LOINC - LOINC Panel Details 52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool

52452-0 Administrative Items

Observation ID in Form

I

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Administrative Items
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.67 (PANEL)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52453-8 Assessment Type

Observation ID in Form

A

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Assessment Type
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.73 (PANEL)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

70160-7 Reason for assessment

Observation ID in Form

A1

Fully-Specified Name

Component: Reason for assessment - acute
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Reason for assessment - acute [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

54593-9 Assessment reference date - observation end date

Term Description

The end-point of the assessment period for the CMS assessment instrument.

Observation ID in Form

A3

Fully-Specified Name

Component: Assessment reference date - observation end date
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Assessment reference date - observation end date during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.77 (MAJ)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.74: PanelType: made subset organizer - contains children; CLASS: Class must include panel because made subset organizer - contains children; Previous Releases: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
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
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
62863-6	PhenX domain - Infectious diseases and immunity
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	A2300	v1.18.11
CMS MDS	V0100C	v1.18.11
CMS MDS	X0700A	v1.18.11
CMS LCDS	A0210	5.00
CMS LCDS	A0210	3.00
CMS MDS	A2300	1.16.1
CMS MDS	V0100C	1.16.1
CMS MDS	X0700A	1.16.1
CMS LCDS	A0210	4.00
CMS MDS	A2300	1.14.1
CMS MDS	A2300	1.15.1
CMS MDS	V0100C	1.14.1
CMS MDS	V0100C	1.15.1
CMS MDS	X0700A	1.14.1
CMS MDS	X0700A	1.15.1
CMS MDS	A2300	1.17.1
CMS MDS	V0100C	1.17.1
CMS MDS	X0700A	1.17.1
CMS MDS	A2300	1.17.2
CMS MDS	V0100C	1.17.2
CMS MDS	X0700A	1.17.2

52457-9 Provider Information

Observation ID in Form

B

Fully-Specified Name

Component: Provider Information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52458-7 Name Provider

Observation ID in Form

B1

Fully-Specified Name

Component: Name
Property: Pn
Time: Pt
System: Provider
Scale: Nom
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.27 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62400-7	PhenX - arrhythmia protocol 041101
97029-3	Spine Tango surgery follow-up 2017 Spine Tango

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX041101030200	PX041101_Atrial_Fibrillation_MD_Seen

69326-7 Patient information

Observation ID in Form

C

Fully-Specified Name

Component: Patient information - acute
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Long Common Name

Patient information - acute [CARE]

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.67 (PANEL)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

45392-8 Patient's First Name

Observation ID in Form

C1

Fully-Specified Name

Component: First name
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Patient First (Given) name

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.2

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
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
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
46611-0	Mental residual functional capacity (RFC) assessment form
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
79191-3	Patient demographics panel
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όνομα:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Όνομα
es-ES	Spanish (Spain)	Nombre:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Nombre de pila:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Prénom:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Primo nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	voornaam:persoonsnaam:moment:^patiënt:nominaal:
tr-TR	Turkish (Turkey)	Ad:KişiAdı:Zmlı:^Hasta:Snf: Synonyms: İsim
zh-CN	Chinese (China)	名字:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人名字(不包括姓氏);教名;名;西方人名的第一个字姓名;名字;名时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500A		v1.18.11
CMS MDS	X0200A		v1.18.11
CMS MDS	A0500A		1.17.2
CMS MDS	X0200A		1.17.2
CMS OASIS	M0040		E
CMS IRF-PAI	4		4.0
CMS LCDS	A0500A		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500A		3.00
CMS IRF-PAI	4		2.0
CMS MDS	A0500A		1.16.1
CMS OASIS	M0040		D
CMS MDS	X0200A		1.16.1
CMS IRF-PAI	4		1.4
CMS IRF-PAI	4		1.5
CMS IRF-PAI	4		3.0
CMS LCDS	A0500A		4.00
CMS MDS	A0500A		1.14.1
CMS MDS	A0500A		1.15.1
CMS MDS	X0200A		1.14.1
CMS MDS	X0200A		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010100	PX150801_Participant_First_Name
CMS MDS	A0500A		1.17.1
CMS MDS	X0200A		1.17.1

52461-1 Patient's Middle Initial or Name

Observation ID in Form

C2

Fully-Specified Name

Component: Middle name
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Patient middle name

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Middle name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

HL7^® Attributes

HL7^® Field ID: PID-5.3

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Μεσαίο όνομα:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Μεσαίο όνομα Όνομα
es-MX	Spanish (Mexico)	Segundo nombre:Pn:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Secondo nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	中间名:人员姓名:时间点:^患者:名义型: Synonyms: 中名;教名;中間名字;中间名字;名和姓之间的名字人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人姓名;名字;名时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

45394-4 Patient's Last Name

Observation ID in Form

C3

Fully-Specified Name

Component: Last name
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Patient Last (Family) name

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.1

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
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
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
46611-0	Mental residual functional capacity (RFC) assessment form
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
79191-3	Patient demographics panel
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Επώνυμο:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Επώνυμο Όνομα
es-ES	Spanish (Spain)	Apellido:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Apellido:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Nom de famille:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Cognome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	achternaam:persoonsnaam:moment:^patiënt:nominaal:
tr-TR	Turkish (Turkey)	Soyad:KişiAdı:Zmlı:^Hasta:Snf:
zh-CN	Chinese (China)	姓氏:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人姓姓名;名字;名时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500C		v1.18.11
CMS MDS	X0200C		v1.18.11
CMS MDS	A0500C		1.17.2
CMS MDS	X0200C		1.17.2
CMS OASIS	M0040		E
CMS IRF-PAI	5A		4.0
CMS LCDS	A0500C		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500C		3.00
CMS IRF-PAI	5A		2.0
CMS MDS	A0500C		1.16.1
CMS OASIS	M0040		D
CMS MDS	X0200C		1.16.1
CMS IRF-PAI	5A		1.4
CMS IRF-PAI	5A		1.5
CMS IRF-PAI	5A		3.0
CMS LCDS	A0500C		4.00
CMS MDS	A0500C		1.14.1
CMS MDS	A0500C		1.15.1
CMS MDS	X0200C		1.14.1
CMS MDS	X0200C		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010300	PX150801_Participant_Last_Name
CMS MDS	A0500C		1.17.1
CMS MDS	X0200C		1.17.1

52462-9 Patient's Nickname (optional)

Observation ID in Form

C4

Fully-Specified Name

Component: Nickname
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Nickname

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.66 (MIN)
Change Reason: Changed Class from SURVEY.MDS to ADMIN
Order vs. Observation: Both

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ψευδώνυμο:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Ψευδώνυμο
es-MX	Spanish (Mexico)	Apodo:Pn:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Nickname:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	昵称:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间绰号;诨名;爱称;外号;俗称行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Code System	Code	Code Version
CMS MDS	A1300C	1.17.2
CMS MDS	A1300C	v1.18.11
CMS MDS	A1300C	1.16.1
CMS MDS	A1300C	1.14.1
CMS MDS	A1300C	1.15.1
CMS MDS	A1300C	1.17.1

45397-7 Medicare or comparable number

Observation ID in Form

C5

Fully-Specified Name

Component: Medicare or comparable number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.66 (MIN)
Change Reason: Changed CLASS to ADMIN
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-3

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
84908-3	Cancer pathology panel - Prostate cancer
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Medicare ή ανάλογος αριθμός:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Medicare ή ανάλογος αριθμός Nom Pt Αναγνωριστικό Αριθμός Ασθενής
es-MX	Spanish (Mexico)	Medicare o número comparable:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Medicare o numero equivalente:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Assistenza medica o numero equivalente Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	医疗保险或类似编号:标识符:时间点:^患者:名义型: Synonyms: 个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗保险或类似（同类、可比）编号;医疗保险或类似号码;Medicare 或类似编号医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Version
CMS MDS	A0600B	v1.18.11
CMS MDS	A0600B	1.17.2
CMS OASIS	M0063	E
CMS IRF-PAI	2	4.0
CMS LCDS	A0600B	5.00
CMS OASIS	M0063	D1
CMS LCDS	A0600B	3.00
CMS IRF-PAI	2	2.0
CMS MDS	A0600B	1.16.1
CMS OASIS	M0063	D
CMS IRF-PAI	2	1.4
CMS IRF-PAI	2	1.5
CMS IRF-PAI	2	3.0
CMS LCDS	A0600B	4.00
CMS MDS	A0600B	1.14.1
CMS MDS	A0600B	1.15.1
CMS OASIS	M0063	C2
CMS MDS	A0600B	1.17.1

45400-9 Patient's Medicaid Number

Observation ID in Form

C6

Fully-Specified Name

Component: Medicaid number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Medicaid number

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.66 (MIN)
Change Reason: Changed CLASS to ADMIN
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-3

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός Medicaid:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός Medicaid Ασθενής
es-MX	Spanish (Mexico)	Número de Medicaid:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Medicaid, numero:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero Medicaid Paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	医疗补助计划编号:标识符:时间点:^患者:名义型: Synonyms: Medicaid编号个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Version
CMS MDS	A0700	v1.18.11
CMS MDS	A0700	1.17.2
CMS OASIS	M0065	E
CMS IRF-PAI	3	4.0
CMS LCDS	A0700	5.00
CMS OASIS	M0065	D1
CMS LCDS	A0700	3.00
CMS IRF-PAI	3	2.0
CMS MDS	A0700	1.16.1
CMS OASIS	M0065	D
CMS IRF-PAI	3	1.4
CMS IRF-PAI	3	1.5
CMS IRF-PAI	3	3.0
CMS LCDS	A0700	4.00
CMS MDS	A0700	1.14.1
CMS MDS	A0700	1.15.1
CMS OASIS	M0065	C2
CMS MDS	A0700	1.17.1

52463-7 Patient's Facility/Agency Identification Number (for internal tracking)

Observation ID in Form

C7

Fully-Specified Name

Component: Patient Identification Number or Provider Account Number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Patient Identification Number or Provider Account Number

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.27
Last Updated: Version 2.66 (MIN)
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-3.1

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός Ταυτοποίησης Ασθενούς ή Αριθμός Λογαριασμού Παρόχου:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός Λογαριασμού Αριθμός Ταυτοποίησης Ασθενούς ή Αριθμός Λογαριασμού Παρόχου Ασθενής Ταυτοποίηση
es-MX	Spanish (Mexico)	Número de identificación del paciente o número de cuenta del proveedor:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Numero di Identificazione del Paziente o Numero di Account del Provider:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	患者身份标识编号或服务提供者账号:标识符:时间点:^患者:名义型: Synonyms: 个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人患者身份标识号或服务提供者账号;患者（病人）身份标识编号（标识编号、身份标识号、标识号）或服务提供者（服务提供方、服务提供人员、服务人员、服务工作人员）账号（帐号）时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符账户编号;帐目编号;帐号鉴定;识别;验明;身份证明;确认;认出;核实;认同;身份证件

Code System	Code	Code Version
CMS IRF-PAI	5B	4.0
CMS IRF-PAI	5B	2.0
CMS IRF-PAI	5B	1.4
CMS IRF-PAI	5B	1.5
CMS IRF-PAI	5B	3.0

52455-3 Admission date

Observation ID in Form

C8a

Fully-Specified Name

Component: Admission date
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: ADMIN
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Change Reason: Updated Class from SURVEY.CARE to ADMIN
Order vs. Observation: Both

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
97782-7	Spine Tango Surgery 2017

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ημερομηνία εισαγωγής:TmStp:Pt:^Ασθενής:Qn: Synonyms: - ADMIN Pt Qn TmStp Ασθενής Ημερομηνία εισαγωγής
es-MX	Spanish (Mexico)	Fecha de admisión:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT	Italian (Italy)	Ricovero, data:TmStp:Pt:^Paziente:Qn: Synonyms: Amministrativo Data del ricovero paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU	Russian (Russian Federation)	Госпитализация дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN	Chinese (China)	入院日期:时间戳:时间点:^患者:定量型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人印时戳;时标;时间戳(日期与时间);时间标记;计时标记可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间行政;管理;施行;执行;经营

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	A1900	1.17.2
CMS IRF-PAI	12	4.0
CMS LCDS	A0220	5.00
CMS MDS	A1900	v1.18.11
CMS LCDS	A0220	3.00
CMS IRF-PAI	12	2.0
CMS MDS	A1900	1.16.1
CMS IRF-PAI	12	1.4
CMS IRF-PAI	12	1.5
CMS IRF-PAI	12	3.0
CMS LCDS	A0220	4.00
CMS MDS	A1900	1.14.1
CMS MDS	A1900	1.15.1
CMS MDS	A1900	1.17.1

21112-8 Birth date

Observation ID in Form

C8b

Fully-Specified Name

Component: Birth date
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: MISC
Type: Laboratory
First Released: Version 1.0m
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 1746

HL7^® Attributes

HL7^® Field ID: PID-7.1

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
58735-2	Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3	Alpha-1-Fetoprotein panel - Serum or Plasma
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
75199-0	Congenital syphilis case investigation and report panel [CDC.CS]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
86636-8	Family planning report - FPAR 2.0 set
49085-4	First and Second trimester integrated maternal screen panel
48798-3	First trimester maternal screen panel - Serum or Plasma
49086-2	First trimester maternal screen with nuchal translucency panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
49087-0	Maternal screen clinical predictors panel
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
70182-1	NIH Stroke Scale
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
62293-6	PhenX - current age protocol 010101
62263-9	PhenX domain - Nutrition and dietary supplements
62812-3	PhenX domain - Physical activity and physical fitness
62611-9	PhenX domain - Respiratory
100997-6	Respiratory Allergen Panel, Area 5 - Serum
48799-1	Second trimester penta maternal screen panel - Serum or Plasma
48800-7	Second trimester quad maternal screen panel - Serum or Plasma
35086-8	Second trimester triple maternal screen panel - Serum or Plasma
60687-1	Test of Infant Motor Performance Version 5.1
54127-6	US Surgeon General family health portrait [USSG-FHT]
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Datum narození:Časové razítko (datum a čas):Časový bod:^Pacient:Kvantitativní:
de-DE	German (Germany)	Geburtsdatum:Zeitstempel:Zeitpunkt:^Patient:Quantitativ:
el-GR	Greek (Greece)	Ημερομηνία γέννησης:TmStp:Pt:^Ασθενής:Qn: Synonyms: - MISC Pt Qn TmStp Ασθενής Ημερομηνία γέννησης
es-AR	Spanish (Argentina)	fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
es-ES	Spanish (Spain)	Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Fecha de nacimiento:Sello de hora (fecha y hora):Punto temporal:^ Paciente:Cuantitativo:
fr-FR	French (France)	Date de naissance:Horodatage:Ponctuel:^patient:Numérique:
it-IT	Italian (Italy)	Data di nascita:TmStp:Pt:^Paziente:Qn: Synonyms: Miscellanea paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
nl-NL	Dutch (Netherlands)	geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
pt-BR	Portuguese (Brazil)	Data de nascimento:TmStp:Pt:^Paciente:Qn: Synonyms: Dob; Date of birth; Birthdate; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Рождения дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Дата рождения Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:
zh-CN	Chinese (China)	出生日期:时间戳:时间点:^患者:定量型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人印时戳;时标;时间戳(日期与时间);时间标记;计时标记可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间杂项;杂项类;杂项试验生日

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Text	Code Version
CMS IRF-PAI	6		4.0
CMS LCDS	A0900		5.00
CMS OASIS	M0066		D1
CMS LCDS	A0900		3.00
CMS IRF-PAI	6		2.0
CMS MDS	A0900		1.16.1
CMS OASIS	M0066		D
CMS MDS	X0400		1.16.1
CMS IRF-PAI	6		1.4
CMS IRF-PAI	6		1.5
CMS IRF-PAI	6		3.0
CMS LCDS	A0900		4.00
CMS MDS	A0900		1.14.1
CMS MDS	A0900		1.15.1
CMS MDS	X0400		1.14.1
CMS MDS	X0400		1.15.1
CMS OASIS	M0066		C2
https://www.phenxtoolkit.org	PX010101010100	PX010101_Birthdate_Month
https://www.phenxtoolkit.org	PX010101010200	PX010101_Birthdate_Day
https://www.phenxtoolkit.org	PX010101010300	PX010101_Birthdate_Year
https://www.phenxtoolkit.org	PX091502030000	PX091502_Child_Birth_Date
https://www.phenxtoolkit.org	PX091601410000	PX091601_Date_Of_Birth
https://www.phenxtoolkit.org	PX150701060000	PX150701_Birth_Date
https://www.phenxtoolkit.org	PX221001030000	PX221001_MFHP_BirthDate
CMS MDS	A0900		1.17.1
CMS MDS	X0400		1.17.1
https://www.phenxtoolkit.org	PX010101010400	PX010101_Birthdate_Coded
https://www.phenxtoolkit.org	PX221201060000	PX221201_Growth_Chart_Date_Of_Birth
CMS OASIS	M0066		E
CMS MDS	A0900		v1.18.11
CMS MDS	X0400		v1.18.11
CMS MDS	A0900		1.17.2
CMS MDS	X0400		1.17.2

45396-9 Social Security number [Identifier]

Observation ID in Form

C9

Fully-Specified Name

Component: Social Security number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.73 (MIN)
Change Reason: Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component
Order vs. Observation: Both
Common Test Rank Get Info: 6170

HL7^® Attributes

HL7^® Field ID: PID-19

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
46611-0	Mental residual functional capacity (RFC) assessment form
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός μητρώου κοινωνικής ασφάλισης:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός μητρώου κοινωνικής ασφάλισης Ασθενής
es-MX	Spanish (Mexico)	Número de seguro social:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Previdenza Sociale, numero:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero di Previdenza Sociale paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	社会安全号码:标识符:时间点:^患者:名义型: Synonyms: Social Security number;SSN;社会保险号码;社会保障号码;社会保障号个数;数目分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0600A		v1.18.11
CMS MDS	X0500		v1.18.11
CMS MDS	A0600A		1.17.2
CMS MDS	X0500		1.17.2
CMS OASIS	M0064		E
CMS IRF-PAI	7		4.0
CMS LCDS	A0600A		5.00
CMS OASIS	M0064		D1
CMS LCDS	A0600A		3.00
CMS IRF-PAI	7		2.0
CMS MDS	A0600A		1.16.1
CMS OASIS	M0064		D
CMS MDS	X0500		1.16.1
CMS IRF-PAI	7		1.4
CMS IRF-PAI	7		1.5
CMS IRF-PAI	7		3.0
CMS LCDS	A0600A		4.00
CMS MDS	A0600A		1.14.1
CMS MDS	A0600A		1.15.1
CMS MDS	X0500		1.14.1
CMS MDS	X0500		1.15.1
CMS OASIS	M0064		C2
https://www.phenxtoolkit.org	PX150701050000	PX150701_SSN
CMS MDS	A0600A		1.17.1
CMS MDS	X0500		1.17.1

46098-0 Gender

Part Descriptions

LP101395-4 Sex
In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en) Source: Regenstrief LOINC, WHO: gender

Observation ID in Form

C10

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Sex
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Sex

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.73 (MIN)
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.
Order vs. Observation: Both
Common Test Rank Get Info: 2086

HL7^® Attributes

HL7^® Field ID: PID-8

Example Answer List LL1-9

Answer	Code	Score	Answer ID
Male	1		LA2-8
Female	2		LA3-6

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
95556-7	Adrenal cancer risk assessment and urine steroid fractions panel
72110-0	Alcohol Use Disorder Identification Test [AUDIT]
95405-7	Assay related variables panel [PhenX]
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
63009-5	Deprecated PhenX domain - Social environments
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
86636-8	Family planning report - FPAR 2.0 set
96452-8	Hepatocellular carcinoma risk panel - Serum or Plasma
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
85626-0	Kidney failure 2-year and 5-year risk panel by KFRE
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
78699-6	Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeter
78698-8	Liver fibrosis score panel - Serum or Plasma Calculated by HepaScore
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
82259-3	Metabolic equivalent of task and Resting metabolic rate panel
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
91393-9	Opioid risk tool panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
69723-5	Patient Health Questionnaire (PHQ) [Reported]
93149-3	PhenX - bone age protocol 220301
62787-7	PhenX domain - Diabetes
62863-6	PhenX domain - Infectious diseases and immunity
62755-4	PhenX domain - Neurology
62263-9	PhenX domain - Nutrition and dietary supplements
62812-3	PhenX domain - Physical activity and physical fitness
62611-9	PhenX domain - Respiratory
63067-3	PhenX domain - Speech and hearing
82287-4	Physical activity panel
69919-9	Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Φύλο:Type:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Nom Pt Type Ασθενής Φύλο
es-ES	Spanish (Spain)	Sexo:Tipo:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Sexo:Tipo:Punto temporal:^ Paciente:Nominal:
et-EE	Estonian (Estonia)	Sugu:Tüüp:Pt:^patsient:Nom: Synonyms: Juhuslik
fr-CA	French (Canada)	Sexe:Type:Temps ponctuel:^Patient:Nominal: Synonyms: ADMIN.PATIENT.DEMOG
fr-BE	French (Belgium)	Sexe:Type:Temps ponctuel:^Patient:Nominal:
fr-FR	French (France)	Sexe:Type:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Sesso:Tipo:Pt:^Paziente:Nom: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	geslacht:type:moment:^patiënt:nominaal:
pl-PL	Polish (Poland)	Płeć:typ:punkt w czasie:^pacjent:skala nominalna: Synonyms: wynik kategorialny
ru-RU	Russian (Russian Federation)	Пол:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
tr-TR	Turkish (Turkey)	Cinsiyet:Tip:Zmlı:^Hasta:Snf: Synonyms: Seks Tür
zh-CN	Chinese (China)	性别:类型:时间点:^患者:名义型: Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人型性;性别特征;性行为;性交;性活动时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0800		v1.18.11
CMS MDS	X0300		v1.18.11
CMS MDS	A0800		1.17.2
CMS MDS	X0300		1.17.2
CMS IRF-PAI	8		4.0
CMS LCDS	A0800		5.00
CMS OASIS	M0069		D1
CMS OASIS	M0069		E
CMS LCDS	A0800		3.00
CMS IRF-PAI	8		2.0
CMS MDS	A0800		1.16.1
CMS OASIS	M0069		D
CMS MDS	X0300		1.16.1
CMS IRF-PAI	8		1.4
CMS IRF-PAI	8		1.5
CMS IRF-PAI	8		3.0
CMS LCDS	A0800		4.00
CMS MDS	A0800		1.14.1
CMS MDS	A0800		1.15.1
CMS MDS	X0300		1.14.1
CMS MDS	X0300		1.15.1
CMS OASIS	M0069		C2
https://www.phenxtoolkit.org	PX070601010100	PX070601_Self_Gender
https://www.phenxtoolkit.org	PX091501010400	PX091501_Sleep_Apnea_Gender
https://www.phenxtoolkit.org	PX091502040000	PX091502_Child_Gender
https://www.phenxtoolkit.org	PX091601390000	PX091601_Sex
https://www.phenxtoolkit.org	PX130501020200	PX130501_Gender
https://www.phenxtoolkit.org	PX140201010100	PX140201_Spouse_Sex
https://www.phenxtoolkit.org	PX150101020000	PX150101_Sex
https://www.phenxtoolkit.org	PX150102010000	PX150102_Sex
https://www.phenxtoolkit.org	PX150201020000	PX150201_Gender
https://www.phenxtoolkit.org	PX150202020000	PX150202_Gender
https://www.phenxtoolkit.org	PX150203010000	PX150203_Gender
https://www.phenxtoolkit.org	PX161201010000	PX161201_Gender
https://www.phenxtoolkit.org	PX201501170101	PX201501_Sibling1_Sex
https://www.phenxtoolkit.org	PX201501170104	PX201501_Sibling1_Cause_Of_Hearing_Difficulty
https://www.phenxtoolkit.org	PX201501170203	PX201501_Sibling2_Age_Onset_Hearing_Difficulty
https://www.phenxtoolkit.org	PX201501170302	PX201501_Sibling3_Birth_Year
https://www.phenxtoolkit.org	PX201501170401	PX201501_Sibling4_Sex
https://www.phenxtoolkit.org	PX211101010400	PX211101_Person1_Gender
https://www.phenxtoolkit.org	PX211101020400	PX211101_Person2_Gender
https://www.phenxtoolkit.org	PX211101030400	PX211101_Person3_Gender
https://www.phenxtoolkit.org	PX211101040400	PX211101_Person4_Gender
https://www.phenxtoolkit.org	PX211101050400	PX211101_Person5_Gender
https://www.phenxtoolkit.org	PX211101060400	PX211101_Person6_Gender
https://www.phenxtoolkit.org	PX211101070400	PX211101_Person7_Gender
https://www.phenxtoolkit.org	PX211101080400	PX211101_Person8_Gender
https://www.phenxtoolkit.org	PX211101090400	PX211101_Person9_Gender
https://www.phenxtoolkit.org	PX211101100400	PX211101_Person10_Gender
https://www.phenxtoolkit.org	PX211101110400	PX211101_Person11_Gender
https://www.phenxtoolkit.org	PX211101120400	PX211101_Person12_Gender
https://www.phenxtoolkit.org	PX211101130400	PX211101_Person13_Gender
https://www.phenxtoolkit.org	PX211101140400	PX211101_Person14_Gender
https://www.phenxtoolkit.org	PX211101150400	PX211101_Person15_Gender
https://www.phenxtoolkit.org	PX211101160400	PX211101_Person16_Gender
https://www.phenxtoolkit.org	PX211101170400	PX211101_Person17_Gender
https://www.phenxtoolkit.org	PX211101180400	PX211101_Person18_Gender
https://www.phenxtoolkit.org	PX211101190400	PX211101_Person19_Gender
https://www.phenxtoolkit.org	PX211101200400	PX211101_Person20_Gender
CMS MDS	A0800		1.17.1
CMS MDS	X0300		1.17.1
https://www.phenxtoolkit.org	PX220301250000	PX220301_Bone_Age_Patient_Gender
https://www.phenxtoolkit.org	PX811301030000	PX811301_SerumPlasmaFerritin_Gender

46463-6 Race or ethnicity

Term Description

The groups or populations to which the patient is affiliated, as identified by the patient or caregiver.

Observation ID in Form

C11

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Race or ethnicity
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.DEMOG
Type: Clinical
First Released: Version 2.19
Last Updated: Version 2.69 (MAJ)
Change Reason: Release 2.69: ANSWER_LIST_TYPE: Answer list type changed from Normative to Example for the base term; override Normative lists added in the context of the panels in which this term is a member.; METHOD_TYP: The Method was removed because this is a generic concept that can be used across many contexts;

HL7^® Attributes

HL7^® Field ID: PID-10;PID-22

Normative Answer List LL247-8

Answer	Code	Answer ID
American Indian or Alaska Native	1	LA6155-1
Asian	2	LA6156-9
Black or African-American	3	LA6162-7
Hispanic or Latino	4	LA6214-6
Native Hawaiian or Pacific Islander	5	LA6266-6
White	6	LA4457-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6

Member of these Panels

LOINC	Long Common Name
96749-7	Association of Asian Pacific Community Health Organizations enabling services and social intervention panel AAPCHO
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Φυλή ή εθνικότητα:Type:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.DEMOG Nom Pt Type Ασθενής Εθνικότητα Φυλή Φυλή ή εθνικότητα
es-MX	Spanish (Mexico)	Raza o etnia:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Razza o etnia:Tipo:Pt:^Paziente:Nom: Synonyms: Amministrativo Demografia paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	ras of etniciteit:type:moment:^patiënt:nominaal:
ru-RU	Russian (Russian Federation)	Раса или этническая принадлежность:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	种族或民族:类型:时间点:^患者:名义型: Synonyms: 人种;族;民族;种分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人型时刻;随机;随意;瞬间种族关系;种族性;种族行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52553-5 Is English the patient's primary language?

Observation ID in Form

C12

Skip Logic

If Yes, skip to C13.

Fully-Specified Name

Component: Language.primary is English
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Language.primary is English

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

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
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52554-3 If English is not the patient's primary language, what is the patient's primary language?

Observation ID in Form

C12a

Fully-Specified Name

Component: Language.primary not English
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Language.primary not English [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

54588-9 Interpreter needed

Term Description

Patient/resident's need or want an interpreter to communicate with a doctor or health care staff

Observation ID in Form

C13

Fully-Specified Name

Component: Interpreter needed
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.27
Last Updated: Version 2.66 (MIN)
Change Reason: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Updated CLASS from SURVEY.MDS to ADMIN; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Method removed because this generic term can be used across contexts
Order vs. Observation: Observation

Example Answer List LL633-9

Answer	Code	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
Unable to determine	9	LA11137-9

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Απαιτείται διερμηνέας:Εύρεση:Pt:^Ασθενής:Ord: Synonyms: - ADMIN ADMIN.PATIENT Ord Pt Απαιτείται διερμηνέας Ασθενής Εύρεση
es-MX	Spanish (Mexico)	Se necesita intérprete:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Interprete necessario:Osservazione:Pt:^Paziente:Ord: Synonyms: Amministrativo Osservazione Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	tolk nodig:bevinding:moment:^patiënt:ordinaal:
zh-CN	Chinese (China)	需要口译员:发现:时间点:^患者:序数型: Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）需要口译者;需要口译;需要翻译;需要口头翻译人员

Related Codes

Code System	Code	Code Version
CMS MDS	A1100A	v1.18.11
CMS MDS	A1110B	v1.18.11
CMS OASIS	A1110B	E
CMS IRF-PAI	A1110B	4.0
CMS LCDS	A1110B	5.00
CMS LCDS	A1100A	3.00
CMS MDS	A1100A	1.16.1
CMS LCDS	A1100A	4.00
CMS MDS	A1100A	1.14.1
CMS MDS	A1100A	1.15.1
CMS MDS	A1100A	1.17.1
CMS MDS	A1100A	1.17.2

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52556-8 Current Payment Source (s)

Observation ID in Form

D

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Payment sources
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Payment sources

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Change Reason: Changed METHOD to methodless - generic term that does not orginate from just one method; Removed "Current" from component because it is conveyed by TIMING = Pt;Updated PROPERTY from Find to Type
Order vs. Observation: Both

Normative Answer List LL544-8

Answer	Code	Answer ID
None (no charge for current services)	D1	LA10028-1
Medicare (traditional fee-for-service)	D2	LA6259-1
Medicare (HMO/managed care)	D3	LA6258-3
Medicaid (traditional fee-for-service)	D4	LA6257-5
Medicaid (HMO/managed care)	D5	LA6256-7
Workers’ compensation	D6	LA10123-0
Title programs (e.g., Title III, V, or XX)	D7	LA6398-7
Other government (e.g., TRICARE, VA, etc.)	D8	LA10049-7
Private insurance/Medigap	D9	LA10061-2
Private HMO/managed care	D10	LA6349-0
Self-pay	D11	LA6369-8
Other (specify)	D12	LA6310-2
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	D13	LA4489-6

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
86636-8	Family planning report - FPAR 2.0 set
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106933-5	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0	Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52721-8 Other (specify)

Observation ID in Form

D12

Fully-Specified Name

Component: Current payment source.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Current payment source.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52536-0 Admission Information

Observation ID in Form

II

Fully-Specified Name

Component: Admission Information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52537-8 Pre-admission Service Use

Observation ID in Form

A

Fully-Specified Name

Component: Pre-admission Service Use
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52722-6 Admitted From. Immediately preceding this admission, where was the patient?

Observation ID in Form

A1

Form Coding Instructions

If transferring within units of an acute setting, choose Other and indicate if transferring to ICU, stepdown, med/surg, or other unit

Source: Regenstrief Help

Fully-Specified Name

Component: Admitted from
Property: Type
Time: Pt
System: Facility
Scale: Nom
Method: CARE

Long Common Name

Admitted from Facility [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL730-3

Answer	Code	Answer ID
Community residential setting (e.g., private home, assisted living, group home, adult foster care)	1	LA11501-6
Long-term nursing facility	2	LA11502-4
Skilled nursing facility (SNF/TCU)	3	LA10080-2
Hospital emergency department	4	LA11504-0
Short-stay acute hospital (IPPS)	5	LA10078-6
Long-Term Care Hospital (LTCH)	6	LA10000-0
Inpatient rehabilitation hospital or unit (IRF)	7	LA9986-6
Psychiatric hospital or unit	8	LA10065-3
Other (specify)	9	LA6310-2

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52723-4 Other (specify)

Observation ID in Form

A19

Fully-Specified Name

Component: Admitted from.other specified
Property: Type
Time: Pt
System: Facility
Scale: Nom
Method: CARE

Long Common Name

Admitted from.other specified Facility [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52724-2 If admitted from a medical setting, what was the primary diagnosis being treated in the previous setting?

Observation ID in Form

A2a

Fully-Specified Name

Component: Primary diagnosis code from previous setting
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Primary diagnosis code from previous setting [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52725-9 In the last 2 months, what medical services other than those identified in A1. has the patient received?

Observation ID in Form

A3

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Medical services received in the last 2Mo
Property: Find
Time: 2Mo
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Medical services received in the last 2 months [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL722-0

Answer	Code	Answer ID
Skilled nursing facility (SNF/TCU)	a	LA10080-2
Short-stay acute hospital (IPPS)	b	LA10078-6
Long-Term Care Hospital (LTCH)	c	LA10000-0
Inpatient rehabilitation hospital or unit (IRF)	d	LA9986-6
Psychiatric hospital or unit	e	LA10065-3
Home Health Care (HHA)	f	LA9978-3
Hospice	g	LA6216-1
Outpatient Services	h	LA10053-9
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	i	LA137-2

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

70129-2 Within this acute care hospital stay, on what other units has the patient been treated prior to coming to this unit?

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Within this acute care hospital stay, on what other units has the patient been treated prior to coming to this unit
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Within this acute care hospital stay, on what other units has the patient been treated prior to coming to this unit [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.64 (MIN)

Normative Answer List LL2016-5

Answer	Code	Answer ID
Critical care/intensive care unit - 1-2 pts per nurse	a	LA18414-5
Step-down/intermediate unit - 3-6 pts per nurse	b	LA18415-2
General/medical unit or floor - 6 or more pts per nurse	c	LA18416-0
No previous units or not applicable	d	LA18417-8

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52538-6 Patient History Prior to this Current Illness, Exacerbation, or Injury

Observation ID in Form

B

Fully-Specified Name

Component: Patient History Prior to this Current Illness, Exacerbation, or Injury
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52726-7 Prior to this recent illness, where did the patient live?

Observation ID in Form

B1

Skip Logic

If permanently in long-term care, skip to B5. Prior Functioning. If Other, skip to B5. Prior Functioning. If Unknown, skip to B5. Prior Functioning.

Fully-Specified Name

Component: Prior residence
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Prior residence [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL545-5

Answer	Code	Answer ID
Private residence	1	LA10062-0
Community based residence (e.g., assisted living residence, group home, adult foster care)	2	LA9951-0
Long-term care facility (e.g., nursing home)	3	LA11521-4
Other (e.g., shelter, jail, no known address)	4	LA10047-1
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52539-4 If the patient lived in the community prior to this illness, provide the patient's zip code (if the patient 's residence was in U.S.).

Observation ID in Form

B2

Fully-Specified Name

Component: Prior postal code
Property: Loc
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Prior postal code [Location]

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.66 (NAM)
Change Reason: Updated Class from SURVEY.CARE to ADMIN; Updated "ZIP code" in Component name to "Postal code", the more universal nomenclature for this concept.
Order vs. Observation: Both

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
45969-3	Deprecated MDS background information at admission form - version 2.0
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Προηγούμενος ταχυδρομικός κώδικας:Loc:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Loc Nom Pt Ασθενής Προηγούμενος ταχυδρομικός κώδικας Ταχυδρομικός κώδικας
es-MX	Spanish (Mexico)	Código postal anterior:Loc:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Codice postale precedente:Loc:Pt:^Paziente:Nom: Synonyms: Amministrativo CAP Dati demografici del paziente Paziente Posizione Punto nel tempo (episodio)
zh-CN	Chinese (China)	既往邮政编码:位置:时间点:^患者:名义型: Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人地点;场所既往（过去的、曾用的）邮政编码（邮政区号、邮递区号、邮编）;既往邮政区号;既往邮递区号;既往邮编;之前的邮政编码时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）邮政区号;邮递区号;邮编

52727-5 Lives outside U.S.

Observation ID in Form

B2a

Fully-Specified Name

Component: Lives outside U.S.
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52540-2 ZIP Code unknown

Observation ID in Form

B2b

Fully-Specified Name

Component: ZIP Code unknown
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MAJ)
Change Reason: Release 2.73: COMPONENT: Z-I-P and C in code should be capitalized; Previous Releases: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52541-0 If the patient lived in the community prior to this illness, what help was used?

Observation ID in Form

B3

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Prior help
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Prior help [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL548-9

Answer	Code	Answer ID
No help received or no help necessary	a	LA10022-4
Unpaid Assistance	b	LA10111-5
Paid Assistance	c	LA10054-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	d	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52542-8 If the patient lived in the community prior to this illness, who did the patient live with?

Observation ID in Form

B3a

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Patient lived with prior to this illness
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Patient lived with prior to this illness [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL549-7

Answer	Code	Answer ID
Lives alone	a	LA6255-9
Lives with paid helper	b	LA9997-3
Lives with other(s)	c	LA9996-5
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	d	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52543-6 If the patient lived in the community prior to this current illness, exacerbation, or injury, are there any structural barriers in the patient's prior residence that could interfere with the patient's discharge?

Observation ID in Form

B4

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Structural barriers in prior residence that could interfere with the patient's discharge
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Structural barriers in prior residence that could interfere with the patient's discharge

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example Answer List LL550-5

Answer	Code	Answer ID
Structural barriers are not an issue.	a	LA10089-3
Stairs inside the living setting that must be used by patient (e.g., to get to toileting, sleeping, eating areas).	b	LA10086-9
Stairs leading from inside to outside of living setting.	c	LA10087-7
Narrow or obstructed doorways for patients using wheelchairs or walkers.	d	LA10016-6
Insufficient space to accommodate extra equipment (e.g., hospital bed, vent equipment).	e	LA9987-4
Other (specify)	f	LA6310-2
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	g	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52544-4 Other (specify)

Observation ID in Form

B4f

Fully-Specified Name

Component: Structural barrier.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Structural barrier.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52449-6 Prior Functioning. Indicate the patient's usual ability with everyday activities prior to this current illness, exacerbation, or injury.

Observation ID in Form

B5

Form Coding Instructions

Indicate the patient's usual ability with everyday activities prior to this current illness, exacerbation, or injury. Check only one box in each row

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Prior Functioning
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Prior Functioning

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52545-1 Self Care: Did the patient need help bathing, dressing, using the toilet, or eating?

Observation ID in Form

B5a

Fully-Specified Name

Component: Prior functioning.self care
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Self care [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Change Reason: Edits made and then reverted

Normative Answer List LL546-3

Answer	Code	Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.	3	LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities.	2	LA10018-2
Dependent – A helper completed the activity for the patient.	1	LA9963-5
Not applicable	8	LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52546-9 Indoor Mobility (Ambulation): Did the patient need assistance with walking from room to room (with or without devices such as cane, crutch, or walker)?

Observation ID in Form

B5b

Fully-Specified Name

Component: Prior functioning.mobility - ambulation
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Prior functioning.mobility - ambulation [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Change Reason: Made edits and then reverted back

Normative Answer List LL546-3

Answer	Code	Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.	3	LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities.	2	LA10018-2
Dependent – A helper completed the activity for the patient.	1	LA9963-5
Not applicable	8	LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52547-7 Stairs (Ambulation): Did the patient need assistance with internal or external stairs (with or without devices such as cane, crutch, or walker)?

Observation ID in Form

B5c

Fully-Specified Name

Component: Prior functioning.stairs - ambulation
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Prior functioning.stairs - ambulation [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Change Reason: Made edits and then reverted back

Normative Answer List LL546-3

Answer	Code	Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.	3	LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities.	2	LA10018-2
Dependent – A helper completed the activity for the patient.	1	LA9963-5
Not applicable	8	LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52548-5 Indoor Mobility (Wheelchair): Did the patient need assistance with moving from room to room using a wheelchair, scooter, or other wheeled mobility device?

Observation ID in Form

B5d

Fully-Specified Name

Component: Prior functioning.mobility - wheelchair
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Prior functioning.mobility - wheelchair [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL546-3

Answer	Code	Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.	3	LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities.	2	LA10018-2
Dependent – A helper completed the activity for the patient.	1	LA9963-5
Not applicable	8	LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52549-3 Functional Cognition: Did the patient need help planning regular tasks, such as shopping or remembering to take medication?

Observation ID in Form

B5e

Fully-Specified Name

Component: Prior functioning.functional cognition
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Functional cognition [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Change Reason: Made edits and then reverted back

Normative Answer List LL546-3

Answer	Code	Answer ID
Independent – Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.	3	LA9982-5
Needed partial assistance – Patient needed partial assistance from another person to complete activities.	2	LA10018-2
Dependent – A helper completed the activity for the patient.	1	LA9963-5
Not applicable	8	LA4720-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52550-1 Mobility devices and aids used prior to current illness, exacerbation, or injury [CARE]

Observation ID in Form

B6

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Mobility devices and aids used prior to current illness, exacerbation, or injury
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL551-3

Answer	Code	Answer ID
Cane/crutch	a	LA9941-1
Walker	b	LA10117-2
Orthotics/Prosthetics	c	LA10046-3
Wheelchair/scooter full time	d	LA10119-8
Wheelchair/scooter part time	e	LA10120-6
Mechanical lift required	f	LA10003-4
Other (specify)	g	LA6310-2
None apply	h	LA10029-9
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	i	LA4489-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52551-9 Other (specify)

Observation ID in Form

B6g

Fully-Specified Name

Component: Prior mobility device.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Prior mobility device.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52552-7 Falls in the past year

Observation ID in Form

B7

Fully-Specified Name

Component: Falls in the past Y
Property: Hx
Time: 1Y
System: ^Patient
Scale: Ord
Method

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.70 (MAJ)
Change Reason: Release 2.70: METHOD_TYP: General concept not specific to CMS; Previous Releases: Changed Component from "History of falls in the past year" to "Falls in the past Y" and Property from "Find" to "Hx" based on current LOINC model.
Order vs. Observation: Observation

Normative Answer List LL208-0

Answer	Code	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
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
97874-2	Stay Independent panel [Stay Independent]

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52450-4 Current Medical Information

Observation ID in Form

III

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Clinicians: For this section, please provide a listing of medical diagnoses, comorbid diseases and complications, and procedures based on a review of the patient's clinical records available at the time of assessment. This information is intended to enhance continuity of care. For discharge only, these can be added to throughout the stay and will be specific to each setting

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Current Medical Information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52464-5 Primary and Other Diagnoses, Comorbidities, and Complications

Observation ID in Form

A

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Indicate the primary diagnosis and up to 14 other diagnoses being treated, managed, or monitored in this setting. Please include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Primary and Other Diagnoses, Comorbidities, and Complications
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

18630-4 Primary Diagnosis at Assessment

Observation ID in Form

A1

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis.primary
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Primary diagnosis

Basic Attributes

Class: ATTACH.REHAB
Type: Claims Attachments
First Released: Version 1.0l
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: AnswerListId: Added example answer list;
Order vs. Observation: Observation

Example Answer List LL4747-3

Answer	Code	Score	Answer ID
Other			LA46-8
Alcoholism			LA20350-7
Bleeding disorder			LA20352-3
Currently receiving chemotherapy for cancer			LA20353-1
Congenital anomalies			LA20354-9
Congestive heart failure (CHF)			LA12740-9
Current smoker			LA20356-4
Chronic renal failure			LA20357-2
Cerebrovascular accident			LA22244-0
Diabetes mellitus			LA14291-1
Disseminated cancer			LA20360-6
Advanced directive limiting care			LA20361-4
Functionally dependent health status			LA20363-0
Hypertension			LA7444-8
Prematurity			LA20368-9
Chronic obstructive pulmonary disease			LA28200-6
Steroid use			LA20370-5
Cirrhosis			LA9639-1
Dementia			LA20372-1
Attention deficit disorder/Attention deficit hyperactivity disorder (ADD/ADHD)			LA28412-7
Anticoagulant therapy			LA28199-0
Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder)			LA14275-4
Mental/personality disorder			LA28198-2
Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder)			LA14274-7
Peripheral arterial disease Copyright http://snomed.info/sct ID:399957001 Peripheral arterial occlusive disease (disorder)			LA28197-4
Substance abuse disorder Copyright http://snomed.info/sct ID:66214007 Substance abuse (disorder)			LA28195-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
97782-7	Spine Tango Surgery 2017

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση.κύρια:Imp:Pt:^Ασθενής:Nom: Synonyms: - ATTACH ATTACH.REHAB Imp Nom Pt Ασθενής Διάγνωση Διάγνωση.κύρια
es-AR	Spanish (Argentina)	diagnóstico.primario:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi.primaria:Imp:Pt:^Paziente:Nom: Synonyms: Allegato Allegato riabilitazione Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Диагноз.основной:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	诊断.主要:印象:时间点:^患者:名义型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.康复治疗;健康保险便携与责任法案信息附件.康复;健康保险便携与责任法案信息附件.康复治疗;康复信息附件;康复治疗HIPAA信息附件;康复治疗信息附件;康复治疗健康保险便携与责任法主要诊断信息附件;健康保险便携与责任法案信息附件;附件分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释时刻;随机;随意;瞬间诊断结论;判断;结论

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52465-2 Other Diagnoses, Comorbidities, and Complications

Observation ID in Form

B

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

List other diagnoses being treated, managed, or monitored in this setting. Include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Other Diagnoses, Comorbidities, and Complications
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

29308-4 Diagnosis

Part Descriptions

LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease. Source: Regenstrief LOINC

Observation ID in Form

B1a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 4809

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
74293-2	Oncology plan of care and summary - recommended CDA set
93149-3	PhenX - bone age protocol 220301
62863-6	PhenX domain - Infectious diseases and immunity
62896-6	PhenX domain - Skin, bone, muscle and joint

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση:Imp:Pt:^Ασθενής:Nom: Synonyms: - H&P.PX Imp Nom Pt Ασθενής Διάγνωση
es-AR	Spanish (Argentina)	diagnóstico:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
es-ES	Spanish (Spain)	Diagnóstico:Impresión/interpretación del estudio:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Diagnóstico:Interpretación:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Diagnostic:Impression:Temps ponctuel:^Patient:Nominal:
fr-BE	French (Belgium)	Diagnostic:Impression/interprétation d'étude:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Diagnosi:Imp:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Diagnóstico:Imp:Pt:^Paciente:Nom: Synonyms: ; Dx; Interpretation; Interp; Impression; Impressions; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Диагноз:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
uk-UA	Ukrainian (Ukraine)	Діагноз:Інтерпретація:МоментЧасу:^Пацієнт:Категорійно: Synonyms: Dx; H+P; H+P.PX; Impression; Impression/interpretation of study; Impressions; Interp; Interpretation; Nominal; P prime; Point in time; Random
zh-CN	Chinese (China)	诊断:印象:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释历史纪录与体格检查历史纪录与体格检查小节时刻;随机;随意;瞬间病史与体格检查诊断结论;判断;结论

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX161602360400	PX161602_Doctor_Visit_1_Diagnosis
https://www.phenxtoolkit.org	PX170501050100	PX170501_Crohns_Disease_Explanation_Diagnosis
https://www.phenxtoolkit.org	PX220301240000	PX220301_Bone_Age_Diagnostic

52466-0 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)

Observation ID in Form

C

Fully-Specified Name

Component: Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52558-4 Did the patient have one or more major procedures (e.g., G-tube placement, EEG, abdominal, cat scans; do not include x-rays, EKGs, ultrasounds) during this admission?

Observation ID in Form

C1

Skip Logic

If No, skip to Section D. Major Treatments.

Form Coding Instructions

List up to 15 procedures (diagnostic, surgical and therapeutic interventions). Indicate if a procedure was left, right, or not applicable (N/A). If procedure was bilateral (e.g., bilateral knee replacement), check both left and right boxes

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Procedure this admission
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Procedure this admission [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52467-8 Procedure [CARE]

Form Coding Instructions

List up to 15 procedures (diagnostic, surgical and therapeutic interventions). Indicate if a procedure was left, right, or not applicable (N/A). If procedure was bilateral (e.g., bilateral knee replacement), check both left and right boxes

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Procedure
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

29300-1 Procedure type

Observation ID in Form

C1a

Fully-Specified Name

Component: Procedure
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 2979

Member of these Panels

LOINC	Long Common Name
84907-5	Cancer pathology panel - Colorectal cancer specimen
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διαδικασία:Type:Pt:^Ασθενής:Nom: Synonyms: - H&P.PX Nom Pt Type Ασθενής Διαδικασία
es-AR	Spanish (Argentina)	procedimiento:tipo:punto en el tiempo:^paciente:Nominal:
es-ES	Spanish (Spain)	Procedimiento:Tipo:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Procedimiento:Tipo:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Procédure:Type:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Procedura:Tipo:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	verrichting:type:moment:^patiënt:nominaal:
pt-BR	Portuguese (Brazil)	Procedimento:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Вмешательство:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Процедура Точка во времени;Момент
zh-CN	Chinese (China)	操作项目:类型:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史纪录与体格检查历史纪录与体格检查小节型操作;程序;手续;步骤;规程;程序流程时刻;随机;随意;瞬间病史与体格检查

52560-0 Procedure.left [CARE]

Fully-Specified Name

Component: Procedure.left
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52561-8 Procedure.right [CARE]

Fully-Specified Name

Component: Procedure.right
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52562-6 Procedure.side not applicable [CARE]

Fully-Specified Name

Component: Procedure.side not applicable
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52468-6 Which of the following treatments did the patient receive during the 2-day assessment period?

Observation ID in Form

D

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

"Discharged With" refers to the 2-day discharge assessment period.Which of the following treatments did the patient receive a) at the time of discharge or b) at any time during their admission?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Major Treatments
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Major Treatments

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52803-4 Major treatments discharged with panel

Fully-Specified Name

Component: Major treatments discharged with panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52804-2 Major treatments discharged with [CARE]

Observation ID in Form

D1a

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Major treatments discharged with
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL552-1

Answer	Code	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	D1	LA137-2
Insulin Drip	D2	LA9988-2
Total parenteral nutrition	D3	LA10101-6
Central Line Management	D4	LA9943-7
Blood Transfusion(s)	D5	LA9940-3
Controlled Parenteral Analgesia – Peripheral	D6	LA9959-3
Controlled Parenteral Analgesia – Epidural	D7	LA9958-5
Left Ventricular Assistive Device (LVAD)	D8	LA9994-0
Continuous Cardiac Monitoring	D9	LA9957-7
Chest Tube(s)	D10	LA9948-6
Trach Tube with Suctioning	D11	LA10102-4
High O2 Concentration Delivery System with FiO2 > 40%	D12	LA9976-7
Non-invasive ventilation (CPAP)	D13	LA10033-1
Ventilator – Weaning	D14	LA10115-6
Ventilator – Non-Weaning	D16	LA10114-9
Hemodialysis	D17	LA9975-9
Peritoneal Dialysis	D18	LA10059-6
Fistula or Other Drain Management	D19	LA9971-8
Negative Pressure Wound Therapy	D20	LA10019-0
Complex Wound Management with positioning and skin separation/traction that requires at least two persons or extensive & complex wound management by one person	D21	LA9954-4
Halo	D22	LA9974-2
Complex External Fixators (e.g., Ilizarov)	D23	LA9953-6
One-on-One 24-Hour Staff Supervision	D24	LA11601-4
Specialty Surface or Bed (i.e., air fluidized, bariatric, low air loss, or rotation bed)	D25	LA10084-4
Multiple Types of IV Antibiotic Administration	D26	LA11603-0
IV Vaso-actors (e.g., pressors, dilators, medication for pulmonary edema)	D27	LA9992-4
IV Anti-coagulants	D28	LA9990-8
IV Chemotherapy	D28	LA9991-6
Indwelling Bowel Catheter Management System	D29	LA9984-1
Other Major Treatments, e.g. isolation, hypothermia blanket	D30	LA10050-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52565-9 Specify reason for continuous monitoring:

Observation ID in Form

D9c

Fully-Specified Name

Component: Reason for continuous cardiac monitoring
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for continuous cardiac monitoring

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours

Observation ID in Form

D11c

Fully-Specified Name

Component: Suctioning frequency per H during stay.max
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Maximum suctioning frequency per hour during stay [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient:

Observation ID in Form

D14c

Fully-Specified Name

Component: Number of D to wean patient who is now independent from ventilator
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Number of days to wean patient who is now independent from ventilator [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Example Units

Unit	Source
d	Example UCUM Units

52567-5 Specify reason for 24-hour supervision

Observation ID in Form

D23c

Fully-Specified Name

Component: Reason for one on one 24H supervision
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for one on one 24 hour supervision

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52568-3 Specify

Observation ID in Form

D30c

Fully-Specified Name

Component: Other major treatments received.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Other major treatments received.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52470-2 Major treatments used at any time during stay panel

Fully-Specified Name

Component: Major treatments used at any time during stay panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52569-1 Major treatments used at any time during stay [CARE]

Observation ID in Form

D1b

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Major treatments used at any time during stay
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL552-1

Answer	Code	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	D1	LA137-2
Insulin Drip	D2	LA9988-2
Total parenteral nutrition	D3	LA10101-6
Central Line Management	D4	LA9943-7
Blood Transfusion(s)	D5	LA9940-3
Controlled Parenteral Analgesia – Peripheral	D6	LA9959-3
Controlled Parenteral Analgesia – Epidural	D7	LA9958-5
Left Ventricular Assistive Device (LVAD)	D8	LA9994-0
Continuous Cardiac Monitoring	D9	LA9957-7
Chest Tube(s)	D10	LA9948-6
Trach Tube with Suctioning	D11	LA10102-4
High O2 Concentration Delivery System with FiO2 > 40%	D12	LA9976-7
Non-invasive ventilation (CPAP)	D13	LA10033-1
Ventilator – Weaning	D14	LA10115-6
Ventilator – Non-Weaning	D16	LA10114-9
Hemodialysis	D17	LA9975-9
Peritoneal Dialysis	D18	LA10059-6
Fistula or Other Drain Management	D19	LA9971-8
Negative Pressure Wound Therapy	D20	LA10019-0
Complex Wound Management with positioning and skin separation/traction that requires at least two persons or extensive & complex wound management by one person	D21	LA9954-4
Halo	D22	LA9974-2
Complex External Fixators (e.g., Ilizarov)	D23	LA9953-6
One-on-One 24-Hour Staff Supervision	D24	LA11601-4
Specialty Surface or Bed (i.e., air fluidized, bariatric, low air loss, or rotation bed)	D25	LA10084-4
Multiple Types of IV Antibiotic Administration	D26	LA11603-0
IV Vaso-actors (e.g., pressors, dilators, medication for pulmonary edema)	D27	LA9992-4
IV Anti-coagulants	D28	LA9990-8
IV Chemotherapy	D28	LA9991-6
Indwelling Bowel Catheter Management System	D29	LA9984-1
Other Major Treatments, e.g. isolation, hypothermia blanket	D30	LA10050-5

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52565-9 Specify reason for continuous monitoring:

Observation ID in Form

D9c

Fully-Specified Name

Component: Reason for continuous cardiac monitoring
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for continuous cardiac monitoring

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52566-7 Specify most intensive frequency of suctioning during stay: Every____ hours

Observation ID in Form

D11c

Fully-Specified Name

Component: Suctioning frequency per H during stay.max
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Maximum suctioning frequency per hour during stay [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

55613-4 If patient is completely independent of the ventilator, specify the number of days it took to wean patient:

Observation ID in Form

D14c

Fully-Specified Name

Component: Number of D to wean patient who is now independent from ventilator
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Number of days to wean patient who is now independent from ventilator [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Example Units

Unit	Source
d	Example UCUM Units

52567-5 Specify reason for 24-hour supervision

Observation ID in Form

D23c

Fully-Specified Name

Component: Reason for one on one 24H supervision
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for one on one 24 hour supervision

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52568-3 Specify

Observation ID in Form

D30c

Fully-Specified Name

Component: Other major treatments received.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Other major treatments received.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52471-0 Medications (Optional)

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

List all current medications for the patient

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

List the ten most clinically relevant medications

Source: Regenstrief Help

Fully-Specified Name

Component: Medications
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Medications

Basic Attributes

Class: PANEL.SURVEY.MDS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3	Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5	Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility

Language Variants Get Info

Tag	Language	Translation
de-AT	German (Austria)	Synonyms: Dokumente der e-Medikation

52418-1 Medication Name

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Name
Property: ID
Time: Pt
System: Medication.current
Scale: Nom
Method

Long Common Name

Current medication, Name

Basic Attributes

Class: ATTACH.MEDS
Type: Claims Attachments
First Released: Version 2.26
Last Updated: Version 2.27 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
18605-6	Medication current Set
62611-9	PhenX domain - Respiratory
63067-3	PhenX domain - Speech and hearing

Language Variants Get Info

Tag	Language	Translation
de-AT	German (Austria)	Synonyms: Medikation
el-GR	Greek (Greece)	Όνομα:Αναγνωριστικό:Pt:Φαρμακευτική αγωγή.παρούσα:Nom: Synonyms: ATTACH ATTACH.MEDS MEDS Nom Pt Αναγνωριστικό Όνομα Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
fr-FR	French (France)	Nom:Identifiant:Ponctuel:Traitement courant:Résultat nominal:
it-IT	Italian (Italy)	Nome:ID:Pt:Farmaco.attuale:Nom: Synonyms: Allegato Allegato farmaci Farmaco attuale Identificatore Medicazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Nome:ID:Pt:Medicação.atual:Nom: Synonyms: Identifier; Ident; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Фамилия:ID:ТчкВрм:Лекарственный препарат.текущий:Ном: Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	名称:标识符:时间点:药物.当前:名义型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.药物处理;健康保险便携与责任法案信息附件.药物处理;健康保险便携与责任法案信息附件.药物治疗;药物处理HIPAA信息附件;药物处理信息附件;药物处理健康保险便携与责任法案信息附件信息附件;健康保险便携与责任法案信息附件;附件分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物姓名;名字;名时刻;随机;随意;瞬间标识;身份标识符;身份标识药物;药物处理;用药;使用药物

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX091502500101	PX091502_Child_Current_Medication_Medicine_1
https://www.phenxtoolkit.org	PX201501430100	PX201501_Regular_Medication1_Name
https://www.phenxtoolkit.org	PX201501430400	PX201501_Regular_Medication2_Name
https://www.phenxtoolkit.org	PX201501430700	PX201501_Regular_Medication3_Name
https://www.phenxtoolkit.org	PX201501431000	PX201501_Regular_Medication4_Name
https://www.phenxtoolkit.org	PX201501431300	PX201501_Regular_Medication5_Name
https://www.phenxtoolkit.org	PX201501431600	PX201501_Regular_Medication6_Name
https://www.phenxtoolkit.org	PX201501431900	PX201501_Regular_Medication7_Name
https://www.phenxtoolkit.org	PX201501432200	PX201501_Regular_Medication8_Name
https://www.phenxtoolkit.org	PX201501432500	PX201501_Regular_Medication9_Name
https://www.phenxtoolkit.org	PX201501432800	PX201501_Regular_Medication10_Name

52809-1 Dose form Current medication

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Dose form
Property: Type
Time: Pt
System: Medication.current
Scale: Nom
Method

Basic Attributes

Class: MEDS
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 2249

Example Answer List LL3146-9

Answer	Code	Score	Answer ID
Pill			LA16247-1
Tablet			LA21908-1
Capsule			LA21907-3
Extended-release capsule			LA21911-5
Granules			LA21912-3
Suspension			LA21913-1
Elixir			LA21914-9
Cream			LA21915-6
Ointment			LA21916-4
Injectable solution			LA21917-2
Patch			LA21918-0
Spray			LA21919-8

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Έντυπο δόσης:Type:Pt:Φαρμακευτική αγωγή.παρούσα:Nom: Synonyms: MEDS Nom Pt Type Έντυπο δόσης Μορφή Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
es-MX	Spanish (Mexico)	Forma de dosis:Tipo:Punto temporal:Medicación actual:Nominal:
fr-FR	French (France)	Forme posologique:Type:Ponctuel:Traitement courant:Résultat nominal:
it-IT	Italian (Italy)	Dose, forma:Tipo:Pt:Farmaco.attuale:Nom: Synonyms: Farmaco attuale Medicazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Forma de apresentação:Ident:Pt:Medicação.atual:Nom: Synonyms: Identity or presence; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Доза форма:Тип:ТчкВрм:Лекарственный препарат.текущий:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент Форма выпуска
zh-CN	Chinese (China)	剂型:类型:时间点:药物.当前:名义型: Synonyms: 一剂物质一剂药物分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答剂量物质型处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物时刻;随机;随意;瞬间药剂形式药物;药物处理;用药;使用药物表格;表;窗体

18609-8 Current medication, Route

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Route
Property: Prid
Time: Pt
System: Medication.current
Scale: Nom
Method

Basic Attributes

Class: ATTACH.MEDS
Type: Claims Attachments
First Released: Version 1.0l
Last Updated: Version 2.27 (MIN)

Normative Answer List LL696-6

Answer	Code	Answer ID
Chew, oral	CHEW	LA11235-1
Diffusion, extracorporeal	EXTCORPDIF	LA11236-9
Diffusion, hemodialysis	HEMODIFF	LA11237-7
Diffusion, transdermal	TRNSDERMD	LA11238-5
Dissolve, oral	DISSOLVE	LA11239-3
Dissolve, sublingual	SL	LA11240-1
Douche, vaginal	DOUCHE	LA11241-9
Electro-osmosis	ELECTOSMOS	LA11242-7
Enema, rectal	ENEMA	LA11243-5
Enema, rectal retention	RETENEMA	LA11244-3
Flush, intravenous catheter	IVFLUSH	LA11245-0
Gargle	GARGLE	LA11246-8
Immersion (soak)	SOAK	LA11247-6
Implantation, intradermal	IDIMPLNT	LA11248-4
Implantation, intravitreal	IVITIMPLNT	LA11249-2
Implantation, subcutaneous	SQIMPLNT	LA11250-0
Infusion, epidural	EPI	LA11251-8
Infusion, intraarterial catheter	IA	LA11252-6
Infusion, intracardiac	IC	LA11253-4
Infusion, intracoronary	ICOR	LA11254-2
Infusion, intraosseous, continuous	IOSSC	LA11255-9
Infusion, intrathecal	IT	LA11256-7
Infusion, intravascular	IVASCINFUS	LA11257-5
Infusion, intravenous	IV	LA11258-3
Infusion, intravenous catheter	IVC	LA11259-1
Infusion, intravenous catheter, continuous	IVCC	LA11260-9
Infusion, intravenous catheter, intermittent	IVCI	LA11261-7
Infusion, intravenous catheter, pca pump	PCA	LA11262-5
Infusion, subcutaneous	SQINFUS	LA11263-3
Inhalation, intermittent positive pressure breathing (ippb)	IPPB	LA11264-1
Inhalation, nasal	NASINHL	LA11265-8
Inhalation, nasal cannula	NASINHLC	LA11266-6
Inhalation, nebulization	NEB	LA11268-2
Inhalation, nebulization, nasal	NASNEB	LA11269-0
Inhalation, nebulization, oral	ORNEB	LA11270-8
Inhalation, oral intermittent flow	ORIFINHL	LA11271-6
Inhalation, oral rebreather mask	REBREATH	LA11272-4
Inhalation, respiratory	ORINHL	LA11273-2
Inhalation, tracheostomy	TRACH	LA11274-0
Inhalation, ventilator	VENT	LA11275-7
Inhalation, ventimask	VENTMASK	LA11276-5
Injection, amniotic fluid	AMNINJ	LA11277-3
Injection, biliary tract	BILINJ	LA11278-1
Injection, cervical	CERVINJ	LA11279-9
Injection, endosinusial	ENDOSININJ	LA11280-7
Injection, epidural	EPIDURINJ	LA11281-5
Injection, epidural, push	EPIINJ	LA11282-3
Injection, epidural, slow push	EPINJSP	LA11283-1
Injection, extra-amniotic	EXTRAMNINJ	LA11284-9
Injection, extracorporeal	EXTCORPINJ	LA11285-6
Injection, for cholangiography	CHOLINJ	LA11286-4
Injection, gastric button	GBINJ	LA11287-2
Injection, gingival	GINGINJ	LA11288-0
Injection, hemodialysis port	HEMOPORT	LA11289-8
Injection, insulin pump	IPUMPINJ	LA11290-6
Injection, interameningeal	INTERMENINJ	LA11291-4
Injection, interstitial	INTERSTITINJ	LA11292-2
Injection, intra-abdominal	IABDINJ	LA11293-0
Injection, intraarterial	IAINJ	LA11294-8
Injection, intraarterial, push	IAINJP	LA11295-5
Injection, intraarterial, slow push	IAINJSP	LA11296-3
Injection, intraarticular	IARTINJ	LA11297-1
Injection, intrabursal	IBURSINJ	LA11298-9
Injection, intracardiac	ICARDINJ	LA11299-7
Injection, intracardiac, push	ICARINJP	LA11300-3
Injection, intracardiac, rapid push	ICARDINJRP	LA11301-1
Injection, intracardiac, slow push	ICARDINJSP	LA11302-9
Injection, intracartilaginous	ICARTINJ	LA11303-7
Injection, intracaudal	ICAUDINJ	LA11304-5
Injection, intracavernous	ICAVINJ	LA11305-2
Injection, intracavitary	ICAVITINJ	LA11306-0
Injection, intracerebral	ICEREBINJ	LA11307-8
Injection, intracervical (uterus)	IUINJC	LA11308-6
Injection, intracisternal	ICISTERNINJ	LA11309-4
Injection, intracoronary	ICORONINJ	LA11310-2
Injection, intracoronary, push	ICORONINJP	LA11311-0
Injection, intracorpus cavernosum	ICORPCAVINJ	LA11312-8
Injection, intradermal	IDINJ	LA11313-6
Injection, intradiscal	IDISCINJ	LA11314-4
Injection, intraductal	IDUCTINJ	LA11315-1
Injection, intradural	IDURINJ	LA11316-9
Injection, intraepidermal	IEPIDINJ	LA11317-7
Injection, intraepithelial	IEPITHINJ	LA11318-5
Injection, intralesional	ILESINJ	LA11319-3
Injection, intraluminal	ILUMINJ	LA11320-1
Injection, intralymphatic	ILYMPJINJ	LA11321-9
Injection, intramedullary	IMEDULINJ	LA11322-7
Injection, intramuscular	IM	LA11323-5
Injection, intramuscular, deep	IMD	LA11324-3
Injection, intramuscular, z track	IMZ	LA11325-0
Injection, intraocular	IOINJ	LA11326-8
Injection, intraosseous	IOSSINJ	LA11327-6
Injection, intraovarian	IOVARINJ	LA11328-4
Injection, intrapericardial	IPCARDINJ	LA11329-2
Injection, intraperitoneal	IPERINJ	LA11330-0
Injection, intrapleural	IPLRINJ	LA11331-8
Injection, intraprostatic	IPROSTINJ	LA11332-6
Injection, intrapulmonary	IPINJ	LA11333-4
Injection, intraspinal	ISINJ	LA11334-2
Injection, intrasternal	ISTERINJ	LA11335-9
Injection, intrasynovial	ISYNINJ	LA11336-7
Injection, intratendinous	ITENDINJ	LA11337-5
Injection, intratesticular	ITESTINJ	LA11338-3
Injection, intrathecal	ITINJ	LA11339-1
Injection, intrathoracic	ITHORINJ	LA11340-9
Injection, intratubular	ITUBINJ	LA11341-7
Injection, intratumor	ITUMINJ	LA11342-5
Injection, intratympanic	ITYMPINJ	LA11343-3
Injection, intraureteral, retrograde	IURETINJ	LA11344-1
Injection, intrauterine	IUINJ	LA11345-8
Injection, intravascular	IVASCINJ	LA11346-6
Injection, intravenous	IVINJ	LA11347-4
Injection, intravenous, bolus	IVINJBOL	LA11348-2
Injection, intravenous, push	IVPUSH	LA11349-0
Injection, intravenous, rapid push	IVRPUSH	LA11350-8
Injection, intravenous, slow push	IVSPUSH	LA11351-6
Injection, intraventricular (heart)	IVENTINJ	LA11352-4
Injection, intravesicle	IVESINJ	LA11353-2
Injection, intravitreal	IVITINJ	LA11354-0
Injection, paranasal sinuses	PNSINJ	LA11355-7
Injection, parenteral	PARENTINJ	LA11356-5
Injection, periarticular	PAINJ	LA11357-3
Injection, peridural	PDURINJ	LA11358-1
Injection, perineural	PNINJ	LA11359-9
Injection, periodontal	PDONTINJ	LA11360-7
Injection, peritoneal dialysis port	PDPINJ	LA11361-5
Injection, retrobulbar	RBINJ	LA11362-3
Injection, soft tissue	SOFTISINJ	LA11363-1
Injection, subarachnoid	SUBARACHINJ	LA11364-9
Injection, subconjunctival	SCINJ	LA11365-6
Injection, subcutaneous	SQ	LA11366-4
Injection, sublesional	SLESINJ	LA11367-2
Injection, submucosal	SUBMUCINJ	LA11368-0
Injection, transplacental	TRPLACINJ	LA11369-8
Injection, transtracheal	TRTRACHINJ	LA11370-6
Injection, ureteral	URETINJ	LA11371-4
Injection, urethral	URETHINJ	LA11372-2
Injection, urinary bladder	BLADINJ	LA11373-0
Insertion, cervical (uterine)	CERVINS	LA11374-8
Insertion, intraocular, surgical	IOSURGINS	LA11375-5
Insertion, intrauterine	IU	LA11376-3
Insertion, lacrimal puncta	LPINS	LA11377-1
Insertion, rectal	PR	LA11378-9
Insertion, subcutaneous, surgical	SQSURGINS	LA11379-7
Insertion, urethral	URETHINS	LA11380-5
Insertion, vaginal	VAGINSI	LA11381-3
Instillation, cecostomy	CECINSTL	LA11382-1
Instillation, chest tube	CTINSTL	LA11383-9
Instillation, continuous ambulatory peritoneal dialysis port	CAPDINSTL	LA11384-7
Instillation, endotracheal tube	ETINSTL	LA11385-4
Instillation, enteral	ENTINSTL	LA11386-2
Instillation, enteral feeding tube	EFT	LA11387-0
Instillation, gastro-jejunostomy tube	GJT	LA11388-8
Instillation, gastrostomy tube	GT	LA11389-6
Instillation, intrabronchial	IBRONCHINSTIL	LA11390-4
Instillation, intraduodenal	IDUODINSTIL	LA11391-2
Instillation, intraesophageal	IESOPHINSTIL	LA11392-0
Instillation, intragastric	IGASTINSTIL	LA11393-8
Instillation, intraileal	IILEALINJ	LA11394-6
Instillation, intraocular	IOINSTL	LA11395-3
Instillation, intrasinal	ISININSTIL	LA11396-1
Instillation, intratracheal	ITRACHINSTIL	LA11397-9
Instillation, intrauterine	IUINSTL	LA11398-7
Instillation, jejunostomy tube	JJTINSTL	LA11399-5
Instillation, laryngeal	LARYNGINSTIL	LA11400-1
Instillation, nasal	NASALINSTIL	LA11401-9
Instillation, nasogastric	NASOGASINSTIL	LA11402-7
Instillation, nasogastric tube	NGT	LA11403-5
Instillation, nasotracheal tube	NTT	LA11404-3
Instillation, orogastric tube	OGT	LA11405-0
Instillation, orojejunum tube	OJJ	LA11406-8
Instillation, otic	OT	LA11407-6
Instillation, paranasal sinuses	PNSINSTL	LA11408-4
Instillation, peritoneal dialysis port	PDPINSTL	LA11409-2
Instillation, rectal	RECINSTL	LA11410-0
Instillation, rectal tube	RECTINSTL	LA11411-8
Instillation, sinus, unspecified	SININSTIL	LA11412-6
Instillation, soft tissue	SOFTISINSTIL	LA11413-4
Instillation, tracheostomy	TRACHINSTL	LA11414-2
Instillation, transtympanic	TRTYMPINSTIL	LA11415-9
instillation, urethral	URETHINSTL	LA11416-7
Instillation, urinary catheter	BLADINSTL	LA11417-5
Insufflation	INSUF	LA11418-3
Irrigation, genitourinary	GUIRR	LA11419-1
Irrigation, intragastric	IGASTIRR	LA11420-9
Irrigation, intralesional	ILESIRR	LA11421-7
Irrigation, intraocular	IOIRR	LA11422-5
Irrigation, rectal	RECIRR	LA11423-3
Irrigation, urinary bladder	BLADIRR	LA11424-1
Irrigation, urinary bladder, continuous	BLADIRRC	LA11425-8
Irrigation, urinary bladder, tidal	BLADIRRT	LA11426-6
Lavage, intragastric	IGASTLAV	LA11427-4
Mucosal absorption, intraduodenal	IDOUDMAB	LA11428-2
Mucosal absorption, intratracheal	ITRACHMAB	LA11429-0
Mucosal absorption, submucosal	SMUCMAB	LA11430-8
Nebulization, endotracheal tube	ETNEB	LA11431-6
Occlusive dressing technique	OCDRESTA	LA11432-4
Rinse, dental	DENRINSE	LA11433-2
Rinse, oral	ORRINSE	LA11434-0
Shampoo	SHAMPOO	LA11435-7
Subconjunctival	SUBCONJTA	LA11436-5
Suck, oromucosal	SUCK	LA11437-3
Suppository, urethral	URETHSUP	LA11438-1
Swallow, oral	PO	LA11439-9
Swish and spit out, oromucosal	SWISHSPIT	LA11440-7
Swish and swallow, oromucosal	SWISHSWAL	LA11441-5
Topical	TOPICAL	LA9456-0
Topical absorption, transtympanic	TTYMPTABSORP	LA11443-1
Topical application, buccal	BUC	LA11444-9
Topical application, cervical	CERV	LA11445-6
Topical application, dental	DEN	LA11446-4
Topical application, gingival	GIN	LA11447-2
Topical application, hair	HAIR	LA11448-0
Topical application, intracorneal	ICORNTA	LA11449-8
Topical application, intracoronal (dental)	ICORONTA	LA11450-6
Topical application, intraesophageal	IESOPHTA	LA11451-4
Topical application, intraileal	IILEALTA	LA11452-2
Topical application, intralesional	ILTOP	LA11453-0
Topical application, intraluminal	ILUMTA	LA11454-8
Topical application, intraocular	IOTOP	LA11455-5
Topical application, iontophoresis	IONTO	LA11456-3
Topical application, laryngeal	LARYNGTA	LA11457-1
Topical application, mucous membrane	MUC	LA11458-9
Topical application, nail	NAIL	LA11459-7
Topical application, nasal	NASAL	LA11460-5
Topical application, ophthalmic	OPTHALTA	LA11461-3
Topical application, oral	ORALTA	LA11462-1
Topical application, oromucosal	ORMUC	LA11463-9
Topical application, oropharyngeal	OROPHARTA	LA11464-7
Topical application, perianal	PERIANAL	LA11465-4
Topical application, perineal	PERINEAL	LA11466-2
Topical application, periodontal	PDONTTA	LA11467-0
Topical application, rectal	RECTAL	LA11468-8
Topical application, scalp	SCALP	LA11469-6
Topical application, skin	SKIN	LA11470-4
Topical application, soaked dressing	DRESS	LA11471-2
Topical application, swab	SWAB	LA11472-0
Topical application, transmucosal	TMUCTA	LA11473-8
Topical application, vaginal	VAGINS	LA11474-6
Transdermal	TRNSDERM	LA9454-5
Translingual	TRNSLING	LA9455-2

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
18605-6	Medication current Set

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Οδός:Prid:Pt:Φαρμακευτική αγωγή.παρούσα:Nom: Synonyms: ATTACH ATTACH.MEDS MEDS Nom Prid Pt Οδός Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
es-AR	Spanish (Argentina)	vía:presencia o identidad:punto en el tiempo:medicación.actual:Nominal:
fr-FR	French (France)	Voie d'administration:Identification:Ponctuel:Traitement courant:Résultat nominal:
it-IT	Italian (Italy)	Via:Prid:Pt:Farmaco.attuale:Nom: Synonyms: Allegato Allegato farmaci Farmaco attuale Medicazione Presenza o Identità Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Путь:ПрИд:ТчкВрм:Лекарственный препарат.текущий:Ном: Synonyms: Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN	Chinese (China)	途径:存在与否或特征标识:时间点:药物.当前:名义型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.药物处理;健康保险便携与责任法案信息附件.药物处理;健康保险便携与责任法案信息附件.药物治疗;药物处理HIPAA信息附件;药物处理信息附件;药物处理健康保险便携与责任法案信息附件信息附件;健康保险便携与责任法案信息附件;附件分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物存在;存在与否;特征标识;身份;身份标识时刻;随机;随意;瞬间药物;药物处理;用药;使用药物路径;通道;通路

52810-9 Current medication, Frequency

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Frequency
Property: NRat
Time: Pt
System: Medication.current
Scale: Qn
Method

Basic Attributes

Class: ATTACH.MEDS
Type: Claims Attachments
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 8478

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Συχνότητα:NRat:Pt:Φαρμακευτική αγωγή.παρούσα:Qn: Synonyms: ATTACH ATTACH.MEDS MEDS NRat Pt Qn Συχνότητα Φαρμακευτική αγωγή Φαρμακευτική αγωγή.παρούσα
fr-FR	French (France)	Fréquence:Nombre/Temps:Ponctuel:Traitement courant:Numérique:
it-IT	Italian (Italy)	Frequenza:NRat:Pt:Farmaco.attuale:Qn: Synonyms: Allegato Allegato farmaci Farmaco attuale Indice numerico Medicazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Frequência:NRat:Pt:Medicação.atual:Qn: Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Частота:КолСкор:ТчкВрм:Лекарственный препарат.текущий:Колич: Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN	Chinese (China)	频率:计数型速率:时间点:药物.当前:定量型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.药物处理;健康保险便携与责任法案信息附件.药物处理;健康保险便携与责任法案信息附件.药物治疗;药物处理HIPAA信息附件;药物处理信息附件;药物处理健康保险便携与责任法案信息附件信息附件;健康保险便携与责任法案信息附件;附件单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺处理用药.当前;处理用药物.当前;处理药物.当前;当前的处理用药;当前的处理用药物;当前的处理药物;当前的治疗用药;当前的治疗用药物;当前的治疗药物;当前的药物;治疗用药.当前;治疗用药物.当前;治疗药物.当前处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物时刻;随机;随意;瞬间药物;药物处理;用药;使用药物频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

52796-0 Planned Stop Date (if applicable)

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Planned stop date
Property: Date
Time: Pt
System: Medication.current
Scale: Qn
Method

Long Common Name

Planned stop date Current medication

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52472-8 Allergies and Adverse Drug Reactions

Fully-Specified Name

Component: Allergies & Adverse Drug Reactions
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52571-7 Does patient have allergies or any known adverse drug reactions?

Skip Logic

If None Known, skip to Section G. Skin Integrity. If Yes, list all allergies/causes of reaction [e.g., food, medications, other] and describe the adverse reactions.)

Fully-Specified Name

Component: Known allergies or adverse drug reactions
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Known allergies or adverse drug reactions [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL553-9

Answer	Code	Score	Answer ID
None known	0		LA10030-7
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1		LA33-6

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52473-6 Allergies/Causes of Reaction

Fully-Specified Name

Component: Allergy or cause of reaction
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Allergy or cause of reaction

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.27 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62863-6	PhenX domain - Infectious diseases and immunity

31044-1 Patient Reaction

Fully-Specified Name

Component: Immunization reaction
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Immunization reaction

Basic Attributes

Class: VACCIN
Type: Clinical
First Released: Version 2.05
Last Updated: Version 2.52 (MIN)
Order vs. Observation: Observation

Example Answer List LL3209-5

Answer	Score	Answer ID
Pain	7	LA7460-4
Hypotonic		LA22435-4
Fever		LA7435-6
Encephalopathy, disorder of the brain		LA22437-0
Anaphylaxis within 24 hours		LA22438-8
Redness		LA22439-6
Swelling	6	LA22440-4

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62863-6	PhenX domain - Infectious diseases and immunity

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αντίδραση ανοσοποίησης:Εύρεση:Pt:^Ασθενής:Nom: Synonyms: - Nom Pt VACCIN Ανοσοποίηση Αντίδραση ανοσοποίησης Ασθενής Εύρεση
es-AR	Spanish (Argentina)	reacción:hallazgo:punto en el tiempo:^paciente:Nominal:
es-MX	Spanish (Mexico)	Reacción de inmunización:Tipo:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Réaction d'immunisation:Recherche:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Immunizzazione, reazione:Osservazione:Pt:^Paziente:Nom: Synonyms: Osservazione paziente Punto nel tempo (episodio) Vaccinazioni
pt-BR	Portuguese (Brazil)	Reação:Achado:Pt:^Paciente:Nom: Synonyms: Finding; Findings; Point in time; Random; Nominal; Rxn; React; VACCINE
zh-CN	Chinese (China)	疫苗接种反应:发现:时间点:^患者:名义型: Synonyms: React Rxn 免疫接种历史;免疫史;接种史;免疫接种史分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论响应接种;接种记录;疫苗;疫苗接种时刻;随机;随意;瞬间疫苗接种（免疫接种、预防接种、接种）反应

52474-4 Skin integrity panel

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Skin integrity panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

69349-9 Presence of pressure ulcers

Observation ID in Form

G1-2

Fully-Specified Name

Component: Presence of pressure ulcers - acute
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Long Common Name

Presence of pressure ulcers - acute [CARE]

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52573-3 Is this patient at risk of developing pressure ulcers?

Observation ID in Form

G1

Fully-Specified Name

Component: Risk of developing pressure ulcers
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Risk of developing pressure ulcers [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL723-8

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes, indicated by clinical judgement	1	LA11612-1
Yes, indicated by high risk by formal assessment (e.g., on Braden or Norton tools) or the patient has a stage I or greater ulcer, a scar over a bony prominence, or a non-removable dressing, device, or cast.	2	LA11613-9

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52574-1 Does this patient have one or more unhealed pressure ulcer(s) at stage 2 or higher?

Observation ID in Form

G2

Skip Logic

If No, skip to G5. Major Wounds.

Fully-Specified Name

Component: One or more unhealed pressure ulcer(s) at stage 2 or higher
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

One or more unhealed pressure ulcer(s) at stage 2 or higher [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL361-7

Answer	Code	Score	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)			LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)			LA32-8

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52476-9 IF THE PATIENT HAS ONE OR MORE STAGE 2-4 PRESSURE ULCERS, indicate the number of unhealed pressure ulcers at each stage

Term Description

Pressure ulcer at stage 2, stage 3, or stage 4 only:

Form Coding Instructions

CODING: Please specify the number of ulcers at each stage:

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of unhealed pressure ulcers at each stage - at assessment and onset during this service
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Number of unhealed pressure ulcers at each stage - at assessment and onset during this service

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52575-8 Number of pressure ulcers at assessment - stage 2 [CARE]

Term Description

Stage 2 - Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister (excludes those resulting from skin tears, tape stripping, or incontinence associated dermatitis).

Observation ID in Form

G2a1

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure ulcers at assessment - stage 2
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52576-6 Number of pressure ulcers at assessment - stage 3 [CARE]

Term Description

Stage 3 - Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.

Observation ID in Form

G2b1

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure ulcers at assessment - stage 3
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52577-4 Number of pressure ulcers at assessment - stage 4 [CARE]

Term Description

Stage 4 - Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.

Observation ID in Form

G2c1

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure ulcers at assessment - stage 4
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52578-2 Number of pressure ulcers at assessment - unstageable [CARE]

Term Description

Unstageable - Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, gray, green, or brown) or eschar (tan, brown, or black) in the wound bed. Include ulcers that are known or likely, but are not stageable due to non-removable dressing, device, cast or suspected deep tissue injury in evolution.

Observation ID in Form

G2d1

Fully-Specified Name

Component: Number of pressure ulcers at assessment - unstageable
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52579-0 Number of pressure ulcers onset during this service - stage 2 [CARE]

Term Description

Stage 2 - Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister (excludes those resulting from skin tears, tape stripping, or incontinence associated dermatitis).

Observation ID in Form

G2a2

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure ulcers onset during this service - stage 2
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52580-8 Number of pressure ulcers onset during this service - stage 3 [CARE]

Term Description

Stage 3 - Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.

Observation ID in Form

G2b2

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure ulcers onset during this service - stage 3
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52581-6 Number of pressure ulcers onset during this service - stage 4 [CARE]

Term Description

Stage 4 - Full thickness tissue loss with visible bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.

Observation ID in Form

G2c2

Form Coding Instructions

If the patient has one or more stage 2-4 pressure ulcers, indicate the number of unhealed pressure ulcers at each stage

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure ulcers onset during this service - stage 4
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52582-4 Number of pressure ulcers onset during this service - unstageable [CARE]

Term Description

Unstageable - Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, gray, green, or brown) or eschar (tan, brown, or black) in the wound bed. Include ulcers that are known or likely, but are not stageable due to non-removable dressing, device, cast or suspected deep tissue injury in evolution.

Observation ID in Form

G2d2

Fully-Specified Name

Component: Number of pressure ulcers onset during this service - unstageable
Property: Num
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52583-2 Number of unhealed stage 2 ulcers known to be present for more than 1 month [CARE]

Observation ID in Form

G2e

Form Coding Instructions

If the patient has one or more unhealed stage 2 pressure ulcers, record the number present today that were first observed more than 1 month ago, according to the best available records. If the patient has no unhealed stage 2 pressure ulcers, record "0."

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

If the patient has one or more unhealed stage 2 pressure ulcers, record the number present today that were first observed more than 1 month ago, according to the best available records. If the patient has no unhealed stage 2 pressure ulcers, record "0"

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

If the resident has one or more unhealed Stage 2 pressure ulcers, record the number present today that were first observed more than one month ago

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of unhealed stage 2 ulcers known to be present for more than 1 month
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL555-4

Answer	Code	Answer ID
0 ulcers	0	LA9916-3
1 ulcer	1	LA9917-1
2 ulcers	2	LA9918-9
3 ulcers	3	LA9920-5
4 ulcers	4	LA9921-3
5 ulcers	5	LA9922-1
6 ulcers	6	LA9923-9
7 ulcers	7	LA9924-7
8 or more ulcers	8	LA9925-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Example Units

Unit	Source
{#}	Example UCUM Units

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52477-7 If any pressure ulcer is stage 3 or 4 (or if eschar is present), please record the most recent measurements for the LARGEST ulcer (or eschar):

Observation ID in Form

G3

Form Coding Instructions

If the patient has one or more unhealed (non-epithelialized) Stage 3 or 4 pressure ulcers or an unstageable pressure ulcer due to slough or eschar, identify the pressure ulcer with the largest surface area (length x width) and record in centimeters

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Largest pressure ulcer measurements
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Largest Ulcer Measurements

Basic Attributes

Class: PANEL.SURVEY.MDS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.73 (NAM)
Change Reason: Release 2.73: COMPONENT: update older "ulcer" terms in panels;
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
54580-6	Deprecated Minimum Data Set - version 3.0

52728-3 Longest length in any direction

Observation ID in Form

G3a

Fully-Specified Name

Component: Diameter.any.max
Property: Len
Time: Pt
System: Pressure injury.largest stage 3 or 4
Scale: Qn
Method: CMS Assessment

Long Common Name

Diameter.any.max Pressure injury.largest stage 3 or 4 [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Change Reason: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Changed CLASS from SURVEY.CARE to SURVEY.CMS because term is used across CMS assessments.; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
54580-6	Deprecated Minimum Data Set - version 3.0

Example Units

Unit	Source
cm	Example UCUM Units

52729-1 Pressure Ulcer Width:

Observation ID in Form

G3b

Fully-Specified Name

Component: Diameter.transverse
Property: Len
Time: Pt
System: Pressure injury.largest stage 3 or 4
Scale: Qn
Method: CMS Assessment

Long Common Name

Diameter transverse Pressure injury.largest stage 3 or 4 [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Change Reason: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
54580-6	Deprecated Minimum Data Set - version 3.0
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3	Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care

Example Units

Unit	Source
cm	Example UCUM Units

52584-0 Date of measurement

Fully-Specified Name

Component: Date of ulcer measurement
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Date of ulcer measurement [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52730-9 Indicate if any unhealed stage 3 or stage 4 pressure ulcer(s) has undermining and/or tunneling (sinus tract) present.

Observation ID in Form

G3c

Fully-Specified Name

Component: Undermining or tunneling present
Property: Find
Time: Pt
System: Pressure injury.stage 3 or 4
Scale: Ord
Method: CARE

Long Common Name

Undermining or tunneling present Pressure injury.stage 3 or 4 [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Change Reason: "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC

Normative Answer List LL556-2

Answer	Code	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
Unable to assess	8	LA10105-7

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52585-7 Major wound (excluding pressure ulcers). Does the patient have one or more major wound(s) that require ongoing care because of draining, infection, or delayed healing?

Observation ID in Form

G5

Form Coding Instructions

e.g., burns

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Major wound (excluding pressure ulcers)
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Major wound (excluding pressure ulcers) [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52478-5 Number of Major Wounds

Observation ID in Form

G5a-e

Form Coding Instructions

Must fill in all choices

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of Major Wounds
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52586-5 Delayed healing of surgical wound # [CARE]

Observation ID in Form

G5a

Fully-Specified Name

Component: Delayed healing of surgical wound
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Example Units

Unit	Source
{#}	Example UCUM Units

52587-3 Trauma-related wound #

Term Description

e.g., burns

Observation ID in Form

G5b

Fully-Specified Name

Component: Trauma-related wound
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Example Units

Unit	Source
{#}	Example UCUM Units

52588-1 Diabetic foot ulcer(s) #

Observation ID in Form

G5c

Fully-Specified Name

Component: Diabetic foot ulcer(s)
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed because this generic term can be used across contexts

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Example Units

Unit	Source
{#}	Example UCUM Units

52589-9 Vascular ulcer (arterial or venous including diabetic ulcers not located on the foot) # [CARE]

Observation ID in Form

G5d

Fully-Specified Name

Component: Vascular ulcer (arterial or venous including diabetic ulcers not located on the foot)
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Example Units

Unit	Source
{#}	Example UCUM Units

52590-7 Other

Term Description

(e.g., incontinence associated dermatitis, normal surgical wound healing).

Observation ID in Form

G5e

Fully-Specified Name

Component: Major wound.other
Property: Num
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Major wound.other # [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Example Units

Unit	Source
{#}	Example UCUM Units

52591-5 Please specify:

Observation ID in Form

G5e.1

Fully-Specified Name

Component: Major wound.other
Property: Type
Time: Pt
System: ^Patient
Scale: Qn
Method: CARE

Long Common Name

Major wound.other [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52592-3 Turning surfaces not intact [CARE]

Observation ID in Form

G6

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Indicate which of the following turning surfaces have either a pressure ulcer or major wound

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Turning surfaces not intact
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL557-0

Answer	Code	Answer ID
Skin for all turning surfaces is intact	a	LA10081-0
Right hip not intact	b	LA10071-1
Left hip not intact	c	LA9993-2
Back/buttocks not intact	d	LA9935-3
Other turning surface(s) not intact	e	LA10051-3

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52479-3 Physiologic Factors

Observation ID in Form

H

Form Coding Instructions

Complete during the 2-day assessment period. Record the most recent value for each of the following physiologic factors tested during this admission. Indicate the date (MM/DD/YYYY) that the value was collected. If the test was not provided during this admission, check "not tested." If it is not possible to measure the height and weight, check box if value is estimated (actual measurement is preferred)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Physiologic Factors
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52480-1 Anthropometric Measures

Fully-Specified Name

Component: Anthropometric Measures
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

3137-7 Height (inches) OR

Observation ID in Form

H2b

Fully-Specified Name

Component: Body height
Property: Len
Time: Pt
System: ^Patient
Scale: Qn
Method: Measured

Long Common Name

Body height Measured

Basic Attributes

Class: BDYHGT.ATOM
Type: Clinical
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 372

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
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
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
43142-9	Height measurement device panel
47245-6	HIV treatment form Document
75885-4	IEEE 11073 Rosetta panel
62611-9	PhenX domain - Respiratory
81232-1	Supersaturation panel - 24 hour Urine
86347-2	U.S. standard certificate of live birth - recommended 2003 revision set
86346-4	U.S. standard report of fetal death - recommended 2003 revision set
43143-7	Weighing device panel

Member of these Groups Get Info

LOINC Group	Group Name
LG34373-7	Body height\|Len\|Pt\|^Patient

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Körpergröße:Länge:Zeitpunkt:^Patient:Quantitativ:Gemessen
el-GR	Greek (Greece)	Σωματικό ύψος:Len:Pt:^Ασθενής:Qn:Μετρούμενο Synonyms: - BDYHGT.ATOM Len Pt Qn Ασθενής Μετρούμενο Σωματικό ύψος Ύψος
es-AR	Spanish (Argentina)	altura corporal:longitud:punto en el tiempo:^paciente:cuantitativo:medido
es-MX	Spanish (Mexico)	Peso corporal:Len:Punto temporal:^ Paciente:Cuantitativo:Measured
fr-CA	French (Canada)	Taille:Longueur:Temps ponctuel:^Patient:Quantitatif:Mesuré
fr-FR	French (France)	Taille du patient:Longueur:Ponctuel:^patient:Numérique:Résultat mesuré
fr-BE	French (Belgium)	Taille corporelle:Longueur:Temps ponctuel:^Patient:Quantitatif:Mesuré
it-IT	Italian (Italy)	Altezza corporea:Len:Pt:^Paziente:Qn:Misurato Synonyms: Altezza del corpo - atomica Lunghezza paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamslengte:afmeting:moment:^patiënt:kwantitatief:meting Synonyms: lengte
pt-BR	Portuguese (Brazil)	Estatura:Comprimento:Pt:^Paciente:Qn:Mensurado Synonyms: ; Bdy height; Body length; Axial length; Length; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY HEIGHT(LENGTH).ATOM; BODY HEIGHT(LENGTH).ATOM
ru-RU	Russian (Russian Federation)	Рост:Дл:ТчкВрм:^Пациент:Колич:Измеренный Synonyms: Длина Количественный Тело высота Точка во времени;Момент
zh-CN	Chinese (China)	身高:长度:时间点:^患者:定量型:测量法 Synonyms: 一般体长;一般身高;一般身高(长度);体长.原子型;身高(长度).原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间测定法;量度法;量测法物体身体长度;身体高度;身长身高;身长;身体高度长;长短

Example Units

Unit	Source
[in_us];cm;m	Example UCUM Units

8301-4 Height (cm)

Observation ID in Form

H2b

Fully-Specified Name

Component: Body height
Property: Len
Time: Pt
System: ^Patient
Scale: Qn
Method: Estimated

Long Common Name

Body height Estimated

Basic Attributes

Class: BDYHGT.ATOM
Type: Clinical
First Released: Version 1.0h(2)
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 12391

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Körpergröße:Länge:Zeitpunkt:^Patient:Quantitativ:Geschätzt
el-GR	Greek (Greece)	Σωματικό ύψος:Len:Pt:^Ασθενής:Qn:Εκτιμώμενο Synonyms: - BDYHGT.ATOM Len Pt Qn Ασθενής Εκτιμώμενο Σωματικό ύψος Ύψος
es-AR	Spanish (Argentina)	altura corporal:longitud:punto en el tiempo:^paciente:cuantitativo:estimativo
es-MX	Spanish (Mexico)	Peso corporal:Len:Punto temporal:^ Paciente:Cuantitativo:Estimated
fr-CA	French (Canada)	Taille:Longueur:Temps ponctuel:^Patient:Quantitatif:Estimé
fr-FR	French (France)	Taille du patient:Longueur:Ponctuel:^patient:Numérique:Résultat estimé
fr-BE	French (Belgium)	Taille corporelle:Longueur:Temps ponctuel:^Patient:Quantitatif:Estimé
it-IT	Italian (Italy)	Altezza corporea:Len:Pt:^Paziente:Qn:Stimato Synonyms: Altezza del corpo - atomica Lunghezza paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamslengte:afmeting:moment:^patiënt:kwantitatief:schatting Synonyms: lengte
pt-BR	Portuguese (Brazil)	Estatura:Comprimento:Pt:^Paciente:Qn:Estimado Synonyms: ; Bdy height; Body length; Axial length; Length; Point in time; Random; Quantitative; QNT; Quant; Quan; Est; estimation; bod; Bodies; BODY HEIGHT(LENGTH).ATOM; BODY HEIGHT(LENGTH).ATOM
zh-CN	Chinese (China)	身高:长度:时间点:^患者:定量型:估计法 Synonyms: 一般体长;一般身高;一般身高(长度);体长.原子型;身高(长度).原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间物体胎龄估计法;孕龄估计法身体长度;身体高度;身长身高;身长;身体高度长;长短

Example Units

Unit	Source
[in_us];cm;m	Example UCUM Units

3141-9 Weight (pounds) OR

Observation ID in Form

H3b

Fully-Specified Name

Component: Body weight
Property: Mass
Time: Pt
System: ^Patient
Scale: Qn
Method: Measured

Long Common Name

Body weight Measured

Basic Attributes

Class: BDYWGT.ATOM
Type: Clinical
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 115

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
18584-3	Body weight at ambulance transport Set
52416-5	Body weight Set
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
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
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
75885-4	IEEE 11073 Rosetta panel
74293-2	Oncology plan of care and summary - recommended CDA set
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
62297-7	PhenX - weight - measured weight protocol 021501
62263-9	PhenX domain - Nutrition and dietary supplements
62611-9	PhenX domain - Respiratory
100230-2	Routine prenatal assessment panel
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
43143-7	Weighing device panel

Member of these Groups Get Info

LOINC Group	Group Name
LG34372-9	Body weight\|Mass\|Pt\|^Patient

Language Variants Get Info

Tag	Language	Translation
de-AT	German (Austria)	Synonyms: Körpergewicht
de-DE	German (Germany)	Körpergewicht:Masse:Zeitpunkt:^Patient:Quantitativ:Gemessen
el-GR	Greek (Greece)	Σωματικό βάρος:Mass:Pt:^Ασθενής:Qn:Μετρούμενο Synonyms: - BDYWGT.ATOM Mass Pt Qn Ασθενής Βάρος Μετρούμενο Σωματικό βάρος
es-AR	Spanish (Argentina)	peso corporal:masa:punto en el tiempo:^paciente:cuantitativo:medido
es-MX	Spanish (Mexico)	Peso corporal:Masa:Punto temporal:^ Paciente:Cuantitativo:Measured
fr-CA	French (Canada)	Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Mesuré
fr-FR	French (France)	Poids corporel:Masse:Ponctuel:^patient:Numérique:Résultat mesuré
fr-BE	French (Belgium)	Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Mesuré Synonyms: Poids
it-IT	Italian (Italy)	Peso corporeo:Massa:Pt:^Paziente:Qn:Misurato Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamsgewicht:massa:moment:^patiënt:kwantitatief:meting
pt-BR	Portuguese (Brazil)	Peso corpóreo:Massa:Pt:^Paciente:Qn:Mensurado Synonyms: ; Wt; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY WEIGHT.ATOM; BODY WEIGHT.ATOM
ru-RU	Russian (Russian Federation)	Масса тела:Масса:ТчкВрм:^Пациент:Колич:Измеренный Synonyms: Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Vücut ağırlığı:Kütle:Zmlı:^Hasta:Kant:Ölçülmüş
zh-CN	Chinese (China)	体重:质量:时间点:^患者:定量型:测量法 Synonyms: 一般体重;一般身体重量;身体重量.原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间标本重量;重测定法;量度法;量测法物体身体重量重量

Example Units

Unit	Source
[lb_av];kg	Example UCUM Units
lb	REGENSTRIEF

Related Codes

Code System	Code	Code Text
urn:iso:std:iso:11073:10101	188792	MDC_ATTR_PT_WEIGHT_LAST
urn:iso:std:iso:11073:10101	188736	MDC_MASS_BODY_ACTUAL
https://www.phenxtoolkit.org	PX021501030400	PX021501_Measured_Weight_Average_Pounds
https://www.phenxtoolkit.org	PX021501030500	PX021501_Measured_Weight_1_Kilograms
https://www.phenxtoolkit.org	PX021501030600	PX021501_Measured_Weight_2_Kilograms
https://www.phenxtoolkit.org	PX021501030700	PX021501_Measured_Weight_3_Kilograms
https://www.phenxtoolkit.org	PX021501030800	PX021501_Measured_Weight_Average_Kilograms
https://www.phenxtoolkit.org	PX091601380000	PX091601_Weight
https://www.phenxtoolkit.org	PX090602220200	PX090602_Exercise_Capacity_Patient_Weight_Pounds
https://www.phenxtoolkit.org	PX090602230000	PX090602_Exercise_Capacity_Patient_Weight_Kilograms

8335-2 Weight (kg)

Observation ID in Form

H3b

Fully-Specified Name

Component: Body weight
Property: Mass
Time: Pt
System: ^Patient
Scale: Qn
Method: Estimated

Long Common Name

Body weight Estimated

Basic Attributes

Class: BDYWGT.ATOM
Type: Clinical
First Released: Version 1.0h(2)
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 11753

Member of these Panels

LOINC	Long Common Name
18584-3	Body weight at ambulance transport Set
52416-5	Body weight Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2	National EMS Information System - version 3 set

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Σωματικό βάρος:Mass:Pt:^Ασθενής:Qn:Εκτιμώμενο Synonyms: - BDYWGT.ATOM Mass Pt Qn Ασθενής Βάρος Εκτιμώμενο Σωματικό βάρος
es-AR	Spanish (Argentina)	peso corporal:masa:punto en el tiempo:^paciente:cuantitativo:estimativo
es-ES	Spanish (Spain)	Peso corporal:Masa:Punto temporal:^paciente:Qn:Estimado Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Peso corporal:Masa:Punto temporal:^ Paciente:Cuantitativo:Estimated
fr-CA	French (Canada)	Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Estimé
fr-FR	French (France)	Poids corporel:Masse:Ponctuel:^patient:Numérique:Résultat estimé
fr-BE	French (Belgium)	Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Estimé Synonyms: Poids
it-IT	Italian (Italy)	Peso corporeo:Massa:Pt:^Paziente:Qn:Stimato Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamsgewicht:massa:moment:^patiënt:kwantitatief:schatting
pl-PL	Polish (Poland)	Masa ciała:masa:punkt w czasie:^pacjent:ilościowy:szacowany Synonyms: Ciężar Masa ciała
pt-BR	Portuguese (Brazil)	Peso corpóreo:Massa:Pt:^Paciente:Qn:Estimado Synonyms: ; Wt; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; Est; estimation; bod; Bodies; BODY WEIGHT.ATOM; BODY WEIGHT.ATOM
tr-TR	Turkish (Turkey)	Vücut ağırlığı:Kütle:Zmlı:^Hasta:Kant:Hesaplanmış
zh-CN	Chinese (China)	体重:质量:时间点:^患者:定量型:估计法 Synonyms: 一般体重;一般身体重量;身体重量.原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间标本重量;重物体胎龄估计法;孕龄估计法身体重量重量

Example Units

Unit	Source
[lb_av];kg	Example UCUM Units

52481-9 Vital Signs

Fully-Specified Name

Component: Vital signs - acute
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Long Common Name

Vital signs - acute [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

8310-5 Temperature (deg F) OR

Observation ID in Form

H5b

Fully-Specified Name

Component: Body temperature
Property: Temp
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Body temperature

Basic Attributes

Class: BDYTMP.ATOM
Type: Clinical
First Released: Version 1.0h(2)
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 49

Member of these Panels

LOINC	Long Common Name
35095-9	Body temperature panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
24343-6	Gas and Carbon monoxide panel - Blood
24342-8	Gas and Carbon monoxide panel - Capillary blood
24344-4	Gas and Carbon monoxide panel - Venous blood
99548-0	Gas and electrolytes panel - Arterial blood
24336-0	Gas panel - Arterial blood
51974-4	Gas panel - Arterial cord blood
24338-6	Gas panel - Blood
24337-8	Gas panel - Capillary blood
51973-6	Gas panel - Mixed venous blood
24339-4	Gas panel - Venous blood
51972-8	Gas panel - Venous cord blood
75885-4	IEEE 11073 Rosetta panel
84428-2	National EMS Information System - version 3 set
87825-6	National Trauma Data Standard - version 2018 set
74293-2	Oncology plan of care and summary - recommended CDA set
62611-9	PhenX domain - Respiratory
89694-4	Pulmonary Embolism Severity Index panel [PESI]
113112-7	Therapeutic phlebotomy panel
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5	Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group	Group Name
LG33052-8	Body temperature\|Temp\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	tělesná teplota:Teplota:Časový bod:^Pacient:Kvantitativní:
de-AT	German (Austria)	Synonyms: Körpertemperatur
de-DE	German (Germany)	Körpertemperatur:Temperatur:Zeitpunkt:^Patient:Quantitativ:
el-GR	Greek (Greece)	Θερμοκρασία σώματος:Temp:Pt:^Ασθενής:Qn: Synonyms: - BDYTMP.ATOM Pt Qn Temp Ασθενής Θερμοκρασία Θερμοκρασία σώματος
es-AR	Spanish (Argentina)	temperatura corporal:temperatura:punto en el tiempo:^paciente:cuantitativo:
es-MX	Spanish (Mexico)	Temperatura corporal:Temperatura:Punto temporal:^ Paciente:Cuantitativo:
fr-CA	French (Canada)	Température corporelle:Température:Temps ponctuel:^Patient:Quantitatif:
fr-FR	French (France)	Température corporelle:Température:Ponctuel:^patient:Numérique:
fr-BE	French (Belgium)	Température corporelle:Température:Temps ponctuel:^Patient:Quantitatif:
it-IT	Italian (Italy)	Temperatura corporea:Temp:Pt:^Paziente:Qn: Synonyms: paziente Punto nel tempo (episodio) Temperatura Temperatura del corpo - atomica
nl-NL	Dutch (Netherlands)	lichaamstemperatuur:temperatuur:moment:^patiënt:kwantitatief:
pt-BR	Portuguese (Brazil)	Temperatura corpórea:Temp:Pt:^Paciente:Qn: Synonyms: ; Bdy temp; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY TEMPERATURE.ATOM; BODY TEMPERATURE.ATOM
ru-RU	Russian (Russian Federation)	Температура тела:Темп:ТчкВрм:^Пациент:Колич: Synonyms: Количественный Температура Точка во времени;Момент
tr-TR	Turkish (Turkey)	Vücut sıcaklığı:Scklk:Zmlı:^Hasta:Kant:
zh-CN	Chinese (China)	体温:温度:时间点:^患者:定量型: Synonyms: 一般体温体温医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间物体身体温度

Example Units

Unit	Source
Cel	Example UCUM Units
Deg C	REGENSTRIEF

8867-4 Heart Rate (beats/min)

Observation ID in Form

H7b

Fully-Specified Name

Component: Heart rate
Property: NRat
Time: Pt
System: XXX
Scale: Qn
Method

Long Common Name

Heart rate

Basic Attributes

Class: HRTRATE.ATOM
Type: Clinical
First Released: Version 1.0h(3)
Last Updated: Version 2.81 (MIN)
Common Test Rank Get Info: 18

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2	National EMS Information System - version 3 set
87825-6	National Trauma Data Standard - version 2018 set
74293-2	Oncology plan of care and summary - recommended CDA set
62611-9	PhenX domain - Respiratory
89544-1	Pulmonary Embolism Rule-out Criteria panel PERC
89694-4	Pulmonary Embolism Severity Index panel [PESI]
89549-0	Revised Geneva Score panel
55417-0	Short blood pressure panel
113112-7	Therapeutic phlebotomy panel
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5	Wearable device external physiologic monitoring panel
89546-6	Wells pulmonary embolism risk calculator panel

Member of these Groups Get Info

LOINC Group	Group Name
LG33055-1	Heart rate\|NRat\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	srdeční frekvence:Početní frekvence:Časový bod:XXX:Kvantitativní:
de-AT	German (Austria)	Synonyms: Puls
de-DE	German (Germany)	Herzfrequenz:Anzahl pro Zeit:Zeitpunkt:XXX:Quantitativ:
el-GR	Greek (Greece)	Καρδιακός ρυθμός:NRat:Pt:XXX:Qn: Synonyms: HRTRATE.ATOM NRat Pt Qn XXX Αξία Καρδιακός ρυθμός
es-AR	Spanish (Argentina)	latido cardíaco:índice numérico:punto en el tiempo:XXX:cuantitativo:
es-MX	Spanish (Mexico)	Ritmo cardiaco:NRat:Punto temporal:No especificado:Cuantitativo:
fr-FR	French (France)	Fréquence cardiaque:Nombre/Temps:Ponctuel:Milieux divers:Numérique:
it-IT	Italian (Italy)	Frequenza cardiaca:NRat:Pt:XXX:Qn: Synonyms: Frequenza cardiaca - atomica Indice numerico Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	hartslagfrequentie:aantal/tijd:moment:XXX:kwantitatief:
pt-BR	Portuguese (Brazil)	Frequência cardíaca:NRat:Pt:XXX:Qn: Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Quantitative; QNT; Quant; Quan; Pulse; Heart beat; HEART RATE.ATOM; HEART RATE.ATOM
ru-RU	Russian (Russian Federation)	Частота сердечных сокращений:КолСкор:ТчкВрм:XXX:Колич: Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN	Chinese (China)	心率:计数型速率:时间点:XXX:定量型: Synonyms: 一般心率不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺心搏率;心跳速率时刻;随机;随意;瞬间速度

Example Units

Unit	Source
{beats}/min;{counts}/min	Example UCUM Units
bpm	REGENSTRIEF

9279-1 Respiratory Rate (breaths/min)

Observation ID in Form

H8b

Fully-Specified Name

Component: Breaths
Property: NRat
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

Respiratory rate

Basic Attributes

Class: RESP.ATOM
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.81 (MIN)
Common Test Rank Get Info: 12

Example Answer List LL7616-7

Answer	Code	Score	Answer ID
10-29			LA34767-6
>29			LA34768-4
6-9			LA34769-2
1-5			LA34770-0
0			LA6111-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
75885-4	IEEE 11073 Rosetta panel
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2	National EMS Information System - version 3 set
87825-6	National Trauma Data Standard - version 2018 set
80346-0	Nursing physiologic assessment panel
74293-2	Oncology plan of care and summary - recommended CDA set
62611-9	PhenX domain - Respiratory
89694-4	Pulmonary Embolism Severity Index panel [PESI]
106966-5	Revised trauma score RTS
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Member of these Groups Get Info

LOINC Group	Group Name
LG33054-4	Breaths\|NRat\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	dýchání:Početní frekvence:Časový bod:Respirační systém:Kvantitativní:
de-AT	German (Austria)	Synonyms: Atemfrequenz
de-DE	German (Germany)	Atemfrequenz:Anzahl pro Zeit:Zeitpunkt:Respiratorisches System:Quantitativ:
el-GR	Greek (Greece)	Αναπνοές:NRat:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: NRat Pt Qn RESP.ATOM Αναπνευστικό Αναπνευστικό σύστημα Αναπνοές
es-AR	Spanish (Argentina)	respiraciones:índice numérico:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Respiraciones:NRat:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Respiri:NRat:Pt:Apparato respiratorio:Qn: Synonyms: Indice numerico Punto nel tempo (episodio) Respiratorio - atomico
pt-BR	Portuguese (Brazil)	Respirações:NRat:Pt:Sistema Respiratório:Qn: Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; Respiratory rate
ru-RU	Russian (Russian Federation)	Дыхание:КолСкор:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN	Chinese (China)	呼吸:计数型速率:时间点:呼吸系统:定量型: Synonyms: 一般呼吸类指标;一般呼吸系统类指标;呼吸类指标.原子型单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸呼吸类呼吸类指标呼吸系统呼吸系统类呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）时刻;随机;随意;瞬间

Example Units

Unit	Source
{breaths}/min;{counts}/min	Example UCUM Units
/MIN	REGENSTRIEF

Related Codes

Code System	Code	Code Text
urn:iso:std:iso:11073:10101	151562	MDC_RESP_RATE
https://www.phenxtoolkit.org	PX090201050000	PX090201_Respiratory_Rate
https://www.phenxtoolkit.org	PX091401030000	PX091401_Respiratory_Cycles
https://www.phenxtoolkit.org	PX091402010000	PX091402_Respiratory_Cycles
https://www.phenxtoolkit.org	PX091403020000	PX091403_Respiratory_Depth_Comments
https://www.phenxtoolkit.org	PX091403030000	PX091403_Breathing_Pattern_Comments
https://www.phenxtoolkit.org	PX091403040000	PX091403_Breathing_Depth_Comments

8480-6 Systolic Blood Pressure (mm/Hg)

Observation ID in Form

H9b

Fully-Specified Name

Component: Intravascular systolic
Property: Pres
Time: Pt
System: Arterial system
Scale: Qn
Method

Long Common Name

Systolic blood pressure

Basic Attributes

Class: BP.ATOM
Type: Clinical
First Released: Version 1.0h(3)
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 3

Member of these Panels

LOINC	Long Common Name
35094-2	Blood pressure panel
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86636-8	Family planning report - FPAR 2.0 set
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2	National EMS Information System - version 3 set
87825-6	National Trauma Data Standard - version 2018 set
74293-2	Oncology plan of care and summary - recommended CDA set
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
62611-9	PhenX domain - Respiratory
89694-4	Pulmonary Embolism Severity Index panel [PESI]
106966-5	Revised trauma score RTS
100230-2	Routine prenatal assessment panel
55417-0	Short blood pressure panel
113112-7	Therapeutic phlebotomy panel
81671-0	Tissue perfusion assessment panel
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5	Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group	Group Name
LG33053-6	Intravascular systolic\|Pres\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	systolický krevní tlak:Tlak:Časový bod:Arteriální systém:Kvantitativní:
de-AT	German (Austria)	Synonyms: Blutdruck systolisch
de-DE	German (Germany)	Intravaskulär systolisch:Druck:Zeitpunkt:Arterielles System:Quantitativ:
el-GR	Greek (Greece)	Ενδοαγγειακή συστολική:Pres:Pt:Αρτηριακό σύστημα:Qn: Synonyms: BP.ATOM Pres Pt Qn Αρτηριακό σύστημα Ενδοαγγειακή συστολική Ενδοαγγειακός
es-AR	Spanish (Argentina)	sistólico intravascular:presión:punto en el tiempo:sistema arterial:cuantitativo:
es-MX	Spanish (Mexico)	Sistólica intravascular:Pres:Punto temporal:Sistema arterial:Cuantitativo:
fr-CA	French (Canada)	Intravasculaire systolique:Pression:Temps ponctuel:Système artériel:Quantitatif:
it-IT	Italian (Italy)	Sistolica intravascolare:Pres:Pt:Sistema arterioso:Qn: Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	intravasculaire systolische bloeddruk:druk:moment:arterieel vaatstelsel:kwantitatief:
pt-BR	Portuguese (Brazil)	Intravascular sistólica:Pres:Pt:Sistema arterial:Qn: Synonyms: ; BP sys; Pressure; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM; BP systolic; Blood pressure systolic; Sys BP; SBP
ru-RU	Russian (Russian Federation)	Интраваскулярный систолический:Давл:ТчкВрм:Артериальная система:Колич: Synonyms: Давление Количественный Точка во времени;Момент
zh-CN	Chinese (China)	血管内心脏收缩期:压力或压强:时间点:动脉系统:定量型: Synonyms: 一般血压;血压.原子型;血压指标.原子型压力;压强可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间血管内收缩期;血管内心缩期血管内的

Example Units

Unit	Source
mm[Hg]	Example UCUM Units
mm Hg	REGENSTRIEF

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX090601030000	PX090601_Blood_Pressure_Systolic
https://www.phenxtoolkit.org	PX040301030300	PX040301_Systolic_Blood_Pressure_1
https://www.phenxtoolkit.org	PX040301030500	PX040301_Systolic_Blood_Pressure_2
https://www.phenxtoolkit.org	PX040301030700	PX040301_Systolic_Blood_Pressure_3
https://www.phenxtoolkit.org	PX090602240100	PX090602_Exercise_Capacity_Patient_Blood_Pressure_Systolic

8462-4 Diastolic Blood Pressure (mm/Hg)

Observation ID in Form

H9b

Fully-Specified Name

Component: Intravascular diastolic
Property: Pres
Time: Pt
System: Arterial system
Scale: Qn
Method

Long Common Name

Diastolic blood pressure

Basic Attributes

Class: BP.ATOM
Type: Clinical
First Released: Version 1.0h(2)
Last Updated: Version 2.73 (MIN)
Change Reason: Release 2.69: UnitsAndRange: Added missing delimiter;
Common Test Rank Get Info: 2

Member of these Panels

LOINC	Long Common Name
43152-8	Blood pressure device panel
35094-2	Blood pressure panel
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86636-8	Family planning report - FPAR 2.0 set
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2	National EMS Information System - version 3 set
74293-2	Oncology plan of care and summary - recommended CDA set
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
62611-9	PhenX domain - Respiratory
100230-2	Routine prenatal assessment panel
55417-0	Short blood pressure panel
113112-7	Therapeutic phlebotomy panel
81671-0	Tissue perfusion assessment panel
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5	Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group	Group Name
LG33056-9	Intravascular diastolic\|Pres\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	diastolický krevní tlak:Tlak:Časový bod:Arteriální systém:Kvantitativní:
de-AT	German (Austria)	Synonyms: Blutdruck diastolisch
de-DE	German (Germany)	Intravaskulär diastolisch:Druck:Zeitpunkt:Arterielles System:Quantitativ:
el-GR	Greek (Greece)	Ενδοαγγειακή διαστολική:Pres:Pt:Αρτηριακό σύστημα:Qn: Synonyms: BP.ATOM Pres Pt Qn Αρτηριακό σύστημα Ενδοαγγειακή διαστολική Ενδοαγγειακός
es-AR	Spanish (Argentina)	diastólico intravascular:presión:punto en el tiempo:sistema arterial:cuantitativo:
es-MX	Spanish (Mexico)	Diastólica intravascular:Pres:Punto temporal:Sistema arterial:Cuantitativo:
fr-CA	French (Canada)	Intravasculaire diastolique:Pression:Temps ponctuel:Système artériel:Quantitatif:
it-IT	Italian (Italy)	Diastolica intravascolare:Pres:Pt:Sistema arterioso:Qn: Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	intravasculaire diastolische bloeddruk:druk:moment:arterieel vaatstelsel:kwantitatief:
pt-BR	Portuguese (Brazil)	Intravascular diastólica:Pres:Pt:Sistema arterial:Qn: Synonyms: ; BP dias; Dias; Diast; Pressure; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; Diastoli; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM; Blood pressure diastolic; BP diastolic; Dias BP; DBP
ru-RU	Russian (Russian Federation)	Интраваскулярный диастолический:Давл:ТчкВрм:Артериальная система:Колич: Synonyms: Внутрисосудистый диастолический Давление Количественный Точка во времени;Момент
zh-CN	Chinese (China)	血管内心脏舒张期:压力或压强:时间点:动脉系统:定量型: Synonyms: 一般血压;血压.原子型;血压指标.原子型压力;压强可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间血管内心舒期;血管内舒张期血管内的

Example Units

Unit	Source
mm[Hg]	Example UCUM Units
mm Hg	REGENSTRIEF

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX090601040000	PX090601_Blood_Pressure_Diastolic
https://www.phenxtoolkit.org	PX040301030400	PX040301_Diastolic_Blood_Pressure_1
https://www.phenxtoolkit.org	PX040301030600	PX040301_Diastolic_Blood_Pressure_2
https://www.phenxtoolkit.org	PX040301030800	PX040301_Diastolic_Blood_Pressure_3
https://www.phenxtoolkit.org	PX090602240200	PX090602_Exercise_Capacity_Patient_Blood_Pressure_Diastolic

69344-0 Laboratory

Fully-Specified Name

Component: Laboratory - acute
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Long Common Name

Laboratory - acute [CARE]

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

718-7 Hemogloblin (gm/dL)

Reference Information

Type	Source	Reference
Mapping Guidance	Regenstrief Help	This is the the code included in the CBC auto. It is NOT obtained via the automated counting but uses a chemistry method just like most other hemoglobins. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Observation ID in Form

H11b

Fully-Specified Name

Component: Hemoglobin
Property: MCnc
Time: Pt
System: Bld
Scale: Qn
Method

Long Common Name

Hemoglobin [Mass/volume] in Blood

Basic Attributes

Class: HEM/BC
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 17

Member of these Panels

LOINC	Long Common Name
104076-5	Basic metabolic with hemoglobin and hematocrit panel - Blood
58410-2	CBC panel - Blood by Automated count
57021-8	CBC W Auto Differential panel - Blood
69742-5	CBC W Differential panel, method unspecified - Blood
57782-5	CBC W Ordered Manual Differential panel - Blood
57022-6	CBC W Reflex Manual Differential panel - Blood
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
24361-8	Deprecated Hemogram, platelets & Differential panel in Blood
34527-2	Deprecated Hemogram, Platelets, Differential & Reticulocyte panel in Blood
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
48809-8	Erythrogram panel - Blood
70299-3	ESRD anemia management panel
24343-6	Gas and Carbon monoxide panel - Blood
24338-6	Gas panel - Blood
24360-0	Hemoglobin and Hematocrit panel - Blood
24317-0	Hemogram and platelets WO differential panel - Blood
24359-2	Hemogram without Platelets and with Manual Differential panel - Blood
24358-4	Hemogram without Platelets panel - Blood
24364-2	Obstetric 1996 panel - Serum and Blood
93340-8	PhenX - complete blood count protocol 220501
62611-9	PhenX domain - Respiratory
55429-5	Short blood count panel - Blood
113112-7	Therapeutic phlebotomy panel

Member of these Groups Get Info

LOINC Group	Group Name
LG44868-4	Hemoglobin\|Pt\|Bld

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	هيموغلوبين "خضاب" الدم (قوة الدم) Synonyms: هيموغلوبين "خضاب" الدم (قوة الدم)
cs-CZ	Czech (Czechia)	Hemoglobin:Hmotnostní koncentrace:Časový bod:Krev:Kvantitativní:
de-AT	German (Austria)	Synonyms: Hämoglobin
de-DE	German (Germany)	Hämoglobin:Massenkonzentration:Zeitpunkt:Blut:Quantitativ:
el-GR	Greek (Greece)	Αιμοσφαιρίνη:MCnc:Pt:Αίμα:Qn: Synonyms: HEM/BC MCnc Pt Qn Αίμα Αιμοσφαιρίνη
es-AR	Spanish (Argentina)	hemoglobina:concentración de masa:punto en el tiempo:sangre:cuantitativo:
es-ES	Spanish (Spain)	Hemoglobina:Concentración de masa:Punto temporal:Sangre:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Hemoglobina:Concentración de masa:Punto temporal:Sangre:Cuantitativo:
et-EE	Estonian (Estonia)	Hemoglobiin:MCnc:Pt:B:Qn: Synonyms: Juhuslik Kvantitatiivne Veri
fr-CA	French (Canada)	Hémoglobine:Concentration de masse:Temps ponctuel:Sang:Quantitatif:
fr-FR	French (France)	Hémoglobine:Masse/Volume:Ponctuel:Sang:Numérique:
fr-BE	French (Belgium)	Hémoglobine:Concentration de masse:Temps ponctuel:Sang:Quantitatif: Synonyms: Hb
it-IT	Italian (Italy)	Emoglobina:MCnc:Pt:Sangue:Qn: Synonyms: Concentrazione di Massa Ematologia (coagulazione) conta differenziale Punto nel tempo (episodio) Sangue
ko-KR	Korean (Korea, Republic Of)	혈색소:질량농도:검사시점:전혈:정량:
nl-NL	Dutch (Netherlands)	hemoglobine:massa/volume:moment:bloed:kwantitatief:
pl-PL	Polish (Poland)	Hemoglobina:stężenie masowe:punkt w czasie:krew:ilościowy:
pt-BR	Portuguese (Brazil)	Hemoglobina:MCnc:Pt:SgTotal:Qn: Synonyms: ; Hgb; Hb; Haemoglobin; Mass concentration; Level; Point in time; Random; Blood; WB; Whole blood; Quantitative; QNT; Quant; Quan; HEMATOLOGY/CELL COUNTS; HEMATOLOGY/CELL COUNTS
ru-RU	Russian (Russian Federation)	Гемоглобин:МассКонц:ТчкВрм:Кр:Колич: Synonyms: Количественный Кровь Массовая концентрация Точка во времени;Момент
tr-TR	Turkish (Turkey)	Hemoglobin:KütlKons:Zmlı:Kan:Kant:
uk-UA	Ukrainian (Ukraine)	Гемоглобін:Масова Концентрація:МоментЧасу:Кров:Кількісно: Synonyms: Blood; Haemoglobin; Hb; HEMATOLOGY/CELL COUNTS; Hgb; Level; Mass concentration; Point in time; QNT; Quan; Quant; Quantitative; Random; UniversalLabOrders; WB; Whole blood
zh-CN	Chinese (China)	血红蛋白:质量浓度:时间点:全血:定量型: Synonyms: 可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间氧血红蛋白;血红朊;血红素;血色素水平;浓度;质量浓度(单位体积) 血;血液血液学/细胞计数;血液学与细胞计数

Example Units

Unit	Source
g/dL	Example UCUM Units
g/L	REGENSTRIEF

20570-8 Hematocrit (%)

Part Descriptions

LP16699-8 Erythrocyte
Erythrocytes or red blood cells (RBCs) are the cells in the circulation that carry oxygen to and remove carbon dioxide from the tissues throughout the body. They are produced in the bone marrow in response to erythropoietin where they transition through six stages over a seven day period. When they are released into the circulation, their nucleus has been extruded and they measure 6-8 microns in diameter. The lifespan of RBCs is about 120 days. When the RBC ages the cell membrane becomes less pliable and tears as they cell travels through the micro vessels of the body. The damaged RBCs are removed from the circulation by the spleen. Variations in number, shape and size of RBCs are indicative of many diseases and disorders. There are many factors that may lead to decreased numbers of RBCs including hemorrhage, hemolysis, iron or vitamin deficiency, marrow failure and more. Larger than normal RBCs may be indicative of liver disease while smaller than normal RBCs are seen in thalassemias and other anemias.(Mosby's manual of diagnostic and laboratory tests, Kathleen Deska Pagana; Timothy James Pagana, Elsevier St. Louis, Mo ©2010) Source: Regenstrief LOINC

Observation ID in Form

H12b

Fully-Specified Name

Component: Erythrocyte/Blood
Property: VFr
Time: Pt
System: Bld
Scale: Qn
Method: Calculated

Long Common Name

Hematocrit [Volume Fraction] of Blood by calculation

Basic Attributes

Class: HEM/BC
Type: Laboratory
First Released: Version 1.0m
Last Updated: Version 2.79 (NAM)
Change Reason: Release 2.79: COMPONENT: Triggered by Coll w SCT:Hematocrit as a component is not an adequate description for a ratio, therefore Hematocrit is kept as a synonym, and the actual component is expressed as it should be:Erythrocyte/blood;
Order vs. Observation: Both
Common Test Rank Get Info: 40

Member of these Panels

LOINC	Long Common Name
101655-9	Basic metabolic and hematocrit panel - Blood
104076-5	Basic metabolic with hemoglobin and hematocrit panel - Blood
69742-5	CBC W Differential panel, method unspecified - Blood
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
24361-8	Deprecated Hemogram, platelets & Differential panel in Blood
34527-2	Deprecated Hemogram, Platelets, Differential & Reticulocyte panel in Blood
48809-8	Erythrogram panel - Blood
101866-2	Gas and electrolytes point of care panel - Venous blood
24360-0	Hemoglobin and Hematocrit panel - Blood
24317-0	Hemogram and platelets WO differential panel - Blood
24359-2	Hemogram without Platelets and with Manual Differential panel - Blood
24358-4	Hemogram without Platelets panel - Blood
75885-4	IEEE 11073 Rosetta panel
55429-5	Short blood count panel - Blood
113112-7	Therapeutic phlebotomy panel

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Hematokrit:Objemový podíl:Časový bod:Krev:Kvantitativní:
de-AT	German (Austria)	Synonyms: Hämatokrit
de-DE	German (Germany)	Erythrozyt/Blut:Volumenfraktion:Zeitpunkt:Blut:Quantitativ:Berechnet
es-AR	Spanish (Argentina)	hematócrito:fracción de volumen:punto en el tiempo:sangre:cuantitativo:
es-MX	Spanish (Mexico)	Hematocrito:Fracción de volumen:Punto temporal:Sangre:Cuantitativo:
es-ES	Spanish (Spain)	Eritrocito/Sangre:Fracción de volumen:Punto temporal:Sangre:Qn:Calculado Synonyms: Cuantitativo
fr-FR	French (France)	Érythrocyte/Sang:Fraction volumique:Ponctuel:Sang:Numérique:Résultat calculé
it-IT	Italian (Italy)	Eritrociti/Sangue:VFr:Pt:Sangue:Qn:Calcolato Synonyms: Ematologia (coagulazione) conta differenziale Frazione di Volume Punto nel tempo (episodio) Sangue
ko-KR	Korean (Korea, Republic Of)	적혈구용적률:부피 분획:검사시점:전혈:정량:
nl-NL	Dutch (Netherlands)	erytrocyt/monstervolume:volumefractie:moment:bloed:kwantitatief:berekend
pl-PL	Polish (Poland)	Erytrocyt/krew:frakcja objętościowa:punkt w czasie:krew:ilościowy:obliczony Synonyms: Krwinka czerwona
pt-BR	Portuguese (Brazil)	Hematócrito:VFr:Pt:SgTotal:Qn: Synonyms: ; Hct; PCV; Fr; Volume fraction; Volfr; Percent; Point in time; Random; Blood; WB; Whole blood; Quantitative; QNT; Quant; Quan; HEMATOLOGY/CELL COUNTS; HEMATOLOGY/CELL COUNTS
uk-UA	Ukrainian (Ukraine)	Гематокрит:Об'ємна Фракція:МоментЧасу:Кров:Кількісно: Synonyms: Blood; Hct; HEMATOLOGY/CELL COUNTS; PCV; Percent; Point in time; QNT; Quan; Quant; Quantitative; Random; UniversalLabOrders; Volfr; Volume fraction; WB; Whole blood
zh-CN	Chinese (China)	红细胞/血液:体积分数:时间点:全血:定量型:计算法 Synonyms: RBC;盘状细胞;红血球;红血细胞可用数量表示的;定量性;数值型;数量型;连续数值型标尺容积分数时刻;随机;随意;瞬间血;全血血;血液血液学/细胞计数;血液学与细胞计数计算;计算型方法

Example Units

Unit	Source
%	Example UCUM Units
%	REGENSTRIEF

26464-8 WBC (K/mm3)

Part Descriptions

LP14419-3 Leukocytes
Leukocytes or white blood cells (WBCs) are immune cells that fight infection, neoplasms and other inflammatory conditions, and mediate allergic responses. There are five types of WBCs normally present in the circulation that are all derived from a similar stem cell in the bone marrow. The five type of WBCs are divided into two groups based on the presence or absence of granules in the cytoplasm. The granulocytes include the neutrophils, basophils and eosinophils. The non-granulocytes include the lymphocytes and the monocytes. The neutrophils fight infection by ingesting and digesting bacteria. Eosinophils and basophils respond to allergic reactions and are capable of ingesting antigen-antibody complexes. Monocytes phagocytose bacteria and release interferon to stimulate the immune system. Lymphocytes are divided into T-cells and B-cells. T-cell immunity is cellular and involves the activation of phagocytes and B-cell immunity uses antibodies to fight infection. Both elevated and low leukocyte counts can be markers of infection and malignancy, and low leukocyte counts are associated with a variety of primary and secondary immunodeficiencies, depending on the WBC type(s) that are out of range. (Mosby's manual of diagnostic and laboratory tests, Kathleen Deska Pagana; Timothy James Pagana, Elsevier St. Louis, Mo ©2010) Source: Regenstrief LOINC

Reference Information

Type	Source	Reference
Mapping Guidance	Regenstrief Help	Most leukocyte counts will be done by an automated counter and will be reported under [LOINC: 6690-2]. This term should be used only rarely. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Observation ID in Form

H13b

Fully-Specified Name

Component: Leukocytes
Property: NCnc
Time: Pt
System: Bld
Scale: Qn
Method

Long Common Name

Leukocytes [#/volume] in Blood

Basic Attributes

Class: HEM/BC
Type: Laboratory
First Released: Version 2.00
Last Updated: Version 2.73 (MIN)
Change Reason: Changed Order_Obs from 'Observation Only' to fit the current order use cases.
Order vs. Observation: Both
Common Test Rank Get Info: 68

Member of these Panels

LOINC	Long Common Name
69742-5	CBC W Differential panel, method unspecified - Blood
57782-5	CBC W Ordered Manual Differential panel - Blood
57022-6	CBC W Reflex Manual Differential panel - Blood
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
24361-8	Deprecated Hemogram, platelets & Differential panel in Blood
34527-2	Deprecated Hemogram, Platelets, Differential & Reticulocyte panel in Blood
69738-3	Differential panel, method unspecified - Blood
24317-0	Hemogram and platelets WO differential panel - Blood
24359-2	Hemogram without Platelets and with Manual Differential panel - Blood
24358-4	Hemogram without Platelets panel - Blood
48808-0	Leukogram panel - Blood
24318-8	Manual Differential panel - Blood
55429-5	Short blood count panel - Blood

Member of these Groups Get Info

LOINC Group	Group Name
LG32857-1	Leukocytes\|NCnc\|Pt\|Bld

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Leukocyty:Početní koncentrace:Časový bod:Krev:Kvantitativní:
de-AT	German (Austria)	Synonyms: Leukozyten
de-DE	German (Germany)	Leukozyten:Anzahl pro Volumen:Zeitpunkt:Blut:Quantitativ:
el-GR	Greek (Greece)	Λευκοκύτταρα:NCnc:Pt:Αίμα:Qn: Synonyms: HEM/BC NCnc Pt Qn Αίμα Λευκοκύτταρα
es-AR	Spanish (Argentina)	leucocitos:concentración de número:punto en el tiempo:sangre:cuantitativo:
es-ES	Spanish (Spain)	Leucocitos:Concentración de número:Punto temporal:Sangre:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Leucocitos:Concentración numérica:Punto temporal:Sangre:Cuantitativo:
et-EE	Estonian (Estonia)	Leukotsüüdid:NCnc:Pt:B:Qn: Synonyms: Juhuslik Kvantitatiivne Veri
fr-CA	French (Canada)	Leucocytes:Concentration numérique:Temps ponctuel:Sang:Quantitatif:
fr-FR	French (France)	Leucocytes:Nombre/Volume:Ponctuel:Sang:Numérique:
fr-BE	French (Belgium)	Leucocytes:Concentration numérique:Temps ponctuel:Sang:Quantitatif:
it-IT	Italian (Italy)	Leucociti:NCnc:Pt:Sangue:Qn: Synonyms: Concentrazione Numerica Ematologia (coagulazione) conta differenziale Punto nel tempo (episodio) Sangue
ko-KR	Korean (Korea, Republic Of)	백혈구:계수/부피:검사시점:전혈:정량:
nl-NL	Dutch (Netherlands)	leukocyten:aantal/volume:moment:bloed:kwantitatief:
pl-PL	Polish (Poland)	Leukocyty:stężenie liczbowe:punkt w czasie:krew:ilościowy: Synonyms: koncentracja Leukocyty
pt-BR	Portuguese (Brazil)	Leucócitos:NCnc:Pt:SgTotal:Qn: Synonyms: ; Leucoc; White blood cell; Leuc; Leuk; Leukocyte; Lkcs; White blood cells; Leucocs; #; Number concentration; Count/mass; Count; AcS; CT; Acsolute; Acsolutes; Cnt; Point in time; Random; Blood; WB; Whole blood; Quantitative; QNT; Quant; Quan; HEMATOLOGY/CELL COUNTS; HEMATOLOGY/CELL COUNTS
ru-RU	Russian (Russian Federation)	Лейкоциты:КолОб:ТчкВрм:Кр:Колич: Synonyms: Количественный Количество в объеме Кровь Точка во времени;Момент
tr-TR	Turkish (Turkey)	Lökositler:SayKons:Zmlı:Kan:Kant:
uk-UA	Ukrainian (Ukraine)	Лейкоцити:Чисельна Концентрація:МоментЧасу:Кров:Кількісно: Synonyms: #; ABS; absolute; absolutes; Blood; Cnt; Count; Count/volume; CT; HEMATOLOGY/CELL COUNTS; Leuc; Leuk; Leukocyte; Lkcs; Number concentration; Number Concentration (count/vol); Point in time; QNT; Quan; Quant; Quantitative; Random; UniversalLabOrders; WB; WBC; WBCs; White blood cell; White blood cells; Whole blood
zh-CN	Chinese (China)	白细胞:计数型浓度:时间点:全血:定量型: Synonyms: Leuc;Leuk;Lkcs;WBC;WBCs;白细胞;White blood cell;WBC;白细胞类;白细胞类髓系细胞;白血球;白血细胞;白细胞数单位体积内的数量或计数;数量型浓度(单位体积);数量或计数型浓度(计数/体积);数量或计数型浓度(单位体积);计数型浓度(单位体积) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间血;血液血液学/细胞计数;血液学与细胞计数

Example Units

Unit	Source
10*3/uL	Example UCUM Units
k/cumm	REGENSTRIEF

4548-4 HbA1c (%)

Part Descriptions

LP16413-4 Hemoglobin A1c
Currently (2010), four standardization protocols exist for measuring Hgb A1c:

1. IFCC - designated as a Reference Method or RM (http://www.ifcchba1c.net/)
2. NGSP - the long standing protocol used in the US and most other countries since the DCCT study (http://www.ngsp.org/factors.asp)
3.JDS/JSCC - a protocol used in Japan, Spain and possibly other countries
4. Swedish - used in Sweden at least

Protocols 2-4 are known as Designated Comparison Methods (DCM) and have been connected to the Reference Method and each other through various regression equations.

Because of the high degrees of standardization within protocol it should no longer be necessary to specify a LOINC code with a method such as "HPLC", "electrophoresis" or anything else. Analytical instruments will be designed so that an Hgb A1c result can be traced back to a specific standardization protocol, so the important distinction will be the standardization protocol as described above and which will be carried in the method field.

A meeting of instrument manufacturers (presumably including Japanese) in Milan, Italy, December 12, 2007, agreed (among other items) that:

-All manufacturers should implement worldwide the traceability to the IFCC reference system for Hgb -A1c.
-All new instruments sold after January 1st, 2011 will report (as a result of an Hgb A1c test) both SI (mmol/mol - no decimals) and NGSP derived units (percentage - one decimal), in agreement with the Consensus Statement.
-Note they only committed to supporting protocol (1) and (2)

Different countries are adopting the international harmonization recommendations in different ways. We have information from the NGSP that the US will continue to report only Hgb A1c/NGSP, with the unit percent - i.e., no change. In Great Britain, labs have already started to report all results both as Hgb A1c (NGSP) in % and Hgb A1c (IFCC) in mmol/mol. In Canada, they are awaiting a recommendation from an expert panel. Any of these measures could be reported in the same units, but the convention for the reporting Hgb A1c under the new IFCC protocol will be to use units of mmol/mol to avoid confusion between the DCCT/NGSP and the IFFCC protocol.

LOINC has defined 59261-8 (Hemoglobin A1c/Hemoglobin.total in Blood) by IFCC protocol.

These protocols produce different results when expressed in the same units. For example, the equivalent of Hgb A1c (NGSP) of 6.5% is Hgb A1c (IFCC) is 4.8%.

The NGSP web site (http://www.ngsp.org/factors.asp) suggests the use of alternate measures, such as glycated albumen, for patients with severe iron deficiency, dialysis patients, and those with SS SC CC because of over or under reading that can occur with these interferences. It also describes the effect of abnormal hemoglobins on results of HbA1c by instrument.

Studies have demonstrated racial and ethnic differences in the relationship between glucose levels and hemoglobin A1C [22238408], and it has been suggested that some descendants of sub-Saharan Africa may have higher levels of measured hemoglobin A1C compared to glucose levels due to hemoglobin variants PMID: 31675503. Source: Regenstrief Help

Reference Information

Type	Source	Reference
Mapping Guidance	Regenstrief Help	Today, all US HbA1c measurements reported in the US and many other countries are standardized to the NGSP protocol and that has been true for years. This code [LOINC: 4548-4] should be used for reporting the HbA1c in the US. Other countries may report HbA1c measured by the IFCC protocol [LOINC: 59261-8], a protocol with results reported in units of mmol/mol. In Japan and parts of Spain it may be measured using the Japanese protocol. All three protocols produce different numeric values. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Observation ID in Form

H14b

Fully-Specified Name

Component: Hemoglobin A1c/Hemoglobin.total
Property: MFr
Time: Pt
System: Bld
Scale: Qn
Method

Long Common Name

Hemoglobin A1c/Hemoglobin.total in Blood

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Change Reason: Release 2.70: CLASS: Changed Class from HEM/BC to CHEM as A1C tests are more correctly classified in CHEM.; Previous Releases: Changing from the property from Mass fraction to substance fraction has not effect on the meaning when the molecular weight of the numerator and the denominator are the same (for practical purposes). These terms had had a property of MFR in the past and we changed to SFR because we thought the LOINC community preferred SFR for HbA1c. But we mis understood the preference is to use the MFR variant- so we have changed back.
Order vs. Observation: Both
Common Test Rank Get Info: 88

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
55399-0	Diabetes tracking panel
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
54037-7	HEDIS 2009 panel
57820-3	HEDIS 2010 panel
60442-1	HEDIS 2011 panel
67767-4	HEDIS 2012 panel
72199-3	HEDIS 2013 panel
74234-6	HEDIS 2014 Value Sets
75868-0	HEDIS 2015 Value Sets
79544-3	HEDIS 2016 Value Sets
82955-6	HEDIS 2017 Value Sets
87625-0	HEDIS 2018 Value Sets
90766-7	HEDIS 2019 Value Sets
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
112870-1	Hemoglobin A1c and estimated average glucose panel - Blood
43150-2	Hemoglobin A1c measurement device panel

Member of these Groups Get Info

LOINC Group	Group Name
LG51070-7	Hemoglobin A1c/Hemoglobin.total\|MFr\|Pt\|ANYBldSerPl

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	الهيموغلوبين السكري الكلي " الخضاب السكري " في الدم
cs-CZ	Czech (Czechia)	Hemoglobin A1c/hemoglobin.celkový:Hmotnostní podíl:Časový bod:Krev:Kvantitativní:
de-AT	German (Austria)	Synonyms: Hämoglobin A1c
de-DE	German (Germany)	Hämoglobin A1c/Hämoglobin.gesamt:Massenfraktion:Zeitpunkt:Blut:Quantitativ: Synonyms: HbA1c
el-GR	Greek (Greece)	Αιμοσφαιρίνη A1c/Αιμοσφαιρίνη.ολική:MFr:Pt:Αίμα:Qn: Synonyms: CHEM MFr Pt Qn Αίμα Αιμοσφαιρίνη Αιμοσφαιρίνη A1c Αιμοσφαιρίνη.ολική
es-AR	Spanish (Argentina)	hemoglobina A1c/hemoglobina.total:fracción de masa:punto en el tiempo:sangre:cuantitativo:
es-ES	Spanish (Spain)	Hemoglobina A1c (Hemoglobina glicosilada)/Hemoglobina.total:Fracción de masa:Punto temporal:Sangre:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Hemoglobina A1c / Hemoglobina total:Fracción de masa:Punto temporal:Sangre:Cuantitativo:
et-EE	Estonian (Estonia)	Hemoglobiin A1c/hemoglobiin.üld:MFr:Pt:B:Qn: Synonyms: Glükohemoglobiin Juhuslik Kvantitatiivne Veri
fr-CA	French (Canada)	Hémoglobine A1c/Hémoglobine.totale:Fraction de masse:Temps ponctuel:Sang:Quantitatif:
fr-FR	French (France)	Hémoglobine A1c/hémoglobine totale:Fraction massique:Ponctuel:Sang:Numérique:
fr-BE	French (Belgium)	Hémoglobine A1c/Hémoglobine.totale:Fraction de masse:Temps ponctuel:Sang:Quantitatif: Synonyms: Hb Hb.totale HbA1c
it-IT	Italian (Italy)	Emoglobina A1c/Emoglobina.totale:MFr:Pt:Sangue:Qn: Synonyms: Chimica Emoglobina A1c (HgB glicata ) Frazione di massa Punto nel tempo (episodio) Sangue
ko-KR	Korean (Korea, Republic Of)	혈색소 A1C/총혈색소:질량분획:검사시점:전혈:정량:
nl-NL	Dutch (Netherlands)	hemoglobine A1c/hemoglobine.totaal:massafractie:moment:bloed:kwantitatief:
pl-PL	Polish (Poland)	Hemoglobina A1c/hemoglobina.całkowita:frakcja masowa:punkt w czasie:krew:ilościowy: Synonyms: Hemoglobina A1c/Hemoglobina całkowita
pt-BR	Portuguese (Brazil)	Hemoglobina A1c/Hemoglobina.total:SFr:Pt:SgTotal:Qn: Synonyms: ; Hgb A1c; Glycohemogolobin; Glycohaemogolobin; GHb; HA1c; HBA1c; Glycated hemoglobin; Glycosylated hemoglobin; Hb; Haemoglobin; Substance fraction; Percent; Point in time; Random; Blood; WB; Whole blood; Quantitative; QNT; Quant; Quan; Tot; Totl; HEMATOLOGY/CELL COUNTS; HEMATOLOGY/CELL COUNTS
ru-RU	Russian (Russian Federation)	Гемоглобин А1с/Гемоглобин.общий:МассДол:ТчкВрм:Кр:Колич: Synonyms: Количественный Кровь Массовая доля Точка во времени;Момент
tr-TR	Turkish (Turkey)	Hemoglobin A1c/Hemoglobin.total:KütlFr:Zmlı:Kan:Kant:
uk-UA	Ukrainian (Ukraine)	Гемоглобін A1c/Гемоглобін загальний:Масова Фракція:МоментЧасу:Кров:Кількісно: Synonyms: Blood; Chemistry; Endocrine; Endocrinology; GHb; Glycated hemoglobin; Glycohaemogolobin; Glycohemogolobin; Glycosylated hemoglobin; HA1c; Haemoglobin; Hb; HbA1c; Hgb; Hgb A1c; Mass fraction; Percent; Point in time; QNT; Quan; Quant; Quantitative; Random; Tot; Totl; WB; Whole blood
zh-CN	Chinese (China)	血红蛋白 A1c/血红蛋白.总计:质量分数:时间点:全血:定量型: Synonyms: GHb;HA1c;HBA1c;Hgb A1c;糖化血红蛋白;糖基化血红蛋白;血红蛋白 A1c （糖化血红蛋白） MFr 全体数量全部共计化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺总总和总数总血红蛋白总量总额时刻;随机;随意;瞬间氧血红蛋白;血红朊;血红素;血色素汇总血;血液

Example Units

Unit	Source
%	Example UCUM Units
% Hgb	REGENSTRIEF

52483-5 Other

Fully-Specified Name

Component: Other
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

10230-1 Left Ventricular Ejection Fraction (%)

Part Descriptions

LP35012-1 Ejection fraction
In cardiovascular physiology, ejection fraction (Ef) is the fraction of blood pumped out of a ventricle with each heart beat. The term ejection fraction applies to both the right and left ventricles; one can speak equally of the left ventricular ejection fraction (LVEF) and the right ventricular ejection fraction (RVEF). Without a qualifier, the term ejection fraction refers specifically to that of the left ventricle. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Ejection fraction (Wikipedia)

Observation ID in Form

H22b

Form Coding Instructions

This or prior setting acceptable

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Ejection fraction
Property: VFr
Time: Pt
System: Heart.ventricle.left
Scale: Qn
Method

Long Common Name

Left ventricular Ejection fraction

Basic Attributes

Class: HEMODYN.MOLEC
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 1325

Formula (Readable)

Ejection fraction=[(LV end-diastolic volume-LV end-systolic volume)/LV end-diastolic volume]*100

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
55405-5	Heart failure tracking panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Κλάσμα εξώθησης:VFr:Pt:Καρδιά.κοιλία.αριστερή:Qn: Synonyms: HEMODYN.MOLEC Pt Qn VFr Καρδιά Καρδιά.κοιλία Καρδιά.κοιλία.αριστερή Κλάσμα εξώθησης
es-AR	Spanish (Argentina)	fracción de eyección:relación de volumen:punto en el tiempo:corazón.ventrículo.izquierdo:cuantitativo:
es-MX	Spanish (Mexico)	Fracción de eyección:VFr:Punto temporal:Corazón.ventrículo.izquierdo:Cuantitativo:
fr-FR	French (France)	Fraction d'éjection:Fraction volumique:Ponctuel:Ventricule gauche:Numérique:
it-IT	Italian (Italy)	Frazione di eiezione:VFr:Pt:Cuore.ventricolo.sinistro:Qn: Synonyms: Emodinamica - molecolare FE Frazione di Volume Punto nel tempo (episodio) Ventricolo cardiaco Ventricolo cardiaco Sinistro
pt-BR	Portuguese (Brazil)	Fração de ejeção:VFr:Pt:Coração.ventrículo.esquerdo:Qn: Synonyms: ; EF; Fr; Volume fraction; Volfr; Percent; Point in time; Random; LV; Vent; Ventricular; Hrt; Cardiac; Quantitative; QNT; Quant; Quan; Frac; Fract; Fractionation; Fractions; HEMODYNAMICS.MOLEC; HEMODYNAMICS.MOLEC; LVEF
ru-RU	Russian (Russian Federation)	Выброса фракция:ОбФр:ТчкВрм:Сердце.желудочек.левый:Колич: Synonyms: Количественный Объемная фракция Точка во времени;Момент Фракция выброса
zh-CN	Chinese (China)	射血分数:体积分数:时间点:心脏.心室.左侧:定量型: Synonyms: EF;喷血分数 L LT 分数分数类分级分级分离分部分离分馏分馏（Fractionation）可用数量表示的;定量性;数值型;数量型;连续数值型标尺向左向左侧容积分数左左侧（Left，LT，L）左向左心室;心.室.左侧;心.心室.左侧;心脏.室.左侧左边心心.室;心.心室;心室;心脏.室时刻;随机;随意;瞬间特殊血流动力学;特殊血液动力学;血液动力学.分子型精馏组份（Fraction）组份类组份类（Fractions）组分组分类血液动力学部分部分类馏分馏分类

Example Units

Unit	Source
%	Example UCUM Units

52484-3 Arterial Blood Gases (ABGs)

Fully-Specified Name

Component: Arterial Blood Gases (ABGs)
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52593-1 Please specify source and amount of supplemental O2

Term Description

e.g. room air, nasal cannula, trach collar

Observation ID in Form

H23d

Fully-Specified Name

Component: Oxygen therapy source and amount
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Oxygen therapy source and amount [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

2744-1 pH of Arterial blood

Part Descriptions

LP14752-7 pH
pH is a measure of the acidity or basicity of a solution. It is defined as the cologarithm of dissolved hydrogen ions (H+). Hydrogen ion activity coefficients cannot be measured experimentally, so they are based on theoretical calculations. The pH scale is not an absolute one, it is relative to a set of internationally established standard solutions. pH 7.0 is considered neutral. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, pH

LP14752-7 pH
Potentia Hydrogenii, commonly known as pH, is a quantitative measurement of the acidity or basicity of a substance. A substance's pH value is based on a relative scale from 1-14 depending on the substance's proton ion concentration (H+). A higher proton ion concentration results in a lower pH value. Therefore, a pH value between 0 and 7 is an acidic substance whereas a pH value between 7 and 14 is an alkaline/basic substance. A pH value of exactly 7 is a neutral substance. https://labtestsonline.org/understanding/analytes/SearchForm?Search=pH&action_ProcessSphinxSearchForm=Go The specific pH value of the blood is crucial in maintaining bodily functions. When the blood pH value is below normal range it is called acidosis. When the blood pH value is above normal range, it is called alkadosis. Acidosis/alkadosis can be divided into two categories: metabolic and respiratory. https://labtestsonline.org/understanding/analytes/blood-gases/tab/test/ Source: Regenstrief LOINC

Observation ID in Form

H24b

Fully-Specified Name

Component: pH
Property: LsCnc
Time: Pt
System: BldA
Scale: SemiQn
Method

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.75 (MAJ)
Order vs. Observation: Both
Common Test Rank Get Info: 184

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
99548-0	Gas and electrolytes panel - Arterial blood
104074-0	Gas and Lactate panel - Arterial blood
24336-0	Gas panel - Arterial blood
75885-4	IEEE 11073 Rosetta panel
62611-9	PhenX domain - Respiratory

Member of these Groups Get Info

LOINC Group	Group Name
LG345-5	pH\|LsCnc\|Pt\|ANYBldSerPl

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	pH:Látková koncentrace v log měřítku:Časový bod:Krev arteriální:Semikvantitativní:
de-AT	German (Austria)	Synonyms: pH art.
de-DE	German (Germany)	pH:Logarithmische Stoffmengenkonzentration:Zeitpunkt:Blut arteriell:Semiquantitativ: Synonyms: pH-Wert
el-GR	Greek (Greece)	pH:LsCnc:Pt:Αρτηριακό αίμα:Ημιποσοτική: Synonyms: CHEM LsCnc pH Pt Αρτηριακό αίμα Ημιποσοτική
es-AR	Spanish (Argentina)	pH:concentración de sustancia:punto en el tiempo:sangre arterial:cuantitativo:
es-ES	Spanish (Spain)	pH:LsCnc:Punto temporal:Sangre arterial:Semicuantitativo: Synonyms: Semicuantitativo
es-MX	Spanish (Mexico)	pH:Concentración logarítmica molar:Punto temporal:Sangre arterial:Cuantitativo:
fr-FR	French (France)	pH:Log de concentration:Ponctuel:Sang artériel:Semi-Quantitatif:
fr-CA	French (Canada)	pH:LsCnc:Temps ponctuel:Sang artériel:SemiQn:
it-IT	Italian (Italy)	pH:LsCnc:Pt:Sangue art:SemiQn: Synonyms: Chimica Logaritmo della concentrazione molare Punto nel tempo (episodio) Sangue arterioso
ko-KR	Korean (Korea, Republic Of)	pH:물질농도:검사시점:동맥혈:정량:
nl-NL	Dutch (Netherlands)	pH:logaritmische molaire concentratie:moment:arterieel bloed:semikwantitatief:
pl-PL	Polish (Poland)	PH:stężenie logarytmowo-molowe:punkt w czasie:krew tętnicza:półilościowy:
pt-BR	Portuguese (Brazil)	pH:LsCnc:Pt:SgArt:Qn: Synonyms: Log molar concentration; Point in time; Random; Blood; Blood arterial; ART; Bld art; Bld arterial; Blood art; Art blood; Art bld; AcG; Quantitative; QNT; Quant; Quan; Chemistry
zh-CN	Chinese (China)	pH:对数型物质的量浓度:时间点:动脉全血:半定量型: Synonyms: 动脉血化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类对数型克分子浓度;对数型克分子浓度(单位体积);对数型摩尔浓度;对数型摩尔浓度(单位体积);对数型物质的量浓度(单位体积) 时刻;随机;随意;瞬间氢指数;氢离子指数;氢离子浓度;氢离子浓度倒数的对数;酸度;酸碱值;酸碱度

Example Units

Unit	Source
[pH]	Example UCUM Units

2019-8 PaCO2 (mm/Hg)

Part Descriptions

LP15150-3 Carbon dioxide
CO2 content is a measurement of total CO2 in the blood. Most of it is in the form of bicarbonate (HCO3) controlled by the kidney. A small amount (5%) of CO2 is dissolved in the blood as insoluble carbonic acid (H2CO3). Changes in CO2 content generally relate to metabolic issues, renal function and unusual losses (diarrhea). Respiratory disease can ultimately effect CO2 content, but only slightly and only if prolonged. (Operational Medicine 2001, Arterial Blood Gas, Brookside Associates Medical Education Division) Source: Regenstrief Institute

Observation ID in Form

H25b

Fully-Specified Name

Component: Carbon dioxide
Property: PPres
Time: Pt
System: BldA
Scale: Qn
Method

Long Common Name

Carbon dioxide [Partial pressure] in Arterial blood

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 179

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
99548-0	Gas and electrolytes panel - Arterial blood
104074-0	Gas and Lactate panel - Arterial blood
24336-0	Gas panel - Arterial blood
75885-4	IEEE 11073 Rosetta panel
62611-9	PhenX domain - Respiratory

Member of these Groups Get Info

LOINC Group	Group Name
LG344-8	Carbon dioxide\|PPres\|Pt\|ANYBldSerPl

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Oxid uhličitý:Parciální tlak:Časový bod:Krev arteriální:Kvantitativní:
de-AT	German (Austria)	Synonyms: pCO2 art.
de-DE	German (Germany)	Kohlenstoffdioxid:Partialdruck:Zeitpunkt:Blut arteriell:Quantitativ:
el-GR	Greek (Greece)	Διοξείδιο του άνθρακα:PPres:Pt:Αρτηριακό αίμα:Qn: Synonyms: CHEM PPres Pt Qn Αρτηριακό αίμα Διοξείδιο του άνθρακα
es-AR	Spanish (Argentina)	dióxido de carbono:presión (parcial):punto en el tiempo:sangre arterial:cuantitativo:
es-ES	Spanish (Spain)	Dioxido de carbono:Presión parcial:Punto temporal:Sangre arterial:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Dióxido de carbono:Presión parcial:Punto temporal:Sangre arterial:Cuantitativo:
et-EE	Estonian (Estonia)	Süsinikdioksiid:PPres:Pt:aB:Qn: Synonyms: Arteriaalne veri Juhuslik Kvantitatiivne Osarõhk
fr-CA	French (Canada)	Dioxyde de carbone:Pression partielle:Temps ponctuel:Sang artériel:Quantitatif:
fr-FR	French (France)	Carbone dioxyde:Pression partielle:Ponctuel:Sang artériel:Numérique:
fr-BE	French (Belgium)	Dioxyde de carbone:Pression partielle:Temps ponctuel:Sang artériel:Quantitatif: Synonyms: CO2
it-IT	Italian (Italy)	Diossido di carbonio:PPres:Pt:Sangue art:Qn: Synonyms: Biossido di carbonio Chimica Pressione parziale Punto nel tempo (episodio) Sangue arterioso
ko-KR	Korean (Korea, Republic Of)	이산화 탄소:분압:검사시점:동맥혈:정량:
nl-NL	Dutch (Netherlands)	koolstofdioxide:partiële druk:moment:arterieel bloed:kwantitatief:
pt-BR	Portuguese (Brazil)	Dióxido de carbono:PPres:Pt:SgArt:Qn: Synonyms: ; CO2; Carbonic anhydride; Partial pressure; Point in time; Random; Blood; Blood arterial; ART; Bld art; Bld arterial; Blood art; Art blood; Art bld; AcG; Quantitative; QNT; Quant; Quan; Chemistry; PCO2; PaCO2
ru-RU	Russian (Russian Federation)	Углерода диоксид:ПарцД:ТчкВрм:КрА:Колич: Synonyms: Количественный Кровь артериальная Парциальное давление Точка во времени;Момент Углекислый газ
tr-TR	Turkish (Turkey)	Karbon dioksit:PBsnç:Zmlı:KanArt:Kant:
zh-CN	Chinese (China)	二氧化碳:分压:时间点:动脉全血:定量型: Synonyms: cCO2;CO2;CO2CT;ctCO2;tCO2;TOTAL CO2;总 CO2;总二氧化碳;碳酐;碳酸酐 CO2分压 PaCO2 PCO2 分压力;分压强;局部压力;气体分压;部分压力;局部压应力;压力(局部性);压力(部分的);压力或压强(局部性);压力或压强(部分的);压强(局部性);压强(部分的) 动脉血动脉血CO2分压化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间

Example Units

Unit	Source
mm[Hg]	Example UCUM Units
mm Hg	REGENSTRIEF

1960-4 HCO3 (mEq/L)

Part Descriptions

LP15441-6 Bicarbonate
Bicarbonate is an electrolyte and typically measured along with other electrolytes (e.g. sodium, potassium, and chloride) to detect, evaluate, and monitor electrolyte imbalances. Low bicarbonate levels may occur in patients with Addison's disease, chronic diarrhea, diabetic ketoacidosis, and kidney diseas. Increased levels may be seen in patients with severe vomiting, cushing syndrome, and metabolic alkalosis. Various drugs may also increase or decrease biocarbonate levels. Bicarbonate and total CO2 are not synonyms. Total CO2 = bicarbonate + CO2 + carbonic acid. Under normal circumstances, bicarbonate is the primary constituent of total CO2, however, in certain pathologic conditions, CO2 and/or carbonic acid contribute a clinically significant fraction of the total. Source: Regenstrief LOINC

Observation ID in Form

H26b

Fully-Specified Name

Component: Bicarbonate
Property: SCnc
Time: Pt
System: BldA
Scale: Qn
Method

Long Common Name

Bicarbonate [Moles/volume] in Arterial blood

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 198

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
99548-0	Gas and electrolytes panel - Arterial blood
104074-0	Gas and Lactate panel - Arterial blood
24336-0	Gas panel - Arterial blood
75885-4	IEEE 11073 Rosetta panel

Member of these Groups Get Info

LOINC Group	Group Name
LG2807-8	Bicarbonate\|SCnc\|Pt\|ANYBldSerPl

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Hydrogenuhličitan:Látková koncentrace:Časový bod:Krev arteriální:Kvantitativní:
de-AT	German (Austria)	Synonyms: Bikarbonat art.
de-DE	German (Germany)	Bicarbonat:Stoffmengenkonzentration:Zeitpunkt:Blut arteriell:Quantitativ: Synonyms: HCO3
el-GR	Greek (Greece)	Διττανθρακικό:SCnc:Pt:Αρτηριακό αίμα:Qn: Synonyms: CHEM Pt Qn SCnc Αρτηριακό αίμα Διττανθρακικό
es-AR	Spanish (Argentina)	bicarbonato:concentración de sustancia:punto en el tiempo:sangre arterial:cuantitativo:
es-ES	Spanish (Spain)	Bicarbonato:Concentración de sustancia:Punto temporal:Sangre arterial:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Bicarbonato:Concentración de sustancias:Punto temporal:Sangre arterial:Cuantitativo:
et-EE	Estonian (Estonia)	Vesinikkarbonaat:SCnc:Pt:aB:Qn: Synonyms: Aine kontsentratsioon Arteriaalne veri Bikarbonaat Juhuslik Kvantitatiivne
fr-CA	French (Canada)	Bicarbonates:Concentration de substance:Temps ponctuel:Sang artériel:Quantitatif:
fr-FR	French (France)	Bicarbonates:Moles/Volume:Ponctuel:Sang artériel:Numérique:
fr-BE	French (Belgium)	Bicarbonates:Concentration de substance:Temps ponctuel:Sang artériel:Quantitatif: Synonyms: HCO3-
it-IT	Italian (Italy)	Bicarbonato:SCnc:Pt:Sangue art:Qn: Synonyms: Chimica Concentrazione di Sostanza Punto nel tempo (episodio) Sangue arterioso
ko-KR	Korean (Korea, Republic Of)	중탄산염:물질농도:검사시점:동맥혈:정량:
nl-NL	Dutch (Netherlands)	bicarbonaat:mol/volume:moment:arterieel bloed:kwantitatief:
pl-PL	Polish (Poland)	Dwuwęglan:stężenie molowe:punkt w czasie:krew tętnicza:ilościowy:
pt-BR	Portuguese (Brazil)	Bicarbonato:SCnc:Pt:SgArt:Qn: Synonyms: ; HCO3; BIC; Bicarb; bicar; Substance concentration; Level; Point in time; Random; Blood; Blood arterial; ART; Bld art; Bld arterial; Blood art; Art blood; Art bld; AcG; Quantitative; QNT; Quant; Quan; Chemistry
ru-RU	Russian (Russian Federation)	Бикарбонат:МолКонц:ТчкВрм:КрА:Колич: Synonyms: Количественный Кровь артериальная Молярность;Молярная объёмная концентрация Точка во времени;Момент
tr-TR	Turkish (Turkey)	Bikarbonat:SubKons:Zmlı:KanArt:Kant:
zh-CN	Chinese (China)	碳酸氢盐:物质的量浓度:时间点:动脉全血:定量型: Synonyms: BIC;bicar;Bicarb;HCO3;HCO3-;碳酸氢根;酸式碳酸根;酸式碳酸盐;重碳酸根;重碳酸盐克分子浓度;克分子浓度(单位体积);摩尔浓度;摩尔浓度(单位体积);物质的量浓度(单位体积) 动脉血化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间

Example Units

Unit	Source
mmol/L	Example UCUM Units
mmol/L	REGENSTRIEF

2703-7 PaO2 (mm/Hg)

Observation ID in Form

H27b

Fully-Specified Name

Component: Oxygen
Property: PPres
Time: Pt
System: BldA
Scale: Qn
Method

Long Common Name

Oxygen [Partial pressure] in Arterial blood

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 196

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
99548-0	Gas and electrolytes panel - Arterial blood
104074-0	Gas and Lactate panel - Arterial blood
24336-0	Gas panel - Arterial blood
75885-4	IEEE 11073 Rosetta panel
62611-9	PhenX domain - Respiratory

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Kyslík:Parciální tlak:Časový bod:Krev arteriální:Kvantitativní:
de-AT	German (Austria)	Synonyms: pO2 art.
de-DE	German (Germany)	Sauerstoff:Partialdruck:Zeitpunkt:Blut arteriell:Quantitativ:
el-GR	Greek (Greece)	Οξυγόνο:PPres:Pt:Αρτηριακό αίμα:Qn: Synonyms: CHEM PPres Pt Qn Αρτηριακό αίμα Οξυγόνο
es-AR	Spanish (Argentina)	oxígeno:presión (parcial):punto en el tiempo:sangre arterial:cuantitativo:
es-ES	Spanish (Spain)	Oxígeno:Presión parcial:Punto temporal:Sangre arterial:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Oxígeno:Presión parcial:Punto temporal:Sangre arterial:Cuantitativo:
et-EE	Estonian (Estonia)	Hapnik:PPres:Pt:aB:Qn: Synonyms: Arteriaalne veri Juhuslik Kvantitatiivne Osarõhk
fr-CA	French (Canada)	Oxygène:Pression partielle:Temps ponctuel:Sang artériel:Quantitatif:
fr-FR	French (France)	Oxygène:Pression partielle:Ponctuel:Sang artériel:Numérique:
fr-BE	French (Belgium)	Oxygène:Pression partielle:Temps ponctuel:Sang artériel:Quantitatif: Synonyms: O2
it-IT	Italian (Italy)	Ossigeno:PPres:Pt:Sangue art:Qn: Synonyms: Chimica Pressione parziale Punto nel tempo (episodio) Sangue arterioso
ko-KR	Korean (Korea, Republic Of)	산소:분압:검사시점:동맥혈:정량:
nl-NL	Dutch (Netherlands)	zuurstof:partiële druk:moment:arterieel bloed:kwantitatief:
pl-PL	Polish (Poland)	Tlen:ciśnienie parcjalne:punkt w czasie:krew tętnicza:ilościowy:
pt-BR	Portuguese (Brazil)	Oxigênio:PPres:Pt:SgArt:Qn: Synonyms: ; O2; tO2; Partial pressure; Point in time; Random; Blood; Blood arterial; ART; Bld art; Bld arterial; Blood art; Art blood; Art bld; AcG; Quantitative; QNT; Quant; Quan; Chemistry; O2 partial pressure; PO2; PaO2
ru-RU	Russian (Russian Federation)	Кислород:ПарцД:ТчкВрм:КрА:Колич: Synonyms: Количественный Кровь артериальная Парциальное давление Точка во времени;Момент
tr-TR	Turkish (Turkey)	Oksijen:PBsnç:Zmlı:KanArt:Kant:
zh-CN	Chinese (China)	氧:分压:时间点:动脉全血:定量型: Synonyms: O2;tO2;总氧;氧气 O2分压 PaO2 PO2 分压力;分压强;局部压力;气体分压;部分压力;局部压应力;压力(局部性);压力(部分的);压力或压强(局部性);压力或压强(部分的);压强(局部性);压强(部分的) 动脉血动脉血O2分压化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间

Example Units

Unit	Source
mm[Hg]	Example UCUM Units
mm Hg	REGENSTRIEF

2708-6 SaO2 (%)

Part Descriptions

LP21258-6 Oxygen saturation
Oxygen saturation (sO2) is defined as the ratio of oxyhemoglobin to "active" hemoglobin (oxyhemoglobin + deoxyhemoglobin). Some say the term oxygen saturation has been erroneously redefined with a denominator of "total" instead of "active" hemoglobin, an ambiguity that can sometimes create confusion when viewing reported values from different instruments (Anesth Analg. 2007 Dec;105(6 Suppl):S5-9.) Oxygen saturation is commonly measured by blood gas analyzers and pulse oximetry. Source: Regenstrief LOINC

Reference Information

Type	Source	Reference
Mapping Guidance	Regenstrief Help	Functional oxygen saturation (SO2) Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Observation ID in Form

H28b

Fully-Specified Name

Component: Oxygen saturation
Property: MFr
Time: Pt
System: BldA
Scale: Qn
Method

Long Common Name

Oxygen saturation in Arterial blood

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 248

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
99548-0	Gas and electrolytes panel - Arterial blood
24336-0	Gas panel - Arterial blood
75885-4	IEEE 11073 Rosetta panel
84428-2	National EMS Information System - version 3 set
87825-6	National Trauma Data Standard - version 2018 set
89544-1	Pulmonary Embolism Rule-out Criteria panel PERC
89694-4	Pulmonary Embolism Severity Index panel [PESI]

Member of these Groups Get Info

LOINC Group	Group Name
LG51976-5	Oxygen saturation\|MFr\|Pt\|BldA\|Chal:None
LG33051-0	Oxygen saturation\|MFr\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Kyslík saturace:Hmotnostní podíl:Časový bod:Krev arteriální:Kvantitativní:
de-DE	German (Germany)	Sauerstoffsättigung:Massenfraktion:Zeitpunkt:Blut arteriell:Quantitativ: Synonyms: O2-Sättigung
de-AT	German (Austria)	Synonyms: O2-Sättigung art.
el-GR	Greek (Greece)	Κορεσμός οξυγόνου:MFr:Pt:Αρτηριακό αίμα:Qn: Synonyms: CHEM MFr Pt Qn Αρτηριακό αίμα Κορεσμός οξυγόνου Οξυγόνο
es-AR	Spanish (Argentina)	saturación de oxígeno:fracción de sustancia:punto en el tiempo:sangre arterial:cuantitativo:
es-ES	Spanish (Spain)	Saturación de Oxígeno:Fracción de masa:Punto temporal:Sangre arterial:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Saturación de oxígeno:Fracción de masa:Punto temporal:Sangre arterial:Cuantitativo:
et-EE	Estonian (Estonia)	Hapnikuga küllastatus:MFr:Pt:aB:Qn: Synonyms: Arteriaalne veri Juhuslik Kvantitatiivne
fr-CA	French (Canada)	Saturation en oxygène:Fraction de masse:Temps ponctuel:Sang artériel:Quantitatif:
fr-FR	French (France)	Oxygène saturation:Fraction massique:Ponctuel:Sang artériel:Numérique:
fr-BE	French (Belgium)	Saturation en oxygène:Fraction de masse:Temps ponctuel:Sang artériel:Quantitatif: Synonyms: O2 SatO2
it-IT	Italian (Italy)	Saturazione dell'ossigeno:MFr:Pt:Sangue art:Qn: Synonyms: Chimica Frazione di massa Punto nel tempo (episodio) Sangue arterioso
nl-NL	Dutch (Netherlands)	zuurstofverzadiging:massafractie:moment:arterieel bloed:kwantitatief:
pl-PL	Polish (Poland)	Wysycenie tlenem:frakcja masowa:punkt w czasie:krew tętnicza:ilościowy:
pt-BR	Portuguese (Brazil)	Saturação de Oxigênio:MFr:Pt:SgArt:Qn: Synonyms: ; O2 %; SO2; tO2; Mass fraction; Percent; Point in time; Random; Blood; Blood arterial; ART; Bld art; Bld arterial; Blood art; Art blood; Art bld; AcG; Quantitative; QNT; Quant; Quan; Satn; SAT; HEMODYNAMICS.MOLEC; HEMODYNAMICS.MOLEC; SaO2
ru-RU	Russian (Russian Federation)	Кислородом сатурация:МассДол:ТчкВрм:КрА:Колич: Synonyms: Количественный Кровь артериальная Массовая доля Насыщение кислородом Точка во времени;Момент
tr-TR	Turkish (Turkey)	Oksijen satürasyonu:KütlFr:Zmlı:KanArt:Kant: Synonyms: Oksijen doymuşluğu
zh-CN	Chinese (China)	氧饱和度:质量分数:时间点:动脉全血:定量型: Synonyms: MFr O2;tO2;总氧;氧气 SaO2 动脉血动脉血O2饱和度化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间饱和饱和状态饱和程度

Example Units

Unit	Source
%	Example UCUM Units
%	REGENSTRIEF

1925-7 B.E. (base excess) (mEq/dL)

Part Descriptions

LP15429-1 Base excess
Base excess refers to the amount of a strong acid required to bring back the blood pH to the normal value of 7.4. The term and concept were first introduced by Astrup and Siggaard-Andersen in 1958 as a way to measure the metabolic component of an acid-base disturbance.

Actual versus standard:
In vivo, acid-base homeostasis takes place throughout the extracellular fluid (ECF), not just the blood compartment that is in a patient specimen. The concept of "standard" base excess attempts to adjust for the base excess of the entire extracellular compartment by calculating the base excess for blood diluted as if the entire extracellular compartment were sampled (approx Hgb of 5g/l). So the ACTUAL base excess (ABE) is the dose of acid to return PLASMA to normal pH, whereas the STANDARD base excess (SBE) is the dose to return ECF to normal pH.

Adjusting for oxygen saturation:
Base excess normally assumes 100% oxygen saturation, which is valid for many arterial specimens. However, it is possible to add additional terms to the calculation which account for the actual oxygen saturation of the patient sample. The terms in LOINC indicating 'Base excess.100% oxygenated' are intended to encode base excess terms adjusted for oxygen saturation (i.e. do not assume 100% oxygenation). Source: Regenstrief LOINC

Observation ID in Form

H29b

Fully-Specified Name

Component: Base excess
Property: SCnc
Time: Pt
System: BldA
Scale: Qn
Method: Calculated

Long Common Name

Base excess in Arterial blood by calculation

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 360

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
99548-0	Gas and electrolytes panel - Arterial blood
104074-0	Gas and Lactate panel - Arterial blood
24336-0	Gas panel - Arterial blood

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Base excess:Látková koncentrace:Časový bod:Krev arteriální:Kvantitativní:Vypočteno
de-AT	German (Austria)	Synonyms: Base excess art.
de-DE	German (Germany)	Basenüberschuss:Stoffmengenkonzentration:Zeitpunkt:Blut arteriell:Quantitativ:Berechnet
el-GR	Greek (Greece)	Περίσσεια βάσης:SCnc:Pt:Αρτηριακό αίμα:Qn:Υπολογιζόμενο Synonyms: CHEM Pt Qn SCnc Αρτηριακό αίμα Περίσσεια βάσης Υπολογιζόμενο
es-AR	Spanish (Argentina)	exceso de bases:concentración de sustancia:punto en el tiempo:sangre arterial:cuantitativo:
es-ES	Spanish (Spain)	Exceso de base:Concentración de sustancia:Punto temporal:Sangre arterial:Qn:Calculado Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Exceso de base:Concentración de sustancias:Punto temporal:Sangre arterial:Cuantitativo:Calculado
et-EE	Estonian (Estonia)	Aluste liig:SCnc:Pt:aB:Qn:Arvutuslik Synonyms: Aine kontsentratsioon Arteriaalne veri Juhuslik Kvantitatiivne
fr-CA	French (Canada)	Excès de base:Concentration de substance:Temps ponctuel:Sang artériel:Quantitatif:Calculé
fr-FR	French (France)	Base excès:Moles/Volume:Ponctuel:Sang artériel:Numérique:Résultat calculé
fr-BE	French (Belgium)	Excès de base:Concentration de substance:Temps ponctuel:Sang artériel:Quantitatif:Calculé
it-IT	Italian (Italy)	Basi, eccesso:SCnc:Pt:Sangue art:Qn:Calcolato Synonyms: Chimica Concentrazione di Sostanza Eccesso di basi Punto nel tempo (episodio) Sangue arterioso
ko-KR	Korean (Korea, Republic Of)	염기 과잉:물질농도:검사시점:동맥혈:정량:
nl-NL	Dutch (Netherlands)	base-overschot:mol/volume:moment:arterieel bloed:kwantitatief:berekend
pt-BR	Portuguese (Brazil)	Excesso de base:SCnc:Pt:SgArt:Qn: Synonyms: Base ex; BSE; BE; Substance concentration; Level; Point in time; Random; Blood; Blood arterial; ART; Bld art; Bld arterial; Blood art; Art blood; Art bld; AcG; Quantitative; QNT; Quant; Quan; EXS; Chemistry; AcE
ru-RU	Russian (Russian Federation)	Оснований избыток:МолКонц:ТчкВрм:КрА:Колич:Вычисленный Synonyms: Количественный Кровь артериальная Молярность;Молярная объёмная концентрация Точка во времени;Момент
tr-TR	Turkish (Turkey)	Baz fazlalığı:SubKons:Zmlı:KanArt:Kant:Hesaplanmış
zh-CN	Chinese (China)	碱剩余:物质的量浓度:时间点:动脉全血:定量型:计算法 Synonyms: ABE BE;BSE;碱超;碱过剩;过剩碱克分子浓度;克分子浓度(单位体积);摩尔浓度;摩尔浓度(单位体积);物质的量浓度(单位体积) 动脉血动脉血碱剩余化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间计算;计算型方法过剩

Example Units

Unit	Source
mmol/L	Example UCUM Units
mmol/L	REGENSTRIEF

52485-0 Pulmonary Function Tests

Fully-Specified Name

Component: Pulmonary Function Tests
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

19870-5 FVC (liters)

Part Descriptions

LP72220-4 Forced vital capacity
Forced vital capacity (FVC) is the volume of air that can forcibly be blown out after full inspiration, measured in liters. FVC is the most basic maneuver in spirometry tests. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Wikipedia

Observation ID in Form

H31b

Fully-Specified Name

Component: Forced vital capacity
Property: Vol
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

Forced vital capacity [Volume] Respiratory system

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0l
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 3755

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Βεβιασμένη ζωτική χωρητικότητα:Vol:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn Vol Αναπνευστικό Αναπνευστικό σύστημα Βεβιασμένη ζωτική χωρητικότητα Ζωτική χωρητικότητα
es-AR	Spanish (Argentina)	capacidad.vital.forzada:volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Capacidad vital forzada:Volumen:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Capacità vitale forzata:Vol:Pt:Apparato respiratorio:Qn: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume
pt-BR	Portuguese (Brazil)	Capacidade.vital.forçada:Volume:Pt:Sistema Respiratório:Qn: Synonyms: ; FVC; VC; Volume; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; PULMONARY
ru-RU	Russian (Russian Federation)	Форсированная жизненная ёмкость:Об:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Объем Точка во времени;Момент
zh-CN	Chinese (China)	用力肺活量:体积型属性:时间点:呼吸系统:定量型: Synonyms: forced vital capacity;FVC;时间肺活量;尽力最大吸气后，尽力尽快呼气所能呼出的最大气量;略小于没有时间限制条件下测得的肺活量;最大肺活量体积;容积;容量可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）时刻;随机;随意;瞬间肺部测量指标与呼吸机管理

Example Units

Unit	Source
L	Example UCUM Units

19926-5 FEV1% or FEV1/FVC (%)

Part Descriptions

LP140652-1 Volume expired during 1.0 s of forced expiration
The forced expiratory volume in one second (FEV1) is the volume of air that can be exhaled in one second. It is usually measured as part of the forced vital capacity (FVC), which is the total amount of air that can be exhaled in a full forced exhalation. The pattern of FVC, FEV1, and the FEV1/FVC ratio can be used together to determine the type of respiratory disease. A normal or low FVC with an FEV1/FVC of <0.7 indicates obstructive pulmonary disease, while low FVC and FEV1/FVC of >0.7 indicates respiratory disease. Normal values for FEV1 and FVC vary based on several factors including age, sex, height, and weight. PMID: 15023009 Source: Regenstrief LOINC

LP91339-9 Volume expired during 1.0 s of forced expiration/Forced vital capacity
FEV1/FVC (FEV1%) is the ratio of FEV1 to FVC. In healthy adults this should be approximately 75-80%. In obstructive diseases (asthma, COPD, chronic bronchitis, emphysema) FEV1 is diminished because of increased airway resistance to expiratory flow; the FVC may be decreased as well, due to the premature closure of airway in expiration, just not in the same proportion as FEV1 (for instance, both FEV1 and FVC are reduced, but the former is more affected because of the increased airway resistance). This generates a reduced value (<80%, often ~45%). In restrictive diseases (such as pulmonary fibrosis) the FEV1 and FVC are both reduced proportionally and the value may be normal or even increased as a result of decreased lung compliance.

A derived value of FEV1% is FEV1% predicted, which is defined as FEV1% of the patient divided by the average FEV1% in the population for any person of similar age, sex and body composition. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Wikipedia

Observation ID in Form

H32b

Fully-Specified Name

Component: Volume expired during 1.0 s of forced expiration/Forced vital capacity
Property: VRto
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

FEV1/FVC

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0l
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 1240

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Εκπνεόμενος όγκος κατά τη διάρκεια 1,0 δευτερολέπτων βεβιασμένης εκπνοής/Βεβιασμένη ζωτική χωρητικότητα:VRto:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn S VRto Αναπνευστικό Αναπνευστικό σύστημα Βεβιασμένη ζωτική χωρητικότητα Εκπνεόμενος όγκος κατά τη διάρκεια 1,0 δευτερολέπτων βεβιασμένης εκπνοής Εκπνοή Ζωτική χωρητικότητα Όγκος Όγκος.εκπνεόμενος
es-AR	Spanish (Argentina)	volumen espiratorio.forzado en el primer segundo/capacidad vital.forzada:relación de volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Volumen expirado durante 1.0 s de espiración forzada / Capacidad vital forzada:VRto:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Volume espirato durante 1,0Secondi di espirazione forzata/Capacità vitale forzata:Vrto:Pt:Apparato respiratorio:Qn: Synonyms: CVF FEV1 Gestione ventilazione polmonare Punto nel tempo (episodio) Rapporto di Volume Volume espirato
pt-BR	Portuguese (Brazil)	Volume expiratório^forçado no 1º seg/Capacidade vital.forçada:VRto:Pt:Sistema Respiratório:Qn: Synonyms: ; Vol; FEV1/VFC; exp; Exp; FEV1/VFC; FVC; Volume ratio; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; S prime; PST; After; PULMONARY; FEV1; FEV1/FVC
ru-RU	Russian (Russian Federation)	FEV1/Форсированная жизненная ёмкость:ОбОтн:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Объём выдоха за 1,0 с форсированный выдох Объём отношение Точка во времени;Момент ФЖЁЛ
zh-CN	Chinese (China)	用力呼气 1.0 秒过程中所呼出的体积/用力肺活量:体积比率:时间点:呼吸系统:定量型: Synonyms: forced vital capacity forced vital capacity;FVC;时间肺活量;尽力最大吸气后，尽力尽快呼气所能呼出的最大气量;略小于没有时间限制条件下测得的肺活量;最大肺活量 S 型体积.呼气;呼出体积;呼气体积体积比可用数量表示的;定量性;数值型;数量型;连续数值型标尺吐气呼呼出呼出;呼出气体呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）容积时刻;随机;随意;瞬间用力呼气 1.0 s 过程中所呼出的体积肺部测量指标与呼吸机管理

Example Units

Unit	Source
%	Example UCUM Units

20150-9 FEV1 (liters)

Part Descriptions

LP140652-1 Volume expired during 1.0 s of forced expiration
The forced expiratory volume in one second (FEV1) is the volume of air that can be exhaled in one second. It is usually measured as part of the forced vital capacity (FVC), which is the total amount of air that can be exhaled in a full forced exhalation. The pattern of FVC, FEV1, and the FEV1/FVC ratio can be used together to determine the type of respiratory disease. A normal or low FVC with an FEV1/FVC of <0.7 indicates obstructive pulmonary disease, while low FVC and FEV1/FVC of >0.7 indicates respiratory disease. Normal values for FEV1 and FVC vary based on several factors including age, sex, height, and weight. PMID: 15023009 Source: Regenstrief LOINC

Observation ID in Form

H33b

Fully-Specified Name

Component: Volume expired during 1.0 s of forced expiration
Property: Vol
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

FEV1

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0m
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 1342

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62611-9	PhenX domain - Respiratory

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Forciertes exspiratorisches Volumen in 1 Sekunde (FEV1):Volumen:Zeitpunkt:Respiratorisches System:Quantitativ:
el-GR	Greek (Greece)	Εκπνεόμενος όγκος κατά τη διάρκεια 1,0 δευτερολέπτων βεβιασμένης εκπνοής:Vol:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn S Vol Αναπνευστικό Αναπνευστικό σύστημα Εκπνεόμενος όγκος κατά τη διάρκεια 1,0 δευτερολέπτων βεβιασμένης εκπνοής Εκπνοή Όγκος Όγκος.εκπνεόμενος
es-AR	Spanish (Argentina)	volumen^al primer segundo después de la espiración forzada:volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Volumen expirado durante 1.0 s de expiración forzada:Volumen:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Volume espirato durante 1,0Secondi di espirazione forzata:Vol:Pt:Apparato respiratorio:Qn: Synonyms: FEV1 Gestione ventilazione polmonare Punto nel tempo (episodio) Volume Volume espirato
pt-BR	Portuguese (Brazil)	Volume^expiratório forçado em 1,0 seg:Volume:Pt:Sistema Respiratório:Qn: Synonyms: ; FEV1; exp; Exp; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; S prime; PST; After; PULMONARY
ru-RU	Russian (Russian Federation)	FEV1:Об:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Объем Объём выдоха за 1,0 с форсированный выдох Точка во времени;Момент
zh-CN	Chinese (China)	用力呼气 1.0 秒过程中所呼出的体积:体积型属性:时间点:呼吸系统:定量型: Synonyms: S 型体积.呼气;呼出体积;呼气体积体积;容积;容量可用数量表示的;定量性;数值型;数量型;连续数值型标尺吐气呼呼出呼出;呼出气体呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）容积时刻;随机;随意;瞬间用力呼气 1.0 s 过程中所呼出的体积肺部测量指标与呼吸机管理

Example Units

Unit	Source
L	Example UCUM Units

33452-4 PEF (liters per minute)

Term Description

Peak Expiratory Flow Rate

Part Descriptions

LP76210-1 Expiratory gas flow.max
Peak expiratory flow (PEF) is the maximal flow (or speed) achieved during the maximally forced expiration initiated at full expiration, measured in liters per minute. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Wikipedia

Observation ID in Form

H34b

Fully-Specified Name

Component: Expiratory gas flow.max
Property: VRat
Time: Pt
System: Respiratory system.airway
Scale: Qn
Method

Long Common Name

Maximum expiratory gas flow Respiratory system airway

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 2.09
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 12775

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62611-9	PhenX domain - Respiratory

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ροή εκπνεόμενου αερίου.μεγ:VRat:Pt:Αναπνευστικό σύστημα.αεραγωγός:Qn: Synonyms: Pt PULM Qn VRat Αναπνευστικό Αναπνευστικό σύστημα Αναπνευστικό σύστημα.αεραγωγός Μέγ Μέγιστη ροή αερίου Ροή Ροή αερίου Ροή εκπνεόμενου αερίου Ροή εκπνεόμενου αερίου.μεγ
es-AR	Spanish (Argentina)	flujo de gas espiratorio.máximo:índice de volumen:punto en el tiempo:sistema respiratorio.vía aérea:cuantitativo:
es-MX	Spanish (Mexico)	Caudal de gas espiratorio máx.:VRat:Punto temporal:Sistema respiratorio vía aérea.:Cuantitativo:
it-IT	Italian (Italy)	Gas espiratori, flusso.massimo:VRat:Pt:Apparato respiratorio.vie aeree:Qn: Synonyms: Flusso di gas Flusso massimo di gas Flusso massimo di gas espiratori Gestione ventilazione polmonare Massimo Punto nel tempo (episodio) Tasso di Volume Via aeree dell''apparato respiratorio
pt-BR	Portuguese (Brazil)	Pico de fluxo expiratório máximo:VRat:Pt:Sistema Respiratório.vias aéreas:Qn: Synonyms: Maximum; Maximal; Largest; Peak; vRate; Volume rate; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; Gases; Dynamic; PULMONARY
ru-RU	Russian (Russian Federation)	Выдох газ поток.max:ОбСк:ТчкВрм:Дыхательная система.дыхательные пути:Колич: Synonyms: Количественный Максимум Объемная скорость Точка во времени;Момент
zh-CN	Chinese (China)	呼气气体流量.最大值:体积速率:时间点:呼吸系统.气道:定量型: Synonyms: 体积速率(单位时间);单位时间内体积的变化速率;流量动态可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸系统.导气管;呼吸系统.通气导管;呼吸系统导气管;呼吸系统气道;呼吸系统通气导管呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）呼气气体流量（流速、气流流量、流量、气体流、气流速度、气体流速）呼气气体流量（流速、气流流量、流量、气体流、气流速度、气体流速）.最大值;呼出气体流量.最大值;呼出气流.最大值时刻;随机;随意;瞬间最大;极大值气气体流量（流速、气流流量、流量、气体流、气流速度、气体流速）.最大值;气体流.最大值;气流速度.最大值;气体流速.最大值气体类流流速;气流流量;流量;气体流;气流速度;气体流速流量;流速;流体空气肺部测量指标与呼吸机管理

Example Units

Unit	Source
L/min	Example UCUM Units

Related Codes

Code System	Code	Code Text
urn:iso:std:iso:11073:10101	151769	MDC_FLOW_AWAY_EXP_MAX
https://www.phenxtoolkit.org	PX090801040000	PX090801_Max_Expiratory_Flow_Rate
https://www.phenxtoolkit.org	PX091601520000	PX091601_PEF

20159-0 MVV (liters per minute)

Part Descriptions

LP75978-4 Voluntary ventilation.max
Maximum voluntary ventilation (MVV) is a measure of the maximum amount of air that can be inhaled and exhaled within one minute. For the comfort of the patient this is done over a 15 second time period before being extrapolated to a value for one minute expressed as liters/minute. Average values for males and females are 140-180 and 80-120 liters per minute respectively. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Wikipedia

Observation ID in Form

H35b

Fully-Specified Name

Component: Voluntary ventilation.max
Property: VRat
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

Maximum voluntary ventilation

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0m
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Εκούσιος αερισμός.μέγ:VRat:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn VRat Αναπνευστικό Αναπνευστικό σύστημα Εκούσιος αερισμός.μέγ Μέγ
es-AR	Spanish (Argentina)	ventilación voluntaria.máximo:índice de volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Ventilación voluntaria máx.:VRat:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Ventilazione volontaria.massimo:VRat:Pt:Apparato respiratorio:Qn: Synonyms: Gestione ventilazione polmonare Massimo Punto nel tempo (episodio) Tasso di Volume Ventilazione volontaria massima
pt-BR	Portuguese (Brazil)	Ventilação voluntária.máxima:VRat:Pt:Sistema Respiratório:Qn: Synonyms: ; MVV; Maximum; Maximal; Largest; Peak; vRate; Volume rate; Flow; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; PULMONARY
ru-RU	Russian (Russian Federation)	Произвольная вентиляция.max:ОбСк:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Максимум Объемная скорость Точка во времени;Момент
zh-CN	Chinese (China)	自主通气.最大值:体积速率:时间点:呼吸系统:定量型: Synonyms: 体积速率(单位时间);单位时间内体积的变化速率;流量可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）时刻;随机;随意;瞬间最大;极大值肺部测量指标与呼吸机管理自主性通气.最大值;随意性通气.最大值;随意通气.最大值;自主通气.最大

Example Units

Unit	Source
L/min	Example UCUM Units

19862-2 TLC (liters)

Part Descriptions

LP76186-3 Capacity.total
Total lung capacity (TLC) is the volume of air in the lungs at maximum inflation. TLC can be derived as the sum of the vital capacity (VC), the largest volume a patient can exhale after a full inhalation, and residual volume (RV), the volume of air remaining in the lungs after maximum exhalation). Functional residual capacity (FRC) is the volume of air remaining in the lungs after normal exhalation. Restrictive lung diseases, such as pulmonary fibrosis and neonatal respiratory distress syndrome, generally lead to a decrease in various lung volumes, while obstructive lung diseases, such as asthma, are associated with preserved total volumes. However, obstructive disease may be associated with high RV values, which may also be expressed as RV/TLC, which represents RV as a percentage of TLC. Source: Regenstrief LOINC

Observation ID in Form

H36b

Fully-Specified Name

Component: Capacity.total
Property: Vol
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

Total lung capacity

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0l
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 4295

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Χωρητικότητα.σύνολο:Vol:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn Vol Αναπνευστικό Αναπνευστικό σύστημα Χωρητικότητα.σύνολο
es-AR	Spanish (Argentina)	capacidad.total:volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-ES	Spanish (Spain)	Capacidad.total:Volumen:Punto temporal:Sistema respiratorio:Qn: Synonyms: Cuantitativo Muestra respiratoria Tracto respiratorio
es-MX	Spanish (Mexico)	Capacidad total:Volumen:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Capacità.totale:Vol:Pt:Apparato respiratorio:Qn: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume
pt-BR	Portuguese (Brazil)	Capacidade pulmonar.total:Volume:Pt:Sistema Respiratório:Qn: Synonyms: ; TC; Volume; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; Tot; Totl; PULMONARY; TLC
ru-RU	Russian (Russian Federation)	Ёмкость.общий:Об:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Объем Точка во времени;Момент
zh-CN	Chinese (China)	容量.总计:体积型属性:时间点:呼吸系统:定量型: Synonyms: 体积;容积;容量全体数量全部共计可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）总总和总容量总数总量总额时刻;随机;随意;瞬间汇总肺部测量指标与呼吸机管理

Example Units

Unit	Source
mL;L	Example UCUM Units

19843-2 FRC (liters)

Part Descriptions

LP72216-2 Capacity.functional residual
Total lung capacity (TLC) is the volume of air in the lungs at maximum inflation. TLC can be derived as the sum of the vital capacity (VC), the largest volume a patient can exhale after a full inhalation, and residual volume (RV), the volume of air remaining in the lungs after maximum exhalation). Functional residual capacity (FRC) is the volume of air remaining in the lungs after normal exhalation. Restrictive lung diseases, such as pulmonary fibrosis and neonatal respiratory distress syndrome, generally lead to a decrease in various lung volumes, while obstructive lung diseases, such as asthma, are associated with preserved total volumes. However, obstructive disease may be associated with high RV values, which may also be expressed as RV/TLC, which represents RV as a percentage of TLC. Source: Regenstrief LOINC

Observation ID in Form

H37b

Fully-Specified Name

Component: Capacity.functional residual
Property: Vol
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

Functional residual capacity

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0l
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Χωρητικότητα.λειτουργική υπολειπόμενη:Vol:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn Vol Αναπνευστικό Αναπνευστικό σύστημα Χωρητικότητα.λειτουργική υπολειπόμενη
es-AR	Spanish (Argentina)	capacidad.residual funcional:volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Capacidad residual funcional:Volumen:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Capacità.funzionale residua:Vol:Pt:Apparato respiratorio:Qn: Synonyms: Capacità funzionale residua Gestione ventilazione polmonare Punto nel tempo (episodio) Volume
pt-BR	Portuguese (Brazil)	Capacidade.residual funcional:Volume:Pt:Sistema Respiratório:Qn: Synonyms: ; FRC; Volume; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; PULMONARY
ru-RU	Russian (Russian Federation)	Ёмкость.функциональная остаточная:Об:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Объем Точка во времени;Момент
zh-CN	Chinese (China)	容量.功能性残气:体积型属性:时间点:呼吸系统:定量型: Synonyms: 体积;容积;容量功能性残气量;机能性余气量;容量.功能性参与;容量.机能性余气可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）时刻;随机;随意;瞬间肺部测量指标与呼吸机管理

Example Units

Unit	Source
L	Example UCUM Units

20146-7 RV (liters)

Part Descriptions

LP73708-7 Volume.residual
Total lung capacity (TLC) is the volume of air in the lungs at maximum inflation. TLC can be derived as the sum of the vital capacity (VC), the largest volume a patient can exhale after a full inhalation, and residual volume (RV), the volume of air remaining in the lungs after maximum exhalation). Functional residual capacity (FRC) is the volume of air remaining in the lungs after normal exhalation. Restrictive lung diseases, such as pulmonary fibrosis and neonatal respiratory distress syndrome, generally lead to a decrease in various lung volumes, while obstructive lung diseases, such as asthma, are associated with preserved total volumes. However, obstructive disease may be associated with high RV values, which may also be expressed as RV/TLC, which represents RV as a percentage of TLC. Source: Regenstrief LOINC

Observation ID in Form

H38b

Fully-Specified Name

Component: Volume.residual
Property: Vol
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

Residual volume

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0m
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 7619

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όγκος.υπολειπόμενος:Vol:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn Vol Αναπνευστικό Αναπνευστικό σύστημα Όγκος Όγκος.υπολειπόμενος
es-AR	Spanish (Argentina)	volumen.residual:volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Volumen.residual:Volumen:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Volume.residuo:Vol:Pt:Apparato respiratorio:Qn: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume
pt-BR	Portuguese (Brazil)	Volume.residual:Volume:Pt:Sistema Respiratório:Qn: Synonyms: RV; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; PULMONARY
ru-RU	Russian (Russian Federation)	Объём.остаточный:Об:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Объем Точка во времени;Момент
zh-CN	Chinese (China)	体积.残余:体积型属性:时间点:呼吸系统:定量型: Synonyms: 体积;容积;容量可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）容积时刻;随机;随意;瞬间残气量;余气量;残余气量;餘氣量;体积.残留;体积.残存肺部测量指标与呼吸机管理

Example Units

Unit	Source
L	Example UCUM Units

19924-0 ERV (liters)

Part Descriptions

LP75974-3 Expiratory reserve Vol
Expiratory reserve volume (ERV) is the maximal volume of air that can be exhaled from the end-expiratory position Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Wikipedia

Observation ID in Form

H39b

Fully-Specified Name

Component: Expiratory reserve
Property: Vol
Time: Pt
System: Respiratory system
Scale: Qn
Method

Long Common Name

Expiratory reserve

Basic Attributes

Class: PULM
Type: Clinical
First Released: Version 1.0l
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αποθεματικό εκπνοής:Vol:Pt:Αναπνευστικό σύστημα:Qn: Synonyms: Pt PULM Qn Vol Αναπνευστικό Αναπνευστικό σύστημα Αποθεματικό εκπνοής
es-AR	Spanish (Argentina)	reserva espiratoria:volumen:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Reserva espiratoria:Volumen:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Riserva espiratoria:Vol:Pt:Apparato respiratorio:Qn: Synonyms: Gestione ventilazione polmonare Punto nel tempo (episodio) Volume
pt-BR	Portuguese (Brazil)	Reserva expiratória:Volume:Pt:Sistema Respiratório:Qn: Synonyms: ER; Volume; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; PULMONARY; ERV
ru-RU	Russian (Russian Federation)	Выдох резерв:Об:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Объем Резерв выдоха Точка во времени;Момент
zh-CN	Chinese (China)	呼气储备:体积型属性:时间点:呼吸系统:定量型: Synonyms: 体积;容积;容量可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼出气体储备呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）时刻;随机;随意;瞬间肺部测量指标与呼吸机管理

Example Units

Unit	Source
L	Example UCUM Units

69339-0 Influenza vaccine

Fully-Specified Name

Component: Influenza vaccine
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Influenza vaccine during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.78 (PANEL)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from CARE so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	O0250	v1.18.11
CMS MDS	O0250	1.17.2
CMS LCDS	O0250	3.00
CMS IRF-PAI	O0250	2.0
CMS MDS	O0250	1.16.1
CMS IRF-PAI	O0250	1.4
CMS IRF-PAI	O0250	1.5
CMS LCDS	O0250	4.00
CMS MDS	O0250	1.14.1
CMS MDS	O0250	1.15.1
CMS MDS	O0250	1.17.1

55019-4 Influenza virus vaccine received in facility

Fully-Specified Name

Component: Influenza virus vaccine received in facility
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Influenza virus vaccine received in facility during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.77 (MAJ)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from MDSv3 and removed Survey Question Text and Source so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG
Order vs. Observation: Observation

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45981-8	Deprecated MDS full assessment form - version 2.0
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46076-6	Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Member of these Groups Get Info

LOINC Group	Group Name
LG32757-3	Influenza virus

Related Codes

Code System	Code	Code Version
CMS MDS	O0250A	v1.18.11
CMS MDS	O0250A	1.17.2
CMS LCDS	O0250A	3.00
CMS IRF-PAI	O0250A	2.0
CMS MDS	O0250A	1.16.1
CMS IRF-PAI	O0250A	1.4
CMS IRF-PAI	O0250A	1.5
CMS LCDS	O0250A	4.00
CMS MDS	O0250A	1.14.1
CMS MDS	O0250A	1.15.1
CMS MDS	O0250A	1.17.1

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

58131-4 Date of influenza vaccination

Fully-Specified Name

Component: Date of influenza vaccination
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.29
Last Updated: Version 2.63 (MIN)
Change Reason: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG; Updated component to follow new vaccination term convention: Date of X vaccination; Removed METHOD because term is generic; Changed CLASS from SURVEY.MDS to CLIN.
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ημερομηνία εμβολιασμού κατά της γρίπης:Ημερομηνία:Pt:^Ασθενής:Qn: Synonyms: - CLIN Pt Qn Ασθενής Ημερομηνία Ημερομηνία εμβολιασμού κατά της γρίπης
es-MX	Spanish (Mexico)	Fecha de vacunación contra la influenza:Fecha:Punto temporal:^ Paciente:Cuantitativo:
it-IT	Italian (Italy)	Data di vaccinazione influenzale:Data:Pt:^Paziente:Qn: Synonyms: Clinico paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	流行性感冒疫苗接种日期:日期:时间点:^患者:定量型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间流行性感冒（流感）疫苗接种（预防接种、免疫接种）日期（时间）

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	O0250B	v1.18.11
CMS MDS	O0250B	1.17.2
CMS LCDS	O0250B	3.00
CMS IRF-PAI	O0250B	2.0
CMS MDS	O0250B	1.16.1
CMS IRF-PAI	O0250B	1.4
CMS IRF-PAI	O0250B	1.5
CMS LCDS	O0250B	4.00
CMS MDS	O0250B	1.14.1
CMS MDS	O0250B	1.15.1
CMS MDS	O0250B	1.17.1

55020-2 If influenza vaccine not received, state reason:

Fully-Specified Name

Component: Reason influenza virus vaccine not received
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Reason influenza virus vaccine not received during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.77 (MAJ)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG
Order vs. Observation: Observation

Normative Answer List LL676-8

Answer	Code	Answer ID
Resident not in facility during this year's flu season	1	LA12666-6
Received outside of this facility	2	LA184-4
Not eligible - medical contraindication	3	LA11091-8
Offered and declined	4	LA186-9
Not offered	5	LA187-7
Inability to obtain vaccine due to declared shortage	6	LA12156-8
None of the above	9	LA9-3

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45981-8	Deprecated MDS full assessment form - version 2.0
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46076-6	Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3	Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57193-5	Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	O0250C	v1.18.11
CMS MDS	O0250C	1.17.2
CMS LCDS	O0250C	3.00
CMS IRF-PAI	O0250C	2.0
CMS MDS	O0250C	1.16.1
CMS IRF-PAI	O0250C	1.4
CMS IRF-PAI	O0250C	1.5
CMS LCDS	O0250C	4.00
CMS MDS	O0250C	1.14.1
CMS MDS	O0250C	1.15.1
CMS MDS	O0250C	1.17.1

55021-0 Pneumococcal vaccine

Fully-Specified Name

Component: Pneumococcal vaccine
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.74 (PANEL)
Change Reason: Changed Class from SURVEY.MDS to PANEL.SURVEY.CMS
Order vs. Observation: Subset
Common Test Rank Get Info: 6230
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

55022-8 Is the resident's Pneumococcal Vaccination up to date?

Observation ID in Form

O0300A

Fully-Specified Name

Component: Pneumococcal vaccination up to date
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Pneumococcal vaccination up to date during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.77 (MAJ)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.;Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments
Order vs. Observation: Observation

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

45956-0 Reason pneumococcal vaccine not received

Fully-Specified Name

Component: Reason pneumococcal vaccine not received
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Reason pneumococcal vaccine not received during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.17
Last Updated: Version 2.77 (MAJ)
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from MDS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL677-6

Answer	Code	Answer ID
Not eligible - medical contraindication	1	LA11091-8
Offered and declined	2	LA186-9
Not offered	3	LA187-7

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
45981-8	Deprecated MDS full assessment form - version 2.0
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
46076-6	Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8	Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	O0300B	v1.18.11
CMS MDS	O0300B	1.17.2
CMS OASIS	M1056	D1
CMS OASIS	M1056	D
CMS MDS	O0300B	1.16.1
CMS MDS	O0300B	1.14.1
CMS MDS	O0300B	1.15.1
CMS OASIS	M1056	C2
CMS MDS	O0300B	1.17.1

69375-4 Cognitive status, mood, pain

Observation ID in Form

IV

Fully-Specified Name

Component: Cognitive status, mood, pain - acute
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Long Common Name

Cognitive status, mood, pain - acute [CARE]

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

55762-9 Comatose

Observation ID in Form

A

Fully-Specified Name

Component: Comatose
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

45482-7 Persistent vegetative state/no discrenible consciousness at the time of admission

Term Description

(Persistent vegetative state/no discernible consciousness)

Observation ID in Form

A1

Type of Entry

Question expects user entry - requires response [Q]

Skip Logic

If Yes, skip to G6. Pain Observational Assessment.

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Comatose
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Deprecated Comatose [CMS Assessment]

Basic Attributes

Class: SURVEY.MDS
Type: Surveys
First Released: Version 2.17
Last Updated: Version 2.77 (DEL)
Change Reason: Release 2.69: METHOD_TYP: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC Committee.;

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
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
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

Copyright

Organization: interRAI
Copyright: InterRAI holds the copyright to Version 2.0 of the RAI for long term care outside of the US. Supplemental help and contextual information for MDS items in LOINC was derived from Version 2.0 of the RAI/MDS manual, and should not be reproduced outside of the United States without permission of InterRAI. Within the US, Version 2.0 is in the public domain.
Terms of Use: As a not for profit corporation under the US Tax Code, interRAI holds the copyright to a number of assessment systems, including the Resident Assessment Instrument (RAI) for long term care facilities outside of the US (the RAI is in the public domain within the US), as well as the assessment systems for Home Care (HC), Assisted Living (AL), Palliative Care (PC), Mental Health (MH) (outside of Canada), and Acute Care (RAI-AC).The scales, algorithms, and case-mix measures based on these assessment instruments cannot be copyrighted and are thus available to everyone (although the individual items on which they are based are usually copyrighted).The major clauses of our royalty-free licenses follow:* the instrument is not to be changed substantially (excepting individual identifiers and demographics); * the license is limited to non-commercial use (i.e., the instrument will not be not incorporated into products to be sold to others); * no royalties will be charged; * the organization will make appropriate efforts to inform others of the copyright status of the instrument; * interRAI's logo and copyright notice are to appear on the form; * authors, author institutions, and translators (as appropriate) are to be acknowledged in any document where authors would regularly be indicated (e.g., publication of a training manual); * publication of any training manual is limited to the period until a commercially-published version is available; * data from use of the instrument are to be shared with interRAI, subject to existing laws on confidentiality.Commercial use usually requires royalties. In this instance, interRAI may omit the data requirement, but retains the other requirements for a logo, attribution, etc.We will be pleased in any contract negotiations to acknowledge the participation of individuals or organizations which have played a substantial role in getting the instrument to the point of implementation.For more information on licensing with interRAI, please contact the president of the Board:Brant E. Fries, Ph.D. Institute of Gerontology University of Michigan 300 North Ingalls Ann Arbor, Michigan USA 48109 Email: [email protected]
URL: http://www.interrai.org

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

69350-7 Temporal orientation &or mental status

Observation ID in Form

B

Fully-Specified Name

Component: Temporal orientation &or mental status - acute
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: CARE

Long Common Name

Temporal orientation and/or mental status - acute [CARE]

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52489-2 Interview Attempted

Observation ID in Form

B1

Fully-Specified Name

Component: Interview attempted
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Interview attempted

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52594-9 Interview attempted

Observation ID in Form

B1a

Skip Logic

If Yes, skip to B2. BIMS.

Fully-Specified Name

Component: Brief interview for mental status was attempted
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Brief Interview for Mental Status (BIMS) was attempted [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

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
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52595-6 Indicate reason that the interview was not attempted

Observation ID in Form

B1b

Skip Logic

If interview not attempted, Skip to Section C. Observational Assessment of Cognitive Status:

Fully-Specified Name

Component: Reason brief interview for mental status was not attempted
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Reason Brief Interview for Mental Status (BIMS) was not attempted [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL558-8

Answer	Code	Answer ID
Unresponsive or minimally conscious	1	LA10112-3
Communication disorder	2	LA9950-2
No interpreter available	3	LA10023-2

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

55759-5 Temporal Orientation - CARE Acute Care

Observation ID in Form

B2

Skip Logic

Any score with an asterisk will require the completion of D. Confusion Assessment Method.

Fully-Specified Name

Component: Temporal Orientation - CARE Acute Care
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52732-5 Temporal orientation - current year [BIMS]

Observation ID in Form

B2a

Skip Logic

If answered 1. Missed by 2 to 5 years, or 0. Missed by more than 5 years or no answer, complete D. Confusion Assessment Method.

Fully-Specified Name

Component: Temporal orientation - current year
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: BIMS

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.63 (MIN)
Order vs. Observation: Observation

Normative Answer List LL643-8

Answer	Code	Answer ID
Correct	3	LA9960-1
Missed by 1 year	2	LA10008-3
Missed by 2-5 years	1	LA10966-2
Missed by > 5 years or no answer	0	LA10965-4

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0

52733-3 Temporal orientation - current month [BIMS]

Observation ID in Form

B2b

Skip Logic

If answered 1. Missed by 6 days to 1 month, or 0. Missed by more than 1 month or no answer, complete D. Confusion Assessment Method.

Fully-Specified Name

Component: Temporal orientation - current month
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: BIMS

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.63 (MIN)
Change Reason: Removed "Observed." from method to follow convention of other survey terms
Order vs. Observation: Observation

Normative Answer List LL644-6

Answer	Code	Answer ID
Accurate within 5 days	2	LA9927-0
Missed by 6 days to 1 month	1	LA10010-9
Missed by > 1 month or no answer	0	LA10969-6

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0

52494-2 Observational Assessment of Cognitive Status

Observation ID in Form

C

Skip Logic

Complete this section only if patient could not be interviewed.

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Observational Assessment of Cognitive Status at 2D Assessment Period
Property: -
Time: 2D
System: ^Patient
Scale: -
Method

Long Common Name

Observational Assessment of Cognitive Status at 2 day Assessment Period

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52596-4 Memory/recall ability

Observation ID in Form

C1

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Memory &or recall ability during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Memory/recall ability during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL566-1

Answer	Code	Answer ID
Current season	a	LA9962-7
Location of own room	b	LA9998-1
Staff names and faces	c	LA10085-1
That he or she is in a hospital, nursing home, or home	d	LA10093-5
None of the above are recalled	e	LA10031-5
Unable to assess. Specify reason	f	LA10106-5

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52597-2 Specify reason

Observation ID in Form

C1f

Fully-Specified Name

Component: Unable to assess memory &or recall ability during 2D assessment period .specified reason
Property: Find
Time: 2D
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Unable to assess memory/recall ability during 2 day assessment period .specified reason [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52495-9 Confusion Assessment Method (CAM)

Reference Information

Type	Source	Reference
Article	NCBI PubMed	Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed

Observation ID in Form

D

Skip Logic

Complete this section only if patient scored 0 or 1 on B2a. Or B2b. Code the following behaviors during the 2-day assessment period. Indicate the status regardless of cause.

Fully-Specified Name

Component: Confusion Assessment Method (CAM)
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: Observed.CAM.CARE

Basic Attributes

Class: PANEL.SURVEY.CAM
Type: Surveys
First Released: Version 2.24
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Copyright

Organization: Dr. SK Inouye
Copyright: Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
Terms of Use: Used with permission.
URL: https://www.hospitalelderlifeprogram.org/

52738-2 Inattention

Term Description

The patient has difficulty focusing attention (e.g., easily distracted, out of touch, or difficulty keeping track of what is said).

Reference Information

Type	Source	Reference
Article	NCBI PubMed	Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed

Observation ID in Form

D1

Fully-Specified Name

Component: Inattention during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: Observed.CAM.CARE

Long Common Name

Inattention during 2 day assessment period

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL567-9

Answer	Code	Answer ID
Behavior is not present.	0	LA9938-7
Behavior continuously present does not fluctuate.	1	LA9937-9
Behavior present, fluctuates (e.g., comes and goes, changes in severity).	2	LA9939-5

Member of these Panels

LOINC	Long Common Name
52495-9	Confusion Assessment Method (CAM)
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Copyright

Organization: Dr. SK Inouye
Copyright: Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
Terms of Use: Used with permission.
URL: https://www.hospitalelderlifeprogram.org/

52739-0 Disorganized thinking

Term Description

The patient's thinking is disorganized or incoherent (e.g., rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching of topics or ideas).

Reference Information

Type	Source	Reference
Article	NCBI PubMed	Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed

Observation ID in Form

D2

Fully-Specified Name

Component: Disorganized thinking during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: Observed.CAM.CARE

Long Common Name

Disorganized thinking during 2 day assessment period

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL567-9

Answer	Code	Answer ID
Behavior is not present.	0	LA9938-7
Behavior continuously present does not fluctuate.	1	LA9937-9
Behavior present, fluctuates (e.g., comes and goes, changes in severity).	2	LA9939-5

Member of these Panels

LOINC	Long Common Name
52495-9	Confusion Assessment Method (CAM)
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Copyright

Organization: Dr. SK Inouye
Copyright: Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
Terms of Use: Used with permission.
URL: https://www.hospitalelderlifeprogram.org/

52740-8 Altered level of consciousness/alertness

Term Description

The patient has an altered level of consciousness: vigilant (e.g., startles easily to any sound or touch), lethargic (e.g., repeatedly dozes off when asked questions, but responds to voice or touch), stuporous (e.g., very difficult to arouse and keep arou

Reference Information

Type	Source	Reference
Article	NCBI PubMed	Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed

Observation ID in Form

D3

Fully-Specified Name

Component: Altered level of consciousness &or alertness during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: Observed.CAM.CARE

Long Common Name

Altered level of consciousness/alertness during 2 day assessment period

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL567-9

Answer	Code	Answer ID
Behavior is not present.	0	LA9938-7
Behavior continuously present does not fluctuate.	1	LA9937-9
Behavior present, fluctuates (e.g., comes and goes, changes in severity).	2	LA9939-5

Member of these Panels

LOINC	Long Common Name
52495-9	Confusion Assessment Method (CAM)
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Copyright

Organization: Dr. SK Inouye
Copyright: Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
Terms of Use: Used with permission.
URL: https://www.hospitalelderlifeprogram.org/

52741-6 Psychomotor retardation

Term Description

Patient has an unusually decreased level of activity (e.g., sluggishness, staring into space, staying in one position, moving very slowly).

Reference Information

Type	Source	Reference
Article	NCBI PubMed	Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Link to PubMed

Observation ID in Form

D4

Fully-Specified Name

Component: Psychomotor retardation during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: Observed.CAM.CARE

Long Common Name

Psychomotor retardation during 2 day assessment period

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL567-9

Answer	Code	Answer ID
Behavior is not present.	0	LA9938-7
Behavior continuously present does not fluctuate.	1	LA9937-9
Behavior present, fluctuates (e.g., comes and goes, changes in severity).	2	LA9939-5

Member of these Panels

LOINC	Long Common Name
52495-9	Confusion Assessment Method (CAM)
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Copyright

Organization: Dr. SK Inouye
Copyright: Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide.
Terms of Use: Used with permission.
URL: https://www.hospitalelderlifeprogram.org/

52500-6 Pain assessment

Observation ID in Form

G

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Pain assessment
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.82 (NAM)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52603-8 Pain Interview Attempted?

Observation ID in Form

G1

Skip Logic

If No, skip to G6. Pain Observational Assessment.

Fully-Specified Name

Component: Pain interview was attempted
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Pain interview was attempted [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52604-6 Pain Presence. Ask patient: "Have you had pain or hurting at any time during the last 2 days?"

Observation ID in Form

G2

Skip Logic

If No, skip to Section V. Impairments. If Unable, skip to G6. Pain Observational Assessment.

Fully-Specified Name

Component: Pain presence during last 2D
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Pain presence during last 2 days [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL569-5

Answer	Code	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
Unable to answer or no response	8	LA10104-0

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52742-4 Pain Severity. Ask patient: "Please rate your worst pain during the last 2 days on a zero to 10 scale, with zero being no pain and 10 as the worst pain you can imagine."

Observation ID in Form

G3

Skip Logic

If patient does not answer or is unable to respond and skip to G6. Pain Observational Assessment.

Form Coding Instructions

Enter 88 if patient does not answer or is unable to respond

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Pain severity during last 2D
Property: Score
Time: 2D
System: ^Patient
Scale: Ord
Method: Reported

Long Common Name

Pain severity during last 2 days [Reported]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.52 (MIN)

Preferred Answer List LL571-1

Answer	Code	Answer ID
0 No pain	0	LA6111-4
1	1	LA6112-2
2 or more	2	LA6113-0
3	3	LA6114-8
4	4	LA6115-5
5	5	LA10137-0
6	6	LA10138-8
7	7	LA10139-6
8	8	LA10140-4
9	9	LA10141-2
10 Worst pain you can imagine	10	LA13942-0
Patient does not answer or is unable to respond	88	LA10056-2

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52605-3 Pain Effect on Sleep. Ask patient: "During the past 2 days, has pain made it hard for you to sleep?"

Observation ID in Form

G4

Fully-Specified Name

Component: Pain has made it hard to sleep during last 2D
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Pain has made it hard to sleep during last 2 days [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL569-5

Answer	Code	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
Unable to answer or no response	8	LA10104-0

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52606-1 Pain Effect on Activities. Ask patient: "During the past 2 days, have you limited your activities because of pain?"

Observation ID in Form

G5

Fully-Specified Name

Component: Limited activities because of pain during last 2D
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Limited activities because of pain during last 2 days [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL569-5

Answer	Code	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
Unable to answer or no response	8	LA10104-0

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52607-9 Pain Observational Assessment. If the patient could not be interviewed for pain assessment, check all indicators of of pain or possible pain

Observation ID in Form

G6

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Pain Observational Assessment. If patient could not be interviewed for pain assessment, check all indicators of pain or possible pain Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Pain Observational Assessment
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Pain Observational Assessment [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL572-9

Answer	Code	Answer ID
Non-verbal sounds (e.g., crying, whining, gasping, moaning, or groaning)	A	LA10034-9
Vocal complaints of pain (e.g., that hurts, ouch, stop)	B	LA10116-4
Facial expressions (e.g., grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw)	C	LA9968-4
Protective body movements or postures (e.g., bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement)	D	LA10063-8
None of these signs observed or documented	E	LA10032-3

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52502-2 Impairments

Observation ID in Form

V

Fully-Specified Name

Component: Impairments
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52503-0 Bladder and Bowel Management - Use of Device(s) and Incontinence

Observation ID in Form

A

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Bladder and Bowel Management - Use of Device(s) and Incontinence
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52608-7 Does the patient have any impairments with bladder or bowel management (e.g., use of a device or incontinence)?

Observation ID in Form

A1

Skip Logic

If No, skip to Section B. Swallowing. If Yes, please complete this section.

Fully-Specified Name

Component: Impairments with bladder or bowel management
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Impairments with bladder or bowel management

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52609-5 Bladder - Does this patient use an external or indwelling device or require intermittent catheterization?

Observation ID in Form

A2a

Fully-Specified Name

Component: Bladder - external or indwelling device or intermittent catheterization
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bladder - external or indwelling device or intermittent catheterization [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52610-3 Bowel - Does this patient use an external or indwelling device or require intermittent catheterization?

Observation ID in Form

A2b

Fully-Specified Name

Component: Bowel - external or indwelling device or intermittent catheterization
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bowel - external or indwelling device or intermittent catheterization [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52611-1 Bladder - Indicate the frequency of incontinence.

Observation ID in Form

A3a

Fully-Specified Name

Component: Bladder - frequency of incontinence during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bladder - frequency of incontinence during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL724-6

Answer	Code	Answer ID
Continent (no documented incontinence)	0	LA9956-9
Stress incontinence only (bladder only)	1	LA10088-5
Incontinence less than daily	2	LA11689-9
Incontinence daily (at least once a day)	3	LA11690-7
Always continent	4	LA11042-1
No urine/bowel output (e.g., renal failure)	5	LA10024-0
Not applicable (e.g., indwelling catheter)	9	LA11693-1

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52612-9 Bowel - Indicate the frequency of incontinence.

Observation ID in Form

A3b

Fully-Specified Name

Component: Bowel - frequency of incontinence during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bowel - frequency of incontinence during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL724-6

Answer	Code	Answer ID
Continent (no documented incontinence)	0	LA9956-9
Stress incontinence only (bladder only)	1	LA10088-5
Incontinence less than daily	2	LA11689-9
Incontinence daily (at least once a day)	3	LA11690-7
Always continent	4	LA11042-1
No urine/bowel output (e.g., renal failure)	5	LA10024-0
Not applicable (e.g., indwelling catheter)	9	LA11693-1

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52613-7 Bladder - Does the patient need assistance to manage equipment or devices related to bladder or bowel care (e.g., urinal, bedpan, indwelling catheter, intermittent catheterization, ostomy, incontinence pads/undergarments)?

Observation ID in Form

A4a

Fully-Specified Name

Component: Bladder - needs assistance to manage bladder care equipment
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bladder - needs assistance to manage bladder care equipment [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52614-5 Bowel - Does the patient need assistance to manage equipment or devices related to bladder or bowel care (e.g., urinal, bedpan, indwelling catheter, intermittent catheterization, ostomy, incontinence pads/undergarments)?

Observation ID in Form

A4b

Fully-Specified Name

Component: Bowel - needs assistance to manage bowel care equipment
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bowel - needs assistance to manage bowel care equipment [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52615-2 Bladder - If the patient is incontinent or has an indwelling device, was the patient incontinent (excluding stress incontinence) immediately prior to the current illness, exacerbation, or injury?

Observation ID in Form

A5a

Fully-Specified Name

Component: Bladder - incontinent immediately prior to current illness, exacerbation, or injury
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bladder - incontinent immediately prior to current illness, exacerbation, or injury [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL208-0

Answer	Code	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
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52616-0 Bowel - If the patient is incontinent or has an indwelling device, was the patient incontinent (excluding stress incontinence) immediately prior to the current illness, exacerbation, or injury?

Observation ID in Form

A5b

Fully-Specified Name

Component: Bowel - incontinent immediately prior to current illness, exacerbation, or injury
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Bowel - incontinent immediately prior to current illness, exacerbation, or injury [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL208-0

Answer	Code	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
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52504-8 Swallowing

Observation ID in Form

B

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Swallowing
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52618-6 Does the patient have any signs or symptoms of a possible swallowing disorder?

Observation ID in Form

B1

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Swallowing disorder
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Swallowing disorder [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL574-5

Answer	Code	Answer ID
Complaints of difficulty or pain with swallowing	a	LA9952-8
Coughing or choking during meals or when swallowing medications	b	LA9961-9
Holding food in mouth/cheeks or residual food in mouth after meals	c	LA9977-5
Loss of liquids/solids from mouth when eating or drinking	d	LA10001-8
NPO: intake not by mouth	e	LA10043-0
Other (specify)	f	LA6310-2
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	g	LA137-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52619-4 Other (specify)

Observation ID in Form

B1f

Fully-Specified Name

Component: Swallowing disorder.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Swallowing disorder.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52620-2 Describe the patient's usual ability with swallowing.

Observation ID in Form

B2

Form Coding Instructions

Check one option only

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Swallowing usual ability
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Swallowing usual ability [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL575-2

Answer	Code	Answer ID
Regular food: solids and liquids swallowed safely without supervision and without modified food or liquid consistency.	A	LA10070-3
Modified food consistency/supervision: Patient requires modified food or liquid consistency and/or needs supervision during eating for safety.	B	LA10013-3
Tube/parenteral feeding: Tube/parenteral feeding used wholly or partially as a means of sustenance.	C	LA10103-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52505-5 Hearing, Vision, and Communication

Observation ID in Form

C

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Hearing, Vision, and Communication
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52621-0 Does the patient have any impairments with hearing, vision, or communication?

Observation ID in Form

C1

Skip Logic

If No impairments, skip to Section D. Weight-bearing. If Yes, please complete this section.

Fully-Specified Name

Component: Any impairments with hearing, vision, or communication
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Any impairments with hearing, vision, or communication

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52622-8 Understanding verbal content - excluding language barriers [CARE]

Observation ID in Form

C1a

Fully-Specified Name

Component: Understanding verbal content - excluding language barriers
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL576-0

Answer	Code	Answer ID
Understands: clear comprehension without cues or repetitions	4	LA10110-7
Usually understands: understands most conversations, but misses some part/intent of message. Requires cues at times to understand	3	LA10113-1
Sometimes understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand	2	LA10083-6
Rarely/never understands	1	LA81-5
Unable to assess	8	LA10105-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52623-6 Expression of ideas and wants [CARE]

Observation ID in Form

C1b

Fully-Specified Name

Component: Expression of ideas and wants
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL577-8

Answer	Code	Answer ID
Expresses complex messages without difficulty and with speech that is clear and easy to understand	4	LA9967-6
Exhibits some difficulty with expressing needs and ideas (e.g., some words or finishing thoughts) or speech is not clear	3	LA9966-8
Frequently exhibits difficulty with expressing needs and ideas	2	LA9972-6
Rarely/Never expresses self or speech is very difficult to understand.	1	LA10067-9
Unable to assess	8	LA10105-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52624-4 Ability to see in adequate light (with glasses or other visual appliances)

Observation ID in Form

C1c

Fully-Specified Name

Component: Seeing in adequate light - with glasses or other visual appliances
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Seeing in adequate light - with glasses or other visual appliances [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL578-6

Answer	Code	Answer ID
Adequate: Sees fine detail, including regular print in newspapers/books	3	LA9930-4
Mildly to Moderately Impaired: Can identify objects; may see large print	2	LA10006-7
Severely Impaired: No vision or object identification questionable	1	LA10077-8
Unable to assess	8	LA10105-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52625-1 Ability to hear (with hearing aid or hearing appliance, if normally used)

Observation ID in Form

C1d

Fully-Specified Name

Component: Hearing - with hearing aid or hearing appliance if normally used
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Hearing - with hearing aid or hearing appliance if normally used [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL579-4

Answer	Code	Answer ID
Adequate: Hears normal conversation and TV without difficulty	3	LA9929-6
Mildly to Moderately Impaired: Difficulty hearing in some environments or speaker may need to increase volume or speak distinctly	2	LA10007-5
Severely Impaired: Absence of useful hearing	1	LA10076-0
Unable to assess	8	LA10105-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	9	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52677-2 Medication management-oral medications during two day assessment period [CARE]

Term Description

The ability to prepare and take all prescribed oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.

Fully-Specified Name

Component: Medication management-oral medications during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52679-8 Medication management-injectable medications during two day assessment period [CARE]

Term Description

The ability to prepare and take all prescribed injectable medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.

Fully-Specified Name

Component: Medication management-injectable medications during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52506-3 Weight-bearing

Observation ID in Form

D

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Weight-bearing
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52626-9 Does the patient have any clinician-ordered weight-bearing or limb/spinal loading restrictions( including upper body lift, push, pull, or carry restrictions)?

Observation ID in Form

D1

Skip Logic

If No impairments, skip to Section E. Grip Strength. If Yes, please complete this section.

Fully-Specified Name

Component: Any impairments with weight-bearing
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Any impairments with weight-bearing

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52507-1 Weight-bearing restrictions panel

Observation ID in Form

CODING

Form Coding Instructions

CODING: Indicate all the patient's weight-bearing restrictions

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Indicate all the patient's weight-bearing restrictions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Weight-bearing restrictions panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52627-7 Upper Extremity - Left

Observation ID in Form

D1a

Form Coding Instructions

CODING: Indicate all the patient's weight-bearing restrictions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Weight-bearing restrictions during 2D assessment period
Property: Find
Time: 2D
System: Upper extremity.left
Scale: Ord
Method: CARE

Long Common Name

Weight-bearing restrictions during 2 day assessment period Upper extremity - left [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL580-2

Answer	Code	Score	Answer ID
Fully weight-bearing: No clinician ordered restrictions	1		LA9973-4
Not fully weight-bearing: Patient has clinician ordered restrictions	0		LA10042-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52628-5 Upper Extremity - Right

Observation ID in Form

D1b

Form Coding Instructions

CODING: Indicate all the patient's weight-bearing restrictions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Weight-bearing restrictions during 2D assessment period
Property: Find
Time: 2D
System: Upper extremity.right
Scale: Ord
Method: CARE

Long Common Name

Weight-bearing restrictions during 2 day assessment period Upper extremity - right [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL580-2

Answer	Code	Score	Answer ID
Fully weight-bearing: No clinician ordered restrictions	1		LA9973-4
Not fully weight-bearing: Patient has clinician ordered restrictions	0		LA10042-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52629-3 Lower Extremity - Left

Observation ID in Form

D1c

Form Coding Instructions

CODING: Indicate all the patient's weight-bearing restrictions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Weight-bearing restrictions during 2D assessment period
Property: Find
Time: 2D
System: Lower extremity.left
Scale: Ord
Method: CARE

Long Common Name

Weight-bearing restrictions during 2 day assessment period Lower extremity - left [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL580-2

Answer	Code	Score	Answer ID
Fully weight-bearing: No clinician ordered restrictions	1		LA9973-4
Not fully weight-bearing: Patient has clinician ordered restrictions	0		LA10042-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52630-1 Lower Extremity - Right

Observation ID in Form

D1d

Form Coding Instructions

CODING: Indicate all the patient's weight-bearing restrictions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Weight-bearing restrictions during 2D assessment period
Property: Find
Time: 2D
System: Lower extremity.right
Scale: Ord
Method: CARE

Long Common Name

Weight-bearing restrictions during 2 day assessment period Lower extremity - right [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL580-2

Answer	Code	Score	Answer ID
Fully weight-bearing: No clinician ordered restrictions	1		LA9973-4
Not fully weight-bearing: Patient has clinician ordered restrictions	0		LA10042-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52508-9 Grip strength

Observation ID in Form

E

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Grip Strength
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52631-9 Does the patient have any impairments with grip strength (e.g. reduced/limited or absent)?

Observation ID in Form

E1

Skip Logic

If No impairments, skip to Section F. Repiratory Status. If Yes, please complete this section.

Fully-Specified Name

Component: Any impairments with grip strength
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Any impairments with grip strength

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52509-7 Grip strength panel

Observation ID in Form

CODING

Form Coding Instructions

CODING: Indicate the patient's ability to squeeze your hand

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Indicate the patient's ability to squeeze your hand

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Grip strength panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52632-7 Left Hand

Observation ID in Form

E1a

Form Coding Instructions

CODING: Indicate the patient's ability to squeeze your hand

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Grip strength during 2D assessment period
Property: Find
Time: 2D
System: Hand.left
Scale: Ord
Method: CARE

Long Common Name

Grip strength during 2 day assessment period Hand - left [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL581-0

Answer	Code	Answer ID
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value)	2	LA6626-1
Reduced/Limited	1	LA10068-7
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value)	0	LA9634-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52633-5 Right Hand

Observation ID in Form

E1b

Form Coding Instructions

CODING: Indicate the patient's ability to squeeze your hand

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Grip strength during 2D assessment period
Property: Find
Time: 2D
System: Hand.right
Scale: Ord
Method: CARE

Long Common Name

Grip strength during 2 day assessment period Hand - right [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL581-0

Answer	Code	Answer ID
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value)	2	LA6626-1
Reduced/Limited	1	LA10068-7
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value)	0	LA9634-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52510-5 Respiratory status

Observation ID in Form

F

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Respiratory status
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.MDS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3	Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care

Language Variants Get Info

Tag	Language	Translation
fr-FR	French (France)	Statut respiratoire:-:Ponctuel:Patient:-:

52634-3 Does the patient have any impairments with respiratory status?

Observation ID in Form

F1

Skip Logic

If No impairments, skip to Section G. Endurance. If Yes, please complete this section.

Fully-Specified Name

Component: Any impairments with respiratory status
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Any impairments with respiratory status

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52635-0 Respiratory status with supplemental oxygen

Fully-Specified Name

Component: Respiratory status with oxygen therapy during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Respiratory status with oxygen therapy during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL582-8

Answer	Code	Answer ID
Severe, with evidence the patient is struggling to breathe at rest	5	LA10075-2
Mild at rest (during day or night)	4	LA10005-9
With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation	3	LA6445-6
With moderate exertion (e.g., while dressing, using commode or bedpan, walking between rooms)	2	LA10122-2
When climbing stairs	1	LA10121-4
Never, patient was not short of breath	0	LA10020-8
Not assessed (e.g., on ventilator)	8	LA10035-6
Not applicable	9	LA4720-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52636-8 Respiratory status without supplemental oxygen

Observation ID in Form

F1b

Fully-Specified Name

Component: Respiratory status without oxygen therapy during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Respiratory status without oxygen therapy during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL582-8

Answer	Code	Answer ID
Severe, with evidence the patient is struggling to breathe at rest	5	LA10075-2
Mild at rest (during day or night)	4	LA10005-9
With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation	3	LA6445-6
With moderate exertion (e.g., while dressing, using commode or bedpan, walking between rooms)	2	LA10122-2
When climbing stairs	1	LA10121-4
Never, patient was not short of breath	0	LA10020-8
Not assessed (e.g., on ventilator)	8	LA10035-6
Not applicable	9	LA4720-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52511-3 Endurance

Observation ID in Form

G

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Endurance
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52637-6 Does the patient have any impairments with endurance?

Observation ID in Form

G1

Skip Logic

If No impairments, skip to Section H. Mobility Devices and Aides Needed. If Yes, please complete this section.

Fully-Specified Name

Component: Any impairments with endurance
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Any impairments with endurance

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52638-4 Mobility Endurance: Was the patient able to walk or wheel 50 feet (15 meters)?

Observation ID in Form

G1a

Fully-Specified Name

Component: Mobility endurance - able to walk or wheel 50 feet during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Mobility endurance - able to walk or wheel 50 feet during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL583-6

Answer	Code	Answer ID
No, could not do	0	LA10026-5
Yes, can do with rest	1	LA10128-9
Yes, can do without rest	2	LA10129-7
Not assessed due to medical restriction	8	LA10036-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52639-2 Sitting Endurance: Was the patient able to tolerate sitting for 15 minutes?

Observation ID in Form

G1b

Fully-Specified Name

Component: Sitting endurance - able to tolerate sitting for 15M during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Sitting endurance - able to tolerate sitting for 15 minutes during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL584-4

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes, with support	1	LA10135-4
Yes, without support	2	LA10136-2
Not assessed due to medical restriction	8	LA10036-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52512-1 Mobility Devices and Aids Needed

Observation ID in Form

H

Form Coding Instructions

Complete during the 2-day assessment period

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Mobility devices and aids needed
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52640-0 Indicate all mobility devices and aids needed at time of assessment.

Observation ID in Form

H1

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Mobility devices and aids needed
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Mobility Devices and Aids Needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example Answer List LL585-1

Answer	Code	Answer ID
Canes/crutch	a	LA9942-9
Walker	b	LA10117-2
Orthotics/Prosthetics	c	LA10046-3
Wheelchair/scooter full time	d	LA10119-8
Wheelchair/scooter part time	e	LA10120-6
Mechanical lift	f	LA11549-5
Other (specify)	g	LA6310-2
None apply	h	LA10029-9

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52641-8 Other (specify)

Observation ID in Form

H1g

Fully-Specified Name

Component: Mobility device.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Mobility device.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52513-9 Functional Status - Usual Performance

Observation ID in Form

VI

Form Coding Instructions

Code the patient's most usual performance using the 6 point scale below

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Functional Status - Usual Performance
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52514-7 Core Self Care

Observation ID in Form

A

Form Coding Instructions

Core Self Core: The core self care items should be completed on ALL patients. (Complete during the 2-day assessment period.) Code the patient's most usual performance using the 6-point scale below.CODING: Safety and Quality of Performance - If helper assistance is required because the patient's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Core Self Care
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52642-6 Eating

Term Description

The ability to use suitable utensils to bring food to the mouth and swallow food once the meal is presented on a table/tray. Includes modified food consistency.

Observation ID in Form

A1

Fully-Specified Name

Component: Eating during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Eating during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52643-4 Tube feeding

Term Description

The ability to manage all equipment/supplies related to obtaining nutrition.

Observation ID in Form

A2

Fully-Specified Name

Component: Tube feeding during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Tube feeding during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52644-2 Oral hygiene

Term Description

The ability to use suitable items to clean teeth. Dentures: The ability to remove and replace dentures from and to mouth, and manage equipment for soaking and rinsing.

Observation ID in Form

A3

Fully-Specified Name

Component: Oral hygiene during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Oral hygiene during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52645-9 Toilet hygiene

Term Description

The ability to maintain perineal hygiene, adjust clothes before and after using toilet, commode, bedpan, urinal. If managing ostomy, include wiping opening but not managing equipment.

Observation ID in Form

A4

Fully-Specified Name

Component: Toilet hygiene during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Toilet hygiene during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52646-7 Upper body dressing

Term Description

The ability to put on and remove shirt or pajama top. Includes buttoning if applicable.

Observation ID in Form

A5

Fully-Specified Name

Component: Upper body dressing during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Upper body dressing during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52647-5 Lower body dressing

Term Description

The ability to dress and undress below the waist, including fasteners. Does not include footwear.

Observation ID in Form

A6

Fully-Specified Name

Component: Lower body dressing during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Lower body dressing during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52515-4 Core Functional Mobility

Observation ID in Form

B

Form Coding Instructions

Core Functional Mobility: The core functional mobility items should be completed on ALL patients. (Complete during the 2-day assessment period.) Complete for ALL patients: Code the patient's most usual performance using the 6-point scale below.CODING: Safety and Quality of Performance - If helper assistance is required because the patient's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Core Functional Mobility
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52648-3 Lying to Sitting on Side of Bed

Term Description

The ability to safely move from lying on the back to sitting on side of bed with feet flat on the floor, no back support.

Observation ID in Form

B1

Fully-Specified Name

Component: Lying to sitting on side of bed during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Lying to sitting on side of bed during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52649-1 Sit to Stand

Term Description

The ability to safely come to a standing position from sitting in a chair or on the side of a bed.

Observation ID in Form

B2

Fully-Specified Name

Component: Sit to stand during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Sit to stand during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52650-9 Chair/Bed-to-Chair Transfer

Term Description

The ability to safely transfer to and from a chair (or wheelchair). The chairs are placed at right angles to each other.

Observation ID in Form

B3

Fully-Specified Name

Component: Chair-bed to chair transfer during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Chair-bed to chair transfer during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52651-7 Toilet Transfer

Term Description

The ability to safely get on and off a toilet or commode.

Observation ID in Form

B4

Fully-Specified Name

Component: Toilet transfer during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Toilet transfer during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52516-2 Mode of Mobility - All Patients

Fully-Specified Name

Component: Mode of Mobility - All Patients
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52652-5 Does this patient primarily use a wheelchair for mobility?

Observation ID in Form

B5

Skip Logic

If No, code B5a for the longest distance completed. If Yes, code B5b for the longest distance completed.

Fully-Specified Name

Component: Primarily uses wheelchair for mobility during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Primarily uses wheelchair for mobility during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52517-0 Select the longest distance the patient walks and code his/her level of independence (Level 1-6) on that distance. Observe performance. (Select only one.)

Observation ID in Form

B5a

Fully-Specified Name

Component: Level of independence on longest distance walked
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Level of independence on longest distance walked

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52653-3 Walk 150 ft (45 m)

Term Description

Once standing, can walk at least 150 feet (45 meters) in corridor or similar space.

Observation ID in Form

B5a.1

Fully-Specified Name

Component: Walk 150 ft (45 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Walk 150 ft (45 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52654-1 Walk 100 ft (30 m)

Term Description

Once standing, can walk at least 100 feet (30 meters) in corridor or similar space.

Observation ID in Form

B5a.2

Fully-Specified Name

Component: Walk 100 ft (30 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Walk 100 ft (30 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52655-8 Walk 50 ft (15m)

Term Description

Once standing, can walk at least 50 feet (15 meters) in corridor or similar space.

Observation ID in Form

B5a.3

Fully-Specified Name

Component: Walk 50 ft (15 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Walk 50 ft (15 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52656-6 Walk in Room Once Standing

Term Description

Once standing, can walk at least 10 feet (3 meters) in room, corridor or similar space.

Observation ID in Form

B5a.4

Fully-Specified Name

Component: Walk 10 ft (3 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Walk 10 ft (3 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52518-8 Select the longest distance the patient wheels and code his/her level of independence (Level 1-6). Observe performance. (Select only one.)

Observation ID in Form

B5b

Fully-Specified Name

Component: Level of independence on longest distance wheeled
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Level of independence on longest distance wheeled

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52657-4 Wheel 150 ft (45 m)

Term Description

Once sitting, can wheel at least 150 feet (45 meters) in corridor or similar space.

Observation ID in Form

B5b.1

Fully-Specified Name

Component: Wheel 150 ft (45 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wheel 150 ft (45 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52658-2 Wheel 100 ft (30 m)

Term Description

Once sitting, can wheel at least 100 feet (30 meters) in corridor or similar space.

Observation ID in Form

B5b.2

Fully-Specified Name

Component: Wheel 100 ft (30 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wheel 100 ft (30 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52659-0 Wheel 50 ft (15 m)

Term Description

Once sitting, can wheel at least 50 feet (15 meters) in corridor or similar space.

Observation ID in Form

B5b.3

Fully-Specified Name

Component: Wheel 50 ft (15 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wheel 50 ft (15 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52660-8 Wheel in Room Once Seated

Term Description

Once seated, can wheel at least 10 feet (3 meters) in room, corridor, or similar space.

Observation ID in Form

B5b.4

Fully-Specified Name

Component: Wheel 10 ft (3 m) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wheel 10 ft (3 m) during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (NAM)

Normative Answer List LL586-9

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52519-6 Supplemental Functional Ability

Observation ID in Form

C

Form Coding Instructions

Supplemental Functional Ability (Complete during the 2-day assessment period.) Please code the patient on all activities they are able to participate in and which you can observe, or have assessed by other means, using the 6-point scale below.Coding: Safety and Quality and Performance - If helper assistance is required because patient's performance is unsafe or poor quality, score according to amount of assistance provided. Code for the most usual performance in the 2-day assessment period. Activities may be completed with or without assistive devices

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Supplemental Functional Ability
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

54066-6 Following discharge, is it anticipated that the patient will need post-acute care to improve their functional ability or other types of personal assistance?

Observation ID in Form

C

Skip Logic

If No, skip to Section VII. Overall Plan of Care/Advance Care Directives.

Form Coding Instructions

Please code the patient on all activities they are able to particiate in and which you can observe, or have assessed by other means, using the 6-point scale below

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Post acute care or personal assistance anticipated following discharge
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Post acute care or personal assistance anticipated following discharge [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52661-6 Wash Upper Body

Term Description

The ability to wash, rinse, and dry the face, hands, chest, and arms while sitting in a chair or bed.

Observation ID in Form

C1

Fully-Specified Name

Component: Wash upper body during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wash upper body during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52662-4 Shower/bathe self

Term Description

The ability to bathe self in shower or tub, including washing and drying self. Does not include transferring in/out of tub/shower.

Observation ID in Form

C2

Fully-Specified Name

Component: Shower &or bathe self during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Shower/bathe self during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52663-2 Roll left and right

Term Description

The ability to roll from lying on back to left and right side, and roll back to back.

Observation ID in Form

C3

Fully-Specified Name

Component: Roll left and right during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Roll left and right during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52664-0 Sit to lying

Term Description

The ability to move from sitting on side of bed to lying flat on the bed.

Observation ID in Form

C4

Fully-Specified Name

Component: Sit to lying during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Sit to lying during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52665-7 Picking up object

Term Description

The ability to bend/stoop from a standing position to pick up small object such as a spoon from the floor.

Observation ID in Form

C5

Fully-Specified Name

Component: Picking up objects during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Picking up objects during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52666-5 Putting on/taking off footwear during 2 day assessment period [CARE]

Term Description

The ability to put on and take off socks and shoes or other footwear that are appropriate for safe mobility.

Observation ID in Form

C6

Fully-Specified Name

Component: Putting on &or taking off footwear during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52520-4 Mode of Mobility - PAC Patients

Fully-Specified Name

Component: Mode of Mobility - PAC Patients
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52652-5 Does this patient primarily use a wheelchair for mobility?

Observation ID in Form

C7

Skip Logic

If No, code C7a-C7f. If Yes, code C7f-C7h.

Fully-Specified Name

Component: Primarily uses wheelchair for mobility during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Primarily uses wheelchair for mobility during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52667-3 1 step (curb)

Term Description

The ability to step over a curb or up and down one step.

Observation ID in Form

C7a

Fully-Specified Name

Component: One step (curb) during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

One step (curb) during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52668-1 Walk 50 feet with two turns

Term Description

The ability to walk 50 feet and make two turns.

Observation ID in Form

C7b

Fully-Specified Name

Component: Walk 50 feet with two turns during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Walk 50 feet with two turns during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52669-9 12 steps-interior

Term Description

The ability to go up and down 12 interior steps with a rail.

Observation ID in Form

C7c

Fully-Specified Name

Component: 12 steps-interior during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

12 steps-interior during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52670-7 Four steps-exterior

Term Description

The ability to go up and down 4 exterior steps with a rail.

Observation ID in Form

C7d

Fully-Specified Name

Component: Four steps-exterior during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Four steps-exterior during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52671-5 Walking 10 feet on uneven surfaces

Term Description

The ability to walk 10 feet on uneven or sloping surfaces, such as grass, gravel, ice or snow.

Observation ID in Form

C7e

Fully-Specified Name

Component: Walking 10 feet on uneven surfaces during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Walking 10 feet on uneven surfaces during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52672-3 Car transfer

Term Description

The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt.

Observation ID in Form

C7f

Fully-Specified Name

Component: Car transfer during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Car transfer during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.54 (MAJ)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52673-1 Wheel short ramp

Term Description

Once seated in wheelchair, goes up and down a ramp of less than 12 feet (4 meters).

Observation ID in Form

C7g

Fully-Specified Name

Component: Wheel short ramp during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wheel short ramp during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52674-9 Wheel long ramp

Term Description

Once seated in wheelchair, goes up and down a ramp of more than 12 feet (4 meters).

Observation ID in Form

C7h

Fully-Specified Name

Component: Wheel long ramp during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wheel long ramp during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52675-6 Telephone answering

Term Description

The ability to pick up call in patient's customary manner and maintain for 1 minute. Does not include getting to the phone.

Observation ID in Form

C8

Fully-Specified Name

Component: Telephone-answering during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Telephone-answering during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52676-4 Telephone-placing call

Term Description

The ability to pick up and place call in patient's customary manner and maintain for 1 minute. Does not include getting to the phone.

Observation ID in Form

C9

Fully-Specified Name

Component: Telephone-placing call during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Telephone-placing call during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52677-2 Medication management-oral medications

Term Description

The ability to prepare and take all prescribed oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.

Observation ID in Form

C10

Fully-Specified Name

Component: Medication management-oral medications during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Medication management-oral medications during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52678-0 Medication management-inhalant/mist

Term Description

The ability to prepare and take all prescribed inhalant/mist medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.

Observation ID in Form

C11

Fully-Specified Name

Component: Medication management-inhalant &or mist medications during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Medication management-inhalant/mist medications during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52679-8 Medication management-injectable medications

Term Description

The ability to prepare and take all prescribed injectable medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.

Observation ID in Form

C12

Fully-Specified Name

Component: Medication management-injectable medications during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Medication management-injectable medications during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52680-6 Make light meal

Term Description

The ability to plan and prepare all aspects of a light meal such as bowl of cereal or sandwich and cold drink, or reheat a prepared meal.

Observation ID in Form

C13

Fully-Specified Name

Component: Make light meal during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Make light meal during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52681-4 Wipe down surface

Term Description

The ability to use a damp cloth to wipe down surface such as table top or bench to remove small amounts of liquid or crumbs. Includes ability to clean cloth of debris in patient's customary manner.

Observation ID in Form

C14

Fully-Specified Name

Component: Wipe down surface during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Wipe down surface during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52682-2 Light shopping

Term Description

Once at store, can locate and select up to five needed goods, take to check out, and complete purchasing transaction.

Observation ID in Form

C15

Fully-Specified Name

Component: Light shopping during 2D assesssment
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Light shopping during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52683-0 Laundry

Term Description

Includes all aspects of completing a load of laundry using a washer and dryer. Includes sorting, loading and unloading, and adding laundry detergent.

Observation ID in Form

C16

Fully-Specified Name

Component: Laundry during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Laundry during two day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52684-8 Use public transportation

Term Description

The ability to plan and use public transportation. Includes boarding, riding, and alighting from transportation.

Observation ID in Form

C17

Fully-Specified Name

Component: Use public transportation during 2D assessment period
Property: Find
Time: 2D
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Use public transportation during 2 day assessment period [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL587-7

Answer	Code	Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper.	6	LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.	5	LA10073-7
Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.	4	LA11757-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.	3	LA10055-4
Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	2	LA10090-1
Dependent - Helper does all of the effort. Patient does none of the effort to complete the task.	1	LA9964-3
Not attempted due to medical condition	M	LA10039-8
Not attempted due to safety concerns	S	LA10040-6
Not attempted due to environmental constraints	E	LA10038-0
Task attempted but not completed	A	LA10092-7
Not applicable	N	LA4720-4
Patient refused	P	LA10058-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

81957-3 Overall Plan of Care/Advance Care Directives panel

Observation ID in Form

VII

Fully-Specified Name

Component: Overall Plan of Care &or Advance Care Directives panel
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.CARE
Type: Surveys
First Released: Version 2.56
Last Updated: Version 2.64 (MIN)
Panel Type: Convenience group

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52522-0 Overall Plan of Care/Advance Care Directives

Observation ID in Form

A

Fully-Specified Name

Component: Overall Plan of Care &or Advance Care Directives - Subheading
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Overall Plan of Care/Advance Care Directives - Subheading

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52685-5 Have the patient (or representative) and the care team (or physician) documented agreed-upon care goals and expected dates of completion or re-evaluation?

Observation ID in Form

A1

Fully-Specified Name

Component: Care goals documented
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Care goals documented

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example Answer List LL588-5

Answer	Code	Answer ID
No, but this work is in process	0	LA10025-7
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1	LA33-6
Unclear or unknown	9	LA10109-9

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52686-3 Which description best fits the patient's overall status?

Observation ID in Form

A2

Fully-Specified Name

Component: Overall status
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Overall status [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL589-3

Answer	Code	Answer ID
The patient is stable with no risk for serious complications and death (beyond those typical of the patient’s age).	1	LA10098-4
The patient is temporarily facing high health risks but likely to return to being stable without risk for serious complications and death (beyond those typical of the patient's age).	2	LA10099-2
The patient is likely to remain in fragile health and have ongoing high risks of serious complications and death.	3	LA10097-6
The patient has serious progressive conditions that could lead to death within a year.	4	LA10096-8
The patient's situation is unknown or unclear to the respondent.	9	LA10100-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52687-1 In anticipation of serious clinical complications, has the patient made care decisions which are documented in the medical record?

Observation ID in Form

A3

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Decision authority documented
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Decision authority documented [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Normative Answer List LL590-1

Answer	Code	Score	Answer ID
The patient has designated a decision-maker (if the patient is unable to make decisions) which is documented in the medical record.	1		LA11786-3
The patient (or surrogate) has made a decision to forgo resuscitation which is documented in the medical record.	2		LA11787-1

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52523-8 Discharge Status

Observation ID in Form

VIII

Fully-Specified Name

Component: Discharge status
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52524-6 Discharge Information

Observation ID in Form

A

Fully-Specified Name

Component: Discharge Information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52525-3 Discharge date

Observation ID in Form

A1

Fully-Specified Name

Component: Discharge date
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 2.24
Last Updated: Version 2.63 (MIN)
Order vs. Observation: Both

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8	MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ημερομηνία εξιτηρίου:TmStp:Pt:^Ασθενής:Qn: Synonyms: - H&P.HX Pt Qn TmStp Ασθενής Ημερομηνία εξιτηρίου
es-MX	Spanish (Mexico)	Fecha de alta:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT	Italian (Italy)	Data di dimissione:TmStp:Pt:^Paziente:Qn: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR	Portuguese (Brazil)	Data de alta médica:TmStp:Pt:^Paciente:Qn: Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Выбытие дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Выписка Дата выписки Количественный Точка во времени;Момент
zh-CN	Chinese (China)	出院日期:时间戳:时间点:^患者:定量型: Synonyms: 允许...离开(医院、军队);(从监狱)释放医疗服务对象;客户;病人;病患;病号;超系统 - 病人印时戳;时标;时间戳(日期与时间);时间标记;计时标记历史纪录与体格检查历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别历史纪录与体格检查小节可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间病史与体格检查

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS IRF-PAI	40	4.0
CMS LCDS	A0270	5.00
CMS MDS	A2000	1.17.2
CMS MDS	X0700B	1.17.2
CMS MDS	A2000	v1.18.11
CMS MDS	X0700B	v1.18.11
CMS LCDS	A0270	3.00
CMS IRF-PAI	40	2.0
CMS MDS	A2000	1.16.1
CMS MDS	X0700B	1.16.1
CMS IRF-PAI	40	1.4
CMS IRF-PAI	40	1.5
CMS IRF-PAI	40	3.0
CMS LCDS	A0270	4.00
CMS MDS	A2000	1.14.1
CMS MDS	A2000	1.15.1
CMS MDS	X0700B	1.14.1
CMS MDS	X0700B	1.15.1
CMS MDS	A2000	1.17.1
CMS MDS	X0700B	1.17.1

52526-1 Attending Physician (at this location)

Observation ID in Form

A2

Fully-Specified Name

Component: Attending physician name
Property: Pn
Time: Pt
System: Provider
Scale: Nom
Method

Long Common Name

Attending physician name

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.24
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 7284

Member of these Panels

LOINC	Long Common Name
80190-2	Catheterization and angiography procedure details panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όνομα θεράποντος ιατρού:Pn:Pt:Πάροχος:Nom: Synonyms: CLIN Nom Pn Pt Ιατρός Όνομα Όνομα θεράποντος ιατρού Πάροχος
es-MX	Spanish (Mexico)	Nombre del médico tratante:Pn:Punto temporal:Proveedor:Nominal:
it-IT	Italian (Italy)	Medico curante, nome:Pn:Pt:Provider:Nom: Synonyms: Clinico Nome del medico curante Nome di persona Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Nome do médico atendente:Pn:Pt:Provedor:Nom: Synonyms: Person name; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Штатный лечащий врач фамилия:Фам:ТчкВрм:Провайдер:Ном: Synonyms: Номинальный;Именной Специалист с высшим медицинским образованием Точка во времени;Момент Фамилия
zh-CN	Chinese (China)	主治医师姓名:人员姓名:时间点:服务提供者:名义型: Synonyms: 主治医生姓名;主治医姓名人名内科医师;内科医生;医生分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答姓名;名字;名提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者时刻;随机;随意;瞬间

52688-9 Discharge Location. Where will the patient be discharged to?

Observation ID in Form

A3

Fully-Specified Name

Component: Discharge disposition
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Discharge disposition [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.66 (NAM)
Change Reason: Updated Component from "Discharge location" to "Discharge disposition" for consistency across LOINC for terms reporting the location/status (disposition) of the patient at discharge.

Normative Answer List LL591-9

Answer	Code	Answer ID
Private residence	1	LA10062-0
Other community-based residential setting (e.g., assisted living residents, group home, adult foster care)	2	LA10048-9
Long-term care facility/nursing home	3	LA9999-9
Skilled nursing facility (SNF/TCU)	4	LA10080-2
Short-stay acute hospital (IPPS)	5	LA10078-6
Long-Term Care Hospital (LTCH)	6	LA10000-0
Inpatient rehabilitation hospital or unit (IRF)	7	LA9986-6
Psychiatric hospital or unit	8	LA10065-3
Facility-based hospice	9	LA9969-2
Other (e.g., shelter, jail, no known address)	10	LA10047-1
Discharged against medical advice	11	LA9965-0

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52689-7 Frequency of Assistance at Discharge (or admission for HH). How often will the patient require assistance (physical care or supervision) from a caregiver(s) or provider(s)?

Observation ID in Form

A4

Skip Logic

If Patient does not require assistance, Skip to Section B. Residential Information.

Fully-Specified Name

Component: Frequency of assistance at discharge
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Frequency of assistance at discharge [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL592-7

Answer	Code	Answer ID
Patient does not require assistance	1	LA10057-0
Weekly or less (e.g., requires help with grocery shopping or errands, etc.)	2	LA10118-0
Less than daily but more often than weekly	3	LA9995-7
Intermittently and predictably during the day or night	4	LA9989-0
All night but not during the day	5	LA9932-0
All day but not at night	6	LA9931-2
24 hours per day, or standby services	7	LA9919-7

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52690-5 Caregiver(s) Availability. Was the discharge destination decision influenced by the availability of a family member or friend to provide assistance?

Observation ID in Form

A5

Skip Logic

If No, skip to Section B. Residential Information.

Fully-Specified Name

Component: Discharge destination influenced by caregiver availability
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Discharge destination influenced by caregiver availability [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52691-3 Willing Caregiver(s). Does the patient have one or more willing caregiver(s)?

Observation ID in Form

A6

Skip Logic

In NO, skip to Section B. Residential Information. If Unclear, skip to Section B. Residential Infomation.

Fully-Specified Name

Component: Willing caregiver
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Willing caregiver [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL593-5

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes, confirmed by caregiver	1	LA10130-5
Yes, confirmed only by patient	2	LA10131-3
Unclear from patient; no confirmation from caregiver	9	LA10108-1

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52692-1 Types of Caregiver(s). What is the relationship of the caregiver(s) to the patient?

Observation ID in Form

A7

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Types of caregiver
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Types of caregiver

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example Answer List LL594-3

Answer	Code	Answer ID
Spouse or significant other	a	LA6382-1
Child	b	LA9949-4
Other unpaid family member or friend	c	LA10052-1
Paid help	d	LA6320-1

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52527-9 Residential Information

Observation ID in Form

B

Form Coding Instructions

Complete only if patient is discharged to a private residence or other community-based setting

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Complete only if patient lives a private residence or other community-based setting

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Residential Information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52693-9 Patient Lives With at Discharge (or admission for HH). Upon discharge (admission), who will the patient live with?

Observation ID in Form

B1

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Patient will live with at discharge
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Patient will live with at discharge [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL549-7

Answer	Code	Answer ID
Lives alone	a	LA6255-9
Lives with paid helper	b	LA9997-3
Lives with other(s)	c	LA9996-5
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	d	LA4489-6

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52528-7 Support Needs/Caregiver Assistance

Observation ID in Form

C

Form Coding Instructions

Type of Assistance Needed. Patient needs assistance with (check all that apply). Support Needs/Caregiver Assistance. (If patient needs assistance, check one on each row)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Support Needs &or Caregiver Assistance
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52694-7 ADL assistance (e.g., transfer/ambulation, bathing, dressing, toileting, eating/feeding)

Fully-Specified Name

Component: ADL assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

ADL assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL595-0

Answer	Code	Answer ID
CG able	1	LA9945-2
CG will need training and/or other supportive services	2	LA9947-8
CG not likely to be able	3	LA9946-0
CG ability unclear	4	LA9944-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52695-4 IADL assistance (e.g., meals, housekeeping, laundry, telephone, shopping, finances)

Fully-Specified Name

Component: IADL assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

IADL assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL595-0

Answer	Code	Answer ID
CG able	1	LA9945-2
CG will need training and/or other supportive services	2	LA9947-8
CG not likely to be able	3	LA9946-0
CG ability unclear	4	LA9944-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52696-2 Medication administration (e.g., oral, inhaled, or injectable)

Fully-Specified Name

Component: Medication administration assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Medication administration assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL595-0

Answer	Code	Answer ID
CG able	1	LA9945-2
CG will need training and/or other supportive services	2	LA9947-8
CG not likely to be able	3	LA9946-0
CG ability unclear	4	LA9944-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52697-0 Medical procedures/treatments (e.g., changing wound dressing)

Fully-Specified Name

Component: Medical procedures &or treatments assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Medical procedures/treatments assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL595-0

Answer	Code	Answer ID
CG able	1	LA9945-2
CG will need training and/or other supportive services	2	LA9947-8
CG not likely to be able	3	LA9946-0
CG ability unclear	4	LA9944-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52698-8 Management of equipment (includes oxygen, IV/infusion equipment, enteral/parenteral nutrition, ventilator therapy equipment, or supplies)

Fully-Specified Name

Component: Management of equipment assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Management of equipment assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL595-0

Answer	Code	Answer ID
CG able	1	LA9945-2
CG will need training and/or other supportive services	2	LA9947-8
CG not likely to be able	3	LA9946-0
CG ability unclear	4	LA9944-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52699-6 Supervision and safety

Fully-Specified Name

Component: Supervision and safety assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Supervision and safety assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL595-0

Answer	Code	Answer ID
CG able	1	LA9945-2
CG will need training and/or other supportive services	2	LA9947-8
CG not likely to be able	3	LA9946-0
CG ability unclear	4	LA9944-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52700-2 Advocacy or facilitation of patient's participation in appropriate medical care (includes transportation to or from appointments)

Fully-Specified Name

Component: Advocacy assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Advocacy assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL595-0

Answer	Code	Answer ID
CG able	1	LA9945-2
CG will need training and/or other supportive services	2	LA9947-8
CG not likely to be able	3	LA9946-0
CG ability unclear	4	LA9944-5

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

52701-0 None of the above or non-residential setting

Fully-Specified Name

Component: No assistance needed
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

No assistance needed [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52529-5 Discharge Care Options

Form Coding Instructions

Please indicate whether the team considered the following services appropriate for the patient at discharge; for those identified as potentially appropriate, were they: unavailable, refused by family, or not covered by insurance. (Check all that apply.)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Discharge Care Options
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52702-8 Home Health Care (HHA)

Observation ID in Form

Da

Fully-Specified Name

Component: Home health care considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Home health care considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52703-6 Skilled Nursing Facility (SNF/TCU)

Fully-Specified Name

Component: Skilled nursing facility considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Skilled nursing facility considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52704-4 Inpatient Rehabilitation Hospital or Unit (IRF)

Fully-Specified Name

Component: Inpatient rehabilitation hospital considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Inpatient rehabilitation hospital considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52705-1 Long-Term Care Hospital (LTCH)

Fully-Specified Name

Component: Long term care hospital considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Long term care hospital considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52706-9 Psychiatric Hospital or Unit

Fully-Specified Name

Component: Psychiatric hospital considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Psychiatric hospital considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52707-7 Outpatient Services

Fully-Specified Name

Component: Outpatient services considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Outpatient services considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52708-5 Acute Hospital Admission

Fully-Specified Name

Component: Acute hospital admission considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Acute hospital admission considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52709-3 Hospice

Fully-Specified Name

Component: Hospice considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Hospice considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52710-1 Long-term Personal Care Services

Fully-Specified Name

Component: Long-term personal care services considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Long-term personal care services considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52711-9 Long-Term Nursing Facility

Fully-Specified Name

Component: Long term care nursing facility considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Long term care nursing facility considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52712-7 Other (specify)

Fully-Specified Name

Component: Other service considered appropriate
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Other service considered appropriate [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL596-8

Answer	Code	Answer ID
Considered Appropriate by the Provider	1	LA9955-1
No Bed/Services Available	2	LA11804-4
Refused by Patient/Family	3	LA10069-5
Not Covered by Insurance	4	LA10041-4

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

55760-3 Other service considered appropriate.other specified [CARE]

Fully-Specified Name

Component: Other service considered appropriate.other specified
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

55761-1 No services needed after discharge [CARE]

Fully-Specified Name

Component: No services needed after discharge
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52530-3 Discharge Location Information

Fully-Specified Name

Component: Discharge Location Information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52713-5 Is the patient being discharged with referral for additional services?

Skip Logic

If No, skip to E7. Discharge Delay. If Yes, please identify the name, location, and type, of service to which the patient is discharged.

Fully-Specified Name

Component: Discharged with referral for additional services
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Discharged with referral for additional services [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52458-7 Name Provider

Fully-Specified Name

Component: Name
Property: Pn
Time: Pt
System: Provider
Scale: Nom
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.27 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
62400-7	PhenX - arrhythmia protocol 041101
97029-3	Spine Tango surgery follow-up 2017 Spine Tango

52714-3 Provider type [CARE]

Fully-Specified Name

Component: Provider type
Property: Type
Time: Pt
System: Provider
Scale: Nom
Method: CARE

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Normative Answer List LL729-5

Answer	Code	Answer ID
Home Health Care (HHA)	1	LA9978-3
Skilled nursing facility (SNF/TCU)	2	LA10080-2
Inpatient rehabilitation hospital or unit (IRF)	3	LA9986-6
Long-Term Care Hospital (LTCH)	4	LA10000-0
Psychiatric hospital or unit	5	LA10065-3
Outpatient Services	6	LA10053-9
Short-stay acute hospital (IPPS)	7	LA10078-6
Hospice	8	LA6216-1
Long-term nursing facility	9	LA11502-4
Other (specify)	10	LA6310-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52715-0 Other (specify)

Observation ID in Form

E3_10

Fully-Specified Name

Component: Provider type.other specified
Property: Type
Time: Pt
System: Provider
Scale: Nom
Method: CARE

Long Common Name

Provider type.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

52531-1 Provider city

Fully-Specified Name

Component: Provider city
Property: Loc
Time: Pt
System: Provider
Scale: Nom
Method

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.24
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 8342

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Πόλη παρόχου:Loc:Pt:Πάροχος:Nom: Synonyms: CLIN Loc Nom Pt Πάροχος Πόλη Πόλη παρόχου
es-MX	Spanish (Mexico)	Ciudad proveedora:Loc:Punto temporal:Proveedor:Nominal:
it-IT	Italian (Italy)	Provider, città:Loc:Pt:Provider:Nom: Synonyms: Città del provider Clinico Posizione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Cidade provedora:Loc:Pt:Provedor:Nom: Synonyms: Location; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Провайдер город:Лок:ТчкВрм:Провайдер:Ном: Synonyms: Локализация Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	服务提供者城市:位置:时间点:服务提供者:名义型: Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答地点;场所提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者时刻;随机;随意;瞬间服务提供者（提供方、提供者、服务人员、服务提供方、服务方、服务机构、服务者）城市

52532-9 Provider state

Fully-Specified Name

Component: Provider state
Property: Loc
Time: Pt
System: Provider
Scale: Nom
Method

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.24
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 8154

Example Answer List LL3178-2

Answer	Code	Score	Answer ID
AL			LA21991-7
AK			LA21992-5
AZ			LA21993-3
AR			LA21994-1
CA			LA21995-8
CO			LA21996-6
CT			LA21997-4
DC			LA21998-2
DE			LA21999-0
FL			LA22000-6
GA			LA22001-4
HI			LA22002-2
ID			LA19256-9
IL			LA22003-0
IN			LA22004-8
IA			LA22005-5
KS			LA22006-3
KY			LA22007-1
LA			LA22008-9
ME			LA22009-7
MD			LA20036-2
MA			LA22010-5
MI			LA22011-3
MN			LA22012-1
MS			LA22013-9
MO			LA22014-7
MT			LA22015-4
NE			LA22016-2
NV			LA22017-0
NH			LA21453-8
NJ			LA22018-8
NM			LA22019-6
NY			LA22020-4
NC			LA22021-2
ND			LA22022-0
OH			LA22023-8
OK			LA22024-6
OR			LA22025-3
PA			LA22026-1
PR			LA21403-3
RI			LA22027-9
SC			LA22028-7
SD			LA22029-5
TN			LA22030-3
TX			LA3601-7
UT			LA22031-1
VT			LA22032-9
VA			LA18827-8
WA			LA22033-7
WV			LA22034-5
WI			LA22035-2
WY			LA22036-0
Other, Please specify:			LA46-8

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Περιφέρεια παρόχου:Loc:Pt:Πάροχος:Nom: Synonyms: CLIN Loc Nom Pt Κατάσταση Πάροχος Περιφέρεια παρόχου
es-MX	Spanish (Mexico)	Estado del proveedor:Loc:Punto temporal:Proveedor:Nominal:
it-IT	Italian (Italy)	Provider, stato:Loc:Pt:Provider:Nom: Synonyms: Clinico Posizione Punto nel tempo (episodio) Stato del provider
pt-BR	Portuguese (Brazil)	Estado provedor:Loc:Pt:Provedor:Nom: Synonyms: Location; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Провайдер штат:Лок:ТчкВрм:Провайдер:Ном: Synonyms: Локализация Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	服务提供者州别:位置:时间点:服务提供者:名义型: Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答地点;场所州;邦;政府;国家;状况;情况提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者时刻;随机;随意;瞬间服务提供者（提供方、提供者、服务人员、服务提供方、服务方、服务机构、服务者）州别

45952-9 National provider ID

Fully-Specified Name

Component: National provider ID
Property: ID
Time: Pt
System: Provider
Scale: Nom
Method

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
76464-7	American Physical Therapy Association registry panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
45981-8	Deprecated MDS full assessment form - version 2.0
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
46076-6	Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0
71746-2	Personnel contact information panel [ESRD] Personnel

52716-8 Was the patient's discharge delayed for at least 24 hours?

Fully-Specified Name

Component: Discharge delayed at least 24H
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Discharge delayed at least 24 hours

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example 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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52717-6 Reason for discharge delay

Fully-Specified Name

Component: Reason for discharge delay
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MAJ)
Change Reason: Method removed and Answer List Type changed to Example because this generic term can be used across contexts

Example Answer List LL598-4

Answer	Code	Answer ID
No bed available	1	LA10021-6
Services, equipment or medications not available (e.g., home health care, durable medical equipment, IV medications)	2	LA10072-9
Family/support (e.g., family could not pick patient up)	3	LA9970-0
Medical (patient condition changed)	4	LA10004-2
Other (specify)	5	LA6310-2

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52718-4 Other (specify)

Observation ID in Form

E8_5

Fully-Specified Name

Component: Reason for discharge delay.other specified
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Reason for discharge delay.other specified [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

52719-2 In the situation that the patient or an authorized representative has requested this information not be shared with the next provider, check here:

Fully-Specified Name

Component: Patient requested information not be shared with next provider
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Patient requested information not be shared with next provider [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.64 (MIN)

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
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

52533-7 Medical Coding Information

Observation ID in Form

IX

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Coders: For this section, please provide a listing of principal diagnosis, comorbid diseases and complications, and procedures based on a review of the patient's clinical records at the time of discharge or at the time of a significant change in the patient's status affecting Medicare payment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Medical Coding Information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.73 (PANEL)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52534-5 Principal Diagnosis

Observation ID in Form

A

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Indicate the principal diagnosis for billing purposes. Indicate the ICD-9 CM code. For V-codes, also indicate the medical diagnosis and associated ICD-9 CM code. Be as specific as possible

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Principal Diagnosis
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.73 (PANEL)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

46584-9 ICD-9 CM for Principal Diagnosis at Assessment

Term Description

A case mix diagnosis is a primary diagnosis that assigns patients with selected conditions to an orthopedic, diabetes, neurological, or burns/trauma group for Medicare PPS case mix adjustment. A case mix diagnosis may involve manifestation coding.

Observation ID in Form

A1

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Payment diagnosis - primary ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method: OASIS

Long Common Name

Payment diagnosis - primary ICD code [OASIS]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.54 (MIN)

Normative Answer List LL343-5

Externally Defined: Yes
Code System: I9C
Code System OID: 1.3.6.1.4.1.12009.10.1.2173
Link to External List

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Terms of Use: Used with permission.

86255-7 Primary diagnosis ICD code

Term Description

The condition that is the chief reason for providing care.

Observation ID in Form

A2

Fully-Specified Name

Component: Primary diagnosis ICD code
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.63
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 17680

Example Answer List LL4547-7

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3459
Link to External List: http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4	Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106525-9	Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Κωδικός ICD κύριας διάγνωσης:Type:Pt:^Ασθενής:Nom: Synonyms: - CLIN Nom Pt Type Ασθενής Διάγνωση Κωδικός ICD διάγνωσης Κωδικός ICD κύριας διάγνωσης
es-MX	Spanish (Mexico)	Código ICD de diagnóstico primario:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi primaria codice ICD:Tipo:Pt:^Paziente:Nom: Synonyms: Clinico paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	主要诊断 ICD 代码:类型:时间点:^患者:名义型: Synonyms: ICD 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人国际疾病分类（International Classification of Diseases，ICD）国际疾病分类;international Classification of diseases;ICD 国际疾病分类法国际疾病分类系统型时刻;随机;随意;瞬间诊断 ICD 编码;ICD 诊断代码;ICD 诊断编码;国际疾病分类;international Classification of diseases;ICD 诊断结论;判断;结论

18630-4 Primary Diagnosis at Assessment

Observation ID in Form

A1a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis.primary
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Primary diagnosis

Basic Attributes

Class: ATTACH.REHAB
Type: Claims Attachments
First Released: Version 1.0l
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: AnswerListId: Added example answer list;
Order vs. Observation: Observation

Example Answer List LL4747-3

Answer	Code	Score	Answer ID
Other			LA46-8
Alcoholism			LA20350-7
Bleeding disorder			LA20352-3
Currently receiving chemotherapy for cancer			LA20353-1
Congenital anomalies			LA20354-9
Congestive heart failure (CHF)			LA12740-9
Current smoker			LA20356-4
Chronic renal failure			LA20357-2
Cerebrovascular accident			LA22244-0
Diabetes mellitus			LA14291-1
Disseminated cancer			LA20360-6
Advanced directive limiting care			LA20361-4
Functionally dependent health status			LA20363-0
Hypertension			LA7444-8
Prematurity			LA20368-9
Chronic obstructive pulmonary disease			LA28200-6
Steroid use			LA20370-5
Cirrhosis			LA9639-1
Dementia			LA20372-1
Attention deficit disorder/Attention deficit hyperactivity disorder (ADD/ADHD)			LA28412-7
Anticoagulant therapy			LA28199-0
Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder)			LA14275-4
Mental/personality disorder			LA28198-2
Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder)			LA14274-7
Peripheral arterial disease Copyright http://snomed.info/sct ID:399957001 Peripheral arterial occlusive disease (disorder)			LA28197-4
Substance abuse disorder Copyright http://snomed.info/sct ID:66214007 Substance abuse (disorder)			LA28195-8

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
97782-7	Spine Tango Surgery 2017

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση.κύρια:Imp:Pt:^Ασθενής:Nom: Synonyms: - ATTACH ATTACH.REHAB Imp Nom Pt Ασθενής Διάγνωση Διάγνωση.κύρια
es-AR	Spanish (Argentina)	diagnóstico.primario:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi.primaria:Imp:Pt:^Paziente:Nom: Synonyms: Allegato Allegato riabilitazione Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Диагноз.основной:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	诊断.主要:印象:时间点:^患者:名义型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.康复治疗;健康保险便携与责任法案信息附件.康复;健康保险便携与责任法案信息附件.康复治疗;康复信息附件;康复治疗HIPAA信息附件;康复治疗信息附件;康复治疗健康保险便携与责任法主要诊断信息附件;健康保险便携与责任法案信息附件;附件分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释时刻;随机;随意;瞬间诊断结论;判断;结论

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

29308-4 Diagnosis

Part Descriptions

LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease. Source: Regenstrief LOINC

Observation ID in Form

A2a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 4809

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
74293-2	Oncology plan of care and summary - recommended CDA set
93149-3	PhenX - bone age protocol 220301
62863-6	PhenX domain - Infectious diseases and immunity
62896-6	PhenX domain - Skin, bone, muscle and joint

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση:Imp:Pt:^Ασθενής:Nom: Synonyms: - H&P.PX Imp Nom Pt Ασθενής Διάγνωση
es-AR	Spanish (Argentina)	diagnóstico:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
es-ES	Spanish (Spain)	Diagnóstico:Impresión/interpretación del estudio:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Diagnóstico:Interpretación:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Diagnostic:Impression:Temps ponctuel:^Patient:Nominal:
fr-BE	French (Belgium)	Diagnostic:Impression/interprétation d'étude:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Diagnosi:Imp:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Diagnóstico:Imp:Pt:^Paciente:Nom: Synonyms: ; Dx; Interpretation; Interp; Impression; Impressions; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Диагноз:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
uk-UA	Ukrainian (Ukraine)	Діагноз:Інтерпретація:МоментЧасу:^Пацієнт:Категорійно: Synonyms: Dx; H+P; H+P.PX; Impression; Impression/interpretation of study; Impressions; Interp; Interpretation; Nominal; P prime; Point in time; Random
zh-CN	Chinese (China)	诊断:印象:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释历史纪录与体格检查历史纪录与体格检查小节时刻;随机;随意;瞬间病史与体格检查诊断结论;判断;结论

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX161602360400	PX161602_Doctor_Visit_1_Diagnosis
https://www.phenxtoolkit.org	PX170501050100	PX170501_Crohns_Disease_Explanation_Diagnosis
https://www.phenxtoolkit.org	PX220301240000	PX220301_Bone_Age_Diagnostic

52807-5 Other Diagnoses, Comorbidities, and Complications

Observation ID in Form

B

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

List other diagnoses being treated, managed, or monitored in this setting. Include all diagnoses (e.g., depression, schizophrenia, dementia, protein calorie malnutrition)

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

List up to 15 ICD-9 CM codes and associated diagnoses being treated, managed, or monitored in this setting. Include all diagnoses ( e.g. depression, schizophrenia, dementia, protein calorie malnutrition). If a V-code is listed, also provide the ICD-9 CM code for the medical diagnosis being treated

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Medical Coding Other Diagnoses, Comorbidities, and Complications
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Medical Coding Other Diagnoses, Comorbidities, and Complications

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52797-8 Diagnosis ICD code [Identifier]

Observation ID in Form

B1a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Change Reason: Changed CLASS from SURVEY.MDS to CLIN
Order vs. Observation: Both
Common Test Rank Get Info: 743

Example Answer List LL4547-7

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3459
Link to External List: http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
87825-6	National Trauma Data Standard - version 2018 set
74502-6	Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
62949-3	PhenX domain - Gastrointestinal
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Κωδικός ICD διάγνωσης:Prid:Pt:^Ασθενής:Nom: Synonyms: - CLIN Nom Prid Pt Ασθενής Διάγνωση Κωδικός ICD διάγνωσης
es-ES	Spanish (Spain)	Código CIE del diagnóstico:Presencia o identidad:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Código ICD de diagnóstico:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi, codice ICD:Prid:Pt:^Paziente:Nom: Synonyms: Clinico paziente Presenza o Identità Punto nel tempo (episodio)
pl-PL	Polish (Poland)	Kod ICD rozpoznania:obecność lub identyfikacja:punkt w czasie:^pacjent:skala nominalna: Synonyms: wynik kategorialny
zh-CN	Chinese (China)	诊断 ICD 代码:存在与否或特征标识:时间点:^患者:名义型: Synonyms: ICD 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人国际疾病分类（International Classification of Diseases，ICD）国际疾病分类法国际疾病分类系统存在;存在与否;特征标识;身份;身份标识时刻;随机;随意;瞬间诊断 ICD 编码;ICD 诊断代码;ICD 诊断编码;国际疾病分类;international Classification of diseases;ICD 诊断结论;判断;结论

Related Codes

Code System	Code	Code Version
CMS IRF-PAI	22A,	4.0
CMS IRF-PAI	22B	4.0
CMS IRF-PAI	22C	4.0
CMS LCDS	I0050A	5.00
CMS MDS	I0020B	1.17.2
CMS MDS	I8000A-I8000J	1.17.2
CMS MDS	I0020B	v1.18.11
CMS LCDS	I0050A	3.00
CMS IRF-PAI	22A	2.0
CMS IRF-PAI	22B	2.0
CMS IRF-PAI	22C	2.0
CMS MDS	I0020A	1.16.1
CMS MDS	I8000A-I8000J	1.16.1
CMS IRF-PAI	22	1.5
CMS IRF-PAI	22A	1.5
CMS IRF-PAI	22A	3.0
CMS IRF-PAI	22B	1.5
CMS IRF-PAI	22B	3.0
CMS IRF-PAI	22C	1.5
CMS IRF-PAI	22C	3.0
CMS LCDS	I0050A	4.00
CMS MDS	I8000	1.14.1
CMS MDS	I8000A	1.14.1
CMS MDS	I8000A-I8000J	1.15.1
CMS MDS	I8000B	1.14.1
CMS MDS	I8000C	1.14.1
CMS MDS	I8000D	1.14.1
CMS MDS	I8000E	1.14.1
CMS MDS	I8000F	1.14.1
CMS MDS	I8000G	1.14.1
CMS MDS	I8000H	1.14.1
CMS MDS	I8000I	1.14.1
CMS MDS	I8000J	1.14.1
CMS MDS	I0020B	1.17.1
CMS MDS	I8000A-I8000J	1.17.1
CMS MDS	I8000A-I8000J	v1.18.11

29308-4 Diagnosis

Part Descriptions

LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease. Source: Regenstrief LOINC

Observation ID in Form

B1b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Diagnosis
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 4809

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
74293-2	Oncology plan of care and summary - recommended CDA set
93149-3	PhenX - bone age protocol 220301
62863-6	PhenX domain - Infectious diseases and immunity
62896-6	PhenX domain - Skin, bone, muscle and joint

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση:Imp:Pt:^Ασθενής:Nom: Synonyms: - H&P.PX Imp Nom Pt Ασθενής Διάγνωση
es-AR	Spanish (Argentina)	diagnóstico:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
es-ES	Spanish (Spain)	Diagnóstico:Impresión/interpretación del estudio:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Diagnóstico:Interpretación:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Diagnostic:Impression:Temps ponctuel:^Patient:Nominal:
fr-BE	French (Belgium)	Diagnostic:Impression/interprétation d'étude:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Diagnosi:Imp:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Diagnóstico:Imp:Pt:^Paciente:Nom: Synonyms: ; Dx; Interpretation; Interp; Impression; Impressions; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Диагноз:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
uk-UA	Ukrainian (Ukraine)	Діагноз:Інтерпретація:МоментЧасу:^Пацієнт:Категорійно: Synonyms: Dx; H+P; H+P.PX; Impression; Impression/interpretation of study; Impressions; Interp; Interpretation; Nominal; P prime; Point in time; Random
zh-CN	Chinese (China)	诊断:印象:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释历史纪录与体格检查历史纪录与体格检查小节时刻;随机;随意;瞬间病史与体格检查诊断结论;判断;结论

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX161602360400	PX161602_Doctor_Visit_1_Diagnosis
https://www.phenxtoolkit.org	PX170501050100	PX170501_Crohns_Disease_Explanation_Diagnosis
https://www.phenxtoolkit.org	PX220301240000	PX220301_Bone_Age_Diagnostic

52808-3 Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)

Observation ID in Form

C

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Medical Coding Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Medical Coding Major Procedures (Diagnostic, Surgical, and Therapeutic Interventions)

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

52558-4 Did the patient have one or more major procedures (e.g., G-tube placement, EEG, abdominal, cat scans; do not include x-rays, EKGs, ultrasounds) during this admission?

Observation ID in Form

C1

Type of Entry

Question expects user entry - requires response [Q]

Skip Logic

If No, skip to Section X.

Form Coding Instructions

List up to 15 procedures (diagnostic, surgical and therapeutic interventions). Indicate if a procedure was left, right, or not applicable (N/A). If procedure was bilateral (e.g., bilateral knee replacement), check both left and right boxes

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Procedure this admission
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: CARE

Long Common Name

Procedure this admission [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

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
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

69967-8 Procedure ICD code

Term Description

Diagnostic, surgical and therapeutic interventions

Observation ID in Form

C2a

Fully-Specified Name

Component: Procedure ICD code
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.42 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim

29300-1 Procedure

Observation ID in Form

C2b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Procedure
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Procedure type

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 2979

Member of these Panels

LOINC	Long Common Name
84907-5	Cancer pathology panel - Colorectal cancer specimen
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διαδικασία:Type:Pt:^Ασθενής:Nom: Synonyms: - H&P.PX Nom Pt Type Ασθενής Διαδικασία
es-AR	Spanish (Argentina)	procedimiento:tipo:punto en el tiempo:^paciente:Nominal:
es-ES	Spanish (Spain)	Procedimiento:Tipo:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Procedimiento:Tipo:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Procédure:Type:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Procedura:Tipo:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	verrichting:type:moment:^patiënt:nominaal:
pt-BR	Portuguese (Brazil)	Procedimento:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Вмешательство:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Процедура Точка во времени;Момент
zh-CN	Chinese (China)	操作项目:类型:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史纪录与体格检查历史纪录与体格检查小节型操作;程序;手续;步骤;规程;程序流程时刻;随机;随意;瞬间病史与体格检查

52535-2 Other useful information

Observation ID in Form

X

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Other useful information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 7460
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52720-0 Is there other useful information about this patient that you want to add?

Observation ID in Form

A

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Other useful information
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: CARE

Long Common Name

Other useful information [CARE]

Basic Attributes

Class: SURVEY.CARE
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.64 (MIN)

Member of these Panels

LOINC	Long Common Name
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

Code System	Code	Code Version
CMS IRF-PAI	J1750	4.0
CMS IRF-PAI	J1750	2.0
CMS IRF-PAI	J1750	1.4
CMS IRF-PAI	J1750	1.5
CMS IRF-PAI	J1750	3.0

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	188740	MDC_LEN_BODY_ACTUAL
https://www.phenxtoolkit.org	PX091601370000	PX091601_Height

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	150344	MDC_TEMP
https://www.phenxtoolkit.org	PX090201020000	PX090201_Body_Temperature

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX090201140000	PX090201_Total_Hemoglobin
https://www.phenxtoolkit.org	PX220501190000	PX220501_CompleteBloodCount_Hemoglobin

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	159748	MDC_CONC_PH_ART
https://www.phenxtoolkit.org	PX090201130000	PX090201_Hydrogen_Ion_Concentration

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	159752	MDC_CONC_PCO2_ART
https://www.phenxtoolkit.org	PX090201110000	PX090201_Partial_Pressure_CO2

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	159756	MDC_CONC_PO2_ART
https://www.phenxtoolkit.org	PX090201120000	PX090201_Partial_Pressure_Of_Oxygen

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	152586	MDC_VOL_AWAY_EXP_FORCED_1S
https://www.phenxtoolkit.org	PX091601500000	PX091601_FEV1

Code System	Code	Code Version
CMS MDS	O0300	v1.18.11
CMS MDS	O0300	1.17.2
CMS MDS	O0300	1.16.1
CMS MDS	O0300	1.14.1
CMS MDS	O0300	1.15.1
CMS MDS	O0300	1.17.1

Code System	Code	Code Version
CMS OASIS	M1021_A2_ICD	E
CMS OASIS	M1021_A2_ICD	D
CMS OASIS	M1021_A2_ICD	C2
CMS OASIS	M1021_A2_ICD	D1

52743-2

Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care

Deprecated

Form Coding Instructions

52452-0 Administrative Items

Observation ID in Form

Type of Entry

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

52453-8 Assessment Type

Observation ID in Form

Type of Entry

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

70160-7 Reason for assessment

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

54593-9 Assessment reference date - observation end date

Term Description

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

Example Units

Related Codes

52457-9 Provider Information

Observation ID in Form

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

52458-7 Name Provider

Observation ID in Form

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

Related Codes

69326-7 Patient information

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

45392-8 Patient's First Name

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

HL7® Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

52461-1 Patient's Middle Initial or Name

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

HL7® Attributes

Member of these Panels

Language Variants Get Info

Related Names

45394-4 Patient's Last Name

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

HL7® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes