86259-9  Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Transfer to inpatient facility - patient discharged or not discharged: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  86259-9   Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]Outcome and assessment information set (OASIS) form - version C2 - Transfer to inpatient facility - patient discharged or not discharged: -: Pt: ^Patient: -: CMS Assessment    
       86257-3   CLINICAL RECORD ITEMS    
            46500-5   Discipline of Person Completing Assessment    
            46501-3   Date Assessment Completed   {mm/dd/yyyy} 
            57200-8   This Assessment is Currently Being Completed for the Following Reason    
       86256-5   PATIENT HISTORY AND DIAGNOSIS    
            85915-7   InfluenzaVaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?    
            57208-1   Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year’s flu season    
            85916-5   Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?    
            45956-0   Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason    
       57045-7   CARDIAC STATUS    
            57239-6   Symptoms in Heart Failure Patients    
            57240-4   Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure at the time of or at any time since the most recent SOC/ROC assessment, what action(s) has (have) been taken to respond? 1..5   
       86258-1   MEDICATIONS    
            57256-0   Medication Intervention    
            57195-0   Patient/Caregiver Drug Education Intervention    
       57052-3   EMERGENT CARE    
            57276-8   Emergent Care: At the time of or at any time since the most recent SOC/ROC assessment has the patient utilized a hospital emergency department (includes holding/observation status)?    
            57277-6   Reason For Emergent Care: For what reason(s) did the patient seek and/or receive emergent care (with or without hospitalization)? 1..19   
       86260-7   DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY    
            57198-4   Intervention Synopsis: At the time of or at any time since the most recent SOC/ROC assessment, were the following interventions BOTH included in the physician-ordered plan or care AND implemented?    
                 57270-1   Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care    
                 57271-9   Falls prevention interventions    
                 57272-7   Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment    
                 57273-5   Intervention(s) to monitor and mitigate pain    
                 57274-3   Intervention(s) to prevent pressure ulcers    
                 57275-0   Pressure ulcer treatment based on principles of moist wound healing    
            46578-1   To which Inpatient Facility has the patient been admitted?    
            57279-2   Reason for Hospitalization: For what reason(s) did the patient require hospitalization? 1..20   
            46581-5   Date of Last (Most Recent) Home Visit   {mm/dd/yyyy} 
            46582-3   Discharge/Transfer/Death Date   {mm/dd/yyyy} 
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Outcome and assessment information set (OASIS) form - version C2 - Transfer to inpatient facility - patient discharged or not discharged  Pt  ^Patient  CMS Assessment
  Long Common Name:  Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  This information is collected at Transfer to Inpatient Facility, with or without Discharge from Home Health Agency. This panel should be used for CMS OASIS-C2 Transfer to inpatient facility - patient discharged or not discharged assessments performed between January 1, 2017 and December 31, 2018.
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Panel
  First Released in Version: 2.63
  Last Updated in Version: 2.66
  Order vs. Obs.: Order
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP249863-4  Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Panel Random
  Form version PANEL.SURVEY.CMS Survey
  LTPAC Panl  
  Outcome and assessment information set Pnl  
  Pan Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Long Common Name: Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  Fully Specified Name: Outcome and assessment information set (OASIS) form - version C2 - Transfer to inpatient facility - patient discharged or not discharged: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 18
  ID: 91800
  # of Panel Elements: 31
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



86257-3   Clinical Record Items - transfer or discharge [CMS Assessment]Clinical Record Items - transfer or discharge [CMS Assessment]Clinical record items - transfer or discharge: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Clinical record items - transfer or discharge  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  CLINICAL RECORD ITEMS
  Long Common Name:  Clinical Record Items - transfer or discharge [CMS Assessment]

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88370-2 Outcome and assessment information set (OASIS) form - version D - Discharged from agency - death at home [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250643-6  Clinical record items - transfer or discharge 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP100598-4  Discharge 

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

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Long Common Name: Clinical Record Items - transfer or discharge [CMS Assessment]
  Fully Specified Name: Clinical record items - transfer or discharge: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 6
  ID: 91798
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M0080

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Attachment Units Required: N
  Long Common Name: Discipline of Person Completing Assessment Provider [CMS Assessment]
  Fully Specified Name: Discipline of person completing assessment: Type: Pt: Provider: Nom: CMS Assessment
     
  Component Word Count: 5
  ID: 38414
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M0090

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

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

PARTS

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

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

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

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

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Attachment Units Required: N
  Long Common Name: Date assessment information completed [CMS Assessment]
  Fully Specified Name: Date assessment information completed: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 4
  ID: 38415
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M0100

SKIP LOGIC
If 6, go to M1041. If 7, go to M1041.

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Attachment Units Required: N
  Long Common Name: Reason for assessment [CMS Assessment]
  Fully Specified Name: Reason for assessment: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 51830
  Status (Raw): ACTIVE


86256-5   Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]Patient history and diagnoses - transfer or discharge from agency: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient history and diagnoses - transfer or discharge from agency  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  PATIENT HISTORY AND DIAGNOSIS
  Long Common Name:  Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250644-4  Patient history and diagnoses - transfer or discharge from agency 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP91302-7  History 

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

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Long Common Name: Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]
  Fully Specified Name: Patient history and diagnoses - transfer or discharge from agency: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 9
  ID: 91797
  Status (Raw): ACTIVE


85915-7   Episode of care includes influenza vaccination season [CMS Assessment]Episode of care includes influenza vaccination season [CMS Assessment]Episode of care includes influenza vaccination season: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Episode of care includes influenza vaccination season  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  InfluenzaVaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?
  Long Common Name:  Episode of care includes influenza vaccination season [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Episode of care (defined as SOC/ROC to Transfer/Discharge) includes any dates on or between October 1 and March 31
 
 

OBSERVATION ID IN FORM
M1041

SKIP LOGIC
If 0, go to M1051

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

NORMATIVE ANSWER LIST    (LL4256-5)  
 
Source: National Institutes of Health Toolbox
  SEQ#        Answer        Score        Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249825-3  Episode of care includes influenza vaccination season 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1041     D 
   CMS OASIS   M1041     C2 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Long Common Name: Episode of care includes influenza vaccination season [CMS Assessment]
  Fully Specified Name: Episode of care includes influenza vaccination season: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 91454
  Status (Raw): ACTIVE


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

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Influenza virus vaccination received  Find  RptPeriod  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year’s flu season
  Long Common Name:  Influenza vaccination received in Reporting Period [CMS Assessment]

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

OBSERVATION ID IN FORM
M1046

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "vaccination received" to the Component for consistent modeling across LOINC vaccination terms.; Added "virus" to Component to be consistent with other "Influenza virus" terms.

NORMATIVE ANSWER LIST    (LL4495-9)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Yes; received from your agency during this episode of care (SOC/ROC to Transfer/Discharge)       1       LA27623-0  
  2       Yes; received from your agency during a prior episode of care (SOC/ROC to Transfer/Discharge)       2       LA27624-8  
  3       Yes; received from another health care provider (for example, physician, pharmacist)       3       LA27625-5  
  4       No; patient offered and declined       4       LA27626-3  
  5       No; patient assessed and determined to have medical contraindication(s)       5       LA27627-1  
  6       No; not indicated - patient does not meet age/condition guidelines for influenza vaccine       6       LA27628-9  
  7       No; inability to obtain vaccine due to declared shortage       7       LA27629-7  
  8       No; patient did not receive the vaccine due to reasons other than those listed in responses 4-7.       8       LA27630-5  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C LL780-8 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL780-8 NORMATIVE 3
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL780-8 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4495-9 NORMATIVE 8
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4495-9 NORMATIVE 8
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4495-9 NORMATIVE 8
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4495-9 NORMATIVE 8
  

MEMBER OF THESE EQUIVALENCE GROUPS
  LG32757-3  Influenza virus

PARTS

Part Type    Part No.  Part Name   
Component   LP156336-2  Influenza virus vaccination received 
Property   LP6813-2  Find   [Finding] 
Time   LP190654-6  RptPeriod   [Reporting Period] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Influenza vacc received Screen
  Finding Ordinal Survey
  Findings QL  
  FLUV Qual  
  Influ Qualitative  

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Attachment Units Required: N
  Long Common Name: Influenza vaccination received in Reporting Period [CMS Assessment]
  Fully Specified Name: Influenza virus vaccination received: Find: RptPeriod: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 4
  ID: 51839
  Status (Raw): ACTIVE


85916-5   Pneumococcal vaccination received [CMS Assessment]Pneumococcal vaccination received [CMS Assessment]Pneumococcal vaccination received: Find: Lifetime: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Pneumococcal vaccination received  Find  Lifetime  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?
  Long Common Name:  Pneumococcal vaccination received [CMS Assessment]

OBSERVATION ID IN FORM
M1051

SKIP LOGIC
If Yes, Go to M1501 at TRN; Go to M1230 at DC

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

NORMATIVE ANSWER LIST    (LL4256-5)  
 
Source: National Institutes of Health Toolbox
  SEQ#        Answer        Score        Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249826-1  Pneumococcal vaccination received 
Property   LP6813-2  Find   [Finding] 
Time   LP203024-7  Lifetime 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Ordinal Qualitative
  Finding Ql Screen
  Findings Qual Survey

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1051     D 
   CMS OASIS   M1051     C2 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:13 PM
  Long Common Name: Pneumococcal vaccination received [CMS Assessment]
  Fully Specified Name: Pneumococcal vaccination received: Find: Lifetime: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 3
  ID: 91455
  Status (Raw): ACTIVE


45956-0   Reason pneumococcal vaccine not received [CMS Assessment]Reason pneumococcal vaccine not received [CMS Assessment]Reason pneumococcal vaccine not received: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason pneumococcal vaccine not received  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason
  Long Common Name:  Reason pneumococcal vaccine not received [CMS Assessment]

OBSERVATION ID IN FORM
M1056

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.17
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from MDS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL4497-5)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Offered and declined       1       LA186-9  
  2       Assessed and determined to have medical contraindication(s)       2       LA12154-3  
  3       Not indicated; patient does not meet age/condition guidelines for Pneumococcal Vaccine       3       LA27632-1  
  4       None of the above       4       LA9-3  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  45981-8 MDS full assessment form - version 2.0 LL49-8 NORMATIVE 3
  46076-6 Minimum Data Set (MDS) supplemental items section - version 2.0 LL49-8 NORMATIVE 3
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update LL49-8 NORMATIVE 3
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care LL677-6 NORMATIVE 3
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission LL677-6 NORMATIVE 3
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge LL677-6 NORMATIVE 3
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim LL677-6 NORMATIVE 3
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission LL677-6 NORMATIVE 3
  54580-6 Minimum Data Set - version 3.0 LL677-6 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4497-5 NORMATIVE 4
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4497-5 NORMATIVE 4
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  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] LL677-6 NORMATIVE 3
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  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] LL677-6 NORMATIVE 3
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4497-5 NORMATIVE 4
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4497-5 NORMATIVE 4
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL677-6 NORMATIVE 3
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75498-3  Reason pneumococcal vaccine not received 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   O0300B     1.16.1 
   CMS MDS   O0300B     1.15.1 
   CMS MDS   O0300B     1.14.1 
   CMS MDS   O0300B     1.17.1 
   CMS OASIS   M1056     D 
   CMS OASIS   M1056     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Reason pneumococcal vaccine not received [CMS Assessment]
  Fully Specified Name: Reason pneumococcal vaccine not received: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 5
  ID: 39352
  Status (Raw): ACTIVE


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

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

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Subset
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  

PARTS

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Cardiac status
  Fully Specified Name: Cardiac status: -: Pt: ^Patient: -:
     
  Component Word Count: 2
  ID: 51668
  Status (Raw): ACTIVE


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

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Symptoms in heart failure patients  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Symptoms in Heart Failure Patients
  Long Common Name:  Symptoms in heart failure patients [CMS Assessment]

OBSERVATION ID IN FORM
M1501

SKIP LOGIC
If 0, go to M2005 at TRN. If 2, go to M2005 at TRN. If NA, go to M2005 at TRN.

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

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

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97165-2  Symptoms in heart failure patients 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Symptoms in heart failure patients [CMS Assessment]
  Fully Specified Name: Symptoms in heart failure patients: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 5
  ID: 51873
  Status (Raw): ACTIVE


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

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Heart failure follow-up  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure at the time of or at any time since the most recent SOC/ROC assessment, what action(s) has (have) been taken to respond?
  Long Common Name:  Heart failure follow-up [CMS Assessment]

OBSERVATION ID IN FORM
M1511

ANSWER CARDINALITY
1..5

FORM CODING INSTRUCTIONS
Mark all that apply.

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

NORMATIVE ANSWER LIST    (LL4628-5)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No action taken       0       LA12237-6  
  2       Patient’s physician (or other primary care practitioner) contacted the same day       1       LA12238-4  
  3       Patient advised to get emergency treatment (for example, call 911 or go to emergency room)       2       LA12239-2  
  4       Implemented physician-ordered patient-specific established parameters for treatment       3       LA12240-0  
  5       Patient education or other clinical interventions       4       LA12241-8  
  6       Obtained change in care plan orders (for example, increased monitoring by agency, change in visit frequency, telehealth)       5       LA28023-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C LL800-4 NORMATIVE 6
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL800-4 NORMATIVE 6
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL800-4 NORMATIVE 6
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4628-5 NORMATIVE 6
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4628-5 NORMATIVE 6
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97195-9  Heart failure follow-up 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1511     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Heart failure follow-up [CMS Assessment]
  Fully Specified Name: Heart failure follow-up: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 4
  ID: 51875
  Status (Raw): ACTIVE


86258-1   OASIS C2, D - Medications - transfer to inpatient facility [CMS Assessment]OASIS C2, D - Medications - transfer to inpatient facility [CMS Assessment]OASIS C2, D - Medications - transfer to inpatient facility: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
OASIS C2, D - Medications - transfer to inpatient facility  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  MEDICATIONS
  Long Common Name:  OASIS C2, D - Medications - transfer to inpatient facility [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.63
  Last Updated in Version: 2.64
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: Added "D" to Component to indicate the use of this term OASIS D.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249868-3  OASIS C2, D - Medications - transfer to inpatient facility 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP260886-9  D- 
Fragments for synonyms   LP57618-8  OASIS 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Rh
  Dextro Panl Rhesus
  Outcome and assessment information set Pnl Survey
  Pan Point in time  
  Panel Random  

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Long Common Name: OASIS C2, D - Medications - transfer to inpatient facility [CMS Assessment]
  Fully Specified Name: OASIS C2, D - Medications - transfer to inpatient facility: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 8
  ID: 91799
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M2005

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "since admission/reentry" to Component to reflect the element of the question text.

NORMATIVE ANSWER LIST    (LL4520-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       NA-There were no potential clinically significant medication issues identified since SOC/ROC or patient is not taking any medications       9       LA27681-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C LL815-2 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL815-2 NORMATIVE 3
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL815-2 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4520-4 NORMATIVE 3
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment] LL4520-4 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4520-4 NORMATIVE 3
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment] LL4698-8 NORMATIVE 3
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment] LL4698-8 NORMATIVE 3
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment] LL4698-8 NORMATIVE 3
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4698-8 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4520-4 NORMATIVE 3
  88370-2 Outcome and assessment information set (OASIS) form - version D - Discharged from agency - death at home [CMS Assessment] LL4520-4 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4520-4 NORMATIVE 3
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4698-8 NORMATIVE 3
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL4996-6 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263720-7  Medication intervention since admission &or reentry   [Medication intervention since admission/reentry] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100609-9  Medication 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   N2005     2.0 
   CMS IRF-PAI   N2005     3.0 
   CMS LCDS   N2005     4.00 
   CMS MDS   N2005     1.16.1 
   CMS MDS   N2005     1.17.1 
   CMS OASIS   M2005     D 
   CMS OASIS   M2005     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Medication intervention since admission/reentry [CMS Assessment]
  Fully Specified Name: Medication intervention since admission &or reentry: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 6
  ID: 51891
  Status (Raw): ACTIVE


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

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient &or caregiver drug education intervention  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Patient/Caregiver Drug Education Intervention
  Long Common Name:  Patient/caregiver drug education intervention [CMS Assessment]

OBSERVATION ID IN FORM
M2016

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

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

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP97187-6  Patient &or caregiver drug education intervention   [Patient/caregiver drug education intervention] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Patient/caregiver drug education intervention Random
  Drugs Point in time Screen
  Finding QL Survey
  Findings Qual  
  Ordinal Qualitative  

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Patient/caregiver drug education intervention [CMS Assessment]
  Fully Specified Name: Patient &or caregiver drug education intervention: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 6
  ID: 51825
  Status (Raw): ACTIVE


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

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Emergent care  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  EMERGENT CARE
  Long Common Name:  Emergent care [CMS Assessment]

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74799-5  Emergent care 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21059-8  Panel 

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Emergent care [CMS Assessment]
  Fully Specified Name: Emergent care: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 2
  ID: 51675
  Status (Raw): ACTIVE


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

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Emergent care utilized  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Emergent Care: At the time of or at any time since the most recent SOC/ROC assessment has the patient utilized a hospital emergency department (includes holding/observation status)?
  Long Common Name:  Emergent care utilized [CMS Assessment]

OBSERVATION ID IN FORM
M2301

SKIP LOGIC
If 0, go to M2401. If UK, go to M2401.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee;Added "utilized" to the Component to further clarify the term and to differeniate from the panel term 85906-6; Changed Scale to Ord because of the ordinal answer choices; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms.

NORMATIVE ANSWER LIST    (LL824-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes, used hospital emergency department WITHOUT hospital admission       1       LA12351-5  
  3       Yes, used hospital emergency department WITH hospital admission       2       LA12352-3  
  4       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  UK       LA4489-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP251019-8  Emergent care utilized 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2301     D 
   CMS OASIS   M2301     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Emergent care utilized [CMS Assessment]
  Fully Specified Name: Emergent care utilized: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 3
  ID: 51914
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2310

ANSWER CARDINALITY
1..19

FORM CODING INSTRUCTIONS
Mark all that apply.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Moved Survey Question Text to Override Display Name to account for variation across CMS forms.

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C LL825-1 NORMATIVE 20
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL825-1 NORMATIVE 20
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL825-1 NORMATIVE 20
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL825-1 NORMATIVE 20
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL825-1 NORMATIVE 20
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4874-5 NORMATIVE 4
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4874-5 NORMATIVE 4
  

PARTS

Part Type    Part No.  Part Name   
Component   LP98193-3  Reason for emergent care 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2310     D 
   CMS OASIS   M2310     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Reason for emergent care [CMS Assessment]
  Fully Specified Name: Reason for emergent care: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 4
  ID: 51915
  Status (Raw): ACTIVE


86260-7   Data items collected at inpatient facility admission or agency discharge only - transfer [CMS Assessment]Data items collected at inpatient facility admission or agency discharge only - transfer [CMS Assessment]Data items collected at inpatient facility admission or agency discharge only - transfer: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Data items collected at inpatient facility admission or agency discharge only - transfer  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY
  Long Common Name:  Data items collected at inpatient facility admission or agency discharge only - transfer [CMS Assessment]

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250693-1  Data items collected at inpatient facility admission or agency discharge only - transfer 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP21059-8  Panel 

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

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Long Common Name: Data items collected at inpatient facility admission or agency discharge only - transfer [CMS Assessment]
  Fully Specified Name: Data items collected at inpatient facility admission or agency discharge only - transfer: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 12
  ID: 91801
  Status (Raw): ACTIVE


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

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Intervention synopsis  Pt  ^Patient 
  Override Display Name for Form:  Intervention Synopsis: At the time of or at any time since the most recent SOC/ROC assessment, were the following interventions BOTH included in the physician-ordered plan or care AND implemented?
  Long Common Name:  Intervention synopsis

OBSERVATION ID IN FORM
M2401

FORM CODING INSTRUCTIONS
Check only one box in each row.

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Subset
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:14 PM
  Attachment Units Required: N
  Long Common Name: Intervention synopsis
  Fully Specified Name: Intervention synopsis: -: Pt: ^Patient: -:
     
  Component Word Count: 2
  ID: 51828
  Status (Raw): ACTIVE


57270-1   Plan of care includes diabetic foot care [CMS Assessment]Plan of care includes diabetic foot care [CMS Assessment]Plan of care includes diabetic foot care: Find: Pt: ^Patient: Ord: CMS Assessment  

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

OBSERVATION ID IN FORM
M2401a

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text.

NORMATIVE ANSWER LIST    (LL4502-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       NA-Patient is not diabetic or is missing lower legs due to congenital or acquired condition (bilateral amputee).       NA       LA27638-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4502-2 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4502-2 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4502-2 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4502-2 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4502-2 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4502-2 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249946-7  Plan of care includes diabetic foot care 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP207497-1  Foot 

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

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes diabetic foot care [CMS Assessment]
  Fully Specified Name: Plan of care includes diabetic foot care: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 51907
  Status (Raw): ACTIVE


57271-9   Plan of care includes fall prevention interventions [CMS Assessment]Plan of care includes fall prevention interventions [CMS Assessment]Plan of care includes fall prevention interventions: Find: Pt: ^Patient: Ord: CMS Assessment  

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

OBSERVATION ID IN FORM
M2401b

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text.

NORMATIVE ANSWER LIST    (LL4522-0)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       NA-Every standardized, validated multifactor fall risk assessment conducted at or since the most recent SOC/ROC assessment indicates the patient has no risk for falls.       NA       LA27694-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL823-6 NORMATIVE 3
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL823-6 NORMATIVE 3
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4506-3 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4506-3 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4522-0 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4522-0 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4522-0 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4522-0 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249947-5  Plan of care includes fall prevention interventions 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2250c     C2 
   CMS OASIS   M2401b     D 
   CMS OASIS   M2401b     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes fall prevention interventions [CMS Assessment]
  Fully Specified Name: Plan of care includes fall prevention interventions: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 51908
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401c

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee;Added "Plan of care includes" to COMPONENT to match form text.

NORMATIVE ANSWER LIST    (LL4523-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       NA-Patient has no diagnosis of depression AND every standardized, validated depression screening conducted at or since the most recent SOC/ROC assessment indicates the patient has: 1) no symptoms of depression; or 2) has some symptoms of depression       2       LA27695-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4507-1 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4507-1 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4523-8 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4523-8 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4523-8 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4523-8 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249948-3  Plan of care includes depression intervention 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2250d     C2 
   CMS OASIS   M2401c     D 
   CMS OASIS   M2401c     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes depression intervention [CMS Assessment]
  Fully Specified Name: Plan of care includes depression intervention: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 6
  ID: 51909
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401d

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

NORMATIVE ANSWER LIST    (LL4524-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       NA-Every standardized, validated pain assessment conducted at or since the most recent SOC/ROC assessment indicates the patient has no pain.       NA       LA27696-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4508-9 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4508-9 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4524-6 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4524-6 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4524-6 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4524-6 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249949-1  Plan of care includes intervention to monitor and mitigate pain 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M2250e     C2 
   CMS OASIS   M2401d     D 
   CMS OASIS   M2401d     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes intervention to monitor and mitigate pain [CMS Assessment]
  Fully Specified Name: Plan of care includes intervention to monitor and mitigate pain: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 51911
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401e

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.

NORMATIVE ANSWER LIST    (LL4525-3)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       NA-Every standardized, validated pressure ulcer risk assessment conducted at or since the most recent SOC/ROC assessment indicates the patient is not at risk of developing pressure ulcers.       2       LA27697-4  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4509-7 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4509-7 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4525-3 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4525-3 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4525-3 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4525-3 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263725-6  Plan of care includes intervention to prevent pressure injuries 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP266931-7  Pressure injuries 

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes intervention to prevent pressure injuries [CMS Assessment]
  Fully Specified Name: Plan of care includes intervention to prevent pressure injuries: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 51912
  Status (Raw): ACTIVE


57275-0   Plan of care includes pressure injury treatment - moist healing [CMS Assessment]Plan of care includes pressure injury treatment - moist healing [CMS Assessment]Plan of care includes pressure injury treatment - moist healing: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Plan of care includes pressure injury treatment - moist healing  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Pressure ulcer treatment based on principles of moist wound healing
  Long Common Name:  Plan of care includes pressure injury treatment - moist healing [CMS Assessment]

OBSERVATION ID IN FORM
M2401f

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.

NORMATIVE ANSWER LIST    (LL4510-5)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  
  3       NA-Patient has no pressure ulcers OR has no pressure ulcers for which moist wound healing is indicated.       NA       LA27643-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57039-0 Outcome and assessment information set (OASIS) form - version C LL823-6 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL823-6 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL823-6 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL4510-5 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL4510-5 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4510-5 NORMATIVE 3
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4510-5 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4510-5 NORMATIVE 3
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4510-5 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263726-4  Plan of care includes pressure injury treatment - moist healing 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100632-1  Treatment 
Fragments for synonyms   LP266930-9  Pressure injury 
Fragments for synonyms   LP267481-2  Injury 

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes pressure injury treatment - moist healing [CMS Assessment]
  Fully Specified Name: Plan of care includes pressure injury treatment - moist healing: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 51913
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M2410

SKIP LOGIC
If 1, go to M2430. If 2, go to M0903. If 3, go to M0903. If 4, go to M0903.

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed Component to "Admitted to" and System to "Inpatient facility" to match LOINC convention for terms about facilities.

NORMATIVE ANSWER LIST    (LL4546-9)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Hospital       1       LA6218-7  
  2       Rehabilitation facility       2       LA6357-3  
  3       Nursing home       3       LA27-8  
  4       Hospice       4       LA6216-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4546-9 NORMATIVE 4
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL326-0 NORMATIVE 5
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4546-9 NORMATIVE 4
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL326-0 NORMATIVE 5
  

PARTS

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

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

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Admitted to Inpatient facility [CMS Assessment]
  Fully Specified Name: Admitted to: Type: Pt: Inpatient facility: Nom: CMS Assessment
     
  Component Word Count: 2
  ID: 40003
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2430

ANSWER CARDINALITY
1..20

FORM CODING INSTRUCTIONS
Mark all that apply.

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

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75494-2  Reason for hospitalization 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Reason for hospitalization [CMS Assessment]
  Fully Specified Name: Reason for hospitalization: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 51917
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M0903

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74698-9  Date of last home visit 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP200101-6  Last 

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

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

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0903     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Date of last home visit [CMS Assessment]
  Fully Specified Name: Date of last home visit: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 5
  ID: 40007
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M0906

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

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency
  57459-0 Outcome and assessment information set (OASIS) form - version C - Death at home
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86261-5 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88370-2 Outcome and assessment information set (OASIS) form - version D - Discharged from agency - death at home [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74747-4  Discharge, transfer, death date 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100598-4  Discharge 

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

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

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

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M0906     D 
   CMS OASIS   M0906     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:15 PM
  Attachment Units Required: N
  Long Common Name: Discharge, transfer, death date [CMS Assessment]
  Fully Specified Name: Discharge, transfer, death date: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 4
  ID: 40008
  Status (Raw): ACTIVE

3rd PARTY COPYRIGHT
  Code System: http://snomed.info/sct
  This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

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