57191-9

Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care

Deprecated

Description

The OASIS is a core set of screening and assessment elements, including standardized definitions and coding categories that form the foundation of the comprehensive assessment for all clients of home health agencies certified to participate in the Medicare or Medicaid program. OASIS-C is a modification to the Outcome and Assessment Information Set (OASIS) that Home Health Agencies (HHAs) must collect in order to participate in the Medicare program. Implementation of OASIS-C, OMB #0938-0760, is required effective January 1, 2010.

Source: Centers for Medicare & Medicaid Services

Original Form

Source: Centers for Medicare & Medicaid Services

46498-2 Resumption of care date

Term Description

Date care resumed (e.g. the date of the first visit following an inpatient stay by a patient currently receiving service from a home health agency).

Observation ID in Form

M0032

Fully-Specified Name

Component: Resumption of care date
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Resumption of care date during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption 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]
108292-4	Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]

Example Units

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

Code System	Code	Code Version
CMS OASIS	M0032	D1
CMS OASIS	M0032	D
CMS OASIS	M0032	C2
CMS OASIS	M0032	E

57040-8 Clinical record items

Fully-Specified Name

Component: Clinical record items
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Clinical Record Items during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Added METHOD of CMS Assessments because this unique panel originates from CMS instruments
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0	Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
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
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]
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]

46500-5 Discipline of Person Completing Assessment

Term Description

Identifies the discipline of the clinician completing the comprehensive assessment at the specified time points or the clinician reporting the transfer to an inpatient facility, death at home, or discharge (no further visits after start of care).

Observation ID in Form

M0080

Fully-Specified Name

Component: Discipline of person completing assessment
Property: Type
Time: RptPeriod
System: Provider
Scale: Nom
Method: CMS Assessment

Long Common Name

Discipline of Person Completing Assessment during assessment period [CMS Assessment] Provider

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL245-2

Answer	Code	Answer ID
RN	1	LA6367-2
PT	2	LA6353-2
SLP/ST	3	LA6378-9
OT	4	LA6309-4

Member of these Panels

LOINC	Long Common Name
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0	Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
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
86261-5	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN during assessment period [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]
88370-2	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency - death at home 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]
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]
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]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99158-8	Outcome and assessment information set (OASIS) form - version E - Death at Home during assessment period [CMS Assessment]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106526-7	Outcome and assessment information set (OASIS) form - version E1 - Death at Home during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
108295-7	Outcome and assessment information set (OASIS) form - version E2 - Death at Home during assessment period [CMS Assessment]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

Code System	Code	Code Version
CMS OASIS	M0080	D1
CMS OASIS	M0080	D
CMS OASIS	M0080	C2
CMS OASIS	M0080	E

46501-3 Date Assessment Completed

Term Description

The actual date the assessment is completed, except if agency policy allows assessments to be performed over more than one visit date, in which case the last date (when the assessment is finished) is the appropriate date to record.

Observation ID in Form

M0090

Fully-Specified Name

Component: Date assessment information completed
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date assessment information completed during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0	Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
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
86261-5	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [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]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN during assessment period [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]
88370-2	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency - death at home 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]
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]
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]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99158-8	Outcome and assessment information set (OASIS) form - version E - Death at Home during assessment period [CMS Assessment]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106526-7	Outcome and assessment information set (OASIS) form - version E1 - Death at Home during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
108295-7	Outcome and assessment information set (OASIS) form - version E2 - Death at Home during assessment period [CMS Assessment]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]
62863-6	PhenX domain - Infectious diseases and immunity
62812-3	PhenX domain - Physical activity and physical fitness

Example Units

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

Related Codes

Code System	Code	Code Text	Code Version
CMS OASIS	M0090		D1
CMS OASIS	M0090		D
CMS OASIS	M0090		C2
https://www.phenxtoolkit.org	PX150801290101	PX150801_Diary_Day1_Date_Month
https://www.phenxtoolkit.org	PX150801290102	PX150801_Diary_Day1_Date_Day
https://www.phenxtoolkit.org	PX150801290103	PX150801_Diary_Day1_Date_Year
https://www.phenxtoolkit.org	PX150801300101	PX150801_Diary_Day2_Date_Month
https://www.phenxtoolkit.org	PX150801300102	PX150801_Diary_Day2_Date_Day
https://www.phenxtoolkit.org	PX150801300103	PX150801_Diary_Day2_Date_Year
https://www.phenxtoolkit.org	PX150801310101	PX150801_Diary_Day3_Date_Month
https://www.phenxtoolkit.org	PX150801310102	PX150801_Diary_Day3_Date_Day
https://www.phenxtoolkit.org	PX150801310103	PX150801_Diary_Day3_Date_Year
https://www.phenxtoolkit.org	PX150801320101	PX150801_Diary_Day4_Date_Month
https://www.phenxtoolkit.org	PX150801320102	PX150801_Diary_Day4_Date_Day
https://www.phenxtoolkit.org	PX150801320103	PX150801_Diary_Day4_Date_Year
https://www.phenxtoolkit.org	PX150801330101	PX150801_Diary_Day5_Date_Month
https://www.phenxtoolkit.org	PX150801330102	PX150801_Diary_Day5_Date_Day
https://www.phenxtoolkit.org	PX150801330103	PX150801_Diary_Day5_Date_Year
https://www.phenxtoolkit.org	PX150801340101	PX150801_Diary_Day6_Date_Month
https://www.phenxtoolkit.org	PX150801340102	PX150801_Diary_Day6_Date_Day
https://www.phenxtoolkit.org	PX150801340103	PX150801_Diary_Day6_Date_Year
https://www.phenxtoolkit.org	PX150801350101	PX150801_Diary_Day7_Date_Month
https://www.phenxtoolkit.org	PX150801350102	PX150801_Diary_Day7_Date_Day
https://www.phenxtoolkit.org	PX150801350103	PX150801_Diary_Day7_Date_Year
https://www.phenxtoolkit.org	PX161201030100	PX161201_Date_Month
https://www.phenxtoolkit.org	PX161201030200	PX161201_Date_Day
https://www.phenxtoolkit.org	PX161201030300	PX161201_Date_Year
https://www.phenxtoolkit.org	PX161201040000	PX161201_Country_Of_Birth
CMS OASIS	M0090		E

57200-8 This Assessment is Currently Being Completed for the Following Reason:

Observation ID in Form

M0100

Skip Logic

If Yes to "4 - Recertification (follow-up reassessment" , then go to M0110. If Yes to "5 - Other follow-up", then go to M0110. If Yes to "6 - Transferred to an inpatient facility - patient not discharged from agency", then go to M1040. If Yes to"7 - Transferred to an inpatient facility - patient discharged from agency", then go to M1040. If "Yes to 8 - Death at home", then go to M0903. If " Yes to 9 - Discharge from agency", then go to M1040.

Fully-Specified Name

Component: Reason for assessment
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Reason for assessment during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL773-3

Answer	Code	Answer ID
Start of care - further visits planned	1	LA6390-4
Resumption of care (after inpatient stay)	3	LA6366-4
Recertification (follow-up) reassessment	4	LA6355-7
Other follow-up	5	LA6312-8
Transferred to an inpatient facility - patient not discharged from agency	6	LA6402-7
Transferred to an inpatient facility - patient discharged from agency	7	LA6401-9
Death at home	8	LA6179-1
Discharge from agency	9	LA6184-1

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0	Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
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
86261-5	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN during assessment period [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]
88370-2	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency - death at home 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]
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]
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]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99158-8	Outcome and assessment information set (OASIS) form - version E - Death at Home during assessment period [CMS Assessment]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106526-7	Outcome and assessment information set (OASIS) form - version E1 - Death at Home during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
108295-7	Outcome and assessment information set (OASIS) form - version E2 - Death at Home during assessment period [CMS Assessment]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

Code System	Code	Code Version
CMS OASIS	M0100	D1
CMS OASIS	M0100	E
CMS OASIS	M0100	D
CMS OASIS	M0100	C2

57201-6 Date of Physician-ordered Start of Care (Resumption of Care)

Observation ID in Form

M0102

Skip Logic

Go to M0110, if date entered. If NA, No specific SOC date ordered by physican.

Form Coding Instructions

Date of Physician-ordered Start of Care (Resumption of Care): If the physician indicated a specific start of care (resumption of care) date when the patient was referred for home health services, record the date specified

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Date of Physician-ordered Start of Care (Resumption of Care)
Property: Date
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Date of Physician-ordered Start of Care (Resumption of Care) during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0	Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
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
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]
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]
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]

Example Units

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

Code System	Code	Code Version
CMS OASIS	M0102	D1
CMS OASIS	M0102	E
CMS OASIS	M0102	D
CMS OASIS	M0102	C2

57202-4 Date of Referral

Observation ID in Form

M0104

Form Coding Instructions

Date of Referral: Indicate the date that the written or verbal referral for initiation or resumption of care was received by the HHA

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Date of Referral
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.63 (MAJ)
Change Reason: Updated METHOD from CMS assessment to method-less since this is a general concept and not specific to CMS assessments.
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0	Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
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
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]
86636-8	Family planning report - FPAR 2.0 set
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]
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]

Example Units

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

Code System	Code	Code Version
CMS OASIS	M0104	D1
CMS OASIS	M0104	E
CMS OASIS	M0104	D
CMS OASIS	M0104	C2

57203-2 Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?

Observation ID in Form

M0110

Fully-Specified Name

Component: Episode Timing
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Episode Timing during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Observation

Normative Answer List LL774-1

Answer	Code	Answer ID
Early	1	LA12111-3
Later	2	LA12112-1
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6
Not Applicable: No Medicare case mix group to be defined by this assessment.	NA	LA12114-7

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0	Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
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
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]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]

Code System	Code	Code Version
CMS OASIS	M0110	D1
CMS OASIS	M0110	E
CMS OASIS	M0110	D
CMS OASIS	M0110	C2

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.

69324-2 Patient history and diagnosis

Fully-Specified Name

Component: Patient history and diagnosis - start of care, resumption of care
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: OASIS-C

Long Common Name

Deprecated Patient history and diagnosis - start of care, resumption of care [OASIS-C]

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.73 (DEL)
Change Reason: Release 2.73: Status: LOINC will keep most current version and one prior version of CMS assessments active and discourage all older versions.;
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

57204-0 From which of the following Inpatient Facilities was the patient discharged during the past 14 days?

Observation ID in Form

M1000

Skip Logic

If Yes to "NA - Patient was not discharged from an inpatient facility", then go to M1016.

Fully-Specified Name

Component: Inpatient discharge facility within the past 14D
Property: Type
Time: 14D
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Inpatient discharge facility within the past 14 days [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.63 (NAM)
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed TIME from Pt to 14D to reflect the term definition "within the past 14 days"; Added timing to the Component to follow LOINC convention
Order vs. Observation: Observation

Normative Answer List LL775-8

Answer	Code	Answer ID
Long-term nursing facility (NF)	1	LA12115-4
Skilled nursing facility (SNF/TCU)	2	LA10080-2
Short-stay acute hospital (IPPS)	3	LA10078-6
Long-Term Care Hospital (LTCH)	4	LA10000-0
Inpatient rehabilitation hospital or unit (IRF)	5	LA9986-6
Psychiatric hospital or unit	6	LA10065-3
Other (specify)	7	LA6310-2
Patient was not discharged from an inpatient facility	NA	LA6342-5

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]
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]

Code System	Code	Code Version
CMS OASIS	M1000	D1
CMS OASIS	M1000	E
CMS OASIS	M1000	D
CMS OASIS	M1000	C2

58106-6 Other (specify)

Fully-Specified Name

Component: Inpatient discharge facility.other specified
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: OASIS-C

Long Common Name

Inpatient discharge facility.other specified [OASIS-C]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.44 (MIN)

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

86470-2 Inpatient Discharge Date (most recent)

Observation ID in Form

M1005

Fully-Specified Name

Component: Most recent inpatient discharge date in the last 14D
Property: Date
Time: 14D
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Most recent inpatient discharge date in the last 14 days [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.63 (ADD)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]
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]

Example Units

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

Code System	Code	Code Version
CMS OASIS	M1005	E
CMS OASIS	M1005	D
CMS OASIS	M1005	C2
CMS OASIS	M1005	D1

46458-6 Inpatient Diagnosis

Fully-Specified Name

Component: Inpatient facililty diagnoses
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Inpatient facililty diagnoses

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

46504-7 Inpatient Facility Diagnosis : ICD-9-CM Code

Term Description

Identifies diagnosis(es) for which patient was receiving treatment in an inpatient facility within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care.)

Observation ID in Form

M1010

Observation Required in Panel

Required

Fully-Specified Name

Component: Inpatient stay within last 14D - ICD code
Property: Prid
Time: 14D
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Inpatient stay within last 14 days - ICD code [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61 (MAJ)
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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]

Code System	Code	Code Version
CMS OASIS	M1011	C2
CMS OASIS	M1011a	C2
CMS OASIS	M1011b	C2
CMS OASIS	M1011c	C2
CMS OASIS	M1011d	C2
CMS OASIS	M1011e	C2
CMS OASIS	M1011f	C2

57183-6 Inpatient Procedure

Fully-Specified Name

Component: Inpatient procedure relevant to plan of care
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Inpatient procedure relevant to plan of care

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

58050-6 Inpatient Procedure : Procedure Code

Observation ID in Form

M1012

Observation Required in Panel

Required

Fully-Specified Name

Component: Inpatient procedure relevant to plan of care
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: OASIS-C

Long Common Name

Inpatient procedure relevant to plan of care [OASIS-C]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.44 (MIN)

Normative Answer List LL842-6

Externally Defined: Yes
Code System: I9C
Code System OID: 1.3.6.1.4.1.12009.10.1.3275
Link to External List

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

46459-4 Diagnoses Requiring Medical or Treatment Change Within Past 14 Days

Fully-Specified Name

Component: Changed medical regimen diagnoses
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Changed medical regimen diagnoses

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61 (MAJ)
Change Reason: Changed SCALE from "Set" to "-" to match current conventions for the panel terms
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

46507-0 Changed Medical Regimen Diagnosis : ICD-9-CM Code

Term Description

Identifies the diagnosis(es) that have caused an addition or change to the patient's treatment, regimen, health care services received, or medication within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care [or the date of the follow-up/discharge visit].)

Observation ID in Form

M1016

Observation Required in Panel

Required

Fully-Specified Name

Component: Regimen change in past 14D - ICD code
Property: Prid
Time: 14D
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Regimen change in past 14 days - ICD code [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61 (MAJ)
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

Code System	Code	Code Version
CMS OASIS	M0107f	C2
CMS OASIS	M1017	C2
CMS OASIS	M1017a	C2
CMS OASIS	M1017b	C2
CMS OASIS	M1017c	C2
CMS OASIS	M1017d	C2
CMS OASIS	M1017e	C2

46465-1 Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]

Term Description

Identifies existence of condition(s) prior to medical regimen change or inpatient stay within 14 days of start of care. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care [or the date of the follow-up/discharge visit].)

Observation ID in Form

M1018

Fully-Specified Name

Component: Conditions prior to medical or treatment regimen change or inpatient stay within past 14D
Property: Find
Time: 14D
System: ^Patient
Scale: Nom
Method: OASIS

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61 (MIN)
Order vs. Observation: Observation

Normative Answer List LL252-8

Answer	Code	Answer ID
Urinary incontinence	1	LA6436-5
Indwelling/suprapubic catheter	2	LA6240-1
Intractable pain	3	LA6243-5
Impaired decision-making	4	LA6227-8
Disruptive or socially inappropriate behavior	5	LA27596-8
Memory loss to the extent that supervision required	6	LA6261-7
None of the above	7	LA9-3
No inpatient facility discharge and no change in medical/treatment regimen in past 14 days	NA	LA6282-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

Third Party Copyright

46609-4 Diagnosis and severity index

Fully-Specified Name

Component: Diagnosis and severity index
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.73 (PANEL)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services 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.

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

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

46512-0 Primary Diagnosis Symptom Control Rating

Term Description

Severity category for diagnosis.

Observation ID in Form

M1020

Fully-Specified Name

Component: Primary diagnosis severity rating
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: OASIS

Long Common Name

Primary diagnosis severity rating [OASIS]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.50 (MIN)

Normative Answer List LL253-6

Answer	Code	Answer ID
0	0	LA6111-4
1	1	LA6112-2
2 or more	2	LA6113-0
3	3	LA6114-8
4	4	LA6115-5

Member of these Panels

LOINC	Long Common Name
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46513-8 Other diagnosis 1 - ICD code [OASIS]

Term Description

Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 1 - ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method: 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
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46514-6 Other diagnosis 1: Symptom Control Rating

Term Description

Severity category for diagnosis.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 1 - severity rating
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: OASIS

Long Common Name

Other diagnosis 1 - severity rating [OASIS]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.54 (MIN)

Normative Answer List LL253-6

Answer	Code	Answer ID
0	0	LA6111-4
1	1	LA6112-2
2 or more	2	LA6113-0
3	3	LA6114-8
4	4	LA6115-5

Member of these Panels

LOINC	Long Common Name
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46515-3 Other diagnosis 2 - ICD code [OASIS]

Term Description

Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 2 - ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method: 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
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46516-1 Other diagnosis 2: Symptom Control Rating

Term Description

Severity category for diagnosis.

Fully-Specified Name

Component: Other diagnosis 2 - severity rating
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: OASIS

Long Common Name

Other diagnosis 2 - severity rating [OASIS]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.54 (MIN)

Normative Answer List LL253-6

Answer	Code	Answer ID
0	0	LA6111-4
1	1	LA6112-2
2 or more	2	LA6113-0
3	3	LA6114-8
4	4	LA6115-5

Member of these Panels

LOINC	Long Common Name
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46517-9 Other diagnosis 3 - ICD code [OASIS]

Term Description

Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 3 - ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method: 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
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46518-7 Other diagnosis 3: Symptom Control Rating

Term Description

Severity category for diagnosis.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 3 - severity rating
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: OASIS

Long Common Name

Other diagnosis 3 - severity rating [OASIS]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.54 (MIN)

Normative Answer List LL253-6

Answer	Code	Answer ID
0	0	LA6111-4
1	1	LA6112-2
2 or more	2	LA6113-0
3	3	LA6114-8
4	4	LA6115-5

Member of these Panels

LOINC	Long Common Name
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46519-5 Other diagnosis 4 - ICD code [OASIS]

Term Description

Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 4 - ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method: 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
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46520-3 Other diagnosis 4: Symptom Control Rating

Term Description

Severity category for diagnosis.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 4 - severity rating
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: OASIS

Long Common Name

Other diagnosis 4 - severity rating [OASIS]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.54 (MIN)

Normative Answer List LL253-6

Answer	Code	Answer ID
0	0	LA6111-4
1	1	LA6112-2
2 or more	2	LA6113-0
3	3	LA6114-8
4	4	LA6115-5

Member of these Panels

LOINC	Long Common Name
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46521-1 Other diagnosis 5 - ICD code [OASIS]

Term Description

Identifies diagnosis for which the patient is receiving care and its ICD-9-CM code.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 5 - ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method: 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
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

46522-9 Other diagnosis 5: Symptom Control Rating

Term Description

Severity category for diagnosis.

Observation ID in Form

M1022

Fully-Specified Name

Component: Other diagnosis 5 - severity rating
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: OASIS

Long Common Name

Other diagnosis 5 - severity rating [OASIS]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.54 (MIN)

Normative Answer List LL253-6

Answer	Code	Answer ID
0	0	LA6111-4
1	1	LA6112-2
2 or more	2	LA6113-0
3	3	LA6114-8
4	4	LA6115-5

Member of these Panels

LOINC	Long Common Name
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

Copyright

Organization: Center for Health Policy Research, UCHSC, Denver, CO
Copyright: Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
Terms of Use: Used with permission.

58051-4 Payment diagnosis [OASIS-C]

Observation Required in Panel

Required

Fully-Specified Name

Component: Payment diagnosis
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: OASIS-C

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

49561-4 Payment diagnosis [identifier]

Observation ID in Form

M1024

Observation Required in Panel

Required

Fully-Specified Name

Component: Payment diagnosis
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.22
Last Updated: Version 2.40 (MIN)

Example 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
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
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

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διάγνωση πληρωμής:Prid:Pt:^Ασθενής:Nom: Synonyms: - CLIN Nom Prid Pt Ασθενής Διάγνωση Διάγνωση πληρωμής
es-MX	Spanish (Mexico)	Diagnóstico de pago:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi di pagamento:Prid:Pt:^Paziente:Nom: Synonyms: Clinico paziente Presenza o Identità Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Pagamento de diagnóstico:Ident:Pt:^Paciente:Nom: Synonyms: ; Payment Dx; Identity or presence; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Оплата диагноз:ПрИд:ТчкВрм:^Пациент:Ном: Synonyms: Диагноз для оплаты Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN	Chinese (China)	支付诊断:存在与否或特征标识: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;瞬间诊断结论;判断;结论

46466-9 Therapies the patient receives at home

Term Description

Identifies whether the patient is receiving intravenous, parenteral nutrition, or enteral nutrition therapy at home.

Observation ID in Form

M1030

Fully-Specified Name

Component: Therapeutic substance administered at home
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Therapeutic substance administered at home during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to the Component to clarify the concept
Order vs. Observation: Observation

Normative Answer List LL254-4

Answer	Code	Answer ID
Intravenous or infusion therapy (excludes TPN)	1	LA6244-3
Parenteral nutrition (TPN or lipids)	2	LA6321-9
Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal)	3	LA6194-0
None of the above	4	LA9-3

Member of these Panels

LOINC	Long Common Name
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]

57319-6 Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization?

Observation ID in Form

M1032

Fully-Specified Name

Component: Risk for hospitalization
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Risk for hospitalization during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Observation

Normative Answer List LL777-4

Answer	Code	Answer ID
Recent decline in mental, emotional, or behavioral status	1	LA12130-3
Multiple hospitalizations (2 or more) in the past 12 months	2	LA12131-1
History of falls (2 or more falls - or any fall with an injury - in the past year)	3	LA12132-9
Taking five or more medications	4	LA12133-7
Frailty indicators, e.g., weight loss, self-reported exhaustion	5	LA12134-5
Other	6	LA46-8
None of the above	7	LA9-3

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

57206-5 Overall Status:Which description best fits the patient's overall status?

Observation ID in Form

M1034

Fully-Specified Name

Component: Overall status
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Overall status during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed Scale from Nom to Ord because the Answer List is ordinal
Order vs. Observation: Observation

Normative Answer List LL778-2

Answer	Code	Answer ID
The patient is stable with no heightened risk(s) for serious complications and death (beyond those typical of the patient's age).	0	LA12137-8
The patient is temporarily facing high health risk(s) but is likely to return to being stable without heightened risk(s) for serious complications and death (beyond those typical of the patient's age).	1	LA12138-6
The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death.	2	LA12139-4
The patient has serious progressive conditions that could lead to death within a year.	3	LA10096-8
The patient's situation is unknown or unclear.	UK	LA12141-0

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57207-3 Risk factors, either present or past, likely to affect current health status and/or outcome

Observation ID in Form

M1036

Fully-Specified Name

Component: Risk factors affecting health status and or outcome
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Risk factors affecting health status and or outcome during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "past or present" from the Component because that is implied
Order vs. Observation: Observation
Common Test Rank Get Info: 16958

Normative Answer List LL779-0

Answer	Code	Answer ID
Smoking	1	LA8928-9
Obesity	2	LA6301-1
Alcohol dependency	3	LA6152-8
Drug dependency	4	LA6189-0
None of the above	5	LA9-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

Third Party Copyright

57043-2 Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?

Observation ID in Form

M1100

Form Coding Instructions

Check one option only

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Living arrangements
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Living arrangements

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

57212-3 Patient lives alone

Observation ID in Form

M1100a

Fully-Specified Name

Component: Patient lives alone
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Patient lives alone during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL783-2

Answer	Code	Answer ID
Around the clock	1	LA12163-4
Regular daytime	2	LA12164-2
Regular nighttime	3	LA12165-9
Occasional / short-term assistance	4	LA12166-7
No assistance available	5	LA12167-5

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

57213-1 Patient lives with other person

Observation ID in Form

M1100b

Fully-Specified Name

Component: Patient lives with other person
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Patient lives with other person during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL845-9

Answer	Code	Answer ID
Around the clock	6	LA12163-4
Regular daytime	7	LA12164-2
Regular nighttime	8	LA12165-9
Occasional / short-term assistance	9	LA12166-7
No assistance available	10	LA12167-5

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

57214-9 Patient lives in congregated situtation

Observation ID in Form

M1100c

Form Coding Instructions

e.g., assisted living

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Patient lives in congregated situtation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Patient lives in congregated situtation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL848-3

Answer	Code	Answer ID
Around the clock	11	LA12163-4
Regular daytime	12	LA12164-2
Regular nighttime	13	LA12165-9
Occasional / short-term assistance	14	LA12166-7
No assistance available	15	LA12167-5

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

57042-4 Sensory status

Fully-Specified Name

Component: Sensory status
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Sensory status during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Added METHOD of CMS Assessments because this unique panel originates from CMS instruments
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
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
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]

57215-6 Vision

Observation ID in Form

M1200

Fully-Specified Name

Component: Vision
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Vision during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL784-0

Answer	Code	Answer ID
Normal vision: sees adequately in most situations; can see medication labels, newsprint.	0	LA12168-3
Partially impaired: cannot see medication labels or newsprint, but can see obstacles in path, and the surrounding layout; can count fingers at arm's length.	1	LA12169-1
Severely impaired: cannot locate objects without hearing or touching them or patient nonresponsive.	2	LA6375-5

Member of these Panels

LOINC	Long Common Name
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
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]

57216-4 Ability to hear

Observation ID in Form

M1210

Fully-Specified Name

Component: Ability to hear
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Ability to hear during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL785-7

Answer	Code	Answer ID
Adequate: hears normal conversation without difficulty.	0	LA12123-8
Mildly to Moderately Impaired: difficulty hearing in some environments or speaker may need to increase volume or speak distinctly.	1	LA12124-6
Severely Impaired: absence of useful hearing.	2	LA12125-3
Unable to assess hearing.	UK	LA12174-1

Member of these Panels

LOINC	Long Common Name
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
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]

57217-2 Understanding of verbal content in patient's own language (with hearing aid or device if used)

Observation ID in Form

M1220

Fully-Specified Name

Component: Understanding of verbal content
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Understanding of verbal content during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL786-5

Answer	Code	Answer ID
Understands: clear comprehension without cues or repetitions.	0	LA12175-8
Usually understands: understands most conversations, but misses some part/intent of message. Requires cues at times to understand.	1	LA12176-6
Sometimes understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand.	2	LA12177-4
Rarely/never understands.	3	LA27670-1
Unable to assess understanding.	UK	LA12179-0

Member of these Panels

LOINC	Long Common Name
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
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]

57218-0 Speech and oral (verbal) expression of language (in patient's own language)

Observation ID in Form

M1230

Fully-Specified Name

Component: Speech and oral expression of language
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Speech and oral expression of language during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL787-3

Answer	Code	Answer ID
Expresses complex ideas, feelings, and needs clearly, completely, and easily in all situations with no observable impairment.	0	LA6197-3
Minimal difficulty in expressing ideas and needs (may take extra time; makes occasional errors in word choice, grammar or speech intelligibility; needs minimal prompting or assistance).	1	LA12181-6
Expresses simple ideas or needs with moderate difficulty (needs prompting or assistance, errors in word choice, organization or speech intelligibility). Speaks in phrases or short sentences.	2	LA12182-4
Has severe difficulty expressing basic ideas or needs and requires maximal assistance or guessing by listener. Speech limited to single words or short phrases.	3	LA12183-2
Unable to express basic needs even with maximal prompting or assistance but is not comatose or unresponsive (for example, speech is nonsensical or unintelligible).	4	LA12184-0
Patient nonresponsive or unable to speak.	5	LA6336-7

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

57219-8 Has this patient had a formal Pain Assessment using a standardized, validated pain assessment tool (appropriate to the patient's ability to communicate the severity of pain)?

Observation ID in Form

M1240

Fully-Specified Name

Component: Formal pain assessment using standardized tool
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Formal pain assessment using standardized tool during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Observation

Normative Answer List LL788-1

Answer	Code	Answer ID
No standardized, validated assessment conducted	0	LA27671-9
Yes, and it does not indicate severe pain	1	LA12187-3
Yes, and it indicates severe pain	2	LA12188-1

Member of these Panels

LOINC	Long Common Name
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
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]

57220-6 Frequency of pain interfering with patient's activity or movement:

Observation ID in Form

M1242

Fully-Specified Name

Component: Frequency of pain interfering with activity or movement
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Frequency of pain interfering with activity or movement during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed Property to NRat because this is a frequency term; Changed Property from NRat to Find because the answer list does not reflect Nrat
Order vs. Observation: Observation

Normative Answer List LL789-9

Answer	Code	Answer ID
Patient has no pain	0	LA12189-9
Patient has pain that does not interfere with activity or movement	1	LA12190-7
Less often than daily	2	LA6249-2
Daily, but not constantly	3	LA6177-5
All of the time	4	LA6154-4

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]

57044-0 Integumentary status

Fully-Specified Name

Component: Integumentary status
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

57221-4 Pressure Ulcer Assessment: Was this patient assessed for Risk of Developing Pressure Ulcers?

Observation ID in Form

M1300

Skip Logic

If "0 - No", then go to M1306.

Fully-Specified Name

Component: Pressure injury assessment was conducted
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Pressure injury assessment was conducted during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed Scale from Nom to Ord because the Answer List is ordinal; "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

Normative Answer List LL790-7

Answer	Code	Answer ID
No assessment conducted	0	LA12194-9
Yes, based on an evaluation of clinical factors (for example, mobility, incontinence, nutrition) without use of standardized tool	1	LA27673-5
Yes, using a standardized, validated tool (for example, Braden Scale, Norton Scale)	2	LA27672-7

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57280-0 Does this patient have a Risk of Developing Pressure Ulcers?

Observation ID in Form

M1302

Fully-Specified Name

Component: Risk of developing pressure injuries
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Risk of developing pressure injuries during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; "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

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
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) 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]
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]
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]
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]
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
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) 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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Third Party Copyright

57307-1 Does this patient have at lease one Unhealed Pressure Ulcer at Stage II or Higher or designated as "unstageable"

Observation ID in Form

M1306

Skip Logic

If "0 - No", then go to M1322.

Fully-Specified Name

Component: Unhealed pressure injury at Stage 2 or higher or designated as unstageable
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: OASIS-C

Long Common Name

Unhealed pressure injury at stage 2 or higher or designated as unstageable [OASIS-C]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.64 (NAM)
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 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
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

Third Party Copyright

58102-5 Current number of unhealed (non-epithelialized) pressure ulcers at each stage

Observation ID in Form

M1308

Form Coding Instructions

Enter "0" if none; excludes Stage I pressure ulcers

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Current number of unhealed (non-epithelialized) pressure injuries at each stage
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: OASIS-C

Long Common Name

Current number of unhealed (non-epithelialized) pressure injuries at each stage [OASIS-C]

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Change Reason: "Pressure ulcers" has been updated to "pressure injuries" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

57186-9 Number currently present

Observation ID in Form

M1308.1

Form Coding Instructions

Column 1 Complete at SOC/ROC/FU & D/C

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries at each stage
Property: -
Time: Pt
System: ^Patient
Scale: Set
Method

Long Common Name

Number of pressure injuries at each stage Set

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Change Reason: "Pressure ulcers" has been updated to "pressure injuries" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

55124-2 Stage II: 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

Term Description

A stage 2 pressure ulcer is defined as partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough. May also present as an intact or open/ruptured blister.
Source: Centers for Medicare & Medicaid Services

Observation ID in Form

M1308.1a

Form Context

Stage 2: Partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough. May also present as an intact or open/ruptured blister

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries - stage 2
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries - stage 2 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: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "at assessment" from COMPONENT because it is implied by the TIMING=Pt; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
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]
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]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300B1	1.17.2
CMS MDS	M0300B1	v1.18.11
CMS OASIS	M1311A1	E
CMS LCDS	M0300B1	3.00
CMS IRF-PAI	M0300B1	2.0
CMS MDS	M0300B1	1.16.1
CMS OASIS	M1311A1	D
CMS IRF-PAI	M0300B1	1.4
CMS IRF-PAI	M0300B1	1.5
CMS IRF-PAI	M0300B1	3.0
CMS LCDS	M0300B1	4.00
CMS MDS	M0300B1	1.14.1
CMS MDS	M0300B1	1.15.1
CMS OASIS	M1311A1	C2
CMS MDS	M0300B1	1.17.1
CMS IRF-PAI	M0300B1	4.0
CMS LCDS	M0300B1	5.00
CMS OASIS	M1311A1	D1

55125-9 Stage III: 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

Term Description

A stage 3 pressure ulcer is defined as full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
Source: Centers for Medicare & Medicaid Services

Observation ID in Form

M1800.1b

Skip Logic

If 0, skip to M0400C, Stage 4.

Form Context

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

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries - stage 3
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries - stage 3 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: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "at assessment" from COMPONENT because it is implied by the TIMING=Pt; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
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]
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]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300C1	1.17.2
CMS MDS	M0300C1	v1.18.11
CMS OASIS	M1311B1	E
CMS LCDS	M0300C1	3.00
CMS IRF-PAI	M0300C1	2.0
CMS MDS	M0300C1	1.16.1
CMS OASIS	M1311B1	D
CMS IRF-PAI	M0300C1	1.4
CMS IRF-PAI	M0300C1	1.5
CMS IRF-PAI	M0300C1	3.0
CMS LCDS	M0300C1	4.00
CMS MDS	M0300C1	1.14.1
CMS MDS	M0300C1	1.15.1
CMS OASIS	M1311B1	C2
CMS MDS	M0300C1	1.17.1
CMS IRF-PAI	M0300C1	4.0
CMS LCDS	M0300C1	5.00
CMS OASIS	M1311B1	D1

55126-7 Stage IV: 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

Term Description

A stage 4 pressure ulcer is defined as full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling.
Source: Centers for Medicare & Medicaid Services

Observation ID in Form

M1308.1c

Form Context

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

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries - stage 4
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries - stage 4 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: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "at assessment" from COMPONENT because it is implied by the TIMING=Pt; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
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]
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]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300D1	1.17.2
CMS MDS	M0300D1	v1.18.11
CMS OASIS	M1311C1	E
CMS LCDS	M0300D1	3.00
CMS IRF-PAI	M0300D1	2.0
CMS MDS	M0300D1	1.16.1
CMS OASIS	M1311C1	D
CMS IRF-PAI	M0300D1	1.4
CMS IRF-PAI	M0300D1	1.5
CMS IRF-PAI	M0300D1	3.0
CMS LCDS	M0300D1	4.00
CMS MDS	M0300D1	1.14.1
CMS MDS	M0300D1	1.15.1
CMS OASIS	M1311C1	C2
CMS MDS	M0300D1	1.17.1
CMS IRF-PAI	M0300D1	4.0
CMS LCDS	M0300D1	5.00
CMS OASIS	M1311C1	D1

54893-3 Unstageable: Known or likely but unstageable due to non-removable dressing or device

Term Description

A pressure ulcer that is unstageable due to a non-removable dressing is defined as a known pressure ulcer that is covered by a non-removable dressing or device, such as a surgical dressing, cast, other orthopedic device, or dressing not to be removed per physician's order.
Source: Centers for Medicare & Medicaid Services

Observation ID in Form

M1308.1d1

Description

Unstageable: Known or likely but unstageable due to non-removable dressing or device

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries - unstageable due to non-removable dressing or device
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries - unstageable due to non-removable dressing or device 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; Removed "at assessment" from COMPONENT because it is implied by TIMING of "Pt".; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
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]
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]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300E1	v1.18.11
CMS OASIS	M1311D1	E
CMS MDS	M0300E1	1.17.2
CMS LCDS	M0300E1	3.00
CMS IRF-PAI	M0300E1	2.0
CMS MDS	M0300E1	1.16.1
CMS OASIS	M1311D1	D
CMS IRF-PAI	M0300E1	1.4
CMS IRF-PAI	M0300E1	1.5
CMS IRF-PAI	M0300E1	3.0
CMS LCDS	M0300E1	4.00
CMS MDS	M0300E1	1.14.1
CMS MDS	M0300E1	1.15.1
CMS OASIS	M1311D1	C2
CMS MDS	M0300E1	1.17.1
CMS IRF-PAI	M0300E1	4.0
CMS LCDS	M0300E1	5.00
CMS OASIS	M1311D1	D1

54946-9 Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar.

Term Description

Slough tissue is defined as non-viable yellow, tan, gray, green or brown tissue; usually moist, can be soft, stringy and mucinous in texture. Eschar tissue is defined as dead or devitalized tissue that is hard or soft in texture; usually black, brown, or tan in color, and may appear scablike.
Source: Centers for Medicare & Medicaid Services

Observation ID in Form

M1308.1d2

Description

Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries - unstageable due to coverage of wound bed by slough &or eschar
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries - unstageable due to coverage of wound bed by slough/eschar 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; Removed "at assessment" from COMPONENT because it is implied by TIMING of "Pt";Updated COMPONENT from "and or" to "&or" to match convention; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
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]
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]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300F1	v1.18.11
CMS OASIS	M1311E1	E
CMS MDS	M0300F1	1.17.2
CMS LCDS	M0300F1	3.00
CMS IRF-PAI	M0300F1	2.0
CMS MDS	M0300F1	1.16.1
CMS OASIS	M1311E1	D
CMS IRF-PAI	M0300F1	1.4
CMS IRF-PAI	M0300F1	1.5
CMS IRF-PAI	M0300F1	3.0
CMS LCDS	M0300F1	4.00
CMS MDS	M0300F1	1.14.1
CMS MDS	M0300F1	1.15.1
CMS OASIS	M1311E1	C2
CMS MDS	M0300F1	1.17.1
CMS IRF-PAI	M0300F1	4.0
CMS LCDS	M0300F1	5.00
CMS OASIS	M1311E1	D1

54950-1 Unstageable: Suspected deep tissue injury in evolution

Term Description

A pressure ulcer that is unstageable due to deep tissue injury has purple or maroon area of discolored intact skin due to damage of underlying soft tissue. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue.
Source: Centers for Medicare & Medicaid Services

Observation ID in Form

M1308.1d3

Form Context

Unstageable: Suspected deep tissue injury in evolution

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries - unstageable with suspected deep tissue injury in evolution
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries - unstageable with suspected deep tissue injury in evolution 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; Removed "at assessment" from COMPONENT because it is implied by TIMING of "Pt"; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
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]
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]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300G1	v1.18.11
CMS OASIS	M1311F1	E
CMS MDS	M0300G1	1.17.2
CMS LCDS	M0300G1	3.00
CMS IRF-PAI	M0300G1	2.0
CMS MDS	M0300G1	1.16.1
CMS OASIS	M1311F1	D
CMS IRF-PAI	M0300G1	1.4
CMS IRF-PAI	M0300G1	1.5
CMS IRF-PAI	M0300G1	3.0
CMS LCDS	M0300G1	4.00
CMS MDS	M0300G1	1.14.1
CMS MDS	M0300G1	1.15.1
CMS OASIS	M1311F1	C2
CMS MDS	M0300G1	1.17.1
CMS IRF-PAI	M0300G1	4.0
CMS LCDS	M0300G1	5.00
CMS OASIS	M1311F1	D1

57187-7 Number of those listed in Column 1 that were present on admission (most recent SOC/ROC)

Observation ID in Form

M1308.2

Form Coding Instructions

Column 2 Complete at FU & D/C. Number of those listed in Column 1 that were present on admission (most recent SOC/ROC)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries present at admission
Property: -
Time: Pt
System: ^Patient
Scale: Set
Method

Long Common Name

Number of pressure injuries present at admission Set

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Change Reason: "Pressure ulcers" has been updated to "pressure injuries" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

54886-7 Stage II: 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

Observation ID in Form

M1308.2a

Form Coding Instructions

Enter how many were noted at the time of admission

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries present upon admission &or reentry - stage 2
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries present upon admission/reentry - stage 2 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; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [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]
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]
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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300B2	v1.18.11
CMS MDS	M0300B2	1.17.2
CMS LCDS	M0300B2	3.00
CMS IRF-PAI	M0300B2	2.0
CMS MDS	M0300B2	1.16.1
CMS OASIS	M1311A2	D
CMS IRF-PAI	M0300B2	1.4
CMS IRF-PAI	M0300B2	1.5
CMS IRF-PAI	M0300B2	3.0
CMS LCDS	M0300B2	4.00
CMS MDS	M0300B2	1.14.1
CMS MDS	M0300B2	1.15.1
CMS OASIS	M1311A2	C2
CMS MDS	M0300B2	1.17.1
CMS IRF-PAI	M0300B2	4.0
CMS LCDS	M0300B2	5.00
CMS OASIS	M1311A2	D1

54887-5 Stage III: 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

M1308.2b

Form Coding Instructions

Enter how many were noted at the time of admission

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries present upon admission &or reentry - stage 3
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries present upon admission/reentry - stage 3 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; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [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]
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]
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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300C2	v1.18.11
CMS MDS	M0300C2	1.17.2
CMS LCDS	M0300C2	3.00
CMS IRF-PAI	M0300C2	2.0
CMS MDS	M0300C2	1.16.1
CMS OASIS	M1311B2	D
CMS IRF-PAI	M0300C2	1.4
CMS IRF-PAI	M0300C2	1.5
CMS IRF-PAI	M0300C2	3.0
CMS LCDS	M0300C2	4.00
CMS MDS	M0300C2	1.14.1
CMS MDS	M0300C2	1.15.1
CMS OASIS	M1311B2	C2
CMS MDS	M0300C2	1.17.1
CMS IRF-PAI	M0300C2	4.0
CMS LCDS	M0300C2	5.00
CMS OASIS	M1311B2	D1

54890-9 Stage IV: 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

M1308.2c

Form Coding Instructions

Enter how many were noted at the time of admission

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries present upon admission &or reentry - stage 4
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries present upon admission/reentry - stage 4 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; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [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]
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]
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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300D2	v1.18.11
CMS MDS	M0300D2	1.17.2
CMS LCDS	M0300D2	3.00
CMS IRF-PAI	M0300D2	2.0
CMS MDS	M0300D2	1.16.1
CMS OASIS	M1311C2	D
CMS IRF-PAI	M0300D2	1.4
CMS IRF-PAI	M0300D2	1.5
CMS IRF-PAI	M0300D2	3.0
CMS LCDS	M0300D2	4.00
CMS MDS	M0300D2	1.14.1
CMS MDS	M0300D2	1.15.1
CMS OASIS	M1311C2	C2
CMS MDS	M0300D2	1.17.1
CMS IRF-PAI	M0300D2	4.0
CMS LCDS	M0300D2	5.00
CMS OASIS	M1311C2	D1

54894-1 Unstageable: Known or likely but unstageable due to non-removable dressing or device

Observation ID in Form

M1308.2d1

Fully-Specified Name

Component: Number of pressure injuries present upon admission &or reentry - unstageable due to non-removable dressing
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries present upon admission/reentry - unstageable due to non-removable dressing 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; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [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]
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]
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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300E2	v1.18.11
CMS MDS	M0300E2	1.17.2
CMS LCDS	M0300E2	3.00
CMS IRF-PAI	M0300E2	2.0
CMS MDS	M0300E2	1.16.1
CMS OASIS	M1311D2	D
CMS IRF-PAI	M0300E2	1.4
CMS IRF-PAI	M0300E2	1.5
CMS IRF-PAI	M0300E2	3.0
CMS LCDS	M0300E2	4.00
CMS MDS	M0300E2	1.14.1
CMS MDS	M0300E2	1.15.1
CMS OASIS	M1311D2	C2
CMS MDS	M0300E2	1.17.1
CMS IRF-PAI	M0300E2	4.0
CMS LCDS	M0300E2	5.00
CMS OASIS	M1311D2	D1

54947-7 Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar

Observation ID in Form

M1308.2d2

Form Coding Instructions

Enter how many were noted at the time of admission

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries present upon admission &or reentry - unstageable due to coverage of wound bed by slough &or eschar
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries present upon admission/reentry - unstageable due to coverage of wound bed by slough/eschar 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; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [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]
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]
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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300F2	v1.18.11
CMS MDS	M0300F2	1.17.2
CMS LCDS	M0300F2	3.00
CMS IRF-PAI	M0300F2	2.0
CMS MDS	M0300F2	1.16.1
CMS OASIS	M1311E2	D
CMS IRF-PAI	M0300F2	1.4
CMS IRF-PAI	M0300F2	1.5
CMS IRF-PAI	M0300F2	3.0
CMS LCDS	M0300F2	4.00
CMS MDS	M0300F2	1.14.1
CMS MDS	M0300F2	1.15.1
CMS OASIS	M1311E2	C2
CMS MDS	M0300F2	1.17.1
CMS IRF-PAI	M0300F2	4.0
CMS LCDS	M0300F2	5.00
CMS OASIS	M1311E2	D1

54951-9 Unstageable: Suspected deep tissue injury in evolution.

Observation ID in Form

M1308.2d3

Fully-Specified Name

Component: Number of pressure injuries present upon admission &or reentry - unstageable with suspected deep tissue injury in evolution
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Number of pressure injuries present upon admission/reentry - unstageable with suspected deep tissue injury in evolution 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; "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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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]
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]
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]
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]
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]
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [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]
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]
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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Example Units

Unit	Source
{#}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS MDS	M0300G2	v1.18.11
CMS MDS	M0300G2	1.17.2
CMS LCDS	M0300G2	3.00
CMS IRF-PAI	M0300G2	2.0
CMS MDS	M0300G2	1.16.1
CMS OASIS	M1311F2	D
CMS IRF-PAI	M0300G2	1.4
CMS IRF-PAI	M0300G2	1.5
CMS IRF-PAI	M0300G2	3.0
CMS LCDS	M0300G2	4.00
CMS MDS	M0300G2	1.14.1
CMS MDS	M0300G2	1.15.1
CMS OASIS	M1311F2	C2
CMS MDS	M0300G2	1.17.1
CMS IRF-PAI	M0300G2	4.0
CMS LCDS	M0300G2	5.00
CMS OASIS	M1311F2	D1

57188-5 Stage III and IV pressure ulcer with the largest surface dimension (length x width)

Skip Logic

If no Stage 3 or Stage 4 pressure ulcers, go to M1320.

Fully-Specified Name

Component: Stage 3 or 4 pressure injury with largest surface dimensions
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Stage 3 or 4 pressure injury with largest surface dimensions

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (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.
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

57226-3 Pressure Ulcer Length:

Observation ID in Form

M1310

Fully-Specified Name

Component: Diameter.long
Property: Len
Time: Pt
System: Pressure injury.largest stage 3 or 4
Scale: Qn
Method: OASIS-C

Long Common Name

Longitudinal diameter Pressure injury.largest stage 3 or 4 [OASIS-C]

Basic Attributes

Class: SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.63 (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

Member of these Panels

LOINC	Long Common Name
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

52729-1 Pressure Ulcer Width: Width of the same pressure ulcer; greatest width perpendicular to the length

Observation ID in Form

M1312

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

57228-9 Pressure Ulcer Depth:

Term Description

Depth of same unhealed ulcer or eschar

Observation ID in Form

M1314

Form Coding Instructions

Enter 99.9 if the largest ulcer is unstageable and is not eschar

Source: Regenstrief Help

Fully-Specified Name

Component: Depth
Property: Len
Time: RptPeriod
System: Pressure injury.largest stage 3 or 4
Scale: Qn
Method: CMS Assessment

Long Common Name

Depth during assessment period [CMS Assessment] Pressure injury.largest stage 3 or 4

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Changed CLASS from SURVEY.OASIS 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
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
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]
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

57229-7 Status of most problematic (observable) pressure ulcer:

Observation ID in Form

M1320

Fully-Specified Name

Component: Status of most problematic pressure injury
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Status of most problematic pressure injury during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; "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

Normative Answer List LL791-5

Answer	Code	Answer ID
Newly epithelialized	0	LA12197-2
Fully granulating	1	LA6203-9
Early/partial granulation	2	LA6193-2
Not healing	3	LA6300-3
No observable pressure ulcer	NA	LA6286-4

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

46536-9 Current Number of Stage I Pressure Ulcers:

Term Description

A stage 1 pressure injury is defined as intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues.

Observation ID in Form

M1322

Form Coding Instructions

Intact skin with non-blanchable redness of a localized area usually over a bony prominence. The area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Number of pressure injuries - stage 1
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Number of pressure injuries - stage 1 Ord [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed SCALE to Ord because this term has a normative answer list; "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

Normative Answer List LL269-2

Answer	Code	Answer ID
Zero	0	LA6458-9
One	1	LA6306-0
Two	2	LA6404-3
Three	3	LA6395-3
Four or more	4	LA6200-5

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]

Example Units

Unit	Source
{#}	Example UCUM Units

57231-3 Status of most problematic unhealed (observable) pressure ulcer:

Observation ID in Form

M1324

Fully-Specified Name

Component: Stage of most problematic pressure injury
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Stage of most problematic pressure injury during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 2.67: ANSWER_LIST_TYPE: Answer List Type changed to Example to accommodate Override Answer Lists; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; "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

Normative Answer List LL793-1

Answer	Code	Answer ID
Stage I	1	LA3664-5
Stage II	2	LA3661-1
Stage III	3	LA3657-9
Stage IV	4	LA3651-2
No observable pressure ulcer or unhealed pressure ulcer	NA	LA12211-1

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57232-1 Does the patient have a Stasis Ulcer?

Observation ID in Form

M1330

Skip Logic

If "0 - No", then go to M1340. If "3 - Yes, patient has unobservable stasis ulcers ONLY (known but not observable due to non-removable dressing)", then go to M1340.

Fully-Specified Name

Component: Stasis pressure injury
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Stasis ulcer [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 2.73: COMPONENT: Update older "ulcer" terms to "pressure injury"; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Observation

Normative Answer List LL794-9

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes, patient has one or more (observable) stasis ulcers	1	LA12213-7
Stasis ulcer known but not observable due to non-removable dressing	2	LA12214-5

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

Third Party Copyright

57233-9 Current Number of (Observable) Stasis Ulcer(s):

Observation ID in Form

M1332

Fully-Specified Name

Component: Number of stasis ulcers
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Number of stasis ulcers during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed SCALE from Qn to Ord because this term has an answer list
Order vs. Observation: Observation

Normative Answer List LL795-6

Answer	Code	Answer ID
One	1	LA6306-0
Two	2	LA6404-3
Three	3	LA6395-3
Four or more	4	LA6200-5

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]

Example Units

Unit	Source
{#}	Example UCUM Units

57234-7 Status of most problematic (observable) stasis ulcer:

Observation ID in Form

M1334

Fully-Specified Name

Component: Status of most problematic stasis pressure injury
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Status of most problematic stasis pressure injury during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 2.73: COMPONENT: Update older "ulcer" terms to "pressure injury"; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Observation

Normative Answer List LL796-4

Answer	Code	Answer ID
Newly epithelialized	0	LA12197-2
Fully granulating	1	LA6203-9
Early/partial granulation	2	LA6193-2
Not healing	3	LA6300-3

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57235-4 Does this patient have a Surgical Wound?

Observation ID in Form

M1340

Skip Logic

If "0 - No", then go to M1350. If "2 - Surgical wound known but not observable due to non-removable dressing", then go to M1350.

Fully-Specified Name

Component: Surgical wound
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Surgical wound during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL849-1

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes, patient has at least one observable surgical wound	1	LA12633-6
Surgical wound known but not observable due to non-removable dressing/device	2	LA12634-4

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

Third Party Copyright

57236-2 Status of most problematic (observable) surgical wound:

Observation ID in Form

M1342

Fully-Specified Name

Component: Status of most problematic surgical wound
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Status of most problematic surgical wound during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL796-4

Answer	Code	Answer ID
Newly epithelialized	0	LA12197-2
Fully granulating	1	LA6203-9
Early/partial granulation	2	LA6193-2
Not healing	3	LA6300-3

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

46534-4 Does this patient have a Skin Lesion or Open Wound (excluding bowel ostomy), other than those described above, that is receiving intervention by the home health agency?

Term Description

Identifies the presence of a skin lesion or open wound. A lesion is a broad term used to describe an area of pathologically altered tissue. Sores, skin tears, ulcers, rashes, surgical incisions, crusts, etc. are all considered lesions. Other than lesions that end in "ostomy" (e.g., tracheostomy, gastrostomy, etc.) or peripheral IV sites, all other alterations in skin integrity are considered to be lesions. Persistent redness without a break in the skin is considered a lesion.

Observation ID in Form

M1350

Fully-Specified Name

Component: Skin lesion or open wound
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Skin lesion or open wound during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
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]

Third Party Copyright

52510-5 Respiratory status

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:-:

57237-0 When is the patient dyspneic or noticeably Short of Breath?

Observation ID in Form

M1400

Fully-Specified Name

Component: Exertion level causing shortness of breath
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Exertion level causing shortness of breath during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Change Component to reflect that this term is not about the time ("when") shortness of breath occurs
Order vs. Observation: Observation

Normative Answer List LL797-2

Answer	Code	Answer ID
Patient is not short of breath	0	LA12224-4
When walking more than 20 feet, climbing stairs	1	LA6443-1
With moderate exertion (for example, while dressing, using commode or bedpan, walking distances less than 20 feet)	2	LA6446-4
With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation	3	LA6445-6
At rest (during day or night)	4	LA6158-5

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57238-8 Respiratory treatments utilized at home:

Observation ID in Form

M1410

Form Coding Instructions

Mark all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Respiratory treatments administered at home
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Respiratory treatments administered at home during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Edited the Component to match format of similar terms, like 46466-9; Changed METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee. Changed CLASS from SURVEY.OASIS to SURVEY.CMS because term is used across CMS assessments.
Order vs. Observation: Observation

Normative Answer List LL798-0

Answer	Code	Answer ID
Oxygen (intermittent or continuous)	1	LA6319-3
Ventilator (continually or at night)	2	LA6438-1
Continuous / Bi-level positive airway pressure	3	LA12231-9
None of the above	4	LA9-3

Member of these Panels

LOINC	Long Common Name
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
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
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]

57046-5 Elimination status

Fully-Specified Name

Component: Elimination status
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
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

46553-4 Urinary incontinence or urinary catheter present

Term Description

Identifies presence of urinary incontinence or condition that requires urinary catheterization of any type, including intermittent or indwelling.

Part Descriptions

LP21378-2 Catheter
In medicine, a catheter is a tube that can be inserted into a body cavity duct or vessel. Catheters thereby allow drainage or injection of fluids or access by surgical instruments. The process of inserting a catheter is catheterization. In most uses a catheter is a thin, flexible tube: a soft catheter; in some uses, it is a larger, solid tube: a hard catheter. 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, Catheter (Wikipedia)

Observation ID in Form

M1610

Skip Logic

If "0 - No incontinence or catheter (includes anuria or ostomy for urinary drainage)", then go to M1620.

Fully-Specified Name

Component: Urinary incontinence or urinary catheter present
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Urinary incontinence or urinary catheter present during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL277-5

Answer	Code	Answer ID
No incontinence or catheter (includes anuria or ostomy for urinary drainage)	0	LA6278-1
Patient is incontinent	1	LA6332-6
Patient requires a urinary catheter (specifically: external, indwelling, intermittent, or suprapubic)	2	LA6339-1

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]

46587-2 Bowel incontinence frequency

Term Description

Identifies how often the patient experiences bowel incontinence.

Observation ID in Form

M1620

Skip Logic

If "UK - Unknown, omit "UK" option on FU, DC.

Fully-Specified Name

Component: Bowel incontinence frequency
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Bowel incontinence frequency during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed Property to NRat because this is a frequency term; Changed Property from NRat to Find because the answer list does not reflect Nrat
Order vs. Observation: Observation

Normative Answer List LL279-1

Answer	Code	Answer ID
Very rarely or never has bowel incontinence	0	LA6440-7
Less than once weekly	1	LA6252-6
One to three times weekly	2	LA6307-8
Four to six times weekly	3	LA6201-3
On a daily basis	4	LA6302-9
More often than once daily	5	LA6263-3
Patient has ostomy for bowel elimination	NA	LA6330-0
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

Third Party Copyright

46588-0 Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay, or b) necessitated a change in medical or treatment regimen?

Term Description

Identifies whether the patient has an ostomy for bowel elimination and, if so, whether the ostomy was related to a recent inpatient stay or a change in medical treatment plan in the last 14 days.

Observation ID in Form

M1630

Fully-Specified Name

Component: Ostomy for bowel elimination
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: OASIS

Long Common Name

Ostomy for bowel elimination [OASIS]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61 (MIN)
Order vs. Observation: Observation

Normative Answer List LL280-9

Answer	Code	Answer ID
Patient does not have an ostomy for bowel elimination.	0	LA6328-4
Patient's ostomy was not related to an inpatient stay and did not necessitate change in medical or treatment regimen.	1	LA6343-3
The ostomy was related to an inpatient stay or did necessitate change in medical or treatment regimen.	2	LA6392-0

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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

69333-3 Neuro & emotional & behavioral status

Fully-Specified Name

Component: Neuro & emotional & behavioral status - resumption of care
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: OASIS-C

Long Common Name

Neuro and emotional and behavioral status - resumption of care [OASIS-C]

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.44 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care

46589-8 Cognitive functioning

Term Description

Identifies the patient's current level of cognitive functioning, including alertness, orientation, comprehension, concentration, and immediate memory for simple commands.

Observation ID in Form

M1700

Fully-Specified Name

Component: Cognitive functioning
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Cognitive functioning during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL281-7

Answer	Code	Answer ID
Alert/oriented, able to focus and shift attention, comprehends and recalls task directions independently.	0	LA6153-6
Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions.	1	LA6362-3
Requires assistance and some direction in specific situations (for example, all tasks involving shifting of attention) or consistently requires low stimulus environment due to distractibility.	2	LA6359-9
Requires considerable assistance in routine situations. Is not alert and oriented or is unable to shift attention and recall directions more than half the time.	3	LA12251-7
Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium.	4	LA6399-5

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

58104-1 When confused (reported or observed within the last 14 days):

Observation ID in Form

M1710

Fully-Specified Name

Component: When confused within the last 14D
Property: Find
Time: 14D
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

When confused within the last 14 days [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.61 (NAM)
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "reported or observed" from the COMPONENT because an oberservation of this nature must either be reported or observed, and therefore stating so is redundant;Changed "days" to "D" to match LOINC conventions for abbreviating time
Order vs. Observation: Observation

Normative Answer List LL282-5

Answer	Code	Answer ID
Never	0	LA6270-8
In new or complex situations only	1	LA6231-0
On awakening or at night only	2	LA6303-7
During the day and evening, but not constantly	3	LA6190-8
Constantly	4	LA6174-2
Patient nonresponsive	NA	LA6335-9

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

86495-9 When Anxious (Reported or Observed Within the Last 14 Days)

Observation ID in Form

M1720

Fully-Specified Name

Component: When anxious within the last 14D
Property: Find
Time: 14D
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

When anxious within the last 14 days [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.63 (ADD)
Order vs. Observation: Observation

Normative Answer List LL283-3

Answer	Code	Answer ID
None of the time	0	LA6297-1
Less often than daily	1	LA6249-2
Daily, but not constantly	2	LA6177-5
All of the time	3	LA6154-4
Patient nonresponsive	NA	LA6335-9

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57242-0 Depression Screening: Has the patient been screened for depression, using a standardized depression screening tool?

Observation ID in Form

M1730

Fully-Specified Name

Component: Standardized depression screening was conducted
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Standardized depression screening was conducted during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.78 (MIN)
Change Reason: Release 2.78: ORDER_OBS: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; PanelType: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; 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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to thoroughly represent the survey question and be consistent with the naming convention of 57221-4
Order vs. Observation: Subset
Panel Type: Organizer

Normative Answer List LL803-8

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes, patient was screened using the PHQ-2© scale.	1	LA12254-1
Yes, patient was screened with a different standardized, validated assessment and the patient meets criteria for further evaluation for depression.	2	LA12255-8
Yes, patient was screened with a different standardized, validated assessment and the patient does not meet criteria for further evaluation for depression.	3	LA12256-6

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]

Third Party Copyright

58120-7 Patient health questionnaire 2 item

Term Description

The Patient Health Questionnaire-2 (PHQ-2) is a shorter version of the PHQ-9 containing two screening questions: one about the frequency of depressed mood and another about loss of interest in activities. A positive to either question indicates further testing is required.

Fully-Specified Name

Component: Patient health questionnaire 2 item
Property: -
Time: 2W
System: ^Patient
Scale: -
Method: PHQ.CMS

Long Common Name

Patient Health Questionnaire 2 item (PHQ-2) [PHQ.CMS]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.78 (MIN)
Change Reason: Release 2.78: PanelType: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; ORDER_OBS: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; Previous Releases: Updated METHOD from PHQ.OASIS to PHQ.CMS Assessment to use term across CMS instruments;Changed TIMING to 14D to reflect form text. Changed CLASS from SURVEY.OASIS to SURVEY.CMS because term is used across CMS assessments.
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]

Copyright

Organization: Pfizer, Inc
Copyright: Copyright © Pfizer Inc. All rights reserved.
Terms of Use: Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.
URL: https://www.phqscreeners.com/

44250-9 Little interest or pleasure in doing things

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Little interest or pleasure in doing things in last 2W
Property: Find
Time: 2W
System: ^Patient
Scale: Ord
Method

Long Common Name

Little interest or pleasure in doing things in last 2 weeks

Basic Attributes

Class: SURVEY.PHQ
Type: Surveys
First Released: Version 2.17
Last Updated: Version 2.72 (MAJ)
Change Reason: Release 2.72: AnswerListId: Updated to a more general list without associated codes; METHOD_TYP: Removed Method because this concept is not specific to PHQ; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PHQ9; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.;
Order vs. Observation: Observation

Normative Answer List LL358-3

Answer	Code	Score	Answer ID
Not at all	0	0	LA6568-5
Several days	1	1	LA6569-3
More than half the days	2	2	LA6570-1
Nearly every day	3	3	LA6571-9

Member of these Panels

LOINC	Long Common Name
97023-6	Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
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
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
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]
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]
69729-2	Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69723-5	Patient Health Questionnaire (PHQ) [Reported]
55757-9	Patient Health Questionnaire 2 item (PHQ-2) [Reported]
69724-3	Patient Health Questionnaire 4 item (PHQ-4) [Reported]
94329-0	Patient Health Questionnaire 8 item (PHQ-8) [Reported]
99745-2	Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7	Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
44249-1	PHQ-9 quick depression assessment panel [Reported.PHQ]

44255-8 Feeling down, depressed, or hopeless

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Feeling down, depressed, or hopeless in last 2W
Property: Find
Time: 2W
System: ^Patient
Scale: Ord
Method

Long Common Name

Feeling down, depressed, or hopeless in last 2 weeks

Basic Attributes

Class: SURVEY.PHQ
Type: Surveys
First Released: Version 2.17
Last Updated: Version 2.72 (MAJ)
Change Reason: Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to PHQ; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PHQ; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; AnswerListId: Updated to a more general list without associated codes; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability;
Order vs. Observation: Observation

Normative Answer List LL358-3

Answer	Code	Score	Answer ID
Not at all	0	0	LA6568-5
Several days	1	1	LA6569-3
More than half the days	2	2	LA6570-1
Nearly every day	3	3	LA6571-9

Member of these Panels

LOINC	Long Common Name
97023-6	Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
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
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
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]
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]
69729-2	Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69723-5	Patient Health Questionnaire (PHQ) [Reported]
55757-9	Patient Health Questionnaire 2 item (PHQ-2) [Reported]
69724-3	Patient Health Questionnaire 4 item (PHQ-4) [Reported]
94329-0	Patient Health Questionnaire 8 item (PHQ-8) [Reported]
99745-2	Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7	Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
44249-1	PHQ-9 quick depression assessment panel [Reported.PHQ]

46473-5 Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed):

Observation ID in Form

M1740

Form Coding Instructions

Mark all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per W
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per week during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Expanded the Component to more thoroughly represent the survey question; Replaced 'behaviors' with 'symptoms' to reflect CMS form; In Component, changed "or" to "and" to reflect change in CMS assessment
Order vs. Observation: Observation

Normative Answer List LL285-8

Answer	Code	Answer ID
Memory deficit: failure to recognize familiar persons/places, inability to recall events of past 24 hours, significant memory loss so that supervision is required	1	LA12257-4
Impaired decision-making: failure to perform usual ADLs or IADLs, inability to appropriately stop activities, jeopardizes safety through actions	2	LA6228-6
Verbal disruption: yelling, threatening, excessive profanity, sexual references, etc.	3	LA6439-9
Physical aggression: aggressive or combative to self and others (for example, hits self, throws objects, punches, dangerous maneuvers with wheelchair or other objects)	4	LA12260-8
Disruptive, infantile, or socially inappropriate behavior (excludes verbal actions)	5	LA6187-4
Delusional, hallucinatory, or paranoid behavior	6	LA6181-7
None of the above behaviors demonstrated	7	LA6294-8

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

46592-2 Frequency of disruptive behavior symptoms (reported or observed)

Observation ID in Form

M1745

Form Coding Instructions

Any physical, verbal, or other disruptive/dangerous symptoms that are injurious to self or others or jeopardize personal safety

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Frequency of behavior problems
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Frequency of behavior problems during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed Property to NRat because this is a frequency term; Changed Property from NRat to Find because the answer list does not reflect Nrat
Order vs. Observation: Observation

Normative Answer List LL286-6

Answer	Code	Answer ID
Never	0	LA6270-8
Less than once a month	1	LA6251-8
Once a month	2	LA6304-5
Several times each month	3	LA6374-8
Several times a week	4	LA6371-4
At least daily	5	LA6157-7

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

46593-0 Is this patient receiving Psychiatric Nursing Services at home provided by a qualified psychiatric nurse?

Term Description

Identifies whether the patient is receiving psychiatric nursing services at home as provided by a qualified psychiatric nurse. "Psychiatric nursing services" address mental/emotional needs; a "qualified psychiatric nurse" is so qualified through educational preparation or experience.

Observation ID in Form

M1750

Fully-Specified Name

Component: Receives psychiatric nursing
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Receives psychiatric nursing during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

Third Party Copyright

57048-1 ADL and IADLs

Fully-Specified Name

Component: ADL & IADLs
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.OASIS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.68 (MIN)
Change Reason: Corrected typo in Component
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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

46595-5 Grooming:

Term Description

Identifies the patient's ability to tend to personal hygiene needs, excluding bathing (such as washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).

Observation ID in Form

M1800

Form Context

Current ability to tend safely to personal hygiene needs (i.e., washing face and hands, hair care, shaving or make up, teeth or denture care, fingernail care)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Grooming - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Grooming - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.70 (MAJ)
Change Reason: Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Release 2.67: DefinitionDescription: Added examples from the CMS OASIS form to the Description to further distinguish the ADLs of "Grooming" and "Bathing."; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL287-4

Answer	Code	Answer ID
Able to groom self unaided, with or without the use of assistive devices or adapted methods.	0	LA6131-2
Grooming utensils must be placed within reach before able to complete grooming activities.	1	LA6207-0
Someone must assist the patient to groom self.	2	LA6379-7
Patient depends entirely upon someone else for grooming needs.	3	LA6326-8

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

46597-1 Ability to dress upper body:

Term Description

Identifies the patient's ability to dress upper body, including the ability to obtain, put on and remove upper body clothing.

Observation ID in Form

M1810

Form Context

Current ability to dress upper body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Dress upper body - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Dress upper body - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.72 (MAJ)
Change Reason: Release 2.72: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "current" from COMPONENT because it is reflected in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL289-0

Answer	Code	Answer ID
Able to get clothes out of closets and drawers, put them on and remove them from the upper body without assistance.	0	LA6129-6
Able to dress upper body without assistance if clothing is laid out or handed to the patient.	1	LA6127-0
Someone must help the patient put on upper body clothing.	2	LA6381-3
Patient depends entirely upon another person to dress the upper body.	3	LA6325-0

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

46599-7 Ability to dress lower body:

Term Description

Identifies the patient's ability to dress lower body, including the ability to obtain, put on and remove lower body clothing.

Observation ID in Form

M1820

Form Context

Current ability to dress lower body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Dress lower body - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Dress lower body - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.70 (MAJ)
Change Reason: Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms;Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL291-6

Answer	Code	Answer ID
Able to obtain, put on, and remove clothing and shoes without assistance.	0	LA6138-7
Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient.	1	LA6126-2
Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes.	2	LA6380-5
Patient depends entirely upon another person to dress lower body.	3	LA6324-3

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

57243-8 Bathing:

Observation ID in Form

M1830

Form Context

Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Bathing - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Bathing - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.70 (MAJ)
Change Reason: Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL805-3

Answer	Code	Answer ID
Able to bathe self in shower or tub independently, including getting in and out of tub/shower.	0	LA12264-0
With the use of devices, is able to bathe self in shower or tub independently, including getting in and out of the tub/shower.	1	LA12265-7
Able to bathe in shower or tub with the intermittent assistance of another person: (a) for intermittent supervision or encouragement or reminders, OR (b) to get in and out of the shower or tub, OR (c) for washing difficult to reach areas.	2	LA12266-5
Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision.	3	LA12267-3
Unable to use the shower or tub, but able to bathe self independently with or without the use of devices at the sink, in chair, or on commode.	4	LA12268-1
Unable to use the shower or tub, but able to participate in bathing self in bed, at the sink, in bedside chair, or on commode, with the assistance or supervision of another person.	5	LA12269-9
Unable to participate effectively in bathing and is bathed totally by another person.	6	LA12270-7

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

57244-6 Toileting transferring:

Observation ID in Form

M1840

Form Context

Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Toilet transferring - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Toilet transferring - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.70 (MAJ)
Change Reason: Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Example Answer List LL806-1

Answer	Code	Answer ID
Able to get to and from the toilet and transfer independently with or without a device.	0	LA12271-5
When reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer.	1	LA12272-3
Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance).	2	LA6415-9
Unable to get to and from the toilet or bedside commode but is able to use a bedpan/urinal independently.	3	LA6416-7
Is totally dependent in toileting.	4	LA6245-0

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

57245-3 Toileting hygiene:

Observation ID in Form

M1845

Form Context

Current ability to maintain perineal hygiene safely, adjust clothes and/or incontinence pads before and after using toilet, commode, bedpan, urinal. If managing ostomy, includes cleaning area around stoma, but not managing equipment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Toileting hygiene - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Toileting hygiene - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.72 (MAJ)
Change Reason: Release 2.72: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Release 2.67: ANSWER_LIST_TYPE: Answer List Type changed to Example to accommodate Override Answer Lists; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL807-9

Answer	Code	Answer ID
Able to manage toileting hygiene and clothing management without assistance.	0	LA12276-4
Able to manage toileting hygiene and clothing management without assistance if supplies/implements are laid out for the patient.	1	LA12277-2
Someone must help the patient to maintain toileting hygiene and/or adjust clothing.	2	LA12278-0
Patient depends entirely upon another person to maintain toileting hygiene.	3	LA12279-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57246-1 Transferring:

Observation ID in Form

M1850

Form Context

Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Transferring - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Transferring - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.70 (MAJ)
Change Reason: Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL808-7

Answer	Code	Answer ID
Able to independently transfer.	0	LA6136-1
Able to transfer with minimal human assistance or with use of an assistive device.	1	LA12281-4
Able to bear weight and pivot during the transfer process but unable to transfer self.	2	LA12282-2
Unable to transfer self and is unable to bear weight or pivot when transferred by another person.	3	LA6426-6
Bedfast, unable to transfer but is able to turn and position self in bed.	4	LA6161-9
Bedfast, unable to transfer and is unable to turn and position self.	5	LA6160-1

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

57247-9 Ambulation/Locomotion:

Observation ID in Form

M1860

Form Context

Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Locomotion - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Locomotion - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.70 (MAJ)
Change Reason: Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL809-5

Answer	Code	Answer ID
Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (specifically: needs no human assistance or assistive device).	0	LA12286-3
With the use of a one-handed device (for example, cane, single crutch, hemi-walker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings.	1	LA12287-1
Requires use of a two-handed device (for example, walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces.	2	LA12288-9
Able to walk only with the supervision or assistance of another person at all times.	3	LA6147-8
Chairfast, unable to ambulate but is able to wheel self independently.	4	LA6171-8
Chairfast, unable to ambulate and is unable to wheel self.	5	LA6170-0
Bedfast, unable to ambulate or be up in a chair.	6	LA6159-3

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]
108293-2	OASIS E2 - DC during assessment period [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]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106528-3	Outcome and assessment information set (OASIS) form - version E1 - Follow Up 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]
108296-5	Outcome and assessment information set (OASIS) form - version E2 - Follow Up 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]

57248-7 Feeding or eating:

Observation ID in Form

M1870

Form Context

Current ability to feed self meals and snacks safely

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Feeding - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Feeding - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL810-3

Answer	Code	Answer ID
Able to independently feed self.	0	LA6133-8
Able to feed self independently but requires: (a) meal set-up; OR (b) intermittent assistance or supervision from another person; OR (c) a liquid, pureed or ground meat diet.	1	LA12294-7
Unable to feed self and must be assisted or supervised throughout the meal/snack.	2	LA6414-2
Able to take in nutrients orally AND receives supplemental nutrients through a nasogastric tube or gastrostomy.	3	LA6142-9
Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy.	4	LA6422-5
Unable to take in nutrients orally or by tube feeding.	5	LA6423-3

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57249-5 Ability to plan or prepare light meals

Observation ID in Form

M1880

Form Context

Current ability to plan and prepare light meals (e.g., cereal, sandwich) or reheat delivered meals safely

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Prepare light meals - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Prepare light meals - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL811-1

Answer	Code	Answer ID
Able to independently plan and prepare all light meals for self or reheat delivered meals; or Is physically, cognitively, and mentally able to prepare light meals on a regular basis but has not routinely performed light meal preparation in the past. Specifically: prior to this home care admission	0	LA12299-6
Unable to prepare light meals on a regular basis due to physical, cognitive, or mental limitations.	1	LA6420-9
Unable to prepare any light meals or reheat any delivered meals.	2	LA6419-1

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

46569-0 Ability to use telephone:

Term Description

Identifies the ability of the patient to answer the phone, dial number, and effectively use the telephone to communicate.

Observation ID in Form

M1890

Form Context

Current ability to answer the phone safely, including dialing numbers, and effectively using the telephone to communicate

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Telephone use - functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Telephone use - functional ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflected in the TIME, and added "functional" to follow convention for other CMS assessment terms
Order vs. Observation: Observation

Normative Answer List LL313-8

Answer	Code	Answer ID
Able to dial numbers and answer calls appropriately and as desired.	0	LA6124-7
Able to use a specially adapted telephone (for example, large numbers on the dial, teletype phone for the deaf) and call essential numbers.	1	LA6146-0
Able to answer the telephone and carry on a normal conversation but has difficulty with placing calls.	2	LA6121-3
Able to answer the telephone only some of the time or is able to carry on only a limited conversation.	3	LA6122-1
Unable to answer the telephone at all but can listen if assisted with equipment.	4	LA6409-2
Totally unable to use the telephone.	5	LA6400-1
Patient does not have a telephone.	NA	LA6327-6

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

58121-5 Prior Functioning ADL and IADL

Observation ID in Form

M1900

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 ADL and IADL
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Prior Functioning ADL/IADL during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Added METHOD of CMS Assessments because this unique panel originates from CMS instruments; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed "&or" to "and" in the Component because both ADL and IADL terms are included in the panel
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

85070-1 Self-care (specifically: grooming, dressing, bathing, and toileting hygiene)

Term Description

Need for assistance with bathing, dressing, using the toilet, and eating prior to the current illness, exacerbation, or injury.

Observation ID in Form

M1900A

Fully-Specified Name

Component: Prior functioning.self care
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Prior functioning.self care during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.61
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: Change Component display to match Component, like similar terms
Order vs. Observation: Observation

Normative Answer List LL812-9

Answer	Code	Answer ID
Independent	0	LA12302-8
Needed some help	1	LA12303-6
Dependent	2	LA12304-4

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]
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]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) 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]
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]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) 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]
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]
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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	GG0100A	v1.18.11
CMS OASIS	GG0100A	E
CMS IRF-PAI	GG0100A	2.0
CMS MDS	GG0100A	1.16.1
CMS OASIS	GG0100A	D
CMS IRF-PAI	GG0100A	1.4
CMS IRF-PAI	GG0100A	1.5
CMS IRF-PAI	GG0100A	3.0
CMS OASIS	M1900A	C2
CMS MDS	GG0100A	1.17.1
CMS IRF-PAI	GG0100A	4.0
CMS OASIS	GG0100A	D1
CMS MDS	GG0100A	1.17.2

86185-6 Ambulation

Term Description

Indicates the patient's usual ability to walk (with or without assistive devices) prior to the most recent illness, exacerbation, or injury.

Observation ID in Form

M1900B

Fully-Specified Name

Component: Prior functioning.ambulation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Prior functioning.ambulation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
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;
Order vs. Observation: Observation

Normative Answer List LL812-9

Answer	Code	Answer ID
Independent	0	LA12302-8
Needed some help	1	LA12303-6
Dependent	2	LA12304-4

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

86186-4 Transfer

Term Description

Indicate the patient's usual ability to transfer to tub, shower, commode, and bed to chair prior to the most recent illness, exacerbation, or injury

Observation ID in Form

M1900C

Fully-Specified Name

Component: Prior functioning.transfer
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Prior functioning.transfer during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
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;
Order vs. Observation: Observation

Normative Answer List LL812-9

Answer	Code	Answer ID
Independent	0	LA12302-8
Needed some help	1	LA12303-6
Dependent	2	LA12304-4

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

86187-2 Household tasks (specifically: light meal preparation, laundry, shopping, and phone use.)

Term Description

Indicate the patient's usual ability to prepare light meal, do laundry, go shopping, and use the phone prior to the most recent illness, exacerbation, or injury

Observation ID in Form

M1900D

Fully-Specified Name

Component: Prior functioning.household tasks
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Prior functioning.household tasks during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
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;
Order vs. Observation: Observation

Normative Answer List LL812-9

Answer	Code	Answer ID
Independent	0	LA12302-8
Needed some help	1	LA12303-6
Dependent	2	LA12304-4

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57254-5 Has this patient had a multi-factor Fall Risk Assessment (such as falls history, use of multiple medications, mental impairment, toileting frequency, general mobility/transferring impairment, environmental hazards)?

Observation ID in Form

M1910

Fully-Specified Name

Component: Standardized fall risk assessment was conducted
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Long Common Name

Standardized fall risk assessment was conducted during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Updated Component to be consistent with terms such as 57221-4
Order vs. Observation: Observation

Normative Answer List LL4498-3

Answer	Code	Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	0	LA32-8
Yes, and it does not indicate a risk for falls.	1	LA12306-9
Yes, and it does indicate a risk for falls.	2	LA27633-9

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]

Third Party Copyright

52471-0 Medications

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

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

57255-2 Drug regimen review identified potential medication issues

Term Description

Indicates whether a drug regimen review indicate potential clinically significant medication issues.

Observation ID in Form

M2000

Skip Logic

If "0 - Not assessed/reviewed", then go to M2010. If "1 - No problems found during review", then go to M2010. If "NA - Patient is not taking any medications", then go to M2040.

Form Context

Does a complete drug regimen review indicate potential clinically significant medication issues, e.g., drug reactions, ineffective drug therapy, side effects, drug interactions, duplicate therapy, omissions, dosage errors, or noncompliance?

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

Has the patient/caregiver received instruction on special precautions for all high-risk medications (such as hypoglycemics, anticoagulants, etc.) and how and when to report problems that may occur?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Drug regimen review identified potential medication issues
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Drug regimen review identified potential medication issues during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Expanded Component to be more precise
Order vs. Observation: Observation

Normative Answer List LL814-5

Answer	Code	Answer ID
Not assessed/reviewed	0	LA12308-5
No problems found during review	1	LA12309-3
Problems found during review	2	LA12310-1
Patient is not taking any medications	NA	LA12311-9

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]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [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]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) 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]
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]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) 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]
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]
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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	N2001	v1.18.11
CMS MDS	N2001	1.17.2
CMS OASIS	M2001	D1
CMS OASIS	M2001	D
CMS MDS	N2001	1.16.1
CMS LCDS	N2001	4.00
CMS OASIS	M2001	C2
CMS MDS	N2001	1.17.1
CMS IRF-PAI	N2001	3.0
CMS IRF-PAI	N2001	4.0
CMS LCDS	N2001	5.00
CMS OASIS	M2001	E

57281-8 Medication follow-up

Observation ID in Form

M2002

Form Coding Instructions

Was a physician or the physician-designee contacted within one calendar day to resolve clinically significant medication issues, including reconciliation?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Medication follow-up
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Medication follow-up during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
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
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
89963-3	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [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]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) 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]
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]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) 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]
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]
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]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Related Codes

Code System	Code	Code Version
CMS MDS	N2003	v1.18.11
CMS MDS	N2003	1.17.2
CMS OASIS	M2003	D1
CMS OASIS	M2003	D
CMS MDS	N2003	1.16.1
CMS LCDS	N2003	4.00
CMS OASIS	M2003	C2
CMS MDS	N2003	1.17.1
CMS IRF-PAI	N2003	3.0
CMS IRF-PAI	N2003	4.0
CMS LCDS	N2003	5.00
CMS OASIS	M2003	E

Third Party Copyright

57257-8 Patient &or caregiver received high risk drug education

Observation ID in Form

M2010

Fully-Specified Name

Component: Patient &or caregiver received high risk drug education
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Patient/caregiver received high risk drug education during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "received" to Component for clarity
Order vs. Observation: Observation

Normative Answer List LL816-0

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
Patient not taking any high risk drugs OR patient/caregiver fully knowledgeable about special precautions associated with all high-risk medications	NA	LA12317-6

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]
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]
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]

Third Party Copyright

57285-9 Management of oral medications:

Observation ID in Form

M2020

Form Coding Instructions

Excludes injectable and IV medications. (NOTE: This refers to ability, not compliance or willingness.)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Management of oral medications - ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Management of oral medications - ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Edited Component to match LOINC conventions
Order vs. Observation: Observation

Normative Answer List LL818-6

Answer	Code	Answer ID
Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.	0	LA6135-3
Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart.	1	LA12322-6
Able to take medication(s) at the correct times if given reminders by another person at the appropriate times	2	LA12323-4
Unable to take medication unless administered by another person.	3	LA12324-2
No oral medications prescribed.	NA	LA6290-6

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57284-2 Management of injectable medications:

Observation ID in Form

M2030

Form Coding Instructions

Excludes IV medications

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Management of injectable medications - ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Management of injectable medications - ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Edited Component to match LOINC conventions
Order vs. Observation: Observation

Normative Answer List LL819-4

Answer	Code	Answer ID
Able to independently take the correct medication(s) and proper dosage(s) at the correct times.	0	LA12326-7
Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart.	1	LA12327-5
Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection	2	LA12328-3
Unable to take injectable medication unless administered by another person.	3	LA12329-1
No injectable medications prescribed.	NA	LA6280-7

Member of these Panels

LOINC	Long Common Name
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
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]

57196-8 Prior medication management

Observation ID in Form

M2040

Form Coding Instructions

Indicate the patient's usual ability with managing oral and injectable medications 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 medication management
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Prior medication management during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Added METHOD of CMS Assessments because this unique panel originates from CMS instruments
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57258-6 Oral medications

Observation ID in Form

M2040a

Fully-Specified Name

Component: Oral medication management - prior ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Oral medication management - prior ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Edited Component to follow LOINC convention
Order vs. Observation: Observation

Normative Answer List LL820-2

Answer	Code	Answer ID
Independent	0	LA12302-8
Needed some help	1	LA12303-6
Dependent	2	LA12304-4
Not applicable	NA	LA4720-4

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57259-4 Injectable medications

Observation ID in Form

M2040b

Fully-Specified Name

Component: Injectable medication management - prior ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Injectable medication management - prior ability during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Edited Component to follow LOINC conventions
Order vs. Observation: Observation

Normative Answer List LL820-2

Answer	Code	Answer ID
Independent	0	LA12302-8
Needed some help	1	LA12303-6
Dependent	2	LA12304-4
Not applicable	NA	LA4720-4

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57049-9 Care management

Fully-Specified Name

Component: Care management
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Care management during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Added METHOD of CMS Assessments because this unique panel originates from CMS instruments
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

57306-3 Types and sources of assistance

Observation ID in Form

M2100

Form Coding Instructions

Types and Sources of Assistance: Determine the level of caregiver ability and willingness to provide assistance for the following activities, if assistance is needed. (Check only one box in each row.)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Types and sources of assistance
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Types and sources of assistance during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed Scale from Nom to "-" to follow LOINC conventions for panel parent terms
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]

57260-2 Non-agency caregiver ability and willingness to assist with ADL

Observation ID in Form

M2100a

Form Coding Instructions

e.g., transfer/ ambulation, bathing, dressing, toileting, eating/feeding

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Non-agency caregiver ability and willingness to assist with ADL
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Non-agency caregiver ability and willingness to assist with ADL during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
Order vs. Observation: Observation

Normative Answer List LL821-0

Answer	Code	Answer ID
No assistance needed in this area	0	LA12335-8
Caregiver(s) currently provide assistance	1	LA12336-6
Caregiver(s) need training/ supportive services to provide assistance	2	LA12337-4
Caregiver(s) not likely to provide assistance	3	LA12338-2
Unclear if caregiver(s) will provide assistance	4	LA12339-0
Assistance needed, but no caregiver(s) available	5	LA12340-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]

57261-0 Non-agency caregiver ability and willingness to assist with IADL

Observation ID in Form

M2100b

Form Coding Instructions

e.g., meals, housekeeping, laundry, telephone, shopping, finances

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Non-agency caregiver ability and willingness to assist with IADL
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Non-agency caregiver ability and willingness to assist with IADL during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
Order vs. Observation: Observation

Normative Answer List LL821-0

Answer	Code	Answer ID
No assistance needed in this area	0	LA12335-8
Caregiver(s) currently provide assistance	1	LA12336-6
Caregiver(s) need training/ supportive services to provide assistance	2	LA12337-4
Caregiver(s) not likely to provide assistance	3	LA12338-2
Unclear if caregiver(s) will provide assistance	4	LA12339-0
Assistance needed, but no caregiver(s) available	5	LA12340-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

57262-8 Non-agency caregiver ability and willingness to assist with medication administration

Observation ID in Form

M2100c

Form Coding Instructions

e.g., oral, inhaled or injectable

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Non-agency caregiver ability and willingness to assist with medication administration
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Non-agency caregiver ability and willingness to assist with medication administration during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
Order vs. Observation: Observation

Normative Answer List LL821-0

Answer	Code	Answer ID
No assistance needed in this area	0	LA12335-8
Caregiver(s) currently provide assistance	1	LA12336-6
Caregiver(s) need training/ supportive services to provide assistance	2	LA12337-4
Caregiver(s) not likely to provide assistance	3	LA12338-2
Unclear if caregiver(s) will provide assistance	4	LA12339-0
Assistance needed, but no caregiver(s) available	5	LA12340-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]

57263-6 Medical procedures/treatments

Observation ID in Form

M2100d

Form Coding Instructions

e.g., changing wound dressing

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Non-agency caregiver ability and willingness to assist with medical procedures &or treatments
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Non-agency caregiver ability and willingness to assist with medical procedures/treatments during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text; Changed "medication" to "medical" in Component to correct a typo
Order vs. Observation: Observation

Normative Answer List LL821-0

Answer	Code	Answer ID
No assistance needed in this area	0	LA12335-8
Caregiver(s) currently provide assistance	1	LA12336-6
Caregiver(s) need training/ supportive services to provide assistance	2	LA12337-4
Caregiver(s) not likely to provide assistance	3	LA12338-2
Unclear if caregiver(s) will provide assistance	4	LA12339-0
Assistance needed, but no caregiver(s) available	5	LA12340-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]

57264-4 Non-agency caregiver ability and willingness to assist with management of equipment

Observation ID in Form

M2100e

Form Coding Instructions

includes oxygen, IV/infusion equipment, enteral/ parenteral nutrition, ventilator therapy equipment or supplies

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Non-agency caregiver ability and willingness to assist with management of equipment
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Non-agency caregiver ability and willingness to assist with management of equipment during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
Order vs. Observation: Observation

Normative Answer List LL821-0

Answer	Code	Answer ID
No assistance needed in this area	0	LA12335-8
Caregiver(s) currently provide assistance	1	LA12336-6
Caregiver(s) need training/ supportive services to provide assistance	2	LA12337-4
Caregiver(s) not likely to provide assistance	3	LA12338-2
Unclear if caregiver(s) will provide assistance	4	LA12339-0
Assistance needed, but no caregiver(s) available	5	LA12340-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

57265-1 Non-agency caregiver ability and willingness to assist with supervision and safety

Observation ID in Form

M2100f

Form Coding Instructions

e.g., due to cognitive impairment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Non-agency caregiver ability and willingness to assist with supervision and safety
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Non-agency caregiver ability and willingness to assist with supervision and safety during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
Order vs. Observation: Observation

Normative Answer List LL821-0

Answer	Code	Answer ID
No assistance needed in this area	0	LA12335-8
Caregiver(s) currently provide assistance	1	LA12336-6
Caregiver(s) need training/ supportive services to provide assistance	2	LA12337-4
Caregiver(s) not likely to provide assistance	3	LA12338-2
Unclear if caregiver(s) will provide assistance	4	LA12339-0
Assistance needed, but no caregiver(s) available	5	LA12340-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
108293-2	OASIS E2 - DC 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]
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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency 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]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency 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]

57266-9 Advocacy or facilitation

Observation ID in Form

M2100g

Form Coding Instructions

Advocacy or facilitation of patient's participation in appropriate medical care (includes transportation to or from appointments)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Non-agency caregiver ability and willingness to assist with advocacy or facilitation of patient participation
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Non-agency caregiver ability and willingness to assist with advocacy or facilitation of patient participation during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
Order vs. Observation: Observation

Normative Answer List LL821-0

Answer	Code	Answer ID
No assistance needed in this area	0	LA12335-8
Caregiver(s) currently provide assistance	1	LA12336-6
Caregiver(s) need training/ supportive services to provide assistance	2	LA12337-4
Caregiver(s) not likely to provide assistance	3	LA12338-2
Unclear if caregiver(s) will provide assistance	4	LA12339-0
Assistance needed, but no caregiver(s) available	5	LA12340-8

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

57267-7 How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?

Observation ID in Form

M2110

Skip Logic

Omit "UK" option on DC.

Fully-Specified Name

Component: ADL or IADL assistance frequency from any caregiver
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

ADL or IADL assistance frequency from any caregiver during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "frequency" to Component to clarify concept; Changed Property from NRat to Find because the answer list does not reflect Nrat
Order vs. Observation: Observation

Normative Answer List LL822-8

Answer	Code	Answer ID
At least daily	1	LA6157-7
Three or more times per week	2	LA6396-1
One to two times per week	3	LA6308-6
Received, but less often than weekly	4	LA12344-0
No assistance received	5	LA12345-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]

Third Party Copyright

57050-7 Therapy need and plan of care

Fully-Specified Name

Component: Therapy need and plan of care
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Therapy need and plan of care during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Added METHOD of CMS Assessments because this unique panel originates from CMS instruments
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57268-5 Therapy need

Term Description

Total number of therapy visits in the plan of care, including physical therapy, occupational therapy, and speech-language pathology

Observation ID in Form

M2200

Form Coding Instructions

Enter zero ["000"] if no therapy visits indicated. Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined). Not Applicable: No case mix group defined by this assessment

Source: Centers for Medicare & Medicaid Services

Form Context

In the home health plan of care for the Medicare payment episode for which this assessment will define a case mix group, what is the indicated need for therapy visits (total of reasonable and necessary physical, occupational, and speech-language pathology visits combined)?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Therapy need
Property: Num
Time: RptPeriod
System: ^Patient
Scale: Qn
Method: CMS Assessment

Long Common Name

Therapy need during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
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]

Example Units

Unit	Source
{#}	Example UCUM Units

57197-6 Plan of Care Synopsis:

Form Coding Instructions

Check only one box in each row

Source: Centers for Medicare & Medicaid Services

Form Context

Does the physician-ordered plan of care include the following

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care synopsis
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Long Common Name

Plan of care synopsis during assessment period [CMS Assessment]

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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: Added METHOD of CMS Assessment; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

57269-3 Plan of care includes patient-specific parameters for notifying physician of changes

Observation ID in Form

M2250a

Form Coding Instructions

NA - Physician has chosen not to establish patient-specific parameters for this patient. Agency will use standardized clinical guidelines accessible for all care providers to reference

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care includes patient-specific parameters for notifying physician of changes
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Plan of care includes patient-specific parameters for notifying physician of changes during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT
Order vs. Observation: Observation

Normative Answer List LL823-6

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
Not applicable	na	LA4720-4

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
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
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]

Third Party Copyright

57270-1 Plan of care includes diabetic foot care

Observation ID in Form

M2250b

Form Coding Instructions

NA - Patient is not diabetic or is bilateral amputee

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care includes diabetic foot care
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Plan of care includes diabetic foot care during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation: Observation

Normative Answer List LL823-6

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
Not applicable	na	LA4720-4

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [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]

Third Party Copyright

57271-9 Plan of care includes fall prevention interventions

Observation ID in Form

M2250c

Form Coding Instructions

NA - Patient is not assessed to be at risk for falls

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care includes fall prevention interventions
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Plan of care includes fall prevention interventions during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation: Observation

Normative Answer List LL823-6

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
Not applicable	na	LA4720-4

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

Third Party Copyright

57272-7 Depression intervention(s)

Observation ID in Form

M2250d

Form Coding Instructions

NA - Patient has no diagnosis or symptoms of depression

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care includes depression intervention
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Plan of care includes depression intervention during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee;Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation: Observation

Normative Answer List LL823-6

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
Not applicable	na	LA4720-4

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

Third Party Copyright

57273-5 Intervention(s) to monitor and mitigate pain

Observation ID in Form

M2250e

Form Coding Instructions

NA - No pain identified

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care includes intervention to monitor and mitigate pain
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Plan of care includes intervention to monitor and mitigate pain during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation: Observation

Normative Answer List LL823-6

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
Not applicable	na	LA4720-4

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

Third Party Copyright

57274-3 Intervention(s) to prevent pressure ulcers

Observation ID in Form

M2250f

Form Coding Instructions

NA - Patient is not assessed to be at risk for pressure ulcers

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care includes intervention to prevent pressure injuries
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Plan of care includes intervention to prevent pressure injuries during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text; "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

Normative Answer List LL823-6

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
Not applicable	na	LA4720-4

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

Third Party Copyright

57275-0 Plan of care includes pressure injury treatment - moist healing

Observation ID in Form

M2250g

Form Coding Instructions

NA - Patient has no pressure ulcers with need for moist wound healing

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Plan of care includes pressure injury treatment - moist healing
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Long Common Name

Plan of care includes pressure injury treatment - moist healing during assessment period [CMS Assessment]

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
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 OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text; "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

Normative Answer List LL823-6

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
Not applicable	na	LA4720-4

Member of these Panels

LOINC	Long Common Name
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
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
86264-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [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]
86259-9	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2	OASIS E2 - DC during assessment period [CMS Assessment]
108294-0	OASIS E2 - TRN 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5	Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1	Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5	Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

Code System	Code	Code Version
CMS OASIS	M1033	D1
CMS OASIS	M1033	D
CMS OASIS	M1033	C2
CMS OASIS	M1033	E

Code System	Code	Code Version
CMS MDS	M0150	v1.18.11
CMS MDS	M0150	1.17.2
CMS MDS	M0150	1.16.1
CMS MDS	M0150	1.14.1
CMS MDS	M0150	1.15.1
CMS OASIS	M1302	C2
CMS MDS	M0150	1.17.1

Code System	Code	Code Version
CMS OASIS	M2102f	D1
CMS OASIS	M2102f	D
CMS OASIS	M2102f	C2
CMS OASIS	M2102f	E

Code System	Code	Code Version
CMS OASIS	M2401a	D1
CMS OASIS	M2401a	D
CMS OASIS	M2250b	C2
CMS OASIS	M2401a	C2

Code System	Code	Code Version
CMS OASIS	M2401b	D1
CMS OASIS	M2401b	D
CMS OASIS	M2250c	C2
CMS OASIS	M2401b	C2
CMS OASIS	M2401b	E

Code System	Code	Code Version
CMS OASIS	M2401c	D1
CMS OASIS	M2401c	D
CMS OASIS	M2250d	C2
CMS OASIS	M2401c	C2
CMS OASIS	M2401c	E

Code System	Code	Code Version
CMS OASIS	M2401d	D1
CMS OASIS	M2401d	D
CMS OASIS	M2250e	C2
CMS OASIS	M2401d	C2
CMS OASIS	M2401d	E

Code System	Code	Code Version
CMS OASIS	M2401e	D1
CMS OASIS	M2401e	D
CMS OASIS	M2250f	C2
CMS OASIS	M2401e	C2
CMS OASIS	M2401e	E

Code System	Code	Code Version
CMS OASIS	M2401f	D1
CMS OASIS	M2401f	D
CMS OASIS	M2250g	C2
CMS OASIS	M2401f	C2
CMS OASIS	M2401f	E

57191-9

Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care

Deprecated

Description

Original Form

46498-2 Resumption of care 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

57040-8 Clinical record items

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

46500-5 Discipline of Person Completing Assessment

Term Description

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL245-2

Member of these Panels

Related Names

Related Codes

46501-3 Date Assessment Completed

Term Description

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

Example Units

Related Codes

57200-8 This Assessment is Currently Being Completed for the Following Reason:

Observation ID in Form

Skip Logic

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL773-3

Member of these Panels

Related Names

Related Codes

57201-6 Date of Physician-ordered Start of Care (Resumption of Care)

Observation ID in Form

Skip Logic

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

Example Units

Related Codes

57202-4 Date of Referral

Observation ID in Form

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

Example Units

Related Codes

57203-2 Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?

Observation ID in Form

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL774-1

Member of these Panels

Related Names

Related Codes