Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
108257-7MDS v3.0 - RAI v1.20.1 - Nursing home discharge (ND) 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
IndentIndent54506-1Optional Resident Items
IndentIndentIndent46106-1Medical record number
IndentIndentIndent45403-3Room number
IndentIndentIndent52462-9Name by which resident prefers to be addressed
IndentIndentIndent21843-8Lifetime occupation(s)
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
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
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
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, are 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, are 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)
IndentIndent54692-9Rejection of Care - Presence & Frequencyd/(7.d)
IndentIndent54693-7Wandering - Presence & Frequencyd/(7.d)
Indent85639-3Functional Abilities
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
Indent88496-5Bladder and Bowel
IndentIndent86624-4Appliances1..4
IndentIndent95735-7Urinary Continence
IndentIndent95736-5Bowel Continence
Indent54531-9Active Diagnoses
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
IndentIndent86674-9Other Health Conditions
IndentIndentIndent86675-6Shortness of Breath (dyspnea)1..3
IndentIndentIndent54846-1Prognosis
IndentIndentIndent86676-4Problem Conditions1..4
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
Indent93176-6Swallowing &or Nutritional Status
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
IndentIndentIndent71445-1Nutritional Approaches. While a Resident1..4
IndentIndentIndent101328-3Nutritional Approaches. At Discharge1..4
Indent54572-3Skin Conditions
IndentIndent101333-3Determination of Pressure Ulcer/Injury Risk1..1
IndentIndent58214-8Unhealed Pressure Ulcers/Injuries
IndentIndent83256-8Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
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{#}
Indent86749-9Medications
IndentIndent93155-0High-Risk Drug Classes: Use and Indication
IndentIndentIndent93153-5Is taking1..11
IndentIndentIndent93154-3Indication noted1..11
IndentIndent57256-0Medication Intervention
Indent93204-6Special Treatments, Procedures, and Programs
IndentIndent101346-5Special Treatments, Procedures, and Programs
IndentIndentIndent86761-4Special Treatments, Procedures, and Programs - While a Resident1..1
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.
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{#}
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)
Indent101329-1Participation in Assessment and Goal Setting
IndentIndent101436-4Discharge Plan
IndentIndentIndent58146-2Is active discharge planning already occurring for the resident to return to the community?
IndentIndent101435-6Referral
IndentIndentIndent101374-7Has a referral been made to the Local Contact Agency (LCA)?
IndentIndent101332-5Reason Referral to Local Contact Agency (LCA) Not Made
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
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 discharge (ND) item set:-:RptPeriod:^Patient:-:CMS Assessment
Long Common Name
MDS v3.0 - RAI v1.20.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]

Part Model Get Info

  • Component
    MDS v3.0 - RAI v1.20.1 - Nursing home discharge (ND) item set
    LP448156-2
    • Analyte
      MDS v3.0 - RAI v1.20.1 - Nursing home discharge (ND) item set
      LP448156-2
      • Component Numerator
        MDS v3.0 - RAI v1.20.1 - Nursing home discharge (ND) item set
        LP448156-2
        • Component Numerator Core
          MDS v3.0 - RAI v1.20.1 - Nursing home discharge (ND) item set
          LP448156-2
        • 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
Panel

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=108257-7
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/108257-7