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

TypeSourceReference
Original FormRegenstrief LOINCForm HCFA-2744 (11-88) ESRD FACILITY SURVEY Link

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
64323-9End Stage Renal Disease (ESRD) Facility Survey - OMB CMS form 2744
Indent64325-4Incenter dialysis patients at beginning of reporting period Population #O{#}
Indent64326-2Home dialysis patients at beginning of reporting period Population #O{#}
Indent64327-0Total dialysis patients at beginning of reporting period Population #O{#}
Indent64328-8Incenter patients starting dialysis for first time ever Population #O{#}
Indent64329-6Home patients starting dialysis for first time ever Population #O{#}
Indent64330-4Incenter patients restarting dialysis Population #O{#}
Indent64331-2Home patients restarting dialysis Population #O{#}
Indent64332-0Incenter patients transferred from other dialysis unit Population #O{#}
Indent64333-8Home patients transferred from other dialysis unit Population #O{#}
Indent64334-6Incenter patients restarting dialysis after failed transplantation Population #O{#}
Indent64335-3Home patients restarting dialysis after failed transplantation Population #O{#}
Indent64336-1Incenter dialysis patients who died Population #O{#}
Indent64337-9Home dialysis patients who died Population #O{#}
Indent64338-7Incenter dialysis patients who recovered kidney function Population #O{#}
Indent64339-5Home dialysis patients who recovered kidney function Population #O{#}
Indent64340-3Incenter dialysis patients who received transplant Population #O{#}
Indent64341-1Home dialysis patients who received transplant Population #O{#}
Indent64342-9Incenter patients who transferred to other dialysis unit Population #O{#}
Indent64343-7Home patients who transferred to other dialysis unit Population #O{#}
Indent64344-5Incenter patients who discontinued dialysis Population #O{#}
Indent64345-2Home patients who discontinued dialysis Population #O{#}
Indent64346-0Incenter dialysis patients lost to follow up Population #O{#}
Indent64347-8Home dialysis patients lost to follow up Population #O{#}
Indent64348-6Incenter patients receiving hemodialysis at end of reporting period Population #O{#}
Indent64349-4Incenter patients receiving dialysis other than hemodialysis at end of reporting period Population #O{#}
Indent64350-2Incenter patients in self-dialysis hemodialysis training at end of reporting period Population #O{#}
Indent64351-0Incenter patients in self-dialysis Continuous Ambulatory Peritoneal Dialysis (CAPD) training at end of reporting period Population #O{#}
Indent64352-8Incenter patients in self-dialysis Continuous Cyclic Peritoneal Dialysis (CCPD) training at end of reporting period Population #O{#}
Indent64353-6Incenter patients in self-dialysis training other than hemodialysis, CAPD or CCPD at end of reporting period Population #O{#}
Indent64354-4Total incenter dialysis patients at end of reporting period Population #O{#}
Indent64355-1Home patients hemodialyzing at end of reporting period Population #O{#}
Indent64356-9Home patients on Continuous Ambulatory Peritoneal Dialysis (CAPD) at end of reporting period Population #O{#}
Indent64357-7Home patients on Continuous Cyclic Peritoneal Dialysis (CCPD) at end of reporting period Population #O{#}
Indent64358-5Home patients who received dialysis other than hemodialysis, CAPD or CCPD at end of reporting period Population #O{#}
Indent64359-3Total home dialysis patients at end of reporting period Population #O{#}
Indent64360-1Total dialysis patients receiving services at end of reporting period Population #O{#}
Indent64361-9Dialysis patients enrolled in Medicare at end of reporting period Population #O{#}
Indent64362-7Dialysis patients who have pending enrollment in Medicare at end of reporting period Population #O{#}
Indent64363-5Dialysis patients not enrolled or pending enrollment in Medicare at end of reporting period Population #O{#}
Indent64364-3Incenter patients dialyzing during the day and more than 4 times per week at end of reporting period Population #O{#}
Indent64365-0Home patients dialyzing during the day and more than 4 times per week at end of reporting period Population #O{#}
Indent64366-8Incenter patients dialyzing nocturnally and more than 4 times per week at end of reporting period Population #O{#}
Indent64367-6Home patients dialyzing nocturnally and more than 4 times per week at end of reporting period Population #O{#}
Indent64368-4Total patients age 18-54 years dialysing at facility at end of reporting period Population #O{#}
Indent64369-2Dialysis patients who have received or are receiving vocational rehabilitation services Population #O{#}
Indent64370-0Dialysis patients age 18 to 54 years employed full-time or part-time at end of reporting period Population #O{#}
Indent64371-8Dialysis patients age 18 to 54 years attending school full-time or part-time at end of reporting period Population #O{#}
Indent64372-6Incenter hemodialysis patients receiving treatments including training treatments Population #O{#}
Indent64373-4Incenter dialysis patients receiving treatments other than hemodialysis including training treatments Population # [Reported]R{#}
Indent64374-2Full time registered nurse staff positions filled at end of period Population #R{#}
Indent64375-9Full time licensed practical nurse and licensed vocational nurse staff positions filled at end of period Population #R{#}
Indent64376-7Full time patient care technician staff positions filled at end of period Population #R{#}
Indent64377-5Full time advanced practice nurse staff positions filled at end of period Population #R{#}
Indent64301-5Full time dietitian staff positions filled at end of period Population #R{#}
Indent64302-3Full time social worker staff positions filled at end of period Population #R{#}
Indent64303-1Part time registered nurse staff positions filled at end of period Population #R{#}
Indent64304-9Part time licensed practical nurse and licensed vocational nurse staff positions filled at end of period Population #R{#}
Indent64305-6Part time patient care technician staff positions filled at end of period Population #R{#}
Indent64306-4Part time advance practice nurse staff positions filled at end of period Population #R{#}
Indent64307-2Part time dietitian staff positions filled at end of period Population #R{#}
Indent64308-0Part time social worker staff positions filled at end of period Population #R{#}
Indent64309-8Full time registered nurse staff positions vacant at end of period Population #R{#}
Indent64310-6Full time licensed practical nurse and licensed vocational nurse staff positions vacant at end of period Population #R{#}
Indent64311-4Full time patient care technician staff positions vacant at end of period Population #R{#}
Indent64312-2Full time advance practiced nurse staff positions vacant at end of period Population #R{#}
Indent64313-0Full time dietitian staff positions vacant at end of period Population #R{#}
Indent64314-8Full time social worker staff positions vacant at end of period Population #R{#}
Indent64315-5Part time registered nurse staff positions vacant at end of period Population #R{#}
Indent64316-3Part time licensed practical nurse and licensed vocational nurse staff positions vacant at end of period Population #R{#}
Indent64317-1Part time patient care technician staff positions vacant at end of period Population #R{#}
Indent64318-9Part time advance practice nurse staff positions vacant at end of period Population #R{#}
Indent64319-7Part time dietitian staff positions vacant at end of period Population #R{#}
Indent64320-5Part time social worker staff positions vacant at end of period Population #R{#}
Indent64321-3Kidney transplant center patients who received at least one kidney transplant Population #O{#}
Indent64322-1Kidney transplant center patients who received at least one kidney transplant and enrolled in Medicare Population #O{#}
Indent64378-3Kidney transplant center patients who received at least one kidney transplant with pending enrollment in Medicare at end of period Population #O{#}
Indent64379-1Kidney 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{#}
Indent64380-9Kidney 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{#}
Indent64381-7Kidney transplant center patients who received at least one kidney transplant from a living related donor Population #O{#}
Indent64382-5Kidney transplant center patients who received at least one kidney transplant from a living unrelated donor Population #O{#}
Indent64383-3Kidney transplant center patients who received at least one kidney transplant from a deceased donor Population #O{#}
Indent64384-1Total kidney transplant center patients who received at least one kidney transplant Population #O{#}
Indent64385-8Kidney transplant center dialysis patients who are awaiting a kidney transplant at end of period Population #R{#}
Indent64386-6Kidney transplant center non-dialysis patients who are awaiting a kidney transplant at end of period Population #R{#}
Indent64363-5Dialysis patients not enrolled or pending enrollment in Medicare at end of reporting period Population #O{#}
Indent64324-7Dialysis stations Facility #O{#}

LOINC Names Get Info

Fully-Specified Name
End stage renal disease facility survey - OMB CMS form 2744:-:Pt:Facility:-:
Long Common Name
End Stage Renal Disease (ESRD) Facility Survey - OMB CMS form 2744

Part Model Get Info

  • Component
    End stage renal disease facility survey - OMB CMS form 2744
    LP116235-5
    • Analyte
      End stage renal disease facility survey - OMB CMS form 2744
      LP116235-5
      • Component Numerator
        End stage renal disease facility survey - OMB CMS form 2744
        LP116235-5
        • Component Numerator Core
          End stage renal disease facility survey - OMB CMS form 2744
          LP116235-5
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    Pt
    LP6960-1
  • System
    Facility
    LP36892-5
    • System Core
      Facility
      LP36892-5
    • Super System
      NULL
       
  • Scale
    -
    LP7747-1
  • Method
    NULL
     

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