LOINC
Version 2.67

88372-8Outcome and assessment information set (OASIS) form - version D [CMS Assessment]Active

Term Description

This panel should be used for CMS OASIS-D assessments performed between January 1, 2019 and December 31, 2019.
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
88372-8 Outcome and assessment information set (OASIS) form - version D [CMS Assessment]
Indent88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care [CMS Assessment]
IndentIndent85908-2 Home Health Patient Tracking Sheet
IndentIndentIndent69417-4 CMS Certification Number
IndentIndentIndent46494-1 Branch State
IndentIndentIndent46495-8 Branch ID Number
IndentIndentIndent68468-8 National Provider Identifier (NPI) for the attending physician who has signed the plan of care
IndentIndentIndent46496-6 Patient ID Number
IndentIndentIndent46497-4 Start of Care Date {mm/dd/yyyy}
IndentIndentIndent54503-8 Patient Name
IndentIndentIndentIndent45392-8 (First)
IndentIndentIndentIndent45393-6 (MI)
IndentIndentIndentIndent45394-4 (Last)
IndentIndentIndentIndent45395-1 (Suffix)
IndentIndentIndent46499-0 Patient State of Residence
IndentIndentIndent45401-7 Patient ZIP Code
IndentIndentIndent45397-7 Medicare Number
IndentIndentIndent45396-9 Social Security Number
IndentIndentIndent45400-9 Medicaid Number
IndentIndentIndent21112-8 Birth Date {mm/dd/yyyy}
IndentIndentIndent46098-0 Gender
IndentIndentIndent59362-4 Race/Ethnicity 1..6
IndentIndentIndent57199-2 Current Payment Sources for Home Care 1..11
IndentIndent57040-8 CLINICAL RECORD ITEMS
IndentIndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
IndentIndentIndent57201-6 Date of Physician-ordered Start of Care (Resumption of Care) {mm/dd/yyyy}
IndentIndentIndent57202-4 Date of Referral {mm/dd/yyyy}
IndentIndentIndent57203-2 Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?
IndentIndent88487-4 PATIENT HISTORY AND DIAGNOSES
IndentIndentIndent57204-0 From which of the following Inpatient Facilities was the patient discharged within the past 14 days? 1..7
IndentIndentIndent86470-2 Inpatient Discharge Date (most recent) {mm/dd/yyyy}
IndentIndentIndent88488-2 Diagnoses and Symptom Control
IndentIndentIndentIndent88489-0 Primary Diagnosis
IndentIndentIndentIndentIndent86255-7 Primary Diagnosis: ICD-10-code
IndentIndentIndentIndentIndent85920-7 Primary Diagnosis Symptom Control Rating
IndentIndentIndentIndent88490-8 Other Diagnoses
IndentIndentIndentIndentIndent81885-6 Other Diagnoses: ICD-10-CM
IndentIndentIndentIndentIndent85920-7 Other Diagnoses Symptom Control Rating
IndentIndentIndent83243-6 Active Diagnoses-Comorbidities and Co-existing Conditions 0..2
IndentIndentIndent46466-9 Therapies the patient receives at home 1..3
IndentIndentIndent57319-6 Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? 1..9
IndentIndentIndent54567-3 Height and Weight
IndentIndentIndentIndent3137-7 Height (in inches) [in_us];cm
IndentIndentIndentIndent3141-9 Weight (in pounds) [lb_av];kg
IndentIndent85951-2 LIVING ARRANGEMENTS
IndentIndentIndent85950-4 Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?
IndentIndent88492-4 SENSORY STATUS
IndentIndentIndent57215-6 Vision (with corrective lenses if the patient usually wears them)
IndentIndentIndent57220-6 Frequency of Pain Interfering with patient's activity or movement
IndentIndent88493-2 INTEGUMENTARY STATUS
IndentIndentIndent85918-1 Does this patient have at least one Unhealed Pressure Ulcer/Injury at Stage 2 or Higher or designated as Unstageable?
IndentIndentIndent88494-0 Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndentIndent55124-2 Number of Stage 2 pressure ulcers {#}
IndentIndentIndentIndent55125-9 Number of Stage 3 pressure ulcers {#}
IndentIndentIndentIndent55126-7 Number of Stage 4 pressure ulcers {#}
IndentIndentIndentIndent54893-3 Number of unstageable pressure ulcers/injuries due to non-removable dressing/device {#}
IndentIndentIndentIndent54946-9 Number of unstageable pressure ulcers/injuries due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndentIndent54950-1 Number of unstageable pressure injuries presenting as deep tissue injury {#}
IndentIndentIndent46536-9 Current Number of Stage 1 Pressure Injuries {#}
IndentIndentIndent57231-3 Stage of Most Problematic Unhealed Pressure Ulcer/Injury that is Stageable
IndentIndentIndent57232-1 Does this patient have a Stasis Ulcer?
IndentIndentIndent57233-9 Current Number of Stasis Ulcer(s) that are Observable {#}
IndentIndentIndent57234-7 Status of Most Problematic Stasis Ulcer that is Observable
IndentIndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndentIndent57236-2 Status of Most Problematic Surgical Wound that is Observable
IndentIndent88495-7 RESPIRATORY STATUS
IndentIndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
IndentIndent88496-5 ELIMINATION STATUS
IndentIndentIndent46552-6 Has this patient been treated for a Urinary Tract Infection in the past 14 days?
IndentIndentIndent46553-4 Urinary Incontinence or Urinary Catheter Presence
IndentIndentIndent46587-2 Bowel Incontinence Frequency
IndentIndentIndent86471-0 Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay; or b) necessitated a change in medical or treatment regimen?
IndentIndent88498-1 NEURO/EMOTIONAL/BEHAVIORAL STATUS
IndentIndentIndent46589-8 Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.
IndentIndentIndent58104-1 When Confused (Reported or Observed Within the Last 14 Days)
IndentIndentIndent86495-9 When Anxious (Reported or Observed Within the Last 14 Days)
IndentIndentIndent57242-0 Depression Screening: Has the patient been screened for depression, using a standardized, validated depression screening tool?
IndentIndentIndentIndent58120-7 PHQ-2©
IndentIndentIndentIndentIndent44250-9 Little interest or pleasure in doing things
IndentIndentIndentIndentIndent44255-8 Feeling down, depressed, or hopeless?
IndentIndentIndent46473-5 Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed)
IndentIndentIndent46592-2 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.
IndentIndent88499-9 ADL & IADLs
IndentIndentIndent46595-5 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).
IndentIndentIndent46597-1 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.
IndentIndentIndent46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.
IndentIndentIndent57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
IndentIndentIndent57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
IndentIndentIndent57245-3 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.
IndentIndentIndent57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
IndentIndentIndent57247-9 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.
IndentIndentIndent57248-7 Feeding or Eating: Current ability to feed self meals and snacks safely.
IndentIndentIndent57254-5 Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?
IndentIndent88501-2 MEDICATIONS
IndentIndentIndent57255-2 Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?
IndentIndentIndent57281-8 Medication Follow-up: Did the agency contact a physician (or physician-designee) by midnight of the next calendar day and complete prescribed/recommended actions in response to the identified potential clinically significant medication issues?
IndentIndentIndent57257-8 Patient/Caregiver High-Risk Drug Education: Has the patient/caregiver received instruction on special precautions for all high-risk medications (such as hypoglycemics, anticoagulants, etc.) and how and when to report problems that may occur?
IndentIndentIndent57285-9 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.
IndentIndentIndent57284-2 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.
IndentIndent88502-0 CARE MANAGEMENT
IndentIndentIndent88465-0 Types and Sources of Assistance
IndentIndentIndentIndent57265-1 Supervision and safety (for example, due to cognitive impairment)
IndentIndent88503-8 THERAPY NEED AND PLAN OF CARE
IndentIndentIndent57268-5 Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined). {#}
IndentIndent89572-2 Functional Abilities and Goals - SOC/ROC
IndentIndentIndent83239-4 Prior Functioning: Everyday Activities
IndentIndentIndentIndent85070-1 Self-Care
IndentIndentIndentIndent85071-9 Indoor Mobility (Ambulation)
IndentIndentIndentIndent85072-7 Stairs
IndentIndentIndentIndent85073-5 Functional Cognition
IndentIndentIndent83234-5 Prior Device Use 1..5
IndentIndentIndent89479-0 Self-Care - SOC/ROC Performance
IndentIndentIndentIndent89410-5 Eating
IndentIndentIndentIndent89405-5 Oral hygiene
IndentIndentIndentIndent57245-3 Toileting hygiene
IndentIndentIndentIndent89397-4 Shower/bathe self
IndentIndentIndentIndent89388-3 Upper body dressing
IndentIndentIndentIndent89407-1 Lower body dressing
IndentIndentIndentIndent89401-4 Putting on/taking off footwear
IndentIndentIndent89478-2 Self-Care - Discharge Goal
IndentIndentIndentIndent89409-7 Eating
IndentIndentIndentIndent89404-8 Oral hygiene
IndentIndentIndentIndent89389-1 Toileting hygiene
IndentIndentIndentIndent89396-6 Shower/bathe self
IndentIndentIndentIndent89387-5 Upper body dressing
IndentIndentIndentIndent89406-3 Lower body dressing
IndentIndentIndentIndent89400-6 Putting on/taking off footwear
IndentIndentIndent89477-4 Mobility - SOC/ROC Performance
IndentIndentIndentIndent89399-0 Roll left and right
IndentIndentIndentIndent89395-8 Sit to lying
IndentIndentIndentIndent85926-4 Lying to sitting on side of bed
IndentIndentIndentIndent89393-3 Sit to stand
IndentIndentIndentIndent89415-4 Chair/bed-to-chair transfer
IndentIndentIndentIndent57244-6 Toilet transfer
IndentIndentIndentIndent89413-9 Car transfer
IndentIndentIndentIndent89386-7 Walk 10 feet
IndentIndentIndentIndent89382-6 Walk 50 feet with two turns
IndentIndentIndentIndent89384-2 Walk 150 feet
IndentIndentIndentIndent89380-0 Walking 10 feet on uneven surfaces
IndentIndentIndentIndent89421-2 1 step (curb)
IndentIndentIndentIndent89417-0 4 steps
IndentIndentIndentIndent89419-6 12 steps
IndentIndentIndentIndent89403-0 Picking up object
IndentIndentIndentIndent89411-3 Does the patient use a wheelchair and/or scooter?
IndentIndentIndentIndent89376-8 Wheel 50 feet with two turns
IndentIndentIndentIndent89408-9 Indicate the type of wheelchair or scooter used
IndentIndentIndentIndent89378-4 Wheel 150 feet
IndentIndentIndentIndent89408-9 Indicate the type of wheelchair or scooter used
IndentIndentIndent89476-6 Mobility - Discharge Goal
IndentIndentIndentIndent89398-2 Roll left and right
IndentIndentIndentIndent89394-1 Sit to lying
IndentIndentIndentIndent85927-2 Lying to sitting on side of bed
IndentIndentIndentIndent89392-5 Sit to stand
IndentIndentIndentIndent89414-7 Chair/Bed-to-chair transfer
IndentIndentIndentIndent89390-9 Toilet transfer
IndentIndentIndentIndent89412-1 Car transfer
IndentIndentIndentIndent89385-9 Walk 10 feet
IndentIndentIndentIndent89381-8 Walk 50 feet with two turns
IndentIndentIndentIndent89383-4 Walk 150 feet
IndentIndentIndentIndent89379-2 Walking 10 feet on uneven surfaces
IndentIndentIndentIndent89420-4 1 step (curb)
IndentIndentIndentIndent89416-2 4 steps
IndentIndentIndentIndent89418-8 12 steps
IndentIndentIndentIndent89402-2 Picking up object
IndentIndentIndentIndent89375-0 Wheel 50 feet with two turns
IndentIndentIndentIndent89377-6 Wheel 150 feet
Indent88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care [CMS Assessment]
IndentIndent85906-6 Home health patient tracking sheet
IndentIndentIndent46498-2 Resumption of Care Date {mm/dd/yyyy}
IndentIndent57040-8 CLINICAL RECORD ITEMS
IndentIndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason:
IndentIndentIndent57201-6 Date of Physician-ordered Start of Care (Resumption of Care) {mm/dd/yyyy}
IndentIndentIndent57202-4 Date of Referral {mm/dd/yyyy}
IndentIndentIndent57203-2 Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?
IndentIndent88487-4 PATIENT HISTORY AND DIAGNOSES
IndentIndentIndent57204-0 From which of the following Inpatient Facilities was the patient discharged within the past 14 days? 1..7
IndentIndentIndent86470-2 Inpatient Discharge Date (most recent) {mm/dd/yyyy}
IndentIndentIndent88488-2 Diagnoses and Symptom Control
IndentIndentIndentIndent88489-0 Primary Diagnosis
IndentIndentIndentIndentIndent86255-7 Primary Diagnosis: ICD-10-code
IndentIndentIndentIndentIndent85920-7 Primary Diagnosis Symptom Control Rating
IndentIndentIndentIndent88490-8 Other Diagnoses
IndentIndentIndentIndentIndent81885-6 Other Diagnoses: ICD-10-CM
IndentIndentIndentIndentIndent85920-7 Other Diagnoses Symptom Control Rating
IndentIndentIndent83243-6 Active Diagnoses-Comorbidities and Co-existing Conditions 0..2
IndentIndentIndent46466-9 Therapies the patient receives at home 1..3
IndentIndentIndent57319-6 Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? 1..9
IndentIndentIndent54567-3 Height and Weight
IndentIndentIndentIndent3137-7 Height (in inches) [in_us];cm
IndentIndentIndentIndent3141-9 Weight (in pounds) [lb_av];kg
IndentIndent85951-2 LIVING ARRANGEMENTS
IndentIndentIndent85950-4 Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?
IndentIndent88492-4 SENSORY STATUS
IndentIndentIndent57215-6 Vision (with corrective lenses if the patient usually wears them)
IndentIndentIndent57220-6 Frequency of Pain Interfering with patient's activity or movement
IndentIndent88493-2 INTEGUMENTARY STATUS
IndentIndentIndent85918-1 Does this patient have at least one Unhealed Pressure Ulcer/Injury at Stage 2 or Higher or designated as Unstageable?
IndentIndentIndent88494-0 Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndentIndent55124-2 Number of Stage 2 pressure ulcers {#}
IndentIndentIndentIndent55125-9 Number of Stage 3 pressure ulcers {#}
IndentIndentIndentIndent55126-7 Number of Stage 4 pressure ulcers {#}
IndentIndentIndentIndent54893-3 Number of unstageable pressure ulcers/injuries due to non-removable dressing/device {#}
IndentIndentIndentIndent54946-9 Number of unstageable pressure ulcers/injuries due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndentIndent54950-1 Number of unstageable pressure injuries presenting as deep tissue injury {#}
IndentIndentIndent46536-9 Current Number of Stage 1 Pressure Injuries {#}
IndentIndentIndent57231-3 Stage of Most Problematic Unhealed Pressure Ulcer/Injury that is Stageable
IndentIndentIndent57232-1 Does this patient have a Stasis Ulcer?
IndentIndentIndent57233-9 Current Number of Stasis Ulcer(s) that are Observable {#}
IndentIndentIndent57234-7 Status of Most Problematic Stasis Ulcer that is Observable
IndentIndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndentIndent57236-2 Status of Most Problematic Surgical Wound that is Observable
IndentIndent88495-7 RESPIRATORY STATUS
IndentIndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
IndentIndent88496-5 ELIMINATION STATUS
IndentIndentIndent46552-6 Has this patient been treated for a Urinary Tract Infection in the past 14 days?
IndentIndentIndent46553-4 Urinary Incontinence or Urinary Catheter Presence
IndentIndentIndent46587-2 Bowel Incontinence Frequency
IndentIndentIndent86471-0 Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay; or b) necessitated a change in medical or treatment regimen?
IndentIndent88498-1 NEURO/EMOTIONAL/BEHAVIORAL STATUS
IndentIndentIndent46589-8 Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.
IndentIndentIndent58104-1 When Confused (Reported or Observed Within the Last 14 Days)
IndentIndentIndent86495-9 When Anxious (Reported or Observed Within the Last 14 Days)
IndentIndentIndent57242-0 Depression Screening: Has the patient been screened for depression, using a standardized, validated depression screening tool?
IndentIndentIndentIndent58120-7 PHQ-2©
IndentIndentIndentIndentIndent44250-9 Little interest or pleasure in doing things
IndentIndentIndentIndentIndent44255-8 Feeling down, depressed, or hopeless?
IndentIndentIndent46473-5 Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed) 1..6
IndentIndentIndent46592-2 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.
IndentIndent88499-9 ADL/IADLs
IndentIndentIndent46595-5 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).
IndentIndentIndent46597-1 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.
IndentIndentIndent46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.
IndentIndentIndent57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
IndentIndentIndent57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
IndentIndentIndent57245-3 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.
IndentIndentIndent57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
IndentIndentIndent57247-9 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.
IndentIndentIndent57248-7 Feeding or Eating: Current ability to feed self meals and snacks safely.
IndentIndentIndent57254-5 Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?
IndentIndent88501-2 MEDICATIONS
IndentIndentIndent57255-2 Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?
IndentIndentIndent57281-8 Medication Follow-up: Did the agency contact a physician (or physician-designee) by midnight of the next calendar day and complete prescribed/recommended actions in response to the identified potential clinically significant medication issues?
IndentIndentIndent57257-8 Patient/Caregiver High-Risk Drug Education: Has the patient/caregiver received instruction on special precautions for all high-risk medications (such as hypoglycemics, anticoagulants, etc.) and how and when to report problems that may occur?
IndentIndentIndent57285-9 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.
IndentIndentIndent57284-2 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.
IndentIndent88502-0 CARE MANAGEMENT
IndentIndentIndent88465-0 Types and Sources of Assistance
IndentIndentIndentIndent57265-1 Supervision and safety (for example, due to cognitive impairment)
IndentIndent88503-8 THERAPY NEED AND PLAN OF CARE
IndentIndentIndent57268-5 Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined). {#}
IndentIndent89572-2 Functional Abilities and Goals - SOC/ROC
IndentIndentIndent83239-4 Prior Functioning: Everyday Activities
IndentIndentIndentIndent85070-1 Self-Care
IndentIndentIndentIndent85071-9 Indoor Mobility (Ambulation)
IndentIndentIndentIndent85072-7 Stairs
IndentIndentIndentIndent85073-5 Functional Cognition
IndentIndentIndent83234-5 Prior Device Use 1..5
IndentIndentIndent89479-0 Self-Care - SOC/ROC Performance
IndentIndentIndentIndent89410-5 Eating
IndentIndentIndentIndent89405-5 Oral hygiene
IndentIndentIndentIndent57245-3 Toileting hygiene
IndentIndentIndentIndent89397-4 Shower/bathe self
IndentIndentIndentIndent89388-3 Upper body dressing
IndentIndentIndentIndent89407-1 Lower body dressing
IndentIndentIndentIndent89401-4 Putting on/taking off footwear
IndentIndentIndent89478-2 Self-Care - Discharge Goal
IndentIndentIndentIndent89409-7 Eating
IndentIndentIndentIndent89404-8 Oral hygiene
IndentIndentIndentIndent89389-1 Toileting hygiene
IndentIndentIndentIndent89396-6 Shower/bathe self
IndentIndentIndentIndent89387-5 Upper body dressing
IndentIndentIndentIndent89406-3 Lower body dressing
IndentIndentIndentIndent89400-6 Putting on/taking off footwear
IndentIndentIndent89477-4 Mobility - SOC/ROC Performance
IndentIndentIndentIndent89399-0 Roll left and right
IndentIndentIndentIndent89395-8 Sit to lying
IndentIndentIndentIndent85926-4 Lying to sitting on side of bed
IndentIndentIndentIndent89393-3 Sit to stand
IndentIndentIndentIndent89415-4 Chair/bed-to-chair transfer
IndentIndentIndentIndent57244-6 Toilet transfer
IndentIndentIndentIndent89413-9 Car transfer
IndentIndentIndentIndent89386-7 Walk 10 feet
IndentIndentIndentIndent89382-6 Walk 50 feet with two turns
IndentIndentIndentIndent89384-2 Walk 150 feet
IndentIndentIndentIndent89380-0 Walking 10 feet on uneven surfaces
IndentIndentIndentIndent89421-2 1 step (curb)
IndentIndentIndentIndent89417-0 4 steps
IndentIndentIndentIndent89419-6 12 steps
IndentIndentIndentIndent89403-0 Picking up object
IndentIndentIndentIndent89411-3 Does the patient use a wheelchair and/or scooter?
IndentIndentIndentIndent89376-8 Wheel 50 feet with two turns
IndentIndentIndentIndent89408-9 Indicate the type of wheelchair or scooter used
IndentIndentIndentIndent89378-4 Wheel 150 feet
IndentIndentIndentIndent89408-9 Indicate the type of wheelchair or scooter used
IndentIndentIndent89476-6 Mobility - Discharge Goal
IndentIndentIndentIndent89398-2 Roll left and right
IndentIndentIndentIndent89394-1 Sit to lying
IndentIndentIndentIndent85927-2 Lying to sitting on side of bed
IndentIndentIndentIndent89392-5 Sit to stand
IndentIndentIndentIndent89414-7 Chair/Bed-to-chair transfer
IndentIndentIndentIndent89390-9 Toilet transfer
IndentIndentIndentIndent89412-1 Car transfer
IndentIndentIndentIndent89385-9 Walk 10 feet
IndentIndentIndentIndent89381-8 Walk 50 feet with two turns
IndentIndentIndentIndent89383-4 Walk 150 feet
IndentIndentIndentIndent89379-2 Walking 10 feet on uneven surfaces
IndentIndentIndentIndent89420-4 1 step (curb)
IndentIndentIndentIndent89416-2 4 steps
IndentIndentIndentIndent89418-8 12 steps
IndentIndentIndentIndent89402-2 Picking up object
IndentIndentIndentIndent89375-0 Wheel 50 feet with two turns
IndentIndentIndentIndent89377-6 Wheel 150 feet
Indent88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up [CMS Assessment]
IndentIndent86245-8 CLINICAL RECORD ITEMS
IndentIndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
IndentIndentIndent57203-2 Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?
IndentIndent88491-6 PATIENT HISTORY AND DIAGNOSES
IndentIndentIndent88488-2 Diagnoses and Symptom Control
IndentIndentIndentIndent88489-0 Primary Diagnosis
IndentIndentIndentIndentIndent86255-7 Primary Diagnosis: ICD-10-code
IndentIndentIndentIndentIndent85920-7 Primary Diagnosis Symptom Control Rating
IndentIndentIndentIndent88490-8 Other Diagnoses
IndentIndentIndentIndentIndent81885-6 Other Diagnoses: ICD-10-CM
IndentIndentIndentIndentIndent85920-7 Other Diagnoses Symptom Control Rating
IndentIndentIndent46466-9 Therapies the patient receives at home 1..3
IndentIndent88492-4 SENSORY STATUS
IndentIndentIndent57215-6 Vision (with corrective lenses if the patient usually wears them)
IndentIndentIndent57220-6 Frequency of Pain Interfering with patient's activity or movement
IndentIndent88463-5 INTEGUMENTARY STATUS
IndentIndentIndent85918-1 Does this patient have at least one Unhealed Pressure Ulcer/Injury at Stage 2 or Higher or designated as Unstageable?
IndentIndentIndent88494-0 Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndentIndent55124-2 Number of Stage 2 pressure ulcers {#}
IndentIndentIndentIndent55125-9 Number of Stage 3 pressure ulcers {#}
IndentIndentIndentIndent55126-7 Number of Stage 4 pressure ulcers {#}
IndentIndentIndentIndent54893-3 Number of unstageable pressure ulcers/injuries due to non-removable dressing/device {#}
IndentIndentIndentIndent54946-9 Number of unstageable pressure ulcers/injuries due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndentIndent54950-1 Number of unstageable pressure injuries presenting as deep tissue injury {#}
IndentIndentIndent46536-9 Current Number of Stage 1 Pressure Injuries {#}
IndentIndentIndent57231-3 Stage of Most Problematic Unhealed Pressure Ulcer/Injury that is Stageable
IndentIndentIndent57232-1 Does this patient have a Stasis Ulcer?
IndentIndentIndent57233-9 Current Number of Stasis Ulcer(s) that are Observable {#}
IndentIndentIndent57234-7 Status of Most Problematic Stasis Ulcer that is Observable
IndentIndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndentIndent57236-2 Status of Most Problematic Surgical Wound that is Observable
IndentIndent86249-0 RESPIRATORY STATUS
IndentIndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
IndentIndent86250-8 ELIMINATION STATUS
IndentIndentIndent46553-4 Urinary Incontinence or Urinary Catheter Presence
IndentIndentIndent46587-2 Bowel Incontinence Frequency
IndentIndentIndent86471-0 Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay; or b) necessitated a change in medical or treatment regimen?
IndentIndent86251-6 ADL/IADLs
IndentIndentIndent46597-1 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.
IndentIndentIndent46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.
IndentIndentIndent57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
IndentIndentIndent57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
IndentIndentIndent57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
IndentIndentIndent57247-9 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.
IndentIndent86252-4 MEDICATIONS
IndentIndentIndent57284-2 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.
IndentIndent88503-8 THERAPY NEED AND PLAN OF CARE
IndentIndentIndent57268-5 Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined). {#}
IndentIndent88484-1 Functional Abilities and Goals
IndentIndentIndent88485-8 Self-Care - Follow-up Performance
IndentIndentIndentIndent89410-5 Eating
IndentIndentIndentIndent89405-5 Oral hygiene
IndentIndentIndentIndent57245-3 Toileting hygiene
IndentIndentIndent88486-6 Mobility - Follow-up Perfomance
IndentIndentIndentIndent89399-0 Roll left and right
IndentIndentIndentIndent89395-8 Sit to lying
IndentIndentIndentIndent85926-4 Lying to sitting on side of bed
IndentIndentIndentIndent89393-3 Sit to stand
IndentIndentIndentIndent89415-4 Chair/bed-to-chair transfer
IndentIndentIndentIndent57244-6 Toilet transfer
IndentIndentIndentIndent89386-7 Walk 10 feet
IndentIndentIndentIndent89382-6 Walk 50 feet with two turns
IndentIndentIndentIndent89380-0 Walking 10 feet on uneven surfaces
IndentIndentIndentIndent89421-2 1 step (curb)
IndentIndentIndentIndent89417-0 4 steps
IndentIndentIndentIndent89411-3 Does the patient use a wheelchair and/or scooter?
IndentIndentIndentIndent89376-8 Wheel 50 feet with two turns
Indent88367-8 Outcome and assessment information set (OASIS) form - version D, D1 - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
IndentIndent86257-3 CLINICAL RECORD ITEMS
IndentIndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
IndentIndent86256-5 PATIENT HISTORY AND DIAGNOSIS
IndentIndentIndent85915-7 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?
IndentIndentIndent57208-1 Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year's flu season
IndentIndentIndent85916-5 Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?
IndentIndentIndent45956-0 Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason
IndentIndent86258-1 MEDICATIONS
IndentIndentIndent57256-0 Medication Intervention
IndentIndentIndent57195-0 Patient/Caregiver Drug Education Intervention
IndentIndent57052-3 EMERGENT CARE
IndentIndentIndent57276-8 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)?
IndentIndentIndent57277-6 Reason For Emergent Care: For what reason(s) did the patient seek and/or receive emergent care (with or without hospitalization)? 1..3
IndentIndent88504-6 DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY
IndentIndentIndent57198-4 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?
IndentIndentIndentIndent57270-1 Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care
IndentIndentIndentIndent57271-9 Falls prevention interventions
IndentIndentIndentIndent57272-7 Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment
IndentIndentIndentIndent57273-5 Intervention(s) to monitor and mitigate pain
IndentIndentIndentIndent57274-3 Intervention(s) to prevent pressure ulcers
IndentIndentIndentIndent57275-0 Pressure ulcer treatment based on principles of moist wound healing
IndentIndentIndent46578-1 To which Inpatient Facility has the patient been admitted?
IndentIndentIndent46582-3 Discharge/Transfer/Death Date {mm/dd/yyyy}
IndentIndent83279-0 Health Conditions
IndentIndentIndent83280-8 Any falls since SOC/ROC. Has the patient had any falls since SOC/ROC, whichever is more recent? Has the patient had any falls since SOC/ROC, whichever is more recent?
IndentIndentIndent54854-5 Number of Falls Since SOC/ROC, whichever is more recent
IndentIndentIndentIndent54855-2 No injury
IndentIndentIndentIndent54856-0 Injury (except major)
IndentIndentIndentIndent54857-8 Major injury
Indent88370-2 Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency - death at home [CMS Assessment]
IndentIndent86257-3 CLINICAL RECORD ITEMS
IndentIndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
IndentIndent86262-3 MEDICATIONS
IndentIndentIndent57256-0 Medication Intervention
IndentIndent88505-3 DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY DISCHARGE ONLY
IndentIndentIndent46582-3 Discharge/Transfer/Death Date {mm/dd/yyyy}
IndentIndent83279-0 Health Conditions
IndentIndentIndent83280-8 Any falls since SOC/ROC. Has the patient had any falls since SOC/ROC, whichever is more recent? Has the patient had any falls since SOC/ROC, whichever is more recent?
IndentIndentIndent54854-5 Number of Falls Since SOC/ROC, whichever is more recent
IndentIndentIndentIndent54855-2 No injury
IndentIndentIndentIndent54856-0 Injury (except major)
IndentIndentIndentIndent54857-8 Major injury
Indent88371-0 Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency [CMS Assessment]
IndentIndent86257-3 CLINICAL RECORD ITEMS
IndentIndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
IndentIndent86256-5 PATIENT HISTORY AND DIAGNOSES
IndentIndentIndent85915-7 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?
IndentIndentIndent57208-1 Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year's flu season
IndentIndentIndent85916-5 Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, pneumovax)?
IndentIndentIndent45956-0 Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason
IndentIndent88507-9 SENSORY STATUS
IndentIndentIndent57220-6 Frequency of Pain Interfering with patient's activity or movement
IndentIndent88464-3 INTEGUMENTARY STATUS
IndentIndentIndent85918-1 Does this patient have at least one Unhealed Pressure Ulcer/Injury at Stage 2 or Higher or designated as Unstageable?
IndentIndentIndent57222-2 The Oldest Stage 2 pressure ulcer that is present at discharge
IndentIndentIndent58052-2 Record date pressure ulcer first identified {mm/dd/yyyy}
IndentIndentIndent88508-7 Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndentIndent55124-2 Number of Stage 2 pressure ulcers {#}
IndentIndentIndentIndent54886-7 Number of these Stage 2 pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndentIndent55125-9 Number of Stage 3 pressure ulcers {#}
IndentIndentIndentIndent54887-5 Number of these Stage 3 pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndentIndent55126-7 Number of Stage 4 pressure ulcers {#}
IndentIndentIndentIndent54890-9 Number of these Stage 4 pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndentIndent54893-3 Number of unstageable pressure ulcers/injuries due to non-removable dressing/device {#}
IndentIndentIndentIndent54894-1 Number of these unstageable pressure ulcers/injuries that were present at most recent SOC/ROC {#}
IndentIndentIndentIndent54946-9 Number of unstageable pressure ulcers/injuries due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndentIndent54947-7 Number of these unstageable pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndentIndent54950-1 Number of unstageable pressure injuries presenting as deep tissue injury {#}
IndentIndentIndentIndent54951-9 Number of these unstageable pressure ulcers that were present at most recent SOC/ROC {#}
IndentIndentIndent57231-3 Stage of Most Problematic Unhealed Pressure Ulcer/Injury that is Stageable
IndentIndentIndent57232-1 Does this patient have a Stasis Ulcer?
IndentIndentIndent57233-9 Current Number of Stasis Ulcer(s) that are Observable {#}
IndentIndentIndent57234-7 Status of Most Problematic Stasis Ulcer that is Observable
IndentIndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndentIndent57236-2 Status of Most Problematic Surgical Wound that is Observable
IndentIndent86249-0 RESPIRATORY STATUS
IndentIndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
IndentIndent88497-3 ELIMINATION STATUS
IndentIndentIndent46552-6 Has this patient been treated for a Urinary Tract Infection in the past 14 days?
IndentIndentIndent46587-2 Bowel Incontinence Frequency
IndentIndent69332-5 NEURO/EMOTIONAL/BEHAVIORAL STATUS
IndentIndentIndent46589-8 Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.
IndentIndentIndent58104-1 When Confused (Reported or Observed Within the Last 14 Days)
IndentIndentIndent86495-9 When Anxious (Reported or Observed Within the Last 14 Days)
IndentIndentIndent46473-5 Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): 1..6
IndentIndentIndent46592-2 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.
IndentIndent88500-4 ADL/IADLs
IndentIndentIndent46595-5 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).
IndentIndentIndent46597-1 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.
IndentIndentIndent46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.
IndentIndentIndent57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
IndentIndentIndent57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
IndentIndentIndent57245-3 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.
IndentIndentIndent57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
IndentIndentIndent57247-9 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.
IndentIndentIndent57248-7 Feeding or Eating: Current ability to feed self meals and snacks safely.
IndentIndent88520-2 MEDICATIONS
IndentIndentIndent57256-0 Medication Intervention
IndentIndentIndent57195-0 Patient/Caregiver Drug Education Intervention
IndentIndentIndent57285-9 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.
IndentIndent88467-6 CARE MANAGEMENT
IndentIndentIndent88468-4 Types and Sources of Assistance
IndentIndentIndentIndent57260-2 ADL assistance (for example, transfer/ ambulation, bathing, dressing, toileting, eating/feeding)
IndentIndentIndentIndent57262-8 Medication administration (for example, oral, inhaled or injectable)
IndentIndentIndentIndent57263-6 Medical procedures/treatments (for example, changing wound dressing, home exercise program)
IndentIndentIndentIndent57265-1 Supervision and safety (for example, due to cognitive impairment)
IndentIndent57052-3 EMERGENT CARE
IndentIndentIndent57276-8 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)?
IndentIndentIndent57277-6 Reason For Emergent Care: For what reason(s) did the patient seek and/or receive emergent care (with or without hospitalization)? 1..3
IndentIndent88506-1 DATA ITEMS COLLECTED AT INPATIENT FACILITY ADMISSION OR AGENCY ONLY
IndentIndentIndent57198-4 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?
IndentIndentIndentIndent57270-1 Diabetic foot care including monitoring for the presence of skin lesions on the lower extremities and patient/caregiver education on proper foot care
IndentIndentIndentIndent57271-9 Falls prevention interventions
IndentIndentIndentIndent57272-7 Depression intervention(s) such as medication, referral for other treatment, or a monitoring plan for current treatment
IndentIndentIndentIndent57273-5 Intervention(s) to monitor and mitigate pain
IndentIndentIndentIndent57274-3 Intervention(s) to prevent pressure ulcers
IndentIndentIndentIndent57275-0 Pressure ulcer treatment based on principles of moist wound healing
IndentIndentIndent46578-1 To which Inpatient Facility has the patient been admitted?
IndentIndentIndent55128-3 Discharge disposition: Where is the patient after discharge from your agency?
IndentIndentIndent46582-3 Discharge/Transfer/Death Date {mm/dd/yyyy}
IndentIndent89391-7 Functional Abilities and Goals - Discharge
IndentIndentIndent89475-8 Self-Care - Discharge Performance
IndentIndentIndentIndent89410-5 Eating
IndentIndentIndentIndent89405-5 Oral hygiene
IndentIndentIndentIndent57245-3 Toileting hygiene
IndentIndentIndentIndent89397-4 Shower/bathe self
IndentIndentIndentIndent89388-3 Upper body dressing
IndentIndentIndentIndent89407-1 Lower body dressing
IndentIndentIndentIndent89401-4 Putting on/taking off footwear
IndentIndentIndent89474-1 Mobility - Discharge Performance
IndentIndentIndentIndent89399-0 Roll left and right
IndentIndentIndentIndent89395-8 Sit to lying
IndentIndentIndentIndent85926-4 Lying to sitting on side of bed
IndentIndentIndentIndent89393-3 Sit to stand
IndentIndentIndentIndent89415-4 Chair/bed-to-chair transfer
IndentIndentIndentIndent57244-6 Toilet transfer
IndentIndentIndentIndent89413-9 Car transfer
IndentIndentIndentIndent89386-7 Walk 10 feet
IndentIndentIndentIndent89382-6 Walk 50 feet with two turns
IndentIndentIndentIndent89384-2 Walk 150 feet
IndentIndentIndentIndent89380-0 Walking 10 feet on uneven surfaces
IndentIndentIndentIndent89421-2 1 step (curb)
IndentIndentIndentIndent89417-0 4 steps
IndentIndentIndentIndent89419-6 12 steps
IndentIndentIndentIndent89403-0 Picking up object
IndentIndentIndentIndent89411-3 Does the patient use a wheelchair and/or scooter?
IndentIndentIndentIndent89376-8 Wheel 50 feet with two turns
IndentIndentIndentIndent89408-9 Indicate the type of wheelchair or scooter used
IndentIndentIndentIndent89378-4 Wheel 150 feet
IndentIndentIndentIndent89408-9 Indicate the type of wheelchair or scooter used
IndentIndent83279-0 Health Conditions
IndentIndentIndent83280-8 Any falls since SOC/ROC. Has the patient had any falls since SOC/ROC, whichever is more recent? Has the patient had any falls since SOC/ROC, whichever is more recent?
IndentIndentIndent54854-5 Number of Falls Since SOC/ROC, whichever is more recent
IndentIndentIndentIndent54855-2 No injury
IndentIndentIndentIndent54856-0 Injury (except major)
IndentIndentIndentIndent54857-8 Major injury

Fully-Specified Name

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

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.67
Change Reason
Release 2.67: DefinitionDescription: Updated the Term Description to reflect a new performance period resulting from CMS publishing OASIS vD1
Order vs. Observation
Order
Panel Type
Convenience group

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