Version 2.80

Part Description

LP116235-5   End stage renal disease facility survey - OMB CMS form 2744
CMS-2744 is a form completed annually by providers or facilities to collect patient or aggregate data necessary for the operation of the ESRD program. Example information collected: 1) Patients receiving care at the beginning of the reporting period, 2) Additions during the reporting period, 3) Patient losses during the reporting period, 4) Number of patients present at the end of the reporting period, and 5) Patients Medicare enrollment status. Source: Regenstrief LOINC , CMS 2744

Reference Information

Type Source Reference
Original Form Regenstrief LOINC Form HCFA-2744 (11-88) ESRD FACILITY SURVEY Link

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
64323-9 End Stage Renal Disease (ESRD) Facility Survey - OMB CMS form 2744
Indent64325-4 Incenter dialysis patients at beginning of reporting period Population # O {#}
Indent64326-2 Home dialysis patients at beginning of reporting period Population # O {#}
Indent64327-0 Total dialysis patients at beginning of reporting period Population # O {#}
Indent64328-8 Incenter patients starting dialysis for first time ever Population # O {#}
Indent64329-6 Home patients starting dialysis for first time ever Population # O {#}
Indent64330-4 Incenter patients restarting dialysis Population # O {#}
Indent64331-2 Home patients restarting dialysis Population # O {#}
Indent64332-0 Incenter patients transferred from other dialysis unit Population # O {#}
Indent64333-8 Home patients transferred from other dialysis unit Population # O {#}
Indent64334-6 Incenter patients restarting dialysis after failed transplantation Population # O {#}
Indent64335-3 Home patients restarting dialysis after failed transplantation Population # O {#}
Indent64336-1 Incenter dialysis patients who died Population # O {#}
Indent64337-9 Home dialysis patients who died Population # O {#}
Indent64338-7 Incenter dialysis patients who recovered kidney function Population # O {#}
Indent64339-5 Home dialysis patients who recovered kidney function Population # O {#}
Indent64340-3 Incenter dialysis patients who received transplant Population # O {#}
Indent64341-1 Home dialysis patients who received transplant Population # O {#}
Indent64342-9 Incenter patients who transferred to other dialysis unit Population # O {#}
Indent64343-7 Home patients who transferred to other dialysis unit Population # O {#}
Indent64344-5 Incenter patients who discontinued dialysis Population # O {#}
Indent64345-2 Home patients who discontinued dialysis Population # O {#}
Indent64346-0 Incenter dialysis patients lost to follow up Population # O {#}
Indent64347-8 Home dialysis patients lost to follow up Population # O {#}
Indent64348-6 Incenter patients receiving hemodialysis at end of reporting period Population # O {#}
Indent64349-4 Incenter patients receiving dialysis other than hemodialysis at end of reporting period Population # O {#}
Indent64350-2 Incenter patients in self-dialysis hemodialysis training at end of reporting period Population # O {#}
Indent64351-0 Incenter patients in self-dialysis Continuous Ambulatory Peritoneal Dialysis (CAPD) training at end of reporting period Population # O {#}
Indent64352-8 Incenter patients in self-dialysis Continuous Cyclic Peritoneal Dialysis (CCPD) training at end of reporting period Population # O {#}
Indent64353-6 Incenter patients in self-dialysis training other than hemodialysis, CAPD or CCPD at end of reporting period Population # O {#}
Indent64354-4 Total incenter dialysis patients at end of reporting period Population # O {#}
Indent64355-1 Home patients hemodialyzing at end of reporting period Population # O {#}
Indent64356-9 Home patients on Continuous Ambulatory Peritoneal Dialysis (CAPD) at end of reporting period Population # O {#}
Indent64357-7 Home patients on Continuous Cyclic Peritoneal Dialysis (CCPD) at end of reporting period Population # O {#}
Indent64358-5 Home patients who received dialysis other than hemodialysis, CAPD or CCPD at end of reporting period Population # O {#}
Indent64359-3 Total home dialysis patients at end of reporting period Population # O {#}
Indent64360-1 Total dialysis patients receiving services at end of reporting period Population # O {#}
Indent64361-9 Dialysis patients enrolled in Medicare at end of reporting period Population # O {#}
Indent64362-7 Dialysis patients who have pending enrollment in Medicare at end of reporting period Population # O {#}
Indent64363-5 Dialysis patients not enrolled or pending enrollment in Medicare at end of reporting period Population # O {#}
Indent64364-3 Incenter patients dialyzing during the day and more than 4 times per week at end of reporting period Population # O {#}
Indent64365-0 Home patients dialyzing during the day and more than 4 times per week at end of reporting period Population # O {#}
Indent64366-8 Incenter patients dialyzing nocturnally and more than 4 times per week at end of reporting period Population # O {#}
Indent64367-6 Home patients dialyzing nocturnally and more than 4 times per week at end of reporting period Population # O {#}
Indent64368-4 Total patients age 18-54 years dialysing at facility at end of reporting period Population # O {#}
Indent64369-2 Dialysis patients who have received or are receiving vocational rehabilitation services Population # O {#}
Indent64370-0 Dialysis patients age 18 to 54 years employed full-time or part-time at end of reporting period Population # O {#}
Indent64371-8 Dialysis patients age 18 to 54 years attending school full-time or part-time at end of reporting period Population # O {#}
Indent64372-6 Incenter hemodialysis patients receiving treatments including training treatments Population # O {#}
Indent64373-4 Incenter dialysis patients receiving treatments other than hemodialysis including training treatments Population # [Reported] R {#}
Indent64374-2 Full time registered nurse staff positions filled at end of period Population # R {#}
Indent64375-9 Full time licensed practical nurse and licensed vocational nurse staff positions filled at end of period Population # R {#}
Indent64376-7 Full time patient care technician staff positions filled at end of period Population # R {#}
Indent64377-5 Full time advanced practice nurse staff positions filled at end of period Population # R {#}
Indent64301-5 Full time dietitian staff positions filled at end of period Population # R {#}
Indent64302-3 Full time social worker staff positions filled at end of period Population # R {#}
Indent64303-1 Part time registered nurse staff positions filled at end of period Population # R {#}
Indent64304-9 Part time licensed practical nurse and licensed vocational nurse staff positions filled at end of period Population # R {#}
Indent64305-6 Part time patient care technician staff positions filled at end of period Population # R {#}
Indent64306-4 Part time advance practice nurse staff positions filled at end of period Population # R {#}
Indent64307-2 Part time dietitian staff positions filled at end of period Population # R {#}
Indent64308-0 Part time social worker staff positions filled at end of period Population # R {#}
Indent64309-8 Full time registered nurse staff positions vacant at end of period Population # R {#}
Indent64310-6 Full time licensed practical nurse and licensed vocational nurse staff positions vacant at end of period Population # R {#}
Indent64311-4 Full time patient care technician staff positions vacant at end of period Population # R {#}
Indent64312-2 Full time advance practiced nurse staff positions vacant at end of period Population # R {#}
Indent64313-0 Full time dietitian staff positions vacant at end of period Population # R {#}
Indent64314-8 Full time social worker staff positions vacant at end of period Population # R {#}
Indent64315-5 Part time registered nurse staff positions vacant at end of period Population # R {#}
Indent64316-3 Part time licensed practical nurse and licensed vocational nurse staff positions vacant at end of period Population # R {#}
Indent64317-1 Part time patient care technician staff positions vacant at end of period Population # R {#}
Indent64318-9 Part time advance practice nurse staff positions vacant at end of period Population # R {#}
Indent64319-7 Part time dietitian staff positions vacant at end of period Population # R {#}
Indent64320-5 Part time social worker staff positions vacant at end of period Population # R {#}
Indent64321-3 Kidney transplant center patients who received at least one kidney transplant Population # O {#}
Indent64322-1 Kidney transplant center patients who received at least one kidney transplant and enrolled in Medicare Population # O {#}
Indent64378-3 Kidney transplant center patients who received at least one kidney transplant with pending enrollment in Medicare at end of period Population # O {#}
Indent64379-1 Kidney transplant center patients who received at least one kidney transplant, who is US citizen or a foreign national US resident, and not eligible for enrollment in Medicare at end of period Population # O {#}
Indent64380-9 Kidney transplant center patients who received at least one kidney transplant who is neither a US citizen nor a foreign national US resident and not eligible for enrollment in Medicare at end of period Population # O {#}
Indent64381-7 Kidney transplant center patients who received at least one kidney transplant from a living related donor Population # O {#}
Indent64382-5 Kidney transplant center patients who received at least one kidney transplant from a living unrelated donor Population # O {#}
Indent64383-3 Kidney transplant center patients who received at least one kidney transplant from a deceased donor Population # O {#}
Indent64384-1 Total kidney transplant center patients who received at least one kidney transplant Population # O {#}
Indent64385-8 Kidney transplant center dialysis patients who are awaiting a kidney transplant at end of period Population # R {#}
Indent64386-6 Kidney transplant center non-dialysis patients who are awaiting a kidney transplant at end of period Population # R {#}
Indent64363-5 Dialysis patients not enrolled or pending enrollment in Medicare at end of reporting period Population # O {#}
Indent64324-7 Dialysis stations Facility # O {#}

Fully-Specified Name

Component
End stage renal disease facility survey - OMB CMS form 2744
Property
-
Time
Pt
System
Facility
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.ESRD
Type
Surveys
First Released
Version 2.36
Last Updated
Version 2.50 (MIN)
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=64323-9
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/64323-9