45722-6 Fell in past 30 days [Minimum Data Set]

Observation ID in Form

J4a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Fell in past 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

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
UTDLA1-0

Member of these Panels

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

45723-4 Fell in past 31-180 days [Minimum Data Set]

Observation ID in Form

J4b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Fell in past 31D-180D
Property
Find
Time
180D
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

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
UTDLA1-0

Member of these Panels

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

45724-2 Hip fracture in last 180 days [Minimum Data Set]

Observation ID in Form

J4c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hip fracture in last 180D
Property
Find
Time
180D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

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

Normative Answer List LL50-6

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
UTDLA1-0

Member of these Panels

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

45725-9 Other fracture in last 180 days [Minimum Data Set]

Observation ID in Form

J4d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J4e consistency note #1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other fracture in last 180D
Property
Find
Time
180D
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

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
UTDLA1-0

Member of these Panels

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

45726-7 Accidents - none of above [Minimum Data Set]

Observation ID in Form

J4e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. J4e must be 0 (zero) if any J4a thru J4d = 1; J4e must be 1 if each J4a thru J4d = 0 (zero); J4e must be - if any J4a thru J4d = - and no J4a thru J4d = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Accidents - 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

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
UTDLA1-0

Member of these Panels

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