Version 2.78

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
85395-2 Identification Information
Indent85396-0 Facility Information
IndentIndent76696-4 Facility Name
IndentIndent69417-4 Facility Medicare Provider Number
Indent45397-7 Patient Medicare Number
Indent45400-9 Patient Medicaid Number
Indent45392-8 Patient First Name
Indent45394-4 Patient Last Name
Indent52463-7 Patient Identification Number
Indent21112-8 Birth Date {mm/dd/yyyy}
Indent45396-9 Social Security Number
Indent46098-0 Gender
Indent59362-4 Race/Ethnicity 0..6
Indent45404-1 Marital Status
Indent52539-4 Zip Code of Patient's Pre-Hospital Residence
Indent52455-3 Admission Date {mm/dd/yyyy}
Indent54593-9 Assessment reference date - observation end date during assessment period [CMS Assessment] {mm/dd/yyyy}
Indent85397-8 Admission Class
Indent85398-6 Admit From
Indent85399-4 Pre-hospital Living Setting
Indent85400-0 Pre-hospital Living With

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

LOINC Long Common Name
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]
89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=85395-2