Form Coding Instructions

Record the number of DAYS during last 7 days; enter "0" if not used. Note-enter "1" for long-acting meds used less than weekly

Source: Centers for Medicare & Medicaid Services

45836-4 Number of days antipsychotic medication received [Minimum Data Set]

Observation ID in Form

O4a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Number of D antipsychotic medication received
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

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

Example Units

UnitSource
dExample UCUM Units

45837-2 Number of days antianxiety medication received [Minimum Data Set]

Observation ID in Form

O4b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Number of D antianxiety medication received
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

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

Example Units

UnitSource
dExample UCUM Units

45838-0 Number of days antidepressant medication received [Minimum Data Set]

Observation ID in Form

O4c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Number of D antidepressant medication received
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

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

Example Units

UnitSource
dExample UCUM Units

45839-8 Number of days hypnotic medication received [Minimum Data Set]

Observation ID in Form

O4d

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Number of D hypnotic medication received
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

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

Example Units

UnitSource
dExample UCUM Units

45840-6 Number of days diuretic medication received [Minimum Data Set]

Observation ID in Form

O4e

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Number of D diuretic medication received
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

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

Example Units

UnitSource
dExample UCUM Units