Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
108255-1MDS v3.0 - RAI v1.20.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
Indent93217-8Identification Information
IndentIndent58198-3Type of Record
IndentIndent54581-4Facility Provider Numbers
IndentIndentIndent76468-8National Provider Identifier (NPI)
IndentIndentIndent69417-4CMS Certification Number (CCN)
IndentIndentIndent45398-5State Provider Number
IndentIndent85632-8Type of Provider
IndentIndent90489-6Type of Assessment
IndentIndentIndent54583-0Federal OBRA Reason for Assessment
IndentIndentIndent54584-8PPS Assessment
IndentIndentIndent54587-1Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?
IndentIndentIndent58108-2Entry/discharge reporting
IndentIndentIndent71440-2Type of discharge
IndentIndentIndent90525-7Is this a SNF Part A Interrupted Stay?
IndentIndentIndent86525-3Is this a SNF Part A PPS Discharge Assessment?
IndentIndent86526-1Unit Certification or Licensure Designation
IndentIndent54503-8Legal Name of Resident
IndentIndentIndent45392-8First name
IndentIndentIndent45393-6Middle initial
IndentIndentIndent45394-4Last name
IndentIndentIndent45395-1Suffix
IndentIndent45966-9Social Security and Medicare Numbers
IndentIndentIndent45396-9Social Security Number
IndentIndentIndent45397-7Medicare Number
IndentIndent45400-9Medicaid Number
IndentIndent46098-0Sex
IndentIndent21112-8Birth Date{mm/dd/yyyy}
IndentIndent69854-8Ethnicity1..4
IndentIndent103708-4Race1..14
IndentIndent93186-5Language
IndentIndentIndent54899-0What is your preferred language?
IndentIndentIndent54588-9Do you need or want an interpreter to communicate with a doctor or health care staff?
IndentIndent45404-1Marital Status
IndentIndent101351-5Transportation1..2
IndentIndent54506-1Optional Resident Items
IndentIndentIndent46106-1Medical record number
IndentIndentIndent45403-3Room number
IndentIndentIndent52462-9Name by which resident prefers to be addressed
IndentIndentIndent21843-8Lifetime occupation(s)
IndentIndent54589-7Preadmission Screening and Resident Review (PASRR). Is the resident currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition?
IndentIndent71441-0Level II Preadmission Screening and Resident Review (PASRR) Conditions1..3
IndentIndent86527-9Conditions Related to ID/DD Status1..4
IndentIndent86528-7Most Recent Admission/Entry or Reentry into this Facility
IndentIndentIndent50786-3Entry Date{mm/dd/yyyy}
IndentIndentIndent54590-5Type of Entry
IndentIndentIndent85398-6Entered From
IndentIndent52455-3Admission Date{mm/dd/yyyy}
IndentIndent52525-3Discharge Date{mm/dd/yyyy}
IndentIndent55128-3Discharge Status
IndentIndent93182-4Provision of Current Reconciled Medication List to Subsequent Provider at Discharge
IndentIndent93184-0Route of Current Reconciled Medication List Transmission to Subsequent Provider1..5
IndentIndent93181-6Provision of Current Reconciled Medication List to Resident at Discharge
IndentIndent93183-2Route of Current Reconciled Medication List Transmission to Resident1..5
IndentIndent54592-1Previous Assessment Reference Date for Significant Correction{mm/dd/yyyy}
IndentIndent54593-9Assessment Reference Date{mm/dd/yyyy}
IndentIndent54507-9Medicare Stay
IndentIndentIndent54594-7Has the resident had a Medicare-covered stay since the most recent entry?
IndentIndentIndent54595-4Start date of most recent Medicare stay{mm/dd/yyyy}
IndentIndentIndent54596-2End date of most recent Medicare stay{mm/dd/yyyy}
Indent54508-7Hearing, Speech, and Vision
IndentIndent54597-0Comatose
IndentIndent95744-9Hearing
IndentIndent54599-6Hearing Aid
IndentIndent114495-5Makes Self Understood
IndentIndent54600-2Speech Clarity
IndentIndent54602-8Ability to Understand Others
IndentIndent95745-6Vision
IndentIndent54604-4Corrective Lenses
IndentIndent103709-2Health Literacy
Indent54509-5Cognitive Patterns
IndentIndent54605-1Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
IndentIndent103694-6Brief Interview for Mental Status (BIMS)
IndentIndentIndent103696-1Repetition of Three Words
IndentIndentIndent103702-7Temporal Orientation
IndentIndentIndentIndent103697-9Able to report correct year
IndentIndentIndentIndent103698-7Able to report correct month
IndentIndentIndentIndent103703-5Able to report correct day of the week
IndentIndentIndent103695-3Recall
IndentIndentIndentIndent103699-5Able to recall "sock"
IndentIndentIndentIndent103700-1Able to recall "blue"
IndentIndentIndentIndent103701-9Able to recall "bed"
IndentIndentIndent103704-3BIMS Summary Score{score}
IndentIndent54615-0Should the Staff Assessment for Mental Status (C0700 - C1000) be Conducted?
IndentIndent96908-9Staff Assessment for Mental Status
IndentIndentIndent54616-8Short-term Memory OK
IndentIndentIndent54617-6Long-term Memory OK
IndentIndentIndent95743-1Memory/Recall Ability1..4
IndentIndentIndent54624-2Cognitive Skills for Daily Decision Making
IndentIndent96901-4Delirium
IndentIndentIndent95816-5Signs and symptoms of delirium (from CAM)
IndentIndentIndentIndent95813-2Acute Onset Mental Change
IndentIndentIndentIndent95812-4Inattention
IndentIndentIndentIndent95814-0Disorganized Thinking
IndentIndentIndentIndent95815-7Altered Level of Consciousness
Indent54633-3Mood
IndentIndent54634-1Should Resident Mood Interview be Conducted?
IndentIndent54635-8Resident Mood Interview (PHQ-2 to 9)
IndentIndentIndent86843-0Symptom Presence
IndentIndentIndentIndent54636-6Little interest or pleasure in doing things
IndentIndentIndentIndent54638-2Feeling down, depressed or hopeless
IndentIndentIndentIndent54640-8Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54642-4Feeling tired or having little energy
IndentIndentIndentIndent54644-0Poor appetite or overeating
IndentIndentIndentIndent54646-5Feeling bad about yourself - or that you are a failure or have let yourself or your family down
IndentIndentIndentIndent54648-1Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54650-7Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
IndentIndentIndentIndent54652-3Thoughts that you would be better off dead, or of hurting yourself in some way
IndentIndentIndent86844-8Symptom Frequency
IndentIndentIndentIndent54637-4Little interest or pleasure in doing things
IndentIndentIndentIndent54639-0Feeling down, depressed or hopeless
IndentIndentIndentIndent54641-6Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54643-2Feeling tired or having little energy
IndentIndentIndentIndent54645-7Poor appetite or overeating
IndentIndentIndentIndent54647-3Feeling bad about yourself - or that you are a failure or have let yourself or your family down
IndentIndentIndentIndent54649-9Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54651-5Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
IndentIndentIndentIndent54653-1Thoughts that you would be better off dead, or of hurting yourself in some way
IndentIndent103705-0Total Severity Score{score}
IndentIndent103706-8Staff Assessment of Resident Mood (PHQ-9-OV)
IndentIndentIndent86833-1Symptom Presence
IndentIndentIndentIndent54658-0Little interest or pleasure in doing things
IndentIndentIndentIndent54660-6Feeling or appearing down, depressed, or hopeless
IndentIndentIndentIndent54662-2Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54664-8Feeling tired or having little energy
IndentIndentIndentIndent54666-3Poor appetite or overeating
IndentIndentIndentIndent54668-9Indicating that they feel bad about self, is a failure, or have let self or family down
IndentIndentIndentIndent54670-5Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54672-1Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that they have been moving around a lot more than usual
IndentIndentIndentIndent54673-9States that life isn't worth living, wishes for death, or attempts to harm self
IndentIndentIndentIndent54675-4Being short-tempered, easily annoyed
IndentIndentIndent86891-9Symptom Frequency
IndentIndentIndentIndent54659-8Little interest or pleasure in doing things
IndentIndentIndentIndent54661-4Feeling or appearing down, depressed, or hopeless
IndentIndentIndentIndent54663-0Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54665-5Feeling tired or having little energy
IndentIndentIndentIndent54667-1Poor appetite or overeating
IndentIndentIndentIndent54669-7Indicating that they feel bad about self, is a failure, or have let self or family down
IndentIndentIndentIndent54671-3Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54904-8Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that they have been moving around a lot more than usual
IndentIndentIndentIndent54674-7States that life isn't worth living, wishes for death, or attempts to harm self
IndentIndentIndentIndent54676-2Being short-tempered, easily annoyed
IndentIndent103707-6Total Severity Score{score}
IndentIndent93159-2Social Isolation
Indent86596-4Behavior
IndentIndent86597-2Potential Indicators of Psychosis1..2
IndentIndent54514-5Behavioral Symptom - Presence & Frequency
IndentIndentIndent54682-0Physical behavioral symptoms directed toward othersd/(7.d)
IndentIndentIndent54683-8Verbal behavioral symptoms directed toward othersd/(7.d)
IndentIndentIndent54684-6Other behavioral symptoms not directed toward othersd/(7.d)
IndentIndent54685-3Overall Presence of Behavioral Symptoms.Were any behavioral symptoms in questions E0200 coded 1, 2, or 3?
IndentIndent54515-2Impact on Resident
IndentIndentIndent54686-1Did any of the identified symptom(s): Put the resident at significant risk for physical illness or injury?
IndentIndentIndent54687-9Did any of the identified symptom(s): Significantly interfere with the resident's care?
IndentIndentIndent54688-7Did any of the identified symptom(s): Significantly interfere with the resident's participation in activities or social interactions?
IndentIndent54516-0Impact on Others
IndentIndentIndent54689-5Did any of the identified symptom(s): Put others at significant risk for physical injury?
IndentIndentIndent54690-3Did any of the identified symptom(s): Significantly intrude on the privacy or activity of others?
IndentIndentIndent54691-1Did any of the identified symptom(s): Significantly disrupt care or living environment?
IndentIndent54692-9Rejection of Care - Presence & Frequencyd/(7.d)
IndentIndent54693-7Wandering - Presence & Frequencyd/(7.d)
IndentIndent54517-8Wandering - Impact
IndentIndentIndent54694-5Does the wandering place the resident at significant risk of getting to a potentially dangerous place?
IndentIndentIndent54695-2Does the wandering significantly intrude on the privacy or activities of others?
IndentIndent54696-0Change in Behavior or Other Symptoms.How does resident's current behavior status, care rejection, or wandering compare to prior assessment (OBRA or Scheduled PPS)?
Indent86600-4Preferences for Customary Routine and Activities
IndentIndent54697-8Should Interview for Daily and Activity Preferences be Conducted?
IndentIndent54519-4Interview for Daily Preferences
IndentIndentIndent54698-6While you are in this facility how important is it to you to choose what clothes to wear?
IndentIndentIndent54699-4While you are in this facility how important is it to you to take care of your personal belongings or things?
IndentIndentIndent54700-0While you are in this facility how important is it to you to choose between a tub bath, shower, bed bath, or sponge bath?
IndentIndentIndent54701-8While you are in this facility how important is it to you to have snacks available between meals?
IndentIndentIndent54702-6While you are in this facility how important is it to you to choose your own bedtime?
IndentIndentIndent54703-4While you are in this facility how important is it to you to have your family or a close friend involved in discussions about your care?
IndentIndentIndent54704-2While you are in this facility how important is it to you to be able to use the phone in private?
IndentIndentIndent54705-9While you are in this facility how important is it to you to have a place to lock your things to keep them safe?
IndentIndent54520-2Interview for Activity Preferences
IndentIndentIndent54706-7While you are in this facility how important is it to you to have books, newspapers, and magazines to read?
IndentIndentIndent54707-5While you are in this facility how important is it to you to listen to music you like?
IndentIndentIndent54708-3While you are in this facility how important is it to you to be around animals such as pets?
IndentIndentIndent54709-1While you are in this facility how important is it to you to keep up with the news?
IndentIndentIndent54710-9While you are in this facility how important is it to you to do things with groups of people?
IndentIndentIndent54711-7While you are in this facility how important is it to you to do your favorite activities?
IndentIndentIndent54712-5While you are in this facility how important is it to you to go outside to get fresh air when the weather is good?
IndentIndentIndent54713-3While you are in this facility how important is it to you to participate in religious services or practices?
IndentIndent54714-1Daily and Activity Preferences Primary Respondent. Indicate primary respondent for Daily and Activity Preferences (F0400 and F0500)
IndentIndent54715-8Should the Staff Assessment of Daily and Activity Preferences be Conducted?
IndentIndent86599-8Staff Assessment of Daily and Activity Preferences. Resident Prefers:1..20
Indent85639-3Functional Abilities
IndentIndent83239-4Prior Functioning: Everyday Activities
IndentIndentIndent85070-1Self-Care
IndentIndentIndent85071-9Indoor Mobility (Ambulation)
IndentIndentIndent85072-7Stairs
IndentIndentIndent85073-5Functional Cognition
IndentIndent83234-5Prior Device Use1..5
IndentIndent92908-3Functional Limitation in Range of Motion
IndentIndentIndent92850-7Upper extremity (shoulder, elbow, wrist, hand)
IndentIndentIndent92851-5Lower extremity (hip, knee, ankle, foot)
IndentIndent86602-0Mobility Devices1..4
IndentIndent101265-7Functional Abilities - Admission
IndentIndentIndent101321-8Self-Care - Admission Performance
IndentIndentIndentIndent95019-6Eating
IndentIndentIndentIndent95018-8Oral hygiene
IndentIndentIndentIndent95017-0Toileting hygiene
IndentIndentIndentIndent95015-4Shower/bathe self
IndentIndentIndentIndent95014-7Upper body dressing
IndentIndentIndentIndent95013-9Lower body dressing
IndentIndentIndentIndent95012-1Putting on/taking off footwear
IndentIndentIndentIndent45606-1Personal hygiene
IndentIndentIndent101323-4Mobility - Admission Performance
IndentIndentIndentIndent95011-3Roll left and right
IndentIndentIndentIndent95010-5Sit to lying
IndentIndentIndentIndent95009-7Lying to sitting on side of bed
IndentIndentIndentIndent95008-9Sit to stand
IndentIndentIndentIndent95007-1Chair/bed-to-chair transfer
IndentIndentIndentIndent95006-3Toilet transfer
IndentIndentIndentIndent101325-9Tub/shower transfer
IndentIndentIndentIndent95005-5Car transfer
IndentIndentIndentIndent95004-8Walk 10 feet
IndentIndentIndentIndent95003-0Walk 50 feet with two turns
IndentIndentIndentIndent95002-2Walk 150 feet
IndentIndentIndentIndent95001-4Walking 10 feet on uneven surfaces
IndentIndentIndentIndent95000-61 step (curb)
IndentIndentIndentIndent94999-04 steps
IndentIndentIndentIndent94998-212 steps
IndentIndentIndentIndent94997-4Picking up object
IndentIndentIndentIndent95738-1Does the resident use a wheelchair and/or scooter?
IndentIndentIndentIndent94992-5Wheel 50 feet with two turns
IndentIndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndentIndentIndent94991-7Wheel 150 feet
IndentIndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndent101266-5Functional Abilities - Discharge
IndentIndentIndent101429-9Self-Care - Discharge Performance
IndentIndentIndentIndent95019-6Eating
IndentIndentIndentIndent95018-8Oral hygiene
IndentIndentIndentIndent95017-0Toileting hygiene
IndentIndentIndentIndent95015-4Shower/bathe self
IndentIndentIndentIndent95014-7Upper body dressing
IndentIndentIndentIndent95013-9Lower body dressing
IndentIndentIndentIndent95012-1Putting on/taking off footwear
IndentIndentIndentIndent45606-1Personal hygiene
IndentIndentIndent101431-5Mobility - Discharge Performance
IndentIndentIndentIndent95011-3Roll left and right
IndentIndentIndentIndent95010-5Sit to lying
IndentIndentIndentIndent95009-7Lying to sitting on side of bed
IndentIndentIndentIndent95008-9Sit to stand
IndentIndentIndentIndent95007-1Chair/bed-to-chair transfer
IndentIndentIndentIndent95006-3Toilet transfer
IndentIndentIndentIndent101325-9Tub/shower transfer
IndentIndentIndentIndent95005-5Car transfer
IndentIndentIndentIndent95004-8Walk 10 feet
IndentIndentIndentIndent95003-0Walk 50 feet with two turns
IndentIndentIndentIndent95002-2Walk 150 feet
IndentIndentIndentIndent95001-4Walking 10 feet on uneven surfaces
IndentIndentIndentIndent95000-61 step (curb)
IndentIndentIndentIndent94999-04 steps
IndentIndentIndentIndent94998-212 steps
IndentIndentIndentIndent94997-4Picking up object
IndentIndentIndentIndent95738-1Does the resident use a wheelchair and/or scooter?
IndentIndentIndentIndent94992-5Wheel 50 feet with two turns
IndentIndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndentIndentIndent94991-7Wheel 150 feet
IndentIndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndent101267-3Functional Abilities - OBRA/Interim
IndentIndentIndent101430-7Self-Care - OBRA/Interim Performance
IndentIndentIndentIndent95019-6Eating
IndentIndentIndentIndent95018-8Oral hygiene
IndentIndentIndentIndent95017-0Toileting hygiene
IndentIndentIndentIndent95015-4Shower/bathe self
IndentIndentIndentIndent95014-7Upper body dressing
IndentIndentIndentIndent95013-9Lower body dressing
IndentIndentIndentIndent95012-1Putting on/taking off footwear
IndentIndentIndentIndent45606-1Personal hygiene
IndentIndentIndent101432-3Mobility - OBRA/Interim Performance
IndentIndentIndentIndent95011-3Roll left and right
IndentIndentIndentIndent95010-5Sit to lying
IndentIndentIndentIndent95009-7Lying to sitting on side of bed
IndentIndentIndentIndent95008-9Sit to stand
IndentIndentIndentIndent95007-1Chair/bed-to-chair transfer
IndentIndentIndentIndent95006-3Toilet transfer
IndentIndentIndentIndent101325-9Tub/shower transfer
IndentIndentIndentIndent95004-8Walk 10 feet
IndentIndentIndentIndent95003-0Walk 50 feet with two turns
IndentIndentIndentIndent95002-2Walk 150 feet
IndentIndentIndentIndent95738-1Does the resident use a wheelchair and/or scooter?
IndentIndentIndentIndent94992-5Wheel 50 feet with two turns
IndentIndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndentIndentIndent94991-7Wheel 150 feet
IndentIndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
Indent88496-5Bladder and Bowel
IndentIndent86624-4Appliances1..4
IndentIndent54530-1Urinary Toileting Program
IndentIndentIndent54767-9Has a trial of a toileting program been attempted on admission/entry or reentry or since urinary incontinence was noted in this facility?
IndentIndentIndent54768-7Response - What was the resident's response to the trial program?
IndentIndentIndent54769-5Current toileting program or trial
IndentIndent95735-7Urinary Continence
IndentIndent95736-5Bowel Continence
IndentIndent88695-2Bowel Toileting Program
IndentIndent54773-7Bowel Patterns. Constipation present?
Indent54531-9Active Diagnoses
IndentIndent96095-5Indicate the resident's primary medical condition category
IndentIndent52797-8ICD Code
IndentIndent86671-5Active Diagnoses in the last 7 days1..*
IndentIndent52797-8Additional active diagnoses0..10
Indent83279-0Health Conditions
IndentIndent54557-4Pain Management
IndentIndentIndent71447-7At any time in the last 5 days, has the resident: Received scheduled pain medication regimen?
IndentIndentIndent71448-5At any time in the last 5 days, has the resident: Received PRN pain medications OR was offered and declined?
IndentIndentIndent71449-3At any time in the last 5 days, has the resident: Received non-medication intervention for pain?
IndentIndent54828-9Should Pain Assessment Interview be Conducted?
IndentIndent101326-7Pain Assessment Interview
IndentIndentIndent54829-7Pain Presence
IndentIndentIndent54830-5Pain Frequency
IndentIndentIndent93156-8Pain Effect on Sleep
IndentIndentIndent93160-0Pain Interference with Therapy Activities
IndentIndentIndent93158-4Pain Interference with Day-to-Day Activities
IndentIndentIndent54560-8Pain Intensity
IndentIndentIndentIndent54833-9Numeric Rating Scale (00-10)
IndentIndentIndentIndent54834-7Verbal Descriptor Scale
IndentIndent58117-3Should the Staff Assessment for Pain be Conducted?
IndentIndent86672-3Staff Assessment for Pain
IndentIndentIndent86673-1Indicators of Pain or Possible Pain in the last 5 days1..4
IndentIndentIndent58118-1Frequency of Indicator of Pain or Possible Pain in the last 5 daysd/(5.d)
IndentIndent86674-9Other Health Conditions
IndentIndentIndent86675-6Shortness of Breath (dyspnea)1..3
IndentIndentIndent54845-3Current Tobacco Use
IndentIndentIndent54846-1Prognosis
IndentIndentIndent86676-4Problem Conditions1..4
IndentIndentIndent54849-5Fall History on Admission/Entry or Reentry
IndentIndentIndentIndent54850-3Did the resident have a fall any time in the last month prior to admission/entry or reentry?
IndentIndentIndentIndent54851-1Did the resident have a fall any time in the last 2-6 months prior to admission/entry or reentry?
IndentIndentIndentIndent54852-9Did the resident have any fracture related to a fall in the 6 months prior to admission/entry or reentry?
IndentIndentIndent83280-8Any Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent
IndentIndentIndent54854-5Number of Falls Since Admission
IndentIndentIndentIndent54855-2No injury
IndentIndentIndentIndent54856-0Injury (except major)
IndentIndentIndentIndent54857-8Major injury
IndentIndent83274-1Prior Surgery
IndentIndent90542-2Recent Surgery Requiring Active SNF Care
IndentIndent90745-1Surgical Procedures1..*
Indent93176-6Swallowing &or Nutritional Status
IndentIndent86677-2Swallowing Disorder1..4
IndentIndent54567-3Height and Weight
IndentIndentIndent103692-0Height (in inches)[in_us];cm;m
IndentIndentIndent103693-8Weight (in pounds)[lb_av];kg
IndentIndent54863-6Weight Loss
IndentIndent86678-0Weight Gain
IndentIndent93180-8Nutritional Approaches
IndentIndentIndent93178-2Nutritional Approaches - On Admission1..4
IndentIndentIndent71444-4Nutritional Approaches. While NOT a Resident1..2
IndentIndentIndent71445-1Nutritional Approaches. While a Resident1..2
IndentIndentIndent101328-3Nutritional Approaches. At Discharge1..4
IndentIndent90543-0Percent Intake by Artificial Route
IndentIndentIndent86681-4Proportion of total calories the resident received through parenteral or tube feeding. While a Resident
IndentIndentIndent86687-1Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days
IndentIndentIndent86683-0Average fluid intake per day by IV or tube feeding. While a ResidentmL/d;L/d
IndentIndentIndent86684-8Average fluid intake per day by IV or tube feeding. During Entire 7 DaysmL/d;L/d
Indent86685-5Oral/Dental Status
IndentIndent86706-9Dental1..2
Indent54572-3Skin Conditions
IndentIndent101333-3Determination of Pressure Ulcer/Injury Risk1..3
IndentIndent57280-0Risk of Pressure Ulcers/Injuries
IndentIndent58214-8Unhealed Pressure Ulcers/Injuries
IndentIndent83256-8Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndent54884-2Number of Stage 1 pressure injuries{#}
IndentIndentIndent55124-2Number of Stage 2 pressure ulcers{#}
IndentIndentIndent54886-7Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent55125-9Number of Stage 3 pressure ulcers{#}
IndentIndentIndent54887-5Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent55126-7Number of Stage 4 pressure ulcers{#}
IndentIndentIndent54890-9Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent54893-3Number of unstageable pressure ulcers/injuries due to non-removable dressing/device{#}
IndentIndentIndent54894-1Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry{#}
IndentIndentIndent54946-9Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar{#}
IndentIndentIndent54947-7Number of these unstageable pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent54950-1Number of unstageable pressure injuries presenting as deep tissue injury{#}
IndentIndentIndent54951-9Number of these unstageable pressure injuries that were present upon admission/entry or reentry{#}
IndentIndent55124-2Number of Stage 2 pressure ulcers{#}
IndentIndent101330-9Number of Venous and Arterial Ulcers{#}
IndentIndent101331-7Other Ulcers, Wounds and Skin Problems1..8
IndentIndent86748-1Skin and Ulcer/Injury Treatments1..9
Indent86749-9Medications
IndentIndent54982-4Injectionsd/(7.d)
IndentIndent58217-1Insulin
IndentIndentIndent58127-2Insulin injectionsd/(7.d)
IndentIndentIndent58128-0Orders for insulind/(7.d)
IndentIndent93155-0High-Risk Drug Classes: Use and Indication
IndentIndentIndent93153-5Is taking1..11
IndentIndentIndent93154-3Indication noted1..11
IndentIndent88295-1Antipsychotic Medication Review
IndentIndentIndent88296-9Did the resident receive antipsychotic medications since admission/entry or reentry or the prior OBRA assessment, whichever is more recent?
IndentIndentIndent88297-7Has a gradual dose reduction (GDR) been attempted?
IndentIndentIndent88298-5Date of last attempted GDR{mm/dd/yyyy}
IndentIndentIndent88299-3Physician documented GDR as clinically contraindicated
IndentIndentIndent88300-9Date physician documented GDR as clinically contraindicated{mm/dd/yyyy}
IndentIndent57255-2Drug Regimen Review
IndentIndent57281-8Medication Follow-up
IndentIndent57256-0Medication Intervention
Indent93204-6Special Treatments, Procedures, and Programs
IndentIndent101346-5Special Treatments, Procedures, and Programs
IndentIndentIndent83252-7Special Treatments, Procedures, and Programs - On Admission1..30
IndentIndentIndent86761-4Special Treatments, Procedures, and Programs - While a Resident1..13
IndentIndentIndent93185-7Special Treatments, Procedures, and Programs - At Discharge1..30
IndentIndent69339-0Influenza Vaccine
IndentIndentIndent55019-4Did the resident receive the influenza vaccine in this facility for this year's influenza vaccination season?
IndentIndentIndent58131-4Date influenza vaccine received{mm/dd/yyyy}
IndentIndentIndent55020-2If influenza vaccine not received, state reason:
IndentIndent55021-0Pneumococcal Vaccine
IndentIndentIndent55022-8Is the resident's Pneumococcal vaccination up to date?
IndentIndentIndent45956-0If Pneumococcal vaccine not received, state reason:
IndentIndent103568-2Patient’s COVID-19 vaccination is up to date.
IndentIndent108265-0Therapy Services
IndentIndent86762-2Therapies
IndentIndentIndent58141-3Respiratory Therapy
IndentIndentIndentIndent45766-3Daysd/(7.d)
IndentIndent90544-8Part A Therapies
IndentIndentIndent90545-5Speech-Language Pathology and Audiology Services
IndentIndentIndentIndent90539-8Individual minutesmin
IndentIndentIndentIndent90536-4Concurrent minutesmin
IndentIndentIndentIndent90538-0Group minutesmin
IndentIndentIndentIndent90537-2Co-treatment minutesmin
IndentIndentIndentIndent90551-3Daysd/{#}
IndentIndentIndent90546-3Occupational Therapy
IndentIndentIndentIndent90531-5Individual minutesmin
IndentIndentIndentIndent90527-3Concurrent minutesmin
IndentIndentIndentIndent90529-9Group minutesmin
IndentIndentIndentIndent90528-1Co-treatment minutesmin
IndentIndentIndentIndent90530-7Daysd/{#}
IndentIndentIndent90547-1Physical Therapy
IndentIndentIndentIndent90535-6Individual minutesmin
IndentIndentIndentIndent90532-3Concurrent minutesmin
IndentIndentIndentIndent90534-9Group minutesmin
IndentIndentIndentIndent90533-1Co-treatment minutesmin
IndentIndentIndentIndent90550-5Daysd/{#}
IndentIndent90548-9Distinct Calendar Days of Part A Therapy{#}
IndentIndent86773-9Restorative Nursing Programs
IndentIndentIndent86774-7Technique. Range of motion (passive)d/(7.d)
IndentIndentIndent86775-4Technique. Range of motion (active)d/(7.d)
IndentIndentIndent86776-2Technique. Splint or brace assistanced/(7.d)
IndentIndentIndent86777-0Training and Skill Practice In: Bed mobilityd/(7.d)
IndentIndentIndent86778-8Training and Skill Practice In: Transferd/(7.d)
IndentIndentIndent86779-6Training and Skill Practice In: Walkingd/(7.d)
IndentIndentIndent86780-4Training and Skill Practice In: Dressing and/or groomingd/(7.d)
IndentIndentIndent86781-2Training and Skill Practice In: Eating and/or swallowingd/(7.d)
IndentIndentIndent86782-0Training and Skill Practice In: Amputation/prostheses cared/(7.d)
IndentIndentIndent86783-8Training and Skill Practice In: Communicationd/(7.d)
Indent88307-4Restraints and Alarms
IndentIndent86785-3Physical Restraints
IndentIndentIndent86786-1Used in Bed. Bed raild/(7.d)
IndentIndentIndent86787-9Used in Bed. Trunk restraintd/(7.d)
IndentIndentIndent86788-7Used in Bed. Limb restraintd/(7.d)
IndentIndentIndent86789-5Used in Bed. Otherd/(7.d)
IndentIndentIndent86790-3Used in Chair or Out of Bed. Trunk restraintd/(7.d)
IndentIndentIndent86791-1Used in Chair or Out of Bed. Limb restraintd/(7.d)
IndentIndentIndent86792-9Used in Chair or Out of Bed. Chair prevents risingd/(7.d)
IndentIndentIndent86793-7Used in Chair or Out of Bed. Otherd/(7.d)
IndentIndent88309-0Alarms
IndentIndentIndent88310-8Bed alarm
IndentIndentIndent88311-6Chair alarm
IndentIndentIndent88312-4Floor mat alarm
IndentIndentIndent88313-2Motion sensor alarm
IndentIndentIndent88314-0Wander/elopement alarm
IndentIndentIndent88308-2Other alarm
Indent101329-1Participation in Assessment and Goal Setting
IndentIndent101329-1Participation in Assessment and Goal Setting1..5
IndentIndent55056-6Resident's Overall Goal
IndentIndentIndent55057-4Resident's overall goal for discharge established during the assessment process
IndentIndentIndent55058-2Indicate information source for Q0310A
IndentIndent101436-4Discharge Plan
IndentIndentIndent58146-2Is active discharge planning already occurring for the resident to return to the community?
IndentIndent86795-2Resident's Documented Preference to Avoid Being Asked Question Q0500B
IndentIndent101347-3Return to Community
IndentIndentIndent58149-6Do you want to talk to someone about the possibility of leaving this facility and returning to live and receive services in the community?
IndentIndentIndent86798-6Indicate information source for Q0500B
IndentIndent86796-0Resident's Preference to Avoid Being Asked Question Q0500B Again
IndentIndentIndent86797-8Does resident (or family or significant other or guardian or legally authorized representative only if resident is unable to understand or respond) want to be asked about returning to the community on all assessments?
IndentIndentIndent86798-6Indicate information source for Q0550A
IndentIndent101435-6Referral
IndentIndentIndent101374-7Has a referral been made to the Local Contact Agency (LCA)?
IndentIndent101332-5Reason Referral to Local Contact Agency (LCA) Not Made
Indent87207-7Care Area Assessment (CAA) Summary
IndentIndent87208-5Items From the Most Recent Prior OBRA or Scheduled PPS Assessment
IndentIndentIndent54583-0Prior Assessment Federal OBRA Reason for Assessment
IndentIndentIndent54584-8Prior Assessment PPS Reason for Assessment
IndentIndentIndent54593-9Prior Assessment Reference Date{mm/dd/yyyy}
IndentIndentIndent103704-3Prior Assessment Brief Interview for Mental Status (BIMS) Summary Score{score}
IndentIndentIndent103705-0Prior Assessment Resident Mood Interview (PHQ-2 to 9©) Total Severity Score{score}
IndentIndentIndent103707-6Prior Assessment Staff Assessment of Resident Mood (PHQ-9-OV) Total Severity Score{score}
IndentIndent87210-1CAAs and Care Planning0..20
IndentIndentIndent87211-9CAA Results
IndentIndentIndentIndent87212-7Care Area Triggered1..20
IndentIndentIndentIndent87213-5Care Planning Decision1..20
IndentIndentIndent70127-6Signature of RN Coordinator for CAA Process and Date Signed
IndentIndentIndentIndent112580-6Signature:
IndentIndentIndentIndent30947-6Date:{mm/dd/yyyy}
IndentIndentIndent70127-6Signature of Person Completing Care Plan Decision and Date Signed
IndentIndentIndentIndent112580-6Signature:
IndentIndentIndentIndent30947-6Date:{mm/dd/yyyy}
Indent87224-2Correction Request
IndentIndent85632-8Type of Provider
IndentIndent87226-7Name of Resident
IndentIndentIndent45392-8First name
IndentIndentIndent45394-4Last name
IndentIndent46098-0Sex
IndentIndent21112-8Birth Date{mm/dd/yyyy}
IndentIndent45396-9Social Security Number
IndentIndent90492-0Type of Assessment
IndentIndentIndent54583-0Federal OBRA Reason for Assessment
IndentIndentIndent54584-8PPS Assessment
IndentIndentIndent58108-2Entry/discharge reporting
IndentIndentIndent86525-3Is this a SNF Part A PPS Discharge Assessment?
IndentIndent87216-8Date on existing record to be modified/inactivated
IndentIndentIndent54593-9Assessment Reference Date{mm/dd/yyyy}
IndentIndentIndent52525-3Discharge Date{mm/dd/yyyy}
IndentIndentIndent50786-3Entry Date{mm/dd/yyyy}
IndentIndent87209-3Correction Attestation Section
IndentIndentIndent58200-7Correction Number{#}
IndentIndentIndent87217-6Reasons for Modification1..5
IndentIndentIndent87225-9Reasons for Inactivation1..2
IndentIndentIndent87218-4RN Assessment Coordinator Attestation of Completion
IndentIndentIndentIndent87219-2Attesting individual's first name
IndentIndentIndentIndent87220-0Attesting individual's last name
IndentIndentIndentIndent87221-8Attesting individual's title
IndentIndentIndentIndent112580-6Signature:
IndentIndentIndentIndent87222-6Attestation date{mm/dd/yyyy}
Indent87223-4Assessment Administration
IndentIndent90498-7Medicare Part A Billing
IndentIndentIndent55065-7Medicare Part A HIPPS code
IndentIndentIndent55081-4Version code
IndentIndent93053-7State Medicaid Billing (if required by the state)
IndentIndentIndent55068-1Case Mix group
IndentIndentIndent55081-4Version code
IndentIndent93052-9Alternate State Medicaid Billing (if required by the state)
IndentIndentIndent58212-2Case Mix group
IndentIndentIndent55081-4Version code
IndentIndent93051-1Insurance Billing
IndentIndentIndent55071-5Billing code
IndentIndentIndent55081-4Billing version
IndentIndent85648-4Signature(s) of Person(s) Completing the Assessment
IndentIndentIndent85814-2Signature of Persons Completing the Assessment
IndentIndentIndentIndent85647-6Signature
IndentIndentIndentIndent85650-0Title
IndentIndentIndentIndent70158-1Date Information is Provided and Time
IndentIndent70127-6Signature of Person Verifying Assessment Completion
IndentIndentIndent112580-6Signature:
IndentIndentIndent30947-6Assessment completion date{mm/dd/yyyy}

LOINC Names Get Info

Fully-Specified Name
MDS v3.0 - RAI v1.20.1 - Nursing home comprehensive (NC) item set:-:RptPeriod:^Patient:-:CMS Assessment
Long Common Name
MDS v3.0 - RAI v1.20.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]

Part Model Get Info

  • Component
    MDS v3.0 - RAI v1.20.1 - Nursing home comprehensive (NC) item set
    LP448154-7
    • Analyte
      MDS v3.0 - RAI v1.20.1 - Nursing home comprehensive (NC) item set
      LP448154-7
      • Component Numerator
        MDS v3.0 - RAI v1.20.1 - Nursing home comprehensive (NC) item set
        LP448154-7
        • Component Numerator Core
          MDS v3.0 - RAI v1.20.1 - Nursing home comprehensive (NC) item set
          LP448154-7
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    RptPeriod
    LP190654-6
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    -
    LP7747-1
  • Method
    CMS Assessment
    LP230524-3

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.82 (PANEL)
Order vs. Observation
Order
Panel Type
Convenience group

Member of these Panels

LOINCLong Common Name
108256-9Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=108255-1
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/108255-1