Version 2.80

46019-6 Diseases

Term Description

(If none apply,CHECK the NONE OF ABOVE box)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Diseases or conditions Set

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

46020-4 Endocrine/Metabolic/Nutritional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Endocrine, metabolic or nutritional diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Endocrine, metabolic or nutritional diseases or conditions Set

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

45636-8 Diabetes mellitus [Minimum Data Set]

Observation ID in Form

I1a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Diabetes mellitus
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
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45637-6 Hyperthyroidism [Minimum Data Set]

Observation ID in Form

I1b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hyperthyroidism
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

45638-4 Hypothyroidism [Minimum Data Set]

Observation ID in Form

I1c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hypothyroidism
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

46021-2 Heart/Circulation

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Heart or circulation diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Heart or circulation diseases or conditions Set

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

45639-2 Arteriosclerotic heart disease [Minimum Data Set]

Observation ID in Form

I1d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Arteriosclerotic heart disease
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

45640-0 Cardiac dysrhythmias [Minimum Data Set]

Observation ID in Form

I1e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Cardiac dysrhythmias
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

45641-8 Congestive heart failure [Minimum Data Set]

Observation ID in Form

I1f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Congestive heart failure
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
78941-2 Cardiovascular disease history panel
45981-8 Deprecated MDS full assessment form - version 2.0

45642-6 Deep vein thrombosis [Minimum Data Set]

Observation ID in Form

I1g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Deep vein thrombosis
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

45643-4 Hypertension [Minimum Data Set]

Observation ID in Form

I1h

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hypertension
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
78940-4 Coronary artery disease risk factor panel
45981-8 Deprecated MDS full assessment form - version 2.0

45644-2 Hypotension [Minimum Data Set]

Observation ID in Form

I1i

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hypotension
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

45645-9 Peripheral vascular disease [Minimum Data Set]

Observation ID in Form

I1j

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Peripheral vascular disease
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

45646-7 Other cardiovascular disease [Minimum Data Set]

Observation ID in Form

I1k

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other cardiovascular disease
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

46022-0 Musculoskeletal

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Musculoskeletal diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Musculoskeletal diseases or conditions Set

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

45647-5 Arthritis [Minimum Data Set]

Observation ID in Form

I1l

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Arthritis
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

45648-3 Hip fracture [Minimum Data Set]

Observation ID in Form

I1m

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hip fracture
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
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

45649-1 Missing limb [Minimum Data Set]

Observation ID in Form

I1n

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Missing limb
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

45650-9 Osteoporosis [Minimum Data Set]

Observation ID in Form

I1o

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Osteoporosis
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

45651-7 Pathological bone fracture [Minimum Data Set]

Observation ID in Form

I1p

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pathological bone fracture
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

46023-8 Neurological

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Neurological diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Neurological diseases or conditions Set

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

45652-5 Alzheimer's disease [Minimum Data Set]

Observation ID in Form

I1q

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Alzheimer's disease
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

45653-3 Aphasia [Minimum Data Set]

Observation ID in Form

I1r

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Aphasia
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
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

45654-1 Cerebral palsy [Minimum Data Set]

Observation ID in Form

I1s

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Cerebral palsy
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
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

45655-8 Cerebrovascular accident [Minimum Data Set]

Observation ID in Form

I1t

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Cerebrovascular accident
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 2.73 (MIN)
Common Test Rank Get Info
16232

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
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

45656-6 Dementia other than Alzheimer's disease [Minimum Data Set]

Observation ID in Form

I1u

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Dementia other than Alzheimer's disease
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

45657-4 Hemiplegia or hemiparesis [Minimum Data Set]

Observation ID in Form

I1v

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hemiplegia or hemiparesis
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
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

45658-2 Multiple sclerosis [Minimum Data Set]

Observation ID in Form

I1w

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Multiple sclerosis
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
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

45659-0 Paraplegia [Minimum Data Set]

Observation ID in Form

I1x

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Paraplegia
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

45660-8 Parkinson's disease [Minimum Data Set]

Observation ID in Form

I1y

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Parkinson's disease
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

45661-6 Quadriplegia [Minimum Data Set]

Observation ID in Form

I1z

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Quadriplegia
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
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

45662-4 Seizure disorder [Minimum Data Set]

Observation ID in Form

I1aa

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Seizure disorder
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

45663-2 Transient ischemic attack [Minimum Data Set]

Observation ID in Form

I1bb

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Transient ischemic attack
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

45664-0 Traumatic brain injury [Minimum Data Set]

Observation ID in Form

I1cc

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Traumatic brain injury
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

46024-6 Psychiatric/Mood

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Psychiatric or mood diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Psychiatric or mood diseases or conditions Set

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

45665-7 Anxiety disorder [Minimum Data Set]

Observation ID in Form

I1dd

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Anxiety disorder
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

45666-5 Depression [Minimum Data Set]

Observation ID in Form

I1ee

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Depression
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
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

45667-3 Manic depression [Minimum Data Set]

Observation ID in Form

I1ff

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Manic depression
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
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

45668-1 Schizophrenia [Minimum Data Set]

Observation ID in Form

I1gg

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Schizophrenia
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

46025-3 Pulmonary

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pulmonary diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Pulmonary diseases or conditions Set

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

45669-9 Asthma [Minimum Data Set]

Observation ID in Form

I1hh

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Asthma
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

45670-7 Emphysema or COPD [Minimum Data Set]

Observation ID in Form

I1ii

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Emphysema or COPD
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
78923-0 Comorbid condition panel
45981-8 Deprecated MDS full assessment form - version 2.0

46026-1 Sensory

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Sensory diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Sensory diseases or conditions Set

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

45671-5 Cataracts [Minimum Data Set]

Observation ID in Form

I1jj

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Cataracts
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

45672-3 Diabetic retinopathy [Minimum Data Set]

Observation ID in Form

I1kk

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Diabetic retinopathy
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

45673-1 Glaucoma [Minimum Data Set]

Observation ID in Form

I1ll

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Glaucoma
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

45674-9 Macular degeneration [Minimum Data Set]

Observation ID in Form

I1mm

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Macular degeneration
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

46027-9 Other

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other diseases or conditions
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Long Common Name

Other diseases or conditions Set

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

45675-6 Allergies

Observation ID in Form

I1nn

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Allergies
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.70 (MAJ)
Change Reason
Release 2.70: ANSWER_LIST_TYPE: Updated from Normative to Example as the concept is generic.; CLASSTYPE: Updated from Survey to Clinical as the concept is generic and not unique to a particular survey.; EXTERNAL_COPYRIGHT_LINK: Removed as the concept is generic and not unique to a particular survey.; CLASS: Moved from Survey to Clinical as the concept is generic and not unique to a particular survey.; METHOD_TYP: Removed as the concept is generic and not unique to a particular survey.;

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
97065-7 Medical history for preventive vaccination against COVID-19 (Coronavirus Disease 2019) - with mRNA vaccine

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Αλλεργίες:Εύρεση:Pt:^Ασθενής:Ord:
Synonyms: Αλλεργίες Εύρεση
es-MX Spanish (Mexico) Alergias:Tipo:Punto temporal:^ Paciente:Ordinal:
fr-CA French (Canada) Allergies:Observation:Temps ponctuel:^Patient:Ordinal:
it-IT Italian (Italy) Allergie:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) allergieën:bevinding:moment:^patiënt:ordinaal:
ru-RU Russian (Russian Federation) Аллергии:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 变态反应:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 病史与体格检查 过敏反应;过敏

45676-4 Anemia [Minimum Data Set]

Observation ID in Form

I1oo

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Anemia
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

45677-2 Cancer [Minimum Data Set]

Observation ID in Form

I1pp

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Cancer
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

45678-0 Renal failure [Minimum Data Set]

Observation ID in Form

I1qq

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Renal failure
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
78923-0 Comorbid condition panel
45981-8 Deprecated MDS full assessment form - version 2.0

45679-8 None of the listed diseases or conditions [Minimum Data Set]

Observation ID in Form

I1rr

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. If REC_TYPE A,AM,AO,Y,YM, or YO, I1rr must be 0 (zero) if any I1a thru I1qq = 1; I1rr must be 1 if each I1a thru I1qq = 0 (zero); I1rr must be - if any I1a thru I1qq = - and no I1a thru I1qq = 1.

2. If REC_TYPE is Q, QM, or QO, and I1rr is active by State option, then I1rr must be 0 (zero) if any active (State option) I1a thru I1qq = 1; I1rr must be 1 if each active (State option) I1a thru I1qq = 0 (zero); I1rr must be - if any active (State option) I1a thru I1qq = - and no active (State option) I1a thru I1qq = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
None of the listed diseases or conditions
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
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

46028-7 Infections Set

Term Description

(If none apply,CHECK the NONE OF ABOVE box)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Infections
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
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

45680-6 Antibiotic resistant infection [Minimum Data Set]

Term Description

(e.g., Methicillin resistant staph)

Observation ID in Form

I2a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Antibiotic resistant infection
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
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

45681-4 Infection with Clostridioides difficile [Minimum Data Set]

Observation ID in Form

I2b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Infection with Clostridioides difficile
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 2.66 (NAM)
Change Reason
Updated genus name from Clostridium to Clostridioides based on current (2019) accepted nomenclature for this genus [PMID:27370902].

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
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

45682-2 Conjunctivitis [Minimum Data Set]

Observation ID in Form

I2c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Conjunctivitis
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
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

45683-0 HIV infection [Minimum Data Set]

Observation ID in Form

I2d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
HIV infection
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
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

45684-8 Pneumonia [Minimum Data Set]

Observation ID in Form

I2e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pneumonia
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
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

45685-5 Respiratory infection [Minimum Data Set]

Observation ID in Form

I2f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Respiratory infection
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
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

45686-3 Septicemia [Minimum Data Set]

Observation ID in Form

I2g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Septicemia
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
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

45687-1 Sexually transmitted diseases [Minimum Data Set]

Observation ID in Form

I2h

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Sexually transmitted diseases
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
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

45688-9 Tuberculosis [Minimum Data Set]

Observation ID in Form

I2i

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Tuberculosis
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
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

45689-7 Urinary tract infection in last 30 days [Minimum Data Set]

Observation ID in Form

I2j

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Urinary tract infection in last 30D
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.54 (MAJ)

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
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
54580-6 Deprecated Minimum Data Set - version 3.0

45690-5 Viral hepatitis [Minimum Data Set]

Observation ID in Form

I2k

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Viral hepatitis
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
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

45691-3 Wound infection [Minimum Data Set]

Observation ID in Form

I2l

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

1. See I2m consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Wound infection
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
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

45692-1 Infections - none of above [Minimum Data Set]

Observation ID in Form

I2m

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. If REC_TYPE A,AM,AO,Y,YM,YO,QM,or OM, I2m must be 0 (zero) if any I2a thru I2l = 1; I2m must be 1 if each I2a thru I2l = 0 (zero); I2m must be - if any I2a thru I2l = - and no I2a thru I2l = 1.

2. If REC_TYPE is Q or QO, then I2m must be 0 (zero) if any active (State option) I2a thru I2l = 1; I2m must be 1 if each active (State option) I2a thru I2l = 0 (zero); I2m must be - if any active (State option) I2a thru I2l = - and no active (State option) I2a thru I2l = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Infections - 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
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

46029-5 Other current or more detailed diagnoses and ICD9 codes Set

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other current or more detailed diagnoses & ICD9 codes
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

45693-9 Other current or more detailed diagnoses and ICD9 codes [Minimum Data Set]

Observation ID in Form

I3a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other current or more detailed diagnoses & ICD9 codes
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

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

Normative Answer List LL343-5

Externally Defined
Yes
Code System
I9C
Code System OID
1.3.6.1.4.1.12009.10.1.2173
Link to External List

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

45958-6 Other current or more detailed diagnoses and ICD9 codes # 2 [Minimum Data Set]

Observation ID in Form

I3b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other current or more detailed diagnoses & ICD9 codes^^^2
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

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

Normative Answer List LL343-5

Externally Defined
Yes
Code System
I9C
Code System OID
1.3.6.1.4.1.12009.10.1.2173
Link to External List

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

45959-4 Other current or more detailed diagnoses and ICD9 codes # 3 [Minimum Data Set]

Observation ID in Form

I3c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other current or more detailed diagnoses & ICD9 codes^^^3
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

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

Normative Answer List LL343-5

Externally Defined
Yes
Code System
I9C
Code System OID
1.3.6.1.4.1.12009.10.1.2173
Link to External List

Member of these Panels

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

45960-2 Other current or more detailed diagnoses and ICD9 codes # 4 [Minimum Data Set]

Observation ID in Form

I3d

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other current or more detailed diagnoses & ICD9 codes^^^4
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

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

Normative Answer List LL343-5

Externally Defined
Yes
Code System
I9C
Code System OID
1.3.6.1.4.1.12009.10.1.2173
Link to External List

Member of these Panels

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

45961-0 Other current or more detailed diagnoses and ICD9 codes # 5 [Minimum Data Set]

Observation ID in Form

I3e

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other current or more detailed diagnoses & ICD9 codes^^^5
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

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

Normative Answer List LL343-5

Externally Defined
Yes
Code System
I9C
Code System OID
1.3.6.1.4.1.12009.10.1.2173
Link to External List

Member of these Panels

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