Version 2.78

45412-4 History of prior stay at this nursing home [Minimum Data Set]

Observation ID in Form

AB5a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. For the RECTYPEs listed as facility option, the field may be submitted under the optional submission provision given in the Section AB General Notes.

*2. See AB5f consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
History of prior stay at this nursing home
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50

Normative Answer List LL50-6

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45969-3 Deprecated MDS background information at admission form - version 2.0

45413-2 History of stay in other nursing home [Minimum Data Set]

Observation ID in Form

AB5b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. For the RECTYPEs listed as facility option, the field may be submitted under the optional submission provision given in the Section AB General Notes.

*2. See AB5f consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
History of stay in other nursing home
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50

Normative Answer List LL50-6

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45969-3 Deprecated MDS background information at admission form - version 2.0

45414-0 History of stay in other residential facility [Minimum Data Set]

Observation ID in Form

AB5c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. For the RECTYPEs listed as facility option, the field may be submitted under the optional submission provision given in the Section AB General Notes.

*2. See AB5f consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
History of stay in other residential facility
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50

Normative Answer List LL50-6

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45969-3 Deprecated MDS background information at admission form - version 2.0

45415-7 History of stay at mental health/psychiatric setting [Minimum Data Set]

Observation ID in Form

AB5d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. For the RECTYPEs listed as facility option, the field may be submitted under the optional submission provision given in the Section AB General Notes.

*2. See AB5f consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
History of stay at mental health &or psychiatric setting
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50

Normative Answer List LL50-6

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45969-3 Deprecated MDS background information at admission form - version 2.0

45416-5 History of stay in mental retardation and developmental disabilities setting [Minimum Data Set]

Observation ID in Form

AB5e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. For the RECTYPEs listed as facility option, the field may be submitted under the optional submission provision given in the Section AB General Notes.

*2. See AB5f consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
History of stay in mental retardation and developmental disabilities setting
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.65

Normative Answer List LL50-6

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45969-3 Deprecated MDS background information at admission form - version 2.0

45417-3 None of above

Observation ID in Form

AB5f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. For the RECTYPEs listed as facility option, the field may be submitted under the optional submission provision given in the Section AB General Notes.

*2. Value must be 0 (zero) if any AB5a thru AB5e = 1; value must be 1 if each AB5a thru AB5e = 0 (zero); value must be - if any AB5a thru AB5e = - and no AB5a thru AB5e = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
None of the listed prior residential settings
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50

Normative Answer List LL50-6

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
UTD LA1-0

Member of these Panels

LOINC Long Common Name
45969-3 Deprecated MDS background information at admission form - version 2.0