Version 2.80

46047-7 Ulcers Set

Term Description

(Due to any cause)

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Record the number of ulcers at each ulcer stage-regardless of cause. If none present at a stage, record "0" (zero). Code all that apply during last 7 days.Code 9 = 9 or more. Requires full body exam

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Ulcers
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
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

45776-2 Ulcers.stage 1 # [Minimum Data Set]

Term Description

A persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved.

Observation ID in Form

M1a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be > 0 (zero), if M2a = 1 or M2b = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Ulcers.stage 1
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
MDS

Basic Attributes

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

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

Example Units

Unit Source
{#} Example UCUM Units

45777-0 Ulcers.stage 2 # [Minimum Data Set]

Term Description

A partial thickness loss of skin layers that presents clinically as an abrasion, blister, or shallow crater.

Observation ID in Form

M1b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be > 0 (zero), if M2a = 2 or M2b = 2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Ulcers.stage 2
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
MDS

Basic Attributes

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

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

Example Units

Unit Source
{#} Example UCUM Units

45778-8 Ulcers.stage 3 # [Minimum Data Set]

Term Description

A full thickness of skin is lost, exposing the subcutaneous tissues - presents as a deep crater with or without undermining adjacent tissue

Observation ID in Form

M1c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be > 0 (zero), if M2a = 3 or M2b = 3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Ulcers.stage 3
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
MDS

Basic Attributes

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

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

Example Units

Unit Source
{#} Example UCUM Units

45779-6 Ulcers.stage 4 # [Minimum Data Set]

Term Description

A full thickness of skin and subcutaneous tissue is lost, exposing muscle or bone.

Observation ID in Form

M1d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must be > 0 (zero), if M2a = 4 or M2b = 4.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Ulcers.stage 4
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
MDS

Basic Attributes

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

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

Example Units

Unit Source
{#} Example UCUM Units

46048-5 Type of ulcer Set

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

For each type of ulcer, code for the highest stage in the last 7 days using scale in item M1-i.e., 0=none; stages 1, 2, 3, 4

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Type of pressure injury
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.73 (NAM)
Change Reason
Release 2.73: COMPONENT: update older "ulcer" terms in panels ;
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
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

45780-4 Pressure injury stage [Minimum Data Set]

Term Description

Any lesion caused by pressure resulting in damage of underlying tissue

Observation ID in Form

M2a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value is 0 (zero), if M1a through M1d are all 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pressure injury stage
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.64 (NAM)
Change Reason
"Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.

Normative Answer List LL36-5

Answer Code Score Answer ID
Stage 1. A persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved. 1 LA147-1
Stage 2. A partial thickness loss of skin layers that presents clinically as an abrasion, blister, or shallow crater. 2 LA148-9
Stage 3. A full thickness of skin is lost, exposing the subcutaneous tissues - presents as a deep crater with or without undermining adjacent tissue. 3 LA149-7
Stage 4. A full thickness of skin and subcutaneous tissue is lost, exposing muscle or bone. 4 LA150-5

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

45781-2 Stasis ulcer stage [Minimum Data Set]

Term Description

Open lesion caused by poor circulation in the lower extremities

Observation ID in Form

M2b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value is 0 (zero), if M1a through M1d are all 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Stasis pressure injury stage
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.73 (NAM)
Change Reason
Release 2.73: COMPONENT: update older "ulcer" terms;

Normative Answer List LL36-5

Answer Code Score Answer ID
Stage 1. A persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved. 1 LA147-1
Stage 2. A partial thickness loss of skin layers that presents clinically as an abrasion, blister, or shallow crater. 2 LA148-9
Stage 3. A full thickness of skin is lost, exposing the subcutaneous tissues - presents as a deep crater with or without undermining adjacent tissue. 3 LA149-7
Stage 4. A full thickness of skin and subcutaneous tissue is lost, exposing muscle or bone. 4 LA150-5

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

45782-0 History of resolved ulcers [Minimum Data Set]

Term Description

Resident had an ulcer that was resolved or cured in LAST 90 DAYS

Observation ID in Form

M3

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
History of resolved ulcers
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

46049-3 Other skin problems or lesions present 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
Other skin problems or lesions present
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

45783-8 Abrasions or bruises [Minimum Data Set]

Observation ID in Form

M4a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M4h consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Abrasions or bruises
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

45784-6 Second or third degree burns [Minimum Data Set]

Observation ID in Form

M4b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M4h consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Second or third degree burns
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

45785-3 Open lesions other than ulcers, rashes, cuts [Minimum Data Set]

Term Description

(e.g., cancer lesions)

Observation ID in Form

M4c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M4h consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Open lesions other than ulcers, rashes, cuts
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

45786-1 Rashes [Minimum Data Set]

Term Description

e.g., intertrigo, eczema, drug rash, heat rash, herpes zoster

Observation ID in Form

M4d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M4h consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Rashes
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

45787-9 Skin desensitized to pain or pressure [Minimum Data Set]

Observation ID in Form

M4e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M4h consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Skin desensitized to pain or pressure
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

45788-7 Skin tears or cuts (other than surgery) [Minimum Data Set]

Observation ID in Form

M4f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M4h consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Skin tears or cuts (other than surgery)
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

45789-5 Surgical wounds [Minimum Data Set]

Observation ID in Form

M4g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M4h consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Surgical wounds
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

45790-3 Other skin problems - none of above [Minimum Data Set]

Observation ID in Form

M4h

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, M4h must be 0 (zero) if any M4a thru M4g = 1; M4h must be 1 if each M4a thru M4g = 0 (zero); M4h must be - if any M4a thru M4g = - and no M4a thru M4g = 1.

2. If REC_TYPE is Q or QO and M4h is active by State option, then M4h must be 0 (zero) if any active (State option) M4a thru M4g = 1; M4h must be 1 if each active (State option) M4a thru M4g = 0 (zero); M4h must be - if any active (State option) M4a thru M4g = - and no active (State option) M4a thru M4g = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other skin problems - 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
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

46050-1 Skin treatments 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
Skin treatments
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

45791-1 Pressure relieving devices for chair [Minimum Data Set]

Observation ID in Form

M5a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pressure relieving devices for chair
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

45792-9 Pressure relieving devices for bed [Minimum Data Set]

Observation ID in Form

M5b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pressure relieving devices for bed
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

45793-7 Turning or repositioning program [Minimum Data Set]

Observation ID in Form

M5c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Turning or repositioning program
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

45794-5 Nutrition or hydration intervention to manage skin problems [Minimum Data Set]

Observation ID in Form

M5d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Nutrition or hydration intervention to manage skin problems
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

45795-2 Ulcer care [Minimum Data Set]

Observation ID in Form

M5e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pressure injury care
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 (NAM)
Change Reason
Release 2.73: COMPONENT: update older "ulcer" terms;

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

45796-0 Surgical wound care [Minimum Data Set]

Observation ID in Form

M5f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Surgical wound care
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

45797-8 Application of dressings (with or without topical medications) other than to feet [Minimum Data Set]

Observation ID in Form

M5g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Application of dressings (with or without topical medications) other than to feet
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

45798-6 Application of ointments or medications other than to feet [Minimum Data Set]

Observation ID in Form

M5h

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Application of ointments or medications other than to feet
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

45799-4 Other preventative or protective skin care other than to feet [Minimum Data Set]

Observation ID in Form

M5i

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M5j consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Other preventative or protective skin care other than to feet
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

45800-0 Skin treatments - none of above [Minimum Data Set]

Observation ID in Form

M5j

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, M5j must be 0 (zero) if any M5a thru M5i = 1; M5j must be 1 if each M5a thru M5i = 0 (zero); M5j must be - if any M5a thru M5i = - and no M5a thru M5i = 1.

2. If REC_TYPE is Q or QO and M5j is active by State option, then M5j must be 0 (zero) if any active (State option) M5a thru M5i = 1; M5j must be 1 if each active (State option) M5a thru M5i = 0 (zero); M5j must be - if any active (State option) M5a thru M5i = - and no active (State option) M5a thru M5i = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Skin treatments - 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
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

46051-9 Foot problems and care 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
Foot problems and care
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

45801-8 One or more foot problems [Minimum Data Set]

Term Description

e.g., corns, callouses, bunions, hammer toes, overlapping toes, pain, structural problems

Observation ID in Form

M6a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M6g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
One or more foot problems
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

45802-6 Infection of foot [Minimum Data Set]

Term Description

e.g., cellulitis, purulent drainage

Observation ID in Form

M6b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M6g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Infection of foot
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

45803-4 Open lesions on the foot [Minimum Data Set]

Observation ID in Form

M6c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M6g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Open lesions on the foot
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

45804-2 Nails/calluses trimmed during last 90 days [Minimum Data Set]

Observation ID in Form

M6d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M6g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Nails &or calluses trimmed during last 90D
Property
Find
Time
90D
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
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

45805-9 Received preventative or protective foot care [Minimum Data Set]

Term Description

(e.g., used special shoes, inserts, pads, toe separators)

Observation ID in Form

M6e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M6g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Received preventative or protective foot care
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

45806-7 Application of dressings (foot) - with or without topical medications [Minimum Data Set]

Observation ID in Form

M6f

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See M6g consistency notes #1 and #2.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Application of dressings (foot) - with or without topical medications
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

45807-5 Foot problems and care - none of above [Minimum Data Set]

Observation ID in Form

M6g

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, M6g must be 0 (zero) if any M6a thru M6f = 1; M6g must be 1 if each M6a thru M6f = 0 (zero); M6g must be - if any M6a thru M6f = - and no M6a thru M6f = 1.

2. If REC_TYPE is Q or QO and M6g is active by State option, then M6g must be 0 (zero) if any active (State option) M6a thru M6f = 1; M6g must be 1 if each active (State option) M6a thru M6f = 0 (zero); M6g must be - if any active (State option) M6a thru M6f = - and no active (State option) M6a thru M6f = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Foot problems and care - 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
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