45969-3
Deprecated MDS background information at admission form - version 2.0
Deprecated
Status Information
- Status
- DEPRECATED
Reference Information
| Type | Source | Reference |
|---|---|---|
| Original Form | Centers for Medicare & Medicaid Services | Original form upon which the LOINC panel is based. MDS background information at admission form |
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 45969-3 | Deprecated MDS background information at admission form - version 2.0 | |||
| Indent45970-1 | Demographic information section | |||
| Indent Indent50786-3 | Date of entry | {mm/dd/yyyy} | ||
| Indent Indent45410-8 | Immediately preceeding this admission, where was the patient? | |||
| Indent Indent45411-6 | Lived alone prior to admission [Minimum Data Set] | |||
| Indent Indent52539-4 | Zip code of prior primary residence | |||
| Indent Indent45971-9 | Residential history 5 years prior to entry Set | |||
| Indent Indent Indent45412-4 | History of prior stay at this nursing home [Minimum Data Set] | |||
| Indent Indent Indent45413-2 | History of stay in other nursing home [Minimum Data Set] | |||
| Indent Indent Indent45414-0 | History of stay in other residential facility [Minimum Data Set] | |||
| Indent Indent Indent45415-7 | History of stay at mental health/psychiatric setting [Minimum Data Set] | |||
| Indent Indent Indent45416-5 | History of stay in mental retardation and developmental disabilities setting [Minimum Data Set] | |||
| Indent Indent Indent45417-3 | None of above | |||
| Indent Indent21843-8 | History of Usual occupation | |||
| Indent Indent82589-3 | Highest level of education | |||
| Indent Indent45972-7 | Language Set | |||
| Indent Indent Indent45402-5 | Language.primary | |||
| Indent Indent Indent45419-9 | Language.other [Minimum Data Set] | |||
| Indent Indent45420-7 | Mental health history [Minimum Data Set] | |||
| Indent Indent45973-5 | Conditions related to mental retardation and developmental disabilities status Set | |||
| Indent Indent Indent45421-5 | No mental retardation and developmental disabilities [Minimum Data Set] | |||
| Indent Indent Indent45974-3 | Mental retardation and developmental disabilities with organic condition Set | |||
| Indent Indent Indent Indent45422-3 | Down's syndrome [Minimum Data Set] | |||
| Indent Indent Indent Indent45423-1 | Autism [Minimum Data Set] | |||
| Indent Indent Indent Indent45424-9 | Epilepsy [Minimum Data Set] | |||
| Indent Indent Indent Indent45425-6 | Other organic condition related to mental retardation and developmental disabilities [Minimum Data Set] | |||
| Indent Indent Indent Indent45426-4 | Mental retardation and developmental disabilities with no organic condition [Minimum Data Set] | |||
| Indent Indent45427-2 | Date background information form completed [Minimum Data Set] | |||
| Indent45975-0 | Customary routine section | |||
| Indent Indent45976-8 | Customary routine in year prior to date of entry Set | |||
| Indent Indent Indent45977-6 | Cycle of daily events Set | |||
| Indent Indent Indent Indent45428-0 | Stays up late at night [Minimum Data Set] | |||
| Indent Indent Indent Indent45429-8 | Naps regularly during day [Minimum Data Set] | |||
| Indent Indent Indent Indent45430-6 | Goes out 1 or more days a week [Minimum Data Set] | |||
| Indent Indent Indent Indent45431-4 | Stays busy with hobbies, reading or fixed daily routine [Minimum Data Set] | |||
| Indent Indent Indent Indent45432-2 | Spends most time alone or watching TV [Minimum Data Set] | |||
| Indent Indent Indent Indent45433-0 | Moves independently indoors [Minimum Data Set] | |||
| Indent Indent Indent Indent45434-8 | Use of tobacco products at least daily [Minimum Data Set] | |||
| Indent Indent Indent Indent45435-5 | None of above | |||
| Indent Indent Indent45978-4 | Eating patterns Set | |||
| Indent Indent Indent Indent45436-3 | Distinct food preferences [Minimum Data Set] | |||
| Indent Indent Indent Indent45437-1 | Eats between meals all or most days [Minimum Data Set] | |||
| Indent Indent Indent Indent45438-9 | Use of alcohol at least weekly [Minimum Data Set] | |||
| Indent Indent Indent Indent45439-7 | None of above | |||
| Indent Indent Indent45979-2 | ADL patterns Set | |||
| Indent Indent Indent Indent45440-5 | In bedclothes much of day [Minimum Data Set] | |||
| Indent Indent Indent Indent45441-3 | Wakens to toilet all or most nights [Minimum Data Set] | |||
| Indent Indent Indent Indent45442-1 | Has irregular bowel movement pattern [Minimum Data Set] | |||
| Indent Indent Indent Indent45443-9 | Showers for bathing [Minimum Data Set] | |||
| Indent Indent Indent Indent45444-7 | Bathing in PM [Minimum Data Set] | |||
| Indent Indent Indent Indent45445-4 | None of above | |||
| Indent Indent Indent45980-0 | Involvement patterns Set | |||
| Indent Indent Indent Indent45446-2 | Daily contact with relatives/close friends [Minimum Data Set] | |||
| Indent Indent Indent Indent45447-0 | Usually attends church, temple, etc. [Minimum Data Set] | |||
| Indent Indent Indent Indent45448-8 | Finds strength in faith [Minimum Data Set] | |||
| Indent Indent Indent Indent45449-6 | Daily animal companion/presence [Minimum Data Set] | |||
| Indent Indent Indent Indent45450-4 | Involved in group activities [Minimum Data Set] | |||
| Indent Indent Indent Indent45451-2 | None of above | |||
| Indent Indent Indent45452-0 | Unknown customary routine - resident/family unable to provide information [Minimum Data Set] |
Fully-Specified Name
- Component
- MDS background information at admission form - version 2.0
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.MDS
- Type
- Surveys
- First Released
- Version 2.17
- Last Updated
- Version 2.73
- Change Reason
- Release 2.73: Status: LOINC will keep most current version and one prior version of CMS assessments active and discourage all older versions.;
- Order vs. Observation
- Order
- Panel Type
- Panel
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=45969-3 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/45969-3
Copyright
- Organization
- interRAI
- Copyright
- InterRAI holds the copyright to Version 2.0 of the RAI for long term care outside of the US. Supplemental help and contextual information for MDS items in LOINC was derived from Version 2.0 of the RAI/MDS manual, and should not be reproduced outside of the United States without permission of InterRAI. Within the US, Version 2.0 is in the public domain.
- Terms of Use
- As a not for profit corporation under the US Tax Code, interRAI holds the copyright to a number of assessment systems, including the Resident Assessment Instrument (RAI) for long term care facilities outside of the US (the RAI is in the public domain within the US), as well as the assessment systems for Home Care (HC), Assisted Living (AL), Palliative Care (PC), Mental Health (MH) (outside of Canada), and Acute Care (RAI-AC). The scales, algorithms, and case-mix measures based on these assessment instruments cannot be copyrighted and are thus available to everyone (although the individual items on which they are based are usually copyrighted). The major clauses of our royalty-free licenses follow: * the instrument is not to be changed substantially (excepting individual identifiers and demographics); * the license is limited to non-commercial use (i.e., the instrument will not be not incorporated into products to be sold to others); * no royalties will be charged; * the organization will make appropriate efforts to inform others of the copyright status of the instrument; * interRAI's logo and copyright notice are to appear on the form; * authors, author institutions, and translators (as appropriate) are to be acknowledged in any document where authors would regularly be indicated (e.g., publication of a training manual); * publication of any training manual is limited to the period until a commercially-published version is available; * data from use of the instrument are to be shared with interRAI, subject to existing laws on confidentiality. Commercial use usually requires royalties. In this instance, interRAI may omit the data requirement, but retains the other requirements for a logo, attribution, etc. We will be pleased in any contract negotiations to acknowledge the participation of individuals or organizations which have played a substantial role in getting the instrument to the point of implementation. For more information on licensing with interRAI, please contact the president of the Board: Brant E. Fries, Ph.D. Institute of Gerontology University of Michigan 300 North Ingalls Ann Arbor, Michigan USA 48109 Email: bfries@umich.edu
- URL
- http://www.interrai.org
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright