67868-0  End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:    
       67869-8   Form Type Indicator R    
       67870-6   Patient information    
            45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom: R    
            45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom: R    
            45393-6   Middle initialMiddle initialMiddle initial: Pn: Pt: ^Patient: Nom: O    
            45397-7   Medicare or comparable numberMedicare or comparable numberMedicare or comparable number: ID: Pt: ^Patient: Nom: R    
            45396-9   Social Security number [Identifier]Social Security number [Identifier]Social Security number: ID: Pt: ^Patient: Nom: R    
            21112-8   Birth dateBirth dateBirth date: TmStp: Pt: ^Patient: Qn: R   {mm/dd/yyyy} 
       67871-4   Patient demographics - end stage renal disease form 2728Patient demographics - end stage renal disease form 2728Patient demographics - end stage renal disease form 2728: -: Pt: ^Patient: -:    
            56799-0   AddressAddressAddress: Addr: Pt: ^Patient: Nom: R    
            68997-6   Patient City (Mailing) R    
            46499-0   State of residenceState of residenceState of residence: Loc: Pt: ^Patient: Nom: R    
            45401-7   ZIP Code [Location]ZIP Code [Location]ZIP Code: Loc: Pt: ^Patient: Nom: R    
            42077-8   Patient telephonePatient telephoneTelephone: Tele: Pt: ^Patient: Nom: R    
            46098-0   SexSexSex: Type: Pt: ^Patient: Nom: R    
            54133-4   Ethnicity [USSG-FHT]Ethnicity [USSG-FHT]Ethnicity: Type: Pt: ^Patient: Nom: USSG-FHT O    
            68329-2   Country of originCountry of originCountry of origin: Loc: Pt: ^Patient: Nom: C    
            54134-2   Race [USSG-FHT]Race [USSG-FHT]Race: Type: Pt: ^Patient: Nom: USSG-FHT R    
            67884-7   Name of Enrolled/Principal Tribe C 0..*   
            67872-2   Is the patient applying for ESRD Medicare coverage? R 1..*   
            52556-8   Payment sourcesPayment sourcesPayment sources: Type: Pt: ^Patient: Nom:    
            8302-2   Body heightBody heightBody height: Len: Pt: ^Patient: Qn: R   [in_i] 
            8340-2   Dry body weight EstimatedDry body weight EstimatedDry body weight: Mass: Pt: ^Patient: Qn: Estimated R   kg;[lb_av] 
            67873-0   Primary Cause of Renal Failure Code C    
            67874-8   Patient Prior Employment Status (6 Months Prior) R    
            67875-5   Patient Current Employment Status (At Onset) R    
            67876-3   Co-Morbid Conditions R    
            67885-4   Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy C    
            67886-2   Care by nephrologist prior to end stage renal disease therapy C    
            67887-0   Care by kidney dietician prior to end stage renal disease therapy C    
            67888-8   Access Type for First Outpatient Dialysis C    
            68449-8   Is maturing AVF present? C    
            68450-6   Is maturing graft present? C    
       68996-8   Laboratory - end stage renal disease form 2728Laboratory - end stage renal disease form 2728Laboratory - end stage renal disease form 2728: -: Pt: ^Patient: -:    
            1751-7   Albumin [Mass/​volume] in Serum or PlasmaAlbumin [Mass/​volume] in Serum or PlasmaAlbumin: MCnc: Pt: Ser/​Plas: Qn: O   g/dL 
            49049-0   Collection time of Unspecified specimenCollection time of Unspecified specimenCollection time: TmStp: Pt: XXX: Qn: C   {clock_time} 
            68900-0   Albumin Lab Method O    
            2160-0   Creatinine [Mass/​volume] in Serum or PlasmaCreatinine [Mass/​volume] in Serum or PlasmaCreatinine: MCnc: Pt: Ser/​Plas: Qn: R   mg/dL 
            718-7   Hemoglobin [Mass/​volume] in BloodHemoglobin [Mass/​volume] in BloodHemoglobin: MCnc: Pt: Bld: Qn: O   g/dL 
            4548-4   Hemoglobin A1c/​Hemoglobin.total in BloodHemoglobin A1c/​Hemoglobin.total in BloodHemoglobin A1c/​Hemoglobin.total: MFr: Pt: Bld: Qn: O  
            2093-3   Cholesterol [Mass/​volume] in Serum or PlasmaCholesterol [Mass/​volume] in Serum or PlasmaCholesterol: MCnc: Pt: Ser/​Plas: Qn: O   mg/dL 
            13457-7   Cholesterol in LDL [Mass/​volume] in Serum or Plasma by calculationCholesterol in LDL [Mass/​volume] in Serum or Plasma by calculationCholesterol.in LDL: MCnc: Pt: Ser/​Plas: Qn: Calculated O   mg/dL 
            2085-9   Cholesterol in HDL [Mass/​volume] in Serum or PlasmaCholesterol in HDL [Mass/​volume] in Serum or PlasmaCholesterol.in HDL: MCnc: Pt: Ser/​Plas: Qn: O   mg/dL 
            2571-8   Triglyceride [Mass/​volume] in Serum or PlasmaTriglyceride [Mass/​volume] in Serum or PlasmaTriglyceride: MCnc: Pt: Ser/​Plas: Qn: O   mg/dL 
       67877-1   End stage renal disease (ESRD) patients in dialysis treatment - end stage renal disease form 2728End stage renal disease (ESRD) patients in dialysis treatment - end stage renal disease form 2728End stage renal disease patients in dialysis treatment - end stage renal disease form 2728: -: Pt: ^Patient: -:    
            67878-9   Dialysis facility name R    
            68330-0   Dialysis facility's CMS Certification Number (CCN) where the patient is receiving care R    
            68442-3   Primary dialysis setting R    
            68443-1   Primary type of dialysis R    
            68448-0   Sessions per Week R   {#}/wk 
            68489-4   Hours per session R   h/{session} 
            68358-1   Date regular chronic dialysis began R    
            68444-9   Date patient started chronic dialysis at current facility R    
            68360-7   Has patient been informed of kidney transplant options? R    
            68361-5   If patient NOT informed of transplant options, please check all that apply. C    
       67883-9   Transplant information - end stage renal disease form 2728Transplant information - end stage renal disease form 2728Transplant information - end stage renal disease form 2728: -: Pt: ^Patient: -:    
            68445-6   Transplant date C    
            68446-4   Transplant facility nameTransplant facility nameTransplant facility name: ID: Pt: Facility: Nom: C    
            67880-5   Transplant Hospital Federal Provider Number C    
            68447-2   Date patient was admitted as an inpatient to a hospital in preparation for, or anticipation of, a kidney transplant prior to the date of the actual tranplantation O    
            68490-2   Name of Preparation Hospital C    
            68456-3   Medicare provider number for item 32 C    
            67882-1   Current status of transplant C    
            68332-6   Type of donor C    
            68333-4   If non-functioning, date of return to regular dialysis C    
            68334-2   Current dialysis treatment site C    
       68451-4   Self-dialysis training program - end stage renal disease form 2728Self-dialysis training program - end stage renal disease form 2728Self-dialysis training program - end stage renal disease form 2728: -: Pt: ^Patient: -:    
            68335-9   Self-dialysis training facility name Dialysis facilitySelf-dialysis training facility name Dialysis facilitySelf-dialysis training facility name: ID: Pt: Dialysis facility: Nom: C    
            67881-3   Self-dialysis Training Facility Federal Provider Number C    
            68362-3   Date training began. C    
            68336-7   Type of training C    
            68337-5   Location of training C    
            68338-3   This patient is expected to complete training and will self-dialyze on a regualr basis C    
            68339-1   Date when patient completed, or is expected to complete training C    
            68491-0   Training Physician Name C    
            68355-7   Date C    
            68357-3   Self-dialysis training physician NPI ProviderSelf-dialysis training physician NPI ProviderSelf-dialysis training physician NPI: ID: Pt: Provider: Nom: C    
       68462-1   Physician information - end stage renal disease form 2728 ProviderPhysician information - end stage renal disease form 2728 ProviderPhysician information - end stage renal disease form 2728: -: Pt: Provider: -:    
            52526-1   Attending physician nameAttending physician nameAttending physician name: Pn: Pt: Provider: Nom: R    
            68340-9   Attending physician phone number R    
            68468-8   Attending physician NPI ProviderAttending physician NPI ProviderAttending physician NPI: ID: Pt: Provider: Nom: R    
            68355-7   Date R    
            8251-1   Service commentService commentService comment: Imp: Pt: XXX: Nom: O    
            68355-7   Date R    
            65838-5   Date submittedDate submittedDate submitted: Date: Pt: Form: Qn: R    
 

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728  Pt  ^Patient 
  Long Common Name:  End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

PART DEFINITION/DESCRIPTION(S)
  Part: End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728
  Form CMS-2728-U3 - ESRD Medical Evidence Report, Medicare Entitlement, (Patient Registration) is completed on each incident ESRD patient or each patient re-entering the Medicare program. Dialysis and transplant facilities must submit this form to the Networks within 45 days from the date a patient is diagnosed with ESRD and either has a transplant or begins a regular course of dialysis. This form is also mandatory if a patient loses Medicare coverage and re-applying for benefits.
 
 

ORIGINAL FORM
  Description: CMS-2728-U3 - ESRD Medical Evidence Report, Medicare Entitlement, and/or Patient Registration
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.ESRD/Survey
  Panel Type: Panel
  First Released in Version: 2.38
  Last Updated in Version: 2.50
  Status: Trial – caution, may change

PARTS

Part Type    Part No.  Part Name   
Component   LP134062-1  End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728   [End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728] 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP34712-7  Renal 
Fragments for synonyms   LP21006-9  Disease 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Dis ESRD CMS Form 2728 Panl
  Dz ESRD survey Pnl
  End Stage Renal Disease (ESDR) pnl Kidney Point in time
  End-stage renal disease Pan Random
  ESRD Panel  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:38 PM
  Attachment Units Required: N
  Long Common Name: End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  Fully Specified Name: End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
     
  Component Word Count: 16
  ID: 63679
  # of Panel Elements: 86
  Status (Raw): TRIAL



Selected information about each LOINC that is part of this panel



67869-8   Reason for medicare entitlementReason for medicare entitlementReason for medicare entitlement: Type: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Reason for medicare entitlement  Type  Pt  ^Patient  Nom 
  Long Common Name:  Reason for medicare entitlement

TERM DEFINITION/DESCRIPTION(S)
  Indicate the type of form being submitted for the patient.
 
 

OBSERVATION ID IN FORM
CMS-2728_A

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1911-8)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Initial       LA6662-6  
  2       Re-entitlement       LA17971-5  
  3       Supplemental       LA17972-3  

SURVEY QUESTION
Text: Form Type Indicator
Source: ESRD.RQMT_292

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134064-7  Reason for medicare entitlement 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Point in time Typ
  ESRD survey Random  
  Nominal Reason medicare entitlement  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:38 PM
  Attachment Units Required: N
  Long Common Name: Reason for medicare entitlement
  Fully Specified Name: Reason for medicare entitlement: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 63680
  Status (Raw): TRIAL


67870-6   Patient information - end stage renal disease form 2728Patient information - end stage renal disease form 2728Patient information - end stage renal disease form 2728: -: Pt: ^Patient: -:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Patient information - end stage renal disease form 2728  Pt  ^Patient 
  Override Display Name for Form:  Patient information
  Long Common Name:  Patient information - end stage renal disease form 2728

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.ESRD/Survey
  Panel Type: Panel
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134066-2  Patient information - end stage renal disease form 2728 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP34712-7  Renal 
Fragments for synonyms   LP21006-9  Disease 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Dis ESRD survey Patient information - ESRD 2728
  Dz Kidney Pnl
  End Stage Renal Disease (ESDR) pnl Pan Point in time
  End-stage renal disease Panel Random
  ESRD Panl  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:38 PM
  Attachment Units Required: N
  Long Common Name: Patient information - end stage renal disease form 2728
  Fully Specified Name: Patient information - end stage renal disease form 2728: -: Pt: ^Patient: -:
     
  Component Word Count: 8
  ID: 63681
  Status (Raw): TRIAL


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

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

OBSERVATION ID IN FORM
CMS-2728_A1

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.1

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  45981-8   MDS full assessment form - version 2.0MDS full assessment form - version 2.0MDS full assessment form - version 2.0: -: Pt: ^Patient: -:
  46102-0   MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0: -: Pt: ^Patient: -:
  46103-8   MDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-III: -: Pt: ^Patient: -:
  46104-6   MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]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]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

RELATED NAMES
  ADMIN Person name  
  Nominal Point in time  
  Past Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   5A     2.0 
   CMS IRF-PAI   5A     3.0 
   CMS IRF-PAI   5A     1.5 
   CMS IRF-PAI   5A     1.4 
   CMS LCDS   A0500C     3.00 
   CMS LCDS   A0500C     4.00 
   CMS MDS   A0500C     1.16.1 
   CMS MDS   A0500C     1.15.1 
   CMS MDS   A0500C     1.14.1 
   CMS MDS   X0200C     1.16.1 
   CMS MDS   X0200C     1.15.1 
   CMS MDS   X0200C     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:39 PM
  Attachment Units Required: N
  Long Common Name: Last name
  Shortname: Last name
  Fully Specified Name: Last name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38743
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
CMS-2728_A1

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.2

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  45981-8   MDS full assessment form - version 2.0MDS full assessment form - version 2.0MDS full assessment form - version 2.0: -: Pt: ^Patient: -:
  46102-0   MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0: -: Pt: ^Patient: -:
  46103-8   MDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-III: -: Pt: ^Patient: -:
  46104-6   MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]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]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   4     2.0 
   CMS IRF-PAI   4     3.0 
   CMS IRF-PAI   4     1.5 
   CMS IRF-PAI   4     1.4 
   CMS LCDS   A0500A     3.00 
   CMS LCDS   A0500A     4.00 
   CMS MDS   A0500A     1.16.1 
   CMS MDS   A0500A     1.15.1 
   CMS MDS   A0500A     1.14.1 
   CMS MDS   X0200A     1.16.1 
   CMS MDS   X0200A     1.15.1 
   CMS MDS   X0200A     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:39 PM
  Attachment Units Required: N
  Long Common Name: First name
  Shortname: First name
  Fully Specified Name: First name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38740
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
CMS-2728_A1

OBSERVATION REQUIRED IN PANEL
Optional

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Change PROPERTY from ID to Pn to match convention for other name terms.

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.3

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  45981-8   MDS full assessment form - version 2.0MDS full assessment form - version 2.0MDS full assessment form - version 2.0: -: Pt: ^Patient: -:
  46102-0   MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0MDS quarterly assessment form - version 2.0: -: Pt: ^Patient: -:
  46103-8   MDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-IIIMDS quarterly assessment form - version 2.0 - optional version for RUG-III: -: Pt: ^Patient: -:
  46104-6   MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 updateMDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]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]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

RELATED NAMES
  ADMIN Point in time  
  Nominal Random  
  Person name    

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500B     3.00 
   CMS LCDS   A0500B     4.00 
   CMS MDS   A0500B     1.16.1 
   CMS MDS   A0500B     1.15.1 
   CMS MDS   A0500B     1.14.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:39 PM
  Attachment Units Required: N
  Long Common Name: Middle initial
  Shortname: Middle initial
  Fully Specified Name: Middle initial: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38742
  Status (Raw): ACTIVE


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

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Medicare or comparable number  ID  Pt  ^Patient  Nom 
  Long Common Name:  Medicare or comparable number
  Shortname:  Medicare or comparable #

OBSERVATION ID IN FORM
CMS-2728_A2

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  84908-3   Cancer pathology panel - Prostate cancerCancer pathology panel - Prostate cancerCancer pathology panel: -: Pt: Prostate cancer.XXX: -:
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]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]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医疗保险或类似编号:标识符:时间点:^患者:名义型:医疗保险或类似编号:标识符:时间点:^患者:名义型:

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:40 PM
  Attachment Units Required: N
  Long Common Name: Medicare or comparable number
  Shortname: Medicare or comparable #
  Fully Specified Name: Medicare or comparable number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 38746
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
CMS-2728_A3

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component.

HL7 ATTRIBUTES
  HL7 Field ID: PID-19

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  46611-0   Mental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment formMental residual functional capacity (RFC) assessment form: -: Pt: ^Patient: -:
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]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]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89070-7   ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set: -: Pt: ^Patient: -: ADAPTABLE
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

RELATED NAMES
  ADMIN No Point in time
  Ident Nominal Random
  Identifier Num Social security #

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   7     2.0 
   CMS IRF-PAI   7     3.0 
   CMS IRF-PAI   7     1.5 
   CMS IRF-PAI   7     1.4 
   CMS LCDS   A0600A     3.00 
   CMS LCDS   A0600A     4.00 
   CMS MDS   A0600A     1.16.1 
   CMS MDS   A0600A     1.15.1 
   CMS MDS   A0600A     1.14.1 
   CMS MDS   X0500     1.16.1 
   CMS MDS   X0500     1.15.1 
   CMS MDS   X0500     1.14.1 
   CMS OASIS   M0064     D 
   CMS OASIS   M0064     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:40 PM
  Attachment Units Required: N
  Long Common Name: Social Security number [Identifier]
  Shortname: Social Security #
  Fully Specified Name: Social Security number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38745
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
CMS-2728_A3

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-7.1

MEMBER OF THESE PANELS
  35086-8   Second trimester triple maternal screen panel - Serum or PlasmaSecond trimester triple maternal screen panel - Serum or PlasmaSecond trimester triple maternal screen panel: -: Pt: Ser/​Plas: -:
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  48798-3   First trimester maternal screen panel - Serum or PlasmaFirst trimester maternal screen panel - Serum or PlasmaFirst trimester maternal screen panel: -: Pt: Ser/​Plas: -:
  48799-1   Second trimester penta maternal screen panel - Serum or PlasmaSecond trimester penta maternal screen panel - Serum or PlasmaSecond trimester penta maternal screen panel: -: Pt: Ser/​Plas: -:
  48800-7   Second trimester quad maternal screen panel - Serum or PlasmaSecond trimester quad maternal screen panel - Serum or PlasmaSecond trimester quad maternal screen panel: -: Pt: Ser/​Plas: -:
  48802-3   Alpha-1-Fetoprotein panel - Serum or PlasmaAlpha-1-Fetoprotein panel - Serum or PlasmaAlpha-1-fetoprotein panel: -: Pt: Ser/​Plas: -:
  49085-4   First and Second trimester integrated maternal screen panelFirst and Second trimester integrated maternal screen panelFirst & Second trimester integrated maternal screen panel: -: Pt: ^Patient: -:
  49086-2   First trimester maternal screen with nuchal translucency panelFirst trimester maternal screen with nuchal translucency panelFirst trimester maternal screen with nuchal translucency panel: -: Pt: ^Patient: -:
  49087-0   Maternal screen clinical predictors panelMaternal screen clinical predictors panelMaternal screen clinical predictors panel: -: Pt: ^Patient: -:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54127-6   US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait: -: Pt: ^Patient: -: USSG-FHT
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  58735-2   Alpha-1-Fetoprotein panel - Amniotic fluidAlpha-1-Fetoprotein panel - Amniotic fluidAlpha-1-fetoprotein panel: -: Pt: Amnio fld: -:
  60687-1   Test of Infant Motor Performance Version 5.1Test of Infant Motor Performance Version 5.1Test of Infant Motor Performance Version 5.1: -: Pt: ^Patient: -:
  61129-3   PhenX domain - DemographicsPhenX domain - DemographicsPhenX domain - Demographics: -: Pt: ^Patient: -: PhenX
  62263-9   PhenX domain - Nutrition and dietary supplementsPhenX domain - Nutrition and dietary supplementsPhenX domain - Nutrition and dietary supplements: -: Pt: ^Patient: -: PhenX
  62611-9   PhenX domain - RespiratoryPhenX domain - RespiratoryPhenX domain - Respiratory: -: Pt: ^Patient: -: PhenX
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  70182-1   NIH Stroke ScaleNIH Stroke ScaleNIH stroke scale: -: Pt: ^Patient: -: NIHSS
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  74495-3   Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]Patient safety event report - hospital - healthcare event reporting form - version 1.2: -: Pt: ^Patient: -: AHRQ
  75199-0   Congenital syphilis case investigation and report panel [CDC.CS]Congenital syphilis case investigation and report panel [CDC.CS]Congenital syphilis case investigation and report panel: -: Pt: ^Patient: -: CDC.CS
  75854-0   PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0: -: Pt: ^Patient: -: PCORnet
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85057-8   PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet common data model set - version 3.0: -: Pt: ^Patient: -: PCORnet
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86636-8   Family planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 set: -: Pt: ^Patient: -:
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]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]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89070-7   ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set: -: Pt: ^Patient: -: ADAPTABLE
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

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

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

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   6     3.0 
   CMS IRF-PAI   6     1.5 
   CMS IRF-PAI   6     1.4 
   CMS IRF-PAI   6     2.0 
   CMS LCDS   A0900     4.00 
   CMS LCDS   A0900     3.00 
   CMS MDS   A0900     1.15.1 
   CMS MDS   A0900     1.14.1 
   CMS MDS   A0900     1.16.1 
   CMS MDS   X0400     1.15.1 
   CMS MDS   X0400     1.14.1 
   CMS MDS   X0400     1.16.1 
   CMS OASIS   M0066     C2 
   CMS OASIS   M0066     D 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:40 PM
  Attachment Units Required: Y
  Long Common Name: Birth date
  Shortname: Birth date
  Fully Specified Name: Birth date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 12108
  Status (Raw): ACTIVE


67871-4   Patient demographics - end stage renal disease form 2728Patient demographics - end stage renal disease form 2728Patient demographics - end stage renal disease form 2728: -: Pt: ^Patient: -:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Patient demographics - end stage renal disease form 2728  Pt  ^Patient 
  Long Common Name:  Patient demographics - end stage renal disease form 2728

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.ESRD/Survey
  Panel Type: Panel
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134067-0  Patient demographics - end stage renal disease form 2728 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP21006-9  Disease 
Fragments for synonyms   LP204151-7  Demographics 
Fragments for synonyms   LP34712-7  Renal 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Demographic ESRD survey Pnl
  Dis Kidney Point in time
  Dz Pan Random
  End Stage Renal Disease (ESDR) pnl Panel  
  End-stage renal disease Panl  
  ESRD Patient demographics - ESRD 2728  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:40 PM
  Attachment Units Required: N
  Long Common Name: Patient demographics - end stage renal disease form 2728
  Fully Specified Name: Patient demographics - end stage renal disease form 2728: -: Pt: ^Patient: -:
     
  Component Word Count: 8
  ID: 63682
  Status (Raw): TRIAL


56799-0   AddressAddressAddress: Addr: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Address  Addr  Pt  ^Patient  Nom 
  Long Common Name:  Address
  Shortname:  Address

OBSERVATION ID IN FORM
CMS-2728_A5

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: ED/Clinical
  First Released in Version: 2.29
  Last Updated in Version: 2.29
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-11

MEMBER OF THESE PANELS
  61129-3   PhenX domain - DemographicsPhenX domain - DemographicsPhenX domain - Demographics: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  89070-7   ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set: -: Pt: ^Patient: -: ADAPTABLE

PARTS

Part Type    Part No.  Part Name   
Component   LP96251-1  Address 
Property   LP6775-3  Addr   [Address (HL7 data type)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP57608-9  ED 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  地址:地址:时间点:^患者:名义型:地址:地址:时间点:^患者:名义型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  adres:adres (HL7-datatype):moment:^patiënt:nominaal:adres:adres (HL7-datatype):moment:^patiënt:nominaal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Indirizzo:Addr:Pt:^Paziente:Nom:Indirizzo:Addr:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Endereço:#N/​A:Pt:^Paciente:Nom:Endereço:#N/​A:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Адрес:Адр:ТчкВрм:^Пациент:Ном:Адрес:Адр:ТчкВрм:^Пациент:Ном:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Dirección:Dirección:Punto temporal:^paciente:Nom:Dirección:Dirección:Punto temporal:^paciente:Nom:

RELATED NAMES
  Address EMERGENCY DEPARTMENT (DEEDS) Random
  DEEDS Nominal  
  Emergency Department Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:41 PM
  Attachment Units Required: N
  Long Common Name: Address
  Shortname: Address
  Fully Specified Name: Address: Addr: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 51372
  Status (Raw): ACTIVE


68997-6   CityCityCity: Loc: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
City  Loc  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient City (Mailing)
  Long Common Name:  City

OBSERVATION ID IN FORM
CMS-2728_A5

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.54
  Status: Active

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP117862-5  City 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Nominal  
  ESRD survey Point in time  
  Location Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:41 PM
  Attachment Units Required: N
  Long Common Name: City
  Fully Specified Name: City: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 68308
  Status (Raw): ACTIVE


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

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
State of residence  Loc  Pt  ^Patient  Nom 
  Long Common Name:  State of residence
  Shortname:  State of residence

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

OBSERVATION ID IN FORM
CMS-2728_A5

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.19
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-11.4

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

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

RELATED NAMES
  ADMIN Point in time  
  Location Random  
  Nominal    

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:41 PM
  Attachment Units Required: N
  Long Common Name: State of residence
  Shortname: State of residence
  Fully Specified Name: State of residence: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38413
  Status (Raw): ACTIVE


45401-7   ZIP Code [Location]ZIP Code [Location]ZIP Code: Loc: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
ZIP Code  Loc  Pt  ^Patient  Nom 
  Long Common Name:  ZIP Code [Location]
  Shortname:  ZIP code

OBSERVATION ID IN FORM
CMS-2728_A5

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-11.5

MEMBER OF THESE PANELS
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  76464-7   American Physical Therapy Association registry panelAmerican Physical Therapy Association registry panelAmerican Physical Therapy Association Registry panel: -: Pt: Organization: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

RELATED NAMES
  ADMIN Point in time  
  Location Random  
  Nominal    

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0060     D 
   CMS OASIS   M0060     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:42 PM
  Attachment Units Required: N
  Long Common Name: ZIP Code [Location]
  Shortname: ZIP code
  Fully Specified Name: ZIP Code: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38751
  Status (Raw): ACTIVE


42077-8   Patient telephonePatient telephoneTelephone: Tele: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Telephone  Tele  Pt  ^Patient  Nom 
  Long Common Name:  Patient telephone
  Shortname:  Patient telephone

TERM DEFINITION/DESCRIPTION(S)
  The patient's telephone number.
 
 

OBSERVATION ID IN FORM
CMS-2728_A6

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.16
  Last Updated in Version: 2.65
  Status: Active.
Change Reason: Revised description and removed NORMATIVE answer list, which only included results for unknown or no phone number available. The answer choices did not include entering the patient's phone number. This term was originally created for the NAACCR v11 tumor registry. The coding instructions in the term description and as part of the answer list are now available as Form Coding Instructions for the term in the instance of the NAACCR version 11 panel [LOINC: 49083-9].

HL7 ATTRIBUTES
  HL7 Field ID: PID-13

MEMBER OF THESE PANELS
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  49083-9   North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panelNorth American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panelNorth American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  59852-4   North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panelNorth American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panelNorth American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel: -: Pt: ^Patient: -:
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:
  89070-7   ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set: -: Pt: ^Patient: -: ADAPTABLE

PARTS

Part Type    Part No.  Part Name   
Component   LP73495-1  Telephone   [Patient Telephone] 
Property   LP6871-0  Tele   [Telephone number (HL7 datatype)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  电话号码:电话号码:时间点:^患者:名义型:电话号码:电话号码:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Telefono:Tele:Pt:^Paziente:Nom:Telefono:Tele:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Telefone:Tele:Pt:^Paciente:Nom:Telefone:Tele:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Телефон:Тел:ТчкВрм:^Пациент:Ном:Телефон:Тел:ТчкВрм:^Пациент:Ном:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Telefono:Teléfono:Punto temporal:^paciente:Nom:Telefono:Teléfono:Punto temporal:^paciente:Nom:

RELATED NAMES
  ADMIN Point in time Telephone number
  Nominal Random  
  Patient Telephone Telecommunication number  

RELATED CODES
Code System Code Code Text Code Version
   NAACCR_ID   2360     

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:42 PM
  Attachment Units Required: N
  Long Common Name: Patient telephone
  Shortname: Patient telephone
  Fully Specified Name: Telephone: Tele: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 35011
  Status (Raw): ACTIVE


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

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Sex  Type  Pt  ^Patient  Nom 
  Long Common Name:  Sex
  Shortname:  Sex

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

OBSERVATION ID IN FORM
CMS-2728_A7

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.

HL7 ATTRIBUTES
  HL7 Field ID: PID-8

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

MEMBER OF THESE PANELS
  45963-6   MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0MDS basic assessment tracking form - version 2.0: -: Pt: ^Patient: -:
  46462-8   Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1Outcome and assessment information set (OASIS) form - version B1: -: Pt: ^Patient: -:
  47245-6   HIV treatment form DocumentHIV treatment form DocumentHIV Rx Form: -: Pt: Form: Doc:
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52747-3   Continuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity Assessment Record and Evaluation (CARE) tool - ExpiredContinuity assessment record and evaluation tool - Expired: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  54580-6   Minimum Data Set - version 3.0Minimum Data Set - version 3.0Minimum Data Set - version 3.0: -: Pt: ^Patient: -:
  55140-8   Vaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System (VAERS) panelVaccine Adverse Event Reporting System panel: -: Pt: ^Patient: -:
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  57039-0   Outcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version COutcome and assessment information set (OASIS) form - version C: -: Pt: ^Patient: -:
  57190-1   Outcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of careOutcome and assessment information set (OASIS) form - version C - Start of care: -: Pt: ^Patient: -:
  61129-3   PhenX domain - DemographicsPhenX domain - DemographicsPhenX domain - Demographics: -: Pt: ^Patient: -: PhenX
  62263-9   PhenX domain - Nutrition and dietary supplementsPhenX domain - Nutrition and dietary supplementsPhenX domain - Nutrition and dietary supplements: -: Pt: ^Patient: -: PhenX
  62611-9   PhenX domain - RespiratoryPhenX domain - RespiratoryPhenX domain - Respiratory: -: Pt: ^Patient: -: PhenX
  62755-4   PhenX domain - NeurologyPhenX domain - NeurologyPhenX domain - Neurology: -: Pt: ^Patient: -: PhenX
  62787-7   PhenX domain - DiabetesPhenX domain - DiabetesPhenX domain - Diabetes: -: Pt: ^Patient: -: PhenX
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  62863-6   PhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunity: -: Pt: ^Patient: -: PhenX
  63009-5   PhenX domain - Social environmentsPhenX domain - Social environmentsPhenX domain - Social environments: -: Pt: ^Patient: -: PhenX
  63067-3   PhenX domain - Speech and hearingPhenX domain - Speech and hearingPhenX domain - Speech and hearing: -: Pt: ^Patient: -: PhenX
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  68359-9   End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746End stage renal disease death notification - OMB CMS form 2746: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  69723-5   Patient Health Questionnaire (PHQ) [Reported]Patient Health Questionnaire (PHQ) [Reported]Patient health questionnaire: -: Pt: ^Patient: -: Reported.PHQ
  69919-9   Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]Race, ethnicity, sex, primary language, disability - Health & Human Services (HHS) panel: -: Pt: ^Patient: -: HHS.ACA Section 4302
  70297-7   ESRD patient information panelESRD patient information panelPatient information panel: -: Pt: ^Patient: -: ESRD
  78698-8   Liver fibrosis score panel - Serum or Plasma Calculated by HepaScoreLiver fibrosis score panel - Serum or Plasma Calculated by HepaScoreLiver fibrosis score panel: -: Pt: Ser/​Plas: -: Calculated.HepaScore
  78699-6   Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeterLiver fibrosis score panel - Serum or Plasma Calculated by FibroMeterLiver fibrosis score panel: -: Pt: Ser/​Plas: -: Calculated.FibroMeter
  82259-3   Metabolic equivalent of task and Resting metabolic rate panelMetabolic equivalent of task and Resting metabolic rate panelMetabolic equivalent of task & Resting metabolic rate panel: -: Pt: ^Patient: -:
  82287-4   Physical activity panelPhysical activity panelPhysical activity panel: -: RptPeriod: ^Patient: -:
  83265-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.4: -: Pt: ^Patient: -: CMS Assessment
  85626-0   Kidney failure 2-year and 5-year risk panel by KFREKidney failure 2-year and 5-year risk panel by KFREKidney failure 2Y & 5Y risk panel: -: Pt: ^Patient: Qn: KFRE
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85907-4   Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Start of care: -: Pt: ^Patient: -: CMS Assessment
  86522-0   MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  86636-8   Family planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 set: -: Pt: ^Patient: -:
  86856-2   MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) & Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  86870-3   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/​SO) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  86871-1   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  86872-9   MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  86873-7   MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  86874-5   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/​SS) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  86875-2   MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/​ST) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  86876-0   MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  86877-8   MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  88279-5   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88280-3   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88281-1   MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88282-9   MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88283-7   MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88284-5   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88285-2   MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88286-0   MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88287-8   MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88288-6   MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88292-8   MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  88329-8   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 2.0: -: Pt: ^Patient: -: CMS Assessment
  88373-6   Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]Outcome and assessment information set (OASIS) form - version D - Start of care: -: Pt: ^Patient: -: CMS Assessment
  88945-1   MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) & Swing bed discharge (SD) item set: -: Pt: ^Patient: -: CMS Assessment
  88946-9   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]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]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) & Swing bed OMRA start of therapy and discharge (SSD) item set: -: Pt: ^Patient: -: CMS Assessment
  88947-7   MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) & Swing bed OMRA-discharge (SOD) item set: -: Pt: ^Patient: -: CMS Assessment
  88948-5   MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set: -: Pt: ^Patient: -: CMS Assessment
  88949-3   MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set: -: Pt: ^Patient: -: CMS Assessment
  88950-1   MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set: -: Pt: ^Patient: -: CMS Assessment
  88951-9   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set: -: Pt: ^Patient: -: CMS Assessment
  88952-7   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA start of therapy (NS & SS) item set: -: Pt: ^Patient: -: CMS Assessment
  88953-5   MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed tracking (NT & ST) item set: -: Pt: ^Patient: -: CMS Assessment
  88954-3   MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set: -: Pt: ^Patient: -: CMS Assessment
  88955-0   MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set: -: Pt: ^Patient: -: CMS Assessment
  89070-7   ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set [ADAPTABLE]ADAPTABLE patient reported item set: -: Pt: ^Patient: -: ADAPTABLE
  89963-3   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 3.0: -: Pt: ^Patient: -: CMS Assessment

PARTS

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

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

RELATED NAMES
  ADMIN Point in time  
  Gender Random  
  Nominal Typ  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   8     2.0 
   CMS IRF-PAI   8     3.0 
   CMS IRF-PAI   8     1.5 
   CMS IRF-PAI   8     1.4 
   CMS LCDS   A0800     3.00 
   CMS LCDS   A0800     4.00 
   CMS MDS   A0800     1.16.1 
   CMS MDS   A0800     1.15.1 
   CMS MDS   A0800     1.14.1 
   CMS MDS   X0300     1.16.1 
   CMS MDS   X0300     1.15.1 
   CMS MDS   X0300     1.14.1 
   CMS OASIS   M0069     D 
   CMS OASIS   M0069     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:42 PM
  Attachment Units Required: N
  Long Common Name: Sex
  Shortname: Sex
  Fully Specified Name: Sex: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 39502
  Status (Raw): ACTIVE


54133-4   Ethnicity [USSG-FHT]Ethnicity [USSG-FHT]Ethnicity: Type: Pt: ^Patient: Nom: USSG-FHT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Ethnicity  Type  Pt  ^Patient  Nom  USSG-FHT
  Long Common Name:  Ethnicity [USSG-FHT]

OBSERVATION ID IN FORM
CMS-2728_A8

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: SURVEY.USSGFHT/Survey
  First Released in Version: 2.26
  Last Updated in Version: 2.44
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-22

NORMATIVE ANSWER LIST    (LL628-9)  
 
Source: US Surgeon General
  SEQ#        Answer        Code         Code 
System
   
    Answer ID    
  1       Hispanic or Latino       2135-2       PH_RaceAndEthnicity_CDC       LA6214-6  
  2       Central American       2155-0       PH_RaceAndEthnicity_CDC       LA10599-1  
  3       Cuban       2182-4       PH_RaceAndEthnicity_CDC       LA4190-0  
  4       Dominican(Republic)       2184-0       PH_RaceAndEthnicity_CDC       LA10601-5  
  5       Mexican       2148-5       PH_RaceAndEthnicity_CDC       LA4611-5  
  6       Puerto Rican       2180-8       PH_RaceAndEthnicity_CDC       LA4364-1  
  7       South American       2165-9       PH_RaceAndEthnicity_CDC       LA10606-4  
  8       Other Latin American               LA14055-0  
  9       Other Hispanic/Latino/Spanish               LA10603-1  
  10       Non-Hispanic or Latino       2186-5       PH_RaceAndEthnicity_CDC       LA10597-5  
  11       Ashkenazi Jewish               LA10598-3  
  12       Unknown/No answer               LA10607-2  

MEMBER OF THESE PANELS
  54127-6   US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait: -: Pt: ^Patient: -: USSG-FHT
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72553-8  Ethnicity 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP76350-5  USSG-FHT   [US Surgeon General's Family History tool (USSG-FHT)] 

RELATED NAMES
  FHH Random US Surgeon General
  Nominal SURVEY.USSGFHT US Surgeon General family health portrait
  Point in time Typ  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:43 PM
  Attachment Units Required: N
  Long Common Name: Ethnicity [USSG-FHT]
  Fully Specified Name: Ethnicity: Type: Pt: ^Patient: Nom: USSG-FHT
     
  Component Word Count: 1
  ID: 48425
  Status (Raw): ACTIVE


68329-2   Country of originCountry of originCountry of origin: Loc: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Country of origin  Loc  Pt  ^Patient  Nom 
  Long Common Name:  Country of origin

OBSERVATION ID IN FORM
CMS-2728_A9

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.52
  Status: Active

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  78000-7   Case notification panel [CDC.PHIN]Case notification panel [CDC.PHIN]Case notification panel: -: Pt: ^Patient: -: CDC.PHIN

PARTS

Part Type    Part No.  Part Name   
Component   LP130862-8  Country of origin 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Nominal  
  ESRD survey Point in time  
  Location Random  

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:43 PM
  Attachment Units Required: N
  Long Common Name: Country of origin
  Fully Specified Name: Country of origin: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 67638
  Status (Raw): ACTIVE


54134-2   Race [USSG-FHT]Race [USSG-FHT]Race: Type: Pt: ^Patient: Nom: USSG-FHT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Race  Type  Pt  ^Patient  Nom  USSG-FHT
  Long Common Name:  Race [USSG-FHT]

OBSERVATION ID IN FORM
CMS-2728_A10

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.USSGFHT/Survey
  First Released in Version: 2.26
  Last Updated in Version: 2.44
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-10

NORMATIVE ANSWER LIST    (LL629-7)  
 
Source: US Surgeon General
  SEQ#        Answer        Code         Code 
System
   
    Answer ID    
  1       American Indian or Alaska Native       1002-5       PH_RaceAndEthnicity_CDC       LA10608-0  
  2       Asian       2028-5       PH_RaceAndEthnicity_CDC       LA6156-9  
  3       Asian Indian       2029-7       PH_RaceAndEthnicity_CDC       LA14048-5  
  4       Chinese       2034-7       PH_RaceAndEthnicity_CDC       LA4168-6  
  5       Filipino       2036-2       PH_RaceAndEthnicity_CDC       LA3969-8  
  6       Japanese       2039-6       PH_RaceAndEthnicity_CDC       LA4595-0  
  7       Korean       2040-4       PH_RaceAndEthnicity_CDC       LA4603-2  
  8       Vietnamese       2047-9       PH_RaceAndEthnicity_CDC       LA4443-3  
  9       Other Asian               LA14049-3  
  10       Black or African American       2054-5       PH_RaceAndEthnicity_CDC       LA10610-6  
  11       Native Hawaiian or Other Pacific Islander       2076-8       PH_RaceAndEthnicity_CDC       LA10611-4  
  12       Native Hawaiian       2079-2       PH_RaceAndEthnicity_CDC       LA14045-1  
  13       Guamanian       2087-5       PH_RaceAndEthnicity_CDC       LA14046-9  
  14       Chamorro       2088-3       PH_RaceAndEthnicity_CDC       LA10621-3  
  15       Samoan       2080-0       PH_RaceAndEthnicity_CDC       LA4300-5  
  16       Other Pacific Islander       2500-7           LA14047-7  
  17       White       2106-3       PH_RaceAndEthnicity_CDC       LA4457-3  
  18       Other/Unknown/Refuse To Answer               LA10613-0  

MEMBER OF THESE PANELS
  54127-6   US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait: -: Pt: ^Patient: -: USSG-FHT
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP71009-2  Race 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP76350-5  USSG-FHT   [US Surgeon General's Family History tool (USSG-FHT)] 

RELATED NAMES
  Ethnicity Point in time Typ
  FHH Random US Surgeon General
  Nominal SURVEY.USSGFHT US Surgeon General family health portrait

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:43 PM
  Attachment Units Required: N
  Long Common Name: Race [USSG-FHT]
  Fully Specified Name: Race: Type: Pt: ^Patient: Nom: USSG-FHT
     
  Component Word Count: 1
  ID: 48426
  Status (Raw): ACTIVE


67884-7   Principal indian tribePrincipal indian tribePrincipal indian tribe: Type: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Principal indian tribe  Type  Pt  ^Patient  Nom 
  Long Common Name:  Principal indian tribe

CONDITION FOR INCLUSION
American Indian selected for Race

OBSERVATION ID IN FORM
CMS-2728_A10a

ANSWER CARDINALITY
0..*

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Text: Name of Enrolled/Principal Tribe
Source: ESRD.RQMT_210

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134081-1  Principal indian tribe 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Point in time  
  ESRD survey Random  
  Nominal Typ  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:43 PM
  Attachment Units Required: N
  Long Common Name: Principal indian tribe
  Fully Specified Name: Principal indian tribe: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 63697
  Status (Raw): TRIAL


67872-2   Medicare end stage renal disease coverage requestedMedicare end stage renal disease coverage requestedMedicare end stage renal disease coverage requested: Find: Pt: ^Patient: Ord:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Medicare end stage renal disease coverage requested  Find  Pt  ^Patient  Ord 
  Long Common Name:  Medicare end stage renal disease coverage requested

OBSERVATION ID IN FORM
CMS-2728_A11

ANSWER CARDINALITY
1..*

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL361-7)  
 
Source: Regenstrief Institute
  SEQ#        Answer        Answer ID    
  1       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  LA33-6  
  2       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  LA32-8  

SURVEY QUESTION
Text: Is the patient applying for ESRD Medicare coverage?
Source: ESRD.RQMT_212

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134068-8  Medicare end stage renal disease coverage requested 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Fragments for synonyms   LP34712-7  Renal 
Fragments for synonyms   LP21006-9  Disease 

RELATED NAMES
  Dis Findings Qual
  Dz Kidney Qualitative
  End-stage renal disease Medicare ESRD coverage requested Random
  ESRD Ordinal Screen
  ESRD survey Point in time  
  Finding QL  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:44 PM
  Attachment Units Required: N
  Long Common Name: Medicare end stage renal disease coverage requested
  Fully Specified Name: Medicare end stage renal disease coverage requested: Find: Pt: ^Patient: Ord:
     
  Component Word Count: 7
  ID: 63683
  Status (Raw): TRIAL


52556-8   Payment sourcesPayment sourcesPayment sources: Type: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Payment sources  Type  Pt  ^Patient  Nom 
  Long Common Name:  Payment sources

FORM CODING INSTRUCTIONS
Check all that apply

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.26
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed METHOD to methodless - generic term that does not orginate from just one method; Removed "Current" from component because it is conveyed by TIMING = Pt;Updated PROPERTY from Find to Type.

EXAMPLE ANSWER LIST    (LL544-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       None (no charge for current services)       D1       LA10028-1  
  2       Medicare (traditional fee-for-service)       D2       LA6259-1  
  3       Medicare (HMO/managed care)       D3       LA6258-3  
  4       Medicaid (traditional fee-for-service)       D4       LA6257-5  
  5       Medicaid (HMO/managed care)       D5       LA6256-7  
  6       Workers’ compensation       D6       LA10123-0  
  7       Title programs (e.g., Title III, V, or XX)       D7       LA6398-7  
  8       Other government (e.g., TRICARE, VA, etc.)       D8       LA10049-7  
  9       Private insurance/Medigap       D9       LA10061-2  
  10       Private HMO/managed care       D10       LA6349-0  
  11       Self-pay       D11       LA6369-8  
  12       Other (specify)       D12       LA6310-2  
  13       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  D13       LA4489-6  

MEMBER OF THESE PANELS
  52743-2   Continuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity Assessment Record and Evaluation (CARE) tool - Acute CareContinuity assessment record and evaluation tool - Acute care: -: Pt: ^Patient: -: CARE
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - DischargeContinuity assessment record and evaluation tool - Post acute care - discharge: -: Pt: ^Patient: -: CARE
  52746-5   Continuity Assessment Record and Evaluation (CARE) tool - InterimContinuity Assessment Record and Evaluation (CARE) tool - InterimContinuity assessment record and evaluation tool - Interim: -: Pt: ^Patient: -: CARE
  52748-1   Continuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Home Health AdmissionContinuity assessment record and evaluation tool - Home health admission: -: Pt: ^Patient: -: CARE
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  69412-5   Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0Continuity assessment record and evaluation tool - long term care hospital - version 1.0: -: Pt: ^Patient: -: CARE
  85645-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85662-5   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85668-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  85671-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00: -: Pt: ^Patient: -: CMS Assessment
  86636-8   Family planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 set: -: Pt: ^Patient: -:
  87506-2   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87507-0   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87508-8   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00: -: Pt: ^Patient: -: CMS Assessment
  87509-6   Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00: -: Pt: ^Patient: -: CMS Assessment

MEMBER OF THESE EQUIVALENCE GROUPS
  LG41766-3  SDH.Healthcare

PARTS

Part Type    Part No.  Part Name   
Component   LP73082-7  Payment sources 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  Financing and insurance Point in time  
  Nominal Random  
  Payers Typ  

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A1400     3.00 
   CMS LCDS   A1400     4.00 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:44 PM
  Attachment Units Required: N
  Long Common Name: Payment sources
  Fully Specified Name: Payment sources: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 46677
  Status (Raw): ACTIVE


8302-2   Body heightBody heightBody height: Len: Pt: ^Patient: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Body height  Len  Pt  ^Patient  Qn 
  Consumer Name:  Body height
  Long Common Name:  Body height
  Shortname:  Body height

OBSERVATION ID IN FORM
CMS-2728_A13

OBSERVATION REQUIRED IN PANEL
Required

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: BDYHGT.ATOM/Clinical
  First Released in Version: 1.0h(2)
  Last Updated in Version: 2.64
  Status: Active

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains all of the "Special circumstances" LOINC codes that are used to report the specific context during which a particular measurement was taken, where that context may affect the measurement value. Circumstances that can affect measurement of certain variables include when the patient is asleep, in pain, crying, febrile, or during a period of apnea. This panel is attached to the generic LOINC code for each measurement so that the circumstance under which the measurement was taken can be reported along with the primary result.

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  89263-8   Special circumstances associated observations panelSpecial circumstances associated observations panelSpecial circumstances associated observations panel: -: Pt: ^Patient: -:    
       10224-4   Hemodynamic method special circumstancesHemodynamic method special circumstancesHemodynamic method special circumstances: Type: Pt: ^Patient: Nom:    
       55285-1   Glasgow coma score special circumstancesGlasgow coma score special circumstancesGlasgow coma score special circumstances: Type: Pt: ^Patient: Nom:    
       55416-2   Oxymetry special circumstancesOxymetry special circumstancesOxymetry special circumstances: Type: Pt: ^Patient: Nom:    
       8304-8   Body height special circumstancesBody height special circumstancesBody height special circumstances: Type: Pt: ^Patient: Nom:    
       8337-8   Body weight special circumstancesBody weight special circumstancesBody weight special circumstances: Type: Pt: ^Patient: Nom:    
       9278-3   Breath rate special circumstancesBreath rate special circumstancesBreath rate special circumstances: Type: Pt: ^Patient: Nom:    
       9848-3   Body temperature special circumstancesBody temperature special circumstancesBody temperature special circumstances: Type: Pt: ^Patient: Nom:    
       9855-8   Blood pressure special circumstancesBlood pressure special circumstancesBlood pressure special circumstances: Type: Pt: ^Patient: Nom:    
       89299-2   Heart rate special circumstancesHeart rate special circumstancesHeart rate special circumstances: Type: Pt: ^Patient: Nom:    
 

MEMBER OF THESE PANELS
  34565-2   Vital signs, weight and height panelVital signs, weight and height panelVital signs, weight & height panel: -: Pt: ^Patient: -:
  34566-0   Vital signs with method details panelVital signs with method details panelVital signs with method details panel: -: Pt: ^Patient: -:
  54127-6   US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait [USSG-FHT]US Surgeon General family health portrait: -: Pt: ^Patient: -: USSG-FHT
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  55418-8   Weight and Height tracking panelWeight and Height tracking panelWeight & Height tracking panel: -: Pt: ^Patient: -:
  58446-6   Creatinine 24H renal clearance adjusted for body surface area panelCreatinine 24H renal clearance adjusted for body surface area panelCreatinine renal clearance adjusted for body surface area panel: -: 24H: Urine+​Ser/​Plas: Qn:
  62812-3   PhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitnessPhenX domain - Physical activity and physical fitness: -: Pt: ^Patient: -: PhenX
  67795-5   Vital signs, weight, height, head circumference and oximetry panel HITSPVital signs, weight, height, head circumference and oximetry panel HITSPVital signs, weight, height, head circumference & oximetry panel: -: Pt: ^Patient: -: HITSP
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  70300-9   ESRD dialysis adequacy panelESRD dialysis adequacy panelDialysis adequacy panel: -: Pt: ^Patient: -: ESRD
  72513-5   Vital signs with smoking status and pain scale [VSP]Vital signs with smoking status and pain scale [VSP]Vital signs with smoking status and pain scale: -: Pt: ^Patient: -: VSP
  74028-2   Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDSVirtual Medical Record for Clinical Decision Support panel HL7.VMR-CDSVirtual medical record for clinical decision support panel: -: Pt: ^Patient: -: HL7.VMR-CDS
  74293-2   Oncology plan of care and summary - recommended CDA setOncology plan of care and summary - recommended CDA setOncology plan of care and summary - recommended CDA set: -: Pt: {Setting}: -:
  74728-7   Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel - HL7.CCDAr1.1Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel - HL7.CCDAr1.1Vital signs, weight, height, head circumference, oximetry, BMI, & BSA panel: -: Pt: ^Patient: -: HL7.CCDAr1.1
  75854-0   PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0: -: Pt: ^Patient: -: PCORnet
  75885-4   IEEE 11073 Rosetta panelIEEE 11073 Rosetta panelIEEE Rosetta panel: -: -: ^Patient: -:
  85057-8   PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet common data model set - version 3.0: -: Pt: ^Patient: -: PCORnet
  85353-1   Vital signs, weight, height, head circumference, oxygen saturation and BMI panelVital signs, weight, height, head circumference, oxygen saturation and BMI panelVital signs, weight, height, head circumference, oxygen saturation & BMI panel: -: Pt: ^Patient: -:
  86636-8   Family planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 setFamily planning report - FPAR 2.0 set: -: Pt: ^Patient: -:
  87825-6   National Trauma Data Standard - version 2018 setNational Trauma Data Standard - version 2018 setNational Trauma Data Standard - version 2018 set: -: Pt: {Setting}: -:
  89543-3   Laboratory ask at order entry panelLaboratory ask at order entry panelLaboratory ask at order entry panel: -: Pt: ^Patient: -:

MEMBER OF THESE EQUIVALENCE GROUPS
  LG34373-7  Body height|Len|Pt|^Patient

PARTS

Part Type    Part No.  Part Name   
Component   LP64598-3  Body height 
Property   LP6822-3  Len   [Length] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Fragments for synonyms   LP28569-9  Body 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  身高:长度:时间点:^患者:定量型:身高:长度:时间点:^患者:定量型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  lichaamslengte:lengte:moment:^patiënt:kwantitatief:lichaamslengte:lengte:moment:^patiënt:kwantitatief:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Taille corporelle:Longueur:Temps ponctuel:^Patient:Quantitatif:Taille corporelle:Longueur:Temps ponctuel:^Patient:Quantitatif:
  French (CANADA)  (From: Regenstrief-generated full translation based on part translation provided by Canada Health Infoway Inc.)
 
  Stature:Longueur:Temps ponctuel:^Patient:Quantitatif:Stature:Longueur:Temps ponctuel:^Patient:Quantitatif:
  French (FRANCE)  (From: ASIP Santé (Agence des systèmes d'information partagés de santé))
 
  Taille du patient:Longueur:Ponctuel:Patient:Numérique:nullTaille du patient:Longueur:Ponctuel:Patient:Numérique:nullTaille du patient [Longueur] Patient ; Numérique
  German (AUSTRIA)  (From: ELGA, Austria)
 
  Körpergröße
  German (GERMANY)  (From: Institute for Medical Documentation and Information (DIMDI))
 
  Körpergröße:Län:Pkt:^Patient:Qn:Körpergröße:Län:Pkt:^Patient:Qn:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Altezza corporea:Len:Pt:^Paziente:Qn:Altezza corporea:Len:Pt:^Paziente:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Estatura:Comprimento:Pt:^Paciente:Qn:Estatura:Comprimento:Pt:^Paciente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Рост:Дл:ТчкВрм:^Пациент:Колич:Рост:Дл:ТчкВрм:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  altura corporal:longitud:punto en el tiempo:^paciente:cuantitativo:altura corporal:longitud:punto en el tiempo:^paciente:cuantitativo:

RELATED NAMES
  Axial length Length Quantitative
  bod Point in time Random
  Bodies QNT  
  BODY HEIGHT(LENGTH).ATOM Quan  
  Body length Quant  

EXAMPLE UNITS
  Unit  Source Type
  INCH(S)  REGENSTRIEF 
  [in_i]  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  REGENSTRIEF 
  Unit:  INCH(S) 
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  [in_i] 

UNITS AND RANGE
  Range  Units Type
  [in_us]:  [ft_us]:;cm:;m:; 

RELATED CODES
Code System Code Code Text Code Version
   IEEE_CFCODE10_NUM   68060     
   IEEE_REFID_TXT   MDC_ATTR_PT_HEIGHT     

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:45 PM
  Long Common Name: Body height
  Shortname: Body height
  Fully Specified Name: Body height: Len: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 65820
  # of Panel Elements: 10
  Status (Raw): ACTIVE


8340-2   Dry body weight EstimatedDry body weight EstimatedDry body weight: Mass: Pt: ^Patient: Qn: Estimated  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Dry body weight  Mass  Pt  ^Patient  Qn  Estimated
  Long Common Name:  Dry body weight Estimated
  Shortname:  Dry weight Est

TERM DEFINITION/DESCRIPTION(S)
  Relating to hemodialysis: Dry weight is the lowest weight a patient can tolerate without the development of symptoms or hypotension.
 
 

PART DEFINITION/DESCRIPTION(S)
  Part: Dry body weight
  Dry body weight is the body weight of a hemodialysis patient post-dialysis, when the blood pressure is within normal limits without the use of antihypertensive medication. In patients with renal failure, decline in kidney function leads to increased total body sodium, which causes an increase in extracellular fluid volume (ECV) and hypertension. During dialysis, excess sodium and fluid is removed, with a consequent decrease in blood pressure. Recommended values for blood pressure are pre-dialysis pressure of <140/90 and post-dialysis pressure of <130/85, which indicate adequate volume control. Dry body weight can help monitor ECV but is difficult to determine since it is not a constant value and may vary between hemodialysis sessions. Other methods for measuring ECV include central venous pressure, examination of the external jugular vein, assessment of edema, and the cardiothoracic index. [PMID: 25028642]
 
 

OBSERVATION ID IN FORM
CMS-2728_A14

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: BDYWGT.MOLEC/Clinical
  First Released in Version: 1.0h(2)
  Last Updated in Version: 2.48
  Status: Active

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP94912-0  Dry body weight 
Property   LP6826-4  Mass 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP6260-6  Estimated 
Fragments for synonyms   LP28569-9  Body 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  干体重:质量:时间点:^患者:定量型:估计法干体重:质量:时间点:^患者:定量型:估计法
  French (FRANCE)  (From: ASIP Santé (Agence des systèmes d'information partagés de santé))
 
  Poids corporel sec:Masse:Ponctuel:Patient:Numérique:Résultat estiméPoids corporel sec:Masse:Ponctuel:Patient:Numérique:Résultat estiméPoids corporel sec [Masse] Patient ; Numérique ; Résultat estimé
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Peso corporeo secco:Massa:Pt:^Paziente:Qn:StimatoPeso corporeo secco:Massa:Pt:^Paziente:Qn:Stimato
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Peso corporal enxugado:Massa:Pt:^Paciente:Qn:EstimadoPeso corporal enxugado:Massa:Pt:^Paciente:Qn:Estimado
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  peso corporal^peso seco:masa:punto en el tiempo:^paciente:cuantitativo:estimativopeso corporal^peso seco:masa:punto en el tiempo:^paciente:cuantitativo:estimativo

RELATED NAMES
  Bdy weight Est Quant
  bod estimation Quantitative
  Bodies Point in time Random
  BODY WEIGHT.MOLEC QNT Wt
  Dry weight Quan  

EXAMPLE UNITS
  Unit  Source Type
  kg;[lb_av]  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  kg;[lb_av] 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:45 PM
  Long Common Name: Dry body weight Estimated
  Shortname: Dry weight Est
  Fully Specified Name: Dry body weight: Mass: Pt: ^Patient: Qn: Estimated
     
  Component Word Count: 3
  ID: 65853
  Status (Raw): ACTIVE


67873-0   Cause of renal failure.primary [Reported]Cause of renal failure.primary [Reported]Cause of renal failure.primary: Type: Pt: ^Patient: Nom: Reported  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Cause of renal failure.primary  Type  Pt  ^Patient  Nom  Reported
  Long Common Name:  Cause of renal failure.primary [Reported]

OBSERVATION ID IN FORM
CMS-2728_A15

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.48
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1892-0)  
 
Externally Defined: Y
Source: Centers for Disease Control and Prevention
Link to external list: http://www.cdc.gov/nchs/icd.htm

SURVEY QUESTION
Text: Primary Cause of Renal Failure Code
Source: ESRD.RQMT_216

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134069-6  Cause of renal failure.primary 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP6486-7  Reported 
Fragments for synonyms   LP34712-7  Renal 

RELATED NAMES
  Cause renal failure.primary Kidney Random
  ESRD Nominal Typ
  ESRD survey Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:45 PM
  Attachment Units Required: N
  Long Common Name: Cause of renal failure.primary [Reported]
  Fully Specified Name: Cause of renal failure.primary: Type: Pt: ^Patient: Nom: Reported
     
  Component Word Count: 5
  ID: 63684
  Status (Raw): TRIAL


67874-8   Employment status - 6 months prior to renal failure [Reported]Employment status - 6 months prior to renal failure [Reported]Employment status - 6Mo prior to renal failure: Find: Pt: ^Patient: Nom: Reported  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Employment status - 6Mo prior to renal failure  Find  Pt  ^Patient  Nom  Reported
  Long Common Name:  Employment status - 6 months prior to renal failure [Reported]

OBSERVATION ID IN FORM
CMS-2728_A16a1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.61
  Status: Trial – caution, may change.
Change Reason: Changed Mos to Mo in component based on current LOINC model.

NORMATIVE ANSWER LIST    (LL1901-9)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Unemployed       LA17956-6  
  2       Employed full time       LA17957-4  
  3       Employed part time       LA17958-2  
  4       Homemaker       LA17959-0  
  5       Retired due to age/preference       LA17960-8  
  6       Retired due to disability       LA17961-6  
  7       Medical leave of absence       LA17962-4  
  8       Student       LA15276-1  

SURVEY QUESTION
Text: Patient Prior Employment Status (6 Months Prior)
Source: ESRD.RQMT_217

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134070-4  Employment status - 6Mo prior to renal failure   [Employment status - 6 months prior to renal failure] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP6486-7  Reported 
Fragments for synonyms   LP34712-7  Renal 

RELATED NAMES
  Employ 6Mo prior renal fail Finding Nominal
  ESRD Findings Point in time
  ESRD survey Kidney Random

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:46 PM
  Attachment Units Required: N
  Long Common Name: Employment status - 6 months prior to renal failure [Reported]
  Fully Specified Name: Employment status - 6Mo prior to renal failure: Find: Pt: ^Patient: Nom: Reported
     
  Component Word Count: 7
  ID: 63685
  Status (Raw): TRIAL


67875-5   Employment status - current [Reported]Employment status - current [Reported]Employment status - current: Find: Pt: ^Patient: Nom: Reported  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Employment status - current  Find  Pt  ^Patient  Nom  Reported
  Long Common Name:  Employment status - current [Reported]

OBSERVATION ID IN FORM
CMS-2728_A16b1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.48
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1901-9)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Unemployed       LA17956-6  
  2       Employed full time       LA17957-4  
  3       Employed part time       LA17958-2  
  4       Homemaker       LA17959-0  
  5       Retired due to age/preference       LA17960-8  
  6       Retired due to disability       LA17961-6  
  7       Medical leave of absence       LA17962-4  
  8       Student       LA15276-1  

SURVEY QUESTION
Text: Patient Current Employment Status (At Onset)
Source: ESRD.RQMT_218

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

MEMBER OF THESE EQUIVALENCE GROUPS
  LG41763-0  SDH.Economics

PARTS

Part Type    Part No.  Part Name   
Component   LP134071-2  Employment status - current 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP6486-7  Reported 

RELATED NAMES
  Employ status current Finding Point in time
  ESRD Findings Random
  ESRD survey Nominal  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:46 PM
  Attachment Units Required: N
  Long Common Name: Employment status - current [Reported]
  Fully Specified Name: Employment status - current: Find: Pt: ^Patient: Nom: Reported
     
  Component Word Count: 3
  ID: 63686
  Status (Raw): TRIAL


67876-3   End stage renal disease (ESRD) co-morbidities ICD codeEnd stage renal disease (ESRD) co-morbidities ICD codeEnd stage renal disease co-morbidities ICD code: Find: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
End stage renal disease co-morbidities ICD code  Find  Pt  ^Patient  Nom 
  Long Common Name:  End stage renal disease (ESRD) co-morbidities ICD code

OBSERVATION ID IN FORM
CMS-2728_A17

FORM CODING INSTRUCTIONS
Check all that apply currently and/or during the last 10 years

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.50
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1892-0)  
 
Externally Defined: Y
Source: Centers for Disease Control and Prevention
Link to external list: http://www.cdc.gov/nchs/icd.htm

SURVEY QUESTION
Text: Co-Morbid Conditions
Source: ESRD.RQMT_219

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134072-0  End stage renal disease co-morbidities ICD code   [End stage renal disease (ESRD) co-morbidities ICD code] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP57597-4  ICD 
Fragments for synonyms   LP34712-7  Renal 
Fragments for synonyms   LP21006-9  Disease 

RELATED NAMES
  Dis ESRD survey Nominal
  Dz Finding Point in time
  End-stage renal disease Findings Random
  ESRD International Classification of Diseases  
  ESRD co-morbidities ICD code Kidney  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:46 PM
  Attachment Units Required: N
  Long Common Name: End stage renal disease (ESRD) co-morbidities ICD code
  Fully Specified Name: End stage renal disease co-morbidities ICD code: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 8
  ID: 63688
  Status (Raw): TRIAL


67885-4   Received exogenous erythropoetin or equivalent prior to end stage renal disease therapyReceived exogenous erythropoetin or equivalent prior to end stage renal disease therapyReceived exogenous erythropoetin or equivalent prior to end stage renal disease therapy: Find: Pt: ^Patient: Ord:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy  Find  Pt  ^Patient  Ord 
  Long Common Name:  Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy

OBSERVATION ID IN FORM
CMS-2728_A18a

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1872-2)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Yes, <6mos       LA17807-1  
  2       Yes, 6-12 mos       LA17808-9  
  3       Yes, >12 mos       LA17809-7  
  4       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  LA32-8  
  5       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  LA4489-6  

SURVEY QUESTION
Text: Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy
Source: ESRD.RQMT_222

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134082-9  Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Fragments for synonyms   LP34712-7  Renal 
Fragments for synonyms   LP21006-9  Disease 

RELATED NAMES
  Dis Finding Qual
  Dz Findings Qualitative
  End-stage renal disease Kidney Random
  Erythropoetin prior to ESRD Ordinal Screen
  ESRD Point in time  
  ESRD survey QL  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:47 PM
  Attachment Units Required: N
  Long Common Name: Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy
  Fully Specified Name: Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy: Find: Pt: ^Patient: Ord:
     
  Component Word Count: 12
  ID: 63698
  Status (Raw): TRIAL


67886-2   Care by nephrologist prior to end stage renal disease therapyCare by nephrologist prior to end stage renal disease therapyCare by nephrologist prior to end stage renal disease therapy: Find: Pt: ^Patient: Ord:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Care by nephrologist prior to end stage renal disease therapy  Find  Pt  ^Patient  Ord 
  Long Common Name:  Care by nephrologist prior to end stage renal disease therapy

OBSERVATION ID IN FORM
CMS-2728_A18b

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1872-2)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Yes, <6mos       LA17807-1  
  2       Yes, 6-12 mos       LA17808-9  
  3       Yes, >12 mos       LA17809-7  
  4       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  LA32-8  
  5       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  LA4489-6  

SURVEY QUESTION
Text: Care by nephrologist prior to end stage renal disease therapy
Source: ESRD.RQMT_222

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134083-7  Care by nephrologist prior to end stage renal disease therapy 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Fragments for synonyms   LP21006-9  Disease 
Fragments for synonyms   LP34712-7  Renal 

RELATED NAMES
  Dis Findings Qual
  Dz Kidney Qualitative
  End-stage renal disease Nephrologist care prior to ESRD Random
  ESRD Ordinal Screen
  ESRD survey Point in time  
  Finding QL  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:47 PM
  Attachment Units Required: N
  Long Common Name: Care by nephrologist prior to end stage renal disease therapy
  Fully Specified Name: Care by nephrologist prior to end stage renal disease therapy: Find: Pt: ^Patient: Ord:
     
  Component Word Count: 10
  ID: 63699
  Status (Raw): TRIAL


67887-0   Care by kidney dietitian prior to end stage renal disease therapyCare by kidney dietitian prior to end stage renal disease therapyCare by kidney dietitian prior to end stage renal disease therapy: Find: Pt: ^Patient: Ord:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Care by kidney dietitian prior to end stage renal disease therapy  Find  Pt  ^Patient  Ord 
  Long Common Name:  Care by kidney dietitian prior to end stage renal disease therapy

OBSERVATION ID IN FORM
CMS-2728_A18c

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.40
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1872-2)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Yes, <6mos       LA17807-1  
  2       Yes, 6-12 mos       LA17808-9  
  3       Yes, >12 mos       LA17809-7  
  4       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  LA32-8  
  5       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  LA4489-6  

SURVEY QUESTION
Text: Care by kidney dietician prior to end stage renal disease therapy
Source: ESRD.RQMT_222

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134084-5  Care by kidney dietitian prior to end stage renal disease therapy 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Fragments for synonyms   LP21006-9  Disease 
Fragments for synonyms   LP34712-7  Renal 

RELATED NAMES
  Dis Findings Qual
  Dz Kidney Qualitative
  End-stage renal disease Kidney dietitian care prior to ESRD Random
  ESRD Ordinal Screen
  ESRD survey Point in time  
  Finding QL  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:47 PM
  Attachment Units Required: N
  Long Common Name: Care by kidney dietitian prior to end stage renal disease therapy
  Fully Specified Name: Care by kidney dietitian prior to end stage renal disease therapy: Find: Pt: ^Patient: Ord:
     
  Component Word Count: 11
  ID: 63700
  Status (Raw): TRIAL


67888-8   Vascular access for first outpatient dialysisVascular access for first outpatient dialysisVascular access for first outpatient dialysis: Type: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Vascular access for first outpatient dialysis  Type  Pt  ^Patient  Nom 
  Long Common Name:  Vascular access for first outpatient dialysis

OBSERVATION ID IN FORM
CMS-2728_A18d

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.40
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1873-0)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Code         Answer ID    
  1       Arteriovenous fistula (AVF)       1       LA17810-5  
  2       Graft       2       LA17811-3  
  3       Catheter       3       LA17812-1  
  4       Other access type       4       LA17813-9  

SURVEY QUESTION
Text: Access Type for First Outpatient Dialysis
Source: ESRD.RQMT_227

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP134085-2  Vascular access for first outpatient dialysis 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP100611-5  Outpatient 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Access type for OP dialysis ESRD survey Point in time
  Dialy Nominal Random
  ESRD OP Typ

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:48 PM
  Attachment Units Required: N
  Long Common Name: Vascular access for first outpatient dialysis
  Fully Specified Name: Vascular access for first outpatient dialysis: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 6
  ID: 63701
  Status (Raw): TRIAL


68449-8   Arteriovenous fistula maturityArteriovenous fistula maturityArteriovenous fistula maturity: Find: Pt: ^Patient: Ord:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Arteriovenous fistula maturity  Find  Pt  ^Patient  Ord 
  Long Common Name:  Arteriovenous fistula maturity

OBSERVATION ID IN FORM
CMS-2728_A18e

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1885-4)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Yes, present but not mature       LA17835-2  
  2       No, access not present, or present and not maturing       LA17836-0  

SURVEY QUESTION
Text: Is maturing AVF present?
Source: ESRD.RQMT_228

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  72055-7   Vascular access panel [ESRD]Vascular access panel [ESRD]Vascular access panel: -: Pt: ^Patient: -: ESRD

PARTS

Part Type    Part No.  Part Name   
Component   LP135390-5  Arteriovenous fistula maturity 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 

RELATED NAMES
  ESRD Ordinal Qualitative
  ESRD survey Point in time Random
  Finding QL Screen
  Findings Qual  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:48 PM
  Attachment Units Required: N
  Long Common Name: Arteriovenous fistula maturity
  Fully Specified Name: Arteriovenous fistula maturity: Find: Pt: ^Patient: Ord:
     
  Component Word Count: 3
  ID: 67758
  Status (Raw): TRIAL


68450-6   Graft maturityGraft maturityGraft maturity: Find: Pt: ^Patient: Ord:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Graft maturity  Find  Pt  ^Patient  Ord 
  Long Common Name:  Graft maturity

OBSERVATION ID IN FORM
CMS-2728_A18f

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.38
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL1885-4)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Yes, present but not mature       LA17835-2  
  2       No, access not present, or present and not maturing       LA17836-0  

SURVEY QUESTION
Text: Is maturing graft present?
Source: ESRD.RQMT_229

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:
  72055-7   Vascular access panel [ESRD]Vascular access panel [ESRD]Vascular access panel: -: Pt: ^Patient: -: ESRD

PARTS

Part Type    Part No.  Part Name   
Component   LP135391-3  Graft maturity 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 

RELATED NAMES
  ESRD Ordinal Qualitative
  ESRD survey Point in time Random
  Finding QL Screen
  Findings Qual  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:48 PM
  Attachment Units Required: N
  Long Common Name: Graft maturity
  Fully Specified Name: Graft maturity: Find: Pt: ^Patient: Ord:
     
  Component Word Count: 2
  ID: 67759
  Status (Raw): TRIAL


68996-8   Laboratory - end stage renal disease form 2728Laboratory - end stage renal disease form 2728Laboratory - end stage renal disease form 2728: -: Pt: ^Patient: -:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Laboratory - end stage renal disease form 2728  Pt  ^Patient 
  Long Common Name:  Laboratory - end stage renal disease form 2728

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.ESRD/Survey
  Panel Type: Panel
  First Released in Version: 2.38
  Last Updated in Version: 2.38
  Status: Trial – caution, may change

MEMBER OF THESE PANELS
  67868-0   End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728End stage renal disease medical evidence report, medicare entitlement &or patient registration - OMB CMS form 2728: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP135707-0  Laboratory - end stage renal disease form 2728 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP34712-7  Renal 
Fragments for synonyms   LP21006-9  Disease 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Dis ESRD survey Panl
  Dz Kidney Pnl
  End Stage Renal Disease (ESDR) pnl Laboratory - ESRD form 2728 Point in time
  End-stage renal disease Pan Random
  ESRD Panel  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 10:35:49 PM
  Attachment Units Required: N
  Long Common Name: Laboratory - end stage renal disease form 2728
  Fully Specified Name: Laboratory - end stage renal disease form 2728: -: Pt: ^Patient: -:
     
  Component Word Count: 7
  ID: 68307
  Status (Raw): TRIAL


1751-7   Albumin [Mass/​volume] in Serum or PlasmaAlbumin [Mass/​volume] in Serum or PlasmaAlbumin: MCnc: Pt: Ser/​Plas: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Albumin  MCnc  Pt  Ser/Plas  Qn 
  Consumer Name:  Albumin serum/plasma
  Long Common Name:  Albumin [Mass/volume] in Serum or Plasma
  Shortname:  Albumin SerPl-mCnc
  DisplayName:  Albumin [Mass/Vol]

PART DEFINITION/DESCRIPTION(S)
  Part: Albumin
  A non-glycosylated protein that is synthesized in the liver parenchymal cells, regulated by colloid osmotic pressure from interstitial fluid surrounding hepatocytes, and catabolized in nearly all organs. Albumin comprises >50% of plasma proteins in plasma, CSF and urine, and therefore is a key contributor to intravascular oncotic pressure and regulating fluid concentration in tissues. Albumin also binds and transports a variety of endogenous substances and medications. Serum albumin measurement is a reflection of hydration and nutritional status, blood oncotic pressure, liver and kidney function, and other chronic diseases, and the ratio of albumin in the CSF and serum can be used to evaluate blood brain barrier disorders. [Tietz] Urine albumin of less than 30 mg/day is considered normal. Microalbuminuria is defined as urine albumin of 30-300 mg/day and is an early sign of kidney damage from disorders such as diabetes or hypertension. Albuminuria is urine albumin >300 mg/day and is associated with overt kidney disease. [PMID: 25512779]
 
 

OBSERVATION ID IN FORM
CMS-2728_Aa1

OBSERVATION REQUIRED IN PANEL
Optional

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: CHEM/Lab
  CDISC Lab Test: Y
  Common Lab Results Rank: #20
  Common SI Lab Results Rank: #20
  Common Orders Rank: #210
  First Released in Version: 1.0
  Last Updated in Version: 2.34
  Mass or Substance Property: M
  Order vs. Obs.: Both
  Status: Active

MEMBER OF THESE PANELS
  24322-0   Comprehensive metabolic 1998 panel - Serum or PlasmaComprehensive metabolic 1998 panel - Serum or PlasmaComprehensive metabolic 1998 panel: -: Pt: Ser/​Plas: Qn:
  24323-8   Comprehensive metabolic 2000 panel - Serum or PlasmaComprehensive metabolic 2000 panel - Serum or PlasmaComprehensive metabolic 2000 panel: -: Pt: Ser/​Plas: Qn:
  24324-6   Hepatic function 1996 panel - Serum or PlasmaHepatic function 1996 panel - Serum or PlasmaHepatic function 1996 panel: -: Pt: Ser/​Plas: Qn:
  24325-3   Hepatic function 2000 panel - Serum or PlasmaHepatic function 2000 panel - Serum or PlasmaHepatic function 2000 panel: -: Pt: Ser/​Plas: Qn:
  24362-6   Renal function 2000 panel - Serum or PlasmaRenal function 2000 panel - Serum or PlasmaRenal function 2000 panel: -: Pt: Ser/​Plas: Qn:
  48811-4   Protein fractions 3 panel - Serum or PlasmaProtein fractions 3 panel - Serum or PlasmaProtein fractions 3 panel: -: Pt: Ser/​Plas: Qn:
  52744-0   Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - AdmissionContinuity assessment record and evaluation tool - Post acute care - admission: -: Pt: ^Patient: -: CARE
  52745-7 &n