67868-0

End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Trial

67869-8 Form Type Indicator

Term Description

Indicate the type of form being submitted for the patient.

Observation ID in Form

CMS-2728_A

Observation Required in Panel

Required

Fully-Specified Name

Component: Reason for medicare entitlement
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reason for medicare entitlement

Basic Attributes

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

Normative Answer List LL1911-8

Answer	Code	Score	Answer ID
Initial			LA6662-6
Re-entitlement			LA17971-5
Supplemental			LA17972-3

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67870-6 Patient information

Fully-Specified Name

Component: Patient information - end stage renal disease form 2728
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Long Common Name

Patient information - end stage renal disease form 2728

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

45394-4 Patient Last (Family) name

Observation ID in Form

CMS-2728_A1

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Last name
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.1

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
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
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) 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]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) 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]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) 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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [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]
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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
46611-0	Mental residual functional capacity (RFC) assessment form
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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]
79191-3	Patient demographics panel
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Επώνυμο:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Επώνυμο Όνομα
es-ES	Spanish (Spain)	Apellido:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Apellido:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Nom de famille:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Cognome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	achternaam:persoonsnaam:moment:^patiënt:nominaal:
tr-TR	Turkish (Turkey)	Soyad:KişiAdı:Zmlı:^Hasta:Snf:
zh-CN	Chinese (China)	姓氏:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;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 - 病人姓姓名;名字;名时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500C		v1.18.11
CMS MDS	X0200C		v1.18.11
CMS MDS	A0500C		1.17.2
CMS MDS	X0200C		1.17.2
CMS OASIS	M0040		E
CMS IRF-PAI	5A		4.0
CMS LCDS	A0500C		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500C		3.00
CMS IRF-PAI	5A		2.0
CMS MDS	A0500C		1.16.1
CMS OASIS	M0040		D
CMS MDS	X0200C		1.16.1
CMS IRF-PAI	5A		1.4
CMS IRF-PAI	5A		1.5
CMS IRF-PAI	5A		3.0
CMS LCDS	A0500C		4.00
CMS MDS	A0500C		1.14.1
CMS MDS	A0500C		1.15.1
CMS MDS	X0200C		1.14.1
CMS MDS	X0200C		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010300	PX150801_Participant_Last_Name
CMS MDS	A0500C		1.17.1
CMS MDS	X0200C		1.17.1

45392-8 Patient First (Given) name

Observation ID in Form

CMS-2728_A1

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: First name
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.70 (MIN)
Change Reason: Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.2

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
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
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) 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]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) 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]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) 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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [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]
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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
46611-0	Mental residual functional capacity (RFC) assessment form
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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]
79191-3	Patient demographics panel
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όνομα:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Όνομα
es-ES	Spanish (Spain)	Nombre:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Nombre de pila:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Prénom:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Primo nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	voornaam:persoonsnaam:moment:^patiënt:nominaal:
tr-TR	Turkish (Turkey)	Ad:KişiAdı:Zmlı:^Hasta:Snf: Synonyms: İsim
zh-CN	Chinese (China)	名字:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;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 - 病人名字(不包括姓氏);教名;名;西方人名的第一个字姓名;名字;名时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500A		v1.18.11
CMS MDS	X0200A		v1.18.11
CMS MDS	A0500A		1.17.2
CMS MDS	X0200A		1.17.2
CMS OASIS	M0040		E
CMS IRF-PAI	4		4.0
CMS LCDS	A0500A		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500A		3.00
CMS IRF-PAI	4		2.0
CMS MDS	A0500A		1.16.1
CMS OASIS	M0040		D
CMS MDS	X0200A		1.16.1
CMS IRF-PAI	4		1.4
CMS IRF-PAI	4		1.5
CMS IRF-PAI	4		3.0
CMS LCDS	A0500A		4.00
CMS MDS	A0500A		1.14.1
CMS MDS	A0500A		1.15.1
CMS MDS	X0200A		1.14.1
CMS MDS	X0200A		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010100	PX150801_Participant_First_Name
CMS MDS	A0500A		1.17.1
CMS MDS	X0200A		1.17.1

45393-6 Middle initial

Observation ID in Form

CMS-2728_A1

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Middle initial
Property: Pn
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.66 (MIN)
Change Reason: Change PROPERTY from ID to Pn to match convention for other name terms
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-5.3

Member of these Panels

LOINC	Long Common Name
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) 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]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) 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]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) 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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [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]
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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
46611-0	Mental residual functional capacity (RFC) assessment form
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 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]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start 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]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Μεσαίο αρχικό:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Μεσαίο αρχικό
es-MX	Spanish (Mexico)	Inicial del segundo nombre:Pn:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Iniziale secondo nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	中间名首字母:人员姓名:时间点:^患者:名义型: Synonyms: 人名分类型应答;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 - 病人教名缩写;中間名字縮寫;中间名字缩写;中间名字的首字母;中间名字的第一个字母时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0500B		v1.18.11
CMS MDS	A0500B		1.17.2
CMS OASIS	M0040		E
CMS LCDS	A0500B		5.00
CMS OASIS	M0040		D1
CMS LCDS	A0500B		3.00
CMS MDS	A0500B		1.16.1
CMS OASIS	M0040		D
CMS LCDS	A0500B		4.00
CMS MDS	A0500B		1.14.1
CMS MDS	A0500B		1.15.1
CMS OASIS	M0040		C2
https://www.phenxtoolkit.org	PX150801010200	PX150801_Participant_Middle_Initial
CMS MDS	A0500B		1.17.1

45397-7 Medicare or comparable number

Observation ID in Form

CMS-2728_A2

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Medicare or comparable number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.66 (MIN)
Change Reason: Changed CLASS to ADMIN
Order vs. Observation: Both

HL7^® Attributes

HL7^® Field ID: PID-3

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
84908-3	Cancer pathology panel - Prostate cancer
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
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
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) 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]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) 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]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) 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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [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]
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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Medicare ή ανάλογος αριθμός:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Medicare ή ανάλογος αριθμός Nom Pt Αναγνωριστικό Αριθμός Ασθενής
es-MX	Spanish (Mexico)	Medicare o número comparable:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Medicare o numero equivalente:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Assistenza medica o numero equivalente Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	医疗保险或类似编号:标识符:时间点:^患者:名义型: Synonyms: 个数;数目分类型应答;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保险或类似（同类、可比）编号;医疗保险或类似号码;Medicare 或类似编号医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Version
CMS MDS	A0600B	v1.18.11
CMS MDS	A0600B	1.17.2
CMS OASIS	M0063	E
CMS IRF-PAI	2	4.0
CMS LCDS	A0600B	5.00
CMS OASIS	M0063	D1
CMS LCDS	A0600B	3.00
CMS IRF-PAI	2	2.0
CMS MDS	A0600B	1.16.1
CMS OASIS	M0063	D
CMS IRF-PAI	2	1.4
CMS IRF-PAI	2	1.5
CMS IRF-PAI	2	3.0
CMS LCDS	A0600B	4.00
CMS MDS	A0600B	1.14.1
CMS MDS	A0600B	1.15.1
CMS OASIS	M0063	C2
CMS MDS	A0600B	1.17.1

45396-9 Social Security number [Identifier]

Observation ID in Form

CMS-2728_A3

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Social Security number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT.ID
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.73 (MIN)
Change Reason: Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component
Order vs. Observation: Both
Common Test Rank Get Info: 6170

HL7^® Attributes

HL7^® Field ID: PID-19

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
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
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) 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]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) 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]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) 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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [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]
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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
46611-0	Mental residual functional capacity (RFC) assessment form
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 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]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start 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]
108291-6	Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
62812-3	PhenX domain - Physical activity and physical fitness
46637-5	Residual physical functional capacity (RFC) assessment form [RFC]
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός μητρώου κοινωνικής ασφάλισης:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός μητρώου κοινωνικής ασφάλισης Ασθενής
es-MX	Spanish (Mexico)	Número de seguro social:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Previdenza Sociale, numero:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero di Previdenza Sociale paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	社会安全号码:标识符:时间点:^患者:名义型: Synonyms: Social Security number;SSN;社会保险号码;社会保障号码;社会保障号个数;数目分类型应答;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 - 病人时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识）识别识别符

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0600A		v1.18.11
CMS MDS	X0500		v1.18.11
CMS MDS	A0600A		1.17.2
CMS MDS	X0500		1.17.2
CMS OASIS	M0064		E
CMS IRF-PAI	7		4.0
CMS LCDS	A0600A		5.00
CMS OASIS	M0064		D1
CMS LCDS	A0600A		3.00
CMS IRF-PAI	7		2.0
CMS MDS	A0600A		1.16.1
CMS OASIS	M0064		D
CMS MDS	X0500		1.16.1
CMS IRF-PAI	7		1.4
CMS IRF-PAI	7		1.5
CMS IRF-PAI	7		3.0
CMS LCDS	A0600A		4.00
CMS MDS	A0600A		1.14.1
CMS MDS	A0600A		1.15.1
CMS MDS	X0500		1.14.1
CMS MDS	X0500		1.15.1
CMS OASIS	M0064		C2
https://www.phenxtoolkit.org	PX150701050000	PX150701_SSN
CMS MDS	A0600A		1.17.1
CMS MDS	X0500		1.17.1

21112-8 Birth date

Observation ID in Form

CMS-2728_A3

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Birth date
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: MISC
Type: Laboratory
First Released: Version 1.0m
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 1746

HL7^® Attributes

HL7^® Field ID: PID-7.1

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
58735-2	Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3	Alpha-1-Fetoprotein panel - Serum or Plasma
76464-7	American Physical Therapy Association registry panel
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
75199-0	Congenital syphilis case investigation and report panel [CDC.CS]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
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
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) 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]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) 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]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) 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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
86636-8	Family planning report - FPAR 2.0 set
49085-4	First and Second trimester integrated maternal screen panel
48798-3	First trimester maternal screen panel - Serum or Plasma
49086-2	First trimester maternal screen with nuchal translucency panel
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [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]
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]
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
49087-0	Maternal screen clinical predictors panel
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
70182-1	NIH Stroke Scale
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
62293-6	PhenX - current age protocol 010101
62263-9	PhenX domain - Nutrition and dietary supplements
62812-3	PhenX domain - Physical activity and physical fitness
62611-9	PhenX domain - Respiratory
100997-6	Respiratory Allergen Panel, Area 5 - Serum
48799-1	Second trimester penta maternal screen panel - Serum or Plasma
48800-7	Second trimester quad maternal screen panel - Serum or Plasma
35086-8	Second trimester triple maternal screen panel - Serum or Plasma
60687-1	Test of Infant Motor Performance Version 5.1
54127-6	US Surgeon General family health portrait [USSG-FHT]
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Datum narození:Časové razítko (datum a čas):Časový bod:^Pacient:Kvantitativní:
de-DE	German (Germany)	Geburtsdatum:Zeitstempel:Zeitpunkt:^Patient:Quantitativ:
el-GR	Greek (Greece)	Ημερομηνία γέννησης:TmStp:Pt:^Ασθενής:Qn: Synonyms: - MISC Pt Qn TmStp Ασθενής Ημερομηνία γέννησης
es-AR	Spanish (Argentina)	fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
es-ES	Spanish (Spain)	Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Fecha de nacimiento:Sello de hora (fecha y hora):Punto temporal:^ Paciente:Cuantitativo:
fr-FR	French (France)	Date de naissance:Horodatage:Ponctuel:^patient:Numérique:
it-IT	Italian (Italy)	Data di nascita:TmStp:Pt:^Paziente:Qn: Synonyms: Miscellanea paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
nl-NL	Dutch (Netherlands)	geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
pt-BR	Portuguese (Brazil)	Data de nascimento:TmStp:Pt:^Paciente:Qn: Synonyms: Dob; Date of birth; Birthdate; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Рождения дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Дата рождения Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:
zh-CN	Chinese (China)	出生日期:时间戳:时间点:^患者:定量型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人印时戳;时标;时间戳(日期与时间);时间标记;计时标记可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号时刻;随机;随意;瞬间杂项;杂项类;杂项试验生日

Example Units

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

Related Codes

Code System	Code	Code Text	Code Version
CMS IRF-PAI	6		4.0
CMS LCDS	A0900		5.00
CMS OASIS	M0066		D1
CMS LCDS	A0900		3.00
CMS IRF-PAI	6		2.0
CMS MDS	A0900		1.16.1
CMS OASIS	M0066		D
CMS MDS	X0400		1.16.1
CMS IRF-PAI	6		1.4
CMS IRF-PAI	6		1.5
CMS IRF-PAI	6		3.0
CMS LCDS	A0900		4.00
CMS MDS	A0900		1.14.1
CMS MDS	A0900		1.15.1
CMS MDS	X0400		1.14.1
CMS MDS	X0400		1.15.1
CMS OASIS	M0066		C2
https://www.phenxtoolkit.org	PX010101010100	PX010101_Birthdate_Month
https://www.phenxtoolkit.org	PX010101010200	PX010101_Birthdate_Day
https://www.phenxtoolkit.org	PX010101010300	PX010101_Birthdate_Year
https://www.phenxtoolkit.org	PX091502030000	PX091502_Child_Birth_Date
https://www.phenxtoolkit.org	PX091601410000	PX091601_Date_Of_Birth
https://www.phenxtoolkit.org	PX150701060000	PX150701_Birth_Date
https://www.phenxtoolkit.org	PX221001030000	PX221001_MFHP_BirthDate
CMS MDS	A0900		1.17.1
CMS MDS	X0400		1.17.1
https://www.phenxtoolkit.org	PX010101010400	PX010101_Birthdate_Coded
https://www.phenxtoolkit.org	PX221201060000	PX221201_Growth_Chart_Date_Of_Birth
CMS OASIS	M0066		E
CMS MDS	A0900		v1.18.11
CMS MDS	X0400		v1.18.11
CMS MDS	A0900		1.17.2
CMS MDS	X0400		1.17.2

67871-4 Patient demographics - end stage renal disease form 2728

Fully-Specified Name

Component: Patient demographics - end stage renal disease form 2728
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

56799-0 Address

Observation ID in Form

CMS-2728_A5

Observation Required in Panel

Required

Fully-Specified Name

Component: Address
Property: Addr
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.29
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 8050

HL7^® Attributes

HL7^® Field ID: PID-11

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
80399-9	Occupational exposure information panel
79191-3	Patient demographics panel
93149-3	PhenX - bone age protocol 220301
63052-5	PhenX - current address protocol 010801
93025-5	Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Διεύθυνση:Addr:Pt:^Ασθενής:Nom: Synonyms: - Addr ADMIN ADMIN.PATIENT Nom Pt Ασθενής Διεύθυνση
es-ES	Spanish (Spain)	Dirección:Dirección:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Dirección:Dirección:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Indirizzo:Addr:Pt:^Paziente:Nom: Synonyms: Amministrativo Indirizzo (HL7 data type) Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	adres:adres (HL7-datatype):moment:^patiënt:nominaal:
pt-BR	Portuguese (Brazil)	Endereço:#N/A:Pt:^Paciente:Nom: Synonyms: Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Адрес:Адр:ТчкВрм:^Пациент:Ном: Synonyms: Адрес (HL7 data type) Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	地址:地址: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 - 病人地址(来自HL7) 时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX220301220000	PX220301_Bone_Age_Patient_Address

68997-6 Patient City (Mailing)

Observation ID in Form

CMS-2728_A5

Observation Required in Panel

Required

Fully-Specified Name

Component: City
Property: Loc
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

City

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 8343

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
80399-9	Occupational exposure information panel
79191-3	Patient demographics panel

46499-0 State of residence

Term Description

The state in which the patient is currently residing while receiving care.

Observation ID in Form

CMS-2728_A5

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: State of residence
Property: Loc
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.19
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 7483

HL7^® Attributes

HL7^® Field ID: PID-11.4

Example Answer List LL3661-7

Externally Defined: Yes
Code System: CDC-PHIN
Code System OID: 1.3.6.1.4.1.12009.10.1.2296
Link to External List: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.830

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
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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]
79191-3	Patient demographics panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Πολιτεία κατοικίας:Loc:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Loc Nom Pt Ασθενής Κατάσταση Κατοικία Πολιτεία κατοικίας
es-MX	Spanish (Mexico)	Estado de residencia:Loc:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Stato di residenza:Loc:Pt:^Paziente:Nom: Synonyms: Amministrativo Dati demografici del paziente Paziente Posizione Punto nel tempo (episodio)
zh-CN	Chinese (China)	居住州:位置: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 - 病人地点;场所州;邦;政府;国家;状况;情况所在州时刻;随机;随意;瞬间滞留;驻扎;住处;住所;住宅;居住地行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

Code System	Code	Code Version
CMS OASIS	M0050	D1
CMS OASIS	M0050	D
CMS OASIS	M0050	C2
CMS OASIS	M0050	E

45401-7 Postal code [Location]

Observation ID in Form

CMS-2728_A5

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Postal code
Property: Loc
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.73 (MIN)
Change Reason: Updated Component name from "ZIP code" to "Postal code", the more universal nomenclature for this concept.
Order vs. Observation: Both
Common Test Rank Get Info: 6911

HL7^® Attributes

HL7^® Field ID: PID-11.5

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
80399-9	Occupational exposure information panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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]
79191-3	Patient demographics panel
63052-5	PhenX - current address protocol 010801
62611-9	PhenX domain - Respiratory

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ταχυδρομικός κώδικας:Loc:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Loc Nom Pt Ασθενής Ταχυδρομικός κώδικας
es-MX	Spanish (Mexico)	Código Postal:Loc:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Codice di avviamento postale:Loc:Pt:^Paziente:Nom: Synonyms: Amministrativo CAP Dati demografici del paziente Paziente Posizione Punto nel tempo (episodio)
zh-CN	Chinese (China)	邮政编码:位置: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 - 病人地点;场所时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）邮政区号;邮递区号;邮编

Code System	Code	Code Text	Code Version
CMS OASIS	M0060		E
CMS OASIS	M0060		D1
CMS OASIS	M0060		D
CMS OASIS	M0060		C2
https://www.phenxtoolkit.org	PX010801060000	PX010801_ZIP_Code

42077-8 Patient phone number

Term Description

The patient's telephone number.

Observation ID in Form

CMS-2728_A6

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Phone number
Property: Tele
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT
Type: Clinical
First Released: Version 2.16
Last Updated: Version 2.73 (MIN)
Change Reason: Revised description and removed NORMATIVE answer list, which only included results for unknown or no phone number available. The answer choices did not include entering the patient's phone number. This term was originally created for the NAACCR v11 tumor registry. The coding instructions in the term description and as part of the answer list are now available as Form Coding Instructions for the term in the instance of the NAACCR version 11 panel [LOINC: 49083-9].
Order vs. Observation: Observation
Common Test Rank Get Info: 7124

HL7^® Attributes

HL7^® Field ID: PID-13

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
47245-6	HIV treatment form Document
49083-9	North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4	North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel
80399-9	Occupational exposure information panel
79191-3	Patient demographics panel
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Τηλεφωνικός αριθμός:Tele:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pt Tele Αριθμός Ασθενής Τηλεφωνικός αριθμός
es-ES	Spanish (Spain)	Número de teléfono:Teléfono:Punto temporal:^paciente:Nom: Synonyms: Número de teléfono (datos de HL7)
es-MX	Spanish (Mexico)	Número de teléfono:NúmeroTeléfono:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Numero telefonico:Tele:Pt:^Paziente:Nom: Synonyms: Amministrativo Numero di telefono (HL7 datatype) Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	telefoonnummer:telefoonnummer (HL7-datatype):moment:^patiënt:nominaal:
pt-BR	Portuguese (Brazil)	Telefone:Tele:Pt:^Paciente:Nom: Synonyms: Telecommunication number; Telephone number; Point in time; Random; Nominal; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU	Russian (Russian Federation)	Телефонный номер:Тел:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Телефонный номер (HL7 datatype) Точка во времени;Момент
zh-CN	Chinese (China)	电话号码:电话号码:时间点:^患者:名义型: Synonyms: 个数;数目分类型应答;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 - 病人无线电通讯号码;无线电通讯编号;电话号码(来自HL7);远程通信号码;远程通信编号;长途通信号码;长途通信编号时刻;随机;随意;瞬间电话行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

Code System	Code	Code Text	Code Version
NAACCR_ID	2360

46098-0 Sex

Part Descriptions

LP101395-4 Sex
In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en) Source: Regenstrief LOINC, WHO: gender

Observation ID in Form

CMS-2728_A7

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Sex
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.17
Last Updated: Version 2.73 (MIN)
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.
Order vs. Observation: Both
Common Test Rank Get Info: 2086

HL7^® Attributes

HL7^® Field ID: PID-8

Example Answer List LL1-9

Answer	Code	Score	Answer ID
Male	1		LA2-8
Female	2		LA3-6

Member of these Panels

LOINC	Long Common Name
89070-7	ADAPTABLE patient reported item set [ADAPTABLE]
95556-7	Adrenal cancer risk assessment and urine steroid fractions panel
72110-0	Alcohol Use Disorder Identification Test [AUDIT]
95405-7	Assay related variables panel [PhenX]
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
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
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
45963-6	Deprecated MDS basic assessment tracking form - version 2.0
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) 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]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) 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]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) 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]
90479-7	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) 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
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
63009-5	Deprecated PhenX domain - Social environments
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7	ESRD patient information panel
86636-8	Family planning report - FPAR 2.0 set
96452-8	Hepatocellular carcinoma risk panel - Serum or Plasma
47245-6	HIV treatment form Document
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4	Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [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]
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]
85626-0	Kidney failure 2-year and 5-year risk panel by KFRE
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
78699-6	Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeter
78698-8	Liver fibrosis score panel - Serum or Plasma Calculated by HepaScore
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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
82259-3	Metabolic equivalent of task and Resting metabolic rate panel
107107-5	Mini nutritional assessment MNA
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
91393-9	Opioid risk tool panel
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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]
69723-5	Patient Health Questionnaire (PHQ) [Reported]
93149-3	PhenX - bone age protocol 220301
62787-7	PhenX domain - Diabetes
62863-6	PhenX domain - Infectious diseases and immunity
62755-4	PhenX domain - Neurology
62263-9	PhenX domain - Nutrition and dietary supplements
62812-3	PhenX domain - Physical activity and physical fitness
62611-9	PhenX domain - Respiratory
63067-3	PhenX domain - Speech and hearing
82287-4	Physical activity panel
69919-9	Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]
100997-6	Respiratory Allergen Panel, Area 5 - Serum
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Φύλο:Type:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.DEMOG Nom Pt Type Ασθενής Φύλο
es-ES	Spanish (Spain)	Sexo:Tipo:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Sexo:Tipo:Punto temporal:^ Paciente:Nominal:
et-EE	Estonian (Estonia)	Sugu:Tüüp:Pt:^patsient:Nom: Synonyms: Juhuslik
fr-CA	French (Canada)	Sexe:Type:Temps ponctuel:^Patient:Nominal: Synonyms: ADMIN.PATIENT.DEMOG
fr-BE	French (Belgium)	Sexe:Type:Temps ponctuel:^Patient:Nominal:
fr-FR	French (France)	Sexe:Type:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Sesso:Tipo:Pt:^Paziente:Nom: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	geslacht:type:moment:^patiënt:nominaal:
pl-PL	Polish (Poland)	Płeć:typ:punkt w czasie:^pacjent:skala nominalna: Synonyms: wynik kategorialny
ru-RU	Russian (Russian Federation)	Пол:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
tr-TR	Turkish (Turkey)	Cinsiyet:Tip:Zmlı:^Hasta:Snf: Synonyms: Seks Tür
zh-CN	Chinese (China)	性别:类型: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 - 病人型性;性别特征;性行为;性交;性活动时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A0800		v1.18.11
CMS MDS	X0300		v1.18.11
CMS MDS	A0800		1.17.2
CMS MDS	X0300		1.17.2
CMS IRF-PAI	8		4.0
CMS LCDS	A0800		5.00
CMS OASIS	M0069		D1
CMS OASIS	M0069		E
CMS LCDS	A0800		3.00
CMS IRF-PAI	8		2.0
CMS MDS	A0800		1.16.1
CMS OASIS	M0069		D
CMS MDS	X0300		1.16.1
CMS IRF-PAI	8		1.4
CMS IRF-PAI	8		1.5
CMS IRF-PAI	8		3.0
CMS LCDS	A0800		4.00
CMS MDS	A0800		1.14.1
CMS MDS	A0800		1.15.1
CMS MDS	X0300		1.14.1
CMS MDS	X0300		1.15.1
CMS OASIS	M0069		C2
https://www.phenxtoolkit.org	PX070601010100	PX070601_Self_Gender
https://www.phenxtoolkit.org	PX091501010400	PX091501_Sleep_Apnea_Gender
https://www.phenxtoolkit.org	PX091502040000	PX091502_Child_Gender
https://www.phenxtoolkit.org	PX091601390000	PX091601_Sex
https://www.phenxtoolkit.org	PX130501020200	PX130501_Gender
https://www.phenxtoolkit.org	PX140201010100	PX140201_Spouse_Sex
https://www.phenxtoolkit.org	PX150101020000	PX150101_Sex
https://www.phenxtoolkit.org	PX150102010000	PX150102_Sex
https://www.phenxtoolkit.org	PX150201020000	PX150201_Gender
https://www.phenxtoolkit.org	PX150202020000	PX150202_Gender
https://www.phenxtoolkit.org	PX150203010000	PX150203_Gender
https://www.phenxtoolkit.org	PX161201010000	PX161201_Gender
https://www.phenxtoolkit.org	PX201501170101	PX201501_Sibling1_Sex
https://www.phenxtoolkit.org	PX201501170104	PX201501_Sibling1_Cause_Of_Hearing_Difficulty
https://www.phenxtoolkit.org	PX201501170203	PX201501_Sibling2_Age_Onset_Hearing_Difficulty
https://www.phenxtoolkit.org	PX201501170302	PX201501_Sibling3_Birth_Year
https://www.phenxtoolkit.org	PX201501170401	PX201501_Sibling4_Sex
https://www.phenxtoolkit.org	PX211101010400	PX211101_Person1_Gender
https://www.phenxtoolkit.org	PX211101020400	PX211101_Person2_Gender
https://www.phenxtoolkit.org	PX211101030400	PX211101_Person3_Gender
https://www.phenxtoolkit.org	PX211101040400	PX211101_Person4_Gender
https://www.phenxtoolkit.org	PX211101050400	PX211101_Person5_Gender
https://www.phenxtoolkit.org	PX211101060400	PX211101_Person6_Gender
https://www.phenxtoolkit.org	PX211101070400	PX211101_Person7_Gender
https://www.phenxtoolkit.org	PX211101080400	PX211101_Person8_Gender
https://www.phenxtoolkit.org	PX211101090400	PX211101_Person9_Gender
https://www.phenxtoolkit.org	PX211101100400	PX211101_Person10_Gender
https://www.phenxtoolkit.org	PX211101110400	PX211101_Person11_Gender
https://www.phenxtoolkit.org	PX211101120400	PX211101_Person12_Gender
https://www.phenxtoolkit.org	PX211101130400	PX211101_Person13_Gender
https://www.phenxtoolkit.org	PX211101140400	PX211101_Person14_Gender
https://www.phenxtoolkit.org	PX211101150400	PX211101_Person15_Gender
https://www.phenxtoolkit.org	PX211101160400	PX211101_Person16_Gender
https://www.phenxtoolkit.org	PX211101170400	PX211101_Person17_Gender
https://www.phenxtoolkit.org	PX211101180400	PX211101_Person18_Gender
https://www.phenxtoolkit.org	PX211101190400	PX211101_Person19_Gender
https://www.phenxtoolkit.org	PX211101200400	PX211101_Person20_Gender
CMS MDS	A0800		1.17.1
CMS MDS	X0300		1.17.1
https://www.phenxtoolkit.org	PX220301250000	PX220301_Bone_Age_Patient_Gender
https://www.phenxtoolkit.org	PX811301030000	PX811301_SerumPlasmaFerritin_Gender

54133-4 Ethnicity [USSG-FHT]

Observation ID in Form

CMS-2728_A8

Observation Required in Panel

Optional

Fully-Specified Name

Component: Ethnicity
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: USSG-FHT

Basic Attributes

Class: SURVEY.USSGFHT
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 19111

HL7^® Attributes

HL7^® Field ID: PID-22

Normative Answer List LL628-9

Answer	Code	Answer ID
Hispanic or Latino	2135-2	LA6214-6
Central American	2155-0	LA10599-1
Cuban	2182-4	LA4190-0
Dominican(Republic)	2184-0	LA10601-5
Mexican	2148-5	LA4611-5
Puerto Rican	2180-8	LA4364-1
South American	2165-9	LA10606-4
Other Latin American		LA14055-0
Other Hispanic/Latino/Spanish		LA10603-1
Non-Hispanic or Latino	2186-5	LA10597-5
Ashkenazi Jewish		LA10598-3
Unknown/No answer		LA10607-2

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
54127-6	US Surgeon General family health portrait [USSG-FHT]

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX221001110000	PX221001_MFHP_Ethnicity

68329-2 Country of origin

Observation ID in Form

CMS-2728_A9

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Country of origin
Property: Loc
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.52 (MAJ)

Member of these Panels

LOINC	Long Common Name
78000-7	Case notification panel [CDC.PHIN]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

54134-2 Race [USSG-FHT]

Observation ID in Form

CMS-2728_A10

Observation Required in Panel

Required

Fully-Specified Name

Component: Race
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: USSG-FHT

Basic Attributes

Class: SURVEY.USSGFHT
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.44 (MIN)

HL7^® Attributes

HL7^® Field ID: PID-10

Normative Answer List LL629-7

Answer	Code	Answer ID
American Indian or Alaska Native	1002-5	LA6155-1
Asian	2028-5	LA6156-9
Asian Indian	2029-7	LA14048-5
Chinese	2034-7	LA4168-6
Filipino	2036-2	LA3969-8
Japanese	2039-6	LA4595-0
Korean	2040-4	LA4603-2
Vietnamese	2047-9	LA4443-3
Other Asian		LA14049-3
Black or African American	2054-5	LA10610-6
Native Hawaiian or Other Pacific Islander	2076-8	LA10611-4
Native Hawaiian	2079-2	LA14045-1
Guamanian	2087-5	LA14046-9
Chamorro	2088-3	LA10621-3
Samoan	2080-0	LA4300-5
Other Pacific Islander	2500-7	LA14047-7
White	2106-3	LA4457-3
Other/Unknown/Refuse To Answer		LA10613-0

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
54127-6	US Surgeon General family health portrait [USSG-FHT]

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX221001100000	PX221001_MFHP_Race

67884-7 Tribal enrollment

Observation ID in Form

CMS-2728_A10a

Condition for Inclusion

American Indian selected for Race

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Tribal enrollment
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: ADMIN.DEMOG
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.68 (NAM)
Change Reason: Release 2.68: COMPONENT: Updated Component to match current LOINC conventions

Example Answer List LL5596-3

Externally Defined: Yes
Code System: CDC-PHIN
Code System OID: 1.3.6.1.4.1.12009.10.1.4413
Link to External List: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.876

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Εγγραφή σε φυλή:Type:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.DEMOG Nom Pt Type Ασθενής Εγγραφή σε φυλή
es-MX	Spanish (Mexico)	Inscripción tribal:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Iscrizione tribale:Tipo:Pt:^Paziente:Nom: Synonyms: Amministrativo Demografia Iscrizione a tribù paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	部落登记情况:类型: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 - 病人型时刻;随机;随意;瞬间行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）部落登记（注册、参加、加入）情况

67872-2 Is the patient applying for ESRD Medicare coverage?

Observation ID in Form

CMS-2728_A11

Observation Required in Panel

Required

Fully-Specified Name

Component: Medicare end stage renal disease coverage requested
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Medicare end stage renal disease coverage requested

Basic Attributes

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

Normative Answer List LL361-7

Answer	Code	Score	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)			LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)			LA32-8

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

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.

52556-8 Payment sources

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Payment sources
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.26
Last Updated: Version 2.63 (MIN)
Change Reason: Changed METHOD to methodless - generic term that does not orginate from just one method; Removed "Current" from component because it is conveyed by TIMING = Pt;Updated PROPERTY from Find to Type
Order vs. Observation: Both

Example Answer List LL544-8

Answer	Code	Answer ID
None (no charge for current services)	D1	LA10028-1
Medicare (traditional fee-for-service)	D2	LA6259-1
Medicare (HMO/managed care)	D3	LA6258-3
Medicaid (traditional fee-for-service)	D4	LA6257-5
Medicaid (HMO/managed care)	D5	LA6256-7
Workers’ compensation	D6	LA10123-0
Title programs (e.g., Title III, V, or XX)	D7	LA6398-7
Other government (e.g., TRICARE, VA, etc.)	D8	LA10049-7
Private insurance/Medigap	D9	LA10061-2
Private HMO/managed care	D10	LA6349-0
Self-pay	D11	LA6369-8
Other (specify)	D12	LA6310-2
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	D13	LA4489-6

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]
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
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]
85671-6	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
86636-8	Family planning report - FPAR 2.0 set
106623-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2	Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [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]
113114-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 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]
93219-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - 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]

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Third Party Copyright

8302-2 Body height

Observation ID in Form

CMS-2728_A13

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Body height
Property: Len
Time: Pt
System: ^Patient
Scale: Qn
Method

Basic Attributes

Class: BDYHGT.ATOM
Type: Clinical
First Released: Version 1.0h(2)
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 46

Member of these Panels

LOINC	Long Common Name
58446-6	Creatinine 24H renal clearance adjusted for body surface area panel
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70300-9	ESRD dialysis adequacy panel
86636-8	Family planning report - FPAR 2.0 set
75885-4	IEEE 11073 Rosetta panel
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
89543-3	Laboratory ask at order entry panel
107107-5	Mini nutritional assessment MNA
87825-6	National Trauma Data Standard - version 2018 set
74293-2	Oncology plan of care and summary - recommended CDA set
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
93149-3	PhenX - bone age protocol 220301
62812-3	PhenX domain - Physical activity and physical fitness
97782-7	Spine Tango Surgery 2017
54127-6	US Surgeon General family health portrait [USSG-FHT]
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
55418-8	Weight and Height tracking panel

Member of these Groups Get Info

LOINC Group	Group Name
LG34373-7	Body height\|Len\|Pt\|^Patient

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	tělesná výška:Délka:Časový bod:^Pacient:Kvantitativní:
de-AT	German (Austria)	Synonyms: Körpergröße
de-DE	German (Germany)	Körpergröße:Länge:Zeitpunkt:^Patient:Quantitativ:
el-GR	Greek (Greece)	Σωματικό ύψος:Len:Pt:^Ασθενής:Qn: Synonyms: - BDYHGT.ATOM Len Pt Qn Ασθενής Σωματικό ύψος Ύψος
es-AR	Spanish (Argentina)	altura corporal:longitud:punto en el tiempo:^paciente:cuantitativo:
es-MX	Spanish (Mexico)	Peso corporal:Len:Punto temporal:^ Paciente:Cuantitativo:
fr-CA	French (Canada)	Taille:Longueur:Temps ponctuel:^Patient:Quantitatif:
fr-FR	French (France)	Taille du patient:Longueur:Ponctuel:^patient:Numérique:
fr-BE	French (Belgium)	Taille corporelle:Longueur:Temps ponctuel:^Patient:Quantitatif:
it-IT	Italian (Italy)	Altezza corporea:Len:Pt:^Paziente:Qn: Synonyms: Altezza del corpo - atomica Lunghezza paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamslengte:afmeting:moment:^patiënt:kwantitatief: Synonyms: lengte
pt-BR	Portuguese (Brazil)	Estatura:Comprimento:Pt:^Paciente:Qn: Synonyms: ; Bdy height; Body length; Axial length; Length; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY HEIGHT(LENGTH).ATOM; BODY HEIGHT(LENGTH).ATOM
ru-RU	Russian (Russian Federation)	Рост:Дл:ТчкВрм:^Пациент:Колич: Synonyms: Длина Количественный Тело высота Точка во времени;Момент
zh-CN	Chinese (China)	身高:长度:时间点:^患者:定量型: Synonyms: 一般体长;一般身高;一般身高(长度);体长.原子型;身高(长度).原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间物体身体长度;身体高度;身长身高;身长;身体高度长;长短

Example Units

Unit	Source
[in_us];cm;m	Example UCUM Units
INCH(S)	REGENSTRIEF

Related Codes

Code System	Code	Code Text
urn:iso:std:iso:11073:10101	68060	MDC_ATTR_PT_HEIGHT
https://www.phenxtoolkit.org	PX150203040100	PX150203_Height_Feet
https://www.phenxtoolkit.org	PX150203040200	PX150203_Height_Inches
https://www.phenxtoolkit.org	PX220301280000	PX220301_Bone_Age_Patient_Height
https://www.phenxtoolkit.org	PX220704040000	PX220704_Mitochondrial_Disease_Adult_Height
https://www.phenxtoolkit.org	PX230101390200	PX230101_PsychopathologyEatingDisorders_Height
https://www.phenxtoolkit.org	PX230102440000	PX230102_PsychopathologyEatingDisordersInterview_Height
https://www.phenxtoolkit.org	PX651201050100	PX651201_EatingWeightPatterns_Adult_Height_Feet
https://www.phenxtoolkit.org	PX651201050200	PX651201_EatingWeightPatterns_Adult_Height_Inches
https://www.phenxtoolkit.org	PX810301410000	PX810301_SingleBreath_CarbonMonoxide_DiffusingCapacity_Subject_Height
https://www.phenxtoolkit.org	PX810401070000	PX810401_Standardisation_LungVolumeMeasurement_Subject_Height
https://www.phenxtoolkit.org	PX020302140000	PX020302_BodyComposition_Dxa_WholeBody_Height
https://www.phenxtoolkit.org	PX090602210100	PX090602_Exercise_Capacity_Patient_Height_Feet
https://www.phenxtoolkit.org	PX090602210200	PX090602_Exercise_Capacity_Patient_Height_Inches
https://www.phenxtoolkit.org	PX090602220100	PX090602_Exercise_Capacity_Patient_Height_Meters
https://www.phenxtoolkit.org	PX221001060000	PX221001_MFHP_Height
https://www.phenxtoolkit.org	PX221201130000	PX221201_Growth_Chart_Current_LengthStature

8340-2 Dry body weight Estimated

Term Description

Relating to hemodialysis: Dry weight is the lowest weight a patient can tolerate without the development of symptoms or hypotension.

Part Descriptions

LP94912-0 Dry body weight
Dry body weight is the body weight of a hemodialysis patient post-dialysis, when the blood pressure is within normal limits without the use of antihypertensive medication. In patients with renal failure, decline in kidney function leads to increased total body sodium, which causes an increase in extracellular fluid volume (ECV) and hypertension. During dialysis, excess sodium and fluid is removed, with a consequent decrease in blood pressure. Recommended values for blood pressure are pre-dialysis pressure of <140/90 and post-dialysis pressure of <130/85, which indicate adequate volume control. Dry body weight can help monitor ECV but is difficult to determine since it is not a constant value and may vary between hemodialysis sessions. Other methods for measuring ECV include central venous pressure, examination of the external jugular vein, assessment of edema, and the cardiothoracic index. PMID: 25028642 Source: Regenstrief LOINC

Observation ID in Form

CMS-2728_A14

Observation Required in Panel

Required

Fully-Specified Name

Component: Dry body weight
Property: Mass
Time: Pt
System: ^Patient
Scale: Qn
Method: Estimated

Basic Attributes

Class: BDYWGT.MOLEC
Type: Clinical
First Released: Version 1.0h(2)
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Ξηρό σωματικό βάρος:Mass:Pt:^Ασθενής:Qn:Εκτιμώμενο Synonyms: - BDYWGT.MOLEC Mass Pt Qn Ασθενής Βάρος Εκτιμώμενο Ξηρό σωματικό βάρος Σωματικό βάρος
es-AR	Spanish (Argentina)	peso corporal^peso seco:masa:punto en el tiempo:^paciente:cuantitativo:estimativo
es-MX	Spanish (Mexico)	Peso corporal seco:Masa:Punto temporal:^ Paciente:Cuantitativo:Estimated
fr-FR	French (France)	Poids corporel sec:Masse:Ponctuel:^patient:Numérique:Résultat estimé
it-IT	Italian (Italy)	Peso corporeo secco:Massa:Pt:^Paziente:Qn:Stimato Synonyms: paziente Peso del corpo - molecolare Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Peso corporal enxugado:Massa:Pt:^Paciente:Qn:Estimado Synonyms: ; Wt; Dry weight; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; Est; estimation; bod; Bodies; BODY WEIGHT.MOLEC; BODY WEIGHT.MOLEC
zh-CN	Chinese (China)	干体重:质量:时间点:^患者:定量型:估计法 Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺干式体重;干重时刻;随机;随意;瞬间标本重量;重物体特殊体重;特殊身体重量;身体重量.分子型胎龄估计法;孕龄估计法身体重量重量

Example Units

Unit	Source
kg;[lb_av]	Example UCUM Units

67873-0 Primary Cause of Renal Failure Code

Observation ID in Form

CMS-2728_A15

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Cause of renal failure.primary
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: Reported

Long Common Name

Cause of renal failure.primary [Reported]

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.48 (MIN)

Normative Answer List LL1892-0

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.1069
Link to External List: http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67874-8 Patient Prior Employment Status (6 Months Prior)

Observation ID in Form

CMS-2728_A16a1

Observation Required in Panel

Required

Fully-Specified Name

Component: Employment status - 6Mo prior to renal failure
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: Reported

Long Common Name

Employment status - 6 months prior to renal failure [Reported]

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.61 (NAM)
Change Reason: Changed Mos to Mo in component based on current LOINC model

Normative Answer List LL1901-9

Answer	Code	Score	Answer ID
Unemployed			LA17956-6
Employed full time			LA17957-4
Employed part time			LA17958-2
Homemaker			LA17959-0
Retired due to age/preference			LA17960-8
Retired due to disability			LA17961-6
Medical leave of absence			LA17962-4
Student			LA15276-1

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67875-5 Patient Current Employment Status (At Onset)

Observation ID in Form

CMS-2728_A16b1

Observation Required in Panel

Required

Fully-Specified Name

Component: Employment status - current
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Employment status - current

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.81 (MIN)
Change Reason: Release 2.81: ValidHL7AttachmentRequest: Updated to add to HIPAA Attachments, per user request.; Previous Releases: Updated Property from "Find" to "Type" since this concept represents current employment status types. Remove Method of Reported. Move ESRD Survey question text to the Override Display Name within the context of the ESRD panel.
HL7^® Attachment Structure: No IG exists

Normative Answer List LL1901-9

Answer	Code	Score	Answer ID
Unemployed			LA17956-6
Employed full time			LA17957-4
Employed part time			LA17958-2
Homemaker			LA17959-0
Retired due to age/preference			LA17960-8
Retired due to disability			LA17961-6
Medical leave of absence			LA17962-4
Student			LA15276-1

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
93025-5	Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
98154-8	SARS-CoV-2-related socioeconomic questionnaire for adults
97029-3	Spine Tango surgery follow-up 2017 Spine Tango

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Κατάσταση απασχόλησης - τρέχουσα:Type:Pt:^Ασθενής:Nom: Synonyms: - H&P.HX Nom Pt Type Ασθενής Κατάσταση Κατάσταση απασχόλησης Κατάσταση απασχόλησης - τρέχουσα
es-MX	Spanish (Mexico)	Situación laboral - actual:Tipo:Punto temporal:^ Paciente:Nominal:
fr-CA	French (Canada)	Situation d'emploi — actuelle:Type:Temps ponctuel:^Patient:Nominal:
it-IT	Italian (Italy)	Stato occupazionale - attuale:Tipo:Pt:^Paziente:Nom: Synonyms: Anamnesi paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Занятость статус - текущий:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	就业状况 - 当前:类型: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 - 病人历史纪录与体格检查历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别历史纪录与体格检查小节型就业（聘用、雇佣、从业、应聘）状况（情况、状态）就业（聘用、雇佣、从业、应聘）状态 - 当前;雇佣状况 - 当前;工作情况 - 当前;就业情况 - 当前时刻;随机;随意;瞬间状况;情况病史与体格检查

Related Codes

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX730401140000	PX730401_Best_Describes_CurrentJob_Status
https://www.phenxtoolkit.org	PX751401010000	PX751401_Worksite_Policies_Employment_Status

67876-3 Co-Morbid Conditions

Observation ID in Form

CMS-2728_A17

Observation Required in Panel

Required

Form Coding Instructions

Check all that apply currently and/or during the last 10 years

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: End stage renal disease co-morbidities ICD code
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

End stage renal disease (ESRD) co-morbidities ICD code

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.67 (MIN)
Order vs. Observation: Observation

Normative Answer List LL1892-0

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.1069
Link to External List: http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67885-4 Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy

Observation ID in Form

CMS-2728_A18a

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Received exogenous erythropoetin or equivalent prior to end stage renal disease therapy
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Basic Attributes

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

Normative Answer List LL1872-2

Answer	Code	Score	Answer ID
Yes, <6mos			LA17807-1
Yes, 6-12 mos			LA17808-9
Yes, >12 mos			LA17809-7
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)			LA32-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)			LA4489-6

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Third Party Copyright

67886-2 Care by nephrologist prior to end stage renal disease therapy

Observation ID in Form

CMS-2728_A18b

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Care by nephrologist prior to end stage renal disease therapy
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Basic Attributes

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

Normative Answer List LL1872-2

Answer	Code	Score	Answer ID
Yes, <6mos			LA17807-1
Yes, 6-12 mos			LA17808-9
Yes, >12 mos			LA17809-7
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)			LA32-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)			LA4489-6

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Third Party Copyright

67887-0 Care by kidney dietician prior to end stage renal disease therapy

Observation ID in Form

CMS-2728_A18c

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Care by kidney dietitian prior to end stage renal disease therapy
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Care by kidney dietitian prior to end stage renal disease therapy

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Normative Answer List LL1872-2

Answer	Code	Score	Answer ID
Yes, <6mos			LA17807-1
Yes, 6-12 mos			LA17808-9
Yes, >12 mos			LA17809-7
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)			LA32-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)			LA4489-6

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Third Party Copyright

67888-8 Access Type for First Outpatient Dialysis

Observation ID in Form

CMS-2728_A18d

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Vascular access for first outpatient dialysis
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Vascular access for first outpatient dialysis

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Normative Answer List LL1873-0

Answer	Code	Answer ID
Arteriovenous fistula (AVF)	1	LA17810-5
Graft	2	LA17811-3
Catheter	3	LA17812-1
Other access type	4	LA17813-9

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68449-8 Is maturing AVF present?

Observation ID in Form

CMS-2728_A18e

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Arteriovenous fistula maturity
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Arteriovenous fistula maturity

Basic Attributes

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

Normative Answer List LL1885-4

Answer	Code	Score	Answer ID
Yes, present but not mature			LA17835-2
No, access not present, or present and not maturing			LA17836-0

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
72055-7	Vascular access panel [ESRD]

68450-6 Is maturing graft present?

Observation ID in Form

CMS-2728_A18f

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Graft maturity
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Graft maturity

Basic Attributes

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

Normative Answer List LL1885-4

Answer	Code	Score	Answer ID
Yes, present but not mature			LA17835-2
No, access not present, or present and not maturing			LA17836-0

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
72055-7	Vascular access panel [ESRD]

68996-8 Laboratory - end stage renal disease form 2728

Fully-Specified Name

Component: Laboratory - end stage renal disease form 2728
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

1751-7 Albumin [Mass/volume] in Serum or Plasma

Part Descriptions

LP6118-6 Albumin
A non-glycosylated protein that is synthesized in the liver parenchymal cells, regulated by colloid osmotic pressure from interstitial fluid surrounding hepatocytes, and catabolized in nearly all organs. Albumin comprises >50% of plasma proteins in plasma, CSF and urine, and therefore is a key contributor to intravascular oncotic pressure and regulating fluid concentration in tissues. Albumin also binds and transports a variety of endogenous substances and medications. Serum albumin measurement is a reflection of hydration and nutritional status, blood oncotic pressure, liver and kidney function, and other chronic diseases, and the ratio of albumin in the CSF and serum can be used to evaluate blood brain barrier disorders. [Tietz] Urine albumin of less than 30 mg/day is considered normal. Microalbuminuria is defined as urine albumin of 30-300 mg/day and is an early sign of kidney damage from disorders such as diabetes or hypertension. Albuminuria is urine albumin >300 mg/day and is associated with overt kidney disease. PMID: 25512779 Source: Regenstrief LOINC

Observation ID in Form

CMS-2728_Aa1

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Albumin
Property: MCnc
Time: Pt
System: Ser/Plas
Scale: Qn
Method

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 39

Member of these Panels

LOINC	Long Common Name
89044-2	Basic metabolic and albumin panel - Serum or Plasma
98153-0	Child-Pugh panel
24322-0	Comprehensive metabolic 1998 panel - Serum or Plasma
24323-8	Comprehensive metabolic 2000 panel - Serum or Plasma
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
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70298-5	ESRD mineral metabolism panel
24324-6	Hepatic function 1996 panel - Serum or Plasma
24325-3	Hepatic function 2000 panel - Serum or Plasma
88843-8	Metabolic panel.dialysis patient - Serum or Plasma
54232-4	Metabolic panel.large animal - Serum or Plasma
54233-2	Metabolic panel.small animal - Serum or Plasma
55121-8	Multiple sclerosis panel - Serum and CSF
48811-4	Protein fractions 3 panel - Serum or Plasma
24362-6	Renal function 2000 panel - Serum or Plasma

Member of these Groups Get Info

LOINC Group	Group Name
LG5465-2	Albumin\|MCnc\|Pt\|ANYBldSerPl
LG49829-1	Albumin\|Pt\|Ser/Plas\|66.439 kDa g/mole

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	الألبومين Synonyms: بروتين الألبومين
cs-CZ	Czech (Czechia)	Albumin:Hmotnostní koncentrace:Časový bod:Sérum/plazma:Kvantitativní:
de-AT	German (Austria)	Synonyms: Albumin
de-DE	German (Germany)	Albumin:Massenkonzentration:Zeitpunkt:Serum oder Plasma:Quantitativ:
el-GR	Greek (Greece)	Αλβουμίνη (Λευκωματίνη):MCnc:Pt:Ορός/Πλάσμα:Qn: Synonyms: CHEM MCnc Pt Qn Αλβουμίνη (Λευκωματίνη) Ορός Ορός/Πλάσμα Πλάσμα
es-AR	Spanish (Argentina)	albúmina:concentración de masa:punto en el tiempo:suero/plasma:cuantitativo:
es-MX	Spanish (Mexico)	Albúmina:Concentración de masa:Punto temporal:Suero o Plasma:Cuantitativo:
es-ES	Spanish (Spain)	Albúmina:Concentración de masa:Punto temporal:Suero o Plasma:Qn: Synonyms: Cuantitativo
et-EE	Estonian (Estonia)	Albumiin:MCnc:Pt:S/P:Qn: Synonyms: Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma
fr-CA	French (Canada)	Albumine:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
fr-FR	French (France)	Albumine:Masse/Volume:Ponctuel:Sérum/Plasma:Numérique:
fr-BE	French (Belgium)	Albumine:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
it-IT	Italian (Italy)	Albumina:MCnc:Pt:Siero/Plasma:Qn: Synonyms: Chimica Concentrazione di Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma
ko-KR	Korean (Korea, Republic Of)	알부민:질량농도:검사시점:혈청/혈장:정량:
nl-NL	Dutch (Netherlands)	albumine:massa/volume:moment:serum of plasma:kwantitatief:
pl-PL	Polish (Poland)	Albumina:stężenie masowe:punkt w czasie:surowica lub osocze:ilościowy:
pt-BR	Portuguese (Brazil)	Albumina:MCnc:Pt:Sor/Plas:Qn: Synonyms: Protein.albumin; Alb; Mass concentration; Level; Point in time; Random; SerPl; SerPlas; SerP; Serum; SR; Plasma; Pl; Plsm; Quantitative; QNT; Quant; Quan; Chemistry
ru-RU	Russian (Russian Federation)	Альбумин:МассКонц:ТчкВрм:Сыв/Плаз:Колич: Synonyms: Количественный Массовая концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени;Момент
tr-TR	Turkish (Turkey)	Albumin:KütlKons:Zmlı:Ser/Plaz:Kant:
uk-UA	Ukrainian (Ukraine)	Альбумін:Масова Концентрація:МоментЧасу:Сироватка/Плазма:Кількісно: Synonyms: Alb; Chemistry; Hepatology; Kidney; Level; Liver; Mass Concentration; Nephrology; Pl; Plasma; Plsm; Point in time; Protein.albumin; QNT; Quan; Quant; Quantitative; Random; Renal; SerP; SerPl; SerPlas; Serum; Serum or plasma; SR; UniversalLabOrders
zh-CN	Chinese (China)	白蛋白:质量浓度:时间点:血清/血浆:定量型: Synonyms: Alb;清蛋白;白;白朊;蛋白素;蛋白胚乳;蛋白质.白蛋白;血液制品 - 白蛋白化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间水平;浓度;质量浓度(单位体积) 血清或血浆

Example Units

Unit	Source
g/dL	Example UCUM Units
mg/dL	REGENSTRIEF

49049-0 Collection time of Specimen

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Collection time
Property: TmStp
Time: Pt
System: ^Specimen
Scale: Qn
Method

Basic Attributes

Class: SPEC
Type: Laboratory
First Released: Version 2.21
Last Updated: Version 2.73 (MIN)
Change Reason: Release 2.68: SYSTEM: Updated for consistency across terms
Order vs. Observation: Observation
Common Test Rank Get Info: 1396

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Čas odběru:Časové razítko (datum a čas):Časový bod:^Vzorek:Kvantitativní:
de-AT	German (Austria)	Synonyms: Mat.-gew. Zeitstp/SM
el-GR	Greek (Greece)	Ώρα συλλογής:TmStp:Pt:^Δείγμα:Qn: Synonyms: - Pt Qn SPEC Time TmStp Δείγμα Ώρα συλλογής
es-ES	Spanish (Spain)	hora de obtención:Certificado de tiempo (Dia y Hora):Punto temporal:^Muestra:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Tiempo de recogida:Sello de hora (fecha y hora):Punto temporal:^ Muestra:Cuantitativo:
fr-CA	French (Canada)	Heure de prélèvement:Estampille temporelle:Temps ponctuel:^Échantillon:Quantitatif:
fr-FR	French (France)	Heure du recueil:Horodatage:Ponctuel:^Échantillon:Numérique:
it-IT	Italian (Italy)	Raccolta, ora:TmStp:Pt:^Campione:Qn: Synonyms: Caratteristiche campione Ora di collezionamento Punto nel tempo (episodio) Time stamp (Data e Ora)
nl-NL	Dutch (Netherlands)	verzameltijd:tijdstempel:moment:^monster:kwantitatief: Synonyms: specimen
pt-BR	Portuguese (Brazil)	Horário da coleta:TmStp:Pt:XXX:Qn: Synonyms: ; Collect Tme; Time stamp; Date and time; Timestamp; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Quantitative; QNT; Quant; Quan; Coll; Collected
zh-CN	Chinese (China)	采集时间:时间戳:时间点:^标本:定量型: Synonyms: 印时戳;时标;时间戳(日期与时间);时间标记;计时标记受检物可用数量表示的;定量性;数值型;数量型;连续数值型标尺收集收集时间时刻;随机;随意;瞬间时间(如秒);时间(如秒数) 标本（样本、样品、试样）标本;标本信息;标本类样品样本试样采取

Example Units

Unit	Source
{clock_time}	Example UCUM Units

68900-0 Albumin Lab Method

Observation ID in Form

CMS-2728_Aa3

Observation Required in Panel

Optional

Fully-Specified Name

Component: Albumin lab method
Property: Type
Time: Pt
System: Ser/Plas
Scale: Nom
Method

Long Common Name

Albumin lab method

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.42 (MIN)

Normative Answer List LL1902-7

Answer	Code	Score	Answer ID
BCG - bromocresol green			LA17963-2
BCP - bromocresol purple			LA17964-0

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70298-5	ESRD mineral metabolism panel

2160-0 Creatinine [Mass/volume] in Serum or Plasma

Part Descriptions

LP14355-9 Creatinine
Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas. Copyright Copyright ©2005-2009 Genome Alberta (Reference to original publication: Wishart DS, Knox C, Guo AC, et al. HMDB: a knowledgebase for the human metabolome. Nucleic Acids Res. 2009 37(Database issue):D603-610.) Source: Human Metabolome Database, Creatinine

Observation ID in Form

CMS-2728_Ab

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Creatinine
Property: MCnc
Time: Pt
System: Ser/Plas
Scale: Qn
Method

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 4

Member of these Panels

LOINC	Long Common Name
44789-6	Amylase and Creatinine clearance panel - Urine and Serum or Plasma
24320-4	Basic metabolic 1998 panel - Serum or Plasma
24321-2	Basic metabolic 2000 panel - Serum or Plasma
70219-1	Basic metabolic 2008 panel with ionized calcium - Serum or Plasma
89044-2	Basic metabolic and albumin panel - Serum or Plasma
24322-0	Comprehensive metabolic 1998 panel - Serum or Plasma
24323-8	Comprehensive metabolic 2000 panel - Serum or Plasma
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
58446-6	Creatinine 24H renal clearance adjusted for body surface area panel
34555-3	Creatinine 24H renal clearance panel
45066-8	Creatinine and Glomerular filtration rate.predicted panel - Serum, Plasma or Blood
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
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70300-9	ESRD dialysis adequacy panel
54037-7	HEDIS 2009 panel
57820-3	HEDIS 2010 panel
60442-1	HEDIS 2011 panel
67767-4	HEDIS 2012 panel
72199-3	HEDIS 2013 panel
74234-6	HEDIS 2014 Value Sets
75868-0	HEDIS 2015 Value Sets
79544-3	HEDIS 2016 Value Sets
82955-6	HEDIS 2017 Value Sets
87625-0	HEDIS 2018 Value Sets
90766-7	HEDIS 2019 Value Sets
88843-8	Metabolic panel.dialysis patient - Serum or Plasma
54232-4	Metabolic panel.large animal - Serum or Plasma
54233-2	Metabolic panel.small animal - Serum or Plasma
24362-6	Renal function 2000 panel - Serum or Plasma
96789-3	Sequential Organ Failure Assessment SOFA
94129-4	Water deprivation challenge panel - Urine and Serum or Plasma

Member of these Groups Get Info

LOINC Group	Group Name
LG6657-3	Creatinine\|MCnc\|Pt\|ANYBldSerPl
LG52058-1	Creatinine\|Pt\|ANYBldSerPl\|113.12 g/mole
LG50024-5	Creatinine\|Pt\|Ser/Plas\|113.12 g/mole

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Kreatinin:Hmotnostní koncentrace:Časový bod:Sérum/plazma:Kvantitativní:
de-AT	German (Austria)	Synonyms: Kreatinin
de-DE	German (Germany)	Creatinin:Massenkonzentration:Zeitpunkt:Serum oder Plasma:Quantitativ:
el-GR	Greek (Greece)	Κρεατινίνη:MCnc:Pt:Ορός/Πλάσμα:Qn: Synonyms: CHEM MCnc Pt Qn Κρεατινίνη Ορός Ορός/Πλάσμα Πλάσμα
es-AR	Spanish (Argentina)	creatinina:concentración de masa:punto en el tiempo:suero/plasma:cuantitativo:
es-ES	Spanish (Spain)	Creatinina:Concentración de masa:Punto temporal:Suero o Plasma:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Creatinina:Concentración de masa:Punto temporal:Suero o Plasma:Cuantitativo:
et-EE	Estonian (Estonia)	Kreatiniin:MCnc:Pt:S/P:Qn: Synonyms: Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma
fr-CA	French (Canada)	Créatinine:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
fr-FR	French (France)	Créatinine:Masse/Volume:Ponctuel:Sérum/Plasma:Numérique:
fr-BE	French (Belgium)	Créatinine:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
it-IT	Italian (Italy)	Creatinina:MCnc:Pt:Siero/Plasma:Qn: Synonyms: Chimica Concentrazione di Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma
ko-KR	Korean (Korea, Republic Of)	크레아티닌:질량농도:검사시점:혈청/혈장:정량:
nl-NL	Dutch (Netherlands)	creatinine:massa/volume:moment:serum of plasma:kwantitatief: Synonyms: kreatinine
pl-PL	Polish (Poland)	Kreatynina:stężenie masowe:punkt w czasie:surowica lub osocze:ilościowy:
pt-BR	Portuguese (Brazil)	Creatinina:MCnc:Pt:Sor/Plas:Qn: Synonyms: ; Creat; CR; Mass concentration; Level; Point in time; Random; SerPl; SerPlas; SerP; Serum; SR; Plasma; Pl; Plsm; Quantitative; QNT; Quant; Quan; Chemistry
ru-RU	Russian (Russian Federation)	Креатинин:МассКонц:ТчкВрм:Сыв/Плаз:Колич: Synonyms: Количественный Массовая концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени;Момент
tr-TR	Turkish (Turkey)	Kreatinin:KütlKons:Zmlı:Ser/Plaz:Kant:
uk-UA	Ukrainian (Ukraine)	Креатинін:Масова Концентрація:МоментЧасу:Сироватка/Плазма:Кількісно: Synonyms: Chemistry; CR; Crea; Creat; Kidney; Level; Mass concentration; Nephrology; Pl; Plasma; Plsm; Point in time; QNT; Quan; Quant; Quantitative; Random; Renal; SerP; SerPl; SerPlas; Serum; Serum or plasma; SR; UniversalLabOrders
zh-CN	Chinese (China)	肌酐:质量浓度:时间点:血清/血浆:定量型: Synonyms: CR;Creat;肌氨酸酐;肌酸内酰胺;肌酸酐化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间水平;浓度;质量浓度(单位体积) 血清或血浆

Example Units

Unit	Source
mg/dL	Example UCUM Units
mg/dL	REGENSTRIEF

718-7 Hemoglobin [Mass/volume] in Blood

Reference Information

Type	Source	Reference
Mapping Guidance	Regenstrief Help	This is the the code included in the CBC auto. It is NOT obtained via the automated counting but uses a chemistry method just like most other hemoglobins. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Observation ID in Form

CMS-2728_Ac

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Hemoglobin
Property: MCnc
Time: Pt
System: Bld
Scale: Qn
Method

Basic Attributes

Class: HEM/BC
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 17

Member of these Panels

LOINC	Long Common Name
104076-5	Basic metabolic with hemoglobin and hematocrit panel - Blood
58410-2	CBC panel - Blood by Automated count
57021-8	CBC W Auto Differential panel - Blood
69742-5	CBC W Differential panel, method unspecified - Blood
57782-5	CBC W Ordered Manual Differential panel - Blood
57022-6	CBC W Reflex Manual Differential panel - Blood
39294-4	Children's preventive health services attachment Set
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
24361-8	Deprecated Hemogram, platelets & Differential panel in Blood
34527-2	Deprecated Hemogram, Platelets, Differential & Reticulocyte panel in Blood
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
48809-8	Erythrogram panel - Blood
70299-3	ESRD anemia management panel
24343-6	Gas and Carbon monoxide panel - Blood
24338-6	Gas panel - Blood
24360-0	Hemoglobin and Hematocrit panel - Blood
24317-0	Hemogram and platelets WO differential panel - Blood
24359-2	Hemogram without Platelets and with Manual Differential panel - Blood
24358-4	Hemogram without Platelets panel - Blood
24364-2	Obstetric 1996 panel - Serum and Blood
93340-8	PhenX - complete blood count protocol 220501
62611-9	PhenX domain - Respiratory
55429-5	Short blood count panel - Blood
113112-7	Therapeutic phlebotomy panel

Member of these Groups Get Info

LOINC Group	Group Name
LG44868-4	Hemoglobin\|Pt\|Bld

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	هيموغلوبين "خضاب" الدم (قوة الدم) Synonyms: هيموغلوبين "خضاب" الدم (قوة الدم)
cs-CZ	Czech (Czechia)	Hemoglobin:Hmotnostní koncentrace:Časový bod:Krev:Kvantitativní:
de-AT	German (Austria)	Synonyms: Hämoglobin
de-DE	German (Germany)	Hämoglobin:Massenkonzentration:Zeitpunkt:Blut:Quantitativ:
el-GR	Greek (Greece)	Αιμοσφαιρίνη:MCnc:Pt:Αίμα:Qn: Synonyms: HEM/BC MCnc Pt Qn Αίμα Αιμοσφαιρίνη
es-AR	Spanish (Argentina)	hemoglobina:concentración de masa:punto en el tiempo:sangre:cuantitativo:
es-ES	Spanish (Spain)	Hemoglobina:Concentración de masa:Punto temporal:Sangre:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Hemoglobina:Concentración de masa:Punto temporal:Sangre:Cuantitativo:
et-EE	Estonian (Estonia)	Hemoglobiin:MCnc:Pt:B:Qn: Synonyms: Juhuslik Kvantitatiivne Veri
fr-CA	French (Canada)	Hémoglobine:Concentration de masse:Temps ponctuel:Sang:Quantitatif:
fr-FR	French (France)	Hémoglobine:Masse/Volume:Ponctuel:Sang:Numérique:
fr-BE	French (Belgium)	Hémoglobine:Concentration de masse:Temps ponctuel:Sang:Quantitatif: Synonyms: Hb
it-IT	Italian (Italy)	Emoglobina:MCnc:Pt:Sangue:Qn: Synonyms: Concentrazione di Massa Ematologia (coagulazione) conta differenziale Punto nel tempo (episodio) Sangue
ko-KR	Korean (Korea, Republic Of)	혈색소:질량농도:검사시점:전혈:정량:
nl-NL	Dutch (Netherlands)	hemoglobine:massa/volume:moment:bloed:kwantitatief:
pl-PL	Polish (Poland)	Hemoglobina:stężenie masowe:punkt w czasie:krew:ilościowy:
pt-BR	Portuguese (Brazil)	Hemoglobina:MCnc:Pt:SgTotal:Qn: Synonyms: ; Hgb; Hb; Haemoglobin; Mass concentration; Level; Point in time; Random; Blood; WB; Whole blood; Quantitative; QNT; Quant; Quan; HEMATOLOGY/CELL COUNTS; HEMATOLOGY/CELL COUNTS
ru-RU	Russian (Russian Federation)	Гемоглобин:МассКонц:ТчкВрм:Кр:Колич: Synonyms: Количественный Кровь Массовая концентрация Точка во времени;Момент
tr-TR	Turkish (Turkey)	Hemoglobin:KütlKons:Zmlı:Kan:Kant:
uk-UA	Ukrainian (Ukraine)	Гемоглобін:Масова Концентрація:МоментЧасу:Кров:Кількісно: Synonyms: Blood; Haemoglobin; Hb; HEMATOLOGY/CELL COUNTS; Hgb; Level; Mass concentration; Point in time; QNT; Quan; Quant; Quantitative; Random; UniversalLabOrders; WB; Whole blood
zh-CN	Chinese (China)	血红蛋白:质量浓度:时间点:全血:定量型: Synonyms: 可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间氧血红蛋白;血红朊;血红素;血色素水平;浓度;质量浓度(单位体积) 血;血液血液学/细胞计数;血液学与细胞计数

Example Units

Unit	Source
g/dL	Example UCUM Units
g/L	REGENSTRIEF

4548-4 Hemoglobin A1c/Hemoglobin.total in Blood

Part Descriptions

LP16413-4 Hemoglobin A1c
Currently (2010), four standardization protocols exist for measuring Hgb A1c:

1. IFCC - designated as a Reference Method or RM (http://www.ifcchba1c.net/)
2. NGSP - the long standing protocol used in the US and most other countries since the DCCT study (http://www.ngsp.org/factors.asp)
3.JDS/JSCC - a protocol used in Japan, Spain and possibly other countries
4. Swedish - used in Sweden at least

Protocols 2-4 are known as Designated Comparison Methods (DCM) and have been connected to the Reference Method and each other through various regression equations.

Because of the high degrees of standardization within protocol it should no longer be necessary to specify a LOINC code with a method such as "HPLC", "electrophoresis" or anything else. Analytical instruments will be designed so that an Hgb A1c result can be traced back to a specific standardization protocol, so the important distinction will be the standardization protocol as described above and which will be carried in the method field.

A meeting of instrument manufacturers (presumably including Japanese) in Milan, Italy, December 12, 2007, agreed (among other items) that:

-All manufacturers should implement worldwide the traceability to the IFCC reference system for Hgb -A1c.
-All new instruments sold after January 1st, 2011 will report (as a result of an Hgb A1c test) both SI (mmol/mol - no decimals) and NGSP derived units (percentage - one decimal), in agreement with the Consensus Statement.
-Note they only committed to supporting protocol (1) and (2)

Different countries are adopting the international harmonization recommendations in different ways. We have information from the NGSP that the US will continue to report only Hgb A1c/NGSP, with the unit percent - i.e., no change. In Great Britain, labs have already started to report all results both as Hgb A1c (NGSP) in % and Hgb A1c (IFCC) in mmol/mol. In Canada, they are awaiting a recommendation from an expert panel. Any of these measures could be reported in the same units, but the convention for the reporting Hgb A1c under the new IFCC protocol will be to use units of mmol/mol to avoid confusion between the DCCT/NGSP and the IFFCC protocol.

LOINC has defined 59261-8 (Hemoglobin A1c/Hemoglobin.total in Blood) by IFCC protocol.

These protocols produce different results when expressed in the same units. For example, the equivalent of Hgb A1c (NGSP) of 6.5% is Hgb A1c (IFCC) is 4.8%.

The NGSP web site (http://www.ngsp.org/factors.asp) suggests the use of alternate measures, such as glycated albumen, for patients with severe iron deficiency, dialysis patients, and those with SS SC CC because of over or under reading that can occur with these interferences. It also describes the effect of abnormal hemoglobins on results of HbA1c by instrument.

Studies have demonstrated racial and ethnic differences in the relationship between glucose levels and hemoglobin A1C [22238408], and it has been suggested that some descendants of sub-Saharan Africa may have higher levels of measured hemoglobin A1C compared to glucose levels due to hemoglobin variants PMID: 31675503. Source: Regenstrief Help

Reference Information

Type	Source	Reference
Mapping Guidance	Regenstrief Help	Today, all US HbA1c measurements reported in the US and many other countries are standardized to the NGSP protocol and that has been true for years. This code [LOINC: 4548-4] should be used for reporting the HbA1c in the US. Other countries may report HbA1c measured by the IFCC protocol [LOINC: 59261-8], a protocol with results reported in units of mmol/mol. In Japan and parts of Spain it may be measured using the Japanese protocol. All three protocols produce different numeric values. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Observation ID in Form

CMS-2728_Ad

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Hemoglobin A1c/Hemoglobin.total
Property: MFr
Time: Pt
System: Bld
Scale: Qn
Method

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Change Reason: Release 2.70: CLASS: Changed Class from HEM/BC to CHEM as A1C tests are more correctly classified in CHEM.; Previous Releases: Changing from the property from Mass fraction to substance fraction has not effect on the meaning when the molecular weight of the numerator and the denominator are the same (for practical purposes). These terms had had a property of MFR in the past and we changed to SFR because we thought the LOINC community preferred SFR for HbA1c. But we mis understood the preference is to use the MFR variant- so we have changed back.
Order vs. Observation: Both
Common Test Rank Get Info: 88

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
55399-0	Diabetes tracking panel
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
54037-7	HEDIS 2009 panel
57820-3	HEDIS 2010 panel
60442-1	HEDIS 2011 panel
67767-4	HEDIS 2012 panel
72199-3	HEDIS 2013 panel
74234-6	HEDIS 2014 Value Sets
75868-0	HEDIS 2015 Value Sets
79544-3	HEDIS 2016 Value Sets
82955-6	HEDIS 2017 Value Sets
87625-0	HEDIS 2018 Value Sets
90766-7	HEDIS 2019 Value Sets
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
112870-1	Hemoglobin A1c and estimated average glucose panel - Blood
43150-2	Hemoglobin A1c measurement device panel

Member of these Groups Get Info

LOINC Group	Group Name
LG51070-7	Hemoglobin A1c/Hemoglobin.total\|MFr\|Pt\|ANYBldSerPl

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	الهيموغلوبين السكري الكلي " الخضاب السكري " في الدم
cs-CZ	Czech (Czechia)	Hemoglobin A1c/hemoglobin.celkový:Hmotnostní podíl:Časový bod:Krev:Kvantitativní:
de-AT	German (Austria)	Synonyms: Hämoglobin A1c
de-DE	German (Germany)	Hämoglobin A1c/Hämoglobin.gesamt:Massenfraktion:Zeitpunkt:Blut:Quantitativ: Synonyms: HbA1c
el-GR	Greek (Greece)	Αιμοσφαιρίνη A1c/Αιμοσφαιρίνη.ολική:MFr:Pt:Αίμα:Qn: Synonyms: CHEM MFr Pt Qn Αίμα Αιμοσφαιρίνη Αιμοσφαιρίνη A1c Αιμοσφαιρίνη.ολική
es-AR	Spanish (Argentina)	hemoglobina A1c/hemoglobina.total:fracción de masa:punto en el tiempo:sangre:cuantitativo:
es-ES	Spanish (Spain)	Hemoglobina A1c (Hemoglobina glicosilada)/Hemoglobina.total:Fracción de masa:Punto temporal:Sangre:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Hemoglobina A1c / Hemoglobina total:Fracción de masa:Punto temporal:Sangre:Cuantitativo:
et-EE	Estonian (Estonia)	Hemoglobiin A1c/hemoglobiin.üld:MFr:Pt:B:Qn: Synonyms: Glükohemoglobiin Juhuslik Kvantitatiivne Veri
fr-CA	French (Canada)	Hémoglobine A1c/Hémoglobine.totale:Fraction de masse:Temps ponctuel:Sang:Quantitatif:
fr-FR	French (France)	Hémoglobine A1c/hémoglobine totale:Fraction massique:Ponctuel:Sang:Numérique:
fr-BE	French (Belgium)	Hémoglobine A1c/Hémoglobine.totale:Fraction de masse:Temps ponctuel:Sang:Quantitatif: Synonyms: Hb Hb.totale HbA1c
it-IT	Italian (Italy)	Emoglobina A1c/Emoglobina.totale:MFr:Pt:Sangue:Qn: Synonyms: Chimica Emoglobina A1c (HgB glicata ) Frazione di massa Punto nel tempo (episodio) Sangue
ko-KR	Korean (Korea, Republic Of)	혈색소 A1C/총혈색소:질량분획:검사시점:전혈:정량:
nl-NL	Dutch (Netherlands)	hemoglobine A1c/hemoglobine.totaal:massafractie:moment:bloed:kwantitatief:
pl-PL	Polish (Poland)	Hemoglobina A1c/hemoglobina.całkowita:frakcja masowa:punkt w czasie:krew:ilościowy: Synonyms: Hemoglobina A1c/Hemoglobina całkowita
pt-BR	Portuguese (Brazil)	Hemoglobina A1c/Hemoglobina.total:SFr:Pt:SgTotal:Qn: Synonyms: ; Hgb A1c; Glycohemogolobin; Glycohaemogolobin; GHb; HA1c; HBA1c; Glycated hemoglobin; Glycosylated hemoglobin; Hb; Haemoglobin; Substance fraction; Percent; Point in time; Random; Blood; WB; Whole blood; Quantitative; QNT; Quant; Quan; Tot; Totl; HEMATOLOGY/CELL COUNTS; HEMATOLOGY/CELL COUNTS
ru-RU	Russian (Russian Federation)	Гемоглобин А1с/Гемоглобин.общий:МассДол:ТчкВрм:Кр:Колич: Synonyms: Количественный Кровь Массовая доля Точка во времени;Момент
tr-TR	Turkish (Turkey)	Hemoglobin A1c/Hemoglobin.total:KütlFr:Zmlı:Kan:Kant:
uk-UA	Ukrainian (Ukraine)	Гемоглобін A1c/Гемоглобін загальний:Масова Фракція:МоментЧасу:Кров:Кількісно: Synonyms: Blood; Chemistry; Endocrine; Endocrinology; GHb; Glycated hemoglobin; Glycohaemogolobin; Glycohemogolobin; Glycosylated hemoglobin; HA1c; Haemoglobin; Hb; HbA1c; Hgb; Hgb A1c; Mass fraction; Percent; Point in time; QNT; Quan; Quant; Quantitative; Random; Tot; Totl; WB; Whole blood
zh-CN	Chinese (China)	血红蛋白 A1c/血红蛋白.总计:质量分数:时间点:全血:定量型: Synonyms: GHb;HA1c;HBA1c;Hgb A1c;糖化血红蛋白;糖基化血红蛋白;血红蛋白 A1c （糖化血红蛋白） MFr 全体数量全部共计化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺总总和总数总血红蛋白总量总额时刻;随机;随意;瞬间氧血红蛋白;血红朊;血红素;血色素汇总血;血液

Example Units

Unit	Source
%	Example UCUM Units
% Hgb	REGENSTRIEF

2093-3 Cholesterol [Mass/volume] in Serum or Plasma

Part Descriptions

LP15493-7 Cholesterol
Cholesterol is a lipidic, waxy alcohol found in the cell membranes and transported in the blood plasma of all animals. It is an essential component of mammalian cell membranes where it establishes proper membrane permeability and fluidity. Cholesterol is the principal sterol synthesized by animals, but small quantities are synthesized in other eukaryotes, such as plants and fungi. It is almost completely absent among prokaryotes, which include bacteria. Cholesterol is classified as a sterol. 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, Cholesterol

Observation ID in Form

CMS-2728_Ae

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Cholesterol
Property: MCnc
Time: Pt
System: Ser/Plas
Scale: Qn
Method

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 61

Member of these Panels

LOINC	Long Common Name
101642-7	Cardiovascular risk panel - Serum or Plasma
39294-4	Children's preventive health services attachment Set
53575-7	Deprecated VAP cholesterol panel - Serum or Plasma
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
75868-0	HEDIS 2015 Value Sets
79544-3	HEDIS 2016 Value Sets
82955-6	HEDIS 2017 Value Sets
87625-0	HEDIS 2018 Value Sets
90766-7	HEDIS 2019 Value Sets
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
24331-1	Lipid 1996 panel - Serum or Plasma
95126-9	Lipid and glucose panel - Serum or Plasma
100898-6	Lipid panel - Serum or Plasma
57698-3	Lipid panel with direct LDL - Serum or Plasma
59062-0	Lipoprofile panel - Serum or Plasma
91136-2	Lipoprotein metabolism panel - Serum or Plasma
54233-2	Metabolic panel.small animal - Serum or Plasma
93691-4	Nonalcoholic steatohepatitis and fibrosis panel - Serum or Plasma

Member of these Groups Get Info

LOINC Group	Group Name
LG6416-4	Cholesterol\|MCnc\|Pt\|ANYBldSerPl
LG50009-6	Cholesterol\|Pt\|Ser/Plas\|386.664 g/mole

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	قياس مستوى الكوليسترول الكلي Synonyms: قياس مستوى الكوليسترول الكلي
cs-CZ	Czech (Czechia)	Cholesterol:Hmotnostní koncentrace:Časový bod:Sérum/plazma:Kvantitativní:
de-AT	German (Austria)	Synonyms: Cholesterin
de-DE	German (Germany)	Cholesterol:Massenkonzentration:Zeitpunkt:Serum oder Plasma:Quantitativ: Synonyms: Cholesterin
el-GR	Greek (Greece)	Χοληστερόλη:MCnc:Pt:Ορός/Πλάσμα:Qn: Synonyms: CHEM MCnc Pt Qn Ορός Ορός/Πλάσμα Πλάσμα Χοληστερόλη
es-AR	Spanish (Argentina)	colesterol:concentración de masa:punto en el tiempo:suero/plasma:cuantitativo:
es-ES	Spanish (Spain)	Colesterol:Concentración de masa:Punto temporal:Suero o Plasma:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Colesterol:Concentración de masa:Punto temporal:Suero o Plasma:Cuantitativo:
et-EE	Estonian (Estonia)	Kolesterool:MCnc:Pt:S/P:Qn: Synonyms: Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma
fr-CA	French (Canada)	Cholestérol:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
fr-FR	French (France)	Cholestérol:Masse/Volume:Ponctuel:Sérum/Plasma:Numérique:
fr-BE	French (Belgium)	Cholestérol:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
it-IT	Italian (Italy)	Colesterolo:MCnc:Pt:Siero/Plasma:Qn: Synonyms: Chimica Concentrazione di Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma
ko-KR	Korean (Korea, Republic Of)	콜레스테롤:질량농도:검사시점:혈청/혈장:정량:
nl-NL	Dutch (Netherlands)	cholesterol:massa/volume:moment:serum of plasma:kwantitatief:
pl-PL	Polish (Poland)	Cholesterol:stężenie masowe:punkt w czasie:surowica lub osocze:ilościowy:
pt-BR	Portuguese (Brazil)	Colesterol:MCnc:Pt:Sor/Plas:Qn: Synonyms: ; Cholest; Chol; Choles; Lipid; Cholesterol total; Cholesterols; Mass concentration; Level; Point in time; Random; SerPl; SerPlas; SerP; Serum; SR; Plasma; Pl; Plsm; Quantitative; QNT; Quant; Quan; Chemistry
ru-RU	Russian (Russian Federation)	Холестерол:МассКонц:ТчкВрм:Сыв/Плаз:Колич: Synonyms: Количественный Массовая концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени;Момент Холестерин
tr-TR	Turkish (Turkey)	Kolesterol:KütlKons:Zmlı:Ser/Plaz:Kant:
uk-UA	Ukrainian (Ukraine)	Холестерин:Масова Концентрація:МоментЧасу:Сироватка/Плазма:Кількісно: Synonyms: Cardio; Cardiology; Chemistry; Chol; Choles; Cholest; Cholesterol total; Cholesterols; Heart Disease; Level; Lipid; Mass concentration; Pl; Plasma; Plsm; Point in time; QNT; Quan; Quant; Quantitative; Random; SerP; SerPl; SerPlas; Serum; Serum or plasma; SR; UniversalLabOrders
zh-CN	Chinese (China)	胆固醇:质量浓度:时间点:血清/血浆:定量型: Synonyms: 化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺总胆固醇;胆固醇总计;胆甾醇;脂类;脂质时刻;随机;随意;瞬间水平;浓度;质量浓度(单位体积) 血清或血浆

Example Units

Unit	Source
mg/dL	Example UCUM Units
mg/dL	REGENSTRIEF

13457-7 Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation

Observation ID in Form

CMS-2728_Ae

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Cholesterol.in LDL
Property: MCnc
Time: Pt
System: Ser/Plas
Scale: Qn
Method: Calculated

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0j-a
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 76

Formula (Readable)

Total cholesterol - HDL - (Triglyceride/5)

Member of these Panels

LOINC	Long Common Name
101642-7	Cardiovascular risk panel - Serum or Plasma
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
54037-7	HEDIS 2009 panel
57820-3	HEDIS 2010 panel
60442-1	HEDIS 2011 panel
67767-4	HEDIS 2012 panel
72199-3	HEDIS 2013 panel
74234-6	HEDIS 2014 Value Sets
75868-0	HEDIS 2015 Value Sets
79544-3	HEDIS 2016 Value Sets
82955-6	HEDIS 2017 Value Sets
87625-0	HEDIS 2018 Value Sets
90766-7	HEDIS 2019 Value Sets
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
24331-1	Lipid 1996 panel - Serum or Plasma
100898-6	Lipid panel - Serum or Plasma
59062-0	Lipoprofile panel - Serum or Plasma

Member of these Groups Get Info

LOINC Group	Group Name
LG43020-3	Cholesterol.in LDL\|Pt\|Ser/Plas\|Calculated

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Cholesterol LDL:Hmotnostní koncentrace:Časový bod:Sérum/plazma:Kvantitativní:Vypočteno
de-DE	German (Germany)	Cholesterol.in LDL:Massenkonzentration:Zeitpunkt:Serum oder Plasma:Quantitativ:Berechnet
de-AT	German (Austria)	Synonyms: LDL-Chol. berechnet
el-GR	Greek (Greece)	Χοληστερόλη.προς LDL:MCnc:Pt:Ορός/Πλάσμα:Qn:Υπολογιζόμενο Synonyms: CHEM MCnc Pt Qn Ορός Ορός/Πλάσμα Πλάσμα Υπολογιζόμενο Χοληστερόλη Χοληστερόλη.προς LDL
es-AR	Spanish (Argentina)	colesterol.en LDL:concentración de masa:punto en el tiempo:suero/plasma:cuantitativo:calculado
es-ES	Spanish (Spain)	Colesterol LDL:Concentración de masa:Punto temporal:Suero o Plasma:Qn:Calculado Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Colesterol en LDL:Concentración de masa:Punto temporal:Suero o Plasma:Cuantitativo:Calculado
et-EE	Estonian (Estonia)	Kolesterool.LDL:MCnc:Pt:S/P:Qn:Arvutuslik Synonyms: Juhuslik Kvantitatiivne LDL-Kolesterool Plasma Seerum Seerum või plasma
fr-CA	French (Canada)	LDL cholestérol:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:Calculé
fr-FR	French (France)	Cholestérol LDL:Masse/Volume:Ponctuel:Sérum/Plasma:Numérique:Résultat calculé
fr-BE	French (Belgium)	LDL cholestérol:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:Calculé Synonyms: LDLc
it-IT	Italian (Italy)	Colesterolo.in LDL:MCnc:Pt:Siero/Plasma:Qn:Calcolato Synonyms: Chimica Colesterolo in LDL Concentrazione di Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma
ko-KR	Korean (Korea, Republic Of)	저밀도지질단백콜레스테롤:질량농도:검사시점:혈청/혈장:정량:계산된
nl-NL	Dutch (Netherlands)	cholesterol.in LDL:massa/volume:moment:serum of plasma:kwantitatief:berekend
pl-PL	Polish (Poland)	Cholesterol.w LDL:stężenie masowe:punkt w czasie:surowica lub osocze:ilościowy:obliczony Synonyms: Cholesterol we frakcji LDL
pt-BR	Portuguese (Brazil)	Colesterol.LDL:MCnc:Pt:Sor/Plas:Qn:Calculado Synonyms: ; LDLc; LDL-C; Low density lipoprotein cholesterols; Low density lipoprotein cholesterol; Chol; Choles; Cholest; Lipid; Cholesterol total; Cholesterols; Mass concentration; Level; Point in time; Random; SerPl; SerPlas; SerP; Serum; SR; Plasma; Pl; Plsm; Quantitative; QNT; Quant; Quan; Calc; Calculation; Chemistry
ru-RU	Russian (Russian Federation)	Холестерол.в ЛПНП:МассКонц:ТчкВрм:Сыв/Плаз:Колич:Вычисленный Synonyms: Количественный Массовая концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени;Момент Холестерин
tr-TR	Turkish (Turkey)	Kolesterol LDL içinde:KütlKons:Zmlı:Ser/Plaz:Kant:Hesaplanmış
uk-UA	Ukrainian (Ukraine)	Холестерин.ЛПНЩ:Масова Концентрація:МоментЧасу:Сироватка/Плазма:Кількісно:Розрахунок Synonyms: Calc; Calculation; Cardio; Cardiology; Chemistry; Chol; Choles; Cholest; Cholesterol total; Cholesterols; Heart Disease; LDLc; LDL-C; Level; Lipid; Low density lipoprotein cholesterol; Low density lipoprotein cholesterols; Mass concentration; Pl; Plasma; Plsm; Point in time; QNT; Quan; Quant; Quantitative; Random; SerP; SerPl; SerPlas; Serum; Serum or plasma; SR
zh-CN	Chinese (China)	胆固醇.LDL 之中的:质量浓度:时间点:血清/血浆:定量型:计算法 Synonyms: LDL 之中的胆固醇;LDL 胆固醇;LDLc;LDL-C;低密度脂蛋白之中的胆固醇;低密度脂蛋白胆固醇;胆固醇.LDL;胆固醇.低密度脂蛋白;胆固醇.低密度脂蛋白之中的化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺总胆固醇;胆固醇总计;胆甾醇;脂类;脂质时刻;随机;随意;瞬间水平;浓度;质量浓度(单位体积) 血清或血浆计算;计算型方法

Example Units

Unit	Source
mg/dL	Example UCUM Units
mg/dL	REGENSTRIEF

2085-9 Cholesterol in HDL [Mass/volume] in Serum or Plasma

Part Descriptions

LP15489-5 Cholesterol.in HDL
Cholesterol is an essential lipid present in all cells. Cholesterol is needed in order to construct hormones, metabolites, and Vitamin D. Cholesterol travels throughout the bloodstream with the aid of two lipoproteins: high-density lipoprotein (HDL) and low-density lipoprotein (LDL). LDL carries cholesterol from the liver to other parts of the body and HDL carries cholesterol from other parts of the body to the liver where it can be broken down. HDL is considered "good cholesterol" because it removes excess cholesterol from the blood and into the liver where it can be disposed of properly. A higher level of HDL can decrease the risk for heart disease and atherosclerosis. When observing the blood HDL levels, less than 40 mg/dL is too low (high risk for heart disease), 40-59 mg/dL is average, and 60 mg/dL or higher is optimal (low risk for heart disease). Source: Regenstrief LOINC

Observation ID in Form

CMS-2728_Ae

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Cholesterol.in HDL
Property: MCnc
Time: Pt
System: Ser/Plas
Scale: Qn
Method

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 63

Member of these Panels

LOINC	Long Common Name
101642-7	Cardiovascular risk panel - Serum or Plasma
39294-4	Children's preventive health services attachment Set
53575-7	Deprecated VAP cholesterol panel - Serum or Plasma
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
75868-0	HEDIS 2015 Value Sets
79544-3	HEDIS 2016 Value Sets
82955-6	HEDIS 2017 Value Sets
87625-0	HEDIS 2018 Value Sets
90766-7	HEDIS 2019 Value Sets
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
24331-1	Lipid 1996 panel - Serum or Plasma
95126-9	Lipid and glucose panel - Serum or Plasma
100898-6	Lipid panel - Serum or Plasma
57698-3	Lipid panel with direct LDL - Serum or Plasma
59062-0	Lipoprofile panel - Serum or Plasma
91136-2	Lipoprotein metabolism panel - Serum or Plasma

Member of these Groups Get Info

LOINC Group	Group Name
LG6644-1	Cholesterol.in HDL\|MCnc\|Pt\|ANYBldSerPl
LG43009-6	Cholesterol.in HDL\|Pt\|Ser/Plas

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	الليبوبروتين عالي الكثافة " الكوليسترول المفيد " في المصل أو البلازما ( بتقنية الكتلة / الحجم )
cs-CZ	Czech (Czechia)	Cholesterol HDL:Hmotnostní koncentrace:Časový bod:Sérum/plazma:Kvantitativní:
de-AT	German (Austria)	Synonyms: HDL-Cholesterin
de-DE	German (Germany)	Cholesterol.in HDL:Massenkonzentration:Zeitpunkt:Serum oder Plasma:Quantitativ:
el-GR	Greek (Greece)	Χοληστερόλη.προς HDL:MCnc:Pt:Ορός/Πλάσμα:Qn: Synonyms: CHEM MCnc Pt Qn Ορός Ορός/Πλάσμα Πλάσμα Χοληστερόλη Χοληστερόλη.προς HDL
es-AR	Spanish (Argentina)	colesterol.en HDL:concentración de masa:punto en el tiempo:suero/plasma:cuantitativo:
es-ES	Spanish (Spain)	Colesterol HDL:Concentración de masa:Punto temporal:Suero o Plasma:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Colesterol en HDL:Concentración de masa:Punto temporal:Suero o Plasma:Cuantitativo:
et-EE	Estonian (Estonia)	Kolesterool.HDL:MCnc:Pt:S/P:Qn: Synonyms: HDL-Kolesterool Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma
fr-CA	French (Canada)	HDL cholestérol:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
fr-FR	French (France)	Cholestérol HDL:Masse/Volume:Ponctuel:Sérum/Plasma:Numérique:
fr-BE	French (Belgium)	HDL cholestérol:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif: Synonyms: HDLc
it-IT	Italian (Italy)	Colesterolo.in HDL:MCnc:Pt:Siero/Plasma:Qn: Synonyms: Chimica Colesterolo in HDL Concentrazione di Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma
ko-KR	Korean (Korea, Republic Of)	고밀도지질단백콜레스테롤:질량농도:검사시점:혈청/혈장:정량:
nl-NL	Dutch (Netherlands)	cholesterol.in HDL:massa/volume:moment:serum of plasma:kwantitatief:
pl-PL	Polish (Poland)	Cholesterol.w HDL:stężenie masowe:punkt w czasie:surowica lub osocze:ilościowy: Synonyms: Cholesterol we frakcji HDL
pt-BR	Portuguese (Brazil)	Colesterol.HDL:MCnc:Pt:Sor/Plas:Qn: Synonyms: ; HDLc; TCHHDL; HDL-C; High density lipoprotein cholesterols; Chol; Choles; Cholest; Lipid; Cholesterol total; Cholesterols; Mass concentration; Level; Point in time; Random; SerPl; SerPlas; SerP; Serum; SR; Plasma; Pl; Plsm; Quantitative; QNT; Quant; Quan; Chemistry
ru-RU	Russian (Russian Federation)	Холестерол.в ЛПВП:МассКонц:ТчкВрм:Сыв/Плаз:Колич: Synonyms: Количественный Массовая концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени;Момент Холестерин
tr-TR	Turkish (Turkey)	Kolesterol HDL içinde:KütlKons:Zmlı:Ser/Plaz:Kant:
uk-UA	Ukrainian (Ukraine)	Холестерин.в ЛПВЩ:Масова Концентрація:МоментЧасу:Сироватка/Плазма:Кількісно: Synonyms: Cardio; Cardiology; Chemistry; Chol; Choles; Cholest; Cholesterol total; Cholesterols; HDLc; HDL-C; Heart Disease; High density lipoprotein cholesterols; Level; Lipid; Mass concentration; Pl; Plasma; Plsm; Point in time; QNT; Quan; Quant; Quantitative; Random; SerP; SerPl; SerPlas; Serum; Serum or plasma; SR; TCHHDL; UniversalLabOrders
zh-CN	Chinese (China)	胆固醇.HDL 之中的:质量浓度:时间点:血清/血浆:定量型: Synonyms: HDL 之中的胆固醇;HDL 胆固醇;HDLc;HDL-C;TCHHDL;胆固醇.HDL;胆固醇.高密度脂蛋白;胆固醇.高密度脂蛋白之中的;高密度脂蛋白之中的胆固醇;高密度脂蛋白胆固醇化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺总胆固醇;胆固醇总计;胆甾醇;脂类;脂质时刻;随机;随意;瞬间水平;浓度;质量浓度(单位体积) 血清或血浆

Example Units

Unit	Source
mg/dL	Example UCUM Units
mg/dL	REGENSTRIEF

2571-8 Triglyceride [Mass/volume] in Serum or Plasma

Part Descriptions

LP15275-8 Triglyceride
A triglyceride (TG, triacylglycerol, TAG, or triacylglyceride) is an ester derived from glycerol and three fatty acids. There are many triglycerides, depending on the oil source, some are highly unsaturated, some less so. Triglycerides are the main constituents of vegetable oil (typically more unsaturated) and animal fats (typically more saturated). In humans, triglycerides are a mechanism for storing unused calories, and their high concentrations in blood correlates with the consumption of starchy and fatty foods. High levels of triglycerides in the bloodstream have been linked to atherosclerosis and, by extension, the risk of heart disease and stroke. Diets high in carbohydrates, with carbohydrates accounting for more than 60% of the total energy intake, can increase triglyceride levels. 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, Triglyceride (Wikipedia)

Observation ID in Form

CMS-2728_Ae

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component: Triglyceride
Property: MCnc
Time: Pt
System: Ser/Plas
Scale: Qn
Method

Basic Attributes

Class: CHEM
Type: Laboratory
First Released: Version 1.0
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Both
Common Test Rank Get Info: 66

Member of these Panels

LOINC	Long Common Name
101642-7	Cardiovascular risk panel - Serum or Plasma
39294-4	Children's preventive health services attachment Set
53575-7	Deprecated VAP cholesterol panel - Serum or Plasma
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
94859-6	Glycerol and glycerol-corrected triglyceride panel - Serum or Plasma
75868-0	HEDIS 2015 Value Sets
79544-3	HEDIS 2016 Value Sets
82955-6	HEDIS 2017 Value Sets
87625-0	HEDIS 2018 Value Sets
90766-7	HEDIS 2019 Value Sets
94137-7	HEDIS 2020 Value Sets
96068-2	HEDIS MY 2020 Value Sets
24331-1	Lipid 1996 panel - Serum or Plasma
95126-9	Lipid and glucose panel - Serum or Plasma
100898-6	Lipid panel - Serum or Plasma
57698-3	Lipid panel with direct LDL - Serum or Plasma
59062-0	Lipoprofile panel - Serum or Plasma
91136-2	Lipoprotein metabolism panel - Serum or Plasma

Member of these Groups Get Info

LOINC Group	Group Name
LG9600-0	Triglyceride\|MCnc\|Pt\|ANYBldSerPl
LG47044-9	Triglyceride\|Pt\|Ser/Plas

Language Variants Get Info

Tag	Language	Translation
ar-JO	Arabic (Jordan)	الدهون الثلاثية في المصل أو البلازما ( بتقنية الكتلة / الحجم )
cs-CZ	Czech (Czechia)	Triacylglyceroly:Hmotnostní koncentrace:Časový bod:Sérum/plazma:Kvantitativní:
de-AT	German (Austria)	Synonyms: Triglyceride
de-DE	German (Germany)	Triglycerid:Massenkonzentration:Zeitpunkt:Serum oder Plasma:Quantitativ:
el-GR	Greek (Greece)	Τριγλυκερίδιο:MCnc:Pt:Ορός/Πλάσμα:Qn: Synonyms: CHEM MCnc Pt Qn Ορός Ορός/Πλάσμα Πλάσμα Τριγλυκερίδιο
es-AR	Spanish (Argentina)	triglicérido:concentración de masa:punto en el tiempo:suero/plasma:cuantitativo:
es-ES	Spanish (Spain)	Triglicéridos:Concentración de masa:Punto temporal:Suero o Plasma:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Triglicéridos:Concentración de masa:Punto temporal:Suero o Plasma:Cuantitativo:
et-EE	Estonian (Estonia)	Triglütseriidid:MCnc:Pt:S/P:Qn: Synonyms: Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma
fr-CA	French (Canada)	Triglycérides:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
fr-FR	French (France)	Triglycérides:Masse/Volume:Ponctuel:Sérum/Plasma:Numérique:
fr-BE	French (Belgium)	Triglycérides:Concentration de masse:Temps ponctuel:Sérum/Plasma:Quantitatif:
it-IT	Italian (Italy)	Trigliceridi:MCnc:Pt:Siero/Plasma:Qn: Synonyms: Chimica Concentrazione di Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma
ko-KR	Korean (Korea, Republic Of)	중성지방:질량농도:검사시점:혈청/혈장:정량:
nl-NL	Dutch (Netherlands)	triglyceride:massa/volume:moment:serum of plasma:kwantitatief:
pl-PL	Polish (Poland)	Triglicerydy:stężenie masowe:punkt w czasie:surowica lub osocze:ilościowy: Synonyms: Trigliceryd
pt-BR	Portuguese (Brazil)	Triglicérides:MCnc:Pt:Sor/Plas:Qn: Synonyms: ; Trigl; TG; Trigly; Triglycrides; Trig; Triglycerides; Mass concentration; Level; Point in time; Random; SerPl; SerPlas; SerP; Serum; SR; Plasma; Pl; Plsm; Quantitative; QNT; Quant; Quan; Chemistry
ru-RU	Russian (Russian Federation)	Триглицерид:МассКонц:ТчкВрм:Сыв/Плаз:Колич: Synonyms: Количественный Массовая концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени;Момент
tr-TR	Turkish (Turkey)	Trigliserid:KütlKons:Zmlı:Ser/Plaz:Kant:
uk-UA	Ukrainian (Ukraine)	Тригліцериди:Масова Концентрація:МоментЧасу:Сироватка/Плазма:Кількісно: Synonyms: Cardio; Cardiology; Chemistry; Heart Disease; Level; Mass concentration; Pl; Plasma; Plsm; Point in time; QNT; Quan; Quant; Quantitative; Random; SerP; SerPl; SerPlas; Serum; Serum or plasma; SR; Tg; Trig; Trigly; Triglycerides; Triglycrides; UniversalLabOrders
zh-CN	Chinese (China)	甘油三酯:质量浓度:时间点:血清/血浆:定量型: Synonyms: TG;Trigly;甘油三脂;甘油三酸酯;三酸甘油酯;甘油三酸脂;三酸甘油脂化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间水平;浓度;质量浓度(单位体积) 血清或血浆

Example Units

Unit	Source
mg/dL	Example UCUM Units
mg/dL	REGENSTRIEF

67877-1 End stage renal disease (ESRD) patients in dialysis treatment - end stage renal disease form 2728

Fully-Specified Name

Component: End stage renal disease patients in dialysis treatment - end stage renal disease form 2728
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.50 (MIN)
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67878-9 Dialysis facility name

Observation ID in Form

CMS-2728_B20

Observation Required in Panel

Required

Fully-Specified Name

Component: Facility name
Property: ID
Time: Pt
System: Dialysis facility
Scale: Nom
Method

Long Common Name

Facility name Dialysis facility

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Member of these Panels

LOINC	Long Common Name
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
71747-0	Facility panel [ESRD]

68330-0 Dialysis facility's CMS Certification Number (CCN) where the patient is receiving care

Observation ID in Form

CMS-2728_B21

Observation Required in Panel

Required

Fully-Specified Name

Component: CMS certification number - CCN
Property: ID
Time: Pt
System: Dialysis facility
Scale: Nom
Method

Long Common Name

CMS certification number - CCN Dialysis facility

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Member of these Panels

LOINC	Long Common Name
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
71747-0	Facility panel [ESRD]

68442-3 Primary dialysis setting

Observation ID in Form

CMS-2728_B22

Observation Required in Panel

Required

Fully-Specified Name

Component: Dialysis setting.primary
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Normative Answer List LL1886-2

Answer	Code	Score	Answer ID
Home			LA14084-0
Dialysis facility/center			LA17837-8
Skilled nursing facility (SNF)/Long term care			LA17838-6

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68443-1 Primary type of dialysis

Observation ID in Form

CMS-2728_B23

Observation Required in Panel

Required

Fully-Specified Name

Component: Dialysis.primary
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Primary dialysis

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Normative Answer List LL1874-8

Answer	Code	Score	Answer ID
Hemodialysis			LA9975-9
Continuous ambulatory peritoneal dialysis (CAPD)			LA17814-7
Continuous cycling peritoneal dialysis (CCPD)			LA17815-4
Other			LA46-8

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68448-0 Sessions per Week

Observation ID in Form

CMS-2728_B23a

Observation Required in Panel

Required

Fully-Specified Name

Component: Dialysis sessions per W
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Dialysis sessions per week

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Example Units

Unit	Source
{#}/wk	Example UCUM Units

68489-4 Hours per session

Observation ID in Form

CMS-2728_B23b

Observation Required in Panel

Required

Fully-Specified Name

Component: Dialysis Hs per session
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Dialysis hours per session

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Example Units

Unit	Source
h/{session}	Example UCUM Units

68358-1 Date regular chronic dialysis began

Observation ID in Form

CMS-2728_B24

Observation Required in Panel

Required

Fully-Specified Name

Component: Date chronic dialysis began
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Date chronic dialysis began

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.50 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68444-9 Date patient started chronic dialysis at current facility

Observation ID in Form

CMS-2728_B25

Observation Required in Panel

Required

Fully-Specified Name

Component: Date chronic dialysis began at current facility
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Date chronic dialysis began at current facility

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.50 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68360-7 Has patient been informed of kidney transplant options?

Observation ID in Form

CMS-2728_B26

Observation Required in Panel

Required

Fully-Specified Name

Component: Transplant options given to patient
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Transplant options given

Basic Attributes

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

Normative Answer List LL361-7

Answer	Code	Score	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)			LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)			LA32-8

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Third Party Copyright

68361-5 If patient NOT informed of transplant options, please check all that apply.

Observation ID in Form

CMS-2728_B27

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Reasons patient not informed of transplant option
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Reasons patient not informed of transplant option

Basic Attributes

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

Normative Answer List LL1884-7

Answer	Code	Score	Answer ID
Medically unfit			LA17830-3
Unsuitable due to age			LA17831-1
Psychologically unfit			LA17832-9
Patient declines information			LA17833-7
Patient has not been assessed			LA17834-5
Other			LA46-8

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67883-9 Transplant information - end stage renal disease form 2728

Fully-Specified Name

Component: Transplant information - end stage renal disease form 2728
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68445-6 Transplant date

Observation ID in Form

CMS-2728_C28

Observation Required in Panel

Conditional

Fully-Specified Name

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

Long Common Name

Date transplant

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.50 (MAJ)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Language Variants Get Info

Tag	Language	Translation
fr-FR	French (France)	Date transplantation:Date:Ponctuel:Patient:Numérique:

68446-4 Transplant facility name

Observation ID in Form

CMS-2728_C28

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Transplant facility name
Property: ID
Time: Pt
System: Facility
Scale: Nom
Method

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.38 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67880-5 Transplant Hospital Federal Provider Number

Observation ID in Form

CMS-2728_C30

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Transplant facility NPI
Property: ID
Time: Pt
System: Facility
Scale: Nom
Method

Long Common Name

Transplant facility NPI

Basic Attributes

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

Normative Answer List LL512-5

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3077
Link to External List: https://nppes.cms.hhs.gov/

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68447-2 Date patient was admitted as an inpatient to a hospital in preparation for, or anticipation of, a kidney transplant prior to the date of the actual tranplantation

Observation ID in Form

CMS-2728_C31

Observation Required in Panel

Optional

Fully-Specified Name

Component: Date transplant admission
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Date transplant admission

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68490-2 Name of Preparation Hospital

Observation ID in Form

CMS-2728_C32

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Transplant preparation facility name
Property: ID
Time: Pt
System: Facility
Scale: Nom
Method

Long Common Name

Transplant preparation facility name

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68456-3 Medicare provider number for item 32

Observation ID in Form

CMS-2728_C33

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Transplant preparation facility NPI
Property: ID
Time: Pt
System: Facility
Scale: Nom
Method

Long Common Name

Transplant preparation facility NPI

Basic Attributes

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

Normative Answer List LL512-5

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3077
Link to External List: https://nppes.cms.hhs.gov/

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67882-1 Current status of transplant

Observation ID in Form

CMS-2728_C34

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Functional status of transplant
Property: Find
Time: Pt
System: {transplant}
Scale: Ord
Method

Long Common Name

Functional status of transplant Transplant

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.52 (MIN)

Normative Answer List LL1875-5

Answer	Code	Score	Answer ID
Functioning			LA17816-2
Non-functioning			LA17817-0

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68332-6 Type of donor

Observation ID in Form

CMS-2728_C35

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Donor
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Donor

Basic Attributes

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

Normative Answer List LL1887-0

Answer	Code	Score	Answer ID
Deceased			LA10939-9
Living, related			LA17839-4
Living, unrelated			LA17840-2

Member of these Panels

LOINC	Long Common Name
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68333-4 If non-functioning, date of return to regular dialysis

Observation ID in Form

CMS-2728_C36

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Date return to dialysis after failed transplant
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Date return to dialysis after failed transplant

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.50 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68334-2 Current dialysis treatment site

Observation ID in Form

CMS-2728_C37

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Current dialysis treatment site
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

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

Normative Answer List LL1886-2

Answer	Code	Score	Answer ID
Home			LA14084-0
Dialysis facility/center			LA17837-8
Skilled nursing facility (SNF)/Long term care			LA17838-6

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68451-4 Self-dialysis training program - end stage renal disease form 2728

Fully-Specified Name

Component: Self-dialysis training program - end stage renal disease form 2728
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68335-9 Self-dialysis training facility name Dialysis facility

Observation ID in Form

CMS-2728_D38

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Self-dialysis training facility name
Property: ID
Time: Pt
System: Dialysis facility
Scale: Nom
Method

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

67881-3 Self-dialysis Training Facility Federal Provider Number

Observation ID in Form

CMS-2728_D39

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Self-dialysis training facility NPI
Property: ID
Time: Pt
System: Dialysis facility
Scale: Nom
Method

Long Common Name

Self-dialysis training facility NPI Dialysis facility

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Normative Answer List LL512-5

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3077
Link to External List: https://nppes.cms.hhs.gov/

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68362-3 Date training began.

Observation ID in Form

CMS-2728_D40

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Date self-dialysis training began
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Date self-dialysis training began

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.50 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68336-7 Type of training

Observation ID in Form

CMS-2728_D41a

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Self-dialysis training
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Self-dialysis training

Basic Attributes

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

Normative Answer List LL1874-8

Answer	Code	Score	Answer ID
Hemodialysis			LA9975-9
Continuous ambulatory peritoneal dialysis (CAPD)			LA17814-7
Continuous cycling peritoneal dialysis (CCPD)			LA17815-4
Other			LA46-8

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68337-5 Location of training

Observation ID in Form

CMS-2728_D41b

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Self-dialysis training
Property: Loc
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Self-dialysis training location

Basic Attributes

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

Normative Answer List LL1888-8

Answer	Code	Score	Answer ID
Home			LA14084-0
In center			LA17841-0

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68338-3 This patient is expected to complete training and will self-dialyze on a regualr basis

Observation ID in Form

CMS-2728_D42

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Is patient expected to complete training
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method

Long Common Name

Is patient expected to complete training

Basic Attributes

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

Normative Answer List LL361-7

Answer	Code	Score	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)			LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)			LA32-8

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Third Party Copyright

68339-1 Date when patient completed, or is expected to complete training

Observation ID in Form

CMS-2728_D43

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Date self-dialysis training completion
Property: Date
Time: Pt
System: ^Patient
Scale: Qn
Method

Long Common Name

Date self-dialysis training completion

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.50 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68491-0 Training Physician Name

Observation ID in Form

CMS-2728_D44a

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Self-dialysis training physician name
Property: Pn
Time: Pt
System: Provider
Scale: Nom
Method

Long Common Name

Self-dialysis training physician name Provider

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.40 (MIN)

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68355-7 Date

Observation ID in Form

CMS-2728_D44b

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Date signed
Property: TmStp
Time: Pt
System: Form
Scale: Qn
Method

Long Common Name

Date signed

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68357-3 Self-dialysis training physician NPI Provider

Observation ID in Form

CMS-2728_D45

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Self-dialysis training physician NPI
Property: ID
Time: Pt
System: Provider
Scale: Nom
Method

Basic Attributes

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

Normative Answer List LL512-5

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3077
Link to External List: https://nppes.cms.hhs.gov/

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68462-1 Physician information - end stage renal disease form 2728 Provider

Fully-Specified Name

Component: Physician information - end stage renal disease form 2728
Property: -
Time: Pt
System: Provider
Scale: -
Method

Basic Attributes

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

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

52526-1 Attending physician name

Observation ID in Form

CMS-2728_E46

Observation Required in Panel

Required

Fully-Specified Name

Component: Attending physician name
Property: Pn
Time: Pt
System: Provider
Scale: Nom
Method

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.24
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 7284

Member of these Panels

LOINC	Long Common Name
80190-2	Catheterization and angiography procedure details panel
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
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
55140-8	Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όνομα θεράποντος ιατρού:Pn:Pt:Πάροχος:Nom: Synonyms: CLIN Nom Pn Pt Ιατρός Όνομα Όνομα θεράποντος ιατρού Πάροχος
es-MX	Spanish (Mexico)	Nombre del médico tratante:Pn:Punto temporal:Proveedor:Nominal:
it-IT	Italian (Italy)	Medico curante, nome:Pn:Pt:Provider:Nom: Synonyms: Clinico Nome del medico curante Nome di persona Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Nome do médico atendente:Pn:Pt:Provedor:Nom: Synonyms: Person name; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Штатный лечащий врач фамилия:Фам:ТчкВрм:Провайдер:Ном: Synonyms: Номинальный;Именной Специалист с высшим медицинским образованием Точка во времени;Момент Фамилия
zh-CN	Chinese (China)	主治医师姓名:人员姓名:时间点:服务提供者:名义型: Synonyms: 主治医生姓名;主治医姓名人名内科医师;内科医生;医生分类型应答;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姓名;名字;名提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者时刻;随机;随意;瞬间

68340-9 Attending physician phone number

Observation ID in Form

CMS-2728_E47

Observation Required in Panel

Required

Fully-Specified Name

Component: Attending physician phone number
Property: Tele
Time: Pt
System: Provider
Scale: Nom
Method

Long Common Name

Attending physician phone number Provider

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.73 (MIN)
Common Test Rank Get Info: 8270

Member of these Panels

LOINC	Long Common Name
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68468-8 Attending physician NPI Provider

Observation ID in Form

CMS-2728_E48

Observation Required in Panel

Required

Fully-Specified Name

Component: Attending physician NPI
Property: ID
Time: Pt
System: Provider
Scale: Nom
Method

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.63 (MIN)
Order vs. Observation: Observation

Normative Answer List LL512-5

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3077
Link to External List: https://nppes.cms.hhs.gov/

Member of these Panels

LOINC	Long Common Name
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
86636-8	Family planning report - FPAR 2.0 set
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start 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]
106523-4	Outcome and assessment information set (OASIS) form - version E1 - Start 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]

68355-7 Date

Observation ID in Form

CMS-2728_E50

Observation Required in Panel

Required

Fully-Specified Name

Component: Date signed
Property: TmStp
Time: Pt
System: Form
Scale: Qn
Method

Long Common Name

Date signed

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

8251-1 Service comment

Part Descriptions

LP17773-0 Service comment
Service comment terms (Service comment, Service comment 02, Service comment 03, etc.) were requested by a lab to use as an OBX lab result message for user-defined text results. Source: Regenstrief LOINC

Observation ID in Form

CMS-2728_E53

Observation Required in Panel

Optional

Fully-Specified Name

Component: Service comment
Property: Imp
Time: Pt
System: XXX
Scale: Nom
Method

Basic Attributes

Class: MISC
Type: Laboratory
First Released: Version 1.0h(2)
Last Updated: Version 2.73 (MIN)
Order vs. Observation: Observation
Common Test Rank Get Info: 117

HL7^® Attributes

HL7^® Field ID: NTE-3

Member of these Panels

LOINC	Long Common Name
95405-7	Assay related variables panel [PhenX]
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
93340-8	PhenX - complete blood count protocol 220501
62787-7	PhenX domain - Diabetes
62949-3	PhenX domain - Gastrointestinal
62863-6	PhenX domain - Infectious diseases and immunity
62755-4	PhenX domain - Neurology
62812-3	PhenX domain - Physical activity and physical fitness
62611-9	PhenX domain - Respiratory
62896-6	PhenX domain - Skin, bone, muscle and joint
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Komentář k testu:Interpretace:Časový bod:XXX:Nominální:
el-GR	Greek (Greece)	Σχόλιο υπηρεσίας:Imp:Pt:XXX:Nom: Synonyms: Imp MISC Nom Pt XXX Σχόλιο Σχόλιο υπηρεσίας Υπηρεσία
es-AR	Spanish (Argentina)	comentario del servicio, 01:impresión/interpretación del estudio:punto en el tiempo:XXX:Nominal:
es-ES	Spanish (Spain)	Comentario del servicio 01:Impresión/interpretación del estudio:Punto temporal:XXX:Nom:
es-MX	Spanish (Mexico)	Comentario de servicio:Impresión / interpretación del estudio:Punto temporal:XXX:Nominal:
fr-FR	French (France)	Commentaire de service:Interprétation:Ponctuel:Milieux divers:Résultat nominal:
it-IT	Italian (Italy)	Commento di servizio 01:Imp:Pt:XXX:Nom: Synonyms: Impressione/interpretazione di studio Miscellanea Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Comentários de serviço 01:Imp:Pt:XXX:Nom: Synonyms: ; Service Cmnt 01; Remarks; Interpretation; Interp; Impression; Impressions; Point in time; Random; Miscellaneous; Unspecified; Other; Nominal; Com; Comm; Commt; Comments; cmnt; cmmt
ru-RU	Russian (Russian Federation)	Служебный комментарий:Впчт:ТчкВрм:XXX:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
tr-TR	Turkish (Turkey)	Servis önerisi:İzlnm:Zmlı:XXX:Snf:
zh-CN	Chinese (China)	服务注释:印象:时间点:XXX:名义型: Synonyms: 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项分类型应答;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印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释备注备注;评论;注解;说明;评语意见时刻;随机;随意;瞬间服务注释（备注、注解、评论说明、意见）杂项;杂项类;杂项试验注解短评解说解释评定评注评论评语说明

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX810801030000	PX810801_Haptoglobin_Blood_Draw_Results
https://www.phenxtoolkit.org	PX810901040000	PX810901_Billirubin_Blood_Draw_Results
https://www.phenxtoolkit.org	PX811001040000	PX811001_Lactate_Dehydrogenase_Blood_Draw_Results
https://www.phenxtoolkit.org	PX811201040000	PX811201_Aspartate_Aminotransferase_Blood_Draw_Results
https://www.phenxtoolkit.org	PX811301040000	PX811301_SerumPlasmaFerritin_Blood_Draw_Results
https://www.phenxtoolkit.org	PX090601260000	PX090601_Predicted_Distance
https://www.phenxtoolkit.org	PX091402020000	PX091402_Respiratory_Depth_Comments
https://www.phenxtoolkit.org	PX091402030000	PX091402_Breathing_Pattern_Comments
https://www.phenxtoolkit.org	PX091402040000	PX091402_Breathing_Depth_Comments
https://www.phenxtoolkit.org	PX091502550000	PX091502_Additional_Comments
https://www.phenxtoolkit.org	PX091601620000	PX091601_Comments_Text
https://www.phenxtoolkit.org	PX131301190000	PX131301_Passive_Tone_Arms
https://www.phenxtoolkit.org	PX140801090200	PX140801_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX140801100000	PX140801_Sample_Comments
https://www.phenxtoolkit.org	PX140901040200	PX140901_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX140901050000	PX140901_Sample_Comments
https://www.phenxtoolkit.org	PX141001090300	PX141001_First_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX141201060300	PX141201_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX141201070000	PX141201_Sample_Comments
https://www.phenxtoolkit.org	PX141301060300	PX141301_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX141301080000	PX141301_Sample_Comments
https://www.phenxtoolkit.org	PX141401040300	PX141401_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX141401050000	PX141401_Sample_Comments
https://www.phenxtoolkit.org	PX141501010000	PX141501_Urine_Collection_Comments
https://www.phenxtoolkit.org	PX141501020000	PX141501_Sample_Comments
https://www.phenxtoolkit.org	PX141601010000	PX141601_Urine_Collection_Comments
https://www.phenxtoolkit.org	PX141601020000	PX141601_Sample_Comments
https://www.phenxtoolkit.org	PX150501110000	PX150501_Balance_Comments
https://www.phenxtoolkit.org	PX160101010000	PX160101_Urine_Collection_Comments
https://www.phenxtoolkit.org	PX160101020000	PX160101_Sample_Comments
https://www.phenxtoolkit.org	PX160201040200	PX160201_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX160301040200	PX160301_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX160401040200	PX160401_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX160501040200	PX160501_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX160601030200	PX160601_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX160601040000	PX160601_Sample_Comments
https://www.phenxtoolkit.org	PX160701040200	PX160701_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX160701050000	PX160701_Sample_Comments
https://www.phenxtoolkit.org	PX160701060000	PX160701_Syphilis_Assay_Type
https://www.phenxtoolkit.org	PX160901040200	PX160901_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX160901050000	PX160901_Sample_Comments
https://www.phenxtoolkit.org	PX161602290600	PX161602_NoninfectiousMajorIllness1_Remarks
https://www.phenxtoolkit.org	PX161602450700	PX161602_Surgery_1_Comments
https://www.phenxtoolkit.org	PX161602480500	PX161602_LabImaging_1_Result
https://www.phenxtoolkit.org	PX170101040200	PX170101_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX170101050000	PX170101_Sample_Comments
https://www.phenxtoolkit.org	PX170501114900	PX170501_Psoriasis_BodyAreas_AffectedNow_Comments
https://www.phenxtoolkit.org	PX170901190000	PX170901_Hip_Fracture_Comments
https://www.phenxtoolkit.org	PX190301040300	PX190301_Blood_Draw_Comments
https://www.phenxtoolkit.org	PX190301050000	PX190301_Sample_Comments
https://www.phenxtoolkit.org	PX190301060000	PX190301_Assay_Type_TTG
https://www.phenxtoolkit.org	PX190801050000	PX190801_Sample_Comments
https://www.phenxtoolkit.org	PX190801060000	PX190801_Alanine_Aminotransferase_Assay_Type

68355-7 Date

Observation ID in Form

CMS-2728_F55a

Observation Required in Panel

Required

Fully-Specified Name

Component: Date signed
Property: TmStp
Time: Pt
System: Form
Scale: Qn
Method

Long Common Name

Date signed

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.38
Last Updated: Version 2.48 (MIN)

Member of these Panels

LOINC	Long Common Name
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

65838-5 Date submitted

Observation ID in Form

CMS-2728_F55b

Observation Required in Panel

Required

Fully-Specified Name

Component: Date submitted
Property: Date
Time: Pt
System: Form
Scale: Qn
Method

Basic Attributes

Class: SURVEY.ESRD
Type: Surveys
First Released: Version 2.36
Last Updated: Version 2.50 (MAJ)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
68359-9	End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0	End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX090201140000	PX090201_Total_Hemoglobin
https://www.phenxtoolkit.org	PX220501190000	PX220501_CompleteBloodCount_Hemoglobin

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX230901000000	Protocol 230901 - proprietary
https://www.phenxtoolkit.org	230901	free_fatty_acids

Code System	Code	Code Version
CMS OASIS	M0018	E
CMS OASIS	M0018	D1
CMS OASIS	M0018	D
CMS OASIS	M0018	C2

67868-0

End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

Trial

67869-8 Form Type Indicator

Term Description

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL1911-8

Member of these Panels

Related Names

67870-6 Patient information

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

45394-4 Patient Last (Family) name

Observation ID in Form

Observation Required in Panel

Type of Entry

Fully-Specified Name

Basic Attributes

HL7® Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

45392-8 Patient First (Given) name

Observation ID in Form

Observation Required in Panel

Type of Entry

Fully-Specified Name

Basic Attributes

HL7® Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

45393-6 Middle initial

Observation ID in Form

Observation Required in Panel

Type of Entry

Fully-Specified Name

Basic Attributes

HL7® Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

45397-7 Medicare or comparable number

Observation ID in Form

Observation Required in Panel

Type of Entry

Fully-Specified Name

Basic Attributes

HL7® Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

45396-9 Social Security number [Identifier]

Observation ID in Form

Observation Required in Panel

Type of Entry

Fully-Specified Name

Basic Attributes

HL7® Attributes

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

21112-8 Birth date

Observation ID in Form

Observation Required in Panel

Type of Entry

Fully-Specified Name

Basic Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes