57198-4 Intervention Synopsis:

Observation ID in Form

M2400

Fully-Specified Name

Component
Intervention synopsis
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Long Common Name

Intervention synopsis

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.67 (PANEL)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]

57270-1 Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care

Observation ID in Form

M2400a

Form Coding Instructions

NA - Patient is not diabetic or is bilateral amputee

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Plan of care includes diabetic foot care
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Plan of care includes diabetic foot care during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation
Observation

Example Answer List LL823-6

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
Not applicablenaLA4720-4

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57191-9Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86189-8Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]

57271-9 Falls prevention interventions

Observation ID in Form

M2400b

Form Coding Instructions

NA - Formal multi-factor Fall Risk Assessment indicates the patient was not at risk for falls since the last OASIS assessment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Plan of care includes fall prevention interventions
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Plan of care includes fall prevention interventions during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee; Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation
Observation

Normative Answer List LL823-6

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
Not applicablenaLA4720-4

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57191-9Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86189-8Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
108294-0OASIS E2 - TRN during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

57272-7 Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment

Observation ID in Form

M2400c

Form Coding Instructions

NA - Formal assessment indicates patient did not meet criteria for depression AND patient did not have diagnosis of depression since the last OASIS assessment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Plan of care includes depression intervention
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Plan of care includes depression intervention during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee;Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation
Observation

Example Answer List LL823-6

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
Not applicablenaLA4720-4

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57191-9Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86189-8Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
108294-0OASIS E2 - TRN during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

57273-5 Intervention(s) to monitor and mitigate pain

Observation ID in Form

M2400d

Form Coding Instructions

NA - Formal assessment did not indicate pain since the last OASIS assessment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Plan of care includes intervention to monitor and mitigate pain
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Plan of care includes intervention to monitor and mitigate pain during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text
Order vs. Observation
Observation

Example Answer List LL823-6

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
Not applicablenaLA4720-4

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57191-9Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86189-8Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
108294-0OASIS E2 - TRN during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

57274-3 Plan of care includes intervention to prevent pressure injuries

Observation ID in Form

M2400e

Form Coding Instructions

NA - Formal assessment indicates the patient was not at risk of pressure ulcers since the last OASIS assessment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Plan of care includes intervention to prevent pressure injuries
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Plan of care includes intervention to prevent pressure injuries during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC
Order vs. Observation
Observation

Example Answer List LL823-6

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
Not applicablenaLA4720-4

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57191-9Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86189-8Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
108294-0OASIS E2 - TRN during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

57275-0 Pressure ulcer treatment based on principles of moist wound healing

Observation ID in Form

M2400f

Form Coding Instructions

NA - Dressings that support the principles of moist wound healing not indicated for this patient's pressure ulcers OR patient has no pressure ulcers with need for moist wound healing

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Plan of care includes pressure injury treatment - moist healing
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Plan of care includes pressure injury treatment - moist healing during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added "Plan of care includes" to COMPONENT to match form text; "Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC
Order vs. Observation
Observation

Example Answer List LL823-6

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
Not applicablenaLA4720-4

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57191-9Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86189-8Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
108294-0OASIS E2 - TRN during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

46578-1 To which Inpatient Facility has the patient been admitted?

Term Description

Identifies the type of inpatient facility to which the patient was admitted.

Observation ID in Form

M2410

Skip Logic

If "1 - Hospital", then go to M2430. If "2 - Rehabilitation facility", then go to M0903. If "3 - Nursing home", then go to M2440. If "4 - Hospice", then go to M0903. If "NA - No inpatient facility admission, omit "NA" option on TRN.

Fully-Specified Name

Component
Admitted to
Property
Type
Time
RptPeriod
System
Inpatient facility
Scale
Nom
Method
CMS Assessment

Long Common Name

Admitted to during assessment period [CMS Assessment] Inpatient facility

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.19
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed Component to "Admitted to" and System to "Inpatient facility" to match LOINC convention for terms about facilities
Order vs. Observation
Observation

Example Answer List LL326-0

AnswerCodeScoreAnswer ID
Hospital1LA6218-7
Rehabilitation facility2LA6357-3
Nursing Home3LA27-8
Hospice4LA6216-1
No inpatient facility admissionNALA6281-5

Member of these Panels

LOINCLong Common Name
46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
108294-0OASIS E2 - TRN during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]

57279-2 For what reason(s) did the patient require hospitalization?

Observation ID in Form

M2430

Skip Logic

If "UK - Reason unknown", then go to M0903.

Form Coding Instructions

Mark all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Reason for hospitalization
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Long Common Name

Reason for hospitalization during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation
Observation

Normative Answer List LL827-7

AnswerCodeScoreAnswer ID
Improper medication administration, adverse drug reactions, medication side effects, toxicity, anaphylaxis1LA27773-3
Injury caused by fall2LA12355-6
Respiratory infection (for example, pneumonia, bronchitis)3LA12356-4
Other respiratory problem4LA12357-2
Heart failure (for example, fluid overload)5LA12358-0
Cardiac dysrhythmia (irregular heartbeat)6LA12359-8
Myocardial infarction or chest pain7LA12360-6
Other heart disease8LA12361-4
Stroke (CVA) or TIA9LA12362-2
Hypo/hyperglycemia, diabetes out of control10LA6223-7
GI bleeding, obstruction, constipation, impaction11LA12364-8
Dehydration, malnutrition12LA12365-5
Urinary tract infection13LA6437-3
IV catheter-related infection or complication14LA12367-1
Wound infection or deterioration15LA12368-9
Uncontrolled pain16LA6430-8
Acute mental/behavioral health problem17LA12370-5
Deep vein thrombosis, pulmonary embolus18LA6180-9
Scheduled treatment or procedure19LA12397-8
Other than above reasons20LA6315-1
Reason unknownUKLA4394-8

Member of these Panels

LOINCLong Common Name
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]

46477-6 For what Reason(s) was the patient Admitted to a Nursing Home?

Term Description

Identifies the reason(s) the patient was admitted to a nursing home.

Observation ID in Form

M2440

Skip Logic

If "UK - Unknown", then go to M0903.

Form Coding Instructions

Mark all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Reason for nursing home admission
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
OASIS

Long Common Name

Reason for nursing home admission [OASIS]

Basic Attributes

Class
SURVEY.OASIS
Type
Surveys
First Released
Version 2.19
Last Updated
Version 2.50 (MIN)

Normative Answer List LL331-0

AnswerCodeScoreAnswer ID
Therapy services1LA6393-8
Respite care2LA6365-6
Hospice care3LA6217-9
Permanent placement4LA6345-8
Unsafe for care at home5LA6434-0
Other6LA46-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)UKLA4489-6

Member of these Panels

LOINCLong Common Name
46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility

46581-5 Date of last (most recent) home visit:

Term Description

Identifies the last or most recent home visit of any agency provider, including skilled providers or home health aides.

Observation ID in Form

M0903

Fully-Specified Name

Component
Date of last home visit
Property
Date
Time
RptPeriod
System
^Patient
Scale
Qn
Method
CMS Assessment

Long Common Name

Date of last home visit during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.19
Last Updated
Version 2.77 (MAJ)
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86261-5Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]

Example Units

UnitSource
{mm/dd/yyyy}Example UCUM Units

46582-3 Discharge/Transfer/Death Date:

Term Description

Identifies the actual date of discharge, transfer, or death.

Observation ID in Form

M0906

Form Coding Instructions

Enter the date of the discharge, transfer, or death (at home) of the patient

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Discharge, transfer, death date
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Long Common Name

Discharge, transfer, death date

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.19
Last Updated
Version 2.71 (MAJ)
Change Reason
Release 2.71: METHOD_TYP: Removed Method because this concept is not specific to CMS; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57459-0Deprecated Outcome and assessment information set (OASIS) form - version C - Death at home
57194-3Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency
57193-5Deprecated Outcome and assessment information set (OASIS) form - version C - Transfer to facility
86261-5Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency - death at home [CMS Assessment]
86264-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
86259-9Deprecated Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
108294-0OASIS E2 - TRN during assessment period [CMS Assessment]
88370-2Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency - death at home during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88367-8Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged during assessment period [CMS Assessment]
99158-8Outcome and assessment information set (OASIS) form - version E - Death at Home during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99174-5Outcome and assessment information set (OASIS) form - version E - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
106526-7Outcome and assessment information set (OASIS) form - version E1 - Death at Home during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106527-5Outcome and assessment information set (OASIS) form - version E1 - Transfer to an Inpatient Facility during assessment period [CMS Assessment]
108295-7Outcome and assessment information set (OASIS) form - version E2 - Death at Home during assessment period [CMS Assessment]

Example Units

UnitSource
{mm/dd/yyyy}Example UCUM Units