85410-9 Discharge Information

Fully-Specified Name

Component

IRF-PAI - Discharge information

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Disch
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

52525-3 Discharge Date

Observation ID in Form

40

Fully-Specified Name

Component

Discharge date

Property

TmStp

Time

Pt

System

^Patient

Scale

Qn

Method

Additional Names

Short Name

Discharge date

Basic Attributes

Class

H&P.HX

Type

Clinical

First Released

Version 2.24

Last Updated

Version 2.63

Order vs. Observation

Both

Member of these Panels

Language Variants Get Info

Related Names

• Date and time
• Disch
• H+P
• H+P.HX
• P prime
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Time stamp
• Timestamp

Example Units

Related Codes

85411-7 Patient discharged against medical advice?

Observation ID in Form

41

Fully-Specified Name

Component

Patient discharged against medical advice

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

85412-5 Program Interruption(s)

Observation ID in Form

42

Fully-Specified Name

Component

Program interruption(s)

Property

PrThr

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Ordinal
• PR
• QL
• Qual
• Qualitative
• Report period
• S prime
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

85483-6 Program Interruption Dates

Observation ID in Form

43

Skip Logic

Code only if item 42 is 1 - Yes.

Fully-Specified Name

Component

IRF-PAI v3.0, LCDS v3.00 - Program interruption dates

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.69: COMPONENT: Updated to include the current active version of IRF-PAI and most recent version of LCDS that uses this panel term.;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

85413-3 Program Interruption Date

Observation ID in Form

43A, 43C, 43E

Skip Logic

Code only if item 42 is 1 - Yes

Fully-Specified Name

Component

Program interruption date

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Survey

Example Units

Related Codes

85414-1 Program Return Date

Observation ID in Form

43B, 43D, 43F

Fully-Specified Name

Component

Program return date

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Survey

Example Units

Related Codes

85415-8 Was the patient discharged alive?

Observation ID in Form

44C

Fully-Specified Name

Component

Patient discharged alive

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

55128-3 Patient's discharge destination/living setting

Observation ID in Form

44D

Skip Logic

Answer only if 44C = 1; if 44C = 0, skip to item 46.

Fully-Specified Name

Component

Discharge disposition

Property

Type

Time

Pt

System

^Patient

Scale

Nom

Method

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.66

Change Reason

Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Changed COMPONENT from "Discharge status" to "Discharge disposition" - For consistency across LOINC for concepts used to report the disposition (i.e. location or status, etc.) of the patient at discharge, "Discharge disposition" will be used. Updated the PROPERTY from "Find" to "Type" based on the LOINC model. Method removed because this generic term can be used across contexts.

Order vs. Observation

Observation

Normative Answer List LL4427-2

Member of these Panels

Language Variants Get Info

Related Names

• Disch
• Discharge location
• Discharge status
• Nominal
• Point in time
• Random
• Survey
• Typ

Related Codes

85417-4 Discharge to Living With

Term Description

Patient's living arrangement after discharge
Source: Regenstrief LOINC

Observation ID in Form

45

Skip Logic

Code only if item 44C is 1 - Yes and 44D is 01 - Home.

Fully-Specified Name

Component

Discharge living arrangement

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL4939-6

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Disch
• Finding
• Findings
• Housing
• Living Arrangements
• Nominal
• Report period
• Residence
• Survey

Related Codes

85418-2 Diagnosis for Interruption or Death

Observation ID in Form

46

Form Coding Instructions

Code using ICD code

Fully-Specified Name

Component

Diagnosis for interruption or death

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL1892-0

Externally Defined

Yes

Code System

Code System OID

1.3.6.1.4.1.12009.10.1.1069

Link to External List

http://www.cdc.gov/nchs/icd.htm

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Dx
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

85419-0 Complications during rehabilitation stay

Observation ID in Form

47A-47F

Form Coding Instructions

Use ICD codes to specify up to six conditions that began with this rehabilitation stay

Fully-Specified Name

Component

Complications during rehabilitation stay

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL1892-0

Externally Defined

Yes

Code System

Code System OID

1.3.6.1.4.1.12009.10.1.1069

Link to External List

http://www.cdc.gov/nchs/icd.htm

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

85395-2 Identification Information

Fully-Specified Name

Component

IRF-PAI v3.0 - Identification information

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.69: COMPONENT: Updated to include the latest version of IRF-PAI that uses this panel.;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

85396-0 Facility Information

Observation ID in Form

1

Fully-Specified Name

Component

IRF-PAI - Facility information

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

76696-4 Facility Name

Observation ID in Form

1A

Fully-Specified Name

Component

Name

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Additional Names

Short Name

Name Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.52

Last Updated

Version 2.66

Change Reason

Updated Class from APTA to ADMIN.FACILITY to apply more generically

Order vs. Observation

Observation

HL7^® Attributes

HL7^® Field ID

FAC.1

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Ident
• Identifier
• Nominal
• PH
• Point in time
• Public Health
• PublicHealth
• Random

Related Codes

69417-4 Facility Medicare Provider Number

Observation ID in Form

1B

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

Language Variants Get Info

Related Names

• ADMIN
• CCN
• CMS certification #
• Ident
• Identifier
• No
• Nominal
• Num
• Point in time
• Random

Related Codes

45397-7 Patient Medicare Number

Observation ID in Form

2

Fully-Specified Name

Component

Medicare or comparable number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Medicare or comparable #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-3

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• Medicare or comparable #
• No
• Nominal
• Num
• Point in time
• Random

Related Codes

45400-9 Patient Medicaid Number

Observation ID in Form

3

Fully-Specified Name

Component

Medicaid number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Medicaid #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-3

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• Medicaid #
• No
• Nominal
• Num
• Point in time
• Random

Related Codes

45392-8 Patient First Name

Observation ID in Form

4

Fully-Specified Name

Component

First name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient First name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.2

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Given name
• Nominal
• Person name
• Point in time
• Random

Related Codes

45394-4 Patient Last Name

Observation ID in Form

5A

Fully-Specified Name

Component

Last name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient Last name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.1

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Past
• Person name
• Point in time
• Random

Related Codes

52463-7 Patient Identification Number

Observation ID in Form

5B

Fully-Specified Name

Component

Patient Identification Number or Provider Account Number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient ID # or Provider Acct #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.27

Last Updated

Version 2.66

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-3.1

Member of these Panels

Language Variants Get Info

Related Names

• Account #
• Admin
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• No
• Nominal
• Num
• Patient ID # or Provider Acct #
• Point in time
• Random

Related Codes

21112-8 Birth Date

Observation ID in Form

6

Fully-Specified Name

Component

Birth date

Property

TmStp

Time

Pt

System

^Patient

Scale

Qn

Method

Additional Names

Short Name

Birth date

Display Name

Birth date [Date/time]

Consumer Name Alpha Get Info

Birth date

Basic Attributes

Class

MISC

Type

Laboratory

First Released

Version 1.0m

Last Updated

Version 2.73

Order vs. Observation

Observation

Common Test Rank Get Info

1746

HL7^® Attributes

HL7^® Field ID

PID-7.1

Member of these Panels

Language Variants Get Info

Related Names

• Birthdate
• Date and time
• Date of birth
• DOB
• MISC
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Time stamp
• Timestamp

Example Units

Related Codes