Version 2.77

52828-1 Federal provider name Facility

Observation ID in Form

RQMT_2

Fully-Specified Name

Component
Federal provider name
Property
ID
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.NMMDS
Type
Surveys
First Released
Version 2.24
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
71531-8 ESRD hospitalization panel
71747-0 Facility panel [ESRD]
52826-5 Nursing Management Minimum Data Set panel [NMMDS]

65833-6 Facility Address

Observation ID in Form

RQMT_3

Fully-Specified Name

Component
Address
Property
Addr
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.36
Last Updated
Version 2.64
Change Reason
Changed Long Commmon Name from "Address Facility" to "Facility Address" for clarity
Order vs. Observation
Order

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
71747-0 Facility panel [ESRD]
80399-9 Occupational exposure information panel
62949-3 PhenX domain - Gastrointestinal

52830-7 State, district or territory federal abbreviation Facility

Term Description

Geographic location - State or Territory of the facility where the service was provided or originated as defined by the United States Postal Service (http://www.itl.nist.gov/fipspubs/)
Source: Regenstrief LOINC

Observation ID in Form

RQMT_6

Fully-Specified Name

Component
State, district or territory federal abbreviation
Property
Loc
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.NMMDS
Type
Surveys
First Released
Version 2.24
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
52826-5 Nursing Management Minimum Data Set panel [NMMDS]
62611-9 PhenX domain - Respiratory

52831-5 Postal code [Location] Facility

Observation ID in Form

RQMT_7

Fully-Specified Name

Component
Postal code
Property
Loc
Time
Pt
System
Facility
Scale
Nom
Method

Additional Names

Short Name
Postal code Facility

Basic Attributes

Class
ADMIN.FACILITY
Type
Clinical
First Released
Version 2.24
Last Updated
Version 2.73
Change Reason
"Postal code" is the more universal nomenclature for this concept. Added a synonym of "Zip code" so users will still be able to find this term. Updated Class from "SURVEY.NMMDS" to "ADMIN.FACILITY".
Common Test Rank Get Info
15160

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
78000-7 Case notification panel [CDC.PHIN]
71747-0 Facility panel [ESRD]
52826-5 Nursing Management Minimum Data Set panel [NMMDS]
80399-9 Occupational exposure information panel
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Código Postal:Loc:Punto temporal:Instalaciones:Nominal:
it-IT Italian (Italy) Codice di avviamento postale:Loc:Pt:Struttura:Nom:
Synonyms: Amministrativo CAP Posizione Punto nel tempo (episodio) Struttura
zh-CN Chinese (China) 邮政编码:位置:时间点:设施: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 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).设施(场所、设备、特别装置、服务特色) 邮政区号;邮递区号;邮编

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

Observation ID in Form

RQMT_11

Fully-Specified Name

Component
CMS certification number - CCN
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
Dialysis facility's CMS Certification Number (CCN) where the patient is receiving care
Source
ESRD.RQMT_250

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]

67879-7 Dialysis Facility Federal Provider Number (NPI)

Observation ID in Form

RQMT_12

Fully-Specified Name

Component
Dialysis 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
Dialysis Facility Federal Provider Number (NPI)
Source
ESRD.RQMT_250

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
71747-0 Facility panel [ESRD]

71495-6 Network code Dialysis facility [ESRD]

Term Description

Indicates the ESRD Network assigned and maintained facility code.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_13

Fully-Specified Name

Component
Network code
Property
ID
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_13

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71496-4 Corporate organization code Dialysis facility [ESRD]

Term Description

Indicates the facility code if one is assigned by the facility's Corporate Organization.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_14

Fully-Specified Name

Component
Corporate organization code
Property
ID
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_14

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71497-2 Dialysis organization affiliation Dialysis facility [ESRD]

Term Description

Indicates the dialysis organization that the facility states they are affiliated with.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_15

Fully-Specified Name

Component
Dialysis organization affiliation
Property
Type
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_15

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71497-2 Other dialysis organization affiliation

Term Description

Indicates the dialysis organization that the facility states they are affiliated with.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_16

Fully-Specified Name

Component
Dialysis organization affiliation
Property
Type
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_15

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

67878-9 Back-up facility name

Observation ID in Form

RQMT_18

Fully-Specified Name

Component
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

Text
Dialysis facility name
Source
ESRD.RQMT_249

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]

71498-0 Manager Dialysis facility [ESRD]

Term Description

Indicates who manages the facility; may not be the same as ownership.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_25

Fully-Specified Name

Component
Manager
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_25

Normative Answer List LL2138-7

Answer Code Score Answer ID
DaVita Dialysis Clinic, Inc LA18640-5
Fresenius Medical Care LA18641-3

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71498-0 Other manager

Term Description

Indicates who manages the facility; may not be the same as ownership.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_26

Fully-Specified Name

Component
Manager
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_25

Normative Answer List LL2138-7

Answer Code Score Answer ID
DaVita Dialysis Clinic, Inc LA18640-5
Fresenius Medical Care LA18641-3

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71499-8 Owner Dialysis facility [ESRD]

Term Description

Indicates who owns the facility.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_27

Fully-Specified Name

Component
Owner
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_27

Normative Answer List LL2138-7

Answer Code Score Answer ID
DaVita Dialysis Clinic, Inc LA18640-5
Fresenius Medical Care LA18641-3

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71500-3 Program type

Term Description

Indicates whether facility is a transplant or dialysis facility.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_29

Fully-Specified Name

Component
Program
Property
Type
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_29

Normative Answer List LL2135-3

Answer Code Score Answer ID
Transplant LA17844-4
Dialysis LA7216-0

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71501-1 Facility status

Term Description

Indicates whether facility is open or closed.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_30

Fully-Specified Name

Component
Open-closed Status
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_30

Normative Answer List LL2110-6

Answer Code Score Answer ID
Open LA9227-5
Closed LA9228-3

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71502-9 Profit status Dialysis facility [ESRD]

Term Description

Indicates whether the facility is for profit or not for profit.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_31

Fully-Specified Name

Component
Profit status
Property
Type
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_31

Normative Answer List LL2112-2

Answer Code Score Answer ID
Profit LA16385-9
Not for profit LA18639-7

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71503-7 Date opened Dialysis facility [ESRD]

Term Description

Indicates the date the facility opened.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_32

Fully-Specified Name

Component
Date opened
Property
Date
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_32

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71504-5 Date closed Dialysis facility [ESRD]

Term Description

Indicates the date the facility closed permanently -- not temporarily due to a disaster.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_33

Fully-Specified Name

Component
Date closed
Property
Date
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_33

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71505-2 Date changed ownership Dialysis facility [ESRD]

Term Description

Indicates the date the facility's change of ownership was effective.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_34

Fully-Specified Name

Component
Date changed ownership
Property
Date
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_34

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71506-0 Date initially certified by medicare Dialysis facility [ESRD]

Term Description

Indicates the date the facility was initially certified by Medicare.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_36

Fully-Specified Name

Component
Date initially certified by medicare
Property
Date
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_36

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

52830-7 State, district or territory federal abbreviation Facility

Term Description

Geographic location - State or Territory of the facility where the service was provided or originated as defined by the United States Postal Service (http://www.itl.nist.gov/fipspubs/)
Source: Regenstrief LOINC

Observation ID in Form

RQMT_42

Fully-Specified Name

Component
State, district or territory federal abbreviation
Property
Loc
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.NMMDS
Type
Surveys
First Released
Version 2.24
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
52826-5 Nursing Management Minimum Data Set panel [NMMDS]
62611-9 PhenX domain - Respiratory

52831-5 Postal code [Location] Facility

Observation ID in Form

RQMT_43

Fully-Specified Name

Component
Postal code
Property
Loc
Time
Pt
System
Facility
Scale
Nom
Method

Additional Names

Short Name
Postal code Facility

Basic Attributes

Class
ADMIN.FACILITY
Type
Clinical
First Released
Version 2.24
Last Updated
Version 2.73
Change Reason
"Postal code" is the more universal nomenclature for this concept. Added a synonym of "Zip code" so users will still be able to find this term. Updated Class from "SURVEY.NMMDS" to "ADMIN.FACILITY".
Common Test Rank Get Info
15160

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
78000-7 Case notification panel [CDC.PHIN]
71747-0 Facility panel [ESRD]
52826-5 Nursing Management Minimum Data Set panel [NMMDS]
80399-9 Occupational exposure information panel
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Código Postal:Loc:Punto temporal:Instalaciones:Nominal:
it-IT Italian (Italy) Codice di avviamento postale:Loc:Pt:Struttura:Nom:
Synonyms: Amministrativo CAP Posizione Punto nel tempo (episodio) Struttura
zh-CN Chinese (China) 邮政编码:位置:时间点:设施: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 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).设施(场所、设备、特别装置、服务特色) 邮政区号;邮递区号;邮编

71534-2 Phone number Dialysis facility [ESRD]

Observation ID in Form

RQMT_45

Fully-Specified Name

Component
Phone number
Property
Tele
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_45

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71509-4 Phone number extension Dialysis facility [ESRD]

Term Description

Indicates the extension number for personnel's business phone number.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_46

Fully-Specified Name

Component
Phone number extension
Property
Tele
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated Component from "Phone extension" to align with existing phone number terms.
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_46

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

65650-4 E-mail

Observation ID in Form

RQMT_47

Fully-Specified Name

Component
Email address
Property
EmailAddr
Time
Pt
System
Facility
Scale
Nom
Method

Additional Names

Short Name
Email address Facility

Basic Attributes

Class
ADMIN.FACILITY
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.66
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Updated Component from "E-mail" to "Email address" and Class from "PHENX" to "ADMIN.FACILITY" to align with existing terms.

Survey Question

Text
E-mail
Source
PX091601270000

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
80399-9 Occupational exposure information panel
62611-9 PhenX domain - Respiratory

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Dirección de correo electrónico:CorreoElectrónico:Punto temporal:Instalaciones:Nominal:
it-IT Italian (Italy) Indirizzo email:Indirizzo email:Pt:Struttura:Nom:
Synonyms: Amministrativo Punto nel tempo (episodio) Struttura
zh-CN Chinese (China) 电子邮件地址:电子邮件地址:时间点:设施: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 时刻;随机;随意;瞬间 电子邮件(电邮、邮件、邮箱、电子邮箱)地址 电邮地址;邮件地址 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).设施(场所、设备、特别装置、服务特色)

71508-6 Website Dialysis facility [ESRD]

Term Description

Indicates the facility's website address (URL).
Source: Regenstrief LOINC

Observation ID in Form

RQMT_48

Fully-Specified Name

Component
Website
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_49

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71507-8 Fax number Dialysis facility [ESRD]

Term Description

Indicates facility's main fax number.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_49

Fully-Specified Name

Component
Fax number
Property
Tele
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_48

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71752-0 Primary contact first name Facility

Term Description

Indicates the primary contact personnel's legal first name.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_50

Fully-Specified Name

Component
Primary contact first name
Property
Pn
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE"
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_50

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
91704-7 Primary contact information panel Facility

71753-8 Primary contact last name Facility

Term Description

Indicates the primary contact personnel's legal last name.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_51

Fully-Specified Name

Component
Primary contact last name
Property
Pn
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE"
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_51

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
91704-7 Primary contact information panel Facility

71751-2 Primary contact phone number Facility

Term Description

Indicates the primary contact personnel's business phone number.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_52

Fully-Specified Name

Component
Primary contact phone number
Property
Tele
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE"
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_52

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
91704-7 Primary contact information panel Facility

71750-4 Primary contact phone number extension Facility

Term Description

Indicates the extension number for the primary contact personnel's business phone number.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_53

Fully-Specified Name

Component
Primary contact phone number extension
Property
Tele
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE"
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_53

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
91704-7 Primary contact information panel Facility

71766-0 Primary contact email Facility

Observation ID in Form

RQMT_54

Fully-Specified Name

Component
Primary contact email
Property
EmailAddr
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE"
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_54

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
91704-7 Primary contact information panel Facility

71521-9 Location type

Term Description

Indicates the type of location where services are provided.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_55

Fully-Specified Name

Component
Location
Property
Type
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_55

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71510-2 Medicaid certified stations Dialysis facility # [ESRD]

Term Description

The total number of stations that are Medicare certified at the facility.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_56

Fully-Specified Name

Component
Medicaid certified stations
Property
Num
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_56

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

Example Units

Unit Source
{#} Example UCUM Units

71511-0 Isolation stations Dialysis facility # [ESRD]

Term Description

The total number of isolations stations at the facility.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_57

Fully-Specified Name

Component
Isolation stations
Property
Num
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_57

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

Example Units

Unit Source
{#} Example UCUM Units

71748-8 Total dialysis stations Facility # [ESRD]

Observation ID in Form

RQMT_58

Fully-Specified Name

Component
Total dialysis stations
Property
Num
Time
Pt
System
Facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_58

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

Example Units

Unit Source
{#} Example UCUM Units

71512-8 Medicare certified services offered Dialysis facility [ESRD]

Term Description

Indicates all of the Medicare-certified services the facility offers.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_59

Fully-Specified Name

Component
Medicare certified services offered
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_59

Normative Answer List LL2111-4

Answer Code Score Answer ID
Hemodialysis LA9975-9
Peritoneal Dialysis LA10059-6
Transplantation LA18638-9
Home training - hemodialysis LA18634-8
Home training - peritoneal dialysis LA18635-5
Home support - hemodialysis LA18637-1
Home support - peritoneal dialysis LA18636-3

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71513-6 Non-medicare certified services offered Dialysis facility [ESRD]

Term Description

Indicates all additional or non-certified services the facility offers.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_60

Fully-Specified Name

Component
Non-medicare certified services offered
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_60

Normative Answer List LL2111-4

Answer Code Score Answer ID
Hemodialysis LA9975-9
Peritoneal Dialysis LA10059-6
Transplantation LA18638-9
Home training - hemodialysis LA18634-8
Home training - peritoneal dialysis LA18635-5
Home support - hemodialysis LA18637-1
Home support - peritoneal dialysis LA18636-3

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71514-4 Opening time Dialysis facility [ESRD]

Term Description

Indicates the time that the facility opens each day of the week.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_61

Fully-Specified Name

Component
Opening time
Property
TmStp
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_61

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71515-1 Closing time Dialysis facility [ESRD]

Term Description

Indicates the time that the facility closes each day of the week.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_62

Fully-Specified Name

Component
Closing time
Property
TmStp
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_62

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71533-4 Dialysis shifts Dialysis facility # [ESRD]

Term Description

The number of dialysis shifts the facility offers each day of the week.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_63

Fully-Specified Name

Component
Dialysis shifts
Property
Num
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_63

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

Example Units

Unit Source
{#} Example UCUM Units

71745-4 Day closed Facility

Term Description

Indicates that the facility is not open for business on the identified day of the week.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_64

Fully-Specified Name

Component
Day closed
Property
Type
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Changed Property from TmStp and Scale from Qn since this term is used to report the day of the week (Monday, Tuesday, etc.) that the facility is not open.; Removed Method of "ESRD" because this is a generic concept that can be used across domains and changed Status from "TRIAL" to "ACTIVE"
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_64

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

69417-4 CMS certification number (CCN) for Facility

Observation ID in Form

RQMT_65

Fully-Specified Name

Component
CMS certification number
Property
ID
Time
Pt
System
Facility
Scale
Nom
Method

Additional Names

Short Name
CMS certification # Facility

Basic Attributes

Class
ADMIN.FACILITY
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.66
Change Reason
Removed "-CCN" from COMPONENT and added "(CCN)" to the Long Common Name because the abbreviation is redundant in the formal name.
Order vs. Observation
Observation

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]
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
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]
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [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]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [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]
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]
54580-6 Deprecated Minimum Data Set - version 3.0
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
71747-0 Facility panel [ESRD]
89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 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]
87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 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]
87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 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]
87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 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]
90480-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7 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 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9 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 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
101111-3 MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
101108-9 MDS v3.0 - RAI v1.18.11 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set 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]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Número de certificación CMS:ID:Punto temporal:Instalaciones:Nominal:
it-IT Italian (Italy) Numero di certificazione CMS:ID:Pt:Struttura:Nom:
Synonyms: Amministrativo Identificatore Numero di certificazione CMS (CCN) Punto nel tempo (episodio) Struttura
ru-RU Russian (Russian Federation) CMS сертификационный номер:ID:ТчкВрм:Учреждение:Ном:
Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) CMS 证书编号:标识符:时间点:设施:名义型:
Synonyms: Centers for Medicare & Medicaid Services;Centers for Medicare and Medicaid Services;CMS;医疗保险和公共医疗补助服务中心;医疗保险和医疗补助服务中心;CMS 证书编号;CMS certification number;CCN 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 时刻;随机;随意;瞬间 标识;身份标识符;身份标识 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).设施(场所、设备、特别装置、服务特色) 认证(检定、证明、鉴定、发证、出具课程结业证书、确认);医疗认证级别(等级、水平);medical certification level

71522-7 Certified program Dialysis facility [ESRD]

Observation ID in Form

RQMT_66

Fully-Specified Name

Component
Certified program
Property
Type
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_65

Example Answer List LL2142-9

Answer Code Score Answer ID
Pending certification LA18819-5
Medicare LA15652-3
Prison LA18820-3
Acute LA18821-1
DME supplier LA18822-9
Military LA15280-3
Special purpose LA18823-7
Air Force LA18824-5
Army LA18825-2
Navy LA18826-0
Other LA46-8
VA LA18827-8

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71523-5 Date personnel record submitted Dialysis facility [ESRD]

Observation ID in Form

RQMT_73

Fully-Specified Name

Component
Date personnel record submitted
Property
Date
Time
Pt
System
Dialysis facility
Scale
Qn
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_109

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
71746-2 Personnel contact information panel [ESRD] Personnel

49549-9 Referral lab test method

Observation ID in Form

RQMT_75

Fully-Specified Name

Component
Referral lab test method
Property
Type
Time
Pt
System
Referral lab test
Scale
Nar
Method

Additional Names

Short Name
Ref lab test method
Display Name
Referral lab test method
Consumer Name Alpha Get Info
Referral lab test method

Basic Attributes

Class
MISC
Type
Laboratory
First Released
Version 2.22
Last Updated
Version 2.73
Change Reason
Release 2.70: COMPONENT: Updated "Reference" to "Referral" to broaden use and apply to any referral lab, not just reference labs.; Previous Releases: Corrected Timing from "XXX" to "Pt"
Order vs. Observation
Observation
Common Test Rank Get Info
1962

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]
51991-8 Referral lab test panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Método de prueba de laboratorio de referencia:Tipo:Punto temporal:Prueba de laboratorio de referencia:Narrativo:
es-ES Spanish (Spain) Método de las pruebas de laboratorio de referencia:Tipo:Punto temporal:Prueba de laboratorio de referencia:Narrativo:
fr-FR French (France) Méthode du test de laboratoire de référence:Type:Ponctuel:Test de laboratoire de référence:Résultat textuel:
it-IT Italian (Italy) Laboratorio di riferimento, metodo del test:Tipo:Pt:Laboratorio di riferimento, test:Nar:
Synonyms: Metodo del test del laboratorio di riferimento Metodo di test di laboratorio Miscellanea Punto nel tempo (episodio) Test del laboratorio di riferimento
nl-NL Dutch (Netherlands) verwijzingslaboratorium testmethode:type:moment:verwijzingslaboratorium test:tekstueel:
pt-BR Portuguese (Brazil) Método do teste de laboratório de referência:Tipo:XXX:Teste de referência lAcoratorial:Nar:
Synonyms: ; Ref lAc test method; Method of; Meth; Typ; ?Tm; Narrative; Report
zh-CN Chinese (China) 受托实验室检验项目方法:类型:时间点:受托实验室检验项目:叙述型:
Synonyms: 受托(受委托、转诊目标、转介目标、转诊介绍目标)实验室(检验中心、实验中心)检验项目(实验室检验项目、实验项目、化验项目、检测项目、实验室检测、检验、化验、检测) 受托(受委托、转诊目标、转介目标、转诊介绍目标)实验室(检验中心、实验中心)检验项目(实验室检验项目、实验项目、化验项目、检测项目、实验室检测、检验、化验、检测)方法 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 型 实验室检验(实验室检验项目、实验室检测、实验室、检验项目、检验、化验、检测)方法 方;法;办法;方式 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 测试方法;检测方法;检验方法;化验方法;测定方法;分析方法;测量方法;检查方法

8278-4 Formula used to compute body surface area

Observation ID in Form

RQMT_77

Fully-Specified Name

Component
Formula used to compute body surface area
Property
Type
Time
Pt
System
Formula
Scale
Nom
Method
*

Additional Names

Short Name
BSA formula

Basic Attributes

Class
BDYSURF.ATOM
Type
Clinical
First Released
Version 1.0h(2)
Last Updated
Version 2.73
Common Test Rank Get Info
16767

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Formel zur Berechnung der Körperoberfläche:Typ:Zeitpunkt:Formel:Nominal:*
es-MX Spanish (Mexico) Fórmula utilizada para calcular el área de superficie corporal:Tipo:Punto temporal:Fórmula:Nominal:*
es-AR Spanish (Argentina) fórmula del área de superficie corporal:tipo:punto en el tiempo:fórmula:Nominal:*
fr-FR French (France) Formule utilisée pour calculer la surface corporelle:Type:Ponctuel:Formule:Résultat nominal:*
it-IT Italian (Italy) Formula usata per calcolare l'area della superficie corporea:Tipo:Pt:Formula:Nom:*
Synonyms: Punto nel tempo (episodio) Superficie del corpo - atomica
pt-BR Portuguese (Brazil) Fórmula utilizada para calcular a superfície corporal:Tipo:Pt:Fórmula:Nom:*
Synonyms: ; BSA formula; Bdy surface; Typ; Point in time; Random; Nominal; Surf; bod; Bodies; BODY SURFACE AREA.ATOM; BODY SURFACE AREA.ATOM
ru-RU Russian (Russian Federation) Формула, использованная для расчёта тело поверхность площадь:Тип:ТчкВрм:Формула:Ном:*
Synonyms: Номинальный;Именной Поверхность тела Точка во времени;Момент
zh-CN Chinese (China) 体表面积计算公式:类型:时间点:公式:名义型:*
Synonyms: BSA 一般体表面积 体表面积(Body surface area,BSA) 准则;式;式子;方程式;算式;规则;配方;方案;套装 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 型 时刻;随机;随意;瞬间 物体 用于计算体表面积的公式;用于体表面积计算的公式;体表面积(身体表面面积、身体表面积、BSA)计算公式 身体表面 身体表面积 面;表层;上面;外表;表象;面上

45399-3 Back up federal provider number

Observation ID in Form

RQMT_830

Fully-Specified Name

Component
Federal provider number
Property
ID
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.34

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
45963-6 Deprecated MDS basic assessment tracking form - version 2.0
71747-0 Facility panel [ESRD]
52826-5 Nursing Management Minimum Data Set panel [NMMDS]

71524-3 Partial owner organization Dialysis facility [ESRD]

Observation ID in Form

RQMT_1133

Fully-Specified Name

Component
Partial owner organization
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_1133

Normative Answer List LL2113-0

Answer Code Score Answer ID
DaVita Dialysis Clinic, Inc LA18640-5
Fresenius Medical Care LA18641-3
National Renal Administrators Association-NRAA LA18642-1

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71524-3 Other partial owner organization

Observation ID in Form

RQMT_1134

Fully-Specified Name

Component
Partial owner organization
Property
Find
Time
Pt
System
Dialysis facility
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_1133

Normative Answer List LL2113-0

Answer Code Score Answer ID
DaVita Dialysis Clinic, Inc LA18640-5
Fresenius Medical Care LA18641-3
National Renal Administrators Association-NRAA LA18642-1

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

71525-0 Authorized batch submitting organization Agency [ESRD]

Term Description

Indicates the Batch Submitting Organization who is specified on the facility's Delegation of Authority form (CMS-10268).
Source: Regenstrief LOINC

Observation ID in Form

RQMT_1135

Fully-Specified Name

Component
Authorized batch submitting organization
Property
Find
Time
Pt
System
Agency
Scale
Nom
Method
ESRD

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Source
ESRD.RQMT_1135

Member of these Panels

LOINC Long Common Name
71747-0 Facility panel [ESRD]

46456-0 CMS certification number (CCN) Agency [OASIS]

Term Description

The National Provider Identifier (NPI) will replace the Medicare/Medicaid Provider Number on Medicare claims. The NPI will assume the Medicare/Medicaid Provider Number's role as a primary identifier. However, the Medicare/Medicaid Provider Number will continue to be issued to providers and used to verify Medicare/Medicaid certification on all survey and certification, and resident/patient assessment transactions. In order to avoid confusion with the NPI, the Medicare/Medicaid Provider Number (also known as the OSCAR Provider Number, Medicare Identification Number or Provider Number) has been renamed the CMS Certification Number (CCN). The CCN continues to serve a critical role in verifying that a provider has been Medicare certified and for what type of services.
Source: Regenstrief LOINC

Observation ID in Form

RQMT_1137

Fully-Specified Name

Component
CMS certification number
Property
ID
Time
Pt
System
Agency
Scale
Nom
Method
OASIS

Basic Attributes

Class
SURVEY.OASIS
Type
Surveys
First Released
Version 2.19
Last Updated
Version 2.61
Change Reason
Added "CCN" to Long Common Name for consistency in LOINC modeling

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
71747-0 Facility panel [ESRD]