54501-2 Identification information

Observation ID in Form

A

Fully-Specified Name

Component

Identification information

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Basic Attributes

Class

PANEL.SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.73

Panel Type

Panel

Member of these Panels

Related Names

• Pan
• Panel
• Panl
• Pnl
• Point in time
• Random
• Survey
• SURVEY.MDS

58198-3 Type of record during assessment period [CMS Assessment]

Observation ID in Form

A0050

Skip Logic

If Add new record, Continue to A0100, Facility Provider Numbers, If Modify existing record, Continue to A0100, Facility Provider Numbers. If Inactivate existing record, Skip to X0150, Type of Provider .

Fully-Specified Name

Component

Type of record

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

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 MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

Order vs. Observation

Observation

Normative Answer List LL861-6

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54581-4 Facility provider numbers

Observation ID in Form

A0100

Fully-Specified Name

Component

Facility provider numbers

Property

-

Time

Pt

System

Facility

Scale

-

Method

Additional Names

Short Name

Facility provider #s

Basic Attributes

Class

PANEL.ADMIN

Type

Clinical

First Released

Version 2.27

Last Updated

Version 2.74

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Facility provider #s
• Pan
• Panel
• PANEL.ADMIN
• Panl
• Pnl
• Point in time
• Random

Related Codes

76468-8 National Provider Identifier (NPI)

Observation ID in Form

A0100A

Fully-Specified Name

Component

National provider ID

Property

ID

Time

Pt

System

Organization

Scale

Nom

Method

Additional Names

Short Name

Organization NPI

Basic Attributes

Class

ADMIN.ID

Type

Clinical

First Released

Version 2.54

Last Updated

Version 2.66

Order vs. Observation

Both

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Ident
• Identifier
• Intradermal
• Nominal
• NPI
• Point in time
• Random

Related Codes

69417-4 CMS Certification Number (CCN)

Observation ID in Form

A0100B

Fully-Specified Name

Component

CMS certification number

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Additional Names

Short Name

CMS certification # Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.38

Last Updated

Version 2.66

Change Reason

Removed "-CCN" from COMPONENT and added "(CCN)" to the Long Common Name because the abbreviation is redundant in the formal name.

Order vs. Observation

Observation

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• CCN
• CMS certification #
• Ident
• Identifier
• No
• Nominal
• Num
• Point in time
• Random

Related Codes

45398-5 State provider number for Facility

Observation ID in Form

A0100C

Fully-Specified Name

Component

State provider number

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Additional Names

Short Name

State provider # Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Removed Copyright Info because this is a generic term;Changed CLASS to ADMIN

Order vs. Observation

Both

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Ident
• Identifier
• No
• Nominal
• Num
• Point in time
• Random
• State provider #

Related Codes

54582-2 Type of Provider

Observation ID in Form

A0200

Fully-Specified Name

Component

Provider type

Property

Type

Time

Pt

System

Provider

Scale

Nom

Method

MDSv3

Basic Attributes

Class

SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.44

Normative Answer List LL630-5

Member of these Panels

Related Names

• MDS version 3
• Nominal
• Point in time
• Random
• Survey
• SURVEY.MDS
• Typ

54502-0 Type of Assessment

Observation ID in Form

A0310

Fully-Specified Name

Component

Assessment &or tracking type

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Basic Attributes

Class

PANEL.SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.68

Panel Type

Panel

Member of these Panels

Related Names

• Assessment/tracking type
• Pan
• Panel
• Panl
• Pnl
• Point in time
• Random
• Survey
• SURVEY.MDS

54583-0 Federal OBRA reason for assessment during assessment period [CMS Assessment]

Observation ID in Form

A0310A

Fully-Specified Name

Component

Federal OBRA reason for assessment

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.77

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 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.

Order vs. Observation

Observation

Normative Answer List LL631-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54584-8 PPS Assessment during assessment period [CMS Assessment]

Observation ID in Form

A0310B

Fully-Specified Name

Component

PPS Assessment

Property

Type

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.77

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 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; Change Scale from Nom to Ord because the answer lists are Ordinal.; Changed Component from plural to singular to reflect answer cardinality

Order vs. Observation

Observation

Normative Answer List LL632-1

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey
• Typ

Related Codes

54585-5 PPS Other Medicare Required Assessment - OMRA during assessment period [CMS Assessment]

Observation ID in Form

A0310C

Fully-Specified Name

Component

PPS Other Medicare Required Assessment - OMRA

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.77

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 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.

Order vs. Observation

Observation

Normative Answer List LL843-4

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Othr
• Report period
• Survey

Related Codes

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 http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

58107-4 Is this a Swing Bed clinical change assessment?

Observation ID in Form

A0310D

Skip Logic

Complete only if A0200 = 2

Fully-Specified Name

Component

Swing bed clinical change assessment

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

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 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. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Exchange
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Replace
• Report period
• Screen
• Survey

Related Codes

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 http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

54587-1 Is this assessment the first assessment (OBRA, PPS, or Discharge) since the most recent admission?

Observation ID in Form

A0310E

Fully-Specified Name

Component

First assessment since the most recent admission &or reentry

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Added "&or reentry" to the COMPONENT to reflect most recent MDS question text. 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. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

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 http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

58108-2 Entry/discharge reporting

Observation ID in Form

A0310F

Fully-Specified Name

Component

Entry &or discharge reporting

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

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 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.

Order vs. Observation

Observation

Normative Answer List LL844-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Disch
• Entry/discharge reporting
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

71440-2 Type of discharge

Observation ID in Form

A0301G

Form Coding Instructions

Complete only if A0310F = 10 or 11

Fully-Specified Name

Component

Discharge

Property

Type

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.77

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 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.; Added "type" to LCN to represent the Property

Order vs. Observation

Observation

Normative Answer List LL2097-5

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Disch
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey
• Typ

Related Codes

54896-6 Submission requirement [MDSv3]

Observation ID in Form

A0410

Fully-Specified Name

Component

Submission requirement

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

MDSv3

Basic Attributes

Class

SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.44

Normative Answer List LL669-3

Member of these Panels

Related Names

• Finding
• Findings
• MDS version 3
• Ordinal
• Point in time
• QL
• Qual
• Qualitative
• Random
• Screen
• Survey
• SURVEY.MDS

54503-8 Legal name of resident

Observation ID in Form

A0500

Fully-Specified Name

Component

Legal name of patient

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.67

Change Reason

Change "resident" to "patient"

Order vs. Observation

Order

Panel Type

Panel

Member of these Panels

Related Names

• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Point in time
• Random
• Survey

Related Codes

45392-8 Patient First (Given) name

Observation ID in Form

A0500A

Fully-Specified Name

Component

First name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient First name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

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

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Given name
• Nominal
• Person name
• Point in time
• Random

Related Codes

45393-6 Middle initial

Observation ID in Form

A0500B

Fully-Specified Name

Component

Middle initial

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Middle initial

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Change PROPERTY from ID to Pn to match convention for other name terms

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.3

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Person name
• Point in time
• Random

Related Codes

45394-4 Patient Last (Family) name

Observation ID in Form

A0500C

Fully-Specified Name

Component

Last name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient Last name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

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

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Past
• Person name
• Point in time
• Random

Related Codes

45395-1 Suffix

Observation ID in Form

A0500D

Fully-Specified Name

Component

Name suffix

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient Name suffix

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

Change Reason

Release 2.70: SHORTNAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; Previous Releases: Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.4

Member of these Panels