Version 2.67

57193-5Outcome and assessment information set (OASIS) form - version C - Transfer to facilityActive

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
57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility
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?
Indent69328-3 Patient history and diagnosis - transfer to facility, discharge from agency [OASIS-C]
IndentIndent57208-1 Influenza vaccination received in Reporting Period [CMS Assessment]
IndentIndent57209-9 Reason influenza virus vaccine not received [OASIS-C]
IndentIndent57210-7 Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)?
IndentIndent57211-5 Reason PPV not received:
Indent57045-7 Cardiac status
IndentIndent57239-6 Symptoms in Heart Failure Patients: If patient has been diagnosed with heart failure, did the patient exhibit symptoms indicated by clinical heart failure guidelines (including dyspnea, orthopnea, edema, or weight gain) at the time of or at any time since the most recent SOC/ROC assessment?
IndentIndent57240-4 Heart failure follow-up [CMS Assessment] 1..5
Indent52471-0 Medications
IndentIndent57256-0 Medication intervention since admission/reentry [CMS Assessment]
IndentIndent57195-0 Patient/Caregiver Drug Education Intervention: At the time of, or at any time since the most recent SOC/ROC assessment, was the patient/caregiver instructed by agency staff or other health care provider to monitor the effectiveness of drug therapy, adverse drug reactions, and significant side effects, and how and when to report problems that may occur?
Indent57052-3 Emergent care [CMS Assessment]
IndentIndent57276-8 Emergent care utilized [CMS Assessment]
IndentIndent57277-6 Reason For Emergent Care: For what reason(s) did the patient receive emergent care (with or without hospitalization)? 1..19
Indent69330-9 Data items collected at inpatient facility admission or agency discharge only
IndentIndent57198-4 Intervention Synopsis:
IndentIndentIndent57270-1 Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care
IndentIndentIndent57271-9 Falls prevention interventions
IndentIndentIndent57272-7 Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment
IndentIndentIndent57273-5 Intervention(s) to monitor and mitigate pain
IndentIndentIndent57274-3 Plan of care includes intervention to prevent pressure injuries [CMS Assessment]
IndentIndentIndent57275-0 Pressure ulcer treatment based on principles of moist wound healing
IndentIndent46578-1 To which Inpatient Facility has the patient been admitted?
IndentIndent57279-2 For what reason(s) did the patient require hospitalization? 1..20
IndentIndent46477-6 For what Reason(s) was the patient Admitted to a Nursing Home?
IndentIndent46581-5 Date of last (most recent) home visit: {mm/dd/yyyy}
IndentIndent46582-3 Discharge/Transfer/Death Date: {mm/dd/yyyy}

Fully-Specified Name

Outcome and assessment information set (OASIS) form - version C - Transfer to facility

Basic Attributes

First Released
Version 2.29
Last Updated
Version 2.29
Panel Type

LOINC FHIR® API Example - CodeSystem Request Get Info