106623-2

Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0

Active

106935-0 Administrative Information

Observation ID in Form

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: Administrative information HOPE
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Admin info HOPE [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Change Reason: Release 2.81: COMPONENT: specific for HOPE; LONG_COMMON_NAME: specific for HOPE;
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]

58198-3 Type of Record

Observation ID in Form

A0050

Fully-Specified Name

Component: Type of record
Property: Type
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Type of record during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.77 (MAJ)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.
Order vs. Observation: Observation

Normative Answer List LL4482-7

Answer	Code	Answer ID
Add new assessment/record	1	LA27573-7
Modify existing record	2	LA12664-1
Inactivate existing record	3	LA12665-8

Member of these Panels

LOINC	Long Common Name
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	A0050	v1.18.11
CMS MDS	A0050	1.17.2
CMS LCDS	A0050	5.00
CMS LCDS	A0050	3.00
CMS MDS	A0050	1.16.1
CMS LCDS	A0050	4.00
CMS MDS	A0050	1.14.1
CMS MDS	A0050	1.15.1
CMS MDS	A0050	1.17.1

54581-4 Facility Provider Numbers

Observation ID in Form

A0100

Fully-Specified Name

Component: Facility provider numbers
Property: -
Time: Pt
System: Facility
Scale: -
Method

Long Common Name

Facility provider numbers

Basic Attributes

Class: PANEL.ADMIN
Type: Clinical
First Released: Version 2.27
Last Updated: Version 2.74 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμοί παρόχου εγκατάστασης:-:Pt:Εγκατάσταση:-: Synonyms: - ADMIN PANEL.ADMIN Pt Αριθμοί παρόχου εγκατάστασης Εγκατάσταση
es-MX	Spanish (Mexico)	Números de proveedores de instalaciones:-:Punto temporal:Instalaciones:-:
it-IT	Italian (Italy)	Struttura erogante, numeri:-:Pt:Struttura:-: Synonyms: Amministrativo Numeri della struttura erogante Panel informazioni amministrative Punto nel tempo (episodio)
zh-CN	Chinese (China)	设施提供方编号:-:时间点:设施:-: Synonyms: 医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类多重;多重型;多重标尺类型;多重精度类型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类组组合组合医嘱组合类组套组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.行政管理（行政、管理、施行、执行、经营）行政;管理;施行;执行;经营设施提供商编号;设施提供人编号;设施提供者编号

Related Codes

Code System	Code	Code Version
CMS MDS	A0100	v1.18.11
CMS LCDS	A0100	5.00
CMS LCDS	A0100	3.00
CMS MDS	A0100	1.16.1
CMS LCDS	A0100	4.00
CMS MDS	A0100	1.14.1
CMS MDS	A0100	1.15.1
CMS MDS	A0100	1.17.1
CMS MDS	A0100	1.17.2

76468-8 National Provider Identifier (NPI)

Observation ID in Form

A0100A

Fully-Specified Name

Component: National provider ID
Property: ID
Time: Pt
System: Organization
Scale: Nom
Method

Long Common Name

Organization NPI

Basic Attributes

Class: ADMIN.ID
Type: Clinical
First Released: Version 2.54
Last Updated: Version 2.66 (MIN)
Order vs. Observation: Both

Member of these Panels

LOINC	Long Common Name
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
90055-5	Organization information panel
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αναγνωριστικό εθνικού παρόχου:Αναγνωριστικό:Pt:Οργανισμός:Nom: Synonyms: ADMIN ADMIN.ID Nom Pt Αναγνωριστικό Αναγνωριστικό εθνικού παρόχου Οργανισμός
es-MX	Spanish (Mexico)	ID de proveedor nacional:ID:Punto temporal:Organización:Nominal:
it-IT	Italian (Italy)	provider nazionale ID:ID:Pt:Organizzazione:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione Punto nel tempo (episodio)
zh-CN	Chinese (China)	全国服务提供者标识符:标识符:时间点:组织机构:名义型: Synonyms: National provider ID;National Provider Identifier;NPI;全国服务提供者（服务提供方、服务提供人员、服务人员、服务工作人员、医务人员） ID;全国服务提供方标识符分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的组织;机构;团体;公会;协会行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.标识号（识别号、标识符、身份标识符、识别数、识别号码、标识号码、标识编号、身份编号、身份标识号、身份证号码、证件号码）识别识别符

Related Codes

Code System	Code	Code Version
CMS MDS	A0100A	1.17.2
CMS MDS	A0100A	v1.18.11
CMS LCDS	A0100A	5.00
CMS LCDS	A0100A	3.00
CMS MDS	A0100A	1.16.1
CMS LCDS	A0100A	4.00
CMS MDS	A0100A	1.14.1
CMS MDS	A0100A	1.15.1
CMS MDS	A0100A	1.17.1

69417-4 CMS Certification Number (CCN)

Observation ID in Form

A0100B

Fully-Specified Name

Component: CMS certification number
Property: ID
Time: Pt
System: Facility
Scale: Nom
Method

Long Common Name

CMS certification number (CCN) for Facility

Basic Attributes

Class: ADMIN.FACILITY
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.82 (MIN)
Change Reason: Removed "-CCN" from COMPONENT and added "(CCN)" to the Long Common Name because the abbreviation is redundant in the formal name.
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
71747-0	Facility panel [ESRD]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός πιστοποίησης CMS:Αναγνωριστικό:Pt:Εγκατάσταση:Nom: Synonyms: ADMIN ADMIN.FACILITY Nom Pt Αναγνωριστικό Αριθμός Αριθμός πιστοποίησης CMS Εγκατάσταση Πιστοποίηση
es-MX	Spanish (Mexico)	Número de certificación CMS:ID:Punto temporal:Instalaciones:Nominal:
it-IT	Italian (Italy)	Numero di certificazione CMS:ID:Pt:Struttura:Nom: Synonyms: Amministrativo Identificatore Numero di certificazione CMS (CCN) Punto nel tempo (episodio) Struttura
ru-RU	Russian (Russian Federation)	CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном: Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	CMS 证书编号:标识符:时间点:设施:名义型: Synonyms: Centers for Medicare & Medicaid Services;Centers for Medicare and Medicaid Services;CMS;医疗保险和公共医疗补助服务中心;医疗保险和医疗补助服务中心;CMS 证书编号;CMS certification number;CCN 个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答时刻;随机;随意;瞬间标识;身份标识符;身份标识行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.设施（场所、设备、特别装置、服务特色）认证（检定、证明、鉴定、发证、出具课程结业证书、确认）;医疗认证级别（等级、水平）;medical certification level

Related Codes

Code System	Code	Code Version
CMS MDS	A0100B	v1.18.11
CMS IRF-PAI	1B	4.0
CMS LCDS	A0100B	5.00
CMS OASIS	M0010	D1
CMS OASIS	M0010	E
CMS MDS	A0100B	1.17.2
CMS LCDS	A0100B	3.00
CMS IRF-PAI	1B	2.0
CMS MDS	A0100B	1.16.1
CMS OASIS	M0010	D
CMS IRF-PAI	1B	1.4
CMS IRF-PAI	1B	1.5
CMS IRF-PAI	1B	3.0
CMS LCDS	A0100B	4.00
CMS MDS	A0100B	1.14.1
CMS MDS	A0100B	1.15.1
CMS OASIS	M0010	C2
CMS MDS	A0100B	1.17.1

106631-5 Site of Service at Admission

Observation ID in Form

A0215

Fully-Specified Name

Component: Site of Service at Admission
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Site of Service at Admission during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6940-2

Answer	Code	Answer ID
Patient's Home/Residence	01	LA34582-9
Assisted Living Facility	02	LA21437-1
Nursing Long Term Care (LTC) or Non-Skilled Nursing Facility (NF)	03	LA34585-2
Skilled Nursing Facility (SNF)	04	LA27338-5
Inpatient Hospital	05	LA21427-2
Inpatient Hospice Facility (General Inpatient (GIP))	06	LA34584-5
Long-Term Care Hospital (LTCH)	07	LA10000-0
Inpatient Psychiatric Facility	08	LA27347-6
Hospice Home Care (Routine Home Care (RHC)) Provided in a Hospice Facility	09	LA34583-7
Not listed	99	LA27349-2

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

52455-3 Admission Date

Observation ID in Form

A0220

Fully-Specified Name

Component: Admission date
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Admission date

Basic Attributes

Class: ADMIN
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Change Reason: Updated Class from SURVEY.CARE to ADMIN
Order vs. Observation: Both

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
97782-7	Spine Tango Surgery 2017

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ημερομηνία εισαγωγής:TmStp:Pt:^Ασθενής:Qn: Synonyms: - ADMIN Pt Qn TmStp Ασθενής Ημερομηνία εισαγωγής
es-MX	Spanish (Mexico)	Fecha de admisión:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT	Italian (Italy)	Ricovero, data:TmStp:Pt:^Paziente:Qn: Synonyms: Amministrativo Data del ricovero paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU	Russian (Russian Federation)	Госпитализация дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN	Chinese (China)	入院日期:时间戳:时间点:^患者:定量型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人印时戳;时标;时间戳(日期与时间);时间标记;计时标记可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间行政;管理;施行;执行;经营

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	A1900	1.17.2
CMS IRF-PAI	12	4.0
CMS LCDS	A0220	5.00
CMS MDS	A1900	v1.18.11
CMS LCDS	A0220	3.00
CMS IRF-PAI	12	2.0
CMS MDS	A1900	1.16.1
CMS IRF-PAI	12	1.4
CMS IRF-PAI	12	1.5
CMS IRF-PAI	12	3.0
CMS LCDS	A0220	4.00
CMS MDS	A1900	1.14.1
CMS MDS	A1900	1.15.1
CMS MDS	A1900	1.17.1

52454-6 Reason for Record

Observation ID in Form

A0250

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Reason for assessment
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Order vs. Observation: Observation

Normative Answer List LL6941-0

Answer	Code	Answer ID
Admission (ADM)	1	LA34589-4
HOPE Update Visit 1 (HUV1)	2	LA34588-6
HOPE Update Visit 2 (HUV2)	3	LA34587-8
Discharge (DC)	9	LA34586-0

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]

Code System	Code	Code Version
CMS LCDS	A0250	5.00
CMS LCDS	A0250	3.00
CMS LCDS	A0250	4.00

54503-8 Legal Name of Patient

Observation ID in Form

A0500

Fully-Specified Name

Component: Legal name of patient
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Legal name of patient

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.67 (PANEL)
Change Reason: Change "resident" to "patient"
Order vs. Observation: Order
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	A0500	v1.18.11
CMS OASIS	M0040	E
CMS LCDS	A0500	5.00
CMS OASIS	M0040	D1
CMS MDS	A0500	1.17.2
CMS LCDS	A0500	3.00
CMS MDS	A0500	1.16.1
CMS OASIS	M0040	D
CMS LCDS	A0500	4.00
CMS MDS	A0500	1.14.1
CMS MDS	A0500	1.15.1
CMS OASIS	M0040	C2
CMS MDS	A0500	1.17.1

45392-8 First name

Observation ID in Form

A0500A

Fully-Specified Name

Component: First name
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Patient First (Given) name

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.2

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
46611-0	Mental residual functional capacity (RFC) assessment form
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
79191-3	Patient demographics panel
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όνομα:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Όνομα
es-ES	Spanish (Spain)	Nombre:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Nombre de pila:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Prénom:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Primo nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	voornaam:persoonsnaam:moment:^patiënt:nominaal:
tr-TR	Turkish (Turkey)	Ad:KişiAdı:Zmlı:^Hasta:Snf: Synonyms: İsim
zh-CN	Chinese (China)	名字:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人名字(不包括姓氏);教名;名;西方人名的第一个字姓名;名字;名时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500A		v1.18.11
CMS MDS	X0200A		v1.18.11
CMS MDS	A0500A		1.17.2
CMS MDS	X0200A		1.17.2
CMS OASIS	M0040		E
CMS IRF-PAI	4		4.0
CMS LCDS	A0500A		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500A		3.00
CMS IRF-PAI	4		2.0
CMS MDS	A0500A		1.16.1
CMS OASIS	M0040		D
CMS MDS	X0200A		1.16.1
CMS IRF-PAI	4		1.4
CMS IRF-PAI	4		1.5
CMS IRF-PAI	4		3.0
CMS LCDS	A0500A		4.00
CMS MDS	A0500A		1.14.1
CMS MDS	A0500A		1.15.1
CMS MDS	X0200A		1.14.1
CMS MDS	X0200A		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010100	PX150801_Participant_First_Name
CMS MDS	A0500A		1.17.1
CMS MDS	X0200A		1.17.1

45393-6 Middle initial

Observation ID in Form

A0500B

Fully-Specified Name

Component: Middle initial
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.66 (MIN)
Change Reason: Change PROPERTY from ID to Pn to match convention for other name terms
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.3

Member of these Panels

LOINC	Long Common Name
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
46611-0	Mental residual functional capacity (RFC) assessment form
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Μεσαίο αρχικό:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Μεσαίο αρχικό
es-MX	Spanish (Mexico)	Inicial del segundo nombre:Pn:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Iniziale secondo nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	中间名首字母:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人教名缩写;中間名字縮寫;中间名字缩写;中间名字的首字母;中间名字的第一个字母时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500B		v1.18.11
CMS MDS	A0500B		1.17.2
CMS OASIS	M0040		E
CMS LCDS	A0500B		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500B		3.00
CMS MDS	A0500B		1.16.1
CMS OASIS	M0040		D
CMS LCDS	A0500B		4.00
CMS MDS	A0500B		1.14.1
CMS MDS	A0500B		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010200	PX150801_Participant_Middle_Initial
CMS MDS	A0500B		1.17.1

45394-4 Last name

Observation ID in Form

A0500C

Fully-Specified Name

Component: Last name
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Patient Last (Family) name

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.1

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
46611-0	Mental residual functional capacity (RFC) assessment form
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
79191-3	Patient demographics panel
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Επώνυμο:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Επώνυμο Όνομα
es-ES	Spanish (Spain)	Apellido:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Apellido:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Nom de famille:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Cognome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	achternaam:persoonsnaam:moment:^patiënt:nominaal:
tr-TR	Turkish (Turkey)	Soyad:KişiAdı:Zmlı:^Hasta:Snf:
zh-CN	Chinese (China)	姓氏:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人姓姓名;名字;名时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500C		v1.18.11
CMS MDS	X0200C		v1.18.11
CMS MDS	A0500C		1.17.2
CMS MDS	X0200C		1.17.2
CMS OASIS	M0040		E
CMS IRF-PAI	5A		4.0
CMS LCDS	A0500C		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500C		3.00
CMS IRF-PAI	5A		2.0
CMS MDS	A0500C		1.16.1
CMS OASIS	M0040		D
CMS MDS	X0200C		1.16.1
CMS IRF-PAI	5A		1.4
CMS IRF-PAI	5A		1.5
CMS IRF-PAI	5A		3.0
CMS LCDS	A0500C		4.00
CMS MDS	A0500C		1.14.1
CMS MDS	A0500C		1.15.1
CMS MDS	X0200C		1.14.1
CMS MDS	X0200C		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010300	PX150801_Participant_Last_Name
CMS MDS	A0500C		1.17.1
CMS MDS	X0200C		1.17.1

Observation ID in Form

A0500D

Fully-Specified Name

Component: Name suffix
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Patient Name suffix

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: SHORTNAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; Previous Releases: Changed CLASS to ADMIN
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.4

Member of these Panels

LOINC	Long Common Name
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
46611-0	Mental residual functional capacity (RFC) assessment form
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Επίθημα ονόματος:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Επίθημα ονόματος Όνομα
es-MX	Spanish (Mexico)	Sufijo de nombre:Pn:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Suffisso del nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	姓名后缀:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人姓名;名字;名姓名接尾語;名称后缀时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Version
CMS MDS	A0500D	v1.18.11
CMS MDS	A0500D	1.17.2
CMS OASIS	M0040	E
CMS LCDS	A0500D	5.00
CMS OASIS	M0040	D1
CMS LCDS	A0500D	3.00
CMS MDS	A0500D	1.16.1
CMS OASIS	M0040	D
CMS LCDS	A0500D	4.00
CMS MDS	A0500D	1.14.1
CMS MDS	A0500D	1.15.1
CMS OASIS	M0040	C2
CMS MDS	A0500D	1.17.1

106632-3 Patient ZIP Code

Observation ID in Form

A0550

Fully-Specified Name

Component: Patient ZIP Code
Property: Loc
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Patient ZIP Code during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

45966-9 Social Security and Medicare numbers

Observation ID in Form

A0600

Fully-Specified Name

Component: Social Security & Medicare numbers
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.17
Last Updated: Version 2.67 (PANEL)
Change Reason: Scale was updated from "Set" to "-" adhere to current panel conventions;Changed CLASS to PANEL.SURVEY.CMS because term is used across CMS assessments
Order vs. Observation: Order
Panel Type: Organizer

HL7^® Attributes

HL7^® Field ID: PID-3;PID-19

Member of these Panels

LOINC	Long Common Name
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	A0600	v1.18.11
CMS MDS	A0600	1.17.2
CMS LCDS	A0600	5.00
CMS LCDS	A0600	3.00
CMS MDS	A0600	1.16.1
CMS LCDS	A0600	4.00
CMS MDS	A0600	1.14.1
CMS MDS	A0600	1.15.1
CMS MDS	A0600	1.17.1

45396-9 Social Security Number

Observation ID in Form

A0600A

Fully-Specified Name

Component: Social Security number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Social Security number [Identifier]

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.73 (MIN)
Change Reason: Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component
Order vs. Observation: Both
Common Test Rank Get Info: 6170

HL7^® Attributes

HL7^® Field ID: PID-19

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
46611-0	Mental residual functional capacity (RFC) assessment form
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός μητρώου κοινωνικής ασφάλισης:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός μητρώου κοινωνικής ασφάλισης Ασθενής
es-MX	Spanish (Mexico)	Número de seguro social:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Previdenza Sociale, numero:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero di Previdenza Sociale paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	社会安全号码:标识符:时间点:^患者:名义型: Synonyms: Social Security number;SSN;社会保险号码;社会保障号码;社会保障号个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0600A		v1.18.11
CMS MDS	X0500		v1.18.11
CMS MDS	A0600A		1.17.2
CMS MDS	X0500		1.17.2
CMS OASIS	M0064		E
CMS IRF-PAI	7		4.0
CMS LCDS	A0600A		5.00
CMS OASIS	M0064		D1
CMS LCDS	A0600A		3.00
CMS IRF-PAI	7		2.0
CMS MDS	A0600A		1.16.1
CMS OASIS	M0064		D
CMS MDS	X0500		1.16.1
CMS IRF-PAI	7		1.4
CMS IRF-PAI	7		1.5
CMS IRF-PAI	7		3.0
CMS LCDS	A0600A		4.00
CMS MDS	A0600A		1.14.1
CMS MDS	A0600A		1.15.1
CMS MDS	X0500		1.14.1
CMS MDS	X0500		1.15.1
CMS OASIS	M0064		C2
https://www.phenxtoolkit.org	PX150701050000	PX150701_SSN
CMS MDS	A0600A		1.17.1
CMS MDS	X0500		1.17.1

45397-7 Medicare Number

Observation ID in Form

A0600B

Fully-Specified Name

Component: Medicare or comparable number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Medicare or comparable number

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.66 (MIN)
Change Reason: Changed CLASS to ADMIN
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-3

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
84908-3	Cancer pathology panel - Prostate cancer
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Medicare ή ανάλογος αριθμός:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Medicare ή ανάλογος αριθμός Nom Pt Αναγνωριστικό Αριθμός Ασθενής
es-MX	Spanish (Mexico)	Medicare o número comparable:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Medicare o numero equivalente:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Assistenza medica o numero equivalente Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	医疗保险或类似编号:标识符:时间点:^患者:名义型: Synonyms: 个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗保险或类似（同类、可比）编号;医疗保险或类似号码;Medicare 或类似编号医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Version
CMS MDS	A0600B	v1.18.11
CMS MDS	A0600B	1.17.2
CMS OASIS	M0063	E
CMS IRF-PAI	2	4.0
CMS LCDS	A0600B	5.00
CMS OASIS	M0063	D1
CMS LCDS	A0600B	3.00
CMS IRF-PAI	2	2.0
CMS MDS	A0600B	1.16.1
CMS OASIS	M0063	D
CMS IRF-PAI	2	1.4
CMS IRF-PAI	2	1.5
CMS IRF-PAI	2	3.0
CMS LCDS	A0600B	4.00
CMS MDS	A0600B	1.14.1
CMS MDS	A0600B	1.15.1
CMS OASIS	M0063	C2
CMS MDS	A0600B	1.17.1

45400-9 Medicaid Number

Observation ID in Form

A0700

Form Coding Instructions

Enter "+" if pending, "N" if not a Medicaid recipient

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Medicaid number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Medicaid number

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.66 (MIN)
Change Reason: Changed CLASS to ADMIN
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-3

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός Medicaid:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός Medicaid Ασθενής
es-MX	Spanish (Mexico)	Número de Medicaid:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Medicaid, numero:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero Medicaid Paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	医疗补助计划编号:标识符:时间点:^患者:名义型: Synonyms: Medicaid编号个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Version
CMS MDS	A0700	v1.18.11
CMS MDS	A0700	1.17.2
CMS OASIS	M0065	E
CMS IRF-PAI	3	4.0
CMS LCDS	A0700	5.00
CMS OASIS	M0065	D1
CMS LCDS	A0700	3.00
CMS IRF-PAI	3	2.0
CMS MDS	A0700	1.16.1
CMS OASIS	M0065	D
CMS IRF-PAI	3	1.4
CMS IRF-PAI	3	1.5
CMS IRF-PAI	3	3.0
CMS LCDS	A0700	4.00
CMS MDS	A0700	1.14.1
CMS MDS	A0700	1.15.1
CMS OASIS	M0065	C2
CMS MDS	A0700	1.17.1

Part Descriptions

LP101395-4 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) Source: Regenstrief LOINC, WHO: gender

Observation ID in Form

A0800

Fully-Specified Name

Component: Sex
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Sex

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.73 (MIN)
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.
Order vs. Observation: Both
Common Test Rank Get Info: 2086

HL7^® Attributes

HL7^® Field ID: PID-8

Example Answer List LL1-9

Answer	Code	Score	Answer ID
Male	1		LA2-8
Female	2		LA3-6

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
95556-7	Adrenal cancer risk assessment and urine steroid fractions panel
72110-0	Alcohol Use Disorder Identification Test [AUDIT]
95405-7	Assay related variables panel [PhenX]
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
63009-5	Deprecated PhenX domain - Social environments
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
86636-8	Family planning report - FPAR 2.0 set
96452-8	Hepatocellular carcinoma risk panel - Serum or Plasma
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
85626-0	Kidney failure 2-year and 5-year risk panel by KFRE
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
78699-6	Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeter
78698-8	Liver fibrosis score panel - Serum or Plasma Calculated by HepaScore
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
82259-3	Metabolic equivalent of task and Resting metabolic rate panel
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
91393-9	Opioid risk tool panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
69723-5	Patient Health Questionnaire (PHQ) [Reported]
93149-3	PhenX - bone age protocol 220301
62787-7	PhenX domain - Diabetes
62863-6	PhenX domain - Infectious diseases and immunity
62755-4	PhenX domain - Neurology
62263-9	PhenX domain - Nutrition and dietary supplements
62812-3	PhenX domain - Physical activity and physical fitness
62611-9	PhenX domain - Respiratory
63067-3	PhenX domain - Speech and hearing
82287-4	Physical activity panel
69919-9	Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Φύλο:Type:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Nom Pt Type Ασθενής Φύλο
es-ES	Spanish (Spain)	Sexo:Tipo:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Sexo:Tipo:Punto temporal:^ Paciente:Nominal:
et-EE	Estonian (Estonia)	Sugu:Tüüp:Pt:^patsient:Nom: Synonyms: Juhuslik
fr-CA	French (Canada)	Sexe:Type:Temps ponctuel:^Patient:Nominal: Synonyms: ADMIN.PATIENT.DEMOG
fr-BE	French (Belgium)	Sexe:Type:Temps ponctuel:^Patient:Nominal:
fr-FR	French (France)	Sexe:Type:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Sesso:Tipo:Pt:^Paziente:Nom: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	geslacht:type:moment:^patiënt:nominaal:
pl-PL	Polish (Poland)	Płeć:typ:punkt w czasie:^pacjent:skala nominalna: Synonyms: wynik kategorialny
ru-RU	Russian (Russian Federation)	Пол:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
tr-TR	Turkish (Turkey)	Cinsiyet:Tip:Zmlı:^Hasta:Snf: Synonyms: Seks Tür
zh-CN	Chinese (China)	性别:类型:时间点:^患者:名义型: Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人型性;性别特征;性行为;性交;性活动时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0800		v1.18.11
CMS MDS	X0300		v1.18.11
CMS MDS	A0800		1.17.2
CMS MDS	X0300		1.17.2
CMS IRF-PAI	8		4.0
CMS LCDS	A0800		5.00
CMS OASIS	M0069		D1
CMS OASIS	M0069		E
CMS LCDS	A0800		3.00
CMS IRF-PAI	8		2.0
CMS MDS	A0800		1.16.1
CMS OASIS	M0069		D
CMS MDS	X0300		1.16.1
CMS IRF-PAI	8		1.4
CMS IRF-PAI	8		1.5
CMS IRF-PAI	8		3.0
CMS LCDS	A0800		4.00
CMS MDS	A0800		1.14.1
CMS MDS	A0800		1.15.1
CMS MDS	X0300		1.14.1
CMS MDS	X0300		1.15.1
CMS OASIS	M0069		C2
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
CMS MDS	A0800		1.17.1
CMS MDS	X0300		1.17.1
https://www.phenxtoolkit.org	PX220301250000	PX220301_Bone_Age_Patient_Gender
https://www.phenxtoolkit.org	PX811301030000	PX811301_SerumPlasmaFerritin_Gender

21112-8 Birth Date

Observation ID in Form

A0900

Fully-Specified Name

Component: Birth date
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Birth date

Basic Attributes

Class: MISC
Type: Laboratory
First Released: Version 1.0m
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 1746

HL7^® Attributes

HL7^® Field ID: PID-7.1

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
58735-2	Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3	Alpha-1-Fetoprotein panel - Serum or Plasma
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
75199-0	Congenital syphilis case investigation and report panel [CDC.CS]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
86636-8	Family planning report - FPAR 2.0 set
49085-4	First and Second trimester integrated maternal screen panel
48798-3	First trimester maternal screen panel - Serum or Plasma
49086-2	First trimester maternal screen with nuchal translucency panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
49087-0	Maternal screen clinical predictors panel
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
70182-1	NIH Stroke Scale
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
62293-6	PhenX - current age protocol 010101
62263-9	PhenX domain - Nutrition and dietary supplements
62812-3	PhenX domain - Physical activity and physical fitness
62611-9	PhenX domain - Respiratory
100997-6	Respiratory Allergen Panel, Area 5 - Serum
48799-1	Second trimester penta maternal screen panel - Serum or Plasma
48800-7	Second trimester quad maternal screen panel - Serum or Plasma
35086-8	Second trimester triple maternal screen panel - Serum or Plasma
60687-1	Test of Infant Motor Performance Version 5.1
54127-6	US Surgeon General family health portrait [USSG-FHT]
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Datum narození:Časové razítko (datum a čas):Časový bod:^Pacient:Kvantitativní:
de-DE	German (Germany)	Geburtsdatum:Zeitstempel:Zeitpunkt:^Patient:Quantitativ:
el-GR	Greek (Greece)	Ημερομηνία γέννησης:TmStp:Pt:^Ασθενής:Qn: Synonyms: - MISC Pt Qn TmStp Ασθενής Ημερομηνία γέννησης
es-AR	Spanish (Argentina)	fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
es-ES	Spanish (Spain)	Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Fecha de nacimiento:Sello de hora (fecha y hora):Punto temporal:^ Paciente:Cuantitativo:
fr-FR	French (France)	Date de naissance:Horodatage:Ponctuel:^patient:Numérique:
it-IT	Italian (Italy)	Data di nascita:TmStp:Pt:^Paziente:Qn: Synonyms: Miscellanea paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
nl-NL	Dutch (Netherlands)	geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
pt-BR	Portuguese (Brazil)	Data de nascimento:TmStp:Pt:^Paciente:Qn: Synonyms: Dob; Date of birth; Birthdate; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Рождения дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Дата рождения Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:
zh-CN	Chinese (China)	出生日期:时间戳:时间点:^患者:定量型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人印时戳;时标;时间戳(日期与时间);时间标记;计时标记可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间杂项;杂项类;杂项试验生日

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Text	Code Version
CMS IRF-PAI	6		4.0
CMS LCDS	A0900		5.00
CMS OASIS	M0066		D1
CMS LCDS	A0900		3.00
CMS IRF-PAI	6		2.0
CMS MDS	A0900		1.16.1
CMS OASIS	M0066		D
CMS MDS	X0400		1.16.1
CMS IRF-PAI	6		1.4
CMS IRF-PAI	6		1.5
CMS IRF-PAI	6		3.0
CMS LCDS	A0900		4.00
CMS MDS	A0900		1.14.1
CMS MDS	A0900		1.15.1
CMS MDS	X0400		1.14.1
CMS MDS	X0400		1.15.1
CMS OASIS	M0066		C2
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
CMS MDS	A0900		1.17.1
CMS MDS	X0400		1.17.1
https://www.phenxtoolkit.org	PX010101010400	PX010101_Birthdate_Coded
https://www.phenxtoolkit.org	PX221201060000	PX221201_Growth_Chart_Date_Of_Birth
CMS OASIS	M0066		E
CMS MDS	A0900		v1.18.11
CMS MDS	X0400		v1.18.11
CMS MDS	A0900		1.17.2
CMS MDS	X0400		1.17.2

69854-8 Ethnicity

Term Description

This term is used for reporting ethnicity based on, but not limited in use to, the Department of Health and Human Services, Affordable Care Act Section 4302.

Reference Information

Type	Source	Reference
Citation	Health and Human Services	Health and Human Services standard on race, ethnicity, sex, primary language and disability status Health and Human Services std on race, ethnicity, sex, primary language and disability status
Citation	Health and Human Services	Dorsey ,Rashida, PhD, MPH, Graham Garth, MD, MPH, New HHS Data Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status, JAMA, December 7, 2011-Vol 306, No. 21, pp 2378-79

Observation ID in Form

A1005

Form Context

Are you of Hispanic, Latino/a, or Spanish origin?

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Hispanic, latino-a, or spanish origin
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Hispanic, latino-a, or spanish origin

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.40
Last Updated: Version 2.68 (NAM)
Change Reason: Release 2.68: CLASS: Moved term to the more representative Class for this concept.; COMPONENT: Updated Component name to represent the clinical concept rather than the specific question from the original source since the question asked will vary across forms and assessments.; Previous Releases: Removed Method since this a general concept that can be applied in other use-cases. Updated Answer list type to EXAMPLE. Assigned Answer list type of NORMATIVE within the context of the Health and Human Services (HHS) panel [LOINC: 69919-9]. Updated Scale from Ord to Nom based on the answer list.

Normative Answer List LL7019-4

Answer	Code	Answer ID
No, not of Hispanic, Latino/a, or Spanish origin	A	LA30254-9
Yes, Mexican, Mexican American, Chicano/a	B	LA30255-6
Yes, Puerto Rican	C	LA18369-1
Yes, Cuban	D	LA18370-9
Yes, another Hispanic, Latino, or Spanish origin	E	LA30256-4
Patient unable to respond	X	LA30257-2
Patient declines to respond	Y	LA33759-4

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
99192-7	Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
94158-3	PhenX - ethnicity protocol 010502
69919-9	Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ισπανόφωνης, λατινοαμερικάνικης ή ισπανικής καταγωγής:Εύρεση:Pt:^Ασθενής:Nom: Synonyms: - A ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Nom Pt Ασθενής Εύρεση Ισπανόφωνης, λατινοαμερικάνικης ή ισπανικής καταγωγής Προέλευση
es-MX	Spanish (Mexico)	Origen hispano, latino-a o español:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	E' ispanico, latino-a, o di origine spagnola:Osservazione:Pt:^Paziente:Nom: Synonyms: Amministrativo Dati demografici del paziente Osservazione Paziente Punto nel tempo (episodio)
pl-PL	Polish (Poland)	Pochodzenie hiszpańskie lub latynoskie:stwierdzenie:punkt w czasie:^pacjent:skala nominalna: Synonyms: Pochodzenie Pochodzenie hiszpańskie lub latynoskie wynik kategorialny
ru-RU	Russian (Russian Federation)	У Вас от испаноговорящие, латиноамериканские или испанские корни:Находка:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	西班牙裔血统、拉丁裔血统还是西班牙裔血统:发现:时间点:^患者:名义型: Synonyms: A 型分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论您究竟是西班牙裔血统、拉丁裔血统还是西班牙裔血统;拉美裔;西班牙裔;拉美裔血统成因;来源时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

Related Codes

Code System	Code	Code Text	Code Version
CMS OASIS	A1005		E
CMS MDS	A1005		v1.18.11
CMS IRF-PAI	A1005		4.0
CMS LCDS	A1005		5.00
https://www.phenxtoolkit.org	PX651201030100	PX651201_EatingWeightPatterns_Adult_Latino_Background
https://www.phenxtoolkit.org	PX010502010000	PX010502_Ethnicity_Self_Identification

103708-4 Race

Reference Information

Type	Source	Reference
Citation	Health and Human Services	Health and Human Services standard on race, ethnicity, sex, primary language and disability status Health and Human Services std on race, ethnicity, sex, primary language and disability status
Citation	Health and Human Services	Dorsey ,Rashida, PhD, MPH, Graham Garth, MD, MPH, New HHS Data Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status, JAMA, December 7, 2011-Vol 306, No. 21, pp 2378-79

Observation ID in Form

A1010

Form Context

What is your race?

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Race
Property: Type
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Race during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.77
Last Updated: Version 2.77 (ADD)
Change Reason: Release 2.79: AnswerListId: LCDS v5.1;
Order vs. Observation: Both

Normative Answer List LL7104-4

Answer	Code	Answer ID
White	A	LA4457-3
Black or African American	B	LA10610-6
American Indian or Alaska Native	C	LA6155-1
Asian Indian	D	LA14048-5
Chinese	E	LA4168-6
Filipino	F	LA3969-8
Japanese	G	LA4595-0
Korean	H	LA4603-2
Vietnamese	I	LA4443-3
Other Asian	J	LA14049-3
Native Hawaiian	K	LA14045-1
Guamanian or Chamorro	L	LA18375-8
Samoan	M	LA4300-5
Other Pacific Islander	N	LA14047-7
Patient unable to respond	X	LA30257-2
Patient declines to respond	Y	LA33759-4
None of the above	Z	LA9-3

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

93186-5 Language

Observation ID in Form

A1110

Fully-Specified Name

Component: Preferred language & interpreter need
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Preferred language and interpreter need

Basic Attributes

Class: PANEL.ADMIN
Type: Clinical
First Released: Version 2.67
Last Updated: Version 2.72 (PANEL)
Order vs. Observation: Order
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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]
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]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Προτιμώμενη γλώσσα & Ανάγκη για διερμηνέα:-:Pt:^Ασθενής:-: Synonyms: - ADMIN PANEL.ADMIN Pt Ασθενής Προτιμώμενη γλώσσα & Ανάγκη για διερμηνέα
es-MX	Spanish (Mexico)	Idioma preferido y necesidad de intérprete:-:Punto temporal:^ Paciente:-:
it-IT	Italian (Italy)	Lingua preferita & necessità dell'interprete:-:Pt:^Paziente:-: Synonyms: Amministrativo Lingua preferita e necessità dell''interprete Panel informazioni amministrative paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	首选语言和口译员需求:-:时间点:^患者:-: Synonyms: 医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人多重;多重型;多重标尺类型;多重精度类型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类组组合组合医嘱组合类组套组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.行政管理（行政、管理、施行、执行、经营）行政;管理;施行;执行;经营语种首选语言和口译需求

54899-0 What is your preferred language?

Observation ID in Form

A1110A

Fully-Specified Name

Component: Language.preferred
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Preferred language

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.27
Last Updated: Version 2.73 (MIN)
Change Reason: Updated PROPERTY from Find to Type; Added EXAMPLE Answer list
Order vs. Observation: Both
Common Test Rank Get Info: 8193

Example Answer List LL1628-8

Answer	Code	Score	Answer ID
English Please specify origin:			LA43-5
Spanish			LA44-3
Chinese			LA4168-6
Vietnamese			LA4443-3
Tagalog			LA15353-8
Other			LA46-8

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
99549-8	Health Leads screening panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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]
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]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
93025-5	Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Γλώσσα.προτιμώμενη:Type:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Nom Pt Type Ασθενής Γλώσσα.προτιμώμενη
es-MX	Spanish (Mexico)	Idioma.preferido:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Lingua. preferita:Tipo:Pt:^Paziente:Nom: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	taal.voorkeur:type:moment:^patiënt:nominaal:
zh-CN	Chinese (China)	语言.首选:类型:时间点:^患者:名义型: Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人型时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）语种语种.首选

Related Codes

Code System	Code	Code Version
CMS MDS	A1100B	v1.18.11
CMS MDS	A1110A	v1.18.11
CMS OASIS	A1110A	E
CMS MDS	A1100B	1.17.2
CMS LCDS	A1100B	3.00
CMS MDS	A1100B	1.16.1
CMS LCDS	A1100B	4.00
CMS MDS	A1100B	1.14.1
CMS MDS	A1100B	1.15.1
CMS MDS	A1100B	1.17.1
CMS IRF-PAI	A1110A	4.0
CMS LCDS	A1110A	5.00

54588-9 Do you need or want an interpreter to communicate with a doctor or health care staff?

Term Description

Patient/resident's need or want an interpreter to communicate with a doctor or health care staff

Observation ID in Form

A1110B

Fully-Specified Name

Component: Interpreter needed
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Interpreter needed

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.27
Last Updated: Version 2.66 (MIN)
Change Reason: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Updated CLASS from SURVEY.MDS to ADMIN; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Method removed because this generic term can be used across contexts
Order vs. Observation: Observation

Normative Answer List LL1502-5

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1	LA33-6
Unable to determine	9	LA11137-9

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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]
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]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Απαιτείται διερμηνέας:Εύρεση:Pt:^Ασθενής:Ord: Synonyms: - ADMIN ADMIN.PATIENT Ord Pt Απαιτείται διερμηνέας Ασθενής Εύρεση
es-MX	Spanish (Mexico)	Se necesita intérprete:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Interprete necessario:Osservazione:Pt:^Paziente:Ord: Synonyms: Amministrativo Osservazione Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	tolk nodig:bevinding:moment:^patiënt:ordinaal:
zh-CN	Chinese (China)	需要口译员:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）需要口译者;需要口译;需要翻译;需要口头翻译人员

Related Codes

Code System	Code	Code Version
CMS MDS	A1100A	v1.18.11
CMS MDS	A1110B	v1.18.11
CMS OASIS	A1110B	E
CMS IRF-PAI	A1110B	4.0
CMS LCDS	A1110B	5.00
CMS LCDS	A1100A	3.00
CMS MDS	A1100A	1.16.1
CMS LCDS	A1100A	4.00
CMS MDS	A1100A	1.14.1
CMS MDS	A1100A	1.15.1
CMS MDS	A1100A	1.17.1
CMS MDS	A1100A	1.17.2

Third Party Copyright

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.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52556-8 Payer Information

Observation ID in Form

A1400

Form Coding Instructions

Check all existing payer sources that apply at the time of this assessment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Payment sources
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Payment sources

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Change Reason: Changed METHOD to methodless - generic term that does not orginate from just one method; Removed "Current" from component because it is conveyed by TIMING = Pt;Updated PROPERTY from Find to Type
Order vs. Observation: Both

Normative Answer List LL6944-4

Answer	Code	Answer ID
Medicare (traditional fee-for-service)	A	LA6259-1
Medicare (managed care/Part C/Medicare Advantage)	B	LA27554-7
Medicaid (traditional fee-for-service)	C	LA6257-5
Medicaid (managed care)	D	LA27556-2
Other government (e.g., TRICARE, VA, etc.)	G	LA10049-7
Private insurance/Medigap	H	LA10061-2
Private managed care	I	LA27561-2
Self-pay	J	LA6369-8
No payer source	K	LA18995-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	X	LA4489-6
Other	Y	LA46-8

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
86636-8	Family planning report - FPAR 2.0 set
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Third Party Copyright

85398-6 Admitted From

Observation ID in Form

A1805

Form Context

Immediately preceding this admission, where was the patient?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Admitted from
Property: Type
Time: Pt
System: Facility
Scale: Nom
Method

Long Common Name

Admitted from Facility

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.61
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts
Order vs. Observation: Observation

Normative Answer List LL6953-5

Answer	Code	Answer ID
Home/Community (e.g., private home/apt., board/care, assisted living, group home, transitional living, other residential care arrangements)	01	LA30344-8
Nursing Home (long-term care facility)	02	LA30345-5
Skilled Nursing Facility (SNF, swing beds)	03	LA30346-3
Short-Term General Hospital (acute hospital, IPPS)	04	LA30347-1
Long-Term Care Hospital (LTCH)	05	LA10000-0
Inpatient Rehabilitation Facility (IRF, free standing facility or unit)	06	LA30348-9
Inpatient Psychiatric Facility (psychiatric hospital or unit)	07	LA30349-7
Intermediate Care Facility (ID/DD facility)	08	LA30350-5
Hospice (institutional facility)	10	LA27342-7
Critical Access Hospital (CAH)	11	LA30261-4
Not listed	99	LA27349-2

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated 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	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated 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	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	A1800	v1.18.11
CMS LCDS	A1802	3.00
CMS IRF-PAI	15A	2.0
CMS MDS	A1800	1.16.1
CMS IRF-PAI	15A	1.4
CMS IRF-PAI	15A	1.5
CMS IRF-PAI	15A	3.0
CMS LCDS	A1802	4.00
CMS MDS	A1800	1.14.1
CMS MDS	A1800	1.15.1
CMS MDS	A1800	1.17.1
CMS MDS	A1805	v1.18.11
CMS IRF-PAI	15A	4.0
CMS LCDS	A1805	5.00
CMS MDS	A1800	1.17.2

85950-4 Living Arrangements

Observation ID in Form

A1905

Form Coding Instructions

Identify the patient's living arrangement at the time of this admission.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Living situation and availability of assistance
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Living situation and availability of assistance during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77 (MAJ)
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: Observation

Normative Answer List LL6955-0

Answer	Code	Answer ID
Alone (no other residents in the home)	1	LA34594-4
With others in the home (e.g., family, friends, or paid caregiver)	2	LA34595-1
Congregate home (e.g., assisted living or residential care home)	3	LA34596-9
Inpatient facility (e.g., skilled nursing facility, nursing home, inpatient hospice, hospital)	4	LA34597-7
Does not have a permanent home (e.g., has unstable housing or is experiencing homelessness)	5	LA34598-5

Member of these Panels

LOINC	Long Common Name
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106525-9	Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

94912-3 Availability of Assistance

Observation ID in Form

A1910

Fully-Specified Name

Component: Availability of caregiver assistance
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Availability of caregiver assistance during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.68
Last Updated: Version 2.77 (MAJ)
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: Observation

Normative Answer List LL6954-3

Answer	Code	Answer ID
Around-the-clock (24 hours a day with few exceptions)	1	LA34590-2
Regular daytime (all day every day with few exceptions)	2	LA34591-0
Regular nighttime (all night every night with few exceptions)	3	LA34592-8
Occasional (intermittent)	4	LA34593-6
No assistance available	5	LA12167-5

Member of these Panels

LOINC	Long Common Name
105175-4	Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
106517-6	Functional assessment standardized items (FASI) - v1.2 during assessment period [CMS Assessment]
94848-9	Functional assessment standardized items (FASI) - version 1.0 during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

95033-7 Preferences for Customary Routine and Activities

Observation ID in Form

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: FASI v1.0 - Preferences for Customary Routine and Activities
Property: -
Time: -
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

FASI v1.0 - Preferences for Customary Routine and Activities [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.68
Last Updated: Version 2.78 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
105175-4	Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
94848-9	Functional assessment standardized items (FASI) - version 1.0 during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]

106636-4 CPR Preference

Observation ID in Form

F2000

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: CPR Preference
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

CPR Preference during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106637-2 Was the patient/responsible party asked about preference regarding the use of cardiopulmonary resuscitation (CPR)?

Observation ID in Form

F2000A

Skip Logic

If 0, Skip to F2100, Other Life-Sustaining Treatment Preferences

Fully-Specified Name

Component: Was the patient or responsible party asked about preference regarding the use of cardiopulmonary resuscitation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was the patient or responsible party asked about preference regarding the use of cardiopulmonary resuscitation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6956-8

Answer	Code	Answer ID
Yes, and discussion occurred	1	LA34599-3
Yes, but the patient/responsible party refused to discuss	2	LA34600-9
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106635-6 Date the patient/responsible party was first asked about preference regarding the use of CPR:

Observation ID in Form

F2000B

Fully-Specified Name

Component: Date the patient or responsible party was first asked about preference regarding the use of CPR
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date the patient or responsible party was first asked about preference regarding the use of CPR during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106638-0 Other Life-Sustaining Treatment Preferences

Observation ID in Form

F2100

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: Other Life-Sustaining Treatment Preferences
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Other Life-Sustaining Treatment Preferences during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106639-8 Was the patient/responsible party asked about preferences regarding life-sustaining treatments other than CPR?

Observation ID in Form

F2100A

Skip Logic

If 0, Skip to F2200, Hospitalization Preference

Fully-Specified Name

Component: Was the patient or responsible party asked about preferences regarding life-sustaining treatments other than CPR
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was the patient or responsible party asked about preferences regarding life-sustaining treatments other than CPR during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6956-8

Answer	Code	Answer ID
Yes, and discussion occurred	1	LA34599-3
Yes, but the patient/responsible party refused to discuss	2	LA34600-9
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106640-6 Date the patient/responsible party was first asked about preferences regarding life-sustaining treatments other than CPR:

Observation ID in Form

F2100B

Fully-Specified Name

Component: Date the patient or responsible party was first asked about preferences regarding life-sustaining treatments other than CPR
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date the patient or responsible party was first asked about preferences regarding life-sustaining treatments other than CPR during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106641-4 Hospitalization Preference

Observation ID in Form

F2200

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: Hospitalization Preference
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Hospitalization Preference during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106646-3 Was the patient/responsible party asked about preference regarding hospitalization?

Observation ID in Form

F2200A

Skip Logic

If 0, Skip to F3000, Spiritual/Existential Concerns

Fully-Specified Name

Component: Was the patient or responsible party asked about preference regarding hospitalization
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was the patient or responsible party asked about preference regarding hospitalization during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6956-8

Answer	Code	Answer ID
Yes, and discussion occurred	1	LA34599-3
Yes, but the patient/responsible party refused to discuss	2	LA34600-9
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106645-5 Date the patient/responsible party was first asked about preference regarding hospitalization:

Observation ID in Form

F2200B

Fully-Specified Name

Component: Date the patient or responsible party was first asked about preference regarding hospitalization
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date the patient or responsible party was first asked about preference regarding hospitalization during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106644-8 Spiritual/Existential Concerns

Observation ID in Form

F3000

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: Spiritual or Existential Concerns
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Spiritual or Existential Concerns during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106643-0 Was the patient and/or caregiver asked about spiritual/existential concerns?

Observation ID in Form

F3000A

Skip Logic

If 0, Skip to I0100, Principal Diagnosis

Fully-Specified Name

Component: Was the patient and or caregiver asked about spiritual or existential concerns
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was the patient and or caregiver asked about spiritual or existential concerns during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6956-8

Answer	Code	Answer ID
Yes, and discussion occurred	1	LA34599-3
Yes, but the patient/responsible party refused to discuss	2	LA34600-9
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106642-2 Date the patient and/or caregiver was first asked about spiritual/existential concerns:

Observation ID in Form

F3000B

Fully-Specified Name

Component: Date the patient and or caregiver was first asked about spiritual or existential concerns
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date the patient and or caregiver was first asked about spiritual or existential concerns during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

54531-9 Active Diagnoses

Observation ID in Form

Type of Entry

Header section - not a question [H]

Form Coding Instructions

Active Diagnoses in the last 7 days - Check all that apply. Diagnoses listed in parentheses are provided as examples and should not be considered as all-inclusive lists

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Active disease diagnosis
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Active disease diagnosis during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.80 (PANEL)
Change Reason: Release 2.79: PanelType: header = subset organizer; TIME_ASPCT: policy change for CMS assessments; ORDER_OBS: header = subset organizer; METHOD_TYP: Change Class for CMS not specific CMS assessment; CLASS: Change Class for CMS not specific CMS assessment;
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

106647-1 Principal Diagnosis

Observation ID in Form

I0010

Fully-Specified Name

Component: Principal Diagnosis
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Principal Diagnosis during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6957-6

Answer	Code	Answer ID
Cancer	01	LA10524-9
Dementia (including Alzheimer's disease)	02	LA34601-7
Neurological Condition (e.g., Parkinson's disease, multiple sclerosis, amyotrophic lateral sclerosis (ALS))	03	LA34602-5
Stroke	04	LA22099-8
Chronic Obstructive Pulmonary Disease (COPD)	05	LA34603-3
Cardiovascular (excluding heart failure)	06	LA34604-1
Heart Failure	07	LA34605-8
Liver disease	08	LA25810-5
Renal Disease	09	LA34606-6
None of the above	99	LA9-3

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

83243-6 Comorbidities and Co-existing Conditions

Observation ID in Form

I0100-I8005

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Comorbidities and coexisting conditions
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method

Long Common Name

Comorbidities and coexisting conditions

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.61
Last Updated: Version 2.83 (MAJ)
Change Reason: Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to only CMS Assessments.;
Order vs. Observation: Observation

Normative Answer List LL7018-6

Answer	Code	Answer ID
Cancer	I0100	LA10524-9
Heart failure (e.g., congestive heart failure (CHF) and pulmonary edema)	I0600	LA27840-0
Peripheral vascular disease (PVD) or peripheral arterial disease (PAD)	I0900	LA18399-8
Cardiovascular (excluding heart failure)	I0950	LA34604-1
Liver disease (e.g., cirrhosis)	I1101	LA34763-5
Renal Disease	I1510	LA34606-6
Sepsis	I2102	LA34764-3
Diabetes mellitus (DM)	I2900	LA27539-8
Neuropathy	I2910	LA22247-3
Stroke	I4501	LA22099-8
Dementia (including Alzheimer's disease)	I4801	LA34601-7
Neurological Conditions (e.g., Parkinson's disease, multiple sclerosis, ALS)	I5150	LA34765-0
Seizure Disorder	I5401	LA34766-8
Chronic Obstructive Pulmonary Disease (COPD)	I6202	LA34603-3
Other medical condition	I8005	LA16346-1

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
99357-6	COVID-19 health questions panel
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106525-9	Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX940101060100	PX940101_Covid19_Health_Questions_Health_Condition
CMS OASIS	M1028		E
CMS OASIS	M1028		D
CMS OASIS	M1028		C2
CMS OASIS	M1028		D1

99170-3 Health Conditions

Observation ID in Form

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: OASIS E - Health Conditions - DC
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

OASIS E - Health Conditions - DC during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.72
Last Updated: Version 2.80 (PANEL)
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
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]

106664-6 Death is Imminent

Observation ID in Form

J0050

Form Context

At the time of this assessment and based on your clinical assessment, does the patient appear to have a life expectancy of 3 days or less?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Death is Imminent
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Death is Imminent during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106663-8 Pain Screening

Observation ID in Form

J0900

Fully-Specified Name

Component: Pain Screening
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Pain Screening during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106665-3 Was the patient screened for pain?

Observation ID in Form

J0900A

Skip Logic

If 0, Skip to J0905, Pain Active Problem

Fully-Specified Name

Component: Was the patient screened for pain
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was the patient screened for pain during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106666-1 Date of first screening for pain

Observation ID in Form

J0900B

Fully-Specified Name

Component: Date of first screening for pain
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date of first screening for pain during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106667-9 The patient’s pain severity was:

Observation ID in Form

J0900C

Fully-Specified Name

Component: Patient's pain severity
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Patient's pain severity during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6958-4

Answer	Code	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	0	LA137-2
Mild	1	LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value)	2	LA6751-7
Severe	3	LA6750-9
Pain not rated	9	LA34607-4

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106669-5 Type of standardized pain tool used:

Observation ID in Form

J0900D

Fully-Specified Name

Component: Type of standardized pain tool used
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Type of standardized pain tool used during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6959-2

Answer	Code	Answer ID
Numeric	1	LA34570-4
Verbal descriptor	2	LA34608-2
Patient visual	3	LA34609-0
Staff observation	4	LA34610-8
No standardized tool used	9	LA34611-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106670-3 Pain Active Problem. Is pain an active problem for the patient?

Observation ID in Form

J0905

Skip Logic

If 0, Skip to J2030, Screening for Shortness of Breath

Fully-Specified Name

Component: Pain Active Problem
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Pain Active Problem during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106671-1 Comprehensive Pain Assessment

Observation ID in Form

J0910

Fully-Specified Name

Component: Comprehensive Pain Assessment
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Comprehensive Pain Assessment during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106668-7 Was a comprehensive pain assessment done

Observation ID in Form

J0910A

Skip Logic

If 0, Skip to J2030, Screening for Shortness of Breath

Fully-Specified Name

Component: Was a comprehensive pain assessment done
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was a comprehensive pain assessment done during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106672-9 Date of comprehensive pain assessment

Observation ID in Form

J0910B

Fully-Specified Name

Component: Date of comprehensive pain assessment
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date of comprehensive pain assessment during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106673-7 Comprehensive pain assessment included:

Observation ID in Form

J0910C

Fully-Specified Name

Component: Comprehensive pain assessment included
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Comprehensive pain assessment included during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6960-0

Answer	Code	Answer ID
Location	1	LA34614-0
Severity	2	LA34615-7
Character	3	LA34616-5
Duration	4	LA34617-3
Frequency	5	LA34619-9
What relieves/worsens pain	6	LA34620-7
Effect on function or quality of life	7	LA34621-5
None of the above_	9	LA34624-9

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106674-5 Neuropathic Pain

Observation ID in Form

J0915

Form Context

Does the patient have neuropathic pain (e.g., pain with burning, tingling, pins and needles, hypersensitivity to touch)?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Neuropathic Pain
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Neuropathic Pain during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106675-2 Screening for Shortness of Breath

Observation ID in Form

J2030

Fully-Specified Name

Component: Screening for Shortness of Breath
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Screening for Shortness of Breath during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106676-0 Was the patient screened for shortness of breath?

Observation ID in Form

J2030A

Skip Logic

If 0, Skip to J2050, Symptom Impact Screening

Fully-Specified Name

Component: Was the patient screened for shortness of breath
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was the patient screened for shortness of breath during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106677-8 Date of first screening for shortness of breath:

Observation ID in Form

J2030B

Fully-Specified Name

Component: Date of first screening for shortness of breath
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date of first screening for shortness of breath during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106678-6 Did the screening indicate the patient had shortness of breath?

Observation ID in Form

J2030C

Skip Logic

If 0, Skip to J2050, Symptom Impact Screening

Fully-Specified Name

Component: Did the screening indicate the patient had shortness of breath
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Did the screening indicate the patient had shortness of breath during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106679-4 Treatment for Shortness of Breath

Observation ID in Form

J2040

Fully-Specified Name

Component: Treatment for Shortness of Breath
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Treatment for Shortness of Breath during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

106680-2 Was treatment for shortness of breath initiated?

Observation ID in Form

J2040A

Skip Logic

If 0 or 1, Skip to J2050, Symptom Impact Screening

Fully-Specified Name

Component: Was treatment for shortness of breath initiated
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was treatment for shortness of breath initiated during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6961-8

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
No, patient declined treatment	1	LA34625-6
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	2	LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106681-0 Date treatment for shortness of breath initiated:

Observation ID in Form

J2040B

Fully-Specified Name

Component: Date treatment for shortness of breath initiated
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date treatment for shortness of breath initiated during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106685-1 Symptom Impact Screening

Observation ID in Form

J2050

Fully-Specified Name

Component: Symptom Impact Screening
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Symptom Impact Screening during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106684-4 Was a symptom impact screening completed?

Observation ID in Form

J2050A

Skip Logic

If 0, Skip to M1190, Skin Conditions

Fully-Specified Name

Component: Was a symptom impact screening completed
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was a symptom impact screening completed during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106683-6 Date of symptom impact screening:

Observation ID in Form

J2050B

Fully-Specified Name

Component: Date of symptom impact screening
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date of symptom impact screening during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106682-8 Symptom Impact

Observation ID in Form

J2051

Form Context

Over the past 2 days, how has the patient been affected by each of the following symptoms? Base this on your clinical assessment (including input from patient and/or caregiver). Symptoms may impact multiple patient activities including, but not limited to, sleep, concentration, day to day activities, or ability to interact with others.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Symptom Impact
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Symptom Impact during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106688-5 Pain

Observation ID in Form

J2051A

Fully-Specified Name

Component: Symptom Impact - Pain
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Pain during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106689-3 Shortness of breath

Observation ID in Form

J2051B

Fully-Specified Name

Component: Symptom Impact - Shortness of breath
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Shortness of breath during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106690-1 Anxiety

Observation ID in Form

J2051C

Fully-Specified Name

Component: Symptom Impact - Anxiety
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Anxiety during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106692-7 Nausea

Observation ID in Form

J2051D

Fully-Specified Name

Component: Symptom Impact - Nausea
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Nausea during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106691-9 Vomiting

Observation ID in Form

J2051E

Fully-Specified Name

Component: Symptom Impact - Vomiting
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Vomiting during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106693-5 Diarrhea

Observation ID in Form

J2051F

Fully-Specified Name

Component: Symptom Impact - Diarrhea
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Diarrhea during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106694-3 Constipation

Observation ID in Form

J2051G

Fully-Specified Name

Component: Symptom Impact - Constipation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Constipation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106695-0 Agitation

Observation ID in Form

J2051H

Fully-Specified Name

Component: Symptom Impact - Agitation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Symptom Impact - Agitation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106704-0 Symptom Follow-up Visit (SFV)

Observation ID in Form

J2052

Type of Entry

Header section - not a question [H]

Skip Logic

(complete only if any response to J2051 Symptom Impact = 2. Moderate or 3. Severe)

Form Context

An in-person Symptom Follow-up Visit (SFV) should occur within 2 calendar days as a follow-up for any moderate or severe pain or non-pain symptom identified during Symptom Impact assessment at Admission or HOPE Update Visit (HUV).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Symptom Follow-up Visit
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Symptom Follow-up Visit during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106705-7 Was an in-person SFV completed?

Observation ID in Form

J2052A

Skip Logic

If 0, Skip to J2052C, Reason SFV Not Completed.

Fully-Specified Name

Component: Was an in-person SFV completed
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was an in-person SFV completed during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106706-5 Date of in-person SFV

Observation ID in Form

J2052B

Skip Logic

Complete and skip to J2053, SFV Symptom Impact.

Fully-Specified Name

Component: Date of in-person SFV
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date of in-person SFV during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106707-3 Reason SFV Not Completed

Observation ID in Form

J2052C

Skip Logic

Skip to M1190, Skin Conditions.

Fully-Specified Name

Component: Reason SFV Not Completed
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Reason SFV Not Completed during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6963-4

Answer	Code	Answer ID
Patient and/or caregiver declined an in-person visit.	1	LA34629-8
Patient unavailable (e.g., in ED, hospital, travel outside of service area, expired).	2	LA34630-6
Attempts to contact patient and/or caregiver were unsuccessful.	3	LA34631-4
None of the above	9	LA9-3

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106708-1 SFV Symptom Impact

Observation ID in Form

J2053

Type of Entry

Header section - not a question [H]

Form Context

Since the last Symptom Impact assessment was completed, how has the patient been affected by each of the following symptoms? Base this on your clinical assessment (including input from patient and/or caregiver). Symptoms may impact multiple patient activities including, but not limited to, sleep, concentration, day to day activities, or ability to interact with others.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: SFV Symptom Impact
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

SFV Symptom Impact during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106703-2 Pain

Observation ID in Form

J2053A

Fully-Specified Name

Component: SFV Symptom Impact - Pain
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Pain during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106702-4 Shortness of breath

Observation ID in Form

J2053B

Fully-Specified Name

Component: SFV Symptom Impact - Shortness of breath
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Shortness of breath during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106701-6 Anxiety

Observation ID in Form

J2053C

Fully-Specified Name

Component: SFV Symptom Impact - Anxiety
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Anxiety during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106700-8 Nausea

Observation ID in Form

J2053D

Fully-Specified Name

Component: SFV Symptom Impact - Nausea
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Nausea during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106699-2 Vomiting

Observation ID in Form

J2053E

Fully-Specified Name

Component: SFV Symptom Impact - Vomiting
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Vomiting during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106698-4 Diarrhea

Observation ID in Form

J2053F

Fully-Specified Name

Component: SFV Symptom Impact - Diarrhea
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Diarrhea during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106697-6 Constipation

Observation ID in Form

J2053G

Fully-Specified Name

Component: SFV Symptom Impact - Constipation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Constipation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106696-8 Agitation

Observation ID in Form

J2053H

Fully-Specified Name

Component: SFV Symptom Impact - Agitation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

SFV Symptom Impact - Agitation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6962-6

Answer	Code	Answer ID
Not at all - symptom does not affect the patient, including symptoms well-controlled with current treatment	0	LA34627-2
Slight	1	LA11910-9
Moderate	2	LA6751-7
Severe	3	LA6750-9
Not applicable (the patient is not experiencing the symptom)	9	LA34628-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

54572-3 Skin Conditions

Observation ID in Form

Type of Entry

Header section - not a question [H]

Form Coding Instructions

Report based on highest stage of existing ulcer(s) at its worst; do not "reverse" stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Skin conditions
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Skin conditions during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.MDS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.83 (PANEL)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

106709-9 Skin Conditions. Does the patient have one or more skin conditions?

Observation ID in Form

M1190

Skip Logic

If 0, Skip to N0500, Scheduled Opioid

Fully-Specified Name

Component: Skin Conditions. Does the patient have one or more skin conditions
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Skin Conditions. Does the patient have one or more skin conditions during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106710-7 Types of Skin Conditions

Observation ID in Form

M1195

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Indicate which following skin conditions were identified at the time of this assessment.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Types of Skin Conditions
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Types of Skin Conditions during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6964-2

Answer	Code	Answer ID
Diabetic foot ulcer(s)	A	LA27944-0
Open lesion(s) other than ulcers, rash, or skin tear (cancer lesions)	B	LA34632-2
Pressure Ulcer(s)/Injuries	C	LA34633-0
Rash(es)	D	LA34634-8
Skin tear(s)	E	LA18608-2
Surgical wound(s)	F	LA27947-3
Ulcers other than diabetic or pressure ulcers (e.g., venous stasis ulcer, Kennedy ulcer)	G	LA34635-5
Moisture associated skin damage (MASD) (e.g., incontinence-associated dermatitis [IAD], perspiration, drainage)	H	LA27950-7
None of the above were present	Z	LA27939-0

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106711-5 Skin and Ulcer/Injury Treatments

Observation ID in Form

M1200

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Indicate the interventions or treatments in place at the time of this assessment.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Skin and Ulcer or Injury Treatments
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Skin and Ulcer or Injury Treatments during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL7017-8

Answer	Code	Answer ID
Pressure reducing device for chair	A	LA27951-5
Pressure reducing device for bed	B	LA27952-3
Turning/repositioning program	C	LA27953-1
Nutrition or hydration intervention to manage skin problems	D	LA27954-9
Pressure ulcer/injury care	E	LA28888-8
Surgical wound care	F	LA27956-4
Application of nonsurgical dressings (with or without topical medications) other than to feet	G	LA27957-2
Applications of ointments/medications other than to feet	H	LA27958-0
Application of dressings to feet (with or without topical medications)	I	LA27959-8
Incontinence Management	J	LA34762-7
None of the above were provided	Z	LA27960-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

88962-6 Medications

Observation ID in Form

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: MDS v3.0 - RAI v1.17.2 - Medications
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

MDS v3.0 - RAI v1.17.2 - Medications during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.64
Last Updated: Version 2.80 (PANEL)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.68: COMPONENT: Assessment version number was updated to reflect the most recent version.; Previous Releases: Current convention (as approved by the joint CMS LTPAC & LOINC project team) will list only the most current assessment in the Component for CMS Assessment panels.
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]

106718-0 Scheduled Opioid

Observation ID in Form

N0500

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: Scheduled Opioid
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Scheduled Opioid during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106719-8 Was a scheduled opioid initiated or continued?

Observation ID in Form

N0500A

Skip Logic

If 0, Skip to N0510, PRN Opioid

Fully-Specified Name

Component: Was a scheduled opioid initiated or continued
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was a scheduled opioid initiated or continued during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106720-6 Date scheduled opioid initiated or continued:

Observation ID in Form

N0500B

Fully-Specified Name

Component: Date scheduled opioid initiated or continued
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date scheduled opioid initiated or continued during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106717-2 PRN Opioid

Observation ID in Form

N0510

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: PRN Opioid
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

PRN Opioid during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106716-4 Was a PRN opioid initiated or continued

Observation ID in Form

N0510A

Fully-Specified Name

Component: Was a PRN opioid initiated or continued
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was a PRN opioid initiated or continued during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL251-0

Answer	Code	Score	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0		LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106714-9 Date PRN opioid initiated or continued:

Observation ID in Form

N0510B

Fully-Specified Name

Component: Date PRN opioid initiated or continued
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date PRN opioid initiated or continued during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

106715-6 Bowel Regimen

Observation ID in Form

N0520

Type of Entry

Header section - not a question [H]

Skip Logic

(Complete only if N0500A or N0510A=1)

Fully-Specified Name

Component: Bowel Regimen
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Bowel Regimen during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.81 (PANEL)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

106713-1 Was a bowel regimen initiated or continued?

Observation ID in Form

N0520A

Skip Logic

If 0, Skip to Z0400. Signature(s) of Person(s) Completing the Record. If 1, Skip to Z0400. Signature(s) of Person(s) Completing the Record

Form Coding Instructions

Select the most accurate response

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Was a bowel regimen initiated or continued
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Was a bowel regimen initiated or continued during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Normative Answer List LL6966-7

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
No, but there is documentation of why a bowel regimen was not initiated or continued	1	LA34636-3
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	2	LA33-6

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Third Party Copyright

106712-3 Date bowel regimen initiated or continued:

Observation ID in Form

N0520B

Fully-Specified Name

Component: Date bowel regimen initiated or continued
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date bowel regimen initiated or continued during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.80
Last Updated: Version 2.80 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

101280-6 Assessment Administration

Observation ID in Form

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component: MDS v3.0 - RAI v1.18.11 - Assessment Administration
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

MDS v3.0 - RAI v1.18.11 - Assessment Administration during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.74
Last Updated: Version 2.78 (PANEL)
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
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
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

85648-4 Signature(s) of Person(s) Completing the Record

Observation ID in Form

Z0400

Fully-Specified Name

Component: Signature of persons completing the assessment
Property: -
Time: RptPeriod
System: Form
Scale: -
Method: CMS Assessment

Long Common Name

Signature of persons completing the assessment during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.61
Last Updated: Version 2.83 (PANEL)
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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS LCDS	Z0400	3.00
CMS LCDS	Z0400A	3.00
CMS LCDS	Z0400B	3.00
CMS LCDS	Z0400C	3.00
CMS LCDS	Z0400D	3.00
CMS LCDS	Z0400E	3.00
CMS LCDS	Z0400F	3.00
CMS LCDS	Z0400G	3.00
CMS LCDS	Z0400H	3.00
CMS LCDS	Z0400I	3.00
CMS LCDS	Z0400J	3.00
CMS LCDS	Z0400K	3.00
CMS LCDS	Z0400L	3.00
CMS MDS	Z0400	v1.18.11

85814-2 Signature of Persons Completing the Assessment

Observation ID in Form

Z0400A-Z0400L

Form Context

I certify that the accompanying information accurately reflects patient assessment information for this patient and that I collected or coordinated collection of this information on the dates specified. To the best of my knowledge, this information was collected in accordance with applicable Medicare and Medicaid requirements. I understand that this information is used as a basis for ensuring that patients receive appropriate and quality care, and as a basis for payment from federal funds. I further understand that payment of such federal funds and continued participation in the government-funded health care programs is conditioned on the accuracy and truthfulness of this information, and that I may be personally subject to or may subject my organization to substantial criminal, civil, and/or administrative penalties for submitting false information

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: IRF-PAI - Signature of persons completing the assessment
Property: -
Time: RptPeriod
System: Form
Scale: -
Method: CMS Assessment

Long Common Name

IRF-PAI - Signature of persons completing the assessment during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.61
Last Updated: Version 2.77 (PANEL)
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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS IRF-PAI	Z0400	1.4
CMS IRF-PAI	Z0400A	1.4
CMS IRF-PAI	Z0400B	1.4
CMS IRF-PAI	Z0400C	1.4
CMS IRF-PAI	Z0400D	1.4
CMS IRF-PAI	Z0400E	1.4
CMS IRF-PAI	Z0400F	1.4
CMS IRF-PAI	Z0400G	1.4
CMS IRF-PAI	Z0400H	1.4
CMS IRF-PAI	Z0400I	1.4
CMS IRF-PAI	Z0400J	1.4
CMS IRF-PAI	Z0400K	1.4
CMS IRF-PAI	Z0400L	1.4

85647-6 Signature

Fully-Specified Name

Component: Signature of person collecting or coordinating collection of assessment information
Property: Pn
Time: Pt
System: Provider
Scale: Nar
Method

Long Common Name

Signature of person collecting or coordinating collection of assessment information Provider

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.61
Last Updated: Version 2.61 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]

85650-0 Title

Fully-Specified Name

Component: Title of person collecting or coordinating collection of assessment information
Property: Type
Time: Pt
System: Provider
Scale: Nom
Method

Long Common Name

Title of person collecting or coordinating collection of assessment information Provider

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.61
Last Updated: Version 2.61 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]

70158-1 Date Information is Provided and Time

Fully-Specified Name

Component: Date sections completed
Property: TmStp
Time: Pt
System: Provider
Scale: Qn
Method

Long Common Name

Date sections completed Provider

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.63 (MAJ)
Change Reason: Removed METHOD because this term is generic;Updated PROPERTY from Date to TmStp include electronic signature in which all time information is stored.; Corrected System
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]

70127-6 Signature of Person Verifying Record Completion

Observation ID in Form

Z0500

Fully-Specified Name

Component: Signature verifying assessment completion
Property: Pn
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Signature verifying assessment completion during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.83 (PANEL)
Change Reason: Release 2.75: PanelType: changed from Observation to Subset Organizer; ORDER_OBS: changed from Observation to Subset Organizer; Previous Releases: Removed METHOD because this term is generic;Changed PROPERTY from Arb to Pn
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
97887-4	Core Outcome Measures Index for the Back [COMI]
97327-1	Core Outcome Measures Index for the Neck [COMI]
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

112580-6 Signature:

Observation ID in Form

Z0500A

Fully-Specified Name

Component: Signature
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Signature [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.82
Last Updated: Version 2.82 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]

30947-6 Assessment completion date

Observation ID in Form

Z0500B

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Date form completed
Property: Date
Time: Pt
System: Form
Scale: Qn
Method

Long Common Name

Date form completed

Basic Attributes

Class: ADMIN
Type: Clinical
First Released: Version 2.04
Last Updated: Version 2.61 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
97887-4	Core Outcome Measures Index for the Back [COMI]
97327-1	Core Outcome Measures Index for the Neck [COMI]
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) 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]
46611-0	Mental residual functional capacity (RFC) assessment form
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
74725-3	Patient safety event report - hospital - device or medical AndOr surgical supply, including health information technology (HIT) - version 1.2 [AHRQ]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
74080-3	Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ]
74502-6	Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
74501-8	Patient safety event report - hospital - summary of initial report (SIR) - version 1.2 [AHRQ]
105485-7	PhenX - healthcare communications protocol 281101
100997-6	Respiratory Allergen Panel, Area 5 - Serum
60687-1	Test of Infant Motor Performance Version 5.1
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ημερομηνία συμπλήρωσης εντύπου:Ημερομηνία:Pt:Μορφή:Qn: Synonyms: ADMIN Pt Qn Ημερομηνία Ημερομηνία συμπλήρωσης εντύπου Μορφή
es-AR	Spanish (Argentina)	fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:
es-MX	Spanish (Mexico)	Formulario de fecha completado:Fecha:Punto temporal:Formulario:Cuantitativo:
it-IT	Italian (Italy)	Data completamento form:Data:Pt:Modulo:Qn: Synonyms: Amministrativo Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Data formulário preenchido:TmStp:Pt:Forma:Qn: Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; VACCINE
ru-RU	Russian (Russian Federation)	Дата форма заполнение:Дата:ТчкВрм:Форма:Колич: Synonyms: Дата заполнения формы Количественный Точка во времени;Момент
zh-CN	Chinese (China)	表单完成日期:日期:时间点:表单:定量型: Synonyms: 可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间行政;管理;施行;执行;经营表单填写日期表格;表;窗体

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Code System	Code	Code Version
CMS OASIS	M1100	E
CMS OASIS	M1100	D
CMS OASIS	M1100	C2
CMS OASIS	M1100	D1

106623-2

Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0

Active

106935-0 Administrative Information

Observation ID in Form

Type of Entry

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

58198-3 Type of Record

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL4482-7

Member of these Panels

Related Names

Related Codes

54581-4 Facility Provider Numbers

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

76468-8 National Provider Identifier (NPI)

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

69417-4 CMS Certification Number (CCN)

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

106631-5 Site of Service at Admission

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL6940-2

Member of these Panels

Related Names

52455-3 Admission Date

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Example Units

Related Codes

52454-6 Reason for Record

Observation ID in Form

Type of Entry

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL6941-0

Member of these Panels

Related Names

Related Codes

54503-8 Legal Name of Patient

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes