Version 2.78

46031-1 Indicators of fluid status Set

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Indicators of fluid status
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
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
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

45694-7 Weight gain or loss of 3+ Lbs. within a 7 day period [Minimum Data Set]

Observation ID in Form

J1a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Weight gain or loss of 3+ Lbs. within a 7D period
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.61
Change Reason
Corrected typo from "7 period" to "7D period" and updated the Timing to match

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
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

45695-4 Inability to lie flat due to shortness of breath [Minimum Data Set]

Observation ID in Form

J1b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Inability to lie flat due to shortness of breath
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

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
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

45696-2 Dehydrated [Minimum Data Set]

Observation ID in Form

J1c

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Dehydrated
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

Normative Answer List LL251-0

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

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
54580-6 Deprecated Minimum Data Set - version 3.0

45697-0 Insufficient fluid; did NOT consume all or almost all liquids provided during last 3 days [Minimum Data Set]

Observation ID in Form

J1d

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Insufficient fluid; did NOT consume all or almost all liquids provided during last 3D
Property
Find
Time
3D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

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

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
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

45698-8 Delusions [Minimum Data Set]

Observation ID in Form

J1e

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Delusions
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

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
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

45700-2 Edema [Minimum Data Set]

Observation ID in Form

J1g

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Edema
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

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
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

45701-0 Fever [Minimum Data Set]

Observation ID in Form

J1h

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Fever
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

Normative Answer List LL251-0

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

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full 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
54580-6 Deprecated Minimum Data Set - version 3.0

45702-8 Hallucinations [Minimum Data Set]

Observation ID in Form

J1i

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hallucinations
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

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
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

45703-6 Internal bleeding [Minimum Data Set]

Observation ID in Form

J1j

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Internal bleeding
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

Normative Answer List LL251-0

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

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full 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
54580-6 Deprecated Minimum Data Set - version 3.0

45704-4 Recurrent lung aspirations in last 90 days [Minimum Data Set]

Observation ID in Form

J1k

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Recurrent lung aspirations in last 90D
Property
Find
Time
90D
System
^Patient
Scale
Ord
Method
MDS

Basic Attributes

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

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
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

45705-1 Shortness of breath [Minimum Data Set]

Observation ID in Form

J1l

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Shortness of breath
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

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
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

45707-7 Unsteady gait [Minimum Data Set]

Observation ID in Form

J1n

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Unsteady gait
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

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
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

45708-5 Vomiting [Minimum Data Set]

Observation ID in Form

J1o

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See J1p consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Vomiting
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

Normative Answer List LL251-0

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

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full 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
54580-6 Deprecated Minimum Data Set - version 3.0

45709-3 Problem conditions - none of above [Minimum Data Set]

Observation ID in Form

J1p

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. If REC_TYPE A,AM,AO,Y,YM, or YO, J1p must be 0 (zero) if any J1a thru J1o = 1; J1p must be 1 if each J1a thru J1o = 0 (zero); J1p must be - if any J1a thru J1o = - and no J1a thru J1o = 1.

2. If REC_TYPE is Q, QM, or QO, then J1p must be 0 (zero) if any active (State option) J1a thru J1o = 1; J1p must be 1 if each active (State option) J1a thru J1o = 0 (zero); J1p must be - if any active (State option) J1a thru J1o = - and no active (State option) J1a thru J1o = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Problem conditions - none of above
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

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
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