Version 2.77

Status Information

Status
TRIAL

Term Description

Indicate the type of form being submitted for the patient.
Source: Regenstrief LOINC

Fully-Specified Name

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

Survey Question

Text
Form Type Indicator
Source
ESRD.RQMT_292

Normative Answer List: LL1911-8

Source: 3M Health Information Systems
Answer Code Score Answer ID
Initial LA6662-6
Re-entitlement LA17971-5
Supplemental LA17972-3

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

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

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=67869-8