106935-0
Administrative information [CMS Assessment]
Active
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 106935-0 | Administrative Information | |||
| Indent58198-3 | Type of Record | |||
| Indent54581-4 | Facility Provider Numbers | |||
| Indent Indent76468-8 | National Provider Identifier (NPI) | |||
| Indent Indent69417-4 | CMS Certification Number (CCN) | |||
| Indent106631-5 | Site of Service at Admission | |||
| Indent52455-3 | Admission Date | {mm/dd/yyyy} | ||
| Indent52454-6 | Reason for Record | |||
| Indent54503-8 | Legal Name of Patient | |||
| Indent Indent45392-8 | First name | |||
| Indent Indent45393-6 | Middle initial | |||
| Indent Indent45394-4 | Last name | |||
| Indent Indent45395-1 | Suffix | |||
| Indent106632-3 | Patient ZIP Code | |||
| Indent45966-9 | Social Security and Medicare numbers | |||
| Indent Indent45396-9 | Social Security Number | |||
| Indent Indent45397-7 | Medicare Number | |||
| Indent45400-9 | Medicaid Number | |||
| Indent46098-0 | Gender | |||
| Indent21112-8 | Birth Date | {mm/dd/yyyy} | ||
| Indent69854-8 | Ethnicity. Are you of Hispanic, Latino/a, or Spanish origin? | 1..5 | ||
| Indent103708-4 | Race. What is your race? | 1..15 | ||
| Indent93186-5 | Language | |||
| Indent Indent54899-0 | What is your preferred language? | |||
| Indent Indent54588-9 | Do you need or want an interpreter to communicate with a doctor or health care staff? | |||
| Indent52556-8 | Payer Information | 1..9 | ||
| Indent85398-6 | Admitted From | |||
| Indent85950-4 | Living Arrangements | |||
| Indent94912-3 | Availability of Assistance |
Fully-Specified Name
- Component
- Administrative information
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.80
- Last Updated
- Version 2.80 (ADD)
- 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] |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=106935-0
LOINC Copyright
Copyright © 2025 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://