86761-4 While a Resident

Observation ID in Form

O0100_2

Form Coding Instructions

Check all of the following nutritional approaches that were performed during the last 7 days

Form Coding Instructions

Check all of the following treatments, procedures, and programs that were performed during the last 14 days

Form Coding Instructions

Performed while a resident of this facility and within the last 14 days

Fully-Specified Name

Component

Procedures performed during last 14D - while a resident

Property

Find

Time

14D

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Procedures performed during last 14 days - while a resident [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63 (ADD)

Order vs. Observation

Observation

Normative Answer List LL4602-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Past
• Survey

Related Codes

69339-0 Influenza Vaccine

Observation ID in Form

O0250

Form Coding Instructions

Refer to current version of RAI manual for current influenza vaccination season and reporting period

Fully-Specified Name

Component

Influenza vaccine

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Influenza vaccine during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.38

Last Updated

Version 2.78 (PANEL)

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Changed method from CARE so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG

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

55019-4 Did the resident receive the influenza vaccine in this facility for this year's influenza vaccination season?

Observation ID in Form

O0250A

Skip Logic

If 0, Skip to O0250C, If influenza vaccine not received, state reason. If 1, Continue to O0250B, Date influenza vaccine received.

Fully-Specified Name

Component

Influenza virus vaccine received in facility

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

Influenza virus vaccine received in facility 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: Changed method from MDSv3 and removed Survey Question Text and Source so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Member of these Groups Get Info

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FLUV
• ID
• Infectious Disease
• InfectiousDisease
• Influ
• 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.

58131-4 Date influenza vaccine received

Observation ID in Form

O0250B

Skip Logic

Complete date and skip to O0300A, Is the resident's Pneumococcal vaccination up to date?

Fully-Specified Name

Component

Date of influenza vaccination

Property

Date

Time

Pt

System

^Patient

Scale

Qn

Method

Long Common Name

Date of influenza vaccination

Basic Attributes

Class

CLIN

Type

Clinical

First Released

Version 2.29

Last Updated

Version 2.63 (MIN)

Change Reason

Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG; Updated component to follow new vaccination term convention: Date of X vaccination; Removed METHOD because term is generic; Changed CLASS from SURVEY.MDS to CLIN.

Order vs. Observation

Observation

Member of these Panels

Language Variants Get Info

Related Names

• CLIN
• Flu vaccine date
• Immunizations
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Vaccine

Example Units

Related Codes

55020-2 If influenza vaccine not received, state reason:

Observation ID in Form

O0250C

Fully-Specified Name

Component

Reason influenza virus vaccine not received

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Reason influenza virus vaccine not received 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: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG

Order vs. Observation

Observation

Normative Answer List LL4672-3

Member of these Panels

Related Names

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

Related Codes

55021-0 Pneumococcal Vaccine

Observation ID in Form

O0300

Fully-Specified Name

Component

Pneumococcal vaccine

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Long Common Name

Pneumococcal vaccine

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.74 (PANEL)

Change Reason

Changed Class from SURVEY.MDS to PANEL.SURVEY.CMS

Order vs. Observation

Subset

Common Test Rank Get Info

6230

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

55022-8 Is the resident's Pneumococcal vaccination up to date?

Observation ID in Form

O0300A

Skip Logic

If 0, Continue to O0300B, If Pneumococcal vaccine not received, state reason. If 1, Skip to O0400, Therapies.

Fully-Specified Name

Component

Pneumococcal vaccination up to date

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Long Common Name

Pneumococcal vaccination up to date 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: Changed method from MDSv3 so term can be used across CMS assessments per decision by the Clinical LOINC committee and CMS HITWG. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.;Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across 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
• Immunizations
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey
• Vaccine

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.

45956-0 If Pneumococcal vaccine not received, state reason:

Observation ID in Form

O0300B

Fully-Specified Name

Component

Reason pneumococcal vaccine not received

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Reason pneumococcal vaccine not received during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.17

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 MDS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee

Order vs. Observation

Observation

Normative Answer List LL677-6

Member of these Panels

Related Names

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

Related Codes

86845-5 Therapies

Observation ID in Form

O0400

Fully-Specified Name

Component

MDS v3.0 - RAI v1.17.2 - Therapies - ND

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

MDS v3.0 - RAI v1.17.2 - Therapies - ND 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; Release 2.68: COMPONENT: Assessment version number was updated to reflect the most recent version.; 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; Current convention (as approved by the joint CMS LTPAC & LOINC project team) will list only the most current assessment in the Component for CMS Assessment panels.

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

86855-4 Speech-Language Pathology and Audiology Services

Observation ID in Form

O0400A

Fully-Specified Name

Component

MDS v3.0 - RAI v1.17.2 - Speech-language pathology and audiology services - ND

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

MDS v3.0 - RAI v1.17.2 - Speech-language pathology and audiology services - ND 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; Release 2.68: COMPONENT: Assessment version number was updated to reflect the most recent version.; 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; Current convention (as approved by the joint CMS LTPAC & LOINC project team) will list only the most current assessment in the Component for CMS Assessment panels.

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
• Path
• Pnl
• Report period
• Survey

Related Codes

55025-1 Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started

Observation ID in Form

O0400A5

Fully-Specified Name

Component

Start date of speech language pathology and audiology services

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

Start date of speech language pathology and audiology services 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

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Path
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Speech-language pathology and audiology services
• Started
• Survey

Example Units

Related Codes

55026-9 Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended

Observation ID in Form

O0400A6

Form Coding Instructions

Enter dashes if therapy is ongoing

Fully-Specified Name

Component

End date of speech language pathology and audiology services

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

End date of speech language pathology and audiology services 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

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Path
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Speech-language pathology and audiology services
• Survey

Example Units

Related Codes

86848-9 Occupational Therapy

Observation ID in Form

O0400B

Fully-Specified Name

Component

MDS v3.0 - RAI v1.17.2 - Occupational therapy - ND

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

MDS v3.0 - RAI v1.17.2 - Occupational therapy - ND 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; Release 2.68: COMPONENT: Assessment version number was updated to reflect the most recent version.; 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; Current convention (as approved by the joint CMS LTPAC & LOINC project team) will list only the most current assessment in the Component for CMS Assessment panels.

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

55027-7 Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started

Observation ID in Form

O0400B5

Fully-Specified Name

Component

Start date of occupational therapy

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

Start date of occupational therapy 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

Member of these Panels

Related Names

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

Example Units

Related Codes

55028-5 Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended

Observation ID in Form

O0400B6

Form Coding Instructions

Enter dashes if therapy is ongoing

Fully-Specified Name

Component

End date of occupational therapy

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

End date of occupational therapy 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

Member of these Panels

Related Names

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

Example Units

Related Codes

86893-5 Physical Therapy

Observation ID in Form

O0400C

Fully-Specified Name

Component

MDS v3.0 - RAI v1.17.2 - Physical therapy - ND, SD

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

MDS v3.0 - RAI v1.17.2 - Physical therapy - ND, SD 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; Release 2.68: COMPONENT: Assessment version number was updated to reflect the most recent version.; 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; Current convention (as approved by the joint CMS LTPAC & LOINC project team) will list only the most current assessment in the Component for CMS Assessment panels.

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
• PT
• Report period
• Survey

Related Codes

55029-3 Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started

Observation ID in Form

O0400C5

Fully-Specified Name

Component

Start date of physical therapy

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

Start date of physical therapy 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

Member of these Panels

Related Names

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

Example Units

Related Codes

55030-1 Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended

Observation ID in Form

O0400C6

Fully-Specified Name

Component

End date of physical therapy

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

End date of physical therapy 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

Member of these Panels

Related Names

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

Example Units

Related Codes