Version 2.78

45648-3 Hip fracture [Minimum Data Set]

Observation ID in Form

I1m

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hip fracture
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

45653-3 Aphasia [Minimum Data Set]

Observation ID in Form

I1r

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Aphasia
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

45654-1 Cerebral palsy [Minimum Data Set]

Observation ID in Form

I1s

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Cerebral palsy
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

45655-8 Cerebrovascular accident [Minimum Data Set]

Observation ID in Form

I1t

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Cerebrovascular accident
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 2.73
Common Test Rank Get Info
16232

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

45657-4 Hemiplegia or hemiparesis [Minimum Data Set]

Observation ID in Form

I1v

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Hemiplegia or hemiparesis
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

45658-2 Multiple sclerosis [Minimum Data Set]

Observation ID in Form

I1w

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Multiple sclerosis
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

45661-6 Quadriplegia [Minimum Data Set]

Observation ID in Form

I1z

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Quadriplegia
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

45666-5 Depression [Minimum Data Set]

Observation ID in Form

I1ee

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Depression
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

45667-3 Manic depression [Minimum Data Set]

Observation ID in Form

I1ff

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. See I1rr consistency notes #1 and #2

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Manic depression
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

45679-8 None of the listed diseases or conditions [Minimum Data Set]

Observation ID in Form

I1rr

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. If REC_TYPE A,AM,AO,Y,YM, or YO, I1rr must be 0 (zero) if any I1a thru I1qq = 1; I1rr must be 1 if each I1a thru I1qq = 0 (zero); I1rr must be - if any I1a thru I1qq = - and no I1a thru I1qq = 1.

2. If REC_TYPE is Q, QM, or QO, and I1rr is active by State option, then I1rr must be 0 (zero) if any active (State option) I1a thru I1qq = 1; I1rr must be 1 if each active (State option) I1a thru I1qq = 0 (zero); I1rr must be - if any active (State option) I1a thru I1qq = - and no active (State option) I1a thru I1qq = 1.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
None of the listed diseases or conditions
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