85395-2 Identification Information

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

Related Names

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

85396-0 Facility Information

Observation ID in Form

1

Fully-Specified Name

Component

IRF-PAI - Facility 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;

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

76696-4 Facility Name

Observation ID in Form

1A

Fully-Specified Name

Component

Name

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Additional Names

Short Name

Name Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.52

Last Updated

Version 2.66

Change Reason

Updated Class from APTA to ADMIN.FACILITY to apply more generically

Order vs. Observation

Observation

HL7^® Attributes

HL7^® Field ID

FAC.1

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Ident
• Identifier
• Nominal
• PH
• Point in time
• Public Health
• PublicHealth
• Random

Related Codes

69417-4 Facility Medicare Provider Number

Observation ID in Form

1B

Fully-Specified Name

Component

CMS certification number

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Additional Names

Short Name

CMS certification # Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.38

Last Updated

Version 2.66

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

45397-7 Patient Medicare Number

Observation ID in Form

2

Fully-Specified Name

Component

Medicare or comparable number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Medicare or comparable #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-3

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• Medicare or comparable #
• No
• Nominal
• Num
• Point in time
• Random

Related Codes

45400-9 Patient Medicaid Number

Observation ID in Form

3

Fully-Specified Name

Component

Medicaid number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Medicaid #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-3

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• Medicaid #
• No
• Nominal
• Num
• Point in time
• Random

Related Codes

45392-8 Patient First Name

Observation ID in Form

4

Fully-Specified Name

Component

First name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient First name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

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

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Given name
• Nominal
• Person name
• Point in time
• Random

Related Codes

45394-4 Patient Last Name

Observation ID in Form

5A

Fully-Specified Name

Component

Last name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient Last name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.1

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Past
• Person name
• Point in time
• Random

Related Codes

52463-7 Patient Identification Number

Observation ID in Form

5B

Fully-Specified Name

Component

Patient Identification Number or Provider Account Number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient ID # or Provider Acct #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.27

Last Updated

Version 2.66

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-3.1

Member of these Panels

Language Variants Get Info

Related Names

• Account #
• Admin
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• No
• Nominal
• Num
• Patient ID # or Provider Acct #
• Point in time
• Random

Related Codes

21112-8 Birth Date

Observation ID in Form

6

Fully-Specified Name

Component

Birth date

Property

TmStp

Time

Pt

System

^Patient

Scale

Qn

Method

Additional Names

Short Name

Birth date

Display Name

Birth date [Date/time]

Consumer Name Alpha Get Info

Birth date

Basic Attributes

Class

MISC

Type

Laboratory

First Released

Version 1.0m

Last Updated

Version 2.73

Order vs. Observation

Observation

Common Test Rank Get Info

1746

HL7^® Attributes

HL7^® Field ID

PID-7.1

Member of these Panels

Language Variants Get Info

Related Names

• Birthdate
• Date and time
• Date of birth
• DOB
• MISC
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random
• Time stamp
• Timestamp

Example Units

Related Codes

45396-9 Social Security Number

Observation ID in Form

7

Fully-Specified Name

Component

Social Security number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Social Security #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.73

Change Reason

Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component

Order vs. Observation

Both

Common Test Rank Get Info

6170

HL7^® Attributes

HL7^® Field ID

PID-19

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PATIENT.ID
• Ident
• Identifier
• Intradermal
• No
• Nominal
• Num
• Point in time
• Random
• Social Security #

Related Codes

46098-0 Gender

Part Descriptions

LP101395-4   Sex
In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en) Source: Regenstrief LOINC, WHO: gender

Observation ID in Form

8

Fully-Specified Name

Component

Sex

Property

Type

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Sex

Basic Attributes

Class

ADMIN.PATIENT.DEMOG

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.73

Change Reason

Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.

Order vs. Observation

Both

Common Test Rank Get Info

2086

HL7^® Attributes

HL7^® Field ID

PID-8

Example Answer List LL1-9

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PT.DEMOG
• AOEObservation
• Gender
• Nominal
• Point in time
• Random
• Typ

Related Codes

59362-4 Race/Ethnicity

Term Description

This term is used for reporting the combined race and ethnicity based on the Office of Management and Budget (OMB), Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity (Oct. 30, 1997). It is used in many surveys and data collections, including the CMS Minimum Data Set version 3 and other CMS assessments.
Source: Regenstrief LOINC

Reference Information

Observation ID in Form

9

Form Coding Instructions

Check all that apply

Fully-Specified Name

Component

Race or ethnicity

Property

Type

Time

Pt

System

^Patient

Scale

Nom

Method

OMB.1997

Additional Names

Short Name

Race or ethnicity OMB.1997

Basic Attributes

Class

CLIN

Type

Clinical

First Released

Version 2.32

Last Updated

Version 2.63

Change Reason

Changed method from 'MDSv3' to 'OMB.1997' since the MDSv3 answer list is the same as OMB's combined race & ethnicity answer list (1997). OMB provides standards that promote uniformity and comparability for data on race and ethnicity throughout the U.S. Federal Government. These standards are widely adopted, including in the EHR Meaningful Use program within the U.S.

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-10;PID-22

Normative Answer List LL897-0

Member of these Panels

Language Variants Get Info

Related Names

• CLIN
• Ethnicity
• Nominal
• Point in time
• Random
• Typ

Related Codes

45404-1 Marital Status

Observation ID in Form

10

Fully-Specified Name

Component

Marital status

Property

Type

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Marital status

Basic Attributes

Class

ADMIN.PATIENT.DEMOG

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Updated METHOD from MDS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed Method of CMS Assessment because this is a generic term. Changed Answer List Type to Example so that Override Answer Lists may be used.; Removed '[CMS Assessment]' in Long Common Name.

Order vs. Observation

Observation

HL7^® Attributes

HL7^® Field ID

PID-16

Normative Answer List LL9-2

Member of these Panels