68451-4
Self-dialysis training program - end stage renal disease form 2728
Trial
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
Survey Question
- Source
- ESRD.RQMT_271
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.40
Survey Question
- Text
- Self-dialysis Training Facility Federal Provider Number
- Source
- ESRD.RQMT_273
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.50
Survey Question
- Text
- Date training began.
- Source
- ESRD.RQMT_274
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.44
Survey Question
- Text
- Type of training
- Source
- ESRD.RQMT_275
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.44
Survey Question
- Text
- Location of training
- Source
- ESRD.RQMT_276
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.44
Survey Question
- Text
- This patient is expected to complete training and will self-dialyze on a regualr basis
- Source
- ESRD.RQMT
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 http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.50
Survey Question
- Text
- Date when patient completed, or is expected to complete training
- Source
- ESRD.RQMT_277
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.40
Survey Question
- Text
- Training Physician Name
- Source
- ESRD.RQMT_280
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
Basic Attributes
- Class
- SURVEY.ESRD
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.48
Survey Question
- Text
- Date
- Source
- ESRD.RQMT_191
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
Survey Question
- Source
- ESRD.RQMT_279
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 |