86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set

Term Description

This is the set of items active on an OBRA Comprehensive assessment (Admission, Annual, Significant Change in Status, and Significant Correction of Prior Comprehensive Assessments). This item set is used whether the OBRA Comprehensive assessment is stand-alone or combined with any other assessment (PPS assessment and/or Discharge assessment). This panel should be used for CMS MDS3.0 v1.14.1 NC assessments performed between October 1, 2016 and September 30, 2017.

Form Coding Instructions

Look back period for all items is 7 days unless another time frame is indicated

Fully-Specified Name

Component

MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set

Property

-

Time

Pt

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.73 (DEL)

Change Reason

Release 2.73: Status: LOINC will keep most current version and one prior version of CMS assessments active and discourage all older versions.;

Order vs. Observation

Order

Panel Type

Panel

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Point in time
• Random
• Survey

86523-8 Identification Information

Observation ID in Form

A

Fully-Specified Name

Component

MDS v3.0 - RAI v1.14.1, v1.15.1, v1.16.1 - Identification information

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

MDS v3.0 - RAI v1.14.1, v1.15.1, v1.16.1 - Identification information during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

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; Previous Releases: This panel is in version 1.14.1, 1.15.1, and 1.16.1. So "v1.16.1" was added to the Component

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

58198-3 Type of Record

Observation ID in Form

A0050

Skip Logic

If 1, Continue to A0100, Facility Provider Numbers. If 2, Continue to A0100, Facility Provider Numbers. If 3, Skip to X0150, Type of Provider.

Fully-Specified Name

Component

Type of record

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Type of record during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

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; Previous Releases: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

Order vs. Observation

Observation

Normative Answer List LL861-6

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54581-4 Facility Provider Numbers

Observation ID in Form

A0100

Fully-Specified Name

Component

Facility provider numbers

Property

-

Time

Pt

System

Facility

Scale

-

Method

Long Common Name

Facility provider numbers

Basic Attributes

Class

PANEL.ADMIN

Type

Clinical

First Released

Version 2.27

Last Updated

Version 2.74 (PANEL)

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Facility provider #s
• Pan
• Panel
• PANEL.ADMIN
• Panl
• Pnl
• Point in time
• Random

Related Codes

76468-8 National Provider Identifier (NPI)

Observation ID in Form

A0100A

Fully-Specified Name

Component

National provider ID

Property

ID

Time

Pt

System

Organization

Scale

Nom

Method

Long Common Name

Organization NPI

Basic Attributes

Class

ADMIN.ID

Type

Clinical

First Released

Version 2.54

Last Updated

Version 2.66 (MIN)

Order vs. Observation

Both

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Ident
• Identifier
• Intradermal
• Nominal
• NPI
• Point in time
• Random

Related Codes

69417-4 CMS Certification Number (CCN)

Observation ID in Form

A0100B

Fully-Specified Name

Component

CMS certification number

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Long Common Name

CMS certification number (CCN) for Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.38

Last Updated

Version 2.66 (MIN)

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

45398-5 State Provider Number

Observation ID in Form

A0100C

Fully-Specified Name

Component

State provider number

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Long Common Name

State provider number for Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66 (MIN)

Change Reason

Removed Copyright Info because this is a generic term;Changed CLASS to ADMIN

Order vs. Observation

Both

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Ident
• Identifier
• No
• Nominal
• Num
• Point in time
• Random
• State provider #

Related Codes

85632-8 Type of Provider

Observation ID in Form

A0200

Fully-Specified Name

Component

Facility type

Property

Type

Time

RptPeriod

System

Facility

Scale

Nom

Method

CMS Assessment

Long Common Name

Facility type 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 LL630-5

Member of these Panels

Related Names

• Admin
• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

86524-6 Type of Assessment

Observation ID in Form

A0310

Fully-Specified Name

Component

Type of assessment

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Type of assessment during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

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
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

54583-0 Federal OBRA Reason for Assessment

Observation ID in Form

A0310A

Fully-Specified Name

Component

Federal OBRA reason for assessment

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Federal OBRA reason for assessment during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

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; Previous Releases: 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.

Order vs. Observation

Observation

Normative Answer List LL631-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54584-8 PPS Assessment

Observation ID in Form

A0310B

Fully-Specified Name

Component

PPS Assessment

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

PPS Assessment during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.78 (MAJ)

Change Reason

Release 2.78: SCALE_TYP: LL has nominal list; Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: 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; Change Scale from Nom to Ord because the answer lists are Ordinal.; Changed Component from plural to singular to reflect answer cardinality

Order vs. Observation

Observation

Normative Answer List LL4610-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54585-5 PPS Other Medicare Required Assessment - OMRA

Observation ID in Form

A0310C

Fully-Specified Name

Component

PPS Other Medicare Required Assessment - OMRA

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

PPS Other Medicare Required Assessment - OMRA during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

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; Previous Releases: 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.

Order vs. Observation

Observation

Normative Answer List LL843-4

Member of these Panels

Related Names

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

58107-4 Is this a Swing Bed clinical change assessment?

Observation ID in Form

A0310D

Skip Logic

Complete only if A0200 = 2

Fully-Specified Name

Component

Swing bed clinical change assessment

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

Swing bed clinical change assessment during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

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; Previous Releases: 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. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Exchange
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Replace
• 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.

54587-1 Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?

Observation ID in Form

A0310E

Fully-Specified Name

Component

First assessment since the most recent admission &or reentry

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

First assessment since the most recent admission/reentry during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

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; Previous Releases: Added "&or reentry" to the COMPONENT to reflect most recent MDS question text. 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. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.

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.

58108-2 Entry/discharge reporting

Observation ID in Form

A0310F

Fully-Specified Name

Component

Entry &or discharge reporting

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Entry/discharge reporting during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

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; Previous Releases: 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.

Order vs. Observation

Observation

Normative Answer List LL844-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Disch
• Entry/discharge reporting
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

71440-2 Type of discharge

Observation ID in Form

A0310G

Skip Logic

Complete only if A0310F = 10 or 11

Fully-Specified Name

Component

Discharge

Property

Type

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

Discharge type [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.40

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; Previous Releases: 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.; Added "type" to LCN to represent the Property

Order vs. Observation

Observation

Normative Answer List LL4619-4

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Disch
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey
• Typ

Related Codes

86525-3 Is this a SNF Part A PPS Discharge Assessment?

Observation ID in Form

A0310H

Fully-Specified Name

Component

SNF Part A PPS discharge assessment

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

SNF Part A PPS discharge assessment during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

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

• Centers for Medicare and Medicaid Assessment
• Disch
• 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.

86526-1 Unit Certification or Licensure Designation

Observation ID in Form

A0410

Fully-Specified Name

Component

Unit certification or licensure designation

Property

Type

Time

RptPeriod

System

Facility

Scale

Nom

Method

CMS Assessment

Long Common Name

Unit certification or licensure designation during assessment period [CMS Assessment] Facility

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

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; Previous Releases: System changed from ^Patient to ^Facility because the Certification or Licensure is for the facility

Order vs. Observation

Observation

Normative Answer List LL4605-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

54503-8 Legal Name of Resident

Observation ID in Form

A0500

Fully-Specified Name

Component

Legal name of patient

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Long Common Name

Legal name of patient

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.67 (PANEL)

Change Reason

Change "resident" to "patient"

Order vs. Observation

Order

Panel Type

Panel

Member of these Panels

Related Names

• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Point in time
• Random
• Survey

Related Codes

45392-8 First name

Observation ID in Form

A0500A

Fully-Specified Name

Component

First name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Patient First (Given) name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70 (MIN)

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