LOINC
Version 2.72

86264-9Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]Active

Term Description

This information is collected at discharge from home health agency other than Death at Home or Transfer to Inpatient Facility. This panel should be used for CMS OASIS-C2 Discharged from agency assessments performed between January 1, 2017 and December 31, 2018.
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel

LOINC Name R/O/C Cardinality Example UCUM Units
86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
Indent86257-3 CLINICAL RECORD ITEMS
IndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
Indent86256-5 PATIENT HISTORY AND DIAGNOSES
IndentIndent85915-7 InfluenzaVaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?
IndentIndent57208-1 Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year's flu season
IndentIndent85916-5 Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?
IndentIndent45956-0 Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason
Indent86266-4 SENSORY STATUS
IndentIndent57218-0 Speech and Oral (Verbal) Expression of Language (in patient's own language)
IndentIndent57220-6 Frequency of pain interfering with patient's activity or movement
Indent86267-2 INTEGUMENTARY STATUS
IndentIndent85918-1 Does this patient have at least one Unhealed Pressure Ulcer at Stage 2 or Higher or designated as Unstageable?
IndentIndent57222-2 The Oldest Stage 2 pressure ulcer that is present at discharge
IndentIndent58052-2 Record date pressure ulcer first identified {mm/dd/yyyy}
IndentIndent86270-6 Current Number of Unhealed Pressure Ulcers at Each Stage
IndentIndentIndent55124-2 Number of Stage 2 pressure ulcers {#}
IndentIndentIndent54886-7 Number of these Stage 2 pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndent55125-9 Number of Stage 3 pressure ulcers {#}
IndentIndentIndent54887-5 Number of these Stage 3 pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndent55126-7 Number of Stage 4 pressure ulcers {#}
IndentIndentIndent54890-9 Number of these Stage 4 pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndent54893-3 Number of unstageable pressure ulcers due to non-removable dressing/device {#}
IndentIndentIndent54894-1 Number of these unstageable pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndent54946-9 Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndent54947-7 Number of these unstageable pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndent54950-1 Number of unstageable pressure ulcers with suspected deep tissue injury in evolution {#}
IndentIndentIndent54951-9 Number of these unstageable pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndent86268-0 Worsening in Pressure Ulcer Status since SOC/ROC
IndentIndentIndent83283-2 Stage 2 {#}
IndentIndentIndent83284-0 Stage 3 {#}
IndentIndentIndent83285-7 Stage 4 {#}
IndentIndentIndent83286-5 Unstageable - Known or likely but Unstageable due to non-removable dressing. {#}
IndentIndentIndent83287-3 Unstageable - Known or likely but Unstageable due to coverage of wound bed by slough and/or eschar. {#}
IndentIndentIndent83288-1 Unstageable - Suspected deep tissue injury in evolution. {#}
IndentIndent57229-7 Status of Most Problematic Pressure Ulcer that is Observable
IndentIndent46536-9 Current Number of Stage 1 Pressure Ulcers {#}
IndentIndent57231-3 Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable
IndentIndent57232-1 Does this patient have a Stasis Ulcer?
IndentIndent57233-9 Current Number of Stasis Ulcer(s) that are Observable {#}
IndentIndent57234-7 Status of Most Problematic Stasis Ulcer that is Observable
IndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndent57236-2 Status of Most Problematic Surgical Wound that is Observable
Indent86249-0 RESPIRATORY STATUS
IndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
Indent57045-7 CARDIAC STATUS
IndentIndent57239-6 Symptoms in Heart Failure Patients
IndentIndent57240-4 Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure at the time of or at any time since the most recent SOC/ROC assessment, what action(s) has (have) been taken to respond? 1..5
Indent86269-8 ELIMINATION STATUS
IndentIndent46552-6 Has this patient been treated for a Urinary Tract Infection in the past 14 days?
IndentIndent46553-4 Urinary Incontinence or Urinary Catheter Presence
IndentIndent57241-2 When does Urinary Incontinence occur?
IndentIndent46587-2 Bowel Incontinence Frequency
Indent69332-5 NEURO/EMOTIONAL/BEHAVIORAL STATUS
IndentIndent46589-8 Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.
IndentIndent58104-1 When Confused (Reported or Observed Within the Last 14 Days)
IndentIndent86495-9 When Anxious (Reported or Observed Within the Last 14 Days)
IndentIndent46473-5 Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): 1..6
IndentIndent46592-2 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.
Indent69337-4 ADL/IADLs
IndentIndent46595-5 Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).
IndentIndent46597-1 Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps.
IndentIndent46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.
IndentIndent57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
IndentIndent57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
IndentIndent57245-3 Toileting Hygiene: Current ability to maintain perineal hygiene safely, adjust clothes and/or incontinence pads before and after using toilet, commode, bedpan, urinal. If managing ostomy, includes cleaning area around stoma, but not managing equipment.
IndentIndent57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
IndentIndent57247-9 Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.
IndentIndent57248-7 Feeding or Eating: Current ability to feed self meals and snacks safely.
IndentIndent57249-5 Current Ability to Plan and Prepare Light Meals (for example, cereal, sandwich) or reheat delivered meals safely.
IndentIndent46569-0 Ability to Use Telephone: Current ability to answer the phone safely, including dialing numbers, and effectively using the telephone to communicate.
Indent86265-6 MEDICATIONS
IndentIndent57256-0 Medication Intervention
IndentIndent57195-0 Patient/Caregiver Drug Education Intervention
IndentIndent57285-9 Management of Oral Medications: Patient's current ability to prepare and take all oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.
IndentIndent57284-2 Management of Injectable Medications: Patient's current ability to prepare and take all prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals.
Indent57049-9 CARE MANAGEMENT
IndentIndent57306-3 Types and Sources of Assistance
IndentIndentIndent57260-2 ADL assistance (for example, transfer/ ambulation, bathing, dressing, toileting, eating/feeding)
IndentIndentIndent57261-0 IADL assistance (for example, meals, housekeeping, laundry, telephone, shopping, finances)
IndentIndentIndent57262-8 Medication administration (for example, oral, inhaled or injectable)
IndentIndentIndent57263-6 Medical procedures/treatments (for example, changing wound dressing, home exercise program)
IndentIndentIndent57264-4 Management of equipment (for example, oxygen, IV/infusion equipment, enteral/parenteral nutrition, ventilator therapy equipment or supplies)
IndentIndentIndent57265-1 Supervision and safety (for example, due to cognitive impairment)
IndentIndentIndent57266-9 Advocacy or facilitation of patient's participation in appropriate medical care (for example, transportation to or from appointments)
IndentIndent57267-7 How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?
Indent57052-3 EMERGENT CARE
IndentIndent57276-8 Emergent Care: At the time of or at any time since the most recent SOC/ROC assessment has the patient utilized a hospital emergency department (includes holding/observation status)?
IndentIndent57277-6 Reason For Emergent Care: For what reason(s) did the patient receive emergent care (with or without hospitalization)? 1..19
Indent69331-7 DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY ONLY
IndentIndent57198-4 Intervention Synopsis: At the time of or at any time since the most recent SOC/ROC assessment, were the following interventions BOTH included in the physician-ordered plan or care AND implemented?
IndentIndentIndent57270-1 Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care
IndentIndentIndent57271-9 Falls prevention interventions
IndentIndentIndent57272-7 Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment
IndentIndentIndent57273-5 Intervention(s) to monitor and mitigate pain
IndentIndentIndent57274-3 Intervention(s) to prevent pressure ulcers
IndentIndentIndent57275-0 Pressure ulcer treatment based on principles of moist wound healing
IndentIndent46578-1 To which Inpatient Facility has the patient been admitted?
IndentIndent55128-3 Discharge disposition: Where is the patient after discharge from your agency? 1..1
IndentIndent46581-5 Date of Last (Most Recent) Home Visit {mm/dd/yyyy}
IndentIndent46582-3 Discharge/Transfer/Death Date {mm/dd/yyyy}

Fully-Specified Name

Component
Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency
Property
-
Time
Pt
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.66
Order vs. Observation
Order
Panel Type
Panel

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=86264-9