Version 2.78

Status Information

Status
DEPRECATED

Reference Information

Type Source Reference
Original Form Centers for Medicare & Medicaid Services Original form upon which the LOINC panel is based. MDS quarterly assessment form - optional version for RUG-III

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
Indent45965-1 Resident Name
IndentIndent45394-4 Patient Last (Family) name
IndentIndent45392-8 Patient First (Given) name
IndentIndent45393-6 Middle initial
IndentIndent45395-1 Jr/Sr
Indent45403-3 Room number [Location]
Indent54593-9 Assessment reference date - observation end date during assessment period [CMS Assessment] {mm/dd/yyyy}
IndentIndent45453-8 Date of last day of MDS observation period [Minimum Data Set]
IndentIndent45454-6 Original or corrected copy of form # [Minimum Data Set]
Indent45455-3 Date of reentry to facility [Minimum Data Set]
Indent46106-1 Medical record no.
Indent45482-7 Deprecated Comatose [CMS Assessment]
Indent45988-3 Memory Set
IndentIndent45483-5 Short-term memory OK [Minimum Data Set]
IndentIndent45484-3 Long-term memory OK [Minimum Data Set]
Indent45989-1 Memory recall/ability Set
IndentIndent45485-0 Can recall current season [Minimum Data Set]
IndentIndent45486-8 Can recall location of own room [Minimum Data Set]
IndentIndent45487-6 Can recall staff names/faces [Minimum Data Set]
IndentIndent45488-4 Can recall that he or she is in nursing home [Minimum Data Set]
IndentIndent45489-2 Memory/recall - none of above are recalled [Minimum Data Set]
Indent45490-0 Cognitive skills for daily decision making [Minimum Data Set]
Indent45990-9 Indicators of delirium - periodic disorded thinking or awareness Set
IndentIndent45491-8 Easily distracted [Minimum Data Set]
IndentIndent45492-6 Periods of altered perception or awareness of surroundings [Minimum Data Set]
IndentIndent45493-4 Episodes of disorganized speech [Minimum Data Set]
IndentIndent45494-2 Periods of restlessness [Minimum Data Set]
IndentIndent45495-9 Periods of lethargy [Minimum Data Set]
IndentIndent45496-7 Mental function varies over the course of the day [Minimum Data Set]
Indent45510-5 Making self understood [Minimum Data Set]
Indent45405-8 Ability to understand others [Minimum Data Set]
Indent45997-4 Indicators of depression, anxiety, sad mood Set
IndentIndent45998-2 Verbal expressions of distress Set
IndentIndentIndent45516-2 Resident made negative statements [Minimum Data Set]
IndentIndentIndent45517-0 Repetitive questions [Minimum Data Set]
IndentIndentIndent45518-8 Repetitive verbalizations [Minimum Data Set]
IndentIndentIndent45519-6 Persistent anger with self or others [Minimum Data Set]
IndentIndentIndent45520-4 Self deprecation [Minimum Data Set]
IndentIndentIndent45521-2 Expression of what appear to be unrealistic fears [Minimum Data Set]
IndentIndentIndent45522-0 Recurrent statements that something terrible is about to happen [Minimum Data Set]
IndentIndentIndent45547-7 Repetitive health complaints [Minimum Data Set]
IndentIndentIndent45548-5 Repetitive anxious complaints or concerns [Minimum Data Set]
IndentIndent45999-0 Sleep-cycle issues Set
IndentIndentIndent45549-3 Unpleasant mood in morning [Minimum Data Set]
IndentIndentIndent45550-1 Insomnia/change in sleeping pattern [Minimum Data Set]
IndentIndent46000-6 Sad, apethetic, anxious appearance Set
IndentIndentIndent45551-9 Sad, pained, or worried facial expressions [Minimum Data Set]
IndentIndentIndent45552-7 Crying or tearfulness [Minimum Data Set]
IndentIndentIndent45553-5 Repetitive physical movements [Minimum Data Set]
IndentIndent46107-9 Loss of interest Set
IndentIndentIndent45554-3 Withdrawal from activities of interest [Minimum Data Set]
IndentIndentIndent45555-0 Reduced social interaction [Minimum Data Set]
Indent46107-9 Loss of interest Set
IndentIndent45554-3 Withdrawal from activities of interest [Minimum Data Set]
IndentIndent45555-0 Reduced social interaction [Minimum Data Set]
Indent45556-8 Mood persistence [Minimum Data Set]
Indent46001-4 Behavioral symptoms Set
IndentIndent45558-4 Frequency of wandering [Minimum Data Set]
IndentIndent45559-2 Alterability of wandering [Minimum Data Set]
IndentIndent45560-0 Frequency of verbally abusive behavioral symptoms [Minimum Data Set] {#}
IndentIndent45561-8 Alterability of verbally abusive behavioral symptoms [Minimum Data Set]
IndentIndent45562-6 Frequency of physically abusive behavioral symptoms [Minimum Data Set] {#}
IndentIndent45563-4 Alterability of physically abusive behavioral symptoms [Minimum Data Set]
IndentIndent45564-2 Frequency of socially inappropriate or disruptive behavioral symptoms [Minimum Data Set] {#}
IndentIndent45565-9 Alterability of socially inappropriate or disruptive behavioral symptoms [Minimum Data Set]
IndentIndent45566-7 Frequency of resists care [Minimum Data Set] {#}
IndentIndent45567-5 Alterability of resists care [Minimum Data Set]
Indent46007-1 ADL self performance or support Set
IndentIndent45588-1 Bed mobility - self-performance during assessment period [CMS Assessment]
IndentIndent45589-9 Bed mobility - support provided during assessment period [CMS Assessment]
IndentIndent45590-7 Transfer - self-performance during assessment period [CMS Assessment]
IndentIndent45591-5 Transfer - support provided during assessment period [CMS Assessment]
IndentIndent45592-3 Walk in room - self-performance during assessment period [CMS Assessment]
IndentIndent45593-1 Walk in room - support provided during assessment period [CMS Assessment]
IndentIndent45594-9 Walk in corridor - self-performance during assessment period [CMS Assessment]
IndentIndent45595-6 Walk in corridor - support provided during assessment period [CMS Assessment]
IndentIndent45596-4 Locomotion on unit - self-performance during assessment period [CMS Assessment]
IndentIndent45597-2 Locomotion on unit - support provided during assessment period [CMS Assessment]
IndentIndent45598-0 Locomotion off unit - self-performance during assessment period [CMS Assessment]
IndentIndent45599-8 Locomotion off unit - support provided during assessment period [CMS Assessment]
IndentIndent45600-4 Dressing - self-performance during assessment period [CMS Assessment]
IndentIndent45601-2 Dressing - support provided during assessment period [CMS Assessment]
IndentIndent45602-0 Eating - self-performance during assessment period [CMS Assessment]
IndentIndent45603-8 Eating - support provided during assessment period [CMS Assessment]
IndentIndent45604-6 Toilet use - self-performance during assessment period [CMS Assessment]
IndentIndent45605-3 Toilet use - support provided during assessment period [CMS Assessment]
IndentIndent45606-1 Personal hygiene - self-performance during assessment period [CMS Assessment]
IndentIndent45607-9 Personal hygiene - support provided during assessment period [CMS Assessment]
Indent46146-7 Bathing (quarterly)
IndentIndent45608-7 Bathing - self-performance during assessment period [CMS Assessment]
Indent46009-7 Test for balance Set
IndentIndent45610-3 Balance while standing [Minimum Data Set]
IndentIndent45523-8 Balance while sitting - position, trunk control [Minimum Data Set]
Indent46010-5 Functional limitation in range of motion Set
IndentIndent45524-6 Range of motion Neck [Minimum Data Set]
IndentIndent45525-3 Voluntary movement Neck [Minimum Data Set]
IndentIndent45526-1 Range of motion Upper extremity [Minimum Data Set]
IndentIndent45527-9 Voluntary movement Upper extremity [Minimum Data Set]
IndentIndent45528-7 Range of motion Hand [Minimum Data Set]
IndentIndent45529-5 Voluntary movement Hand [Minimum Data Set]
IndentIndent45530-3 Range of motion Lower extremity [Minimum Data Set]
IndentIndent45531-1 Voluntary movement Lower extremity [Minimum Data Set]
IndentIndent45532-9 Range of motion Foot [Minimum Data Set]
IndentIndent45533-7 Voluntary movement Foot [Minimum Data Set]
IndentIndent45534-5 Other limitation or loss - range of motion [Minimum Data Set]
IndentIndent45535-2 Other limitation or loss - voluntary movement [Minimum Data Set]
Indent45611-1 Task segmentation [Minimum Data Set]
Indent46145-9 Modes of transfer (quarterly) Set
IndentIndent45541-0 Bedfast all or most of the time [Minimum Data Set]
IndentIndent45542-8 Bed rails used for bed mobility or transfer [Minimum Data Set]
IndentIndent45546-9 No mode of transfer [Minimum Data Set]
Indent46015-4 Continence self-control categories Set
IndentIndent45619-4 Bladder continence [Minimum Data Set]
IndentIndent45618-6 Bowel continence [Minimum Data Set]
Indent46151-7 Bowel elimination pattern (quarterly RUG-III) Set
IndentIndent45622-8 Diarrhea [Minimum Data Set]
IndentIndent45623-6 Fecal impaction [Minimum Data Set]
IndentIndent45624-4 Bowel elimination pattern - none of above [Minimum Data Set]
Indent46143-4 Continence appliances and programs (quarterly) Set
IndentIndent45625-1 Any scheduled toileting plan [Minimum Data Set]
IndentIndent45626-9 Bladder retraining program [Minimum Data Set]
IndentIndent45627-7 External catheter [Minimum Data Set]
IndentIndent45628-5 Indwelling catheter [Minimum Data Set]
IndentIndent45633-5 Ostomy present [Minimum Data Set]
IndentIndent45634-3 Continence appliances and programs - none of above [Minimum Data Set]
Indent46150-9 Diseases (quarterly RUG-III) Set
IndentIndent45648-3 Hip fracture [Minimum Data Set]
IndentIndent45653-3 Aphasia [Minimum Data Set]
IndentIndent45654-1 Cerebral palsy [Minimum Data Set]
IndentIndent45655-8 Cerebrovascular accident [Minimum Data Set]
IndentIndent45657-4 Hemiplegia or hemiparesis [Minimum Data Set]
IndentIndent45658-2 Multiple sclerosis [Minimum Data Set]
IndentIndent45661-6 Quadriplegia [Minimum Data Set]
IndentIndent45666-5 Depression [Minimum Data Set]
IndentIndent45667-3 Manic depression [Minimum Data Set]
IndentIndent45679-8 None of the listed diseases or conditions [Minimum Data Set]
Indent46028-7 Infections Set
IndentIndent45680-6 Antibiotic resistant infection [Minimum Data Set]
IndentIndent45681-4 Infection with Clostridioides difficile [Minimum Data Set]
IndentIndent45682-2 Conjunctivitis [Minimum Data Set]
IndentIndent45683-0 HIV infection [Minimum Data Set]
IndentIndent45684-8 Pneumonia [Minimum Data Set]
IndentIndent45685-5 Respiratory infection [Minimum Data Set]
IndentIndent45686-3 Septicemia [Minimum Data Set]
IndentIndent45687-1 Sexually transmitted diseases [Minimum Data Set]
IndentIndent45688-9 Tuberculosis [Minimum Data Set]
IndentIndent45689-7 Urinary tract infection in last 30 days [Minimum Data Set]
IndentIndent45690-5 Viral hepatitis [Minimum Data Set]
IndentIndent45691-3 Wound infection [Minimum Data Set]
IndentIndent45692-1 Infections - none of above [Minimum Data Set]
Indent46141-8 Other current diagnoses and ICD9 codes (quarterly) Set
IndentIndent45693-9 Other current or more detailed diagnoses and ICD9 codes [Minimum Data Set]
IndentIndent45958-6 Other current or more detailed diagnoses and ICD9 codes # 2 [Minimum Data Set]
Indent46149-1 Problem conditions (quarterly RUG-III) Set
IndentIndent46031-1 Indicators of fluid status Set
IndentIndentIndent45694-7 Weight gain or loss of 3+ Lbs. within a 7 day period [Minimum Data Set]
IndentIndentIndent45695-4 Inability to lie flat due to shortness of breath [Minimum Data Set]
IndentIndentIndent45696-2 Dehydrated [Minimum Data Set]
IndentIndentIndent45697-0 Insufficient fluid; did NOT consume all or almost all liquids provided during last 3 days [Minimum Data Set]
IndentIndent45698-8 Delusions [Minimum Data Set]
IndentIndent45700-2 Edema [Minimum Data Set]
IndentIndent45701-0 Fever [Minimum Data Set]
IndentIndent45702-8 Hallucinations [Minimum Data Set]
IndentIndent45703-6 Internal bleeding [Minimum Data Set]
IndentIndent45704-4 Recurrent lung aspirations in last 90 days [Minimum Data Set]
IndentIndent45705-1 Shortness of breath [Minimum Data Set]
IndentIndent45707-7 Unsteady gait [Minimum Data Set]
IndentIndent45708-5 Vomiting [Minimum Data Set]
IndentIndent45709-3 Problem conditions - none of above [Minimum Data Set]
Indent46033-7 Pain symptoms Set
IndentIndent45710-1 Pain frequency [Minimum Data Set]
IndentIndent45711-9 Pain intensity [Minimum Data Set]
Indent46035-2 Accidents Set
IndentIndent45722-6 Fell in past 30 days [Minimum Data Set]
IndentIndent45723-4 Fell in past 31-180 days [Minimum Data Set]
IndentIndent45724-2 Hip fracture in last 180 days [Minimum Data Set]
IndentIndent45725-9 Other fracture in last 180 days [Minimum Data Set]
IndentIndent45726-7 Accidents - none of above [Minimum Data Set]
Indent46036-0 Stability of conditions Set
IndentIndent45727-5 Conditions/diseases make resident's cognitive, ADL, mood or behavior patterns unstable [Minimum Data Set]
IndentIndent45728-3 Resident experiencing an acute episode or a flare-up of a recurrent or chronic problem [Minimum Data Set]
IndentIndent45729-1 End-Stage disease, 6 or fewer months to live [Minimum Data Set]
IndentIndent45730-9 Stability of conditions - none of above [Minimum Data Set]
Indent46153-3 Oral problems (quarterly RUG-II) Set
IndentIndent45732-5 Swallowing problem [Minimum Data Set]
IndentIndent45731-7 Chewing problem [Minimum Data Set]
IndentIndent45734-1 Oral problems - none of above [Minimum Data Set]
Indent46039-4 Height and weight Set
IndentIndent3137-7 Body height Measured [in_us];cm;m
IndentIndent3141-9 Body weight Measured 0..1 [lb_av];kg
Indent46040-2 Weight change Set
IndentIndent45735-8 Weight loss [Minimum Data Set]
IndentIndent45736-6 Weight gain [Minimum Data Set]
Indent46148-3 Nutritional approaches (quarterly RUG-III) Set
IndentIndent45741-6 Parenteral IV [Minimum Data Set]
IndentIndent45742-4 Feeding tube [Minimum Data Set]
IndentIndent45748-1 On a planned weight change program [Minimum Data Set]
IndentIndent45749-9 Nutritional approaches - none of above [Minimum Data Set]
Indent46047-7 Ulcers Set
IndentIndent45776-2 Ulcers.stage 1 # [Minimum Data Set] {#}
IndentIndent45777-0 Ulcers.stage 2 # [Minimum Data Set] {#}
IndentIndent45778-8 Ulcers.stage 3 # [Minimum Data Set] {#}
IndentIndent45779-6 Ulcers.stage 4 # [Minimum Data Set] {#}
Indent46048-5 Type of ulcer Set
IndentIndent45780-4 Pressure injury stage [Minimum Data Set]
IndentIndent45781-2 Stasis ulcer stage [Minimum Data Set]
Indent46049-3 Other skin problems or lesions present Set
IndentIndent45783-8 Abrasions or bruises [Minimum Data Set]
IndentIndent45784-6 Second or third degree burns [Minimum Data Set]
IndentIndent45785-3 Open lesions other than ulcers, rashes, cuts [Minimum Data Set]
IndentIndent45786-1 Rashes [Minimum Data Set]
IndentIndent45787-9 Skin desensitized to pain or pressure [Minimum Data Set]
IndentIndent45788-7 Skin tears or cuts (other than surgery) [Minimum Data Set]
IndentIndent45789-5 Surgical wounds [Minimum Data Set]
IndentIndent45790-3 Other skin problems - none of above [Minimum Data Set]
Indent46050-1 Skin treatments Set
IndentIndent45791-1 Pressure relieving devices for chair [Minimum Data Set]
IndentIndent45792-9 Pressure relieving devices for bed [Minimum Data Set]
IndentIndent45793-7 Turning or repositioning program [Minimum Data Set]
IndentIndent45794-5 Nutrition or hydration intervention to manage skin problems [Minimum Data Set]
IndentIndent45795-2 Ulcer care [Minimum Data Set]
IndentIndent45796-0 Surgical wound care [Minimum Data Set]
IndentIndent45797-8 Application of dressings (with or without topical medications) other than to feet [Minimum Data Set]
IndentIndent45798-6 Application of ointments or medications other than to feet [Minimum Data Set]
IndentIndent45799-4 Other preventative or protective skin care other than to feet [Minimum Data Set]
IndentIndent45800-0 Skin treatments - none of above [Minimum Data Set]
Indent46051-9 Foot problems and care Set
IndentIndent45801-8 One or more foot problems [Minimum Data Set]
IndentIndent45802-6 Infection of foot [Minimum Data Set]
IndentIndent45803-4 Open lesions on the foot [Minimum Data Set]
IndentIndent45804-2 Nails/calluses trimmed during last 90 days [Minimum Data Set]
IndentIndent45805-9 Received preventative or protective foot care [Minimum Data Set]
IndentIndent45806-7 Application of dressings (foot) - with or without topical medications [Minimum Data Set]
IndentIndent45807-5 Foot problems and care - none of above [Minimum Data Set]
Indent46053-5 Time awake Set
IndentIndent45808-3 Awake in morning [Minimum Data Set]
IndentIndent45809-1 Awake in afternoon [Minimum Data Set]
IndentIndent45810-9 Awake in evening [Minimum Data Set]
IndentIndent45811-7 Time awake - none of above [Minimum Data Set]
Indent45812-5 Average time involved in activities [Minimum Data Set]
Indent45833-1 Number of medications [Minimum Data Set] {#}
Indent46058-4 Days received the following medication Set
IndentIndent45836-4 Number of days antipsychotic medication received [Minimum Data Set] d
IndentIndent45837-2 Number of days antianxiety medication received [Minimum Data Set] d
IndentIndent45838-0 Number of days antidepressant medication received [Minimum Data Set] d
IndentIndent45839-8 Number of days hypnotic medication received [Minimum Data Set] d
IndentIndent45840-6 Number of days diuretic medication received [Minimum Data Set] d
Indent46060-0 Special treatments, procedures and programs Set
IndentIndent46061-8 Special care Set
IndentIndentIndent46062-6 Treatments Set
IndentIndentIndentIndent45841-4 Chemotherapy [Minimum Data Set]
IndentIndentIndentIndent45842-2 Dialysis [Minimum Data Set]
IndentIndentIndentIndent45843-0 IV medication [Minimum Data Set]
IndentIndentIndentIndent45844-8 Intake/output [Minimum Data Set]
IndentIndentIndentIndent45845-5 Monitoring of acute medical condition [Minimum Data Set]
IndentIndentIndentIndent45846-3 Ostomy care [Minimum Data Set]
IndentIndentIndentIndent45847-1 Oxygen therapy [Minimum Data Set]
IndentIndentIndentIndent45848-9 Radiation [Minimum Data Set]
IndentIndentIndentIndent45849-7 Suctioning [Minimum Data Set]
IndentIndentIndentIndent45850-5 Tracheostomy care [Minimum Data Set]
IndentIndentIndentIndent45851-3 Transfusions [Minimum Data Set]
IndentIndentIndentIndent45752-3 Ventilator or respirator [Minimum Data Set]
IndentIndentIndent46063-4 Programs Set
IndentIndentIndentIndent45753-1 Alcohol or drug treatment program
IndentIndentIndentIndent45754-9 Alzheimer's or dementia special care unit [Minimum Data Set]
IndentIndentIndentIndent45755-6 Hospice care [Minimum Data Set]
IndentIndentIndentIndent45756-4 Pediatric unit [Minimum Data Set]
IndentIndentIndentIndent45757-2 Respite care [Minimum Data Set]
IndentIndentIndentIndent45758-0 Training in skills required to return to the community [Minimum Data Set]
IndentIndentIndentIndent45759-8 Special treatments/programs - none of above [Minimum Data Set]
IndentIndent46064-2 Therapies Set
IndentIndentIndent45760-6 Number of days with at least 15 minutes of speech language pathology and audiology services in the last 7 days [CMS Assessment] d/(7.d)
IndentIndentIndent45761-4 Total minutes of speech language pathology and audiology services in the last 7 days [Minimum Data Set] min
IndentIndentIndent45762-2 Number of days with at least 15 minutes of occupational therapy in the last 7 days [CMS Assessment] d/(7.d)
IndentIndentIndent45763-0 Total minutes of occupational therapy in the last 7 days [Minimum Data Set] min
IndentIndentIndent45764-8 Number of days with at least 15 minutes of physical therapy in the last 7 days [CMS Assessment] d/(7.d)
IndentIndentIndent45765-5 Total minutes of physical therapy in the last 7 days [Minimum Data Set] min
IndentIndentIndent45766-3 Number of days with at least 15 minutes of respiratory therapy in the last 7 days [CMS Assessment] d/(7.d)
IndentIndentIndent45767-1 Total minutes of respiratory therapy in the last 7 days [CMS Assessment] min
IndentIndentIndent45768-9 Number of days with at least 15 minutes of psychological therapy by any licensed mental health professional in the last 7 days [CMS Assessment] d/(7.d)
IndentIndentIndent45852-1 Total minutes of psychological therapy by any licensed mental health professional in the last 7 days [CMS Assessment] min
Indent46067-5 Devices and restraints Set
IndentIndent45870-3 Bed rails - full bed rails on all open sides of bed [Minimum Data Set]
IndentIndent45871-1 Bed rails - other types of side rails used [Minimum Data Set]
IndentIndent45872-9 Trunk restraint [Minimum Data Set]
IndentIndent45873-7 Limb restraint [Minimum Data Set]
IndentIndent45874-5 Chair prevents rising [Minimum Data Set]
Indent45877-8 Number of physician visits in last 14 days [Minimum Data Set] {#}/(14.d)
Indent45878-6 Number of days physician orders changed in last 14 days [Minimum Data Set] d/(14.d)
Indent45883-6 Overall change in care needs [Minimum Data Set]

Fully-Specified Name

Component
MDS quarterly assessment form - version 2.0 - optional version for RUG-III
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.73
Change Reason
Release 2.73: Status: LOINC will keep most current version and one prior version of CMS assessments active and discourage all older versions.;
Order vs. Observation
Order
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=46103-8
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/46103-8