88504-6  OASIS D - Data items collected at inpatient facility admission or agency discharge only - transfer [CMS Assessment]OASIS D - Data items collected at inpatient facility admission or agency discharge only - transfer [CMS Assessment]OASIS D - Data items collected at inpatient facility admission or agency discharge only - transfer: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  88504-6   DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY    
       57198-4   Intervention Synopsis: At the time of or at any time since the most recent SOC/ROC assessment, were the following interventions BOTH included in the physician-ordered plan or care AND implemented?    
            57270-1   Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care    
            57271-9   Falls prevention interventions    
            57272-7   Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment    
            57273-5   Intervention(s) to monitor and mitigate pain    
            57274-3   Intervention(s) to prevent pressure ulcers    
            57275-0   Pressure ulcer treatment based on principles of moist wound healing    
       46578-1   To which Inpatient Facility has the patient been admitted?    
       46582-3   Discharge/Transfer/Death Date   {mm/dd/yyyy} 
 

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

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.64
  Last Updated in Version: 2.64
  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  
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP266142-1  OASIS D - Data items collected at inpatient facility admission or agency discharge only - transfer 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP260886-9  D- 
Fragments for synonyms   LP57618-8  OASIS 
Fragments for synonyms   LP21059-8  Panel 

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

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Long Common Name: OASIS D - Data items collected at inpatient facility admission or agency discharge only - transfer [CMS Assessment]
  Fully Specified Name: OASIS D - Data items collected at inpatient facility admission or agency discharge only - transfer: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 14
  ID: 95080
  # of Panel Elements: 10
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



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

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

OBSERVATION ID IN FORM
M2401

FORM CODING INSTRUCTIONS
Check only one box in each row.

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Intervention synopsis
  Fully Specified Name: Intervention synopsis: -: Pt: ^Patient: -:
     
  Component Word Count: 2
  ID: 51828
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401a

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes diabetic foot care [CMS Assessment]
  Fully Specified Name: Plan of care includes diabetic foot care: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 51907
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401b

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes fall prevention interventions [CMS Assessment]
  Fully Specified Name: Plan of care includes fall prevention interventions: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 51908
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401c

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes depression intervention [CMS Assessment]
  Fully Specified Name: Plan of care includes depression intervention: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 6
  ID: 51909
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401d

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes intervention to monitor and mitigate pain [CMS Assessment]
  Fully Specified Name: Plan of care includes intervention to monitor and mitigate pain: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 51911
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401e

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes intervention to prevent pressure injuries [CMS Assessment]
  Fully Specified Name: Plan of care includes intervention to prevent pressure injuries: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 51912
  Status (Raw): ACTIVE


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

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

OBSERVATION ID IN FORM
M2401f

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Plan of care includes pressure injury treatment - moist healing [CMS Assessment]
  Fully Specified Name: Plan of care includes pressure injury treatment - moist healing: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 51913
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M2410

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

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

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

PARTS

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

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

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

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Admitted to Inpatient facility [CMS Assessment]
  Fully Specified Name: Admitted to: Type: Pt: Inpatient facility: Nom: CMS Assessment
     
  Component Word Count: 2
  ID: 40003
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
M0906

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

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

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

PARTS

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

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

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

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

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

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:50:48 PM
  Attachment Units Required: N
  Long Common Name: Discharge, transfer, death date [CMS Assessment]
  Fully Specified Name: Discharge, transfer, death date: Date: Pt: ^Patient: Qn: CMS Assessment
     
  Component Word Count: 4
  ID: 40008
  Status (Raw): ACTIVE

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

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

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