46589-8 Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.

Term Description

Identifies the patient's current level of cognitive functioning, including alertness, orientation, comprehension, concentration, and immediate memory for simple commands.

Observation ID in Form

M1700

Fully-Specified Name

Component
Cognitive functioning
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Cognitive functioning 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 term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation
Observation

Normative Answer List LL281-7

AnswerCodeScoreAnswer ID
Alert/oriented, able to focus and shift attention, comprehends and recalls task directions independently.0LA6153-6
Requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions.1LA6362-3
Requires assistance and some direction in specific situations (for example, all tasks involving shifting of attention) or consistently requires low stimulus environment due to distractibility.2LA6359-9
Requires considerable assistance in routine situations. Is not alert and oriented or is unable to shift attention and recall directions more than half the time.3LA12251-7
Totally dependent due to disturbances such as constant disorientation, coma, persistent vegetative state, or delirium.4LA6399-5

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
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
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]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88368-6Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99160-4Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106525-9Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

58104-1 When Confused (Reported or Observed Within the Last 14 Days)

Observation ID in Form

M1710

Fully-Specified Name

Component
When confused within the last 14D
Property
Find
Time
14D
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

When confused within the last 14 days [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.29
Last Updated
Version 2.61 (NAM)
Change Reason
Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "reported or observed" from the COMPONENT because an oberservation of this nature must either be reported or observed, and therefore stating so is redundant;Changed "days" to "D" to match LOINC conventions for abbreviating time
Order vs. Observation
Observation

Normative Answer List LL282-5

AnswerCodeScoreAnswer ID
Never0LA6270-8
In new or complex situations only1LA6231-0
On awakening or at night only2LA6303-7
During the day and evening, but not constantly3LA6190-8
Constantly4LA6174-2
Patient nonresponsiveNALA6335-9

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
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]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88368-6Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99160-4Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106525-9Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

86495-9 When Anxious (Reported or Observed Within the Last 14 Days)

Observation ID in Form

M1720

Fully-Specified Name

Component
When anxious within the last 14D
Property
Find
Time
14D
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

When anxious within the last 14 days [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.63 (ADD)
Order vs. Observation
Observation

Normative Answer List LL283-3

AnswerCodeScoreAnswer ID
None of the time0LA6297-1
Less often than daily1LA6249-2
Daily, but not constantly2LA6177-5
All of the time3LA6154-4
Patient nonresponsiveNALA6335-9

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
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]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88368-6Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99160-4Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106525-9Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

46473-5 Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed):

Observation ID in Form

M1740

Form Coding Instructions

Mark all that apply

Source: Consensus measures for Phenotypes and Exposures

Fully-Specified Name

Component
Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per W
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Long Common Name

Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per week 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 term across CMS instruments as approved by the Clinical LOINC committee; Expanded the Component to more thoroughly represent the survey question; Replaced 'behaviors' with 'symptoms' to reflect CMS form; In Component, changed "or" to "and" to reflect change in CMS assessment
Order vs. Observation
Observation

Normative Answer List LL285-8

AnswerCodeScoreAnswer ID
Memory deficit: failure to recognize familiar persons/places, inability to recall events of past 24 hours, significant memory loss so that supervision is required1LA12257-4
Impaired decision-making: failure to perform usual ADLs or IADLs, inability to appropriately stop activities, jeopardizes safety through actions2LA6228-6
Verbal disruption: yelling, threatening, excessive profanity, sexual references, etc.3LA6439-9
Physical aggression: aggressive or combative to self and others (for example, hits self, throws objects, punches, dangerous maneuvers with wheelchair or other objects)4LA12260-8
Disruptive, infantile, or socially inappropriate behavior (excludes verbal actions)5LA6187-4
Delusional, hallucinatory, or paranoid behavior6LA6181-7
None of the above behaviors demonstrated7LA6294-8

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
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
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]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88368-6Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99160-4Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106525-9Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]

46592-2 Frequency of Disruptive Behavior Symptoms (Reported or Observed): Any physical, verbal, or other disruptive/dangerous symptoms that are injurious to self or others or jeopardize personal safety.

Observation ID in Form

M1745

Fully-Specified Name

Component
Frequency of behavior problems
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Frequency of behavior problems 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 term across CMS instruments as approved by the Clinical LOINC committee; Changed Property to NRat because this is a frequency term; Changed Property from NRat to Find because the answer list does not reflect Nrat
Order vs. Observation
Observation

Normative Answer List LL286-6

AnswerCodeScoreAnswer ID
Never0LA6270-8
Less than once a month1LA6251-8
Once a month2LA6304-5
Several times each month3LA6374-8
Several times a week4LA6371-4
At least daily5LA6157-7

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
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
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]
108293-2OASIS E2 - DC during assessment period [CMS Assessment]
88371-0Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment]
88368-6Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99178-6Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99160-4Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106529-1Outcome and assessment information set (OASIS) form - version E1 - Discharge from Agency during assessment period [CMS Assessment]
106525-9Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108292-4Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]