Status Information

Status
DEPRECATED

Reference Information

TypeSourceReference
Original FormCenters for Medicare & Medicaid ServicesOriginal 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

LOINCNameR/O/CCardinalityExample UCUM Units
46103-8Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
Indent45965-1Resident Name
IndentIndent45394-4Patient Last (Family) name
IndentIndent45392-8Patient First (Given) name
IndentIndent45393-6Middle initial
IndentIndent45395-1Jr/Sr
Indent45403-3Room number [Location]
Indent54593-9Assessment reference date - observation end date{mm/dd/yyyy}
IndentIndent45453-8Date of last day of MDS observation period [Minimum Data Set]
IndentIndent45454-6Original or corrected copy of form # [Minimum Data Set]
Indent45455-3Date of reentry to facility [Minimum Data Set]
Indent46106-1Medical record no.
Indent45482-7Deprecated Comatose [CMS Assessment]
Indent45988-3Memory Set
IndentIndent45483-5Short-term memory OK [Minimum Data Set]
IndentIndent45484-3Long-term memory OK [Minimum Data Set]
Indent45989-1Memory recall/ability Set
IndentIndent45485-0Can recall current season [Minimum Data Set]
IndentIndent45486-8Can recall location of own room [Minimum Data Set]
IndentIndent45487-6Can recall staff names/faces [Minimum Data Set]
IndentIndent45488-4Can recall that he or she is in nursing home [Minimum Data Set]
IndentIndent45489-2Memory/recall - none of above are recalled [Minimum Data Set]
Indent45490-0Cognitive skills for daily decision making [Minimum Data Set]
Indent45990-9Indicators of delirium - periodic disorded thinking or awareness Set
IndentIndent45491-8Easily distracted [Minimum Data Set]
IndentIndent45492-6Periods of altered perception or awareness of surroundings [Minimum Data Set]
IndentIndent45493-4Episodes of disorganized speech [Minimum Data Set]
IndentIndent45494-2Periods of restlessness [Minimum Data Set]
IndentIndent45495-9Periods of lethargy [Minimum Data Set]
IndentIndent45496-7Mental function varies over the course of the day [Minimum Data Set]
Indent45510-5Making self understood [Minimum Data Set]
Indent45405-8Ability to understand others [Minimum Data Set]
Indent45997-4Indicators of depression, anxiety, sad mood Set
IndentIndent45998-2Verbal expressions of distress Set
IndentIndentIndent45516-2Resident made negative statements [Minimum Data Set]
IndentIndentIndent45517-0Repetitive questions [Minimum Data Set]
IndentIndentIndent45518-8Repetitive verbalizations [Minimum Data Set]
IndentIndentIndent45519-6Persistent anger with self or others [Minimum Data Set]
IndentIndentIndent45520-4Self deprecation [Minimum Data Set]
IndentIndentIndent45521-2Expression of what appear to be unrealistic fears [Minimum Data Set]
IndentIndentIndent45522-0Recurrent statements that something terrible is about to happen [Minimum Data Set]
IndentIndentIndent45547-7Repetitive health complaints [Minimum Data Set]
IndentIndentIndent45548-5Repetitive anxious complaints or concerns [Minimum Data Set]
IndentIndent45999-0Sleep-cycle issues Set
IndentIndentIndent45549-3Unpleasant mood in morning [Minimum Data Set]
IndentIndentIndent45550-1Insomnia/change in sleeping pattern [Minimum Data Set]
IndentIndent46000-6Sad, apethetic, anxious appearance Set
IndentIndentIndent45551-9Sad, pained, or worried facial expressions [Minimum Data Set]
IndentIndentIndent45552-7Crying or tearfulness [Minimum Data Set]
IndentIndentIndent45553-5Repetitive physical movements [Minimum Data Set]
IndentIndent46107-9Loss of interest Set
IndentIndentIndent45554-3Withdrawal from activities of interest [Minimum Data Set]
IndentIndentIndent45555-0Reduced social interaction [Minimum Data Set]
Indent46107-9Loss of interest Set
IndentIndent45554-3Withdrawal from activities of interest [Minimum Data Set]
IndentIndent45555-0Reduced social interaction [Minimum Data Set]
Indent45556-8Mood persistence [Minimum Data Set]
Indent46001-4Behavioral symptoms Set
IndentIndent45558-4Frequency of wandering [Minimum Data Set]
IndentIndent45559-2Alterability of wandering [Minimum Data Set]
IndentIndent45560-0Frequency of verbally abusive behavioral symptoms [Minimum Data Set]{#}
IndentIndent45561-8Alterability of verbally abusive behavioral symptoms [Minimum Data Set]
IndentIndent45562-6Frequency of physically abusive behavioral symptoms [Minimum Data Set]{#}
IndentIndent45563-4Alterability of physically abusive behavioral symptoms [Minimum Data Set]
IndentIndent45564-2Frequency of socially inappropriate or disruptive behavioral symptoms [Minimum Data Set]{#}
IndentIndent45565-9Alterability of socially inappropriate or disruptive behavioral symptoms [Minimum Data Set]
IndentIndent45566-7Frequency of resists care [Minimum Data Set]{#}
IndentIndent45567-5Alterability of resists care [Minimum Data Set]
Indent46007-1ADL self performance or support Set
IndentIndent45588-1Bed mobility - self-performance during assessment period
IndentIndent45589-9Bed mobility - support provided during assessment period
IndentIndent45590-7Transfer - self-performance during assessment period
IndentIndent45591-5Transfer - support provided during assessment period
IndentIndent45592-3Walk in room - self-performance during assessment period
IndentIndent45593-1Walk in room - support provided during assessment period
IndentIndent45594-9Walk in corridor - self-performance during assessment period
IndentIndent45595-6Walk in corridor - support provided during assessment period
IndentIndent45596-4Locomotion on unit - self-performance during assessment period
IndentIndent45597-2Locomotion on unit - support provided during assessment period
IndentIndent45598-0Locomotion off unit - self-performance during assessment period
IndentIndent45599-8Locomotion off unit - support provided during assessment period
IndentIndent45600-4Dressing - self-performance during assessment period
IndentIndent45601-2Dressing - support provided during assessment period
IndentIndent45602-0Eating - self-performance during assessment period
IndentIndent45603-8Eating - support provided during assessment period
IndentIndent45604-6Toilet use - self-performance during assessment period
IndentIndent45605-3Toilet use - support provided during assessment period
IndentIndent45606-1Personal hygiene - self-performance during assessment period
IndentIndent45607-9Personal hygiene - support provided during assessment period
Indent46146-7Bathing (quarterly)
IndentIndent45608-7Bathing - self-performance during assessment period
Indent46009-7Test for balance Set
IndentIndent45610-3Balance while standing [Minimum Data Set]
IndentIndent45523-8Balance while sitting - position, trunk control [Minimum Data Set]
Indent46010-5Functional limitation in range of motion Set
IndentIndent45524-6Range of motion Neck [Minimum Data Set]
IndentIndent45525-3Voluntary movement Neck [Minimum Data Set]
IndentIndent45526-1Range of motion Upper extremity [Minimum Data Set]
IndentIndent45527-9Voluntary movement Upper extremity [Minimum Data Set]
IndentIndent45528-7Range of motion Hand [Minimum Data Set]
IndentIndent45529-5Voluntary movement Hand [Minimum Data Set]
IndentIndent45530-3Range of motion Lower extremity [Minimum Data Set]
IndentIndent45531-1Voluntary movement Lower extremity [Minimum Data Set]
IndentIndent45532-9Range of motion Foot [Minimum Data Set]
IndentIndent45533-7Voluntary movement Foot [Minimum Data Set]
IndentIndent45534-5Other limitation or loss - range of motion [Minimum Data Set]
IndentIndent45535-2Other limitation or loss - voluntary movement [Minimum Data Set]
Indent45611-1Task segmentation [Minimum Data Set]
Indent46145-9Modes of transfer (quarterly) Set
IndentIndent45541-0Bedfast all or most of the time [Minimum Data Set]
IndentIndent45542-8Bed rails used for bed mobility or transfer [Minimum Data Set]
IndentIndent45546-9No mode of transfer [Minimum Data Set]
Indent46015-4Continence self-control categories Set
IndentIndent45619-4Bladder continence [Minimum Data Set]
IndentIndent45618-6Bowel continence [Minimum Data Set]
Indent46151-7Bowel elimination pattern (quarterly RUG-III) Set
IndentIndent45622-8Diarrhea [Minimum Data Set]
IndentIndent45623-6Fecal impaction [Minimum Data Set]
IndentIndent45624-4Bowel elimination pattern - none of above [Minimum Data Set]
Indent46143-4Continence appliances and programs (quarterly) Set
IndentIndent45625-1Any scheduled toileting plan [Minimum Data Set]
IndentIndent45626-9Bladder retraining program [Minimum Data Set]
IndentIndent45627-7External catheter [Minimum Data Set]
IndentIndent45628-5Indwelling catheter [Minimum Data Set]
IndentIndent45633-5Ostomy present [Minimum Data Set]
IndentIndent45634-3Continence appliances and programs - none of above [Minimum Data Set]
Indent46150-9Diseases (quarterly RUG-III) Set
IndentIndent45648-3Hip fracture [Minimum Data Set]
IndentIndent45653-3Aphasia [Minimum Data Set]
IndentIndent45654-1Cerebral palsy [Minimum Data Set]
IndentIndent45655-8Cerebrovascular accident [Minimum Data Set]
IndentIndent45657-4Hemiplegia or hemiparesis [Minimum Data Set]
IndentIndent45658-2Multiple sclerosis [Minimum Data Set]
IndentIndent45661-6Quadriplegia [Minimum Data Set]
IndentIndent45666-5Depression [Minimum Data Set]
IndentIndent45667-3Manic depression [Minimum Data Set]
IndentIndent45679-8None of the listed diseases or conditions [Minimum Data Set]
Indent46028-7Infections Set
IndentIndent45680-6Antibiotic resistant infection [Minimum Data Set]
IndentIndent45681-4Infection with Clostridioides difficile [Minimum Data Set]
IndentIndent45682-2Conjunctivitis [Minimum Data Set]
IndentIndent45683-0HIV infection [Minimum Data Set]
IndentIndent45684-8Pneumonia [Minimum Data Set]
IndentIndent45685-5Respiratory infection [Minimum Data Set]
IndentIndent45686-3Septicemia [Minimum Data Set]
IndentIndent45687-1Sexually transmitted diseases [Minimum Data Set]
IndentIndent45688-9Tuberculosis [Minimum Data Set]
IndentIndent45689-7Urinary tract infection in last 30 days [Minimum Data Set]
IndentIndent45690-5Viral hepatitis [Minimum Data Set]
IndentIndent45691-3Wound infection [Minimum Data Set]
IndentIndent45692-1Infections - none of above [Minimum Data Set]
Indent46141-8Other current diagnoses and ICD9 codes (quarterly) Set
IndentIndent45693-9Other current or more detailed diagnoses and ICD9 codes [Minimum Data Set]
IndentIndent45958-6Other current or more detailed diagnoses and ICD9 codes # 2 [Minimum Data Set]
Indent46149-1Problem conditions (quarterly RUG-III) Set
IndentIndent46031-1Indicators of fluid status Set
IndentIndentIndent45694-7Weight gain or loss of 3+ Lbs. within a 7 day period [Minimum Data Set]
IndentIndentIndent45695-4Inability to lie flat due to shortness of breath [Minimum Data Set]
IndentIndentIndent45696-2Dehydrated [Minimum Data Set]
IndentIndentIndent45697-0Insufficient fluid; did NOT consume all or almost all liquids provided during last 3 days [Minimum Data Set]
IndentIndent45698-8Delusions [Minimum Data Set]
IndentIndent45700-2Edema [Minimum Data Set]
IndentIndent45701-0Fever [Minimum Data Set]
IndentIndent45702-8Hallucinations [Minimum Data Set]
IndentIndent45703-6Internal bleeding [Minimum Data Set]
IndentIndent45704-4Recurrent lung aspirations in last 90 days [Minimum Data Set]
IndentIndent45705-1Shortness of breath [Minimum Data Set]
IndentIndent45707-7Unsteady gait [Minimum Data Set]
IndentIndent45708-5Vomiting [Minimum Data Set]
IndentIndent45709-3Problem conditions - none of above [Minimum Data Set]
Indent46033-7Pain symptoms Set
IndentIndent45710-1Pain frequency [Minimum Data Set]
IndentIndent45711-9Pain intensity [Minimum Data Set]
Indent46035-2Accidents Set
IndentIndent45722-6Fell in past 30 days [Minimum Data Set]
IndentIndent45723-4Fell in past 31-180 days [Minimum Data Set]
IndentIndent45724-2Hip fracture in last 180 days [Minimum Data Set]
IndentIndent45725-9Other fracture in last 180 days [Minimum Data Set]
IndentIndent45726-7Accidents - none of above [Minimum Data Set]
Indent46036-0Stability of conditions Set
IndentIndent45727-5Conditions/diseases make resident's cognitive, ADL, mood or behavior patterns unstable [Minimum Data Set]
IndentIndent45728-3Resident experiencing an acute episode or a flare-up of a recurrent or chronic problem [Minimum Data Set]
IndentIndent45729-1End-Stage disease, 6 or fewer months to live [Minimum Data Set]
IndentIndent45730-9Stability of conditions - none of above [Minimum Data Set]
Indent46153-3Oral problems (quarterly RUG-II) Set
IndentIndent45732-5Swallowing problem [Minimum Data Set]
IndentIndent45731-7Chewing problem [Minimum Data Set]
IndentIndent45734-1Oral problems - none of above [Minimum Data Set]
Indent46039-4Height and weight Set
IndentIndent3137-7Body height Measured[in_us];cm;m
IndentIndent3141-9Body weight Measured0..1[lb_av];kg
Indent46040-2Weight change Set
IndentIndent45735-8Weight loss [Minimum Data Set]
IndentIndent45736-6Weight gain [Minimum Data Set]
Indent46148-3Nutritional approaches (quarterly RUG-III) Set
IndentIndent45741-6Parenteral IV [Minimum Data Set]
IndentIndent45742-4Feeding tube [Minimum Data Set]
IndentIndent45748-1On a planned weight change program [Minimum Data Set]
IndentIndent45749-9Nutritional approaches - none of above [Minimum Data Set]
Indent46047-7Ulcers Set
IndentIndent45776-2Ulcers.stage 1 # [Minimum Data Set]{#}
IndentIndent45777-0Ulcers.stage 2 # [Minimum Data Set]{#}
IndentIndent45778-8Ulcers.stage 3 # [Minimum Data Set]{#}
IndentIndent45779-6Ulcers.stage 4 # [Minimum Data Set]{#}
Indent46048-5Type of ulcer Set
IndentIndent45780-4Pressure injury stage [Minimum Data Set]
IndentIndent45781-2Stasis ulcer stage [Minimum Data Set]
Indent46049-3Other skin problems or lesions present Set
IndentIndent45783-8Abrasions or bruises [Minimum Data Set]
IndentIndent45784-6Second or third degree burns [Minimum Data Set]
IndentIndent45785-3Open lesions other than ulcers, rashes, cuts [Minimum Data Set]
IndentIndent45786-1Rashes [Minimum Data Set]
IndentIndent45787-9Skin desensitized to pain or pressure [Minimum Data Set]
IndentIndent45788-7Skin tears or cuts (other than surgery) [Minimum Data Set]
IndentIndent45789-5Surgical wounds [Minimum Data Set]
IndentIndent45790-3Other skin problems - none of above [Minimum Data Set]
Indent46050-1Skin treatments Set
IndentIndent45791-1Pressure relieving devices for chair [Minimum Data Set]
IndentIndent45792-9Pressure relieving devices for bed [Minimum Data Set]
IndentIndent45793-7Turning or repositioning program [Minimum Data Set]
IndentIndent45794-5Nutrition or hydration intervention to manage skin problems [Minimum Data Set]
IndentIndent45795-2Ulcer care [Minimum Data Set]
IndentIndent45796-0Surgical wound care [Minimum Data Set]
IndentIndent45797-8Application of dressings (with or without topical medications) other than to feet [Minimum Data Set]
IndentIndent45798-6Application of ointments or medications other than to feet [Minimum Data Set]
IndentIndent45799-4Other preventative or protective skin care other than to feet [Minimum Data Set]
IndentIndent45800-0Skin treatments - none of above [Minimum Data Set]
Indent46051-9Foot problems and care Set
IndentIndent45801-8One or more foot problems [Minimum Data Set]
IndentIndent45802-6Infection of foot [Minimum Data Set]
IndentIndent45803-4Open lesions on the foot [Minimum Data Set]
IndentIndent45804-2Nails/calluses trimmed during last 90 days [Minimum Data Set]
IndentIndent45805-9Received preventative or protective foot care [Minimum Data Set]
IndentIndent45806-7Application of dressings (foot) - with or without topical medications [Minimum Data Set]
IndentIndent45807-5Foot problems and care - none of above [Minimum Data Set]
Indent46053-5Time awake Set
IndentIndent45808-3Awake in morning [Minimum Data Set]
IndentIndent45809-1Awake in afternoon [Minimum Data Set]
IndentIndent45810-9Awake in evening [Minimum Data Set]
IndentIndent45811-7Time awake - none of above [Minimum Data Set]
Indent45812-5Average time involved in activities [Minimum Data Set]
Indent45833-1Number of medications [Minimum Data Set]{#}
Indent46058-4Days received the following medication Set
IndentIndent45836-4Number of days antipsychotic medication received [Minimum Data Set]d
IndentIndent45837-2Number of days antianxiety medication received [Minimum Data Set]d
IndentIndent45838-0Number of days antidepressant medication received [Minimum Data Set]d
IndentIndent45839-8Number of days hypnotic medication received [Minimum Data Set]d
IndentIndent45840-6Number of days diuretic medication received [Minimum Data Set]d
Indent46060-0Special treatments, procedures and programs Set
IndentIndent46061-8Special care Set
IndentIndentIndent46062-6Treatments Set
IndentIndentIndentIndent45841-4Chemotherapy [Minimum Data Set]
IndentIndentIndentIndent45842-2Dialysis [Minimum Data Set]
IndentIndentIndentIndent45843-0IV medication [Minimum Data Set]
IndentIndentIndentIndent45844-8Intake/output [Minimum Data Set]
IndentIndentIndentIndent45845-5Monitoring of acute medical condition [Minimum Data Set]
IndentIndentIndentIndent45846-3Ostomy care [Minimum Data Set]
IndentIndentIndentIndent45847-1Oxygen therapy [Minimum Data Set]
IndentIndentIndentIndent45848-9Radiation [Minimum Data Set]
IndentIndentIndentIndent45849-7Suctioning [Minimum Data Set]
IndentIndentIndentIndent45850-5Tracheostomy care [Minimum Data Set]
IndentIndentIndentIndent45851-3Transfusions [Minimum Data Set]
IndentIndentIndentIndent45752-3Ventilator or respirator [Minimum Data Set]
IndentIndentIndent46063-4Programs Set
IndentIndentIndentIndent45753-1Alcohol or drug treatment program
IndentIndentIndentIndent45754-9Alzheimer's or dementia special care unit [Minimum Data Set]
IndentIndentIndentIndent45755-6Hospice care [Minimum Data Set]
IndentIndentIndentIndent45756-4Pediatric unit [Minimum Data Set]
IndentIndentIndentIndent45757-2Respite care [Minimum Data Set]
IndentIndentIndentIndent45758-0Training in skills required to return to the community [Minimum Data Set]
IndentIndentIndentIndent45759-8Special treatments/programs - none of above [Minimum Data Set]
IndentIndent46064-2Therapies Set
IndentIndentIndent45760-6Number of D with at least 15M of speech language pathology and audiology services in the last 7Dd/(7.d)
IndentIndentIndent45761-4Total minutes of speech language pathology and audiology services in the last 7 days [Minimum Data Set]min
IndentIndentIndent45762-2Number of D with at least 15M of occupational therapy in the last 7Dd/(7.d)
IndentIndentIndent45763-0Total minutes of occupational therapy in the last 7 days [Minimum Data Set]min
IndentIndentIndent45764-8Number of D with at least 15M of physical therapy in the last 7Dd/(7.d)
IndentIndentIndent45765-5Total minutes of physical therapy in the last 7 days [Minimum Data Set]min
IndentIndentIndent45766-3Number of D with at least 15M of respiratory therapy in the last 7Dd/(7.d)
IndentIndentIndent45767-1Total minutes of respiratory therapy in the last 7Dmin
IndentIndentIndent45768-9Number of D with at least 15M of psychological therapy by any licensed mental health professional in the last 7Dd/(7.d)
IndentIndentIndent45852-1Total minutes of psychological therapy by any licensed mental health professional in the last 7Dmin
Indent46067-5Devices and restraints Set
IndentIndent45870-3Bed rails - full bed rails on all open sides of bed [Minimum Data Set]
IndentIndent45871-1Bed rails - other types of side rails used [Minimum Data Set]
IndentIndent45872-9Trunk restraint [Minimum Data Set]
IndentIndent45873-7Limb restraint [Minimum Data Set]
IndentIndent45874-5Chair prevents rising [Minimum Data Set]
Indent45877-8Number of physician visits in last 14 days [Minimum Data Set]{#}/(14.d)
Indent45878-6Number of days physician orders changed in last 14 days [Minimum Data Set]d/(14.d)
Indent45883-6Overall change in care needs [Minimum Data Set]

LOINC Names Get Info

Fully-Specified Name
MDS quarterly assessment form - version 2.0 - optional version for RUG-III:-:Pt:^Patient:-:
Long Common Name
Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III

Part Model Get Info

  • Component
    MDS quarterly assessment form - version 2.0 - optional version for RUG-III
    LP75087-4
    • Analyte
      MDS quarterly assessment form - version 2.0 - optional version for RUG-III
      LP75087-4
      • Component Numerator
        MDS quarterly assessment form - version 2.0 - optional version for RUG-III
        LP75087-4
        • Component Numerator Core
          MDS quarterly assessment form - version 2.0 - optional version for RUG-III
          LP75087-4
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    Pt
    LP6960-1
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    -
    LP7747-1
  • Method
    NULL
     

Basic Attributes

Class
PANEL.SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.73 (DEL)
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