86677-2 Swallowing Disorder

Observation ID in Form

K0100

Form Coding Instructions

Check all that apply

Form Context

Signs and symptoms of possible swallowing disorder

Fully-Specified Name

Component

Signs and symptoms of swallowing disorder

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.70

Change Reason

Release 2.70: COMPONENT: Removed "in last 7D"; TIME_ASPCT: Updated Timing to align with the new model representing various reporting periods across CMS assessment.;

Order vs. Observation

Observation

Normative Answer List LL4573-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Deglutition
• Finding
• Findings
• Nominal
• Report period
• Survey
• Sx

Related Codes

54567-3 Height and Weight

Observation ID in Form

K0200

Form Coding Instructions

While measuring, if the number is X.1 - X.4 round down; X.5 or greater round up

Fully-Specified Name

Component

Height and weight

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Basic Attributes

Class

PANEL.SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.74

Order vs. Observation

Order

Common Test Rank Get Info

295

Panel Type

Panel

Member of these Panels

Related Names

• Pan
• Panel
• Panl
• Pnl
• Point in time
• Random
• Survey
• SURVEY.MDS
• Wt

Related Codes

103692-0 Height (in inches)

Observation ID in Form

K0200A

Form Coding Instructions

Record most recent height measure since the most recent admission/entry or reentry

Fully-Specified Name

Component

Body height

Property

Len

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Both

Member of these Panels

Related Names

• Axial length
• bod
• Bodies
• Body length
• Centers for Medicare and Medicaid Assessment
• Length
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Survey

Example Units

Related Codes

103693-8 Weight (in pounds)

Observation ID in Form

K0200B

Form Coding Instructions

Base weight on most recent measure in last 30 days; measure weight consistently, according to standard facility practice (e.g., in a.m. after voiding, before meal, with shoes off, etc.)

Fully-Specified Name

Component

Body weight

Property

Mass

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Both

Member of these Panels

Related Names

• Bdy weight
• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Survey
• Wt

Example Units

Related Codes

54863-6 Weight Loss

Observation ID in Form

K0300

Form Coding Instructions

Loss of 5% or more in the last month or loss of 10% or more in last 6 months

Fully-Specified Name

Component

Weight loss of 5% or more in the last Mo or loss of 10% or more in last 6Mo

Property

Find

Time

6Mo

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.63

Change Reason

Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG.;Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments

Order vs. Observation

Observation

Normative Answer List LL671-9

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• month
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• Weight loss of 5% or more in the last month or loss of 10% or more in last 6 months
• Wt

Related Codes

86678-0 Weight Gain

Observation ID in Form

K0310

Form Coding Instructions

Gain of 5% or more in the last month or gain of 10% or more in last 6 months

Fully-Specified Name

Component

Weight gain of 5% or more in the last month or gain of 10% or more in last 6Mo

Property

Find

Time

6Mo

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Normative Answer List LL4574-1

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• Wt
• Wt gain

Related Codes

54568-1 Nutritional Approaches

Observation ID in Form

K0520

Form Coding Instructions

Check all of the following nutritional approaches that apply

Fully-Specified Name

Component

Nutritional approaches panel

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.78

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.67: COMPONENT: Added "panel" to Component to differentiate from Nutritional approaches as a observation; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

101327-5 Nutritional Approaches. On Admission

Observation ID in Form

K0520_1

Form Coding Instructions

Assessment period is days 1 through 3 of the SNF PPS Stay starting with A2400B. Check all that apply

Fully-Specified Name

Component

Nutritional approaches - on admission

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.74

Last Updated

Version 2.74

Order vs. Observation

Observation

Normative Answer List LL5387-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

71444-4 Nutritional Approaches. While NOT a Resident

Observation ID in Form

K0520_2

Form Coding Instructions

Performed while NOT a resident of this facility and within the last 7 days. Only check column 2 if resident entered (admission or reentry) IN THE LAST 7 DAYS. If resident last entered 7 or more days ago, leave column 2 blank

Form Coding Instructions

Check all that apply

Fully-Specified Name

Component

Nutritional approaches during last 7D - while not a resident

Property

Find

Time

7D

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.70

Change Reason

Release 2.70: AnswerListId: Updated per CMS team to current commonly used list across assessments.; Previous Releases: Changed order of words in the Component to better convey the survey question. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; Changed Property to Nom because answers are not Ordinal

Order vs. Observation

Observation

Example Answer List LL5182-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Past
• Survey

Related Codes

71445-1 Nutritional Approaches. While a Resident

Observation ID in Form

K0520_3

Form Coding Instructions

Performed while a resident of this facility and within the last 7 days

Form Coding Instructions

Check all that apply

Fully-Specified Name

Component

Nutritional approaches during last 7D - while a resident

Property

Find

Time

7D

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.63

Change Reason

Changed order of words in the Component to better convey the survey question. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; Changed Property to Nom because answers are not Ordinal

Order vs. Observation

Observation

Normative Answer List LL5228-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Past
• Survey

Related Codes

101328-3 Nutritional Approaches. At Discharge

Observation ID in Form

K0520_4

Form Coding Instructions

Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C. Check all that apply

Fully-Specified Name

Component

Nutritional approaches - at discharge

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.74

Last Updated

Version 2.74

Order vs. Observation

Observation

Normative Answer List LL5387-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Disch
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

90543-0 Percent Intake by Artificial Route

Observation ID in Form

K0710

Skip Logic

Complete K0710 only if Column 2 and/or Column 3 are checked for K0520A and/or K0520B.

Fully-Specified Name

Component

Percent intake by artificial route while a resident and during the last 7D

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.66

Last Updated

Version 2.78

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

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Past
• Pnl
• Report period
• Survey

Related Codes

86681-4 Proportion of total calories the resident received through parenteral or tube feeding. While a Resident

Observation ID in Form

K0710A2

Form Coding Instructions

Performed while a resident of this facility and within the last 7 days

Fully-Specified Name

Component

Proportion of total calories the resident received through parenteral or tube feeding in last 7D - while a resident

Property

Find

Time

7D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Normative Answer List LL672-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Past
• QL
• Qual
• Qualitative
• Screen
• Survey
• Tot
• Totl

Related Codes

86687-1 Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days

Observation ID in Form

K0710A3

Form Coding Instructions

Performed during the entire last 7 days

Fully-Specified Name

Component

Proportion of total calories the resident received through parenteral or tube feeding during entire 7D

Property

Find

Time

7D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Normative Answer List LL672-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Tot
• Totl

Related Codes

86683-0 Average fluid intake per day by IV or tube feeding. While a Resident

Observation ID in Form

K0710B2

Form Coding Instructions

Performed while a resident of this facility and within the last 7 days

Fully-Specified Name

Component

Mean fluid intake per day by IV or tube feeding in last 7D - while a resident

Property

VRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.69

Change Reason

Component updated from "Average" to "Mean" for consistency with other LOINC terms; Property/Scale updated from Find/Ord to Vrat/Qn to reflect the answer choices

Order vs. Observation

Observation

Normative Answer List LL673-5

Member of these Panels

Related Names

• Average
• Avg
• Centers for Medicare and Medicaid Assessment
• Fld
• Flow
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey
• Volume Rate
• vRate

Example Units

Related Codes

86684-8 Average fluid intake per day by IV or tube feeding. During Entire 7 Days

Observation ID in Form

K0710B3

Form Coding Instructions

Performed during the entire last 7 days

Fully-Specified Name

Component

Mean fluid intake per day by IV or tube feeding during entire 7D

Property

VRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.69

Change Reason

Component updated from "Average" to "Mean" for consistency with other LOINC terms; Property/Scale updated from Find/Ord to Vrat/Qn to reflect the answer choices

Order vs. Observation

Observation

Normative Answer List LL673-5

Member of these Panels

Related Names

• Average
• Avg
• Centers for Medicare and Medicaid Assessment
• Fld
• Flow
• QNT
• Quan
• Quant
• Quantitative
• Survey
• Volume Rate
• vRate

Example Units

Related Codes