LOINC
Version 2.67

57192-7Outcome and assessment information set (OASIS) form - version C - Follow-UpActive

Term 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 January1, 2010.
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel

LOINC Name R/O/C Cardinality Example UCUM Units
57192-7 Outcome and assessment information set (OASIS) form - version C - Follow-Up
Indent57040-8 Clinical Record Items [CMS Assessment]
IndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason:
IndentIndent57201-6 Date of Physician-ordered Start of Care (Resumption of Care) [CMS Assessment] {mm/dd/yyyy}
IndentIndent57202-4 Date of Referral {mm/dd/yyyy}
IndentIndent57203-2 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?
Indent69327-5 Patient history and diagnosis
IndentIndent46609-4 Diagnosis and severity index
IndentIndentIndent46511-2 Primary diagnosis
IndentIndentIndent46512-0 Primary Diagnosis Symptom Control Rating
IndentIndentIndent46513-8 Other diagnosis 1 - ICD code [OASIS]
IndentIndentIndent46514-6 Other diagnosis 1: Symptom Control Rating
IndentIndentIndent46515-3 Other diagnosis 2 - ICD code [OASIS]
IndentIndentIndent46516-1 Other diagnosis 2: Symptom Control Rating
IndentIndentIndent46517-9 Other diagnosis 3 - ICD code [OASIS]
IndentIndentIndent46518-7 Other diagnosis 3: Symptom Control Rating
IndentIndentIndent46519-5 Other diagnosis 4 - ICD code [OASIS]
IndentIndentIndent46520-3 Other diagnosis 4: Symptom Control Rating
IndentIndentIndent46521-1 Other diagnosis 5 - ICD code [OASIS]
IndentIndentIndent46522-9 Other diagnosis 5: Symptom Control Rating
IndentIndent58051-4 Payment diagnosis [OASIS-C] R 1..12
IndentIndentIndent49561-4 Payment diagnosis [identifier] R 0..12
IndentIndent46466-9 Therapies the patient receives at home 1..3
Indent57042-4 Sensory status [CMS Assessment]
IndentIndent57215-6 Vision
IndentIndent57216-4 Ability to hear (with hearing aid or hearing appliance if normally used):
IndentIndent57217-2 Understanding of verbal content in patient's own language (with hearing aid or device if used)
IndentIndent57218-0 Speech and oral expression of language [CMS Assessment]
IndentIndent57219-8 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)?
IndentIndent57220-6 Frequency of pain interfering with patient's activity or movement:
Indent57044-0 Integumentary status
IndentIndent57307-1 Does this patient have at lease one Unhealed Pressure Ulcer at Stage II or Higher or designated as "unstageable"
IndentIndent58102-5 Current number of unhealed (non-epithelialized) pressure ulcers at each stage
IndentIndentIndent57186-9 Number currently present
IndentIndentIndentIndent55124-2 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. {#}
IndentIndentIndentIndent55125-9 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. {#}
IndentIndentIndentIndent55126-7 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. {#}
IndentIndentIndentIndent54893-3 Unstageable: Known or likely but unstageable due to non-removable dressing or device {#}
IndentIndentIndentIndent54946-9 Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar. {#}
IndentIndentIndentIndent54950-1 Unstageable: Suspected deep tissue injury in evolution. {#}
IndentIndentIndent57187-7 Number of those listed in Column 1 that were present on admission (most recent SOC/ROC)
IndentIndentIndentIndent54886-7 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. {#}
IndentIndentIndentIndent54887-5 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. {#}
IndentIndentIndentIndent54890-9 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. {#}
IndentIndentIndentIndent54894-1 Unstageable: Known or likely but unstageable due to non-removable dressing or device {#}
IndentIndentIndentIndent54947-7 Unstageable: Known or likely but unstageable due to coverage of wound bed by slough and/or eschar. {#}
IndentIndentIndentIndent54951-9 Unstageable: Suspected deep tissue injury in evolution. {#}
IndentIndent57188-5 Stage III and IV pressure ulcer with the largest surface dimension (length x width)
IndentIndentIndent57226-3 Pressure Ulcer Length: Longest length "head to toe" cm
IndentIndentIndent52729-1 Pressure Ulcer Width: Width of the same pressure ulcer; greatest width perpendicular to the length cm
IndentIndentIndent57228-9 Pressure Ulcer Depth: Depth of the same pressure ulcer; from visible surface to the depth of the deepest area cm
IndentIndent46536-9 Current Number of Stage I Pressure Ulcers: {#}
IndentIndent57231-3 Status of most problematic unhealed (observable) pressure ulcer:
IndentIndent57232-1 Does the patient have a Stasis Ulcer?
IndentIndent57233-9 Current Number of (Observable) Stasis Ulcer(s): {#}
IndentIndent57234-7 Status of most problematic (observable) stasis ulcer:
IndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndent57236-2 Status of most problematic (observable) surgical wound:
IndentIndent46534-4 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?
Indent52510-5 Respiratory status
IndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
Indent57046-5 Elimination status
IndentIndent46553-4 Urinary incontinence or urinary catheter present [CMS Assessment]
IndentIndent46587-2 Bowel incontinence frequency [CMS Assessment]
IndentIndent46588-0 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?
Indent69336-6 ADL and IALs
IndentIndent46597-1 Ability to dress upper body:
IndentIndent46599-7 Ability to dress lower body:
IndentIndent57243-8 Bathing:
IndentIndent57244-6 Toileting transferring:
IndentIndent57246-1 Transferring:
IndentIndent57247-9 Ambulation/Locomotion:
Indent52471-0 Medications
IndentIndent57284-2 Management of injectable medications:
Indent69335-8 Therapy need and plan of care
IndentIndent57268-5 Therapy need # [CMS Assessment] {#}

Fully-Specified Name

Component
Outcome and assessment information set (OASIS) form - version C - Follow-Up
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

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

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=57192-7