46048-5
Type of ulcer Set
Active
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 Services45780-4 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 ServicesFully-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 |
Copyright
- Organization
- interRAI
- Copyright
- InterRAI holds the copyright to Version 2.0 of the RAI for long term care outside of the US. Supplemental help and contextual information for MDS items in LOINC was derived from Version 2.0 of the RAI/MDS manual, and should not be reproduced outside of the United States without permission of InterRAI. Within the US, Version 2.0 is in the public domain.
- Terms of Use
- As a not for profit corporation under the US Tax Code, interRAI holds the copyright to a number of assessment systems, including the Resident Assessment Instrument (RAI) for long term care facilities outside of the US (the RAI is in the public domain within the US), as well as the assessment systems for Home Care (HC), Assisted Living (AL), Palliative Care (PC), Mental Health (MH) (outside of Canada), and Acute Care (RAI-AC).The scales, algorithms, and case-mix measures based on these assessment instruments cannot be copyrighted and are thus available to everyone (although the individual items on which they are based are usually copyrighted).The major clauses of our royalty-free licenses follow:* the instrument is not to be changed substantially (excepting individual identifiers and demographics); * the license is limited to non-commercial use (i.e., the instrument will not be not incorporated into products to be sold to others); * no royalties will be charged; * the organization will make appropriate efforts to inform others of the copyright status of the instrument; * interRAI's logo and copyright notice are to appear on the form; * authors, author institutions, and translators (as appropriate) are to be acknowledged in any document where authors would regularly be indicated (e.g., publication of a training manual); * publication of any training manual is limited to the period until a commercially-published version is available; * data from use of the instrument are to be shared with interRAI, subject to existing laws on confidentiality.Commercial use usually requires royalties. In this instance, interRAI may omit the data requirement, but retains the other requirements for a logo, attribution, etc.We will be pleased in any contract negotiations to acknowledge the participation of individuals or organizations which have played a substantial role in getting the instrument to the point of implementation.For more information on licensing with interRAI, please contact the president of the Board:Brant E. Fries, Ph.D. Institute of Gerontology University of Michigan 300 North Ingalls Ann Arbor, Michigan USA 48109 Email: [email protected]
- URL
- http://www.interrai.org
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 ServicesFully-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 |
Copyright
- Organization
- interRAI
- Copyright
- InterRAI holds the copyright to Version 2.0 of the RAI for long term care outside of the US. Supplemental help and contextual information for MDS items in LOINC was derived from Version 2.0 of the RAI/MDS manual, and should not be reproduced outside of the United States without permission of InterRAI. Within the US, Version 2.0 is in the public domain.
- Terms of Use
- As a not for profit corporation under the US Tax Code, interRAI holds the copyright to a number of assessment systems, including the Resident Assessment Instrument (RAI) for long term care facilities outside of the US (the RAI is in the public domain within the US), as well as the assessment systems for Home Care (HC), Assisted Living (AL), Palliative Care (PC), Mental Health (MH) (outside of Canada), and Acute Care (RAI-AC).The scales, algorithms, and case-mix measures based on these assessment instruments cannot be copyrighted and are thus available to everyone (although the individual items on which they are based are usually copyrighted).The major clauses of our royalty-free licenses follow:* the instrument is not to be changed substantially (excepting individual identifiers and demographics); * the license is limited to non-commercial use (i.e., the instrument will not be not incorporated into products to be sold to others); * no royalties will be charged; * the organization will make appropriate efforts to inform others of the copyright status of the instrument; * interRAI's logo and copyright notice are to appear on the form; * authors, author institutions, and translators (as appropriate) are to be acknowledged in any document where authors would regularly be indicated (e.g., publication of a training manual); * publication of any training manual is limited to the period until a commercially-published version is available; * data from use of the instrument are to be shared with interRAI, subject to existing laws on confidentiality.Commercial use usually requires royalties. In this instance, interRAI may omit the data requirement, but retains the other requirements for a logo, attribution, etc.We will be pleased in any contract negotiations to acknowledge the participation of individuals or organizations which have played a substantial role in getting the instrument to the point of implementation.For more information on licensing with interRAI, please contact the president of the Board:Brant E. Fries, Ph.D. Institute of Gerontology University of Michigan 300 North Ingalls Ann Arbor, Michigan USA 48109 Email: [email protected]
- URL
- http://www.interrai.org