101258-2
Identification information 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 |
|---|---|---|---|---|
| 101258-2 | Identification Information | |||
| Indent58198-3 | Type of Record | |||
| Indent54581-4 | Facility Provider Numbers | |||
| Indent Indent76468-8 | National Provider Identifier (NPI) | |||
| Indent Indent69417-4 | CMS Certification Number (CCN) | |||
| Indent Indent45398-5 | State Provider Number | |||
| Indent85632-8 | Type of Provider | |||
| Indent90489-6 | Type of Assessment | |||
| Indent Indent54583-0 | Federal OBRA Reason for Assessment | |||
| Indent Indent54584-8 | PPS Assessment | |||
| Indent Indent54587-1 | Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry? | |||
| Indent Indent58108-2 | Entry/discharge reporting | |||
| Indent Indent71440-2 | Type of discharge | |||
| Indent Indent90525-7 | Is this a SNF Part A Interrupted Stay? | |||
| Indent Indent86525-3 | Is this a SNF Part A PPS Discharge Assessment? | |||
| Indent86526-1 | Unit Certification or Licensure Designation | |||
| Indent54503-8 | Legal Name of Resident | |||
| Indent Indent45392-8 | First name | |||
| Indent Indent45393-6 | Middle initial | |||
| Indent Indent45394-4 | Last name | |||
| Indent Indent45395-1 | Suffix | |||
| Indent45966-9 | Social Security and Medicare Numbers | |||
| Indent Indent45396-9 | Social Security Number | |||
| Indent Indent45397-7 | Medicare Number | |||
| Indent45400-9 | Medicaid Number | |||
| Indent46098-0 | Gender | |||
| Indent21112-8 | Birth Date | {mm/dd/yyyy} | ||
| Indent69854-8 | Ethnicity | 1..4 | ||
| Indent103708-4 | Race | 1..14 | ||
| Indent93186-5 | Language | |||
| Indent Indent54899-0 | What is your preferred language? | |||
| Indent Indent54588-9 | Do you need or want an interpreter to communicate with a doctor or health care staff? | |||
| Indent45404-1 | Marital Status | |||
| Indent101351-5 | Transportation (from NACHC©) | 1..2 | ||
| Indent54506-1 | Optional Resident Items | |||
| Indent Indent46106-1 | Medical record number | |||
| Indent Indent45403-3 | Room number | |||
| Indent Indent52462-9 | Name by which resident prefers to be addressed | |||
| Indent Indent21843-8 | Lifetime occupation(s) | |||
| Indent54589-7 | Preadmission Screening and Resident Review (PASRR). Is the resident currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition? | |||
| Indent71441-0 | Level II Preadmission Screening and Resident Review (PASRR) Conditions | 1..3 | ||
| Indent86527-9 | Conditions Related to ID/DD Status | 1..4 | ||
| Indent86528-7 | Most Recent Admission/Entry or Reentry into this Facility | |||
| Indent Indent50786-3 | Entry Date | {mm/dd/yyyy} | ||
| Indent Indent54590-5 | Type of Entry | |||
| Indent Indent85398-6 | Entered From | |||
| Indent52455-3 | Admission Date | {mm/dd/yyyy} | ||
| Indent52525-3 | Discharge Date | {mm/dd/yyyy} | ||
| Indent55128-3 | Discharge Status | |||
| Indent93182-4 | Provision of Current Reconciled Medication List to Subsequent Provider at Discharge | |||
| Indent93184-0 | Route of Current Reconciled Medication List Transmission to Subsequent Provider | 1..5 | ||
| Indent93181-6 | Provision of Current Reconciled Medication List to Resident at Discharge | |||
| Indent93183-2 | Route of Current Reconciled Medication List Transmission to Resident | 1..5 | ||
| Indent54592-1 | Previous Assessment Reference Date for Significant Correction | {mm/dd/yyyy} | ||
| Indent54593-9 | Assessment Reference Date | {mm/dd/yyyy} | ||
| Indent54507-9 | Medicare Stay | |||
| Indent Indent54594-7 | Has the resident had a Medicare-covered stay since the most recent entry? | |||
| Indent Indent54595-4 | Start date of most recent Medicare stay | {mm/dd/yyyy} | ||
| Indent Indent54596-2 | End date of most recent Medicare stay | {mm/dd/yyyy} |
LOINC Names Get Info
- Fully-Specified Name
- Identification Information:
-: RptPeriod: ^Patient: -: CMS Assessment - Long Common Name
- Identification information during assessment period [CMS Assessment]
Part Model Get Info
- Component
- Identification information
LP89746-9
- Analyte
- Identification information
LP89746-9
- Challenge
- NULL
- Adjustment
- NULL
- Count
- NULL
- Property
- -
LP6769-6
- Time
- RptPeriod
LP190654-6
- Time Core
- RptPeriod
LP190654-6
- Time Modifier
- NULL
- System
- ^Patient
LP310005-6
- System Core
- NULL
- Super System
- Patient
LP6985-8
- Scale
- -
LP7747-1
- Method
- CMS Assessment
LP230524-3
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.74
- Last Updated
- Version 2.83 (NAM)
- 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
- Subset
- Panel Type
- Organizer
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment] |
| 105008-7 | MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment] |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 104606-9 | MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 105201-8 | MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment] |
| 104552-5 | MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 104554-1 | MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 104607-7 | MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment] |
| 104609-3 | MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
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LOINC Copyright
Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://