57193-5  Outcome and assessment information set (OASIS) form - version C - Transfer to facilityOutcome and assessment information set (OASIS) form - version C - Transfer to facilityOutcome and assessment information set (OASIS) form - version C - Transfer to facility: -: Pt: ^Patient: -:  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  57193-5   Outcome and assessment information set (OASIS) form - version C - Transfer to facilityOutcome and assessment information set (OASIS) form - version C - Transfer to facilityOutcome and assessment information set (OASIS) form - version C - Transfer to facility: -: Pt: ^Patient: -:    
       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?    
       69328-3   Patient history and diagnosis - transfer to facility, discharge from agency [OASIS-C]Patient history and diagnosis - transfer to facility, discharge from agency [OASIS-C]Patient history and diagnosis - transfer to facility, discharge from agency: -: Pt: ^Patient: -: OASIS-C    
            57208-1   Influenza vaccination received in Reporting Period [CMS Assessment]Influenza vaccination received in Reporting Period [CMS Assessment]Influenza virus vaccination received: Find: RptPeriod: ^Patient: Ord: CMS Assessment    
            57209-9   Reason influenza virus vaccine not received [OASIS-C]Reason influenza virus vaccine not received [OASIS-C]Reason influenza virus vaccine not received: Find: Pt: ^Patient: Nom: OASIS-C    
            57210-7   Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)?    
            57211-5   Reason PPV not received:    
       57045-7   Cardiac statusCardiac statusCardiac status: -: Pt: ^Patient: -:    
            57239-6   Symptoms in Heart Failure Patients: If patient has been diagnosed with heart failure, did the patient exhibit symptoms indicated by clinical heart failure guidelines (including dyspnea, orthopnea, edema, or weight gain) at the time of or at any time since the most recent SOC/ROC assessment?    
            57240-4   Heart failure follow-up [CMS Assessment]Heart failure follow-up [CMS Assessment]Heart failure follow-up: Find: Pt: ^Patient: Nom: CMS Assessment 1..5   
       52471-0   MedicationsMedicationsMedications: -: Pt: ^Patient: -:    
            57256-0   Medication intervention since admission/​reentry [CMS Assessment]Medication intervention since admission/​reentry [CMS Assessment]Medication intervention since admission &or reentry: Find: Pt: ^Patient: Ord: CMS Assessment    
            57195-0   Patient/Caregiver Drug Education Intervention: At the time of, or at any time since the most recent SOC/ROC assessment, was the patient/caregiver instructed by agency staff or other health care provider to monitor the effectiveness of drug therapy, adverse drug reactions, and significant side effects, and how and when to report problems that may occur?    
       57052-3   Emergent care [CMS Assessment]Emergent care [CMS Assessment]Emergent care: -: Pt: ^Patient: -: CMS Assessment    
            57276-8   Emergent care utilized [CMS Assessment]Emergent care utilized [CMS Assessment]Emergent care utilized: Find: Pt: ^Patient: Ord: CMS Assessment    
            57277-6   Reason For Emergent Care: For what reason(s) did the patient receive emergent care (with or without hospitalization)? 1..19   
       69330-9   Data items collected at inpatient facility admission or agency discharge only    
            57198-4   Intervention Synopsis:    
                 57270-1   Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care    
                 57271-9   Falls prevention interventions    
                 57272-7   Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment    
                 57273-5   Intervention(s) to monitor and mitigate pain    
                 57274-3   Plan of care includes intervention to prevent pressure injuries [CMS Assessment]Plan of care includes intervention to prevent pressure injuries [CMS Assessment]Plan of care includes intervention to prevent pressure injuries: Find: Pt: ^Patient: Ord: CMS Assessment    
                 57275-0   Pressure ulcer treatment based on principles of moist wound healing    
            46578-1   To which Inpatient Facility has the patient been admitted?    
            57279-2   For what reason(s) did the patient require hospitalization? 1..20   
            46477-6   For what Reason(s) was the patient Admitted to a Nursing Home?    
            46581-5   Date of last (most recent) home visit:   {mm/dd/yyyy} 
            46582-3   Discharge/Transfer/Death Date:   {mm/dd/yyyy} 
 

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

FORM DATA DESCRIPTION
  Description: Chocolate contains vasoactive substances such as theobromine (metabolized to caffeine), caffeine, and phenylethylamine. (Wille 1993 ref.772 32) Other allergenic substances may also be present including nuts, milk, and soy.
  Copyright: Copyright © 2002 All Allergy.
 
 
  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: 2.29
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP97311-2  Outcome and assessment information set (OASIS) form - version C - Transfer to facility 
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   LP57618-8  OASIS 

RELATED NAMES
  Form version Panel Random
  OASIS-C PANEL.SURVEY.OASIS Survey
  OASIS-C - Transfer to facility Panl Survey.OASIS
  Outcome and assessment information set Pnl  
  Pan Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:32 PM
  Attachment Units Required: N
  Long Common Name: Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  Fully Specified Name: Outcome and assessment information set (OASIS) form - version C - Transfer to facility: -: Pt: ^Patient: -:
     
  Component Word Count: 12
  ID: 51823
  # of Panel Elements: 35
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



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 4:34:32 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 4:34:32 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 4:34:32 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 4:34:32 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]

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 4:34:32 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

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 4:34:32 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]

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 4:34:32 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


69328-3   Patient history and diagnosis - transfer to facility, discharge from agency [OASIS-C]Patient history and diagnosis - transfer to facility, discharge from agency [OASIS-C]Patient history and diagnosis - transfer to facility, discharge from agency: -: Pt: ^Patient: -: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient history and diagnosis - transfer to facility, discharge from agency  Pt  ^Patient  OASIS-C
  Long Common Name:  Patient history and diagnosis - transfer to facility, discharge from agency [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  
  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
  

PARTS

Part Type    Part No.  Part Name   
Component   LP135990-2  Patient history and diagnosis - transfer to facility, discharge from agency 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP97133-0  OASIS-C 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP91302-7  History 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Disch PANEL.SURVEY.OASIS Random
  Dx Panl Survey
  Hx Patient Hx Survey.OASIS
  Outcome and assessment information set Patient hx & Dx - transfer to facility, d/c  
  Pan Pnl  
  Panel Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Patient history and diagnosis - transfer to facility, discharge from agency [OASIS-C]
  Fully Specified Name: Patient history and diagnosis - transfer to facility, discharge from agency: -: Pt: ^Patient: -: OASIS-C
     
  Component Word Count: 10
  ID: 68639
  Status (Raw): ACTIVE


57208-1   Influenza vaccination received in Reporting Period [CMS Assessment]Influenza vaccination received in Reporting Period [CMS Assessment]Influenza virus vaccination received: Find: RptPeriod: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Influenza virus vaccination received  Find  RptPeriod  ^Patient  Ord  CMS Assessment
  Long Common Name:  Influenza vaccination received in Reporting Period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies whether the patient received an influenza vaccine for this year’s flu season
 
 

OBSERVATION ID IN FORM
M1040

FORM CONTEXT
Influenza Vaccine: Did the patient receive the influenza vaccine from your agency for this year's influenza season (October 1 through March 31) during this episode of care?

SKIP LOGIC
If "1 - Yes", then go to M1050. If "NA - Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season", then go to M1050.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.64
  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; Added "vaccination received" to the Component for consistent modeling across LOINC vaccination terms.; Added "virus" to Component to be consistent with other "Influenza virus" terms.

NORMATIVE ANSWER LIST    (LL780-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season.       NA       LA12150-1  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C LL780-8 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL780-8 NORMATIVE 3
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL780-8 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4495-9 NORMATIVE 8
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4495-9 NORMATIVE 8
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4495-9 NORMATIVE 8
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4495-9 NORMATIVE 8
  

MEMBER OF THESE EQUIVALENCE GROUPS
  LG32757-3  Influenza virus

PARTS

Part Type    Part No.  Part Name   
Component   LP156336-2  Influenza virus vaccination received 
Property   LP6813-2  Find   [Finding] 
Time   LP190654-6  RptPeriod   [Reporting Period] 
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 Influenza vacc received Screen
  Finding Ordinal Survey
  Findings QL  
  FLUV Qual  
  Influ Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1046     D 
   CMS OASIS   M1046     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Influenza vaccination received in Reporting Period [CMS Assessment]
  Fully Specified Name: Influenza virus vaccination received: Find: RptPeriod: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 4
  ID: 51839
  Status (Raw): ACTIVE


57209-9   Reason influenza virus vaccine not received [OASIS-C]Reason influenza virus vaccine not received [OASIS-C]Reason influenza virus vaccine not received: Find: Pt: ^Patient: Nom: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason influenza virus vaccine not received  Find  Pt  ^Patient  Nom  OASIS-C
  Long Common Name:  Reason influenza virus vaccine not received [OASIS-C]

OBSERVATION ID IN FORM
M1045

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

NORMATIVE ANSWER LIST    (LL781-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Received from another health care provider (e.g., physician)       1       LA12151-9  
  2       Received from your agency previously during this year's flu season       2       LA12152-7  
  3       Offered and declined       3       LA186-9  
  4       Assessed and determined to have medical contraindication(s)       4       LA12154-3  
  5       Not indicated; patient does not meet age/condition guidelines for influenza vaccine       5       LA12155-0  
  6       Inability to obtain vaccine due to declared shortage       6       LA12156-8  
  7       None of the above       7       LA9-3  

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
  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
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75497-5  Reason influenza virus vaccine not received 
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   LP57618-8  OASIS 

RELATED NAMES
  Finding Nominal Survey
  Findings Outcome and assessment information set Survey.OASIS
  FLUV Point in time  
  Influ Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Reason influenza virus vaccine not received [OASIS-C]
  Fully Specified Name: Reason influenza virus vaccine not received: Find: Pt: ^Patient: Nom: OASIS-C
     
  Component Word Count: 6
  ID: 51840
  Status (Raw): ACTIVE


57210-7   Pneumococcal vaccine [OASIS-C]Pneumococcal vaccine [OASIS-C]Pneumococcal vaccine: Find: Pt: ^Patient: Ord: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Pneumococcal vaccine  Find  Pt  ^Patient  Ord  OASIS-C
  Long Common Name:  Pneumococcal vaccine [OASIS-C]

OBSERVATION ID IN FORM
M1050

SKIP LOGIC
If "1 - Yes", then go to M1500 at TRN, go to M1230 at DC.

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

NORMATIVE ANSWER LIST    (LL251-0)  
 
Source: Regenstrief LOINC
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  

SURVEY QUESTION
Text: Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)?
Source: OASIS-C.M1050

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
  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
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75394-4  Pneumococcal vaccine 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP97133-0  OASIS-C 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Finding QL Survey
  Findings Qual Survey.OASIS
  Ordinal Qualitative  
  Outcome and assessment information set Random  
  Point in time Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Pneumococcal vaccine [OASIS-C]
  Fully Specified Name: Pneumococcal vaccine: Find: Pt: ^Patient: Ord: OASIS-C
     
  Component Word Count: 2
  ID: 51841
  Status (Raw): ACTIVE


57211-5   Reason pneumococcal vaccine not given [OASIS-C]Reason pneumococcal vaccine not given [OASIS-C]Reason pneumococcal vaccine not given: Find: Pt: ^Patient: Nom: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason pneumococcal vaccine not given  Find  Pt  ^Patient  Nom  OASIS-C
  Override Display Name for Form:  Reason PPV not received:
  Long Common Name:  Reason pneumococcal vaccine not given [OASIS-C]

OBSERVATION ID IN FORM
M1055

BASIC ATTRIBUTES
  Class/Type: SURVEY.OASIS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.48
  Status: Active

NORMATIVE ANSWER LIST    (LL782-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Patient has received PPV in the past       1       LA12158-4  
  2       Offered and declined       2       LA186-9  
  3       Assessed and determined to have medical contraindication(s)       3       LA12154-3  
  4       Not indicated; patient does not meet age/condition guidelines for PPV       4       LA12161-8  
  5       None of the above       5       LA9-3  

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
  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
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97139-7  Reason pneumococcal vaccine not given 
Component   LP97320-3  Reason pneumococcal vaccine not 
     Suffix   LP29256-2  given 
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   LP57618-8  OASIS 

RELATED NAMES
  Finding Nominal Random
  Findings Outcome and assessment information set Survey
  Gvn Point in time Survey.OASIS

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Reason pneumococcal vaccine not given [OASIS-C]
  Fully Specified Name: Reason pneumococcal vaccine not given: Find: Pt: ^Patient: Nom: OASIS-C
     
  Component Word Count: 5
  ID: 51842
  Status (Raw): ACTIVE


57045-7   Cardiac statusCardiac statusCardiac status: -: Pt: ^Patient: -:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Cardiac status  Pt  ^Patient 
  Long Common Name:  Cardiac status

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Subset
  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
  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
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP96871-6  Cardiac status 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP21059-8  Panel 

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Cardiac status
  Fully Specified Name: Cardiac status: -: Pt: ^Patient: -:
     
  Component Word Count: 2
  ID: 51668
  Status (Raw): ACTIVE


57239-6   Symptoms in heart failure patients [CMS Assessment]Symptoms in heart failure patients [CMS Assessment]Symptoms in heart failure patients: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Symptoms in heart failure patients  Find  Pt  ^Patient  Ord  CMS Assessment
  Long Common Name:  Symptoms in heart failure patients [CMS Assessment]

OBSERVATION ID IN FORM
M1500

SKIP LOGIC
If "0 - No", then go to M2004 at TRN, go to M1600 at DC. If "2 - Not assessed", then go to M2004 at TRN, go to M1600 at DC. If "NA - Patient does not have diagnoses of heart failure", then go to M2004 at TRN, go to M1600 at DC.

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    (LL799-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Not assessed       2       LA9348-9  
  4       Patient does not have diagnosis of heart failure       NA       LA12236-8  

SURVEY QUESTION
Text: Symptoms in Heart Failure Patients: If patient has been diagnosed with heart failure, did the patient exhibit symptoms indicated by clinical heart failure guidelines (including dyspnea, orthopnea, edema, or weight gain) at the time of or at any time since the most recent SOC/ROC assessment?

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
  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
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97165-2  Symptoms in heart failure patients 
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 QL Survey
  Finding Qual Sx
  Findings Qualitative  
  Ordinal Random  
  Point in time Screen  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1501     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Symptoms in heart failure patients [CMS Assessment]
  Fully Specified Name: Symptoms in heart failure patients: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 5
  ID: 51873
  Status (Raw): ACTIVE


57240-4   Heart failure follow-up [CMS Assessment]Heart failure follow-up [CMS Assessment]Heart failure follow-up: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Heart failure follow-up  Find  Pt  ^Patient  Nom  CMS Assessment
  Long Common Name:  Heart failure follow-up [CMS Assessment]

OBSERVATION ID IN FORM
M1510

ANSWER CARDINALITY
1..5

FORM CODING INSTRUCTIONS
Mark all that apply.

FORM CONTEXT
If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure since the previous OASIS assessment, what action(s) has (have) been taken to respond?

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    (LL800-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No action taken       0       LA12237-6  
  2       Patient’s physician (or other primary care practitioner) contacted the same day       1       LA12238-4  
  3       Patient advised to get emergency treatment (for example, call 911 or go to emergency room)       2       LA12239-2  
  4       Implemented physician-ordered patient-specific established parameters for treatment       3       LA12240-0  
  5       Patient education or other clinical interventions       4       LA12241-8  
  6       Obtained change in care plan orders (for example, increased monitoring by agency, change in visit frequency, telehealth, etc.)       5       LA12242-6  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C LL800-4 NORMATIVE 6
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL800-4 NORMATIVE 6
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL800-4 NORMATIVE 6
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4628-5 NORMATIVE 6
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4628-5 NORMATIVE 6
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97195-9  Heart failure follow-up 
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   M1511     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Heart failure follow-up [CMS Assessment]
  Fully Specified Name: Heart failure follow-up: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 4
  ID: 51875
  Status (Raw): ACTIVE


52471-0   MedicationsMedicationsMedications: -: Pt: ^Patient: -:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medications  Pt  ^Patient 
  Long Common Name:  Medications

FORM CODING INSTRUCTIONS
List the ten most clinically relevant medications

BASIC ATTRIBUTES
  Class/Type: SURVEY.CARE/Survey
  Panel Type: Panel
  First Released in Version: 2.26
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  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
  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
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72931-6  Medications 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 

LANGUAGE VARIANTS
  German (AUSTRIA)  (From: ELGA, Austria)
 
  Medikation

RELATED NAMES
  CARE Survey Survey  
  Point in time    
  Random    

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Medications
  Fully Specified Name: Medications: -: Pt: ^Patient: -:
     
  Component Word Count: 1
  ID: 46582
  Status (Raw): ACTIVE


57256-0   Medication intervention since admission/​reentry [CMS Assessment]Medication intervention since admission/​reentry [CMS Assessment]Medication intervention since admission &or reentry: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medication intervention since admission &or reentry  Find  Pt  ^Patient  Ord  CMS Assessment
  Long Common Name:  Medication intervention since admission/reentry [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Indicates whether the agency contacted and complete physician (or physician-designee) prescribed/recommended actions each time potential clinically significant medication issues were identified.
 
 

OBSERVATION ID IN FORM
M2004

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.64
  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; Added "since admission/reentry" to Component to reflect the element of the question text.

NORMATIVE ANSWER LIST    (LL815-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       No clinically significant medication issues identified since the previous OASIS assessment       NA       LA12314-3  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C LL815-2 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL815-2 NORMATIVE 3
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL815-2 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4520-4 NORMATIVE 3
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment] LL4520-4 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4520-4 NORMATIVE 3
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment] LL4698-8 NORMATIVE 3
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4698-8 NORMATIVE 3
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment] LL4698-8 NORMATIVE 3
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4698-8 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4520-4 NORMATIVE 3
  88370-2 Outcome and assessment information set (OASIS) form - version D - Discharged from agency - death at home [CMS Assessment] LL4520-4 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4520-4 NORMATIVE 3
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  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] LL4996-6 NORMATIVE 3
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4698-8 NORMATIVE 3
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263720-7  Medication intervention since admission &or reentry   [Medication intervention since admission/reentry] 
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] 
Fragments for synonyms   LP100609-9  Medication 

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 IRF-PAI   N2005     2.0 
   CMS IRF-PAI   N2005     3.0 
   CMS LCDS   N2005     4.00 
   CMS MDS   N2005     1.16.1 
   CMS MDS   N2005     1.17.1 
   CMS OASIS   M2005     D 
   CMS OASIS   M2005     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Medication intervention since admission/reentry [CMS Assessment]
  Fully Specified Name: Medication intervention since admission &or reentry: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 6
  ID: 51891
  Status (Raw): ACTIVE


57195-0   Patient/​caregiver drug education intervention [CMS Assessment]Patient/​caregiver drug education intervention [CMS Assessment]Patient &or caregiver drug education intervention: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient &or caregiver drug education intervention  Find  Pt  ^Patient  Ord  CMS Assessment
  Long Common Name:  Patient/caregiver drug education intervention [CMS Assessment]

OBSERVATION ID IN FORM
M2015

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 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL817-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Patient not taking any drugs       NA       LA12320-0  

SURVEY QUESTION
Text: Patient/Caregiver Drug Education Intervention: At the time of, or at any time since the most recent SOC/ROC assessment, was the patient/caregiver instructed by agency staff or other health care provider to monitor the effectiveness of drug therapy, adverse drug reactions, and significant side effects, and how and when to report problems that may occur?

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
  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
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [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]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97187-6  Patient &or caregiver drug education intervention   [Patient/caregiver drug education intervention] 
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 Patient/caregiver drug education intervention Random
  Drugs Point in time Screen
  Finding QL Survey
  Findings Qual  
  Ordinal Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2016     D 
   CMS OASIS   M2016     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:33 PM
  Attachment Units Required: N
  Long Common Name: Patient/caregiver drug education intervention [CMS Assessment]
  Fully Specified Name: Patient &or caregiver drug education intervention: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 6
  ID: 51825
  Status (Raw): ACTIVE


57052-3   Emergent care [CMS Assessment]Emergent care [CMS Assessment]Emergent care: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Emergent care  Pt  ^Patient  CMS Assessment
  Long Common Name:  Emergent care [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
  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
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [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]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74799-5  Emergent care 
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 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Emergent care [CMS Assessment]
  Fully Specified Name: Emergent care: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 2
  ID: 51675
  Status (Raw): ACTIVE


57276-8   Emergent care utilized [CMS Assessment]Emergent care utilized [CMS Assessment]Emergent care utilized: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Emergent care utilized  Find  Pt  ^Patient  Ord  CMS Assessment
  Long Common Name:  Emergent care utilized [CMS Assessment]

OBSERVATION ID IN FORM
M2300

SKIP LOGIC
If "0 - No", then go to M2400. If "UK - Unknown", then go to M2400.

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 Clincal LOINC committee;Added "utilized" to the Component to further clarify the term and to differeniate from the panel term 85906-6; Changed Scale to Ord because of the ordinal answer choices; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms.

NORMATIVE ANSWER LIST    (LL824-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes, used hospital emergency department WITHOUT hospital admission       1       LA12351-5  
  3       Yes, used hospital emergency department WITH hospital admission       2       LA12352-3  
  4       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
  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
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [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]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP251019-8  Emergent care utilized 
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   M2301     D 
   CMS OASIS   M2301     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Emergent care utilized [CMS Assessment]
  Fully Specified Name: Emergent care utilized: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 3
  ID: 51914
  Status (Raw): ACTIVE


57277-6   Reason for emergent care [CMS Assessment]Reason for emergent care [CMS Assessment]Reason for emergent care: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason for emergent care  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Reason For Emergent Care: For what reason(s) did the patient receive emergent care (with or without hospitalization)?
  Long Common Name:  Reason for emergent care [CMS Assessment]

OBSERVATION ID IN FORM
M2310

ANSWER CARDINALITY
1..19

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;Moved Survey Question Text to Override Display Name to account for variation across CMS forms.

NORMATIVE ANSWER LIST    (LL825-1)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Improper medication administration, adverse drug reactions, medication side effects, toxicity, anaphylaxis       1       LA27773-3  
  2       Injury caused by fall       2       LA12355-6  
  3       Respiratory infection (for example, pneumonia, bronchitis)       3       LA12356-4  
  4       Other respiratory problem       4       LA12357-2  
  5       Heart failure (for example, fluid overload)       5       LA12358-0  
  6       Cardiac dysrhythmia (irregular heartbeat)       6       LA12359-8  
  7       Myocardial infarction or chest pain       7       LA12360-6  
  8       Other heart disease       8       LA12361-4  
  9       Stroke (CVA) or TIA       9       LA12362-2  
  10       Hypo/hyperglycemia, diabetes out of control       10       LA6223-7  
  11       GI bleeding, obstruction, constipation, impaction       11       LA12364-8  
  12       Dehydration, malnutrition       12       LA12365-5  
  13       Urinary tract infection       13       LA6437-3  
  14       IV catheter-related infection or complication       14       LA12367-1  
  15       Wound infection or deterioration       15       LA12368-9  
  16       Uncontrolled pain       16       LA6430-8  
  17       Acute mental/behavioral health problem       17       LA12370-5  
  18       Deep vein thrombosis, pulmonary embolus       18       LA6180-9  
  19       Other than above reasons       19       LA6315-1  
  20       Reason unknown       UK       LA4394-8  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C LL825-1 NORMATIVE 20
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL825-1 NORMATIVE 20
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL825-1 NORMATIVE 20
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL825-1 NORMATIVE 20
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL825-1 NORMATIVE 20
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4874-5 NORMATIVE 4
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4874-5 NORMATIVE 4
  

PARTS

Part Type    Part No.  Part Name   
Component   LP98193-3  Reason for emergent care 
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   M2310     D 
   CMS OASIS   M2310     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Reason for emergent care [CMS Assessment]
  Fully Specified Name: Reason for emergent care: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 4
  ID: 51915
  Status (Raw): ACTIVE


69330-9   Data items collected at inpatient facility admission or agency discharge only - OASIS-C - transfer to facility [OASIS-C]Data items collected at inpatient facility admission or agency discharge only - OASIS-C - transfer to facility [OASIS-C]Data items collected at inpatient facility admission or agency discharge only - transfer to facility: -: Pt: ^Patient: -: OASIS-C  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Data items collected at inpatient facility admission or agency discharge only - transfer to facility  Pt  ^Patient  OASIS-C
  Override Display Name for Form:  Data items collected at inpatient facility admission or agency discharge only
  Long Common Name:  Data items collected at inpatient facility admission or agency discharge only - OASIS-C - transfer to facility [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  
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  

PARTS

Part Type    Part No.  Part Name   
Component   LP135992-8  Data items collected at inpatient facility admission or agency discharge only - transfer to facility   [Data items collected at inpatient facility admission or agency discharge only - OASIS-C - transfer to facility] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP97133-0  OASIS-C 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Disch PANEL.SURVEY.OASIS Survey
  Inpatient admission agency discharge items - transfer to facility Panl Survey.OASIS
  Outcome and assessment information set Pnl  
  Pan Point in time  
  Panel Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Data items collected at inpatient facility admission or agency discharge only - OASIS-C - transfer to facility [OASIS-C]
  Fully Specified Name: Data items collected at inpatient facility admission or agency discharge only - transfer to facility: -: Pt: ^Patient: -: OASIS-C
     
  Component Word Count: 14
  ID: 68641
  Status (Raw): ACTIVE


57198-4   Intervention synopsisIntervention synopsisIntervention synopsis: -: Pt: ^Patient: -:  

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

OBSERVATION ID IN FORM
M2400

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Subset
  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
  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
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [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]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97318-7  Intervention synopsis 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP21059-8  Panel 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2401     D 
   CMS OASIS   M2401     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Intervention synopsis
  Fully Specified Name: Intervention synopsis: -: Pt: ^Patient: -:
     
  Component Word Count: 2
  ID: 51828
  Status (Raw): ACTIVE


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  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Plan of care includes diabetic foot care  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care
  Long Common Name:  Plan of care includes diabetic foot care [CMS Assessment]

OBSERVATION ID IN FORM
M2400a

FORM CODING INSTRUCTIONS
NA - Patient is not diabetic or is bilateral amputee

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 Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text.

EXAMPLE ANSWER LIST    (LL823-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Not applicable       na       LA4720-4  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  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
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4502-2 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4502-2 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4502-2 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4502-2 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4502-2 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4502-2 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249946-7  Plan of care includes diabetic foot care 
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] 
Fragments for synonyms   LP207497-1  Foot 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2250b     C2 
   CMS OASIS   M2401a     D 
   CMS OASIS   M2401a     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes diabetic foot care [CMS Assessment]
  Fully Specified Name: Plan of care includes diabetic foot care: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 51907
  Status (Raw): ACTIVE


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  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Plan of care includes fall prevention interventions  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Falls prevention interventions
  Long Common Name:  Plan of care includes fall prevention interventions [CMS Assessment]

OBSERVATION ID IN FORM
M2400b

FORM CODING INSTRUCTIONS
NA - Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment

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 Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text.

NORMATIVE ANSWER LIST    (LL823-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Not applicable       na       LA4720-4  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL823-6 NORMATIVE 3
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL823-6 NORMATIVE 3
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4506-3 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4506-3 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4522-0 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4522-0 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4522-0 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4522-0 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249947-5  Plan of care includes fall prevention interventions 
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   M2250c     C2 
   CMS OASIS   M2401b     D 
   CMS OASIS   M2401b     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes fall prevention interventions [CMS Assessment]
  Fully Specified Name: Plan of care includes fall prevention interventions: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 51908
  Status (Raw): ACTIVE


57272-7   Plan of care includes depression intervention [CMS Assessment]Plan of care includes depression intervention [CMS Assessment]Plan of care includes depression intervention: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Plan of care includes depression intervention  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment
  Long Common Name:  Plan of care includes depression intervention [CMS Assessment]

OBSERVATION ID IN FORM
M2400c

FORM CODING INSTRUCTIONS
NA - Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment

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 Clincal LOINC committee;Added "Plan of care includes" to COMPONENT to match form text.

EXAMPLE ANSWER LIST    (LL823-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Not applicable       na       LA4720-4  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  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
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4507-1 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4507-1 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4523-8 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4523-8 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4523-8 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4523-8 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249948-3  Plan of care includes depression intervention 
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   M2250d     C2 
   CMS OASIS   M2401c     D 
   CMS OASIS   M2401c     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes depression intervention [CMS Assessment]
  Fully Specified Name: Plan of care includes depression intervention: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 6
  ID: 51909
  Status (Raw): ACTIVE


57273-5   Plan of care includes intervention to monitor and mitigate pain [CMS Assessment]Plan of care includes intervention to monitor and mitigate pain [CMS Assessment]Plan of care includes intervention to monitor and mitigate pain: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Plan of care includes intervention to monitor and mitigate pain  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Intervention(s) to monitor and mitigate pain
  Long Common Name:  Plan of care includes intervention to monitor and mitigate pain [CMS Assessment]

OBSERVATION ID IN FORM
M2400d

FORM CODING INSTRUCTIONS
NA - Formal assessment did not indicate pain since the last OASIS assessment

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; Added "Plan of care includes" to COMPONENT to match form text.

EXAMPLE ANSWER LIST    (LL823-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Not applicable       na       LA4720-4  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  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
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4508-9 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4508-9 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4524-6 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4524-6 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4524-6 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4524-6 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249949-1  Plan of care includes intervention to monitor and mitigate pain 
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   M2250e     C2 
   CMS OASIS   M2401d     D 
   CMS OASIS   M2401d     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes intervention to monitor and mitigate pain [CMS Assessment]
  Fully Specified Name: Plan of care includes intervention to monitor and mitigate pain: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 51911
  Status (Raw): ACTIVE


57274-3   Plan of care includes intervention to prevent pressure injuries [CMS Assessment]Plan of care includes intervention to prevent pressure injuries [CMS Assessment]Plan of care includes intervention to prevent pressure injuries: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Plan of care includes intervention to prevent pressure injuries  Find  Pt  ^Patient  Ord  CMS Assessment
  Long Common Name:  Plan of care includes intervention to prevent pressure injuries [CMS Assessment]

OBSERVATION ID IN FORM
M2400e

FORM CODING INSTRUCTIONS
NA - Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment

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; Added "Plan of care includes" to COMPONENT to match form text; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.

EXAMPLE ANSWER LIST    (LL823-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Not applicable       na       LA4720-4  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  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
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4509-7 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4509-7 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4525-3 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4525-3 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4525-3 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4525-3 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263725-6  Plan of care includes intervention to prevent pressure injuries 
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] 
Fragments for synonyms   LP266931-7  Pressure injuries 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2250f     C2 
   CMS OASIS   M2401e     D 
   CMS OASIS   M2401e     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes intervention to prevent pressure injuries [CMS Assessment]
  Fully Specified Name: Plan of care includes intervention to prevent pressure injuries: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 51912
  Status (Raw): ACTIVE


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
Plan of care includes pressure injury treatment - moist healing  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Pressure ulcer treatment based on principles of moist wound healing
  Long Common Name:  Plan of care includes pressure injury treatment - moist healing [CMS Assessment]

OBSERVATION ID IN FORM
M2400f

FORM CODING INSTRUCTIONS
NA - Dressings that support the principles of moist wound healing not indicated for this patient’s pressure ulcers OR patient has no pressure ulcers with need for moist wound healing

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; Added "Plan of care includes" to COMPONENT to match form text; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.

EXAMPLE ANSWER LIST    (LL823-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       Not applicable       na       LA4720-4  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  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
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4510-5 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4510-5 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4510-5 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4510-5 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4510-5 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4510-5 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263726-4  Plan of care includes pressure injury treatment - moist healing 
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] 
Fragments for synonyms   LP100632-1  Treatment 
Fragments for synonyms   LP266930-9  Pressure injury 
Fragments for synonyms   LP267481-2  Injury 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Pressure ulcer Screen
  Finding Pressure Ulcers Survey
  Findings QL Tx
  Ordinal Qual Ulcer
  Point in time Qualitative  
  pressure injury Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2250g     C2 
   CMS OASIS   M2401f     D 
   CMS OASIS   M2401f     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:34 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes pressure injury treatment - moist healing [CMS Assessment]
  Fully Specified Name: Plan of care includes pressure injury treatment - moist healing: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 51913
  Status (Raw): ACTIVE


46578-1   Admitted to Inpatient facility [CMS Assessment]Admitted to Inpatient facility [CMS Assessment]Admitted to: Type: Pt: Inpatient facility: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Admitted to  Type  Pt  Inpatient facility  Nom  CMS Assessment
  Override Display Name for Form:  To which Inpatient Facility has the patient been admitted?
  Long Common Name:  Admitted to Inpatient facility [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies the type of inpatient facility to which the patient was admitted.
 
 

OBSERVATION ID IN FORM
M2410

SKIP LOGIC
If "1 - Hospital", then go to M2430. If "2 - Rehabilitation facility", then go to M0903. If "3 - Nursing home", then go to M2440. If "4 - Hospice", then go to M0903. If "NA - No inpatient facility admission, omit "NA" option on TRN.

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; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed Component to "Admitted to" and System to "Inpatient facility" to match LOINC convention for terms about facilities.

EXAMPLE ANSWER LIST    (LL326-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  1       Hospital       1       LA6218-7  
  2       Rehabilitation facility       2       LA6357-3  
  3       Nursing home       3       LA27-8  
  4       Hospice       4       LA6216-1  
  5       No inpatient facility admission       NA       LA6281-5  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C
  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
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4546-9 NORMATIVE 4
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL326-0 NORMATIVE 5
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4546-9 NORMATIVE 4
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL326-0 NORMATIVE 5
  

PARTS

Part Type    Part No.  Part Name   
Component   LP260861-2  Admitted to 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP260860-4  Inpatient facility 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP190639-7  Admitted 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2410     D 
   CMS OASIS   M2410     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:35 PM
  Attachment Units Required: N
  Long Common Name: Admitted to Inpatient facility [CMS Assessment]
  Fully Specified Name: Admitted to: Type: Pt: Inpatient facility: Nom: CMS Assessment
     
  Component Word Count: 2
  ID: 40003
  Status (Raw): ACTIVE


57279-2   Reason for hospitalization [CMS Assessment]Reason for hospitalization [CMS Assessment]Reason for hospitalization: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason for hospitalization  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  For what reason(s) did the patient require hospitalization?
  Long Common Name:  Reason for hospitalization [CMS Assessment]

OBSERVATION ID IN FORM
M2430

ANSWER CARDINALITY
1..20

FORM CODING INSTRUCTIONS
Mark all that apply.

SKIP LOGIC
If "UK - Reason unknown", then go to M0903.

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    (LL827-7)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Improper medication administration, adverse drug reactions, medication side effects, toxicity, anaphylaxis       1       LA27773-3  
  2       Injury caused by fall       2       LA12355-6  
  3       Respiratory infection (for example, pneumonia, bronchitis)       3       LA12356-4  
  4       Other respiratory problem       4       LA12357-2  
  5       Heart failure (for example, fluid overload)       5       LA12358-0  
  6       Cardiac dysrhythmia (irregular heartbeat)       6       LA12359-8  
  7       Myocardial infarction or chest pain       7       LA12360-6  
  8       Other heart disease       8       LA12361-4  
  9       Stroke (CVA) or TIA       9       LA12362-2  
  10       Hypo/hyperglycemia, diabetes out of control       10       LA6223-7  
  11       GI bleeding, obstruction, constipation, impaction       11       LA12364-8  
  12       Dehydration, malnutrition       12       LA12365-5  
  13       Urinary tract infection       13       LA6437-3  
  14       IV catheter-related infection or complication       14       LA12367-1  
  15       Wound infection or deterioration       15       LA12368-9  
  16       Uncontrolled pain       16       LA6430-8  
  17       Acute mental/behavioral health problem       17       LA12370-5  
  18       Deep vein thrombosis, pulmonary embolus       18       LA6180-9  
  19       Scheduled treatment or procedure       19       LA12397-8  
  20       Other than above reasons       20       LA6315-1  
  21       Reason unknown       UK       LA4394-8  

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
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75494-2  Reason for hospitalization 
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 Hospitalization hx Random
  Finding Nominal Survey
  Findings Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2430     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:35 PM
  Attachment Units Required: N
  Long Common Name: Reason for hospitalization [CMS Assessment]
  Fully Specified Name: Reason for hospitalization: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 51917
  Status (Raw): ACTIVE


46477-6   Reason for nursing home admission [OASIS]Reason for nursing home admission [OASIS]Reason for nursing home admission: Find: Pt: ^Patient: Nom: OASIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason for nursing home admission  Find  Pt  ^Patient  Nom  OASIS
  Long Common Name:  Reason for nursing home admission [OASIS]

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

TERM DEFINITION/DESCRIPTION(S)
  Identifies the reason(s) the patient was admitted to a nursing home.
 
 

OBSERVATION ID IN FORM
M2440

FORM CODING INSTRUCTIONS
Mark all that apply.

SKIP LOGIC
If "UK - Unknown", then go to M0903.

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

NORMATIVE ANSWER LIST    (LL331-0)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  1       Therapy services       1       LA6393-8  
  2       Respite care       2       LA6365-6  
  3       Hospice care       3       LA6217-9  
  4       Permanent placement       4       LA6345-8  
  5       Unsafe for care at home       5       LA6434-0  
  6       Other       6       LA46-8  
  7       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  UK       LA4489-6  

SURVEY QUESTION
Text: For what Reason(s) was the patient Admitted to a Nursing Home?
Source: OASIS-C.M2440

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
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75495-9  Reason for nursing home admission 
Property   LP6813-2  Find   [Finding] 
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 

RELATED NAMES
  Finding Outcome and assessment information set Survey
  Findings Point in time Survey.OASIS
  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 4:34:35 PM
  Attachment Units Required: N
  Long Common Name: Reason for nursing home admission [OASIS]
  Fully Specified Name: Reason for nursing home admission: Find: Pt: ^Patient: Nom: OASIS
     
  Component Word Count: 5
  ID: 39914
  Status (Raw): ACTIVE


46581-5   Date of last home visit [CMS Assessment]Date of last home visit [CMS Assessment]Date of last home visit: Date: Pt: ^Patient: Qn: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date of last home visit  Date  Pt  ^Patient  Qn  CMS Assessment
  Override Display Name for Form:  Date of last (most recent) home visit:
  Long Common Name:  Date of last home visit [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies the last or most recent home visit of any agency provider, including skilled providers or home health aides.
 
 

OBSERVATION ID IN FORM
M0903

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
  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
  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]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74698-9  Date of last home visit 
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   LP200101-6  Last 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment QNT Quantitative
  Past Quan Random
  Point in time Quant 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   M0903     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:35 PM
  Attachment Units Required: N
  Long Common Name: Date of last home visit [CMS Assessment]
  Fully Specified Name: Date of last home visit: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 5
  ID: 40007
  Status (Raw): ACTIVE


46582-3   Discharge, transfer, death date [CMS Assessment]Discharge, transfer, death date [CMS Assessment]Discharge, transfer, death date: Date: Pt: ^Patient: Qn: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Discharge, transfer, death date  Date  Pt  ^Patient  Qn  CMS Assessment
  Override Display Name for Form:  Discharge/Transfer/Death Date:
  Long Common Name:  Discharge, transfer, death date [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies the actual date of discharge, transfer, or death.
 
 

OBSERVATION ID IN FORM
M0906

FORM CODING INSTRUCTIONS
Enter the date of the discharge, transfer, or death (at home) of the patient.

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
  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
  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]
  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]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74747-4  Discharge, transfer, death 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   LP100598-4  Discharge 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment QNT Quantitative
  Disch Quan Random
  Point in time Quant 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   M0906     D 
   CMS OASIS   M0906     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:34:35 PM
  Attachment Units Required: N
  Long Common Name: Discharge, transfer, death date [CMS Assessment]
  Fully Specified Name: Discharge, transfer, death date: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 4
  ID: 40008
  Status (Raw): ACTIVE

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COPYRIGHT
  Organization:Center for Health Policy Research, UCHSC, Denver, CO
  Copyright:Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
  Terms of Use:Used with permission.