101107-1
MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
Active
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 101107-1 | MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] | |||
| Indent101591-6 | Identification Information | |||
| Indent Indent58198-3 | Type of Record | |||
| Indent Indent54581-4 | Facility Provider Numbers | |||
| Indent Indent Indent76468-8 | National Provider Identifier (NPI) | |||
| Indent Indent Indent69417-4 | CMS Certification Number (CCN) | |||
| Indent Indent Indent45398-5 | State Provider Number | |||
| Indent Indent85632-8 | Type of Provider | |||
| Indent Indent86524-6 | Type of Assessment | |||
| Indent Indent Indent54583-0 | Federal OBRA Reason for Assessment | |||
| Indent Indent Indent54584-8 | PPS Assessment | |||
| Indent Indent Indent54587-1 | Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry? | |||
| Indent Indent Indent58108-2 | Entry/discharge reporting | |||
| Indent Indent Indent71440-2 | Type of discharge | |||
| Indent Indent Indent90525-7 | Is this a SNF Part A Interrupted Stay? | |||
| Indent Indent Indent86525-3 | Is this a SNF Part A PPS Discharge Assessment? | |||
| Indent Indent86526-1 | Unit Certification or Licensure Designation | |||
| Indent Indent54503-8 | Legal Name of Resident | |||
| Indent Indent Indent45392-8 | First name | |||
| Indent Indent Indent45393-6 | Middle initial | |||
| Indent Indent Indent45394-4 | Last name | |||
| Indent Indent Indent45395-1 | Suffix | |||
| Indent Indent45966-9 | Social Security and Medicare Numbers | |||
| Indent Indent Indent45396-9 | Social Security Number | |||
| Indent Indent Indent45397-7 | Medicare number | |||
| Indent Indent45400-9 | Medicaid Number | |||
| Indent Indent46098-0 | Gender | |||
| Indent Indent21112-8 | Birth Date | {mm/dd/yyyy} | ||
| Indent Indent69854-8 | Ethnicity. Are you of Hispanic, Latino/a, or Spanish origin? | 1..4 | ||
| Indent Indent103708-4 | Race. What is your race? | 1..14 | ||
| Indent Indent93186-5 | Language | |||
| Indent Indent Indent54899-0 | What is your preferred language? | |||
| Indent Indent Indent54588-9 | Do you need or want an interpreter to communicate with a doctor or health care staff? | |||
| Indent Indent45404-1 | Marital Status | |||
| Indent Indent101351-5 | Transportation (from NACHC©) | |||
| Indent Indent54506-1 | Optional Resident Items | |||
| Indent Indent Indent46106-1 | Medical record number | |||
| Indent Indent Indent45403-3 | Room number | |||
| Indent Indent Indent52462-9 | Name by which resident prefers to be addressed | |||
| Indent Indent Indent21843-8 | Lifetime occupation(s) | |||
| Indent Indent86528-7 | Most Recent Admission/Entry or Reentry into this Facility | |||
| Indent Indent Indent50786-3 | Entry Date | {mm/dd/yyyy} | ||
| Indent Indent Indent54590-5 | Type of Entry | |||
| Indent Indent Indent85398-6 | Entered From | |||
| Indent Indent52455-3 | Admission Date | {mm/dd/yyyy} | ||
| Indent Indent52525-3 | Discharge Date | {mm/dd/yyyy} | ||
| Indent Indent55128-3 | Discharge Status | |||
| Indent Indent93182-4 | Provision of Current Reconciled Medication List to Subsequent Provider at Discharge | |||
| Indent Indent93184-0 | Route of Current Reconciled Medication List Transmission to Subsequent Provider | 1..5 | ||
| Indent Indent93181-6 | Provision of Current Reconciled Medication List to Resident at Discharge | |||
| Indent Indent93183-2 | Route of Current Reconciled Medication List Transmission to Resident | 1..5 | ||
| Indent Indent54593-9 | Assessment Reference Date. Observation end date | {mm/dd/yyyy} | ||
| Indent Indent54507-9 | Medicare Stay | |||
| Indent Indent Indent54594-7 | Has the resident had a Medicare-covered stay since the most recent entry? | |||
| Indent Indent Indent54595-4 | Start date of most recent Medicare stay | {mm/dd/yyyy} | ||
| Indent Indent Indent54596-2 | End date of most recent Medicare stay | {mm/dd/yyyy} | ||
| Indent54508-7 | Hearing, Speech, and Vision | |||
| Indent Indent54597-0 | Comatose | |||
| Indent Indent103709-2 | Health Literacy | |||
| Indent101592-4 | Cognitive Patterns | |||
| Indent Indent54605-1 | Should Brief Interview for Mental Status (C0200-C0500) be Conducted? | |||
| Indent Indent103694-6 | Brief Interview for Mental Status (BIMS) | |||
| Indent Indent Indent103696-1 | Repetition of Three Words | |||
| Indent Indent Indent103702-7 | Temporal Orientation | |||
| Indent Indent Indent Indent103697-9 | Able to report correct year | |||
| Indent Indent Indent Indent103698-7 | Able to report correct month | |||
| Indent Indent Indent Indent103703-5 | Able to report correct day of the week | |||
| Indent Indent Indent103695-3 | Recall | |||
| Indent Indent Indent Indent103699-5 | Able to recall "sock" | |||
| Indent Indent Indent Indent103700-1 | Able to recall "blue" | |||
| Indent Indent Indent Indent103701-9 | Able to recall "bed" | |||
| Indent Indent Indent103704-3 | BIMS Summary Score | {score} | ||
| Indent Indent54615-0 | Should the Staff Assessment for Mental Status (C0700 - C1000) be Conducted? | |||
| Indent Indent83241-0 | Staff Assessment for Mental Status | |||
| Indent Indent Indent54616-8 | Short-term Memory OK | |||
| Indent Indent Indent54624-2 | Cognitive Skills for Daily Decision Making | |||
| Indent Indent101593-2 | Delirium | |||
| Indent Indent95816-5 | Signs and Symptoms of Delirium (from CAM©) | |||
| Indent Indent Indent95813-2 | Acute Onset Mental Change | |||
| Indent Indent Indent95812-4 | Inattention | |||
| Indent Indent Indent95814-0 | Disorganized Thinking | |||
| Indent Indent Indent95815-7 | Altered Level of Consciousness | |||
| Indent101594-0 | Mood | |||
| Indent Indent54634-1 | Should Resident Mood Interview be Conducted? | |||
| Indent Indent54635-8 | Resident Mood Interview (PHQ-2 to 9) | |||
| Indent Indent Indent86843-0 | Symptom Presence | |||
| Indent Indent Indent Indent54636-6 | Little interest or pleasure in doing things | |||
| Indent Indent Indent Indent54638-2 | Feeling down, depressed or hopeless | |||
| Indent Indent Indent Indent54640-8 | Trouble falling or staying asleep, or sleeping too much | |||
| Indent Indent Indent Indent54642-4 | Feeling tired or having little energy | |||
| Indent Indent Indent Indent54644-0 | Poor appetite or overeating | |||
| Indent Indent Indent Indent54646-5 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down | |||
| Indent Indent Indent Indent54648-1 | Trouble concentrating on things, such as reading the newspaper or watching television | |||
| Indent Indent Indent Indent54650-7 | Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | |||
| Indent Indent Indent Indent54652-3 | Thoughts that you would be better off dead, or of hurting yourself in some way | |||
| Indent Indent Indent86844-8 | Symptom Frequency | |||
| Indent Indent Indent Indent54637-4 | Little interest or pleasure in doing things | |||
| Indent Indent Indent Indent54639-0 | Feeling down, depressed or hopeless | |||
| Indent Indent Indent Indent54641-6 | Trouble falling or staying asleep, or sleeping too much | |||
| Indent Indent Indent Indent54643-2 | Feeling tired or having little energy | |||
| Indent Indent Indent Indent54645-7 | Poor appetite or overeating | |||
| Indent Indent Indent Indent54647-3 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down | |||
| Indent Indent Indent Indent54649-9 | Trouble concentrating on things, such as reading the newspaper or watching television | |||
| Indent Indent Indent Indent54651-5 | Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | |||
| Indent Indent Indent Indent54653-1 | Thoughts that you would be better off dead, or of hurting yourself in some way | |||
| Indent Indent103705-0 | Total Severity Score | {score} | ||
| Indent Indent103706-8 | Staff Assessment of Resident Mood (PHQ-9-OV) | |||
| Indent Indent Indent86833-1 | Symptom Presence | |||
| Indent Indent Indent Indent54658-0 | Little interest or pleasure in doing things | |||
| Indent Indent Indent Indent54660-6 | Feeling or appearing down, depressed, or hopeless | |||
| Indent Indent Indent Indent54662-2 | Trouble falling or staying asleep, or sleeping too much | |||
| Indent Indent Indent Indent54664-8 | Feeling tired or having little energy | |||
| Indent Indent Indent Indent54666-3 | Poor appetite or overeating | |||
| Indent Indent Indent Indent54668-9 | Indicating that they feel bad about self, are a failure, or have let self or family down | |||
| Indent Indent Indent Indent54670-5 | Trouble concentrating on things, such as reading the newspaper or watching television | |||
| Indent Indent Indent Indent54672-1 | Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that they have been moving around a lot more than usual | |||
| Indent Indent Indent Indent54673-9 | States that life isn't worth living, wishes for death, or attempts to harm self | |||
| Indent Indent Indent Indent54675-4 | Being short-tempered, easily annoyed | |||
| Indent Indent Indent86891-9 | Symptom Frequency | |||
| Indent Indent Indent Indent54659-8 | Little interest or pleasure in doing things | |||
| Indent Indent Indent Indent54661-4 | Feeling or appearing down, depressed, or hopeless | |||
| Indent Indent Indent Indent54663-0 | Trouble falling or staying asleep, or sleeping too much | |||
| Indent Indent Indent Indent54665-5 | Feeling tired or having little energy | |||
| Indent Indent Indent Indent54667-1 | Poor appetite or overeating | |||
| Indent Indent Indent Indent54669-7 | Indicating that they feel bad about self, are a failure, or have let self or family down | |||
| Indent Indent Indent Indent54671-3 | Trouble concentrating on things, such as reading the newspaper or watching television | |||
| Indent Indent Indent Indent54904-8 | Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that they have been moving around a lot more than usual | |||
| Indent Indent Indent Indent54674-7 | States that life isn't worth living, wishes for death, or attempts to harm self | |||
| Indent Indent Indent Indent54676-2 | Being short-tempered, easily annoyed | |||
| Indent Indent103707-6 | Total Severity Score | {score} | ||
| Indent Indent93159-2 | Social Isolation | |||
| Indent86596-4 | Behavior | |||
| Indent Indent86597-2 | Potential Indicators of Psychosis | 1..2 | ||
| Indent54514-5 | Behavioral Symptom - Presence & Frequency | |||
| Indent Indent54682-0 | Physical behavioral symptoms directed toward others | d/(7.d) | ||
| Indent Indent54683-8 | Verbal behavioral symptoms directed toward others | d/(7.d) | ||
| Indent Indent54684-6 | Other behavioral symptoms not directed toward others | d/(7.d) | ||
| Indent54692-9 | Rejection of Care - Presence & Frequency | d/(7.d) | ||
| Indent54693-7 | Wandering - Presence & Frequency | d/(7.d) | ||
| Indent101595-7 | Functional Abilities and Goals | |||
| Indent Indent92908-3 | Functional Limitation in Range of Motion | |||
| Indent Indent Indent92850-7 | Upper extremity (shoulder, elbow, wrist, hand) | |||
| Indent Indent Indent92851-5 | Lower extremity (hip, knee, ankle, foot) | |||
| Indent Indent86602-0 | Mobility Devices | 1..4 | ||
| Indent Indent88483-3 | Functional Abilities and Goals - Discharge | |||
| Indent Indent Indent83254-3 | Self-Care - Discharge Performance | |||
| Indent Indent Indent Indent89409-7 | Eating | |||
| Indent Indent Indent Indent89404-8 | Oral hygiene | |||
| Indent Indent Indent Indent89389-1 | Toileting hygiene | |||
| Indent Indent Indent Indent89396-6 | Shower/bathe self | |||
| Indent Indent Indent Indent89387-5 | Upper body dressing | |||
| Indent Indent Indent Indent89406-3 | Lower body dressing | |||
| Indent Indent Indent Indent89400-6 | Putting on/taking off footwear | |||
| Indent Indent Indent Indent45606-1 | Personal hygiene | |||
| Indent Indent Indent88331-4 | Mobility - Discharge Performance (Assessment period is the last 3 days of the stay) | |||
| Indent Indent Indent Indent89398-2 | Roll left and right | |||
| Indent Indent Indent Indent89394-1 | Sit to lying | |||
| Indent Indent Indent Indent95009-7 | Lying to sitting on side of bed | |||
| Indent Indent Indent Indent89392-5 | Sit to stand | |||
| Indent Indent Indent Indent89414-7 | Chair/bed-to-chair transfer | |||
| Indent Indent Indent Indent89390-9 | Toilet transfer | |||
| Indent Indent Indent Indent101597-3 | Tub/shower transfer | |||
| Indent Indent Indent Indent89412-1 | Car transfer | |||
| Indent Indent Indent Indent89385-9 | Walk 10 feet | |||
| Indent Indent Indent Indent89381-8 | Walk 50 feet with two turns | |||
| Indent Indent Indent Indent89383-4 | Walk 150 feet | |||
| Indent Indent Indent Indent89379-2 | Walking 10 feet on uneven surfaces | |||
| Indent Indent Indent Indent95000-6 | 1 step (curb) | |||
| Indent Indent Indent Indent89416-2 | 4 steps | |||
| Indent Indent Indent Indent89418-8 | 12 steps | |||
| Indent Indent Indent Indent89402-2 | Picking up object | |||
| Indent Indent Indent Indent95738-1 | Does the resident use a wheelchair and/or scooter? | |||
| Indent Indent Indent Indent94992-5 | Wheel 50 feet with two turns | |||
| Indent Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent Indent Indent Indent94991-7 | Wheel 150 feet | |||
| Indent Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent83237-8 | Bladder and Bowel | |||
| Indent Indent86624-4 | Appliances | 1..4 | ||
| Indent Indent95735-7 | Urinary Continence | 1..1 | ||
| Indent Indent95736-5 | Bowel Continence | 1..1 | ||
| Indent101601-3 | Active Diagnoses | |||
| Indent Indent86671-5 | Active Diagnoses in the last 7 days | 1..* | ||
| Indent Indent52797-8 | Additional active diagnoses | 0..10 | ||
| Indent101602-1 | Health Conditions | |||
| Indent Indent54557-4 | Pain Management | |||
| Indent Indent Indent71447-7 | At any time in the last 5 days, has the resident: Received scheduled pain medication regimen? | |||
| Indent Indent Indent71448-5 | At any time in the last 5 days, has the resident: Received PRN pain medications OR was offered and declined? | |||
| Indent Indent Indent71449-3 | At any time in the last 5 days, has the resident: Received non-medication intervention for pain? | |||
| Indent Indent54828-9 | Should Pain Assessment Interview be Conducted? | |||
| Indent Indent101603-9 | Pain Assessment Interview | |||
| Indent Indent Indent54829-7 | Pain Presence | |||
| Indent Indent Indent54830-5 | Pain Frequency | |||
| Indent Indent Indent93156-8 | Pain Effect on Sleep | |||
| Indent Indent Indent93160-0 | Pain Interference with Therapy Activities | |||
| Indent Indent Indent93158-4 | Pain Interference with Day-to-Day Activities | |||
| Indent Indent Indent54560-8 | Pain Intensity | |||
| Indent Indent Indent Indent54833-9 | Numeric Rating Scale (00-10) | |||
| Indent Indent Indent Indent54834-7 | Verbal Descriptor Scale | |||
| Indent Indent86674-9 | Other Health Conditions | |||
| Indent Indent Indent86675-6 | Shortness of Breath (dyspnea) | 1..3 | ||
| Indent Indent Indent54846-1 | Prognosis | |||
| Indent Indent Indent86676-4 | Problem Conditions | 1..4 | ||
| Indent Indent Indent54853-7 | Any Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent | |||
| Indent Indent Indent54854-5 | Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent | |||
| Indent Indent Indent Indent54855-2 | No injury | |||
| Indent Indent Indent Indent54856-0 | Injury (except major) | |||
| Indent Indent Indent Indent54857-8 | Major injury | |||
| Indent101604-7 | Swallowing &or Nutritional Status | |||
| Indent Indent54567-3 | Height and Weight | |||
| Indent Indent Indent103692-0 | Height (in inches) | [in_us];cm;m | ||
| Indent Indent Indent103693-8 | Weight (in pounds) | [lb_av];kg | ||
| Indent Indent54863-6 | Weight Loss | |||
| Indent Indent86678-0 | Weight Gain | |||
| Indent Indent54568-1 | Nutritional Approaches | |||
| Indent Indent Indent71445-1 | Nutritional Approaches. While a Resident | 1..4 | ||
| Indent Indent Indent101605-4 | Nutritional Approaches. At Discharge | 1..4 | ||
| Indent101607-0 | Skin Conditions | |||
| Indent Indent101608-8 | Determination of Pressure Ulcer/Injury Risk | 1..3 | ||
| Indent Indent58214-8 | Unhealed Pressure Ulcers/Injuries | |||
| Indent Indent101611-2 | Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage | |||
| Indent Indent Indent55124-2 | Number of Stage 2 pressure ulcers | {#} | ||
| Indent Indent Indent54886-7 | Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry | {#} | ||
| Indent Indent Indent55125-9 | Number of Stage 3 pressure ulcers | {#} | ||
| Indent Indent Indent54887-5 | Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry | {#} | ||
| Indent Indent Indent55126-7 | Number of Stage 4 pressure ulcers | {#} | ||
| Indent Indent Indent54890-9 | Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry | {#} | ||
| Indent Indent Indent54893-3 | Number of unstageable pressure ulcers/injuries due to non-removable dressing/device | {#} | ||
| Indent Indent Indent54894-1 | Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry | {#} | ||
| Indent Indent Indent54946-9 | Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar | {#} | ||
| Indent Indent Indent54947-7 | Number of these unstageable pressure ulcers that were present upon admission/entry or reentry | {#} | ||
| Indent Indent Indent54950-1 | Number of unstageable pressure injuries presenting as deep tissue injury | {#} | ||
| Indent Indent Indent54951-9 | Number of these unstageable pressure injuries that were present upon admission/entry or reentry | {#} | ||
| Indent86749-9 | Medications | |||
| Indent Indent101612-0 | High-Risk Drug Classes: Use and Indication | |||
| Indent Indent Indent93153-5 | Is taking | 1..10 | ||
| Indent Indent Indent93154-3 | Indication noted | 1..10 | ||
| Indent Indent57256-0 | Medication Intervention | |||
| Indent101613-8 | Special Treatments, Procedures, and Programs | |||
| Indent Indent101614-6 | Special Treatments, Procedures, and Programs | |||
| Indent Indent Indent86761-4 | Special Treatments, Procedures, and Programs - While a Resident | 1..1 | ||
| Indent Indent Indent93185-7 | Special Treatments, Procedures, and Programs - At Discharge | 1..30 | ||
| Indent Indent69339-0 | Influenza Vaccine | |||
| Indent Indent Indent55019-4 | Did the resident receive the influenza vaccine in this facility for this year's influenza vaccination season? | |||
| Indent Indent Indent58131-4 | Date influenza vaccine received | {mm/dd/yyyy} | ||
| Indent Indent Indent55020-2 | If influenza vaccine not received, state reason: | |||
| Indent Indent55021-0 | Pneumococcal Vaccine | |||
| Indent Indent Indent55022-8 | Is the resident's Pneumococcal vaccination up to date? | |||
| Indent Indent Indent45956-0 | If Pneumococcal vaccine not received, state reason: | |||
| Indent Indent90544-8 | Part A Therapies | |||
| Indent Indent Indent90545-5 | Speech-Language Pathology and Audiology Services | |||
| Indent Indent Indent Indent90539-8 | Individual minutes | min | ||
| Indent Indent Indent Indent90536-4 | Concurrent minutes | min | ||
| Indent Indent Indent Indent90538-0 | Group minutes | min | ||
| Indent Indent Indent Indent90537-2 | Co-treatment minutes | min | ||
| Indent Indent Indent Indent90551-3 | Days | d/{#} | ||
| Indent Indent Indent90546-3 | Occupational Therapy | |||
| Indent Indent Indent Indent90531-5 | Individual minutes | min | ||
| Indent Indent Indent Indent90527-3 | Concurrent minutes | min | ||
| Indent Indent Indent Indent90529-9 | Group minutes | min | ||
| Indent Indent Indent Indent90528-1 | Co-treatment minutes | min | ||
| Indent Indent Indent Indent90530-7 | Days | d/{#} | ||
| Indent Indent Indent90547-1 | Physical Therapy | |||
| Indent Indent Indent Indent90535-6 | Individual minutes | min | ||
| Indent Indent Indent Indent90532-3 | Concurrent minutes | min | ||
| Indent Indent Indent Indent90534-9 | Group minutes | min | ||
| Indent Indent Indent Indent90533-1 | Co-treatment minutes | min | ||
| Indent Indent Indent Indent90550-5 | Days | d/{#} | ||
| Indent Indent90548-9 | Distinct Calendar Days of Part A Therapy | {#} | ||
| Indent88307-4 | Restraints and Alarms | |||
| Indent Indent86785-3 | Physical Restraints | |||
| Indent Indent Indent86786-1 | Used in Bed. Bed rail | d/(7.d) | ||
| Indent Indent Indent86787-9 | Used in Bed. Trunk restraint | d/(7.d) | ||
| Indent Indent Indent86788-7 | Used in Bed. Limb restraint | d/(7.d) | ||
| Indent Indent Indent86789-5 | Used in Bed. Other | d/(7.d) | ||
| Indent Indent Indent86790-3 | Used in Chair or Out of Bed. Trunk restraint | d/(7.d) | ||
| Indent Indent Indent86791-1 | Used in Chair or Out of Bed. Limb restraint | d/(7.d) | ||
| Indent Indent Indent86792-9 | Used in Chair or Out of Bed. Chair prevents rising | d/(7.d) | ||
| Indent Indent Indent86793-7 | Used in Chair or Out of Bed. Other | d/(7.d) | ||
| Indent101615-3 | Participation in Assessment and Goal Setting | |||
| Indent Indent101617-9 | Discharge Plan | |||
| Indent Indent Indent58146-2 | Is active discharge planning already occurring for the resident to return to the community? | |||
| Indent Indent101619-5 | Referral | |||
| Indent Indent Indent101620-3 | Has a referral been made to the Local Contact Agency (LCA)? | |||
| Indent Indent101621-1 | Reason Referral to Local Contact Agency (LCA) Not Made | |||
| Indent101622-9 | Correction Request | |||
| Indent Indent85632-8 | Type of Provider | |||
| Indent Indent87226-7 | Name of Resident | |||
| Indent Indent Indent45392-8 | First name | |||
| Indent Indent Indent45394-4 | Last name | |||
| Indent Indent46098-0 | Gender | |||
| Indent Indent21112-8 | Birth Date | {mm/dd/yyyy} | ||
| Indent Indent45396-9 | Social Security Number | |||
| Indent Indent86524-6 | Type of Assessment | |||
| Indent Indent Indent54583-0 | Federal OBRA Reason for Assessment | |||
| Indent Indent Indent54584-8 | PPS Assessment | |||
| Indent Indent Indent58108-2 | Entry/discharge reporting | |||
| Indent Indent Indent86525-3 | Is this a SNF Part A PPS Discharge Assessment? | |||
| Indent Indent87216-8 | Date on existing record to be modified/inactivated | |||
| Indent Indent Indent54593-9 | Assessment Reference Date | {mm/dd/yyyy} | ||
| Indent Indent Indent52525-3 | Discharge Date | {mm/dd/yyyy} | ||
| Indent Indent Indent50786-3 | Entry Date | {mm/dd/yyyy} | ||
| Indent87209-3 | Correction Attestation Section | |||
| Indent Indent58200-7 | Correction Number | {#} | ||
| Indent Indent87217-6 | Reasons for Modification | 1..5 | ||
| Indent Indent87225-9 | Reasons for Inactivation | 1..2 | ||
| Indent Indent87218-4 | RN Assessment Coordinator Attestation of Completion | |||
| Indent Indent Indent87219-2 | Attesting individual's first name | |||
| Indent Indent Indent87220-0 | Attesting individual's last name | |||
| Indent Indent Indent87221-8 | Attesting individual's title | |||
| Indent Indent Indent87222-6 | Attestation date | {mm/dd/yyyy} | ||
| Indent87223-4 | Assessment Administration | |||
| Indent Indent55070-7 | Insurance Billing | |||
| Indent Indent Indent55071-5 | Billing code | |||
| Indent Indent Indent55081-4 | Billing version | |||
| Indent Indent85648-4 | Signature of Persons Completing the Assessment or Entry/Death Reporting | |||
| Indent Indent70127-6 | Signature of RN Assessment Coordinator Verifying Assessment Completion | |||
| Indent Indent Indent70127-6 | Signature: | |||
| Indent Indent Indent30947-6 | Date RN Assessment Coordinator signed assessment as complete: | {mm/dd/yyyy} |
Fully-Specified Name
- Component
- MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.75
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
- Order vs. Observation
- Order
- Panel Type
- Panel
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=101107-1 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/101107-1
LOINC Copyright
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