Version 2.80

46073-3 Special treatments and procedures Set

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Special treatments and procedures
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

46074-1 Recreational therapy Set

Term Description

Enter number of days and total minutes of recreation therapy administered (for at least 15 minutes a day) in the last 7 days (Enter 0 if none)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Recreational therapy
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

45886-9 Number of days recreation therapy administered for greater than 15 minutes [Minimum Data Set]

Observation ID in Form

T1aA

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Number of D recreation therapy administered for greater than 15M
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 2.66 (MIN)

Member of these Panels

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

Example Units

Unit Source
d Example UCUM Units

45887-7 Total recreation therapy in last 7 days [Minimum Data Set]

Observation ID in Form

T1aB

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Total recreation therapy in last 7D
Property
Time
Time
7D
System
^Patient
Scale
Qn
Method
MDS

Basic Attributes

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

Member of these Panels

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

Example Units

Unit Source
min Example UCUM Units

46101-2 Ordered therapies Set

Term Description

Has physician ordered any of following therapies to begin in FIRST 14 days of stay-physical therapy, occupational therapy, or speech pathology service?

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Skip unless this is a Medicare 5 day or Medicare readmission/return assessment. If not ordered, skip to item 2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Ordered therapies
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

45888-5 Therapy orders to begin in 1st 14 days of stay [Minimum Data Set]

Observation ID in Form

T1b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value must not be blank if AA8b = 1 or 5 (Medicare 5-day or readmission
assessment.
*2. If value is 0 (zero), then T1c and T1d must be blank.
*3. If value is 1, then T1c and T1d cannot be blank.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Therapy orders to begin in 1st 14D of stay
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

45889-3 Through day 15, provide an estimate of the number of days when at least 1 therapy service can be expected to have been delivered [Minimum Data Set]

Observation ID in Form

T1c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See T1b consistency notes #2 and #3.
*2. See T1d consistency notes #2 and #3.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Through D 15, provide an estimate of the number of D when at least 1 therapy service can be expected to have been delivered
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

Example Units

Unit Source
d Example UCUM Units

45890-1 Through day 15, provide an estimate of the number of therapy minutes (across the therapies) that can be expected to be delivered [Minimum Data Set]

Observation ID in Form

T1d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See T1b consistency notes #2 and #3.
*2. If T1c is 00 (zero), then T1d must be 0000 (zero).
*3. If T1c is greater than zero, then T1d must be greater than zero.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Through day 15, provide an estimate of the number of therapy minutes (across the therapies) that can be expected to be delivered
Property
Time
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

Example Units

Unit Source
min Example UCUM Units

46075-8 Walking when most self sufficient Set

Term Description

Complete item 2 if ADL self-performance score for TRANSFER (G.1.b.A) is 0,1,2, or 3 AND at least one of the following are present:
* Resident received physical therapy involving gait training (P.1.b.c)
* Physical therapy was ordered for the resident involving gait training (T.1.b)
* Resident received nursing rehabilitation for walking (P.3.f)
* Physical therapy involving walking has been discontinued within the past 180 days

Skip to item 3 if resident did not walk in last 7 days

(FOR FOLLOWING FIVE ITEMS,BASE CODING ONTHE EPISODE WHENTHE RESIDENT WALKEDTHE FARTHEST WITHOUT SITTING DOWN. INCLUDEWALKING DURING REHABILITATION SESSIONS.)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Walking when most self sufficient
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

45891-9 Furthest distance walked without sitting down during this episode [Minimum Data Set]

Observation ID in Form

T2a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Furthest distance walked without sitting down during this episode
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 LL44-9

Answer Code Score Answer ID
150+ feet 0 LA167-9
51-149 feet 1 LA168-7
26-50 feet 2 LA169-5
10-25 feet 3 LA170-3
less than 10 feet 4 LA171-1

Member of these Panels

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

45892-7 Time walked without sitting down during this episode [Minimum Data Set]

Observation ID in Form

T2b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Time walked without sitting down during this episode
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 LL45-6

Answer Code Score Answer ID
1-2 minutes 0 LA172-9
3-4 minutes 1 LA173-7
5-10 minutes 2 LA174-5
11-15 minutes 3 LA175-2
16-30 minutes 4 LA176-0
31+ minutes 5 LA177-8

Member of these Panels

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

45893-5 Self-Performance in walking during this episode [Minimum Data Set]

Observation ID in Form

T2c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Self-Performance in walking during this episode
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 LL46-4

Answer Code Score Answer ID
INDEPENDENT--No help or oversight 0 LA178-6
SUPERVISION--Oversight, encouragement or cueing provided 1 LA179-4
LIMITED ASSISTANCE--Resident highly involved in walking; received physical help in guided maneuvering of limbs or other nonweight bearing assistance 2 LA180-2
EXTENSIVE ASSISTANCE--Resident received weight bearing assistance while walking 3 LA181-0

Member of these Panels

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

45894-3 Walking support provided [Minimum Data Set]

Observation ID in Form

T2d

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Walking support provided
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 LL47-2

Answer Code Score Answer ID
No setup or physical help from staff 0 LA105-9
Setup help only 1 LA106-7
One person physical assist 2 LA107-5
Two+ persons physical assist 3 LA108-3

Member of these Panels

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

45895-0 Parallel bars used by resident in association with this episode [Minimum Data Set]

Observation ID in Form

T2e

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Parallel bars used by resident in association with this episode
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