85405-9 Impairment Group - Admission

Observation ID in Form

21

Form Context

Condition requiring admission to rehabilitation

Fully-Specified Name

Component

IRF-PAI - Impairment group - admission

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

IRF-PAI - Impairment group - admission during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77 (PANEL)

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 IRF-PAI.;

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

85845-6 Impairment Group

Term Description

A code for the condition that best describes the primary reason for the admission to the inpatient rehabilitation facility. For most patients, the Impairment Group Code (IGC) at discharge will be the same codes as the admission IGC. If, during inpatient rehabilitation stay, the patient develops another impairment that uses more resources than the admission impairment, record the second IGC at discharge.

Observation ID in Form

21A

Form Coding Instructions

Code according to Appendix A

Fully-Specified Name

Component

Impairment group

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Impairment group during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

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;

Order vs. Observation

Observation

Normative Answer List LL4950-3

Externally Defined

Yes

Code System

Code System OID

1.3.6.1.4.1.12009.10.1.3837

Link to External List

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/IRF-PAI-and-IRF-QRP-Manual.html

Member of these Panels

Related Names

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

Related Codes

85406-7 Impairment Group - Discharge

Observation ID in Form

21

Fully-Specified Name

Component

IRF-PAI - Impairment group - discharge

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

IRF-PAI - Impairment group - discharge during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77 (PANEL)

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 IRF-PAI;

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

Related Codes

85845-6 Impairment Group

Term Description

A code for the condition that best describes the primary reason for the admission to the inpatient rehabilitation facility. For most patients, the Impairment Group Code (IGC) at discharge will be the same codes as the admission IGC. If, during inpatient rehabilitation stay, the patient develops another impairment that uses more resources than the admission impairment, record the second IGC at discharge.

Observation ID in Form

21D

Form Coding Instructions

Code according to Appendix A

Fully-Specified Name

Component

Impairment group

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Impairment group during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

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;

Order vs. Observation

Observation

Normative Answer List LL4950-3

Externally Defined

Yes

Code System

Code System OID

1.3.6.1.4.1.12009.10.1.3837

Link to External List

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/IRF-PAI-and-IRF-QRP-Manual.html

Member of these Panels

Related Names

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

Related Codes

52797-8 Etiologic Diagnosis

Observation ID in Form

22A, 22B, 22C

Form Coding Instructions

Use ICD codes to indicate the etiologic problem that led to the condition for which the patient is receiving rehabilitation

Fully-Specified Name

Component

Diagnosis ICD code

Property

Prid

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Diagnosis ICD code [Identifier]

Basic Attributes

Class

CLIN

Type

Clinical

First Released

Version 2.26

Last Updated

Version 2.73 (MIN)

Change Reason

Changed CLASS from SURVEY.MDS to CLIN

Order vs. Observation

Both

Common Test Rank Get Info

743

Example Answer List LL4547-7

Externally Defined

Yes

Code System

Code System OID

1.3.6.1.4.1.12009.10.1.3459

Link to External List

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

Member of these Panels

Language Variants Get Info

Related Names

• CLIN
• Dx
• Dx ICD code
• Identity or presence
• International Classification of Diseases
• Nominal
• Point in time
• Random

Related Codes

85585-8 Date of Onset of Impairment

Observation ID in Form

23

Fully-Specified Name

Component

Date of condition onset

Property

Date

Time

Pt

System

^Patient

Scale

Qn

Method

Long Common Name

Date of condition onset

Basic Attributes

Class

SURVEY.GNHLTH

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61 (ADD)

Order vs. Observation

Observation

Member of these Panels

Related Names

• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Survey
• SURVEY.GNHLTH

Example Units

Related Codes

75618-9 Comorbid Conditions

Part Descriptions

LP185958-8   Comorbid condition
Medical diagnoses or clinical conditions the patient has at the time of the encounter that may or may not be associated with the primary or any other reason for the encounter. Source: Centers for Disease Control and Prevention

Observation ID in Form

24A-24Y

Form Coding Instructions

Use ICD codes to enter comorbid medical conditions

Fully-Specified Name

Component

Comorbid condition

Property

Find

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Comorbid condition

Basic Attributes

Class

H&P.HX

Type

Clinical

First Released

Version 2.50

Last Updated

Version 2.70 (MIN)

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

Language Variants Get Info

Related Names

• Finding
• Findings
• H+P
• H+P.HX
• Nominal
• P prime
• PH
• Point in time
• Public Health
• PublicHealth
• Random

Related Codes

85407-5 Are there any arthritis conditions recorded in items #21, #22, or #24 that meet all of the regulatory requirements for IRF classification (in 42 CFR 412.29(b)(2)(x), (xi), and (xii))?

Observation ID in Form

24A1

Fully-Specified Name

Component

Arthritis conditions recorded

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

Arthritis conditions recorded during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

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;

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Arth
• 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 https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.

54567-3 Height and Weight

Form Coding Instructions

While measuring, if the number is X.1 - X.4 round down; X.5 or greater round up

Fully-Specified Name

Component

Height and weight

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Long Common Name

Height and weight

Basic Attributes

Class

PANEL.SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.74 (PANEL)

Order vs. Observation

Order

Common Test Rank Get Info

295

Panel Type

Panel

Member of these Panels

Related Names

• Pan
• Panel
• Panl
• Pnl
• Point in time
• Random
• Survey
• SURVEY.MDS
• Wt

Related Codes

3137-7 Height on admission (in inches)

Observation ID in Form

25A

Fully-Specified Name

Component

Body height

Property

Len

Time

Pt

System

^Patient

Scale

Qn

Method

Measured

Long Common Name

Body height Measured

Basic Attributes

Class

BDYHGT.ATOM

Type

Clinical

First Released

Version 1.0

Last Updated

Version 2.73 (MIN)

Order vs. Observation

Both

Common Test Rank Get Info

372

Member of these Panels

Member of these Groups Get Info

Language Variants Get Info

Related Names

• Axial length
• bod
• Bodies
• BODY HEIGHT(LENGTH).ATOM
• Body length
• Length
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random

Example Units

Related Codes

3141-9 Weight on admission (in pounds)

Observation ID in Form

26A

Form Coding Instructions

Measure weight consistently, according to standard facility practice (e.g., in a.m. after voiding, with shoes off, etc.)

Fully-Specified Name

Component

Body weight

Property

Mass

Time

Pt

System

^Patient

Scale

Qn

Method

Measured

Long Common Name

Body weight Measured

Basic Attributes

Class

BDYWGT.ATOM

Type

Clinical

First Released

Version 1.0

Last Updated

Version 2.73 (MIN)

Order vs. Observation

Both

Common Test Rank Get Info

115

Member of these Panels

Member of these Groups Get Info

Language Variants Get Info

Related Names

• Bdy weight
• bod
• Bodies
• BODY WEIGHT.ATOM
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Wt

Example Units

Related Codes

85408-3 Swallowing Status - Admission

Observation ID in Form

27

Fully-Specified Name

Component

Swallowing status - admission

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Swallowing status - admission during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

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;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

85846-4 Swallowing Status

Observation ID in Form

27A

Fully-Specified Name

Component

Swallowing status

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

Swallowing status during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

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;

Order vs. Observation

Observation

Normative Answer List LL4430-6

Member of these Panels

Related Names

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

Related Codes

85409-1 Swallowing Status - Discharge

Observation ID in Form

27

Fully-Specified Name

Component

Swallowing status - discharge

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Swallowing status - discharge during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

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;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

85846-4 Swallowing Status

Observation ID in Form

27D

Fully-Specified Name

Component

Swallowing status

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

Swallowing status during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

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;

Order vs. Observation

Observation

Normative Answer List LL4430-6

Member of these Panels

Related Names

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

Related Codes