87414-9  Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  87414-9   Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment    
       85395-2   Identification Information    
            85396-0   Facility Information    
                 76696-4   Facility Name    
                 69417-4   Facility Medicare Provider Number    
            45397-7   Patient Medicare Number    
            45400-9   Patient Medicaid Number    
            45392-8   Patient First Name    
            45394-4   Patient Last Name    
            52463-7   Patient Identification Number    
            21112-8   Birth Date   {mm/dd/yyyy} 
            45396-9   Social Security Number    
            46098-0   Gender    
            59362-4   Race/Ethnicity 0..6   
            45404-1   Marital status    
            52539-4   Zip Code of Patient's Pre-Hospital Residence    
            52455-3   Admission Date   {mm/dd/yyyy} 
            52456-1   Assessment Reference Date    
            85397-8   Admission Class    
            85398-6   Admit From    
            85399-4   Pre-hospital Living Setting    
            85400-0   Pre-hospital Living With    
       85401-8   Payer information    
            85813-4   Payment Source    
                 85402-6   Primary Source    
                 85403-4   Secondary Source    
       87415-6   Medical Information    
            85405-9   Impairment Group - Admission    
                 85845-6   Impairment Group    
            85406-7   Impairment Group - Discharge    
                 85845-6   Impairment Group    
            52797-8   Etiologic Diagnosis 1..3   
            85585-8   Date of Onset of Impairment   {mm/dd/yyyy} 
            75618-9   Comorbid Conditions 0..25   
            85407-5   Are there any arthritis conditions recorded in items #21, #22, or #24 that meet all of the regulatory requirements for IRF classification (in 42 CFR 412.29(b)(2)(x), (xi), and (xii))?    
            54567-3   Height and Weight    
                 3137-7   Height on admission (in inches)   [in_us];cm 
                 3141-9   Weight on admission (in pounds)   [lb_av];kg 
       85410-9   Discharge Information    
            52525-3   Discharge Date   {mm/dd/yyyy} 
            85411-7   Patient discharged against medical advice?    
            85412-5   Program Interruption(s)    
            85483-6   Program Interruption Dates 0..3   
                 85413-3   Program Interruption Date 1..1  {mm/dd/yyyy} 
                 85414-1   Program Return Date 1..1  {mm/dd/yyyy} 
            85415-8   Was the patient discharged alive?    
            55128-3   Patient's discharge destination/living setting    
            85417-4   Discharge to Living With    
            85418-2   Diagnosis for Interruption or Death    
            85419-0   Complications during rehabilitation stay 0..6   
       85420-8   Therapy Information    
            85494-3   Week 1: Total Number of Minutes Provided    
                 85566-8   Physical Therapy    
                      85557-7   Total minutes of individual therapy   min 
                      85558-5   Total minutes of concurrent therapy   min 
                      85559-3   Total minutes of group therapy   min 
                      85560-1   Total minutes of co-treatment therapy   min 
                 85561-9   Occupational Therapy    
                      85562-7   Total minutes of individual therapy   min 
                      85563-5   Total minutes of concurrent therapy   min 
                      85564-3   Total minutes of group therapy   min 
                      85565-0   Total minutes of co-treatment therapy   min 
                 85493-5   Speech-language Pathology    
                      85492-7   Total minutes of individual therapy   min 
                      85491-9   Total minutes of concurrent therapy   min 
                      85490-1   Total minutes of group therapy   min 
                      85489-3   Total minutes of co-treatment therapy   min 
            85495-0   Week 2: Total Number of Minutes Provided    
                 85589-0   Physical Therapy    
                      85567-6   Total minutes of individual therapy   min 
                      85568-4   Total minutes of concurrent therapy   min 
                      85569-2   Total minutes of group therapy   min 
                      85570-0   Total minutes of co-treatment therapy   min 
                 85590-8   Occupational Therapy    
                      85571-8   Total minutes of individual therapy   min 
                      85572-6   Total minutes of concurrent therapy   min 
                      85573-4   Total minutes of group therapy   min 
                      85574-2   Total minutes of co-treatment therapy   min 
                 85591-6   Speech-Language Pathology    
                      85575-9   Total minutes of individual therapy   min 
                      85576-7   Total minutes of concurrent therapy   min 
                      85577-5   Total minutes of group therapy   min 
                      85578-3   Total minutes of co-treatment therapy   min 
       83266-7   Quality Indicators - Admission    
            83251-9   Hearing, Speech, and Vision    
                 83250-1   Expression of Ideas and Wants    
                 83249-3   Understanding Verbal Content (with hearing aid or device, if used and excluding language barriers)    
            83267-5   Cognitive Patterns    
                 83248-5   Should Brief Interview for Mental Status (C0200-C0500) be conducted?    
                 52491-8   Brief Interview for Mental Status    
                      52731-7   Repetition of Three Words. Number of words repeated by patient after first attempt    
                      54510-3   Temporal Orientation: Year, Month, and Day    
                           52732-5   Please tell me what year it is right now    
                           52733-3   What month are we in right now?    
                           54609-3   What day of the week is today?    
                      52493-4   Recall    
                           52735-8   Recalls "sock"?    
                           52736-6   Recalls "blue"?    
                           52737-4   Recalls "bed"?    
                      54614-3   BIMS Summary Score   {score} 
                 54615-0   Should the Staff Assessment for Mental Status (C0900) be Conducted?    
                 83241-0   Staff Assessment for Mental Status    
                      83240-2   Memory/Recall Ability 1..4   
            83268-3   Functional Abilities and Goals - Admission    
                 83239-4   Prior Functioning: Everyday Activities    
                      85070-1   Self-Care    
                      85071-9   Indoor Mobility (Ambulation)    
                      85072-7   Stairs    
                      85073-5   Functional Cognition    
                 83234-5   Prior Device Use 1..5   
                 83233-7   Self-Care - Admission Performance    
                      83232-9   Eating    
                      83230-3   Oral hygiene    
                      83228-7   Toileting hygiene    
                      83226-1   Shower/bathe self    
                      83224-6   Upper body dressing    
                      83222-0   Lower body dressing    
                      83220-4   Putting on/taking off footwear    
                 85054-5   Self-Care - Discharge Goal    
                      83231-1   Eating    
                      83229-5   Oral hygiene    
                      83227-9   Toileting hygiene    
                      83225-3   Shower/bathe self    
                      83223-8   Upper body dressing    
                      83221-2   Lower body dressing    
                      83219-6   Putting on/taking off footwear    
                 83269-1   Mobility - Admission Performance    
                      83218-8   Roll left and right    
                      83216-2   Sit to lying    
                      83214-7   Lying to sitting on side of bed    
                      83212-1   Sit to stand    
                      83210-5   Chair/bed-to-chair transfer    
                      83208-9   Toilet transfer    
                      83206-3   Car transfer    
                      83270-9   Does the patient walk?    
                      83204-8   Walk 10 feet    
                      83202-2   Walk 50 feet with two turns    
                      83200-6   Walk 150 feet    
                      83198-2   Walking 10 feet on uneven surfaces    
                      83196-6   1 step (curb)    
                      83194-1   4 steps    
                      83192-5   12 steps    
                      83190-9   Picking up object    
                      83271-7   Does the patient use a wheelchair/scooter?    
                      83188-3   Wheel 50 feet with two turns    
                      83272-5   Indicate the type of wheelchair/scooter used    
                      83235-2   Wheel 150 feet    
                      83272-5   Indicate the type of wheelchair/scooter used    
                 85056-0   Mobility - Discharge Goal    
                      83217-0   Roll left and right    
                      83215-4   Sit to lying    
                      83213-9   Lying to sitting on side of bed    
                      83211-3   Sit to stand    
                      83209-7   Chair/Bed-to-chair transfer    
                      83207-1   Toilet transfer    
                      83205-5   Car transfer    
                      83203-0   Walk 10 feet    
                      83201-4   Walk 50 feet with two turns    
                      83199-0   Walk 150 feet    
                      83197-4   Walking 10 feet on uneven surfaces    
                      83195-8   1 step (curb)    
                      83193-3   4 steps    
                      83191-7   12 steps    
                      83189-1   Picking up object    
                      83187-5   Wheel 50 feet with two turns    
                      83236-0   Wheel 150 feet    
            83237-8   Bladder and Bowel    
                 83238-6   Bladder continence    
                 83242-8   Bowel continence    
            83264-2   Active diagnoses    
                 83243-6   Comorbidities and Co-existing Conditions 1..2   
            83273-3   Health Conditions - Admission    
                 52552-7   History of Falls. Has the patient had two or more falls in the past year or any fall with injury in the past year?    
                 83274-1   Prior Surgery. Did the resident have major surgery during the 100 days prior to admission?    
            83244-4   Swallowing/Nutritional Status    
                 83245-1   Swallowing/Nutritional Status 1..3   
            85055-2   Skin Conditions - Admission    
                 58214-8   Unhealed Pressure Ulcer(s). Does this patient have one or more unhealed pressure ulcer(s) at Stage 1 or higher?    
                 83246-9   Current Number of Unhealed Pressure Ulcers at Each Stage - Admission    
                      54884-2   Number of Stage 1 pressure ulcers   {#} 
                      55124-2   Number of Stage 2 pressure ulcers   {#} 
                      55125-9   Number of Stage 3 pressure ulcers   {#} 
                      55126-7   Number of Stage 4 pressure ulcers   {#} 
                      54893-3   Number of unstageable pressure ulcers due to non-removable dressing/device   {#} 
                      54946-9   Number of pressure unstageable ulcers due to coverage of wound bed by slough and/or eschar   {#} 
                      54950-1   Number of unstageable pressure ulcers with suspected deep tissue injury in evolution   {#} 
            83261-8   Special Treatments, Procedures, and Programs - Admission    
                 83252-7   Special Treatments, Procedures, and Programs 0..1   
       83275-8   Quality Indicators - Discharge    
            83276-6   Functional Abilities and Goals - Discharge    
                 83254-3   Self-Care - Discharge Performance    
                      83232-9   Eating    
                      83230-3   Oral hygiene    
                      83228-7   Toileting hygiene    
                      83226-1   Shower/bathe self    
                      83224-6   Upper body dressing    
                      83222-0   Lower body dressing    
                      83220-4   Putting on/taking off footwear    
                 83277-4   Mobility - Discharge Performance    
                      83218-8   Roll left and right    
                      83216-2   Sit to lying    
                      83214-7   Lying to sitting on side of bed    
                      83212-1   Sit to stand    
                      83210-5   Chair/bed-to-chair transfer    
                      83208-9   Toilet transfer    
                      83206-3   Car transfer    
                      83278-2   Does the patient walk?    
                      83204-8   Walk 10 feet    
                      83202-2   Walk 50 feet with two turns    
                      83200-6   Walk 150 feet    
                      83198-2   Walking 10 feet on uneven surfaces    
                      83196-6   1 step (curb)    
                      83194-1   4 steps    
                      83192-5   12 steps    
                      83190-9   Picking up object    
                      83271-7   Does the patient use a wheelchair/scooter?    
                      83188-3   Wheel 50 feet with two turns    
                      83272-5   Indicate the type of wheelchair/scooter used    
                      83235-2   Wheel 150 feet    
                      83272-5   Indicate the type of wheelchair/scooter used    
            83279-0   Health Conditions - Discharge    
                 83280-8   Any falls since admission. Has the patient had any falls since admission?    
                 54854-5   Number of Falls Since Admission    
                      54855-2   No injury    
                      54856-0   Injury (except major)    
                      54857-8   Major injury    
            83281-6   Skin Conditions - Discharge    
                 58214-8   Unhealed Pressure Ulcer(s). Does this patient have one or more unhealed pressure ulcer(s) at Stage 1 or higher?    
                 83256-8   Current Number of Unhealed Pressure Ulcers at Each Stage - Discharge    
                      54884-2   Number of Stage 1 pressure ulcers   {#} 
                      55124-2   Number of Stage 2 pressure ulcers   {#} 
                      54886-7   Number of these Stage 2 pressure ulcers that were present upon admission   {#} 
                      55125-9   Number of Stage 3 pressure ulcers   {#} 
                      54887-5   Number of these Stage 3 pressure ulcers that were present upon admission   {#} 
                      55126-7   Number of Stage 4 pressure ulcers   {#} 
                      54890-9   Number of these Stage 4 pressure ulcers that were present upon admission   {#} 
                      54893-3   Number of unstageable pressure ulcers due to non-removable dressing/device   {#} 
                      54894-1   Number of these unstageable pressure ulcers that were present upon admission   {#} 
                      54946-9   Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar   {#} 
                      54947-7   Number of these unstageable pressure ulcers that were present upon admission   {#} 
                      54950-1   Number of unstageable pressure ulcers with suspected deep tissue injury in evolution   {#} 
                      54951-9   Number of these unstageable pressure ulcers that were present upon admission   {#} 
                 83282-4   Worsening in Pressure Ulcer Status Since Admission    
                      83283-2   Stage 2   {#} 
                      83284-0   Stage 3   {#} 
                      83285-7   Stage 4   {#} 
                      83286-5   Unstageable - Non-removable dressing   {#} 
                      83287-3   Unstageable - Slough and/or eschar   {#} 
                      83288-1   Unstageable - Deep tissue injury   {#} 
                 83258-4   Healed Pressure Ulcers    
                      83260-0   Stage 1   {#} 
                      54958-4   Stage 2   {#} 
                      54959-2   Stage 3   {#} 
                      54960-0   Stage 4   {#} 
            83247-7   Special Treatments, Procedures, and Programs - Discharge    
                 69339-0   Influenza Vaccine    
                      55019-4   Did the patient receive the influenza vaccine in this facility for this year's influenza vaccination season?    
                      58131-4   Date influenza vaccine received   {mm/dd/yyyy} 
                      55020-2   If influenza vaccine not received, state reason: C    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5  Pt  ^Patient  CMS Assessment
  Long Common Name:  Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  This panel only includes the IRF-PAI items that are not a part of the FIM Instrument (an instrument copyrighted by UBFA, Inc ©1993, 2001). This panel should be used for CMS IRF-PAI v1.5 assessments performed between October 1, 2017 and September 30, 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.: Both
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP263442-8  Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5   [Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5] 
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 Point in time
  IRF-PAI v1.5 PANEL.SURVEY.CMS Random
  LTPAC Panl Survey
  Pan Pnl  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:13 PM
  Long Common Name: Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  Fully Specified Name: Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 1.5: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 8
  ID: 93712
  # of Panel Elements: 259
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



85395-2   IRF-PAI - Identification information [CMS Assessment]IRF-PAI - Identification information [CMS Assessment]IRF-PAI - Identification information: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
IRF-PAI - Identification information  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Identification Information
  Long Common Name:  IRF-PAI - Identification information [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  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  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248210-9  IRF-PAI - Identification information 
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: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:13 PM
  Long Common Name: IRF-PAI - Identification information [CMS Assessment]
  Fully Specified Name: IRF-PAI - Identification information: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 4
  ID: 90822
  Status (Raw): ACTIVE


85396-0   IRF-PAI - Facility information [CMS Assessment]IRF-PAI - Facility information [CMS Assessment]IRF-PAI - Facility information: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
IRF-PAI - Facility information  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Facility Information
  Long Common Name:  IRF-PAI - Facility information [CMS Assessment]

OBSERVATION ID IN FORM
1

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  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  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248424-6  IRF-PAI - Facility information 
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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   1     2.0 
   CMS IRF-PAI   1     3.0 
   CMS IRF-PAI   1     1.5 
   CMS IRF-PAI   1     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:13 PM
  Long Common Name: IRF-PAI - Facility information [CMS Assessment]
  Fully Specified Name: IRF-PAI - Facility information: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 4
  ID: 90823
  Status (Raw): ACTIVE


76696-4   Name [Identifier] FacilityName [Identifier] FacilityName: ID: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Name  ID  Pt  Facility  Nom 
  Override Display Name for Form:  Facility Name
  Long Common Name:  Name [Identifier] Facility
  Short Name:  Name Facility

OBSERVATION ID IN FORM
1A

BASIC ATTRIBUTES
  Class/Type: ADMIN.FACILITY/Clinical
  First Released in Version: 2.52
  Last Updated in Version: 2.66
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated Class from APTA to ADMIN.FACILITY to apply more generically.

HL7 ATTRIBUTES
  HL7 Field ID: FAC.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72974-6  Name 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  名称:标识符:时间点:设施:名义型:名称:标识符:时间点:设施:名义型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  naam:identificator:moment:faciliteit:nominaal:naam:identificator:moment:faciliteit:nominaal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nome:ID:Pt:Struttura:Nom:Nome:ID:Pt:Struttura:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Фамилия:ID:ТчкВрм:Учреждение:Ном:Фамилия:ID:ТчкВрм:Учреждение:Ном:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Nombre:Código identificador:Punto temporal:Facilidad:Nom:Nombre:Código identificador:Punto temporal:Facilidad:Nom:

RELATED NAMES
  ADMIN Nominal  
  Ident Point in time  
  Identifier Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   1A     2.0 
   CMS IRF-PAI   1A     3.0 
   CMS IRF-PAI   1A     1.5 
   CMS IRF-PAI   1A     1.4 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:13 PM
  Long Common Name: Name [Identifier] Facility
  Shortname: Name Facility
  Fully Specified Name: Name: ID: Pt: Facility: Nom:
     
  Component Word Count: 1
  ID: 78992
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
1B

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

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

PARTS

Part Type    Part No.  Part Name   
Component   LP74461-2  CMS certification number   [CMS certification number (CCN)] 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  CMS 证书编号:标识符:时间点:设施:名义型:CMS 证书编号:标识符:时间点:设施:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Numero di certificazione CMS:ID:Pt:Struttura:Nom:Numero di certificazione CMS:ID:Pt:Struttura:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном:CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном:

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:13 PM
  Attachment Units Required: N
  Long Common Name: CMS certification number (CCN) for Facility
  Shortname: CMS certification # Facility
  Fully Specified Name: CMS certification number: ID: Pt: Facility: Nom:
     
  Component Word Count: 3
  ID: 68728
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
2

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  84908-3 Cancer pathology panel - Prostate cancer
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

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

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:13 PM
  Attachment Units Required: N
  Long Common Name: Medicare or comparable number
  Shortname: Medicare or comparable #
  Fully Specified Name: Medicare or comparable number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 38746
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
3

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

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

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Medicaid number
  Shortname: Medicaid #
  Fully Specified Name: Medicaid number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38749
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
4

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.2

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

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

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: First name
  Shortname: First name
  Fully Specified Name: First name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38740
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
5A

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

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

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Last name
  Shortname: Last name
  Fully Specified Name: Last name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38743
  Status (Raw): ACTIVE


52463-7   Patient Identification Number or Provider Account NumberPatient Identification Number or Provider Account NumberPatient Identification Number or Provider Account Number: ID: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient Identification Number or Provider Account Number  ID  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient Identification Number
  Long Common Name:  Patient Identification Number or Provider Account Number
  Short Name:  Patient ID # or Provider Acct #

OBSERVATION ID IN FORM
5B

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.ID/Clinical
  First Released in Version: 2.27
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-3.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75358-9  Patient Identification Number or Provider Account Number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  患者身份标识编号或服务提供者账号:标识符:时间点:^患者:名义型:患者身份标识编号或服务提供者账号:标识符:时间点:^患者:名义型:

RELATED NAMES
  Account # Identifier Patient ID # or Provider Acct #
  ADMIN Intradermal Point in time
  ADMIN.PATIENT No Random
  ADMIN.PATIENT.ID Nominal  
  Ident Num  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   5B     2.0 
   CMS IRF-PAI   5B     3.0 
   CMS IRF-PAI   5B     1.5 
   CMS IRF-PAI   5B     1.4 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Patient Identification Number or Provider Account Number
  Shortname: Patient ID # or Provider Acct #
  Fully Specified Name: Patient Identification Number or Provider Account Number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 7
  ID: 46573
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
6

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-7.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  35086-8 Second trimester triple maternal screen panel - Serum or Plasma
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  47245-6 HIV treatment form Document
  48798-3 First trimester maternal screen panel - Serum or Plasma
  48799-1 Second trimester penta maternal screen panel - Serum or Plasma
  48800-7 Second trimester quad maternal screen panel - Serum or Plasma
  48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
  49085-4 First and Second trimester integrated maternal screen panel
  49086-2 First trimester maternal screen with nuchal translucency panel
  49087-0 Maternal screen clinical predictors panel
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54127-6 US Surgeon General family health portrait [USSG-FHT]
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
  60687-1 Test of Infant Motor Performance Version 5.1
  61129-3 PhenX domain - Demographics
  62263-9 PhenX domain - Nutrition and dietary supplements
  62611-9 PhenX domain - Respiratory
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70182-1 NIH Stroke Scale
  70297-7 ESRD patient information panel
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
  75854-0 PCORnet common data model set - version 1.0 [PCORnet]
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86636-8 Family planning report - FPAR 2.0 set
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

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

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

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

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: Y
  Long Common Name: Birth date
  Shortname: Birth date
  Fully Specified Name: Birth date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 12108
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
7

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-19

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

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

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Social Security number [Identifier]
  Shortname: Social Security #
  Fully Specified Name: Social Security number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38745
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
8

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

HL7 ATTRIBUTES
  HL7 Field ID: PID-8

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  61129-3 PhenX domain - Demographics
  62263-9 PhenX domain - Nutrition and dietary supplements
  62611-9 PhenX domain - Respiratory
  62755-4 PhenX domain - Neurology
  62787-7 PhenX domain - Diabetes
  62812-3 PhenX domain - Physical activity and physical fitness
  62863-6 PhenX domain - Infectious diseases and immunity
  63009-5 PhenX domain - Social environments
  63067-3 PhenX domain - Speech and hearing
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  69723-5 Patient Health Questionnaire (PHQ) [Reported]
  69919-9 Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]
  70297-7 ESRD patient information panel
  78698-8 Liver fibrosis score panel - Serum or Plasma Calculated by HepaScore
  78699-6 Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeter
  82259-3 Metabolic equivalent of task and Resting metabolic rate panel
  82287-4 Physical activity panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85626-0 Kidney failure 2-year and 5-year risk panel by KFRE
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86636-8 Family planning report - FPAR 2.0 set
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL1-9 NORMATIVE 2
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91393-9 Opioid risk tool panel
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

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

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Sex
  Shortname: Sex
  Fully Specified Name: Sex: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 39502
  Status (Raw): ACTIVE


59362-4   Race or ethnicity OMB.1997Race or ethnicity OMB.1997Race or ethnicity: Type: Pt: ^Patient: Nom: OMB.1997  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Race or ethnicity  Type  Pt  ^Patient  Nom  OMB.1997
  Override Display Name for Form:  Race/Ethnicity
  Long Common Name:  Race or ethnicity OMB.1997
  Short Name:  Race or ethnicity OMB.1997

TERM DEFINITION/DESCRIPTION(S)
  This term is used for reporting the combined race and ethnicity based on the Office of Management and Budget (OMB), Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity (Oct. 30, 1997). It is used in many surveys and data collections, including the CMS Minimum Data Set version 3 and other CMS assessments.
 
 

OBSERVATION ID IN FORM
9

ANSWER CARDINALITY
0..6

FORM CODING INSTRUCTIONS
Check all that apply.

BASIC ATTRIBUTES
  Class/Type: CLIN/Clinical
  First Released in Version: 2.32
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed method from 'MDSv3' to 'OMB.1997' since the MDSv3 answer list is the same as OMB's combined race & ethnicity answer list (1997). OMB provides standards that promote uniformity and comparability for data on race and ethnicity throughout the U.S. Federal Government. These standards are widely adopted, including in the EHR Meaningful Use program within the U.S.

HL7 ATTRIBUTES
  HL7 Field ID: PID-10;PID-22

NORMATIVE ANSWER LIST    (LL897-0)  
 
Source: Office of Management and Budget (OMB)
  SEQ#        Answer        Answer ID    
  1       American Indian or Alaska Native
Description: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
  LA6155-1  
  2       Asian
Description: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
  LA6156-9  
  3       Black or African American
Description: A person having origins in any of the black racial groups of Africa. Terms such as "Haitian" or "Negro" can be used in addition to "Black or African American."
  LA10610-6  
  4       Hispanic or Latino
Description: A person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino."
  LA6214-6  
  5       Native Hawaiian or Other Pacific Islander
Description: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
  LA10611-4  
  6       White
Description: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
  LA4457-3  

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

PARTS

Part Type    Part No.  Part Name   
Component   LP75483-5  Race or ethnicity 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP158134-9  OMB.1997 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  种族或民族:类型:时间点:^患者:名义型:OMB.1997种族或民族:类型:时间点:^患者:名义型:OMB.1997
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Razza o etnia:Tipo:Pt:^Paziente:Nom:OMB.1997Razza o etnia:Tipo:Pt:^Paziente:Nom:OMB.1997

RELATED NAMES
  CLIN Point in time  
  Ethnicity Random  
  Nominal Typ  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   9     2.0 
   CMS IRF-PAI   9     3.0 
   CMS IRF-PAI   9     1.5 
   CMS IRF-PAI   9     1.4 
   CMS LCDS   A1000     3.00 
   CMS LCDS   A1000     4.00 
   CMS MDS   A1000     1.16.1 
   CMS MDS   A1000     1.15.1 
   CMS MDS   A1000     1.14.1 
   CMS MDS   A1000     1.17.1 
   CMS OASIS   M0140     D 
   CMS OASIS   M0140     C2 

CHANGE HISTORY
  Change Type: MIN

WEB CONTENT
  Description: Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity, Office of Management and Budget, October 30, 1997.
 
 

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Race or ethnicity OMB.1997
  Shortname: Race or ethnicity OMB.1997
  Fully Specified Name: Race or ethnicity: Type: Pt: ^Patient: Nom: OMB.1997
     
  Component Word Count: 3
  ID: 54223
  Status (Raw): ACTIVE


45404-1   Marital statusMarital statusMarital status: Type: Pt: ^Patient: Nom:  

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

OBSERVATION ID IN FORM
10

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.DEMOG/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  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; Removed Method of CMS Assessment because this is a generic term. Changed Answer List Type to Example so that Override Answer Lists may be used.; Removed '[CMS Assessment]' in Long Common Name.

HL7 ATTRIBUTES
  HL7 Field ID: PID-16

NORMATIVE ANSWER LIST    (LL9-2)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  1       Never married       1       LA47-6  
  2       Married       2       LA48-4  
  3       Widowed       3       LA49-2  
  4       Separated       4       LA4288-2  
  5       Divorced       5       LA51-8  

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
  45981-8 MDS full assessment form - version 2.0 LL9-2 NORMATIVE 5
  54580-6 Minimum Data Set - version 3.0 LL9-2 NORMATIVE 5
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 LL9-2 NORMATIVE 5
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL9-2 NORMATIVE 5
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL9-2 NORMATIVE 5
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL9-2 NORMATIVE 5
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL9-2 NORMATIVE 5
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment] LL9-2 NORMATIVE 5
  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] LL9-2 NORMATIVE 5
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL9-2 NORMATIVE 5
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL9-2 NORMATIVE 5
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment] LL9-2 NORMATIVE 5
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment] LL9-2 NORMATIVE 5
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL9-2 NORMATIVE 5
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL9-2 NORMATIVE 5
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL9-2 NORMATIVE 5
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL9-2 NORMATIVE 5
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL9-2 NORMATIVE 5
  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] LL9-2 NORMATIVE 5
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL9-2 NORMATIVE 5
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL9-2 NORMATIVE 5
  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] LL9-2 NORMATIVE 5
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL9-2 NORMATIVE 5
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL9-2 NORMATIVE 5
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL9-2 NORMATIVE 5
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment] LL9-2 NORMATIVE 5
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment] LL9-2 NORMATIVE 5
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL9-2 NORMATIVE 5
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75081-7  Marital status 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  婚姻状况:类型:时间点:^患者:名义型:婚姻状况:类型:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Stato civile:Tipo:Pt:^Paziente:Nom:Stato civile:Tipo:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Семейное положение:Тип:ТчкВрм:^Пациент:Ном:Семейное положение:Тип:ТчкВрм:^Пациент:Ном:

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   10     2.0 
   CMS IRF-PAI   10     3.0 
   CMS IRF-PAI   10     1.5 
   CMS IRF-PAI   10     1.4 
   CMS LCDS   A1200     3.00 
   CMS LCDS   A1200     4.00 
   CMS MDS   A1200     1.16.1 
   CMS MDS   A1200     1.15.1 
   CMS MDS   A1200     1.14.1 
   CMS MDS   A1200     1.17.1 
   https://www.phenxtoolkit.org   PX510801009900   PX510801_AddictionSeverity_Martial_Status   
   https://www.phenxtoolkit.org   PX660801180100   PX660801_PremorbidAdjustment_Marriage   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Marital status
  Shortname: Marital status
  Fully Specified Name: Marital status: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38381
  Status (Raw): ACTIVE


52539-4   Prior postal code [Location]Prior postal code [Location]Prior postal code: Loc: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior postal code  Loc  Pt  ^Patient  Nom 
  Override Display Name for Form:  Zip Code of Patient's Pre-Hospital Residence
  Long Common Name:  Prior postal code [Location]
  Short Name:  Prior postal code

OBSERVATION ID IN FORM
11

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.DEMOG/Clinical
  First Released in Version: 2.26
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Updated Class from SURVEY.CARE to ADMIN; Updated "ZIP code" in Component name to "Postal code", the more universal nomenclature for this concept.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45969-3 MDS background information at admission form - version 2.0
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75436-3  Prior postal code 
Property   LP6825-6  Loc   [Location] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP345099-8  Postal code 

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

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   11     2.0 
   CMS IRF-PAI   11     3.0 
   CMS IRF-PAI   11     1.5 
   CMS IRF-PAI   11     1.4 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Prior postal code [Location]
  Shortname: Prior postal code
  Fully Specified Name: Prior postal code: Loc: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 46658
  Status (Raw): ACTIVE


52455-3   Admission dateAdmission dateAdmission date: TmStp: Pt: ^Patient: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Admission date  TmStp  Pt  ^Patient  Qn 
  Override Display Name for Form:  Admission Date
  Long Common Name:  Admission date
  Short Name:  Admission date

OBSERVATION ID IN FORM
12

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.26
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Updated Class from SURVEY.CARE to ADMIN.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  75854-0 PCORnet common data model set - version 1.0 [PCORnet]
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74441-4  Admission date 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  入院日期:时间戳:时间点:^患者:定量型:入院日期:时间戳:时间点:^患者:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Ricovero, data:TmStp:Pt:^Paziente:Qn:Ricovero, data:TmStp:Pt:^Paziente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация дата:TmStp:ТчкВрм:^Пациент:Колич:Госпитализация дата:TmStp:ТчкВрм:^Пациент:Колич:

RELATED NAMES
  ADMIN Quan Time stamp
  Date and time Quant Timestamp
  Point in time Quantitative  
  QNT Random  

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

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   12     2.0 
   CMS IRF-PAI   12     3.0 
   CMS IRF-PAI   12     1.5 
   CMS IRF-PAI   12     1.4 
   CMS LCDS   A0220     3.00 
   CMS LCDS   A0220     4.00 
   CMS MDS   A1900     1.16.1 
   CMS MDS   A1900     1.15.1 
   CMS MDS   A1900     1.14.1 
   CMS MDS   A1900     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Admission date
  Shortname: Admission date
  Fully Specified Name: Admission date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 46564
  Status (Raw): ACTIVE


52456-1   Assessment reference dateAssessment reference dateAssessment reference date: Date: Pt: ^Patient: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Assessment reference date  Date  Pt  ^Patient  Qn 
  Override Display Name for Form:  Assessment Reference Date
  Long Common Name:  Assessment reference date

OBSERVATION ID IN FORM
13

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.26
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  62863-6 PhenX domain - Infectious diseases and immunity
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74508-0  Assessment reference date 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

RELATED NAMES
  Point in time Quant Survey
  QNT Quantitative  
  Quan Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   13     2.0 
   CMS IRF-PAI   13     3.0 
   CMS IRF-PAI   13     1.5 
   CMS IRF-PAI   13     1.4 
   https://www.phenxtoolkit.org   PX161602360101   PX161602_Doctor_Visit1_Date_Month   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:14 PM
  Attachment Units Required: N
  Long Common Name: Assessment reference date
  Fully Specified Name: Assessment reference date: Date: Pt: ^Patient: Qn:
     
  Component Word Count: 3
  ID: 46566
  Status (Raw): ACTIVE


85397-8   Inpatient rehabilitation facility admission [CMS Assessment]Inpatient rehabilitation facility admission [CMS Assessment]Inpatient rehabilitation facility admission: Type: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Inpatient rehabilitation facility admission  Type  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Admission Class
  Long Common Name:  Inpatient rehabilitation facility admission [CMS Assessment]

OBSERVATION ID IN FORM
14

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

NORMATIVE ANSWER LIST    (LL4426-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Initial rehab       1       LA27331-0  
  2       Evaluation       2       LA27332-8  
  3       Readmission       3       LA4395-5  
  4       Unplanned discharge       4       LA18068-9  
  5       Continuing rehabilitation       5       LA27335-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248209-1  Inpatient rehabilitation facility admission 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   14     2.0 
   CMS IRF-PAI   14     3.0 
   CMS IRF-PAI   14     1.5 
   CMS IRF-PAI   14     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Inpatient rehabilitation facility admission [CMS Assessment]
  Fully Specified Name: Inpatient rehabilitation facility admission: Type: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 4
  ID: 90824
  Status (Raw): ACTIVE


85398-6   Admitted from FacilityAdmitted from FacilityAdmitted from: Type: Pt: Facility: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Admitted from  Type  Pt  Facility  Nom 
  Override Display Name for Form:  Admit From
  Long Common Name:  Admitted from Facility

OBSERVATION ID IN FORM
15A

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Method removed because this generic term can be used across contexts.

NORMATIVE ANSWER LIST    (LL4427-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Home (private home/apt., board/care, assisted living, group home, transistional living)       01       LA27336-9  
  2       Short-term General Hospital       02       LA27337-7  
  3       Skilled nursing facility (SNF)       03       LA27338-5  
  4       Intermediate care       04       LA27339-3  
  5       Home - under care of organized home health service organization       06       LA27340-1  
  6       Hospice (home)       50       LA27341-9  
  7       Hospice (institutional facility)       51       LA27342-7  
  8       Swing bed       61       LA10883-9  
  9       Another Inpatient Rehabilitation Facility       62       LA27344-3  
  10       Long-term care hospital (LTCH)       63       LA10000-0  
  11       Medicaid Nursing Facility       64       LA27346-8  
  12       Inpatient Psychiatric Facility       65       LA27347-6  
  13       Critical Access Hospital       66       LA22835-5  
  14       Not listed       99       LA27349-2  

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
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4427-2 NORMATIVE 14
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4468-6 NORMATIVE 11
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL636-2 NORMATIVE 9
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL636-2 NORMATIVE 9
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment] LL636-2 NORMATIVE 9
  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] LL636-2 NORMATIVE 9
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL636-2 NORMATIVE 9
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL636-2 NORMATIVE 9
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment] LL636-2 NORMATIVE 9
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment] LL636-2 NORMATIVE 9
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL636-2 NORMATIVE 9
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL636-2 NORMATIVE 9
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4427-2 NORMATIVE 14
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4678-0 NORMATIVE 11
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL636-2 NORMATIVE 9
  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] LL636-2 NORMATIVE 9
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4427-2 NORMATIVE 14
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL636-2 NORMATIVE 9
  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] LL636-2 NORMATIVE 9
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL636-2 NORMATIVE 9
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL636-2 NORMATIVE 9
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4427-2 NORMATIVE 14
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL636-2 NORMATIVE 9
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL636-2 NORMATIVE 9
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL636-2 NORMATIVE 9
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL636-2 NORMATIVE 9
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL636-2 NORMATIVE 9
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] LL636-2 NORMATIVE 9
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment] LL636-2 NORMATIVE 9
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL636-2 NORMATIVE 9
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74443-0  Admitted from 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP36892-5  Facility 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP190639-7  Admitted 

RELATED NAMES
  Nominal Survey  
  Point in time Transferred  
  Random Typ  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   15A     2.0 
   CMS IRF-PAI   15A     3.0 
   CMS IRF-PAI   15A     1.5 
   CMS IRF-PAI   15A     1.4 
   CMS LCDS   A1802     3.00 
   CMS LCDS   A1802     4.00 
   CMS MDS   A1800     1.17.1 
   CMS MDS   A1800     1.16.1 
   CMS MDS   A1800     1.15.1 
   CMS MDS   A1800     1.14.1 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Admitted from Facility
  Fully Specified Name: Admitted from: Type: Pt: Facility: Nom:
     
  Component Word Count: 2
  ID: 90825
  Status (Raw): ACTIVE


85399-4   Prior residencePrior residencePrior residence: Type: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior residence  Type  Pt  ^Patient  Nom 
  Override Display Name for Form:  Pre-hospital Living Setting
  Long Common Name:  Prior residence

OBSERVATION ID IN FORM
16A

FORM CODING INSTRUCTIONS
Use codes from 15A. Admit From

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.61
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts.

EXAMPLE ANSWER LIST    (LL4427-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Home (private home/apt., board/care, assisted living, group home, transistional living)       01       LA27336-9  
  2       Short-term General Hospital       02       LA27337-7  
  3       Skilled nursing facility (SNF)       03       LA27338-5  
  4       Intermediate care       04       LA27339-3  
  5       Home - under care of organized home health service organization       06       LA27340-1  
  6       Hospice (home)       50       LA27341-9  
  7       Hospice (institutional facility)       51       LA27342-7  
  8       Swing bed       61       LA10883-9  
  9       Another Inpatient Rehabilitation Facility       62       LA27344-3  
  10       Long-term care hospital (LTCH)       63       LA10000-0  
  11       Medicaid Nursing Facility       64       LA27346-8  
  12       Inpatient Psychiatric Facility       65       LA27347-6  
  13       Critical Access Hospital       66       LA22835-5  
  14       Not listed       99       LA27349-2  

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
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4427-2 NORMATIVE 14
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75435-5  Prior residence 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  Nominal Survey  
  Point in time Typ  
  Random    

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   16A     2.0 
   CMS IRF-PAI   16A     3.0 
   CMS IRF-PAI   16A     1.5 
   CMS IRF-PAI   16A     1.4 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Prior residence
  Fully Specified Name: Prior residence: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 90826
  Status (Raw): ACTIVE


85400-0   Prior living arrangement [CMS Assessment]Prior living arrangement [CMS Assessment]Prior living arrangement: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior living arrangement  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Pre-hospital Living With
  Long Common Name:  Prior living arrangement [CMS Assessment]

OBSERVATION ID IN FORM
17

SKIP LOGIC
Code only if item 16A is 01-Home.

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

NORMATIVE ANSWER LIST    (LL4428-0)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Alone       01       LA27350-0  
  2       Family/Relatives       02       LA27351-8  
  3       Friends       03       LA27352-6  
  4       Attendant       04       LA27353-4  
  5       Other       05       LA46-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248211-7  Prior living arrangement 
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 IRF-PAI   17     2.0 
   CMS IRF-PAI   17     3.0 
   CMS IRF-PAI   17     1.5 
   CMS IRF-PAI   17     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Prior living arrangement [CMS Assessment]
  Fully Specified Name: Prior living arrangement: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 90827
  Status (Raw): ACTIVE


85401-8   IRF-PAI - Payer information [CMS Assessment]IRF-PAI - Payer information [CMS Assessment]IRF-PAI - Payer information: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
IRF-PAI - Payer information  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Payer information
  Long Common Name:  IRF-PAI - Payer information [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  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  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248231-5  IRF-PAI - Payer information 
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: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: IRF-PAI - Payer information [CMS Assessment]
  Fully Specified Name: IRF-PAI - Payer information: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 4
  ID: 90828
  Status (Raw): ACTIVE


85813-4   Payment source [CMS Assessment]Payment source [CMS Assessment]Payment source: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Payment source  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Payment Source
  Long Common Name:  Payment source [CMS Assessment]

OBSERVATION ID IN FORM
20

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  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  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP135440-8  Payment source 
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   LP21212-3  Source 
Fragments for synonyms   LP21059-8  Panel 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   20     2.0 
   CMS IRF-PAI   20     3.0 
   CMS IRF-PAI   20     1.5 
   CMS IRF-PAI   20     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Payment source [CMS Assessment]
  Fully Specified Name: Payment source: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 2
  ID: 91282
  Status (Raw): ACTIVE


85402-6   Primary payment source [CMS Assessment]Primary payment source [CMS Assessment]Payment source.primary: Type: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Payment source.primary  Type  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Primary Source
  Long Common Name:  Primary payment source [CMS Assessment]

OBSERVATION ID IN FORM
20A

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

NORMATIVE ANSWER LIST    (LL4429-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Medicare Fee For Service       02       LA27354-2  
  2       Medicare-Medicare Advantage       51       LA27355-9  
  3       Not listed       99       LA27349-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP173581-2  Payment source.primary   [Primary payment source] 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21212-3  Source 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time Survey
  Nominal Random Typ
  Pay source.primary Srce  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   20A     2.0 
   CMS IRF-PAI   20A     3.0 
   CMS IRF-PAI   20A     1.5 
   CMS IRF-PAI   20A     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Primary payment source [CMS Assessment]
  Fully Specified Name: Payment source.primary: Type: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 90829
  Status (Raw): ACTIVE


85403-4   Secondary payment source [CMS Assessment]Secondary payment source [CMS Assessment]Payment source.secondary: Type: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Payment source.secondary  Type  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Secondary Source
  Long Common Name:  Secondary payment source [CMS Assessment]

OBSERVATION ID IN FORM
20B

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

NORMATIVE ANSWER LIST    (LL4429-8)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Medicare Fee For Service       02       LA27354-2  
  2       Medicare-Medicare Advantage       51       LA27355-9  
  3       Not listed       99       LA27349-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248212-5  Payment source.secondary   [Secondary payment source] 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21212-3  Source 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   20B     2.0 
   CMS IRF-PAI   20B     3.0 
   CMS IRF-PAI   20B     1.5 
   CMS IRF-PAI   20B     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Secondary payment source [CMS Assessment]
  Fully Specified Name: Payment source.secondary: Type: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 90830
  Status (Raw): ACTIVE


87415-6   IRF-PAI v1.5, v2.0, v3.0 - Medical Info [CMS Assessment]IRF-PAI v1.5, v2.0, v3.0 - Medical Info [CMS Assessment]IRF-PAI v1.5, v2.0, v3.0 - Medical information: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
IRF-PAI v1.5, v2.0, v3.0 - Medical information  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Medical Information
  Long Common Name:  IRF-PAI v1.5, v2.0, v3.0 - Medical Info [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.63
  Last Updated in Version: 2.65
  Order vs. Obs.: Subset
  Status: Active.
Change Reason: This panel is in versions 1.5, 2.0 and 3.0, so "v2.0" and "v3.0" were added to the Component.

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP263445-1  IRF-PAI v1.5, v2.0, v3.0 - Medical information   [IRF-PAI v1.5, v2.0, v3.0 - Medical Info] 
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: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: IRF-PAI v1.5, v2.0, v3.0 - Medical Info [CMS Assessment]
  Fully Specified Name: IRF-PAI v1.5, v2.0, v3.0 - Medical information: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 7
  ID: 93713
  Status (Raw): ACTIVE


85405-9   Impairment group - admission [CMS Assessment]Impairment group - admission [CMS Assessment]Impairment group - admission: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Impairment group - admission  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Impairment Group - Admission
  Long Common Name:  Impairment group - admission [CMS Assessment]

OBSERVATION ID IN FORM
21

FORM CONTEXT
Condition requiring admission to rehabilitation

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  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  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248214-1  Impairment group - admission 
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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   21     2.0 
   CMS IRF-PAI   21     3.0 
   CMS IRF-PAI   21     1.5 
   CMS IRF-PAI   21     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Impairment group - admission [CMS Assessment]
  Fully Specified Name: Impairment group - admission: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 3
  ID: 90832
  Status (Raw): ACTIVE


85845-6   Impairment group [CMS Assessment]Impairment group [CMS Assessment]Impairment group: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Impairment group  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Impairment Group
  Long Common Name:  Impairment group [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  A code for the condition that best describes the primary reason for the admission to the inpatient rehabilitation facility. For most patients, the Impairment Group Code (IGC) at discharge will be the same codes as the admission IGC. If, during inpatient rehabilitation stay, the patient develops another impairment that uses more resources than the admission impairment, record the second IGC at discharge.
 
 

OBSERVATION ID IN FORM
21A

FORM CODING INSTRUCTIONS
Code according to Appendix A.

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

NORMATIVE ANSWER LIST    (LL4950-3)  
 
Externally Defined: Y
Source: Centers for Medicare & Medicaid Services
Link to external list: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/IRF-PAI-and-IRF-QRP-Manual.html

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249656-2  Impairment group 
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 IRF-PAI   21A     2.0 
   CMS IRF-PAI   21A     3.0 
   CMS IRF-PAI   21A     1.5 
   CMS IRF-PAI   21A     1.4 
   CMS IRF-PAI   21D     2.0 
   CMS IRF-PAI   21D     3.0 
   CMS IRF-PAI   21D     1.5 
   CMS IRF-PAI   21D     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:15 PM
  Long Common Name: Impairment group [CMS Assessment]
  Fully Specified Name: Impairment group: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 2
  ID: 91314
  Status (Raw): ACTIVE


85406-7   Impairment group - discharge [CMS Assessment]Impairment group - discharge [CMS Assessment]Impairment group - discharge: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Impairment group - discharge  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Impairment Group - Discharge
  Long Common Name:  Impairment group - discharge [CMS Assessment]

OBSERVATION ID IN FORM
21

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.61
  Last Updated in Version: 2.61
  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  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248215-8  Impairment group - 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   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  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   21     2.0 
   CMS IRF-PAI   21     3.0 
   CMS IRF-PAI   21     1.5 
   CMS IRF-PAI   21     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:16 PM
  Long Common Name: Impairment group - discharge [CMS Assessment]
  Fully Specified Name: Impairment group - discharge: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 3
  ID: 90833
  Status (Raw): ACTIVE


85845-6   Impairment group [CMS Assessment]Impairment group [CMS Assessment]Impairment group: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Impairment group  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Impairment Group
  Long Common Name:  Impairment group [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  A code for the condition that best describes the primary reason for the admission to the inpatient rehabilitation facility. For most patients, the Impairment Group Code (IGC) at discharge will be the same codes as the admission IGC. If, during inpatient rehabilitation stay, the patient develops another impairment that uses more resources than the admission impairment, record the second IGC at discharge.
 
 

OBSERVATION ID IN FORM
21D

FORM CODING INSTRUCTIONS
Code according to Appendix A.

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

NORMATIVE ANSWER LIST    (LL4950-3)  
 
Externally Defined: Y
Source: Centers for Medicare & Medicaid Services
Link to external list: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/IRF-PAI-and-IRF-QRP-Manual.html

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249656-2  Impairment group 
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 IRF-PAI   21A     2.0 
   CMS IRF-PAI   21A     3.0 
   CMS IRF-PAI   21A     1.5 
   CMS IRF-PAI   21A     1.4 
   CMS IRF-PAI   21D     2.0 
   CMS IRF-PAI   21D     3.0 
   CMS IRF-PAI   21D     1.5 
   CMS IRF-PAI   21D     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:16 PM
  Long Common Name: Impairment group [CMS Assessment]
  Fully Specified Name: Impairment group: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 2
  ID: 91314
  Status (Raw): ACTIVE


52797-8   Diagnosis ICD code [Identifier]Diagnosis ICD code [Identifier]Diagnosis ICD code: Prid: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Diagnosis ICD code  Prid  Pt  ^Patient  Nom 
  Override Display Name for Form:  Etiologic Diagnosis
  Long Common Name:  Diagnosis ICD code [Identifier]
  Short Name:  Dx ICD code

OBSERVATION ID IN FORM
22A, 22B, 22C

ANSWER CARDINALITY
1..3

FORM CODING INSTRUCTIONS
Use ICD codes to indicate the etiologic problem that led to the condition for which the patient is receiving rehabilitation

BASIC ATTRIBUTES
  Class/Type: CLIN/Clinical
  First Released in Version: 2.26
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS from SURVEY.MDS to CLIN.

EXAMPLE ANSWER LIST    (LL4547-7)  
 
Externally Defined: Y
Source: Centers for Disease Control and Prevention
Link to external list: http://www.cdc.gov/nchs/icd.htm

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
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  62949-3 PhenX domain - Gastrointestinal
  74502-6 Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  87825-6 National Trauma Data Standard - version 2018 set
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL1892-0 NORMATIVE 1
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL1892-0 NORMATIVE 1
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74726-8  Diagnosis ICD code 
Property   LP6850-4  Prid   [Presence or Identity] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP57597-4  ICD 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  诊断 ICD 代码:存在与否或特征标识:时间点:^患者:名义型:诊断 ICD 代码:存在与否或特征标识:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Diagnosi, codice ICD:Prid:Pt:^Paziente:Nom:Diagnosi, codice ICD:Prid:Pt:^Paziente:Nom:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Código CIE del diagnóstico:Presencia o identidad:Punto temporal:^paciente:Nom:Código CIE del diagnóstico:Presencia o identidad:Punto temporal:^paciente:Nom:

RELATED NAMES
  CLIN Identity or presence Point in time
  Dx International Classification of Diseases Random
  Dx ICD code Nominal  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   22     1.5 
   CMS IRF-PAI   22A     1.5 
   CMS IRF-PAI   22A     2.0 
   CMS IRF-PAI   22A,     3.0 
   CMS IRF-PAI   22B     2.0 
   CMS IRF-PAI   22B     3.0 
   CMS IRF-PAI   22B     1.5 
   CMS IRF-PAI   22C     2.0 
   CMS IRF-PAI   22C     1.5 
   CMS IRF-PAI   22C     3.0 
   CMS LCDS   I0050A     3.00 
   CMS LCDS   I0050A     4.00 
   CMS MDS   I0020A     1.16.1 
   CMS MDS   I0020B     1.17.1 
   CMS MDS   I8000     1.14.1 
   CMS MDS   I8000A     1.14.1 
   CMS MDS   I8000A-I8000J     1.17.1 
   CMS MDS   I8000A-I8000J     1.15.1 
   CMS MDS   I8000A-I8000J     1.16.1 
   CMS MDS   I8000B     1.14.1 
   CMS MDS   I8000C     1.14.1 
   CMS MDS   I8000D     1.14.1 
   CMS MDS   I8000E     1.14.1 
   CMS MDS   I8000F     1.14.1 
   CMS MDS   I8000G     1.14.1 
   CMS MDS   I8000H     1.14.1 
   CMS MDS   I8000I     1.14.1 
   CMS MDS   I8000J     1.14.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:16 PM
  Attachment Units Required: N
  Long Common Name: Diagnosis ICD code [Identifier]
  Shortname: Dx ICD code
  Fully Specified Name: Diagnosis ICD code: Prid: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 46937
  Status (Raw): ACTIVE


85585-8   Date of condition onsetDate of condition onsetDate of condition onset: Date: Pt: ^Patient: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date of condition onset  Date  Pt  ^Patient  Qn 
  Override Display Name for Form:  Date of Onset of Impairment
  Long Common Name:  Date of condition onset

OBSERVATION ID IN FORM
23

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

SURVEY QUESTION
Text: Date of Onset of Impairment

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  39135-9 Wound assessment panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP248700-9  Date of condition onset 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

RELATED NAMES
  Point in time Quant Survey
  QNT Quantitative SURVEY.GNHLTH
  Quan Random  

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

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   23     2.0 
   CMS IRF-PAI   23     3.0 
   CMS IRF-PAI   23     1.5 
   CMS IRF-PAI   23     1.4 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:16 PM
  Long Common Name: Date of condition onset
  Fully Specified Name: Date of condition onset: Date: Pt: ^Patient: Qn:
     
  Component Word Count: 4
  ID: 91050
  Status (Raw): ACTIVE


75618-9   Comorbid conditionComorbid conditionComorbid condition: Find: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Comorbid condition  Find  Pt  ^Patient  Nom 
  Override Display Name for Form:  Comorbid Conditions
  Long Common Name:  Comorbid condition

PART DEFINITION/DESCRIPTION(S)
  Part: Comorbid condition
  Medical diagnoses or clinical conditions the patient has at the time of the encounter that may or may not be associated with the primary or any other reason for the encounter.
 
 

OBSERVATION ID IN FORM
24A-24Y

ANSWER CARDINALITY
0..25

FORM CODING INSTRUCTIONS
Use ICD codes to enter comorbid medical conditions

BASIC ATTRIBUTES
  Class/Type: SURVEY.NHCS/Survey
  First Released in Version: 2.50
  Last Updated in Version: 2.52
  Order vs. Obs.: Observation
  Status: Active

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

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
  81958-1 National Health Care Surveys report R1 - recommended CDA set
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL1892-0 NORMATIVE 1
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL1892-0 NORMATIVE 1
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL1892-0 NORMATIVE 1
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL1892-0 NORMATIVE 1
  

PARTS

Part Type    Part No.  Part Name   
Component   LP185958-8  Comorbid condition 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  Finding Point in time SURVEY.NHCS
  Findings Random  
  Nominal Survey  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   24     1.4 
   CMS IRF-PAI   24     1.5 
   CMS IRF-PAI   24A     1.4 
   CMS IRF-PAI   24A     1.5 
   CMS IRF-PAI   24A     3.0 
   CMS IRF-PAI   24A     2.0 
   CMS IRF-PAI   24B     1.4 
   CMS IRF-PAI   24B     1.5 
   CMS IRF-PAI   24B     3.0 
   CMS IRF-PAI   24B     2.0 
   CMS IRF-PAI   24C     1.5 
   CMS IRF-PAI   24C     3.0 
   CMS IRF-PAI   24C     2.0 
   CMS IRF-PAI   24C     1.4 
   CMS IRF-PAI   24D     3.0 
   CMS IRF-PAI   24D     1.5 
   CMS IRF-PAI   24D     1.4 
   CMS IRF-PAI   24D     2.0 
   CMS IRF-PAI   24E     2.0 
   CMS IRF-PAI   24E     1.5 
   CMS IRF-PAI   24E     1.4 
   CMS IRF-PAI   24E     3.0 
   CMS IRF-PAI   24F     3.0 
   CMS IRF-PAI   24F     1.4 
   CMS IRF-PAI   24F     2.0 
   CMS IRF-PAI   24F     1.5 
   CMS IRF-PAI   24G     2.0 
   CMS IRF-PAI   24G     3.0 
   CMS IRF-PAI   24G     1.5 
   CMS IRF-PAI   24G     1.4 
   CMS IRF-PAI   24H     2.0 
   CMS IRF-PAI   24H     1.5 
   CMS IRF-PAI   24H     3.0 
   CMS IRF-PAI   24H     1.4 
   CMS IRF-PAI   24I     1.5 
   CMS IRF-PAI   24I     3.0 
   CMS IRF-PAI   24I     2.0 
   CMS IRF-PAI   24I     1.4 
   CMS IRF-PAI   24J     1.4 
   CMS IRF-PAI   24J     3.0 
   CMS IRF-PAI   24J     1.5 
   CMS IRF-PAI   24J     2.0 
   CMS IRF-PAI   24K     3.0 
   CMS IRF-PAI   24K     1.5 
   CMS IRF-PAI   24K     1.4 
   CMS IRF-PAI   24K     2.0 
   CMS IRF-PAI   24L     1.4 
   CMS IRF-PAI   24L     1.5 
   CMS IRF-PAI   24L     3.0 
   CMS IRF-PAI   24L     2.0 
   CMS IRF-PAI   24M     2.0 
   CMS IRF-PAI   24M     3.0 
   CMS IRF-PAI   24M     1.5 
   CMS IRF-PAI   24M     1.4 
   CMS IRF-PAI   24N     2.0 
   CMS IRF-PAI   24N     1.4 
   CMS IRF-PAI   24N     1.5 
   CMS IRF-PAI   24N     3.0 
   CMS IRF-PAI   24O     1.4 
   CMS IRF-PAI   24O     2.0 
   CMS IRF-PAI   24O     3.0 
   CMS IRF-PAI   24O     1.5 
   CMS IRF-PAI   24P     2.0 
   CMS IRF-PAI   24P     1.5 
   CMS IRF-PAI   24P     3.0 
   CMS IRF-PAI   24P     1.4 
   CMS IRF-PAI   24Q     3.0 
   CMS IRF-PAI   24Q     1.4 
   CMS IRF-PAI   24Q     2.0 
   CMS IRF-PAI   24Q     1.5 
   CMS IRF-PAI   24R     2.0 
   CMS IRF-PAI   24R     1.4 
   CMS IRF-PAI   24R     1.5 
   CMS IRF-PAI   24R     3.0 
   CMS IRF-PAI   24S     1.5 
   CMS IRF-PAI   24S     2.0 
   CMS IRF-PAI   24S     3.0 
   CMS IRF-PAI   24S     1.4 
   CMS IRF-PAI   24T     1.5 
   CMS IRF-PAI   24T     2.0 
   CMS IRF-PAI   24T     3.0 
   CMS IRF-PAI   24T     1.4 
   CMS IRF-PAI   24U     2.0 
   CMS IRF-PAI   24U     3.0 
   CMS IRF-PAI   24U     1.4 
   CMS IRF-PAI   24U     1.5 
   CMS IRF-PAI   24V     1.5 
   CMS IRF-PAI   24V     2.0 
   CMS IRF-PAI   24V     1.4 
   CMS IRF-PAI   24V     3.0 
   CMS IRF-PAI   24W     2.0 
   CMS IRF-PAI   24W     3.0 
   CMS IRF-PAI   24W     1.4 
   CMS IRF-PAI   24W     1.5 
   CMS IRF-PAI   24X     3.0 
   CMS IRF-PAI   24X     1.5 
   CMS IRF-PAI   24X     1.4 
   CMS IRF-PAI   24X     2.0 
   CMS IRF-PAI   24Y     1.5 
   CMS IRF-PAI   24Y     3.0 
   CMS IRF-PAI   24Y     1.4 
   CMS IRF-PAI   24Y     2.0 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:15:16 PM
  Long Common Name: Comorbid condition
  Fully Specified Name: Comorbid condition: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 77306
  Status (Raw): ACTIVE


85407-5   Arthritis conditions recorded [CMS Assessment]Arthritis conditions recorded [CMS Assessment]Arthritis conditions recorded: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Arthritis conditions recorded  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Are there any arthritis conditions recorded in items #21, #22, or #24 that meet all of the regulatory requirements for IRF classification (in 42 CFR 412.29(b)(2)(x), (xi), and (xii))?
  Long Common Name:  Arthritis conditions recorded [CMS Assessment]

OBSERVATION ID IN FORM
24A1

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

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