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

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

Member of these Panels

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

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

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

Example Units

UnitSource
{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

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

Member of these Panels

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