71747-0  Facility panel [ESRD]Facility panel [ESRD]Facility panel: -: Pt: Facility: -: ESRD  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  71747-0   Facility panel [ESRD]Facility panel [ESRD]Facility panel: -: Pt: Facility: -: ESRD    
       52828-1   Federal provider name FacilityFederal provider name FacilityFederal provider name: ID: Pt: Facility: Nom:    
       65833-6   Facility AddressFacility AddressAddress: Addr: Pt: Facility: Nom:    
       52830-7   State, district or territory federal abbreviation FacilityState, district or territory federal abbreviation FacilityState, district or territory federal abbreviation: Loc: Pt: Facility: Nom:    
       52831-5   Postal code [Location] FacilityPostal code [Location] FacilityPostal code: Loc: Pt: Facility: Nom:    
       68330-0   Dialysis facility's CMS Certification Number (CCN) where the patient is receiving care    
       67879-7   Dialysis Facility Federal Provider Number (NPI)    
       71495-6   Network code Dialysis facility [ESRD]Network code Dialysis facility [ESRD]Network code: ID: Pt: Dialysis facility: Nom: ESRD    
       71496-4   Corporate organization code Dialysis facility [ESRD]Corporate organization code Dialysis facility [ESRD]Corporate organization code: ID: Pt: Dialysis facility: Nom: ESRD    
       71497-2   Dialysis organization affiliation Dialysis facility [ESRD]Dialysis organization affiliation Dialysis facility [ESRD]Dialysis organization affiliation: Type: Pt: Dialysis facility: Nom: ESRD    
       71497-2   Other dialysis organization affiliation    
       67878-9   Back-up facility name    
       71498-0   Manager Dialysis facility [ESRD]Manager Dialysis facility [ESRD]Manager: Find: Pt: Dialysis facility: Nom: ESRD    
       71498-0   Other manager    
       71499-8   Owner Dialysis facility [ESRD]Owner Dialysis facility [ESRD]Owner: Find: Pt: Dialysis facility: Nom: ESRD    
       71500-3   Program type    
       71501-1   Facility status    
       71502-9   Profit status Dialysis facility [ESRD]Profit status Dialysis facility [ESRD]Profit status: Type: Pt: Dialysis facility: Nom: ESRD    
       71503-7   Date opened Dialysis facility [ESRD]Date opened Dialysis facility [ESRD]Date opened: Date: Pt: Dialysis facility: Qn: ESRD    
       71504-5   Date closed Dialysis facility [ESRD]Date closed Dialysis facility [ESRD]Date closed: Date: Pt: Dialysis facility: Qn: ESRD    
       71505-2   Date changed ownership Dialysis facility [ESRD]Date changed ownership Dialysis facility [ESRD]Date changed ownership: Date: Pt: Dialysis facility: Qn: ESRD    
       71506-0   Date initially certified by medicare Dialysis facility [ESRD]Date initially certified by medicare Dialysis facility [ESRD]Date initially certified by medicare: Date: Pt: Dialysis facility: Qn: ESRD    
       52830-7   State, district or territory federal abbreviation FacilityState, district or territory federal abbreviation FacilityState, district or territory federal abbreviation: Loc: Pt: Facility: Nom:    
       52831-5   Postal code [Location] FacilityPostal code [Location] FacilityPostal code: Loc: Pt: Facility: Nom:    
       71534-2   Phone number Dialysis facility [ESRD]Phone number Dialysis facility [ESRD]Phone number: Tele: Pt: Dialysis facility: Nom: ESRD    
       71509-4   Phone number extension Dialysis facility [ESRD]Phone number extension Dialysis facility [ESRD]Phone number extension: Tele: Pt: Dialysis facility: Nom: ESRD    
       65650-4   E-mail    
       71508-6   Website Dialysis facility [ESRD]Website Dialysis facility [ESRD]Website: Find: Pt: Dialysis facility: Nom: ESRD    
       71507-8   Fax number Dialysis facility [ESRD]Fax number Dialysis facility [ESRD]Fax number: Tele: Pt: Dialysis facility: Nom: ESRD    
       71752-0   Primary contact first name FacilityPrimary contact first name FacilityPrimary contact first name: Pn: Pt: Facility: Nom:    
       71753-8   Primary contact last name FacilityPrimary contact last name FacilityPrimary contact last name: Pn: Pt: Facility: Nom:    
       71751-2   Primary contact phone number FacilityPrimary contact phone number FacilityPrimary contact phone number: Tele: Pt: Facility: Nom:    
       71750-4   Primary contact phone number extension FacilityPrimary contact phone number extension FacilityPrimary contact phone number extension: Tele: Pt: Facility: Nom:    
       71766-0   Primary contact email FacilityPrimary contact email FacilityPrimary contact email: EmailAddr: Pt: Facility: Nom:    
       71521-9   Location type    
       71510-2   Medicaid certified stations Dialysis facility # [ESRD]Medicaid certified stations Dialysis facility # [ESRD]Medicaid certified stations: Num: Pt: Dialysis facility: Qn: ESRD   {#} 
       71511-0   Isolation stations Dialysis facility # [ESRD]Isolation stations Dialysis facility # [ESRD]Isolation stations: Num: Pt: Dialysis facility: Qn: ESRD   {#} 
       71748-8   Total dialysis stations Facility # [ESRD]Total dialysis stations Facility # [ESRD]Total dialysis stations: Num: Pt: Facility: Qn: ESRD   {#} 
       71512-8   Medicare certified services offered Dialysis facility [ESRD]Medicare certified services offered Dialysis facility [ESRD]Medicare certified services offered: Find: Pt: Dialysis facility: Nom: ESRD    
       71513-6   Non-medicare certified services offered Dialysis facility [ESRD]Non-medicare certified services offered Dialysis facility [ESRD]Non-medicare certified services offered: Find: Pt: Dialysis facility: Nom: ESRD    
       71514-4   Opening time Dialysis facility [ESRD]Opening time Dialysis facility [ESRD]Opening time: TmStp: Pt: Dialysis facility: Qn: ESRD    
       71515-1   Closing time Dialysis facility [ESRD]Closing time Dialysis facility [ESRD]Closing time: TmStp: Pt: Dialysis facility: Qn: ESRD    
       71533-4   Dialysis shifts Dialysis facility # [ESRD]Dialysis shifts Dialysis facility # [ESRD]Dialysis shifts: Num: Pt: Dialysis facility: Qn: ESRD   {#} 
       71745-4   Day closed FacilityDay closed FacilityDay closed: Type: Pt: Facility: Nom:    
       69417-4   CMS certification number (CCN) for FacilityCMS certification number (CCN) for FacilityCMS certification number: ID: Pt: Facility: Nom:    
       71522-7   Certified program Dialysis facility [ESRD]Certified program Dialysis facility [ESRD]Certified program: Type: Pt: Dialysis facility: Nom: ESRD    
       71523-5   Date personnel record submitted Dialysis facility [ESRD]Date personnel record submitted Dialysis facility [ESRD]Date personnel record submitted: Date: Pt: Dialysis facility: Qn: ESRD    
       49549-9   Reference lab test methodReference lab test methodReference lab test method: Type: Pt: Reference lab test: Nar:    
       8278-4   Formula used to compute body surface areaFormula used to compute body surface areaFormula used to compute body surface area: Type: Pt: Formula: Nom: *    
       45399-3   Back up federal provider number    
       71524-3   Partial owner organization Dialysis facility [ESRD]Partial owner organization Dialysis facility [ESRD]Partial owner organization: Find: Pt: Dialysis facility: Nom: ESRD    
       71524-3   Other partial owner organization    
       71525-0   Authorized batch submitting organization Agency [ESRD]Authorized batch submitting organization Agency [ESRD]Authorized batch submitting organization: Find: Pt: Agency: Nom: ESRD    
       46456-0   CMS certification number (CCN) Agency [OASIS]CMS certification number (CCN) Agency [OASIS]CMS certification number: ID: Pt: Agency: Nom: OASIS    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Facility panel  Pt  Facility  ESRD
  Long Common Name:  Facility panel [ESRD]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.ESRD/Survey
  Panel Type: Panel
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

PARTS

Part Type    Part No.  Part Name   
Component   LP150142-0  Facility panel 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7747-1 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  End Stage Renal Disease Facility Pnl Point in time
  End Stage Renal Disease (ESDR) pnl Pan Random
  ESRD Panl Survey
  ESRD survey Pnl  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:51 PM
  Long Common Name: Facility panel [ESRD]
  Fully Specified Name: Facility panel: -: Pt: Facility: -: ESRD
     
  Component Word Count: 2
  ID: 71092
  # of Panel Elements: 54
  Status (Raw): TRIAL



Selected information about each LOINC that is part of this panel



52828-1   Federal provider name FacilityFederal provider name FacilityFederal provider name: ID: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Federal provider name  ID  Pt  Facility  Nom 
  Long Common Name:  Federal provider name Facility

OBSERVATION ID IN FORM
RQMT_2

BASIC ATTRIBUTES
  Class/Type: SURVEY.NMMDS/Survey
  First Released in Version: 2.24
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52826-5 Nursing Management Minimum Data Set panel [NMMDS]
  71531-8 ESRD hospitalization panel
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74834-0  Federal provider name 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP91336-5  NMMDS 

RELATED NAMES
  Ident Nursing Management Minimum Data Set Survey
  Identifier Point in time SURVEY.NMMDS
  Nominal Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:51 PM
  Attachment Units Required: N
  Long Common Name: Federal provider name Facility
  Fully Specified Name: Federal provider name: ID: Pt: Facility: Nom:
     
  Component Word Count: 3
  ID: 46971
  Status (Raw): ACTIVE


65833-6   Facility AddressFacility AddressAddress: Addr: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Address  Addr  Pt  Facility  Nom 
  Long Common Name:  Facility Address

OBSERVATION ID IN FORM
RQMT_3

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.36
  Last Updated in Version: 2.64
  Order vs. Obs.: Order
  Status: Active.
Change Reason: Changed Long Commmon Name from "Address Facility" to "Facility Address" for clarity.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  62949-3 PhenX domain - Gastrointestinal
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  71747-0 Facility panel [ESRD]
  80399-9 Occupational exposure information panel
  89070-7 ADAPTABLE patient reported item set [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)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

RELATED NAMES
  Address Nominal Survey
  ESRD Point in time  
  ESRD survey Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:51 PM
  Attachment Units Required: N
  Long Common Name: Facility Address
  Fully Specified Name: Address: Addr: Pt: Facility: Nom:
     
  Component Word Count: 1
  ID: 61429
  Status (Raw): ACTIVE


52830-7   State, district or territory federal abbreviation FacilityState, district or territory federal abbreviation FacilityState, district or territory federal abbreviation: Loc: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
State, district or territory federal abbreviation  Loc  Pt  Facility  Nom 
  Long Common Name:  State, district or territory federal abbreviation Facility

TERM DEFINITION/DESCRIPTION(S)
  Geographic location - State or Territory of the facility where the service was provided or originated as defined by the United States Postal Service (http://www.itl.nist.gov/fipspubs/)
 
 

OBSERVATION ID IN FORM
RQMT_6

BASIC ATTRIBUTES
  Class/Type: SURVEY.NMMDS/Survey
  First Released in Version: 2.24
  Last Updated in Version: 2.27
  Status: Active

EXAMPLE ANSWERS
  AL, AK, etc

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52826-5 Nursing Management Minimum Data Set panel [NMMDS]
  62611-9 PhenX domain - Respiratory
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75674-9  State, district or territory federal abbreviation 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP91336-5  NMMDS 

RELATED NAMES
  Location Point in time SURVEY.NMMDS
  Nominal Random  
  Nursing Management Minimum Data Set Survey  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX091601240000   PX091601_State_Region   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:52 PM
  Attachment Units Required: N
  Long Common Name: State, district or territory federal abbreviation Facility
  Fully Specified Name: State, district or territory federal abbreviation: Loc: Pt: Facility: Nom:
     
  Component Word Count: 6
  ID: 46974
  Status (Raw): ACTIVE


52831-5   Postal code [Location] FacilityPostal code [Location] FacilityPostal code: Loc: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Postal code  Loc  Pt  Facility  Nom 
  Long Common Name:  Postal code [Location] Facility
  Short Name:  Postal code Facility

OBSERVATION ID IN FORM
RQMT_7

BASIC ATTRIBUTES
  Class/Type: ADMIN.FACILITY/Clinical
  First Released in Version: 2.24
  Last Updated in Version: 2.66
  Status: Active.
Change Reason: "Postal code" is the more universal nomenclature for this concept. Added a synonym of "Zip code" so users will still be able to find this term. Updated Class from "SURVEY.NMMDS" to "ADMIN.FACILITY".

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52826-5 Nursing Management Minimum Data Set panel [NMMDS]
  71747-0 Facility panel [ESRD]
  75854-0 PCORnet common data model set - version 1.0 [PCORnet]
  76464-7 American Physical Therapy Association registry panel
  78000-7 Case notification panel [CDC.PHIN]
  80399-9 Occupational exposure information panel
  85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75910-7  Postal code 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP345099-8  Postal code 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  邮政编码:位置:时间点:设施:名义型:邮政编码:位置:时间点:设施: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:Struttura:Nom:Codice di avviamento postale:Loc:Pt:Struttura:Nom:

RELATED NAMES
  ADMIN Point in time  
  Location Random  
  Nominal ZIP code  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX091601250000   PX091601_Zip_Code   

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:52 PM
  Attachment Units Required: N
  Long Common Name: Postal code [Location] Facility
  Shortname: Postal code Facility
  Fully Specified Name: Postal code: Loc: Pt: Facility: Nom:
     
  Component Word Count: 2
  ID: 46975
  Status (Raw): ACTIVE


68330-0   CMS certification number - CCN Dialysis facilityCMS certification number - CCN Dialysis facilityCMS certification number - CCN: ID: Pt: Dialysis facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
CMS certification number - CCN  ID  Pt  Dialysis facility  Nom 
  Long Common Name:  CMS certification number - CCN Dialysis facility

OBSERVATION ID IN FORM
RQMT_11

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

SURVEY QUESTION
Text: Dialysis facility's CMS Certification Number (CCN) where the patient is receiving care
Source: ESRD.RQMT_250

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP136194-0  CMS certification number - CCN 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  CCN Ident Point in time
  CMS certification # Identifier Random
  Dialy No Survey
  ESRD Nominal  
  ESRD survey Num  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:52 PM
  Attachment Units Required: N
  Long Common Name: CMS certification number - CCN Dialysis facility
  Fully Specified Name: CMS certification number - CCN: ID: Pt: Dialysis facility: Nom:
     
  Component Word Count: 4
  ID: 67639
  Status (Raw): TRIAL


67879-7   Dialysis facility NPI Dialysis facilityDialysis facility NPI Dialysis facilityDialysis facility NPI: ID: Pt: Dialysis facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Dialysis facility NPI  ID  Pt  Dialysis facility  Nom 
  Long Common Name:  Dialysis facility NPI Dialysis facility

OBSERVATION ID IN FORM
RQMT_12

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    (LL512-5)  
 
Externally Defined: Y
Source: Centers for Medicare & Medicaid Services
Link to external list: https://nppes.cms.hhs.gov/

SURVEY QUESTION
Text: Dialysis Facility Federal Provider Number (NPI)
Source: ESRD.RQMT_250

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP134075-3  Dialysis facility NPI 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP20688-5  Dialysis 
Fragments for synonyms   LP57596-6  NPI 

RELATED NAMES
  Dialy Identifier Random
  ESRD National Provider Identifier Survey
  ESRD survey Nominal  
  Ident Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:53 PM
  Attachment Units Required: N
  Long Common Name: Dialysis facility NPI Dialysis facility
  Fully Specified Name: Dialysis facility NPI: ID: Pt: Dialysis facility: Nom:
     
  Component Word Count: 3
  ID: 63691
  Status (Raw): TRIAL


71495-6   Network code Dialysis facility [ESRD]Network code Dialysis facility [ESRD]Network code: ID: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Network code  ID  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Network code Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the ESRD Network assigned and maintained facility code.
 
 

OBSERVATION ID IN FORM
RQMT_13

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_13

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149850-2  Network code 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Ident Random
  End Stage Renal Disease Identifier Survey
  ESRD Nominal  
  ESRD survey Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:53 PM
  Attachment Units Required: N
  Long Common Name: Network code Dialysis facility [ESRD]
  Fully Specified Name: Network code: ID: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 2
  ID: 70822
  Status (Raw): TRIAL


71496-4   Corporate organization code Dialysis facility [ESRD]Corporate organization code Dialysis facility [ESRD]Corporate organization code: ID: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Corporate organization code  ID  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Corporate organization code Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the facility code if one is assigned by the facility's Corporate Organization.
 
 

OBSERVATION ID IN FORM
RQMT_14

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_14

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149851-0  Corporate organization code 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Ident Point in time
  End Stage Renal Disease Identifier Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:53 PM
  Attachment Units Required: N
  Long Common Name: Corporate organization code Dialysis facility [ESRD]
  Fully Specified Name: Corporate organization code: ID: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 3
  ID: 70823
  Status (Raw): TRIAL


71497-2   Dialysis organization affiliation Dialysis facility [ESRD]Dialysis organization affiliation Dialysis facility [ESRD]Dialysis organization affiliation: Type: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Dialysis organization affiliation  Type  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Dialysis organization affiliation Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the dialysis organization that the facility states they are affiliated with.
 
 

OBSERVATION ID IN FORM
RQMT_15

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_15

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149852-8  Dialysis organization affiliation 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Nominal Survey
  End Stage Renal Disease Point in time Typ
  ESRD survey Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:53 PM
  Attachment Units Required: N
  Long Common Name: Dialysis organization affiliation Dialysis facility [ESRD]
  Fully Specified Name: Dialysis organization affiliation: Type: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 3
  ID: 70824
  Status (Raw): TRIAL


71497-2   Dialysis organization affiliation Dialysis facility [ESRD]Dialysis organization affiliation Dialysis facility [ESRD]Dialysis organization affiliation: Type: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Dialysis organization affiliation  Type  Pt  Dialysis facility  Nom  ESRD
  Override Display Name for Form:  Other dialysis organization affiliation
  Long Common Name:  Dialysis organization affiliation Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the dialysis organization that the facility states they are affiliated with.
 
 

OBSERVATION ID IN FORM
RQMT_16

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_15

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149852-8  Dialysis organization affiliation 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Nominal Survey
  End Stage Renal Disease Point in time Typ
  ESRD survey Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:53 PM
  Attachment Units Required: N
  Long Common Name: Dialysis organization affiliation Dialysis facility [ESRD]
  Fully Specified Name: Dialysis organization affiliation: Type: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 3
  ID: 70824
  Status (Raw): TRIAL


67878-9   Facility name Dialysis facilityFacility name Dialysis facilityFacility name: ID: Pt: Dialysis facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Facility name  ID  Pt  Dialysis facility  Nom 
  Override Display Name for Form:  Back-up facility name
  Long Common Name:  Facility name Dialysis facility

OBSERVATION ID IN FORM
RQMT_18

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

SURVEY QUESTION
Text: Dialysis facility name
Source: ESRD.RQMT_249

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP135310-3  Facility name 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Ident Point in time
  ESRD Identifier Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:53 PM
  Attachment Units Required: N
  Long Common Name: Facility name Dialysis facility
  Fully Specified Name: Facility name: ID: Pt: Dialysis facility: Nom:
     
  Component Word Count: 2
  ID: 63690
  Status (Raw): TRIAL


71498-0   Manager Dialysis facility [ESRD]Manager Dialysis facility [ESRD]Manager: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Manager  Find  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Manager Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates who manages the facility; may not be the same as ownership.
 
 

OBSERVATION ID IN FORM
RQMT_25

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2138-7)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       DaVita Dialysis Clinic, Inc       LA18640-5  
  2       Fresenius Medical Care       LA18641-3  

SURVEY QUESTION
Source: ESRD.RQMT_25

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149853-6  Manager 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:53 PM
  Attachment Units Required: N
  Long Common Name: Manager Dialysis facility [ESRD]
  Fully Specified Name: Manager: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 1
  ID: 70825
  Status (Raw): TRIAL


71498-0   Manager Dialysis facility [ESRD]Manager Dialysis facility [ESRD]Manager: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Manager  Find  Pt  Dialysis facility  Nom  ESRD
  Override Display Name for Form:  Other manager
  Long Common Name:  Manager Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates who manages the facility; may not be the same as ownership.
 
 

OBSERVATION ID IN FORM
RQMT_26

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2138-7)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       DaVita Dialysis Clinic, Inc       LA18640-5  
  2       Fresenius Medical Care       LA18641-3  

SURVEY QUESTION
Source: ESRD.RQMT_25

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149853-6  Manager 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:54 PM
  Attachment Units Required: N
  Long Common Name: Manager Dialysis facility [ESRD]
  Fully Specified Name: Manager: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 1
  ID: 70825
  Status (Raw): TRIAL


71499-8   Owner Dialysis facility [ESRD]Owner Dialysis facility [ESRD]Owner: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Owner  Find  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Owner Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates who owns the facility.
 
 

OBSERVATION ID IN FORM
RQMT_27

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2138-7)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       DaVita Dialysis Clinic, Inc       LA18640-5  
  2       Fresenius Medical Care       LA18641-3  

SURVEY QUESTION
Source: ESRD.RQMT_27

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149854-4  Owner 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:54 PM
  Attachment Units Required: N
  Long Common Name: Owner Dialysis facility [ESRD]
  Fully Specified Name: Owner: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 1
  ID: 70826
  Status (Raw): TRIAL


71500-3   Program Dialysis facility [ESRD]Program Dialysis facility [ESRD]Program: Type: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Program  Type  Pt  Dialysis facility  Nom  ESRD
  Override Display Name for Form:  Program type
  Long Common Name:  Program Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates whether facility is a transplant or dialysis facility.
 
 

OBSERVATION ID IN FORM
RQMT_29

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2135-3)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Transplant       LA17844-4  
  2       Dialysis       LA7216-0  

SURVEY QUESTION
Source: ESRD.RQMT_29

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149855-1  Program 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Nominal Survey
  End Stage Renal Disease Point in time Typ
  ESRD survey Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:54 PM
  Attachment Units Required: N
  Long Common Name: Program Dialysis facility [ESRD]
  Fully Specified Name: Program: Type: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 1
  ID: 70827
  Status (Raw): TRIAL


71501-1   Open-closed status Dialysis facility [ESRD]Open-closed status Dialysis facility [ESRD]Open-closed Status: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Open-closed Status  Find  Pt  Dialysis facility  Nom  ESRD
  Override Display Name for Form:  Facility status
  Long Common Name:  Open-closed status Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates whether facility is open or closed.
 
 

OBSERVATION ID IN FORM
RQMT_30

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2110-6)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Open       LA9227-5  
  2       Closed       LA9228-3  

SURVEY QUESTION
Source: ESRD.RQMT_30

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149856-9  Open-closed status 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:55 PM
  Attachment Units Required: N
  Long Common Name: Open-closed status Dialysis facility [ESRD]
  Fully Specified Name: Open-closed Status: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 3
  ID: 70828
  Status (Raw): TRIAL


71502-9   Profit status Dialysis facility [ESRD]Profit status Dialysis facility [ESRD]Profit status: Type: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Profit status  Type  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Profit status Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates whether the facility is for profit or not for profit.
 
 

OBSERVATION ID IN FORM
RQMT_31

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2112-2)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Profit       LA16385-9  
  2       Not for profit       LA18639-7  

SURVEY QUESTION
Source: ESRD.RQMT_31

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149857-7  Profit status 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Nominal Survey
  End Stage Renal Disease Point in time Typ
  ESRD survey Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:55 PM
  Attachment Units Required: N
  Long Common Name: Profit status Dialysis facility [ESRD]
  Fully Specified Name: Profit status: Type: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 2
  ID: 70829
  Status (Raw): TRIAL


71503-7   Date opened Dialysis facility [ESRD]Date opened Dialysis facility [ESRD]Date opened: Date: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date opened  Date  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Date opened Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the date the facility opened.
 
 

OBSERVATION ID IN FORM
RQMT_32

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_32

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149858-5  Date opened 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy QNT Random
  End Stage Renal Disease Quan Survey
  ESRD survey Quant  
  Point in time Quantitative  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:55 PM
  Attachment Units Required: N
  Long Common Name: Date opened Dialysis facility [ESRD]
  Fully Specified Name: Date opened: Date: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 2
  ID: 70830
  Status (Raw): TRIAL


71504-5   Date closed Dialysis facility [ESRD]Date closed Dialysis facility [ESRD]Date closed: Date: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date closed  Date  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Date closed Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the date the facility closed permanently -- not temporarily due to a disaster.
 
 

OBSERVATION ID IN FORM
RQMT_33

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_33

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149859-3  Date closed 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy QNT Random
  End Stage Renal Disease Quan Survey
  ESRD survey Quant  
  Point in time Quantitative  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:55 PM
  Attachment Units Required: N
  Long Common Name: Date closed Dialysis facility [ESRD]
  Fully Specified Name: Date closed: Date: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 2
  ID: 70831
  Status (Raw): TRIAL


71505-2   Date changed ownership Dialysis facility [ESRD]Date changed ownership Dialysis facility [ESRD]Date changed ownership: Date: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date changed ownership  Date  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Date changed ownership Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the date the facility's change of ownership was effective.
 
 

OBSERVATION ID IN FORM
RQMT_34

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_34

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149860-1  Date changed ownership 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy QNT Random
  End Stage Renal Disease Quan Survey
  ESRD survey Quant  
  Point in time Quantitative  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:55 PM
  Attachment Units Required: N
  Long Common Name: Date changed ownership Dialysis facility [ESRD]
  Fully Specified Name: Date changed ownership: Date: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 3
  ID: 70832
  Status (Raw): TRIAL


71506-0   Date initially certified by medicare Dialysis facility [ESRD]Date initially certified by medicare Dialysis facility [ESRD]Date initially certified by medicare: Date: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date initially certified by medicare  Date  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Date initially certified by medicare Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the date the facility was initially certified by Medicare.
 
 

OBSERVATION ID IN FORM
RQMT_36

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_36

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149861-9  Date initially certified by medicare 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy QNT Random
  End Stage Renal Disease Quan Survey
  ESRD survey Quant  
  Point in time Quantitative  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:55 PM
  Attachment Units Required: N
  Long Common Name: Date initially certified by medicare Dialysis facility [ESRD]
  Fully Specified Name: Date initially certified by medicare: Date: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 5
  ID: 70833
  Status (Raw): TRIAL


52830-7   State, district or territory federal abbreviation FacilityState, district or territory federal abbreviation FacilityState, district or territory federal abbreviation: Loc: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
State, district or territory federal abbreviation  Loc  Pt  Facility  Nom 
  Long Common Name:  State, district or territory federal abbreviation Facility

TERM DEFINITION/DESCRIPTION(S)
  Geographic location - State or Territory of the facility where the service was provided or originated as defined by the United States Postal Service (http://www.itl.nist.gov/fipspubs/)
 
 

OBSERVATION ID IN FORM
RQMT_42

BASIC ATTRIBUTES
  Class/Type: SURVEY.NMMDS/Survey
  First Released in Version: 2.24
  Last Updated in Version: 2.27
  Status: Active

EXAMPLE ANSWERS
  AL, AK, etc

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52826-5 Nursing Management Minimum Data Set panel [NMMDS]
  62611-9 PhenX domain - Respiratory
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75674-9  State, district or territory federal abbreviation 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP91336-5  NMMDS 

RELATED NAMES
  Location Point in time SURVEY.NMMDS
  Nominal Random  
  Nursing Management Minimum Data Set Survey  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX091601240000   PX091601_State_Region   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:55 PM
  Attachment Units Required: N
  Long Common Name: State, district or territory federal abbreviation Facility
  Fully Specified Name: State, district or territory federal abbreviation: Loc: Pt: Facility: Nom:
     
  Component Word Count: 6
  ID: 46974
  Status (Raw): ACTIVE


52831-5   Postal code [Location] FacilityPostal code [Location] FacilityPostal code: Loc: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Postal code  Loc  Pt  Facility  Nom 
  Long Common Name:  Postal code [Location] Facility
  Short Name:  Postal code Facility

OBSERVATION ID IN FORM
RQMT_43

BASIC ATTRIBUTES
  Class/Type: ADMIN.FACILITY/Clinical
  First Released in Version: 2.24
  Last Updated in Version: 2.66
  Status: Active.
Change Reason: "Postal code" is the more universal nomenclature for this concept. Added a synonym of "Zip code" so users will still be able to find this term. Updated Class from "SURVEY.NMMDS" to "ADMIN.FACILITY".

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52826-5 Nursing Management Minimum Data Set panel [NMMDS]
  71747-0 Facility panel [ESRD]
  75854-0 PCORnet common data model set - version 1.0 [PCORnet]
  76464-7 American Physical Therapy Association registry panel
  78000-7 Case notification panel [CDC.PHIN]
  80399-9 Occupational exposure information panel
  85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75910-7  Postal code 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP345099-8  Postal code 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  邮政编码:位置:时间点:设施:名义型:邮政编码:位置:时间点:设施: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:Struttura:Nom:Codice di avviamento postale:Loc:Pt:Struttura:Nom:

RELATED NAMES
  ADMIN Point in time  
  Location Random  
  Nominal ZIP code  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX091601250000   PX091601_Zip_Code   

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Attachment Units Required: N
  Long Common Name: Postal code [Location] Facility
  Shortname: Postal code Facility
  Fully Specified Name: Postal code: Loc: Pt: Facility: Nom:
     
  Component Word Count: 2
  ID: 46975
  Status (Raw): ACTIVE


71534-2   Phone number Dialysis facility [ESRD]Phone number Dialysis facility [ESRD]Phone number: Tele: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Phone number  Tele  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Phone number Dialysis facility [ESRD]

OBSERVATION ID IN FORM
RQMT_45

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_45

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP120627-7  Phone number 
Property   LP6871-0  Tele   [Telephone number (HL7 datatype)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Num Telecommunication number
  End Stage Renal Disease Phone # Telephone number
  ESRD survey Point in time  
  No Random  
  Nominal Survey  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Attachment Units Required: N
  Long Common Name: Phone number Dialysis facility [ESRD]
  Fully Specified Name: Phone number: Tele: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 2
  ID: 70861
  Status (Raw): TRIAL


71509-4   Phone number extension Dialysis facility [ESRD]Phone number extension Dialysis facility [ESRD]Phone number extension: Tele: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Phone number extension  Tele  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Phone number extension Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the extension number for personnel's business phone number.
 
 

OBSERVATION ID IN FORM
RQMT_46

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.66
  Status: Trial – caution, may change.
Change Reason: Updated Component from "Phone extension" to align with existing phone number terms.

SURVEY QUESTION
Source: ESRD.RQMT_46

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149864-3  Phone number extension 
Property   LP6871-0  Tele   [Telephone number (HL7 datatype)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 
Fragments for synonyms   LP34039-5  Extension 

RELATED NAMES
  Dialy Nominal Random
  End Stage Renal Disease Num Survey
  ESRD survey Phone # Telecommunication number
  EXT Phone # ext Telephone number
  No Point in time  

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Attachment Units Required: N
  Long Common Name: Phone number extension Dialysis facility [ESRD]
  Fully Specified Name: Phone number extension: Tele: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 3
  ID: 70836
  Status (Raw): TRIAL


65650-4   Email address FacilityEmail address FacilityEmail address: EmailAddr: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Email address  EmailAddr  Pt  Facility  Nom 
  Long Common Name:  Email address Facility
  Short Name:  Email address Facility

OBSERVATION ID IN FORM
RQMT_47

BASIC ATTRIBUTES
  Class/Type: ADMIN.FACILITY/Clinical
  First Released in Version: 2.36
  Last Updated in Version: 2.66
  Status: Active.
Change Reason: Updated the PhenX ID from "PhenX." to "PX" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Updated Component from "E-mail" to "Email address" and Class from "PHENX" to "ADMIN.FACILITY" to align with existing terms.

SURVEY QUESTION
Text: E-mail
Source: PX091601270000

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  62611-9 PhenX domain - Respiratory
  71747-0 Facility panel [ESRD]
  80399-9 Occupational exposure information panel
  

PARTS

Part Type    Part No.  Part Name   
Component   LP188959-3  Email address 
Property   LP91370-4  EmailAddr   [Email Address] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
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)
 
  电子邮件地址:电子邮件地址:时间点:设施:名义型:电子邮件地址:电子邮件地址:时间点:设施:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Indirizzo email:Indirizzo email:Pt:Struttura:Nom:Indirizzo email:Indirizzo email:Pt:Struttura:Nom:

RELATED NAMES
  ADMIN Random  
  Nominal    
  Point in time    

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX091601270000   PX091601_Email   

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Attachment Units Required: N
  Long Common Name: Email address Facility
  Shortname: Email address Facility
  Fully Specified Name: Email address: EmailAddr: Pt: Facility: Nom:
     
  Component Word Count: 2
  ID: 61189
  Status (Raw): ACTIVE


71508-6   Website Dialysis facility [ESRD]Website Dialysis facility [ESRD]Website: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Website  Find  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Website Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the facility's website address (URL).
 
 

OBSERVATION ID IN FORM
RQMT_48

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_49

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149863-5  Website 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Attachment Units Required: N
  Long Common Name: Website Dialysis facility [ESRD]
  Fully Specified Name: Website: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 1
  ID: 70835
  Status (Raw): TRIAL


71507-8   Fax number Dialysis facility [ESRD]Fax number Dialysis facility [ESRD]Fax number: Tele: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Fax number  Tele  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Fax number Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates facility's main fax number.
 
 

OBSERVATION ID IN FORM
RQMT_49

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_48

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149862-7  Fax number 
Property   LP6871-0  Tele   [Telephone number (HL7 datatype)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Nominal Survey
  End Stage Renal Disease Num Telecommunication number
  ESRD survey Point in time Telephone number
  No Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Attachment Units Required: N
  Long Common Name: Fax number Dialysis facility [ESRD]
  Fully Specified Name: Fax number: Tele: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 2
  ID: 70834
  Status (Raw): TRIAL


71752-0   Primary contact first name FacilityPrimary contact first name FacilityPrimary contact first name: Pn: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Primary contact first name  Pn  Pt  Facility  Nom 
  Long Common Name:  Primary contact first name Facility

TERM DEFINITION/DESCRIPTION(S)
  Indicates the primary contact personnel's legal first name.
 
 

OBSERVATION ID IN FORM
RQMT_50

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.64
  Status: Active.
Change Reason: Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE".

SURVEY QUESTION
Source: ESRD.RQMT_50

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  91704-7 Primary contact information panel Facility
  

PARTS

Part Type    Part No.  Part Name   
Component   LP150137-0  Primary contact first name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Nominal Random
  ESRD survey Person name Survey
  Given name Point in time  

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Long Common Name: Primary contact first name Facility
  Fully Specified Name: Primary contact first name: Pn: Pt: Facility: Nom:
     
  Component Word Count: 4
  ID: 71104
  Status (Raw): ACTIVE


71753-8   Primary contact last name FacilityPrimary contact last name FacilityPrimary contact last name: Pn: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Primary contact last name  Pn  Pt  Facility  Nom 
  Long Common Name:  Primary contact last name Facility

TERM DEFINITION/DESCRIPTION(S)
  Indicates the primary contact personnel's legal last name.
 
 

OBSERVATION ID IN FORM
RQMT_51

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.64
  Status: Active.
Change Reason: Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE".

SURVEY QUESTION
Source: ESRD.RQMT_51

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  91704-7 Primary contact information panel Facility
  

PARTS

Part Type    Part No.  Part Name   
Component   LP150136-2  Primary contact last name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP200101-6  Last 

RELATED NAMES
  ESRD Past Random
  ESRD survey Person name Survey
  Nominal Point in time  

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Long Common Name: Primary contact last name Facility
  Fully Specified Name: Primary contact last name: Pn: Pt: Facility: Nom:
     
  Component Word Count: 4
  ID: 71105
  Status (Raw): ACTIVE


71751-2   Primary contact phone number FacilityPrimary contact phone number FacilityPrimary contact phone number: Tele: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Primary contact phone number  Tele  Pt  Facility  Nom 
  Long Common Name:  Primary contact phone number Facility

TERM DEFINITION/DESCRIPTION(S)
  Indicates the primary contact personnel's business phone number.
 
 

OBSERVATION ID IN FORM
RQMT_52

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.66
  Status: Active.
Change Reason: Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE".

SURVEY QUESTION
Source: ESRD.RQMT_52

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  91704-7 Primary contact information panel Facility
  

PARTS

Part Type    Part No.  Part Name   
Component   LP150138-8  Primary contact phone number 
Property   LP6871-0  Tele   [Telephone number (HL7 datatype)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Phone # Telecommunication number
  ESRD survey Point in time Telephone number
  No Primary contact phone #  
  Nominal Random  
  Num Survey  

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Long Common Name: Primary contact phone number Facility
  Fully Specified Name: Primary contact phone number: Tele: Pt: Facility: Nom:
     
  Component Word Count: 4
  ID: 71103
  Status (Raw): ACTIVE


71750-4   Primary contact phone number extension FacilityPrimary contact phone number extension FacilityPrimary contact phone number extension: Tele: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Primary contact phone number extension  Tele  Pt  Facility  Nom 
  Long Common Name:  Primary contact phone number extension Facility

TERM DEFINITION/DESCRIPTION(S)
  Indicates the extension number for the primary contact personnel's business phone number.
 
 

OBSERVATION ID IN FORM
RQMT_53

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.66
  Status: Active.
Change Reason: Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE".

SURVEY QUESTION
Source: ESRD.RQMT_53

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  91704-7 Primary contact information panel Facility
  

PARTS

Part Type    Part No.  Part Name   
Component   LP150139-6  Primary contact phone number extension 
Property   LP6871-0  Tele   [Telephone number (HL7 datatype)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP34039-5  Extension 

RELATED NAMES
  ESRD Phone # Survey
  ESRD survey Phone # ext Telecommunication number
  EXT Point in time Telephone number
  No Primary contact phone #  
  Nominal Primary contact phone # ext  
  Num Random  

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Long Common Name: Primary contact phone number extension Facility
  Fully Specified Name: Primary contact phone number extension: Tele: Pt: Facility: Nom:
     
  Component Word Count: 5
  ID: 71102
  Status (Raw): ACTIVE


71766-0   Primary contact email FacilityPrimary contact email FacilityPrimary contact email: EmailAddr: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Primary contact email  EmailAddr  Pt  Facility  Nom 
  Long Common Name:  Primary contact email Facility

OBSERVATION ID IN FORM
RQMT_54

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.64
  Status: Active.
Change Reason: Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE".

SURVEY QUESTION
Source: ESRD.RQMT_54

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  91704-7 Primary contact information panel Facility
  

PARTS

Part Type    Part No.  Part Name   
Component   LP150154-5  Primary contact email 
Property   LP91370-4  EmailAddr   [Email Address] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Point in time  
  ESRD survey Random  
  Nominal Survey  

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:56 PM
  Long Common Name: Primary contact email Facility
  Fully Specified Name: Primary contact email: EmailAddr: Pt: Facility: Nom:
     
  Component Word Count: 3
  ID: 71119
  Status (Raw): ACTIVE


71521-9   Location Dialysis facility [ESRD]Location Dialysis facility [ESRD]Location: Type: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Location  Type  Pt  Dialysis facility  Nom  ESRD
  Override Display Name for Form:  Location type
  Long Common Name:  Location Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the type of location where services are provided.
 
 

OBSERVATION ID IN FORM
RQMT_55

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_55

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149876-7  Location 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Nominal Survey
  End Stage Renal Disease Point in time Typ
  ESRD survey Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Location Dialysis facility [ESRD]
  Fully Specified Name: Location: Type: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 1
  ID: 70848
  Status (Raw): TRIAL


71510-2   Medicaid certified stations Dialysis facility # [ESRD]Medicaid certified stations Dialysis facility # [ESRD]Medicaid certified stations: Num: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medicaid certified stations  Num  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Medicaid certified stations Dialysis facility # [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  The total number of stations that are Medicare certified at the facility.
 
 

OBSERVATION ID IN FORM
RQMT_56

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.48
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_56

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149865-0  Medicaid certified stations 
Property   LP6841-3  Num   [Number (count)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Cnt Number Quantitative
  Count Point in time Random
  Dialy QNT Survey
  End Stage Renal Disease Quan  
  ESRD survey Quant  

EXAMPLE UNITS
  Unit  Source Type
  {#}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {#} 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Medicaid certified stations Dialysis facility # [ESRD]
  Fully Specified Name: Medicaid certified stations: Num: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 3
  ID: 70837
  Status (Raw): TRIAL


71511-0   Isolation stations Dialysis facility # [ESRD]Isolation stations Dialysis facility # [ESRD]Isolation stations: Num: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Isolation stations  Num  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Isolation stations Dialysis facility # [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  The total number of isolations stations at the facility.
 
 

OBSERVATION ID IN FORM
RQMT_57

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.48
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_57

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149866-8  Isolation stations 
Property   LP6841-3  Num   [Number (count)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 
Fragments for synonyms   LP21398-0  Isolation 

RELATED NAMES
  Cnt Isol Quant
  Count Number Quantitative
  Dialy Point in time Random
  End Stage Renal Disease QNT Survey
  ESRD survey Quan  

EXAMPLE UNITS
  Unit  Source Type
  {#}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {#} 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Isolation stations Dialysis facility # [ESRD]
  Fully Specified Name: Isolation stations: Num: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 2
  ID: 70838
  Status (Raw): TRIAL


71748-8   Total dialysis stations Facility # [ESRD]Total dialysis stations Facility # [ESRD]Total dialysis stations: Num: Pt: Facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Total dialysis stations  Num  Pt  Facility  Qn  ESRD
  Long Common Name:  Total dialysis stations Facility # [ESRD]

OBSERVATION ID IN FORM
RQMT_58

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_58

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP150141-2  Total dialysis stations 
Property   LP6841-3  Num   [Number (count)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 
Fragments for synonyms   LP21089-5  Total 

RELATED NAMES
  Cnt Point in time Survey
  Count QNT Tot
  Dialy Quan Totl
  End Stage Renal Disease Quant  
  ESRD survey Quantitative  
  Number Random  

EXAMPLE UNITS
  Unit  Source Type
  {#}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {#} 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Long Common Name: Total dialysis stations Facility # [ESRD]
  Fully Specified Name: Total dialysis stations: Num: Pt: Facility: Qn: ESRD
     
  Component Word Count: 3
  ID: 71094
  Status (Raw): TRIAL


71512-8   Medicare certified services offered Dialysis facility [ESRD]Medicare certified services offered Dialysis facility [ESRD]Medicare certified services offered: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medicare certified services offered  Find  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Medicare certified services offered Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates all of the Medicare-certified services the facility offers.
 
 

OBSERVATION ID IN FORM
RQMT_59

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2111-4)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Hemodialysis       LA9975-9  
  2       Peritoneal Dialysis       LA10059-6  
  3       Transplantation       LA18638-9  
  4       Home training - hemodialysis       LA18634-8  
  5       Home training - peritoneal dialysis       LA18635-5  
  6       Home support - hemodialysis       LA18637-1  
  7       Home support - peritoneal dialysis       LA18636-3  

SURVEY QUESTION
Source: ESRD.RQMT_59

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149867-6  Medicare certified services offered 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Medicare certified services offered Dialysis facility [ESRD]
  Fully Specified Name: Medicare certified services offered: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 4
  ID: 70839
  Status (Raw): TRIAL


71513-6   Non-medicare certified services offered Dialysis facility [ESRD]Non-medicare certified services offered Dialysis facility [ESRD]Non-medicare certified services offered: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Non-medicare certified services offered  Find  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Non-medicare certified services offered Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates all additional or non-certified services the facility offers.
 
 

OBSERVATION ID IN FORM
RQMT_60

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2111-4)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Hemodialysis       LA9975-9  
  2       Peritoneal Dialysis       LA10059-6  
  3       Transplantation       LA18638-9  
  4       Home training - hemodialysis       LA18634-8  
  5       Home training - peritoneal dialysis       LA18635-5  
  6       Home support - hemodialysis       LA18637-1  
  7       Home support - peritoneal dialysis       LA18636-3  

SURVEY QUESTION
Source: ESRD.RQMT_60

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149868-4  Non-medicare certified services offered 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Non-medicare certified services offered Dialysis facility [ESRD]
  Fully Specified Name: Non-medicare certified services offered: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 5
  ID: 70840
  Status (Raw): TRIAL


71514-4   Opening time Dialysis facility [ESRD]Opening time Dialysis facility [ESRD]Opening time: TmStp: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Opening time  TmStp  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Opening time Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the time that the facility opens each day of the week.
 
 

OBSERVATION ID IN FORM
RQMT_61

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_61

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149869-2  Opening time 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Date and time QNT Survey
  Dialy Quan Time stamp
  End Stage Renal Disease Quant Timestamp
  ESRD survey Quantitative  
  Point in time Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Opening time Dialysis facility [ESRD]
  Fully Specified Name: Opening time: TmStp: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 2
  ID: 70841
  Status (Raw): TRIAL


71515-1   Closing time Dialysis facility [ESRD]Closing time Dialysis facility [ESRD]Closing time: TmStp: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Closing time  TmStp  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Closing time Dialysis facility [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the time that the facility closes each day of the week.
 
 

OBSERVATION ID IN FORM
RQMT_62

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_62

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149870-0  Closing time 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Date and time QNT Survey
  Dialy Quan Time stamp
  End Stage Renal Disease Quant Timestamp
  ESRD survey Quantitative  
  Point in time Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Closing time Dialysis facility [ESRD]
  Fully Specified Name: Closing time: TmStp: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 2
  ID: 70842
  Status (Raw): TRIAL


71533-4   Dialysis shifts Dialysis facility # [ESRD]Dialysis shifts Dialysis facility # [ESRD]Dialysis shifts: Num: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Dialysis shifts  Num  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Dialysis shifts Dialysis facility # [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  The number of dialysis shifts the facility offers each day of the week.
 
 

OBSERVATION ID IN FORM
RQMT_63

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.48
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_63

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149887-4  Dialysis shifts 
Property   LP6841-3  Num   [Number (count)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Cnt Number Quantitative
  Count Point in time Random
  Dialy QNT Survey
  End Stage Renal Disease Quan  
  ESRD survey Quant  

EXAMPLE UNITS
  Unit  Source Type
  {#}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {#} 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Attachment Units Required: N
  Long Common Name: Dialysis shifts Dialysis facility # [ESRD]
  Fully Specified Name: Dialysis shifts: Num: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 2
  ID: 70860
  Status (Raw): TRIAL


71745-4   Day closed FacilityDay closed FacilityDay closed: Type: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Day closed  Type  Pt  Facility  Nom 
  Long Common Name:  Day closed Facility

TERM DEFINITION/DESCRIPTION(S)
  Indicates that the facility is not open for business on the identified day of the week.
 
 

OBSERVATION ID IN FORM
RQMT_64

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.64
  Status: Active.
Change Reason: Changed Property from TmStp and Scale from Qn since this term is used to report the day of the week (Monday, Tuesday, etc.) that the facility is not open.; Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE".

SURVEY QUESTION
Source: ESRD.RQMT_64

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP150145-3  Day closed 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

RELATED NAMES
  ESRD Point in time Typ
  ESRD survey Random  
  Nominal Survey  

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:57 PM
  Long Common Name: Day closed Facility
  Fully Specified Name: Day closed: Type: Pt: Facility: Nom:
     
  Component Word Count: 2
  ID: 71090
  Status (Raw): ACTIVE


69417-4   CMS certification number (CCN) for FacilityCMS certification number (CCN) for FacilityCMS certification number: ID: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
CMS certification number  ID  Pt  Facility  Nom 
  Long Common Name:  CMS certification number (CCN) for Facility
  Short Name:  CMS certification # Facility

OBSERVATION ID IN FORM
RQMT_65

BASIC ATTRIBUTES
  Class/Type: ADMIN.FACILITY/Clinical
  First Released in Version: 2.38
  Last Updated in Version: 2.66
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Removed "-CCN" from COMPONENT and added "(CCN)" to the Long Common Name because the abbreviation is redundant in the formal name.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  54580-6 Minimum Data Set - version 3.0
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  71747-0 Facility panel [ESRD]
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74461-2  CMS certification number   [CMS certification number (CCN)] 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
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)
 
  CMS 证书编号:标识符:时间点:设施:名义型:CMS 证书编号:标识符:时间点:设施:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Numero di certificazione CMS:ID:Pt:Struttura:Nom:Numero di certificazione CMS:ID:Pt:Struttura:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном:CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном:

RELATED NAMES
  ADMIN Identifier Point in time
  CCN No Random
  CMS certification # Nominal  
  Ident Num  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   1B     2.0 
   CMS IRF-PAI   1B     3.0 
   CMS IRF-PAI   1B     1.5 
   CMS IRF-PAI   1B     1.4 
   CMS LCDS   A0100B     3.00 
   CMS LCDS   A0100B     4.00 
   CMS MDS   A0100B     1.16.1 
   CMS MDS   A0100B     1.15.1 
   CMS MDS   A0100B     1.14.1 
   CMS MDS   A0100B     1.17.1 
   CMS OASIS   M0010     D 
   CMS OASIS   M0010     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:58 PM
  Attachment Units Required: N
  Long Common Name: CMS certification number (CCN) for Facility
  Shortname: CMS certification # Facility
  Fully Specified Name: CMS certification number: ID: Pt: Facility: Nom:
     
  Component Word Count: 3
  ID: 68728
  Status (Raw): ACTIVE


71522-7   Certified program Dialysis facility [ESRD]Certified program Dialysis facility [ESRD]Certified program: Type: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Certified program  Type  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Certified program Dialysis facility [ESRD]

OBSERVATION ID IN FORM
RQMT_66

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

EXAMPLE ANSWER LIST    (LL2142-9)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       Pending certification       LA18819-5  
  2       Medicare       LA15652-3  
  3       Prison       LA18820-3  
  4       Acute
Description: Condition of less than 3 to 6 months duration
  LA18821-1  
  5       DME supplier       LA18822-9  
  6       Military       LA15280-3  
  7       Special purpose       LA18823-7  
  8       Air Force       LA18824-5  
  9       Army       LA18825-2  
  10       Navy       LA18826-0  
  11       Other       LA46-8  
  12       VA       LA18827-8  

SURVEY QUESTION
Source: ESRD.RQMT_65

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149877-5  Certified program 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Nominal Survey
  End Stage Renal Disease Point in time Typ
  ESRD survey Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:58 PM
  Attachment Units Required: N
  Long Common Name: Certified program Dialysis facility [ESRD]
  Fully Specified Name: Certified program: Type: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 2
  ID: 70849
  Status (Raw): TRIAL


71523-5   Date personnel record submitted Dialysis facility [ESRD]Date personnel record submitted Dialysis facility [ESRD]Date personnel record submitted: Date: Pt: Dialysis facility: Qn: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date personnel record submitted  Date  Pt  Dialysis facility  Qn  ESRD
  Long Common Name:  Date personnel record submitted Dialysis facility [ESRD]

OBSERVATION ID IN FORM
RQMT_73

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_109

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71746-2 Personnel contact information panel [ESRD] Personnel
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149878-3  Date personnel record submitted 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7753-9  Qn 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy QNT Random
  End Stage Renal Disease Quan Survey
  ESRD survey Quant  
  Point in time Quantitative  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:58 PM
  Attachment Units Required: N
  Long Common Name: Date personnel record submitted Dialysis facility [ESRD]
  Fully Specified Name: Date personnel record submitted: Date: Pt: Dialysis facility: Qn: ESRD
     
  Component Word Count: 4
  ID: 70850
  Status (Raw): TRIAL


49549-9   Reference lab test methodReference lab test methodReference lab test method: Type: Pt: Reference lab test: Nar:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reference lab test method  Type  Pt  Reference lab test  Nar 
  Long Common Name:  Reference lab test method
  Short Name:  Ref lab test method
  Display Name:  Reference Lab Test Method

OBSERVATION ID IN FORM
RQMT_75

BASIC ATTRIBUTES
  Class/Type: MISC/Lab
  First Released in Version: 2.22
  Last Updated in Version: 2.66
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Corrected Timing from "XXX" to "Pt".

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  51991-8 Reference lab test panel
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP64582-7  Reference lab test method 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP6989-0  Reference lab test 
Scale   LP7749-7  Nar 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  参比实验室检验项目方法:类型:时间点:参比实验室检验项目:叙述型:参比实验室检验项目方法:类型:时间点:参比实验室检验项目:叙述型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  referentielab testmethode:type:moment:referentielab test:tekstueel:referentielab testmethode:type:moment:referentielab test:tekstueel:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Laboratorio di riferimento, metodo test:Tipo:Pt:Laboratorio di riferimento, test:Nar:Laboratorio di riferimento, metodo test:Tipo:Pt:Laboratorio di riferimento, test:Nar:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Método do teste de laboratório de referência:Tipo:XXX:Teste de referência lAcoratorial:Nar:Método do teste de laboratório de referência:Tipo:XXX:Teste de referência lAcoratorial:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Референсная лаборатория тест метод:Тип:ТчкВрм:Референсная лаборатория тест:Опис:Референсная лаборатория тест метод:Тип:ТчкВрм:Референсная лаборатория тест:Опис:
  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.)
 
  Método de referencia de una prueba de laboratorio:Tipo:Punto temporal:Prueba de referencia:Narrativo:Método de referencia de una prueba de laboratorio:Tipo:Punto temporal:Prueba de referencia:Narrativo:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Referans lab test yöntemi:Tip:Zmlı:Referans lab testi:Öykü:Referans lab test yöntemi:Tip:Zmlı:Referans lab testi:Öykü:

RELATED NAMES
  Meth Point in time Report
  Method of Random Test mthd
  MISC Ref Lab Test Typ
  Narrative Ref lab test method  

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:58 PM
  Attachment Units Required: N
  Long Common Name: Reference lab test method
  Shortname: Ref lab test method
  Fully Specified Name: Reference lab test method: Type: Pt: Reference lab test: Nar:
     
  Component Word Count: 4
  ID: 43307
  Status (Raw): ACTIVE


8278-4   Formula used to compute body surface areaFormula used to compute body surface areaFormula used to compute body surface area: Type: Pt: Formula: Nom: *  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Formula used to compute body surface area  Type  Pt  Formula  Nom  *
  Long Common Name:  Formula used to compute body surface area
  Short Name:  BSA formula

OBSERVATION ID IN FORM
RQMT_77

BASIC ATTRIBUTES
  Class/Type: BDYSURF.ATOM/Clinical
  First Released in Version: 1.0h(2)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72177-6  Formula used to compute body surface area 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7250-6  Formula 
Scale   LP7750-5  Nom 
Method   LP28805-7 
Fragments for synonyms   LP21372-5  Surface 
Fragments for synonyms   LP28569-9  Body 
Fragments for synonyms   LP28659-8  Body surface area 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  体表面积计算公式:类型:时间点:公式:名义型:*体表面积计算公式:类型:时间点:公式:名义型:*
  French (FRANCE)  (From: ASIP Santé (Agence des systèmes d'information partagés de santé))
 
  Formula used to compute body surface area:Type:Pt:Formula:Nom:-Formula used to compute body surface area:Type:Pt:Formula:Nom:-Formule utilisée pour calculer la surface corporelle [Type] Formule ; Résultat nominal
  German (GERMANY)  (From: Institute for Medical Documentation and Information (DIMDI))
 
  Formel zur Berechnung der Körperoberfläche:Typ:Pkt:Formel:Nom:*Formel zur Berechnung der Körperoberfläche:Typ:Pkt:Formel:Nom:*
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Formula usata per calcolare l'area della superficie corporea:Tipo:Pt:Formula:Nom:*Formula usata per calcolare l'area della superficie corporea:Tipo:Pt:Formula:Nom:*
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Fórmula utilizada para calcular a superfície corporal:Tipo:Pt:Fórmula:Nom:*Fórmula utilizada para calcular a superfície corporal:Tipo:Pt:Fórmula:Nom:*
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Формула, использованная для расчёта тело поверхность площадь:Тип:ТчкВрм:Формула:Ном:*Формула, использованная для расчёта тело поверхность площадь:Тип:ТчкВрм:Формула:Ном:*
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fórmula del área de superficie corporal:tipo:punto en el tiempo:fórmula:Nominal:*fórmula del área de superficie corporal:tipo:punto en el tiempo:fórmula:Nominal:*

RELATED NAMES
  Bdy surface BSA Random
  bod BSA formula Surf
  Bodies Nominal Typ
  BODY SURFACE AREA.ATOM Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:58 PM
  Long Common Name: Formula used to compute body surface area
  Shortname: BSA formula
  Fully Specified Name: Formula used to compute body surface area: Type: Pt: Formula: Nom: *
     
  Component Word Count: 7
  ID: 65791
  Status (Raw): ACTIVE


45399-3   Federal provider number FacilityFederal provider number FacilityFederal provider number: ID: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Federal provider number  ID  Pt  Facility  Nom 
  Override Display Name for Form:  Back up federal provider number
  Long Common Name:  Federal provider number Facility

OBSERVATION ID IN FORM
RQMT_830

BASIC ATTRIBUTES
  Class/Type: SURVEY.MDS/Survey
  First Released in Version: 2.17
  Last Updated in Version: 2.34
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  52826-5 Nursing Management Minimum Data Set panel [NMMDS]
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74835-7  Federal provider number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

RELATED NAMES
  Federal provider # Nominal Survey
  Ident Num SURVEY.MDS
  Identifier Point in time  
  No Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:58 PM
  Attachment Units Required: N
  Long Common Name: Federal provider number Facility
  Fully Specified Name: Federal provider number: ID: Pt: Facility: Nom:
     
  Component Word Count: 3
  ID: 38748
  Status (Raw): ACTIVE


71524-3   Partial owner organization Dialysis facility [ESRD]Partial owner organization Dialysis facility [ESRD]Partial owner organization: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Partial owner organization  Find  Pt  Dialysis facility  Nom  ESRD
  Long Common Name:  Partial owner organization Dialysis facility [ESRD]

OBSERVATION ID IN FORM
RQMT_1133

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2113-0)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       DaVita Dialysis Clinic, Inc       LA18640-5  
  2       Fresenius Medical Care       LA18641-3  
  3       National Renal Administrators Association-NRAA       LA18642-1  

SURVEY QUESTION
Source: ESRD.RQMT_1133

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149879-1  Partial owner organization 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:58 PM
  Attachment Units Required: N
  Long Common Name: Partial owner organization Dialysis facility [ESRD]
  Fully Specified Name: Partial owner organization: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 3
  ID: 70851
  Status (Raw): TRIAL


71524-3   Partial owner organization Dialysis facility [ESRD]Partial owner organization Dialysis facility [ESRD]Partial owner organization: Find: Pt: Dialysis facility: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Partial owner organization  Find  Pt  Dialysis facility  Nom  ESRD
  Override Display Name for Form:  Other partial owner organization
  Long Common Name:  Partial owner organization Dialysis facility [ESRD]

OBSERVATION ID IN FORM
RQMT_1134

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

NORMATIVE ANSWER LIST    (LL2113-0)  
 
Source: 3M Health Information Systems
  SEQ#        Answer        Answer ID    
  1       DaVita Dialysis Clinic, Inc       LA18640-5  
  2       Fresenius Medical Care       LA18641-3  
  3       National Renal Administrators Association-NRAA       LA18642-1  

SURVEY QUESTION
Source: ESRD.RQMT_1133

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149879-1  Partial owner organization 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP149849-4  Dialysis facility 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 
Fragments for synonyms   LP20688-5  Dialysis 

RELATED NAMES
  Dialy Finding Point in time
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:59 PM
  Attachment Units Required: N
  Long Common Name: Partial owner organization Dialysis facility [ESRD]
  Fully Specified Name: Partial owner organization: Find: Pt: Dialysis facility: Nom: ESRD
     
  Component Word Count: 3
  ID: 70851
  Status (Raw): TRIAL


71525-0   Authorized batch submitting organization Agency [ESRD]Authorized batch submitting organization Agency [ESRD]Authorized batch submitting organization: Find: Pt: Agency: Nom: ESRD  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Authorized batch submitting organization  Find  Pt  Agency  Nom  ESRD
  Long Common Name:  Authorized batch submitting organization Agency [ESRD]

TERM DEFINITION/DESCRIPTION(S)
  Indicates the Batch Submitting Organization who is specified on the facility's Delegation of Authority form (CMS-10268).
 
 

OBSERVATION ID IN FORM
RQMT_1135

BASIC ATTRIBUTES
  Class/Type: SURVEY.ESRD/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.44
  Status: Trial – caution, may change

SURVEY QUESTION
Source: ESRD.RQMT_1135

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  71747-0 Facility panel [ESRD]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP149880-9  Authorized batch submitting organization 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP40483-7  Agency 
Scale   LP7750-5  Nom 
Method   LP146090-8  ESRD   [End Stage Renal Disease] 

RELATED NAMES
  End Stage Renal Disease Findings Random
  ESRD survey Nominal Survey
  Finding Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:59 PM
  Attachment Units Required: N
  Long Common Name: Authorized batch submitting organization Agency [ESRD]
  Fully Specified Name: Authorized batch submitting organization: Find: Pt: Agency: Nom: ESRD
     
  Component Word Count: 4
  ID: 70852
  Status (Raw): TRIAL


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

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

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

OBSERVATION ID IN FORM
RQMT_1137

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

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

PARTS

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 3:03:59 PM
  Attachment Units Required: N
  Long Common Name: CMS certification number (CCN) Agency [OASIS]
  Fully Specified Name: CMS certification number: ID: Pt: Agency: Nom: OASIS
     
  Component Word Count: 3
  ID: 39890
  Status (Raw): ACTIVE