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  84908-3 Cancer pathology panel - Prostate cancer
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  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]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75106-2  Medicare or comparable number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医疗保险或类似编号:标识符:时间点:^患者:名义型:医疗保险或类似编号:标识符:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Medicare o numero equivalente:ID:Pt:^Paziente:Nom:Medicare o numero equivalente:ID:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Intradermal Point in time
  ADMIN.PATIENT Medicare or comparable # Random
  ADMIN.PATIENT.ID No  
  Ident Nominal  
  Identifier Num  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   2     2.0 
   CMS IRF-PAI   2     3.0 
   CMS IRF-PAI   2     1.5 
   CMS IRF-PAI   2     1.4 
   CMS LCDS   A0600B     3.00 
   CMS LCDS   A0600B     4.00 
   CMS MDS   A0600B     1.16.1 
   CMS MDS   A0600B     1.15.1 
   CMS MDS   A0600B     1.14.1 
   CMS MDS   A0600B     1.17.1 
   CMS OASIS   M0063     D 
   CMS OASIS   M0063     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Medicare or comparable number
  Shortname: Medicare or comparable #
  Fully Specified Name: Medicare or comparable number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 38746
  Status (Raw): ACTIVE


45396-9   Social Security number [Identifier]Social Security number [Identifier]Social Security number: ID: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Social Security number  ID  Pt  ^Patient  Nom 
  Long Common Name:  Social Security number [Identifier]
  Short Name:  Social Security #

OBSERVATION ID IN FORM
M0064

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.ID/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component.

HL7 ATTRIBUTES
  HL7 Field ID: PID-19

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  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]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75647-5  Social Security number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  社会安全号码:标识符:时间点:^患者:名义型:社会安全号码:标识符:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Intradermal Random
  ADMIN.PATIENT No Social Security #
  ADMIN.PATIENT.ID Nominal  
  Ident Num  
  Identifier Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   7     1.4 
   CMS IRF-PAI   7     1.5 
   CMS IRF-PAI   7     2.0 
   CMS IRF-PAI   7     3.0 
   CMS LCDS   A0600A     3.00 
   CMS LCDS   A0600A     4.00 
   CMS MDS   A0600A     1.15.1 
   CMS MDS   A0600A     1.17.1 
   CMS MDS   A0600A     1.14.1 
   CMS MDS   A0600A     1.16.1 
   CMS MDS   X0500     1.16.1 
   CMS MDS   X0500     1.15.1 
   CMS MDS   X0500     1.17.1 
   CMS MDS   X0500     1.14.1 
   CMS OASIS   M0064     C2 
   CMS OASIS   M0064     D 
   https://www.phenxtoolkit.org   PX150701050000   PX150701_SSN   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Social Security number [Identifier]
  Shortname: Social Security #
  Fully Specified Name: Social Security number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38745
  Status (Raw): ACTIVE


45400-9   Medicaid numberMedicaid numberMedicaid number: ID: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medicaid number  ID  Pt  ^Patient  Nom 
  Long Common Name:  Medicaid number
  Short Name:  Medicaid #

OBSERVATION ID IN FORM
M0065

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.ID/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  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]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75093-2  Medicaid number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医疗补助计划编号:标识符:时间点:^患者:名义型:医疗补助计划编号:标识符:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Medicaid, numero:ID:Pt:^Paziente:Nom:Medicaid, numero:ID:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Intradermal Point in time
  ADMIN.PATIENT Medicaid # Random
  ADMIN.PATIENT.ID No  
  Ident Nominal  
  Identifier Num  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   3     2.0 
   CMS IRF-PAI   3     3.0 
   CMS IRF-PAI   3     1.5 
   CMS IRF-PAI   3     1.4 
   CMS LCDS   A0700     3.00 
   CMS LCDS   A0700     4.00 
   CMS MDS   A0700     1.16.1 
   CMS MDS   A0700     1.15.1 
   CMS MDS   A0700     1.14.1 
   CMS MDS   A0700     1.17.1 
   CMS OASIS   M0065     D 
   CMS OASIS   M0065     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Medicaid number
  Shortname: Medicaid #
  Fully Specified Name: Medicaid number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38749
  Status (Raw): ACTIVE


21112-8   Birth dateBirth dateBirth date: TmStp: Pt: ^Patient: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Birth date  TmStp  Pt  ^Patient  Qn 
  Long Common Name:  Birth date
  Short Name:  Birth date
  Display Name:  Birth date [Date/time]

OBSERVATION ID IN FORM
M0066

BASIC ATTRIBUTES
  Class/Type: MISC/Lab
  Common Lab Results Rank: #1736
  Common SI Lab Results Rank: #1736
  First Released in Version: 1.0m
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-7.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  35086-8 Second trimester triple maternal screen panel - Serum or Plasma
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  47245-6 HIV treatment form Document
  48798-3 First trimester maternal screen panel - Serum or Plasma
  48799-1 Second trimester penta maternal screen panel - Serum or Plasma
  48800-7 Second trimester quad maternal screen panel - Serum or Plasma
  48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
  49085-4 First and Second trimester integrated maternal screen panel
  49086-2 First trimester maternal screen with nuchal translucency panel
  49087-0 Maternal screen clinical predictors panel
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54127-6 US Surgeon General family health portrait [USSG-FHT]
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
  60687-1 Test of Infant Motor Performance Version 5.1
  61129-3 PhenX domain - Demographics
  62263-9 PhenX domain - Nutrition and dietary supplements
  62611-9 PhenX domain - Respiratory
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70182-1 NIH Stroke Scale
  70297-7 ESRD patient information panel
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
  75854-0 PCORnet common data model set - version 1.0 [PCORnet]
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86636-8 Family planning report - FPAR 2.0 set
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP19498-2  Birth date 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  出生日期:时间戳:时间点:^患者:定量型:出生日期:时间戳:时间点:^患者:定量型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
  French (FRANCE)  (From: ASIP Santé (Agence des systèmes d'information partagés de santé))
 
  Birth date:TmStp:Pt:^Patient:Qn:Birth date:TmStp:Pt:^Patient:Qn:Date de naissance [Horodatage] Patient ; Numérique
  German (GERMANY)  (From: Institute for Medical Documentation and Information (DIMDI))
 
  Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Data di nascita:TmStp:Pt:^Paziente:Qn:Data di nascita:TmStp:Pt:^Paziente:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Data de nascimento:TmStp:Pt:^Paciente:Qn:Data de nascimento:TmStp:Pt:^Paciente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:

RELATED NAMES
  Birthdate Point in time Random
  Date and time QNT Time stamp
  Date of birth Quan Timestamp
  DOB Quant  
  MISC Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   6     2.0 
   CMS IRF-PAI   6     1.4 
   CMS IRF-PAI   6     1.5 
   CMS IRF-PAI   6     3.0 
   CMS LCDS   A0900     4.00 
   CMS LCDS   A0900     3.00 
   CMS MDS   A0900     1.15.1 
   CMS MDS   A0900     1.16.1 
   CMS MDS   A0900     1.17.1 
   CMS MDS   A0900     1.14.1 
   CMS MDS   X0400     1.16.1 
   CMS MDS   X0400     1.15.1 
   CMS MDS   X0400     1.17.1 
   CMS MDS   X0400     1.14.1 
   CMS OASIS   M0066     C2 
   CMS OASIS   M0066     D 
   https://www.phenxtoolkit.org   PX010101010100   PX010101_Birthdate_Month   
   https://www.phenxtoolkit.org   PX010101010200   PX010101_Birthdate_Day   
   https://www.phenxtoolkit.org   PX010101010300   PX010101_Birthdate_Year   
   https://www.phenxtoolkit.org   PX091502030000   PX091502_Child_Birth_Date   
   https://www.phenxtoolkit.org   PX091601410000   PX091601_Date_Of_Birth   
   https://www.phenxtoolkit.org   PX150701060000   PX150701_Birth_Date   
   https://www.phenxtoolkit.org   PX221001030000   PX221001_MFHP_BirthDate   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: Y
  Long Common Name: Birth date
  Shortname: Birth date
  Fully Specified Name: Birth date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 12108
  Status (Raw): ACTIVE


46098-0   SexSexSex: Type: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sex  Type  Pt  ^Patient  Nom 
  Override Display Name for Form:  Gender
  Long Common Name:  Sex
  Short Name:  Sex

PART DEFINITION/DESCRIPTION(S)
  Part: Sex
  In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en)
 
 

OBSERVATION ID IN FORM
M0069

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.DEMOG/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.

HL7 ATTRIBUTES
  HL7 Field ID: PID-8

EXAMPLE ANSWER LIST    (LL1-9)  
 
Source: Regenstrief LOINC
  SEQ#        Answer        Code         Answer ID    
  1       Male       1       LA2-8  
  2       Female       2       LA3-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  61129-3 PhenX domain - Demographics
  62263-9 PhenX domain - Nutrition and dietary supplements
  62611-9 PhenX domain - Respiratory
  62755-4 PhenX domain - Neurology
  62787-7 PhenX domain - Diabetes
  62812-3 PhenX domain - Physical activity and physical fitness
  62863-6 PhenX domain - Infectious diseases and immunity
  63009-5 PhenX domain - Social environments
  63067-3 PhenX domain - Speech and hearing
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  69723-5 Patient Health Questionnaire (PHQ) [Reported]
  69919-9 Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]
  70297-7 ESRD patient information panel
  78698-8 Liver fibrosis score panel - Serum or Plasma Calculated by HepaScore
  78699-6 Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeter
  82259-3 Metabolic equivalent of task and Resting metabolic rate panel
  82287-4 Physical activity panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85626-0 Kidney failure 2-year and 5-year risk panel by KFRE
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86636-8 Family planning report - FPAR 2.0 set
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) 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]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) 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]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL1-9 NORMATIVE 2
  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]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91393-9 Opioid risk tool panel
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP101395-4  Sex 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP345158-2  Sex 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  性别:类型:时间点:^患者:名义型:性别:类型:时间点:^患者:名义型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  geslacht:type:moment:^patiënt:nominaal:geslacht:type:moment:^patiënt:nominaal:
  Estonian (ESTONIA)  (From: Regenstrief-generated full translation based on part translation provided by Estonian E-Health Foundation)
 
  Sugu:Tüüp:Pt:^patsient:Nom:Sugu:Tüüp:Pt:^patsient:Nom:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Sexe:Type:Temps ponctuel:^Patient:Nominal:Sexe:Type:Temps ponctuel:^Patient:Nominal:
  French (CANADA)  (From: Regenstrief-generated full translation based on part translation provided by Canada Health Infoway Inc.)
 
  Sexe:Type:Temps ponctuel:^Patient:Nominal:Sexe:Type:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Sesso:Tipo:Pt:^Paziente:Nom:Sesso:Tipo:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Пол:Тип:ТчкВрм:^Пациент:Ном:Пол:Тип:ТчкВрм:^Пациент:Ном:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Sexo:Tipo:Punto temporal:^paciente:Nom:Sexo:Tipo:Punto temporal:^paciente:Nom:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Cinsiyet:Tip:Zmlı:^Hasta:Snf:Cinsiyet:Tip:Zmlı:^Hasta:Snf:

RELATED NAMES
  ADMIN Gender Random
  ADMIN.PATIENT Nominal Typ
  ADMIN.PT.DEMOG Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   8     3.0 
   CMS IRF-PAI   8     1.4 
   CMS IRF-PAI   8     1.5 
   CMS IRF-PAI   8     2.0 
   CMS LCDS   A0800     4.00 
   CMS LCDS   A0800     3.00 
   CMS MDS   A0800     1.16.1 
   CMS MDS   A0800     1.15.1 
   CMS MDS   A0800     1.17.1 
   CMS MDS   A0800     1.14.1 
   CMS MDS   X0300     1.17.1 
   CMS MDS   X0300     1.14.1 
   CMS MDS   X0300     1.16.1 
   CMS MDS   X0300     1.15.1 
   CMS OASIS   M0069     C2 
   CMS OASIS   M0069     D 
   https://www.phenxtoolkit.org   PX070601010100   PX070601_Self_Gender   
   https://www.phenxtoolkit.org   PX091501010400   PX091501_Sleep_Apnea_Gender   
   https://www.phenxtoolkit.org   PX091502040000   PX091502_Child_Gender   
   https://www.phenxtoolkit.org   PX091601390000   PX091601_Sex   
   https://www.phenxtoolkit.org   PX130501020200   PX130501_Gender   
   https://www.phenxtoolkit.org   PX140201010100   PX140201_Spouse_Sex   
   https://www.phenxtoolkit.org   PX150101020000   PX150101_Sex   
   https://www.phenxtoolkit.org   PX150102010000   PX150102_Sex   
   https://www.phenxtoolkit.org   PX150201020000   PX150201_Gender   
   https://www.phenxtoolkit.org   PX150202020000   PX150202_Gender   
   https://www.phenxtoolkit.org   PX150203010000   PX150203_Gender   
   https://www.phenxtoolkit.org   PX161201010000   PX161201_Gender   
   https://www.phenxtoolkit.org   PX201501170101   PX201501_Sibling1_Sex   
   https://www.phenxtoolkit.org   PX201501170104   PX201501_Sibling1_Cause_Of_Hearing_Difficulty   
   https://www.phenxtoolkit.org   PX201501170203   PX201501_Sibling2_Age_Onset_Hearing_Difficulty   
   https://www.phenxtoolkit.org   PX201501170302   PX201501_Sibling3_Birth_Year   
   https://www.phenxtoolkit.org   PX201501170401   PX201501_Sibling4_Sex   
   https://www.phenxtoolkit.org   PX211101010400   PX211101_Person1_Gender   
   https://www.phenxtoolkit.org   PX211101020400   PX211101_Person2_Gender   
   https://www.phenxtoolkit.org   PX211101030400   PX211101_Person3_Gender   
   https://www.phenxtoolkit.org   PX211101040400   PX211101_Person4_Gender   
   https://www.phenxtoolkit.org   PX211101050400   PX211101_Person5_Gender   
   https://www.phenxtoolkit.org   PX211101060400   PX211101_Person6_Gender   
   https://www.phenxtoolkit.org   PX211101070400   PX211101_Person7_Gender   
   https://www.phenxtoolkit.org   PX211101080400   PX211101_Person8_Gender   
   https://www.phenxtoolkit.org   PX211101090400   PX211101_Person9_Gender   
   https://www.phenxtoolkit.org   PX211101100400   PX211101_Person10_Gender   
   https://www.phenxtoolkit.org   PX211101110400   PX211101_Person11_Gender   
   https://www.phenxtoolkit.org   PX211101120400   PX211101_Person12_Gender   
   https://www.phenxtoolkit.org   PX211101130400   PX211101_Person13_Gender   
   https://www.phenxtoolkit.org   PX211101140400   PX211101_Person14_Gender   
   https://www.phenxtoolkit.org   PX211101150400   PX211101_Person15_Gender   
   https://www.phenxtoolkit.org   PX211101160400   PX211101_Person16_Gender   
   https://www.phenxtoolkit.org   PX211101170400   PX211101_Person17_Gender   
   https://www.phenxtoolkit.org   PX211101180400   PX211101_Person18_Gender   
   https://www.phenxtoolkit.org   PX211101190400   PX211101_Person19_Gender   
   https://www.phenxtoolkit.org   PX211101200400   PX211101_Person20_Gender   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Sex
  Shortname: Sex
  Fully Specified Name: Sex: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 39502
  Status (Raw): ACTIVE


57199-2   Current payment sources for home care [CMS Assessment]Current payment sources for home care [CMS Assessment]Current payment sources for home care: Type: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Current payment sources for home care  Type  Pt  ^Patient  Nom  CMS Assessment
  Long Common Name:  Current payment sources for home care [CMS Assessment]

OBSERVATION ID IN FORM
M0150

FORM CODING INSTRUCTIONS
Mark all that apply.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Changed Property from Find to Type to follow LOINC conventions.

NORMATIVE ANSWER LIST    (LL772-5)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       None; no charge for current services       0       LA12090-9  
  2       Medicare (traditional fee-for-service)       1       LA6259-1  
  3       Medicare (HMO/managed care/Advantage plan)       2       LA12092-5  
  4       Medicaid (traditional fee-for-service)       3       LA6257-5  
  5       Medicaid (HMO/managed care)       4       LA6256-7  
  6       Workers' compensation       5       LA6452-2  
  7       Title programs (for example, Title III, V, or XX)       6       LA27774-1  
  8       Other government (for example, Tricare, VA)       7       LA27775-8  
  9       Private insurance       8       LA6350-8  
  10       Private HMO/managed care       9       LA6349-0  
  11       Self-pay       10       LA6369-8  
  12       Other (specify)       11       LA6310-2  
  13       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  UK       LA4489-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74667-4  Current payment sources for home care 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Payers Survey
  Financing and insurance Point in time Typ
  Nominal Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0150     D 
   CMS OASIS   M0150     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Current payment sources for home care [CMS Assessment]
  Fully Specified Name: Current payment sources for home care: Type: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 6
  ID: 51829
  Status (Raw): ACTIVE


58105-8   Current payment sources for home care.other specified [OASIS-C]Current payment sources for home care.other specified [OASIS-C]Current payment sources for home care.other specified: Find: Pt: ^Patient: Nom: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Current payment sources for home care.other specified  Find  Pt  ^Patient  Nom  OASIS-C
  Override Display Name for Form:  Other (specify)
  Long Common Name:  Current payment sources for home care.other specified [OASIS-C]

OBSERVATION ID IN FORM
M0150

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP98237-8  Current payment sources for home care.other specified 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP97133-0  OASIS-C 
Fragments for synonyms   LP21049-9  Other 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Financing and insurance Othr Random
  Finding Outcome and assessment information set Survey
  Findings Payers Survey.OASIS
  Nominal Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Current payment sources for home care.other specified [OASIS-C]
  Fully Specified Name: Current payment sources for home care.other specified: Find: Pt: ^Patient: Nom: OASIS-C
     
  Component Word Count: 8
  ID: 52852
  Status (Raw): ACTIVE


57040-8   Clinical Record Items [CMS Assessment]Clinical Record Items [CMS Assessment]Clinical record items: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Clinical record items  Pt  ^Patient  CMS Assessment
  Long Common Name:  Clinical Record Items [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: Added METHOD of CMS Assessments because this unique panel originates from CMS instruments.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP96866-6  Clinical record items 
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   LP21059-8  Panel 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Point in time
  Pan Panl Random
  Panel Pnl Survey

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:03 PM
  Attachment Units Required: N
  Long Common Name: Clinical Record Items [CMS Assessment]
  Fully Specified Name: Clinical record items: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 3
  ID: 51662
  Status (Raw): ACTIVE


46500-5   Discipline of Person Completing Assessment Provider [CMS Assessment]Discipline of Person Completing Assessment Provider [CMS Assessment]Discipline of person completing assessment: Type: Pt: Provider: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Discipline of person completing assessment  Type  Pt  Provider  Nom  CMS Assessment
  Override Display Name for Form:  Discipline of Person Completing Assessment
  Long Common Name:  Discipline of Person Completing Assessment Provider [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies the discipline of the clinician completing the comprehensive assessment at the specified time points or the clinician reporting the transfer to an inpatient facility, death at home, or discharge (no further visits after start of care).
 
 

OBSERVATION ID IN FORM
M0080

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL245-2)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  1       RN       1       LA6367-2  
  2       PT       2       LA6353-2  
  3       SLP/ST       3       LA6378-9  
  4       OT       4       LA6309-4  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  86244-1 Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up [CMS Assessment]
  88370-2 Outcome and assessment information set (OASIS) form - version D - Discharged from agency - death at home [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74749-0  Discipline of person completing assessment 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7504-6  Provider 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP91379-5  Person 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time Typ
  Nominal Random  
  Persons Survey  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0080     D 
   CMS OASIS   M0080     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Discipline of Person Completing Assessment Provider [CMS Assessment]
  Fully Specified Name: Discipline of person completing assessment: Type: Pt: Provider: Nom: CMS Assessment
     
  Component Word Count: 5
  ID: 38414
  Status (Raw): ACTIVE


46501-3   Date assessment information completed [CMS Assessment]Date assessment information completed [CMS Assessment]Date assessment information completed: Date: Pt: ^Patient: Qn: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date assessment information completed  Date  Pt  ^Patient  Qn  CMS Assessment
  Override Display Name for Form:  Date Assessment Completed
  Long Common Name:  Date assessment information completed [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  The actual date the assessment is completed, except if agency policy allows assessments to be performed over more than one visit date, in which case the last date (when the assessment is finished) is the appropriate date to record.
 
 

OBSERVATION ID IN FORM
M0090

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  62812-3 PhenX domain - Physical activity and physical fitness
  62863-6 PhenX domain - Infectious diseases and immunity
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  86244-1 Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up [CMS Assessment]
  88370-2 Outcome and assessment information set (OASIS) form - version D - Discharged from agency - death at home [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74694-8  Date assessment information completed 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Quan Random
  Point in time Quant Survey
  QNT Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0090     C2 
   CMS OASIS   M0090     D 
   https://www.phenxtoolkit.org   PX150801290101   PX150801_Diary_Day1_Date_Month   
   https://www.phenxtoolkit.org   PX150801290102   PX150801_Diary_Day1_Date_Day   
   https://www.phenxtoolkit.org   PX150801290103   PX150801_Diary_Day1_Date_Year   
   https://www.phenxtoolkit.org   PX150801300101   PX150801_Diary_Day2_Date_Month   
   https://www.phenxtoolkit.org   PX150801300102   PX150801_Diary_Day2_Date_Day   
   https://www.phenxtoolkit.org   PX150801300103   PX150801_Diary_Day2_Date_Year   
   https://www.phenxtoolkit.org   PX150801310101   PX150801_Diary_Day3_Date_Month   
   https://www.phenxtoolkit.org   PX150801310102   PX150801_Diary_Day3_Date_Day   
   https://www.phenxtoolkit.org   PX150801310103   PX150801_Diary_Day3_Date_Year   
   https://www.phenxtoolkit.org   PX150801320101   PX150801_Diary_Day4_Date_Month   
   https://www.phenxtoolkit.org   PX150801320102   PX150801_Diary_Day4_Date_Day   
   https://www.phenxtoolkit.org   PX150801320103   PX150801_Diary_Day4_Date_Year   
   https://www.phenxtoolkit.org   PX150801330101   PX150801_Diary_Day5_Date_Month   
   https://www.phenxtoolkit.org   PX150801330102   PX150801_Diary_Day5_Date_Day   
   https://www.phenxtoolkit.org   PX150801330103   PX150801_Diary_Day5_Date_Year   
   https://www.phenxtoolkit.org   PX150801340101   PX150801_Diary_Day6_Date_Month   
   https://www.phenxtoolkit.org   PX150801340102   PX150801_Diary_Day6_Date_Day   
   https://www.phenxtoolkit.org   PX150801340103   PX150801_Diary_Day6_Date_Year   
   https://www.phenxtoolkit.org   PX150801350101   PX150801_Diary_Day7_Date_Month   
   https://www.phenxtoolkit.org   PX150801350102   PX150801_Diary_Day7_Date_Day   
   https://www.phenxtoolkit.org   PX150801350103   PX150801_Diary_Day7_Date_Year   
   https://www.phenxtoolkit.org   PX161201030100   PX161201_Date_Month   
   https://www.phenxtoolkit.org   PX161201030200   PX161201_Date_Day   
   https://www.phenxtoolkit.org   PX161201030300   PX161201_Date_Year   
   https://www.phenxtoolkit.org   PX161201040000   PX161201_Country_Of_Birth   

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Date assessment information completed [CMS Assessment]
  Fully Specified Name: Date assessment information completed: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 4
  ID: 38415
  Status (Raw): ACTIVE


57200-8   Reason for assessment [CMS Assessment]Reason for assessment [CMS Assessment]Reason for assessment: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason for assessment  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  This Assessment is Currently Being Completed for the Following Reason:
  Long Common Name:  Reason for assessment [CMS Assessment]

OBSERVATION ID IN FORM
M0100

SKIP LOGIC
If Yes to "4 - Recertification (follow-up reassessment" , then go to M0110. If Yes to "5 - Other follow-up", then go to M0110. If Yes to "6 - Transferred to an inpatient facility - patient not discharged from agency", then go to M1040. If Yes to"7 - Transferred to an inpatient facility - patient discharged from agency", then go to M1040. If "Yes to 8 - Death at home", then go to M0903. If " Yes to 9 - Discharge from agency", then go to M1040.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL773-3)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Start of care - further visits planned       1       LA6390-4  
  2       Resumption of care (after inpatient stay)       3       LA6366-4  
  3       Recertification (follow-up) reassessment       4       LA6355-7  
  4       Other follow-up       5       LA6312-8  
  5       Transferred to an inpatient facility - patient not discharged from agency       6       LA6402-7  
  6       Transferred to an inpatient facility - patient discharged from agency       7       LA6401-9  
  7       Death at home       8       LA6179-1  
  8       Discharge from agency       9       LA6184-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  86244-1 Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up [CMS Assessment]
  88370-2 Outcome and assessment information set (OASIS) form - version D - Discharged from agency - death at home [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75490-0  Reason for assessment 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Nominal Survey
  Finding Point in time  
  Findings Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0100     D 
   CMS OASIS   M0100     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Reason for assessment [CMS Assessment]
  Fully Specified Name: Reason for assessment: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 51830
  Status (Raw): ACTIVE


57201-6   Date of Physician-ordered Start of Care (Resumption of Care) [CMS Assessment]Date of Physician-ordered Start of Care (Resumption of Care) [CMS Assessment]Date of Physician-ordered Start of Care (Resumption of Care): Date: Pt: ^Patient: Qn: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date of Physician-ordered Start of Care (Resumption of Care)  Date  Pt  ^Patient  Qn  CMS Assessment
  Long Common Name:  Date of Physician-ordered Start of Care (Resumption of Care) [CMS Assessment]

OBSERVATION ID IN FORM
M0102

FORM CODING INSTRUCTIONS
Date of Physician-ordered Start of Care (Resumption of Care): If the physician indicated a specific start of care (resumption of care) date when the patient was referred for home health services, record the date specified.

SKIP LOGIC
Go to M0110, if date entered. If NA, No specific SOC date ordered by physican.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97134-8  Date of Physician-ordered Start of Care (Resumption of Care) 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21371-7  Start 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Quan Random
  Point in time Quant Started
  QNT Quantitative Survey

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0102     D 
   CMS OASIS   M0102     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Date of Physician-ordered Start of Care (Resumption of Care) [CMS Assessment]
  Fully Specified Name: Date of Physician-ordered Start of Care (Resumption of Care): Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 10
  ID: 51831
  Status (Raw): ACTIVE


57202-4   Date of ReferralDate of ReferralDate of Referral: Date: Pt: ^Patient: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date of Referral  Date  Pt  ^Patient  Qn 
  Long Common Name:  Date of Referral

OBSERVATION ID IN FORM
M0104

FORM CODING INSTRUCTIONS
Date of Referral: Indicate the date that the written or verbal referral for initiation or resumption of care was received by the HHA.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from CMS assessment to method-less since this is a general concept and not specific to CMS assessments.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  86636-8 Family planning report - FPAR 2.0 set
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97188-4  Date of Referral 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

RELATED NAMES
  Point in time Quant Survey
  QNT Quantitative  
  Quan Random  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0104     D 
   CMS OASIS   M0104     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Date of Referral
  Fully Specified Name: Date of Referral: Date: Pt: ^Patient: Qn:
     
  Component Word Count: 3
  ID: 51832
  Status (Raw): ACTIVE


57203-2   Episode Timing [CMS Assessment]Episode Timing [CMS Assessment]Episode Timing: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Episode Timing  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?
  Long Common Name:  Episode Timing [CMS Assessment]

OBSERVATION ID IN FORM
M0110

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms.

NORMATIVE ANSWER LIST    (LL774-1)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Early       1       LA12111-3  
  2       Later       2       LA12112-1  
  3       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  UK       LA4489-6  
  4       Not Applicable: No Medicare case mix group to be defined by this assessment.       NA       LA12114-7  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  86244-1 Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97189-2  Episode Timing 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time Random
  Finding QL Screen
  Findings Qual Survey
  Ordinal Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0110     D 
   CMS OASIS   M0110     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Episode Timing [CMS Assessment]
  Fully Specified Name: Episode Timing: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 2
  ID: 51833
  Status (Raw): ACTIVE


69324-2   Patient history and diagnosis - start of care, resumption of care [OASIS-C]Patient history and diagnosis - start of care, resumption of care [OASIS-C]Patient history and diagnosis - start of care, resumption of care: -: Pt: ^Patient: -: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient history and diagnosis - start of care, resumption of care  Pt  ^Patient  OASIS-C
  Override Display Name for Form:  Patient history and diagnosis
  Long Common Name:  Patient history and diagnosis - start of care, resumption of care [OASIS-C]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.OASIS/Survey
  Panel Type: Panel
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP135986-0  Patient history and diagnosis - start of care, resumption of care 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP97133-0  OASIS-C 
Fragments for synonyms   LP21371-7  Start 
Fragments for synonyms   LP91302-7  History 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Dx Panl Started
  Hx Patient Hx Survey
  Outcome and assessment information set Patient hx & Dx - start, resumption care Survey.OASIS
  Pan Pnl  
  Panel Point in time  
  PANEL.SURVEY.OASIS Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Patient history and diagnosis - start of care, resumption of care [OASIS-C]
  Fully Specified Name: Patient history and diagnosis - start of care, resumption of care: -: Pt: ^Patient: -: OASIS-C
     
  Component Word Count: 10
  ID: 68635
  Status (Raw): ACTIVE


57204-0   Inpatient discharge facility within the past 14 days [CMS Assessment]Inpatient discharge facility within the past 14 days [CMS Assessment]Inpatient discharge facility within the past 14D: Type: 14D: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient discharge facility within the past 14D  Type  14D  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  From which of the following Inpatient Facilities was the patient discharged during the past 14 days?
  Long Common Name:  Inpatient discharge facility within the past 14 days [CMS Assessment]

OBSERVATION ID IN FORM
M1000

ANSWER CARDINALITY
1..7

FORM CODING INSTRUCTIONS
Mark all that apply.

SKIP LOGIC
If Yes to "NA - Patient was not discharged from an inpatient facility", then go to M1016.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed TIME from Pt to 14D to reflect the term definition "within the past 14 days"; Added timing to the Component to follow LOINC convention.

NORMATIVE ANSWER LIST    (LL775-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Long-term nursing facility (NF)       1       LA12115-4  
  2       Skilled nursing facility (SNF/TCU)       2       LA10080-2  
  3       Short-stay acute hospital (IPPS)       3       LA10078-6  
  4       Long-term care hospital (LTCH)       4       LA10000-0  
  5       Inpatient rehabilitation hospital or unit (IRF)       5       LA9986-6  
  6       Psychiatric hospital or unit       6       LA10065-3  
  7       Other (specify)       7       LA6310-2  
  8       Patient was not discharged from an inpatient facility       NA       LA6342-5  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263521-9  Inpatient discharge facility within the past 14D   [Inpatient discharge facility within the past 14 days] 
Property   LP6886-8  Type 
Time   LP203020-5  14D   [14 days] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Nominal  
  Disch Survey  
  Last Typ  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1000     D 
   CMS OASIS   M1000     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Inpatient discharge facility within the past 14 days [CMS Assessment]
  Fully Specified Name: Inpatient discharge facility within the past 14D: Type: 14D: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 7
  ID: 51834
  Status (Raw): ACTIVE


58106-6   Inpatient discharge facility.other specified [OASIS-C]Inpatient discharge facility.other specified [OASIS-C]Inpatient discharge facility.other specified: Type: Pt: ^Patient: Nom: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient discharge facility.other specified  Type  Pt  ^Patient  Nom  OASIS-C
  Override Display Name for Form:  Other (specify)
  Long Common Name:  Inpatient discharge facility.other specified [OASIS-C]

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP98238-6  Inpatient discharge facility.other specified 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP97133-0  OASIS-C 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP21049-9  Other 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Disch Outcome and assessment information set Survey
  Nominal Point in time Survey.OASIS
  Othr Random Typ

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Inpatient discharge facility.other specified [OASIS-C]
  Fully Specified Name: Inpatient discharge facility.other specified: Type: Pt: ^Patient: Nom: OASIS-C
     
  Component Word Count: 5
  ID: 52853
  Status (Raw): ACTIVE


86470-2   Most recent inpatient discharge date in the last 14 days [CMS Assessment]Most recent inpatient discharge date in the last 14 days [CMS Assessment]Most recent inpatient discharge date in the last 14D: Date: 14D: ^Patient: Qn: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Most recent inpatient discharge date in the last 14D  Date  14D  ^Patient  Qn  CMS Assessment
  Override Display Name for Form:  Inpatient Discharge Date (most recent)
  Long Common Name:  Most recent inpatient discharge date in the last 14 days [CMS Assessment]

OBSERVATION ID IN FORM
M1005

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP255790-0  Most recent inpatient discharge date in the last 14D   [Most recent inpatient discharge date in the last 14 days] 
Property   LP182451-7  Date 
Time   LP203020-5  14D   [14 days] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP200101-6  Last 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment QNT Quantitative
  Disch Quan Survey
  Past Quant  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1005     D 
   CMS OASIS   M1005     C2 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Long Common Name: Most recent inpatient discharge date in the last 14 days [CMS Assessment]
  Fully Specified Name: Most recent inpatient discharge date in the last 14D: Date: 14D: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 9
  ID: 92066
  Status (Raw): ACTIVE


46458-6   Inpatient facililty diagnosesInpatient facililty diagnosesInpatient facililty diagnoses: -: Pt: ^Patient: -:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient facililty diagnoses  Pt  ^Patient 
  Override Display Name for Form:  Inpatient Diagnosis
  Long Common Name:  Inpatient facililty diagnoses

FORM CODING INSTRUCTIONS
List each Inpatient Diagnosis and ICD-9-CM code at the level of highest specificity for only those conditions treated during an inpatient stay within the last 14 days (no E codes, or V codes):

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74978-5  Inpatient facililty diagnoses 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Outcome and assessment information set Survey  
  Point in time Survey.OASIS  
  Random    

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:04 PM
  Attachment Units Required: N
  Long Common Name: Inpatient facililty diagnoses
  Fully Specified Name: Inpatient facililty diagnoses: -: Pt: ^Patient: -:
     
  Component Word Count: 3
  ID: 39893
  Status (Raw): ACTIVE


46504-7   Inpatient stay within last 14 days - ICD code [CMS Assessment]Inpatient stay within last 14 days - ICD code [CMS Assessment]Inpatient stay within last 14D - ICD code: Prid: 14D: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient stay within last 14D - ICD code  Prid  14D  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Inpatient Facility Diagnosis : ICD-9-CM Code
  Long Common Name:  Inpatient stay within last 14 days - ICD code [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies diagnosis(es) for which patient was receiving treatment in an inpatient facility within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care.)
 
 

OBSERVATION ID IN FORM
M1010

ANSWER CARDINALITY
1..6

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL343-5)  
 
Externally Defined: Y
Source: National Center for Health Statistics

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  46462-8 Outcome and assessment information set (OASIS) form - version B1 LL343-5 NORMATIVE 1
  57039-0 Outcome and assessment information set (OASIS) form - version C LL343-5 NORMATIVE 1
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL343-5 NORMATIVE 1
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL343-5 NORMATIVE 1
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL3174-1 NORMATIVE 1
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL3174-1 NORMATIVE 1
  86244-1 Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74981-9  Inpatient stay within last 14D - ICD code   [Inpatient stay within last 14 days - ICD code] 
Property   LP6850-4  Prid   [Presence or Identity] 
Time   LP203020-5  14D   [14 days] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP200101-6  Last 
Fragments for synonyms   LP57597-4  ICD 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Nominal  
  Identity or presence Past  
  International Classification of Diseases Survey  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1011     C2 
   CMS OASIS   M1011a     C2 
   CMS OASIS   M1011b     C2 
   CMS OASIS   M1011c     C2 
   CMS OASIS   M1011d     C2 
   CMS OASIS   M1011e     C2 
   CMS OASIS   M1011f     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Inpatient stay within last 14 days - ICD code [CMS Assessment]
  Fully Specified Name: Inpatient stay within last 14D - ICD code: Prid: 14D: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 7
  ID: 38418
  Status (Raw): ACTIVE


57183-6   Inpatient procedure relevant to plan of careInpatient procedure relevant to plan of careInpatient procedure relevant to plan of care: -: Pt: ^Patient: -:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient procedure relevant to plan of care  Pt  ^Patient 
  Override Display Name for Form:  Inpatient Procedure
  Long Common Name:  Inpatient procedure relevant to plan of care

FORM CODING INSTRUCTIONS
List each Inpatient Procedure and the associated ICD-9-CM procedure code relevant to the plan of care.

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  Panel Type: Panel
  First Released in Version: 2.29
  Last Updated in Version: 2.29
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97304-7  Inpatient procedure relevant to plan of care 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Outcome and assessment information set Survey  
  Point in time Survey.OASIS  
  Random    

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Inpatient procedure relevant to plan of care
  Fully Specified Name: Inpatient procedure relevant to plan of care: -: Pt: ^Patient: -:
     
  Component Word Count: 7
  ID: 51812
  Status (Raw): ACTIVE


58050-6   Inpatient procedure relevant to plan of care [OASIS-C]Inpatient procedure relevant to plan of care [OASIS-C]Inpatient procedure relevant to plan of care: Type: Pt: ^Patient: Nom: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient procedure relevant to plan of care  Type  Pt  ^Patient  Nom  OASIS-C
  Override Display Name for Form:  Inpatient Procedure : Procedure Code
  Long Common Name:  Inpatient procedure relevant to plan of care [OASIS-C]

OBSERVATION ID IN FORM
M1012

ANSWER CARDINALITY
0..4

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL842-6)  
 
Externally Defined: Y
Source: National Center for Health Statistics

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97304-7  Inpatient procedure relevant to plan of care 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP97133-0  OASIS-C 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Nominal Random Typ
  Outcome and assessment information set Survey  
  Point in time Survey.OASIS  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Inpatient procedure relevant to plan of care [OASIS-C]
  Fully Specified Name: Inpatient procedure relevant to plan of care: Type: Pt: ^Patient: Nom: OASIS-C
     
  Component Word Count: 7
  ID: 52792
  Status (Raw): ACTIVE


46459-4   Changed medical regimen diagnosesChanged medical regimen diagnosesChanged medical regimen diagnoses: -: Pt: ^Patient: -:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Changed medical regimen diagnoses  Pt  ^Patient 
  Override Display Name for Form:  Diagnoses Requiring Medical or Treatment Change Within Past 14 Days
  Long Common Name:  Changed medical regimen diagnoses

FORM CODING INSTRUCTIONS
List the patient's Medical Diagnoses and ICD-9-CM codes at the level of highest specificity for those conditions requiring changed medical or treatment regimen within the past 14 days. (no surgical, E codes, or V codes):

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Status: Active.
Change Reason: Changed SCALE from "Set" to "-" to match current conventions for the panel terms.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74615-3  Changed medical regimen diagnoses 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Outcome and assessment information set Survey  
  Point in time Survey.OASIS  
  Random    

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Changed medical regimen diagnoses
  Fully Specified Name: Changed medical regimen diagnoses: -: Pt: ^Patient: -:
     
  Component Word Count: 4
  ID: 39894
  Status (Raw): ACTIVE


46507-0   Regimen change in past 14 days - ICD code [CMS Assessment]Regimen change in past 14 days - ICD code [CMS Assessment]Regimen change in past 14D - ICD code: Prid: 14D: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Regimen change in past 14D - ICD code  Prid  14D  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Changed Medical Regimen Diagnosis : ICD-9-CM Code
  Long Common Name:  Regimen change in past 14 days - ICD code [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies the diagnosis(es) that have caused an addition or change to the patient's treatment, regimen, health care services received, or medication within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care [or the date of the follow-up/discharge visit].)
 
 

OBSERVATION ID IN FORM
M1016

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL343-5)  
 
Externally Defined: Y
Source: National Center for Health Statistics

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  46462-8 Outcome and assessment information set (OASIS) form - version B1 LL343-5 NORMATIVE 1
  57039-0 Outcome and assessment information set (OASIS) form - version C LL343-5 NORMATIVE 1
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL343-5 NORMATIVE 1
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL343-5 NORMATIVE 1
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL3174-1 NORMATIVE 1
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL3174-1 NORMATIVE 1
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75513-9  Regimen change in past 14D - ICD code   [Regimen change in past 14 days - ICD code] 
Property   LP6850-4  Prid   [Presence or Identity] 
Time   LP203020-5  14D   [14 days] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP200100-8  Past 
Fragments for synonyms   LP34658-2  Change 
Fragments for synonyms   LP57597-4  ICD 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment International Classification of Diseases Replace
  Exchange Last Survey
  Identity or presence Nominal  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0107f     C2 
   CMS OASIS   M1017     C2 
   CMS OASIS   M1017a     C2 
   CMS OASIS   M1017b     C2 
   CMS OASIS   M1017c     C2 
   CMS OASIS   M1017d     C2 
   CMS OASIS   M1017e     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Regimen change in past 14 days - ICD code [CMS Assessment]
  Fully Specified Name: Regimen change in past 14D - ICD code: Prid: 14D: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 7
  ID: 38421
  Status (Raw): ACTIVE


46465-1   Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]Conditions prior to medical or treatment regimen change or inpatient stay within past 14D: Find: 14D: ^Patient: Nom: OASIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Conditions prior to medical or treatment regimen change or inpatient stay within past 14D  Find  14D  ^Patient  Nom  OASIS
  Long Common Name:  Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]

TERM DEFINITION/DESCRIPTION(S)
  Identifies existence of condition(s) prior to medical regimen change or inpatient stay within 14 days of start of care. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care [or the date of the follow-up/discharge visit].)
 
 

OBSERVATION ID IN FORM
M1018

FORM CODING INSTRUCTIONS
If this patient experienced an inpatient facility discharge or change in medical or treatment regimen within the past 14 days, indicate any conditions which existed prior to the inpatient stay or change in medical or treatment regimen. (Mark all that apply.)

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL252-8)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  1       Urinary incontinence       1       LA6436-5  
  2       Indwelling/suprapubic catheter       2       LA6240-1  
  3       Intractable pain       3       LA6243-5  
  4       Impaired decision-making       4       LA6227-8  
  5       Disruptive or socially inappropriate behavior       5       LA27596-8  
  6       Memory loss to the extent that supervision required       6       LA6261-7  
  7       None of the above       7       LA9-3  
  8       No inpatient facility discharge and no change in medical/treatment regimen in past 14 days       NA       LA6282-3  
  9       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  UK       LA4489-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74645-0  Conditions prior to medical or treatment regimen change or inpatient stay within past 14D   [Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP203020-5  14D   [14 days] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP40480-3  OASIS 
Fragments for synonyms   LP100632-1  Treatment 
Fragments for synonyms   LP200100-8  Past 
Fragments for synonyms   LP34658-2  Change 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Exchange Last Replace
  Finding Nominal Survey
  Findings Outcome and assessment information set Tx

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]
  Fully Specified Name: Conditions prior to medical or treatment regimen change or inpatient stay within past 14D: Find: 14D: ^Patient: Nom: OASIS
     
  Component Word Count: 14
  ID: 39900
  Status (Raw): ACTIVE


46609-4   Diagnosis and severity indexDiagnosis and severity indexDiagnosis and severity index: -: Pt: ^Patient: -:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Diagnosis and severity index  Pt  ^Patient 
  Long Common Name:  Diagnosis and severity index

COPYRIGHT NOTICE
Center for Health Policy Research, UCHSC, Denver, CO Copyright notice;

FORM CODING INSTRUCTIONS
(M1020/1022/1024) Diagnoses, Symptom Control, and Payment Diagnoses: List each diagnosis for which the patient is receiving home care (Column 1) and enter its ICD-9-C M code at the level of highest specificity (no surgical/procedure codes) (Column 2). Diagnoses are listed in the order that best reflect the seriousness of each condition and support the disciplines and services provided. Rate the degree of symptom control for each condition (Column 2). Choose one value that represents the degree of symptom control appropriate for each diagnosis: V-codes (for M1020 or M1022) or E-codes (for M1022 only) may be used. ICD-9-C M sequencing requirements must be followed if multiple coding is indicated for any diagnoses. If a V-code is reported in place of a case mix diagnosis, then optional item M1024 Payment Diagnoses (Columns 3 and 4) may be completed. A case mix diagnosis is a diagnosis that determines the Medicare P P S case mix group. Do not assign symptom control ratings for V- or E-codes.
Code each row according to the following directions for each column:
Column 1: Enter the description of the diagnosis.Diagnoses (Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided.)
Column 2: Enter the ICD-9-C M code for the diagnosis described in Column 1;
Rate the degree of symptom control for the condition listed in Column 1 using the following scale:
0 - Asymptomatic, no treatment needed at this time
1 - Symptoms well controlled with current therapy
2 - Symptoms controlled with difficulty, affecting daily functioning; patient needs ongoing monitoring
3 - Symptoms poorly controlled; patient needs frequent adjustment in treatment and dose monitoring
4 - Symptoms poorly controlled; history of re-hospitalizations
Note that in Column 2 the rating for symptom control of each diagnosis should not be used to determine the sequencing of the diagnoses listed in Column 1. These are separate items and sequencing may not coincide. Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided.ICD-9-C M and symptom control rating for each condition.
Note that the sequencing of these ratings may not match the sequencing of
Column 3: (OPTIONAL) If a V-code is assigned to any row in Column 2, in place of a case mix diagnosis, it may be necessary to complete optional item M1024 Payment Diagnoses (Columns 3 and 4). See OASIS-C Guidance Manual.Complete if a V-code is assigned under certain circumstances to Column 2 in place of a case mix diagnosis.
Column 4: (OPTIONAL) If a V-code in Column 2 is reported in place of a case mix diagnosis that requires multiple diagnosis codes under ICD-9-C M coding guidelines, enter the diagnosis descriptions and the ICD-9-C M codes in the same row in Columns 3 and 4. For example, if the case mix diagnosis is a manifestation code, record the diagnosis description and ICD-9-C M code for the underlying condition in Column 3 of that row and the diagnosis description and ICD-9-C M code for the manifestation in Column 4 of that row. Otherwise, leave Column 4 blank in that row.Complete only if the V-code in Column 2 is reported in place of a case mix diagnosis that is a multiple coding situation (e.g., a manifestation code).

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.50
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74725-0  Diagnosis and severity index 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Dx Point in time Survey.OASIS
  Dx and severity index Random  
  Outcome and assessment information set Survey  

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO. Used with permission.

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Diagnosis and severity index
  Fully Specified Name: Diagnosis and severity index: -: Pt: ^Patient: -:
     
  Component Word Count: 4
  ID: 40037
  Status (Raw): ACTIVE


46511-2   Primary diagnosis ICD code [CMS Assessment]Primary diagnosis ICD code [CMS Assessment]Primary diagnosis ICD code: Prid: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Primary diagnosis ICD code  Prid  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Primary diagnosis
  Long Common Name:  Primary diagnosis ICD code [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies diagnosis for which the patient is receiving care and its ICD code. The primary diagnosis should be the condition that is the chief reason for providing care.
 
 

OBSERVATION ID IN FORM
M1020

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL343-5)  
 
Externally Defined: Y
Source: National Center for Health Statistics

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75422-3  Primary diagnosis ICD code 
Property   LP6850-4  Prid   [Presence or Identity] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP57597-4  ICD 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment International Classification of Diseases Random
  Dx Nominal Survey
  Dx ICD code Point in time  
  Identity or presence Primary Dx ICD code  

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Primary diagnosis ICD code [CMS Assessment]
  Fully Specified Name: Primary diagnosis ICD code: Prid: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 4
  ID: 38426
  Status (Raw): ACTIVE


46512-0   Primary diagnosis severity rating [OASIS]Primary diagnosis severity rating [OASIS]Primary diagnosis severity rating: Find: Pt: ^Patient: Ord: OASIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Primary diagnosis severity rating  Find  Pt  ^Patient  Ord  OASIS
  Override Display Name for Form:  Primary Diagnosis Symptom Control Rating
  Long Common Name:  Primary diagnosis severity rating [OASIS]

COPYRIGHT NOTICE
Center for Health Policy Research, UCHSC, Denver, CO Copyright notice;

TERM DEFINITION/DESCRIPTION(S)
  Severity category for diagnosis.
 
 

OBSERVATION ID IN FORM
M1020

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.50
  Status: Active

NORMATIVE ANSWER LIST    (LL253-6)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  1       0       0       LA6111-4  
  2       1       1       LA6112-2  
  3       2       2       LA6113-0  
  4       3       3       LA6114-8  
  5       4       4       LA6115-5  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75423-1  Primary diagnosis severity rating 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40480-3  OASIS 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Dx Point in time Random
  Finding Primary Dx severity rating Screen
  Findings Ql Survey
  Ordinal Qual Survey.OASIS
  Outcome and assessment information set Qualitative  

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO. Used with permission.

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Primary diagnosis severity rating [OASIS]
  Fully Specified Name: Primary diagnosis severity rating: Find: Pt: ^Patient: Ord: OASIS
     
  Component Word Count: 4
  ID: 38427
  Status (Raw): ACTIVE


46513-8   Other diagnosis 1 - ICD code [OASIS]Other diagnosis 1 - ICD code [OASIS]Other diagnosis 1 - ICD code: Prid: Pt: ^Patient: Nom: OASIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Other diagnosis 1 - ICD code  Prid  Pt  ^Patient  Nom  OASIS
  Long Common Name:  Other diagnosis 1 - ICD code [OASIS]

COPYRIGHT NOTICE
Center for Health Policy Research, UCHSC, Denver, CO Copyright notice;

TERM DEFINITION/DESCRIPTION(S)
  Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.
 
 

OBSERVATION ID IN FORM
M1022

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL343-5)  
 
Externally Defined: Y
Source: National Center for Health Statistics

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care
  57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75293-8  Other diagnosis 1 - ICD code 
Property   LP6850-4  Prid   [Presence or Identity] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP40480-3  OASIS 
Fragments for synonyms   LP57618-8  OASIS 
Fragments for synonyms   LP21049-9  Other 
Fragments for synonyms   LP21265-1 
Fragments for synonyms   LP57597-4  ICD 

RELATED NAMES
  Dx Other Dx 1- ICD code Survey
  i Othr Survey.OASIS
  Identity or presence Outcome and assessment information set  
  International Classification of Diseases Point in time  
  Nominal Random  

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO. Used with permission.

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:35:05 PM
  Attachment Units Required: N
  Long Common Name: Other diagnosis 1 - ICD code [OASIS]
  Fully Specified Name: Other diagnosis 1 - ICD code: Prid: Pt: ^Patient: Nom: OASIS
     
  Component Word Count: 5
  ID: 38428
  Status (Raw): ACTIVE


46514-6   Other diagnosis 1 - severity rating [OASIS]Other diagnosis 1 - severity rating [OASIS]Other diagnosis 1 - severity rating: Find: Pt: ^Patient: Ord: OASIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Other diagnosis 1 - severity rating  Find  Pt  ^Patient  Ord  OASIS
  Override Display Name for Form:  Other diagnosis 1: Symptom Control Rating
  Long Common Name:  Other diagnosis 1