Version 2.80

45428-0 Stays up late at night [Minimum Data Set]

Term Description

(e.g., after 9 pm)

Observation ID in Form

AC1a

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 AC1h consistency note #3.
*3. See AC1y consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Stays up late at night
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 (MIN)

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

45429-8 Naps regularly during day [Minimum Data Set]

Term Description

(at least 1 hour)

Observation ID in Form

AC1b

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 AC1h consistency note #3.
*3. See AC1y consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Naps regularly during day
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 (MIN)

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

45430-6 Goes out 1 or more days a week [Minimum Data Set]

Observation ID in Form

AC1c

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 AC1h consistency note #3.
*3. See AC1y consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Goes out 1 or more D a W
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 (MIN)

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

45431-4 Stays busy with hobbies, reading or fixed daily routine [Minimum Data Set]

Observation ID in Form

AC1d

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 AC1h consistency note #3.
*3. See AC1y consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Stays busy with hobbies, reading or fixed daily routine
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 (MIN)

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

45432-2 Spends most time alone or watching TV [Minimum Data Set]

Observation ID in Form

AC1e

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 AC1h consistency note #3.
*3. See AC1y consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Spends most time alone or watching TV
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 (MIN)

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

45433-0 Moves independently indoors [Minimum Data Set]

Term Description

(with appliances, if used)

Observation ID in Form

AC1f

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 AC1h consistency note #3.
*3. See AC1y consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Moves independently indoors
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 (MIN)

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

45434-8 Use of tobacco products at least daily [Minimum Data Set]

Observation ID in Form

AC1g

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 AC1h consistency note #3.
*3. See AC1y consistency note #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Use of tobacco products at least daily
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 (MIN)

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

Member of these Groups Get Info

LOINC Group Group Name
LG41856-2 Smoking-related terms

45435-5 None of above

Observation ID in Form

AC1h

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 AC1y consistency note #2.

*3. Value must be 0 (zero) if any AC1a thru AC1g = 1; value must be 1 if each AC1a thru AC1g = 0 (zero); value must be - if any AC1a thru AC1g = - and no AC1a thru AC1g = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
None of the listed cycle of daily events
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
MDS

Long Common Name

None of the listed cycle of daily events [Minimum Data Set]

Basic Attributes

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

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