Version 2.80

45498-3 Hearing [Minimum Data Set]

Term Description

(With hearing appliance, if used)

Observation ID in Form

C1

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero) thru 3, or - if B1 not = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hearing
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 LL15-9

Answer Code Score Answer ID
HEARS ADEQUATELY-normal talk, TV, phone 0 LA67-4
MINIMAL DIFFICULTY when not in quiet setting 1 LA68-2
HEARS IN SPECIAL SITUATIONS ONLY- speaker has to adjust tonal quality and speak distinctly 2 LA69-0
HIGHLY IMPAIRED-absence of useful hearing 3 LA70-8

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45992-5 Communication devices and techniques Set

Term Description

(Check all that apply during last 7 days)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Communication devices and techniques
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45499-1 Hearing aid present and used [Minimum Data Set]

Observation ID in Form

C2a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C2d consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hearing aid present & used
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
45981-8 Deprecated MDS full assessment form - version 2.0

45500-6 Hearing aid present and not used regularly [Minimum Data Set]

Observation ID in Form

C2b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C2d consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hearing aid present & not used regularly
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
45981-8 Deprecated MDS full assessment form - version 2.0

45501-4 Other receptive communication techniques used [Minimum Data Set]

Term Description

(e.g., lip reading)

Observation ID in Form

C2c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C2d consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other receptive communication techniques used
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
45981-8 Deprecated MDS full assessment form - version 2.0

45502-2 No communication device [Minimum Data Set]

Observation ID in Form

C2d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.

*2. If REC_TYPE A,AM,AO,Y,YM, or YO, C2d must be 0 (zero) if any C2a thru C2c = 1; C2d must be 1 if each C2a thru C2c = 0 (zero); C2d must be - if any C2a thru C2c = - and no C2a thru C2c = 1.

3. If REC_TYPE is Q, QM, or QO and C2d is active by State option, then C2d must be 0 (zero) if any active (State option) C2a thru C2c = 1; C2d must be 1 if each active (State option) C2a thru C2c = 0 (zero); C2d must be - if any active (State option) C2a thru C2c = - and no active (State option) C2a thru C2c = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
No communication device
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
45981-8 Deprecated MDS full assessment form - version 2.0

45993-3 Modes of expression Set

Term Description

(Check all used by resident to make needs known)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Modes of expression
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45503-0 Uses speech [Minimum Data Set]

Observation ID in Form

C3a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C3g consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Uses speech
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
45981-8 Deprecated MDS full assessment form - version 2.0

45504-8 Uses written messages to express or clarify needs [Minimum Data Set]

Observation ID in Form

C3b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C3g consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Uses written messages to express or clarify needs
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
45981-8 Deprecated MDS full assessment form - version 2.0

45505-5 Uses American sign language or Braille [Minimum Data Set]

Observation ID in Form

C3c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C3g consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Uses American sign language or Braille
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
45981-8 Deprecated MDS full assessment form - version 2.0

45506-3 Uses signs/gestures/sounds [Minimum Data Set]

Observation ID in Form

C3d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C3g consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Uses signs &or gestures &or sounds
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
45981-8 Deprecated MDS full assessment form - version 2.0

45507-1 Uses communication board [Minimum Data Set]

Observation ID in Form

C3e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C3g consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Uses communication board
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
45981-8 Deprecated MDS full assessment form - version 2.0

45508-9 Uses other modes of expression [Minimum Data Set]

Observation ID in Form

C3f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.
*2. See C3g consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Uses other modes of expression
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
45981-8 Deprecated MDS full assessment form - version 2.0

45509-7 Modes of expression - none of above [Minimum Data Set]

Observation ID in Form

C3g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero), 1, or - if B1 not = 1.

*2. If REC_TYPE A,AM,AO,Y,YM, or YO, C3g must be 0 (zero) if any C3a thru C3f = 1; C3g must be 1 if each C3a thru C3f = 0 (zero); C3g must be - if any C3a thru C3f = - and no C3a thru C3f = 1.

3. If REC_TYPE is Q, QM, or QO and C3g is active by State option, then C3g must be 0 (zero) if any active (State option) C3a thru C3f = 1; C3g must be 1 if each active (State option) C3a thru C3f = 0 (zero); C3g must be - if any active (State option) C3a thru C3f = - and no active (State option) C3a thru C3f = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Modes of expression - none of above
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
45981-8 Deprecated MDS full assessment form - version 2.0

45510-5 Making self understood [Minimum Data Set]

Term Description

(Expressing information content-however able)

Observation ID in Form

C4

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero) thru 3 or - if B1 not = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Making self understood
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 LL16-7

Answer Code Score Answer ID
Understood 0 LA71-6
Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time 1 LA10949-8
Sometimes understood - ability is limited to making concrete requests 2 LA10950-6
Rarely/never understood 3 LA74-0

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45511-3 Speech clarity [Minimum Data Set]

Term Description

(Code for speech in the last 7 days)

Observation ID in Form

C5

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero) thru 2, or - if B1 not = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Speech clarity
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 LL17-5

Answer Code Score Answer ID
CLEAR SPEECH- distinct, intelligible words 0 LA75-7
UNCLEAR SPEECH- slurred, mumbled words 1 LA76-5
NO SPEECH- absence of spoken words 2 LA77-3

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0

45405-8 Ability to understand others [Minimum Data Set]

Term Description

(Understanding verbal information content-however able)

Observation ID in Form

C6

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero) thru 3 or - if B1 not = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Ability to understand others
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 LL18-3

Answer Code Score Answer ID
UNDERSTANDS 0 LA78-1
USUALLY UNDERSTANDS- may miss some part/intent of message 1 LA79-9
SOMETIMES UNDERSTANDS- responds adequately to simple, direct communication 2 LA80-7
Rarely/never understands 3 LA81-5

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45406-6 Change in communication/hearing [Minimum Data Set]

Observation ID in Form

C7

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be blank if B1 = 1; value must be 0 (zero) thru 2, or - if B1 not = 1

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Change in communication &or hearing
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 LL14-2

Answer Code Score Answer ID
No change 0 LA64-1
Improved 1 LA65-8
Deteriorated 2 LA66-6

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0