Version 2.71

88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care [CMS Assessment]Active

Term Description

This panel should be used for CMS OASIS-D Start of Care assessments performed between January 1, 2019 and December 31, 2019 and CMS OASIS-D1 Start of Care assessments performed after January 1, 2020.
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care [CMS Assessment]
Indent85908-2 Home Health Patient Tracking Sheet
IndentIndent69417-4 CMS Certification Number
IndentIndent46494-1 Branch State
IndentIndent46495-8 Branch ID Number
IndentIndent68468-8 National Provider Identifier (NPI) for the attending physician who has signed the plan of care
IndentIndent46496-6 Patient ID Number
IndentIndent46497-4 Start of Care Date {mm/dd/yyyy}
IndentIndent54503-8 Patient Name
IndentIndentIndent45392-8 (First)
IndentIndentIndent45393-6 (MI)
IndentIndentIndent45394-4 (Last)
IndentIndentIndent45395-1 (Suffix)
IndentIndent46499-0 Patient State of Residence
IndentIndent45401-7 Patient ZIP Code
IndentIndent45397-7 Medicare Number
IndentIndent45396-9 Social Security Number
IndentIndent45400-9 Medicaid Number
IndentIndent21112-8 Birth Date {mm/dd/yyyy}
IndentIndent46098-0 Gender
IndentIndent59362-4 Race/Ethnicity 1..6
IndentIndent57199-2 Current Payment Sources for Home Care 1..11
IndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
IndentIndent57201-6 Date of Physician-ordered Start of Care (Resumption of Care) {mm/dd/yyyy}
IndentIndent57202-4 Date of Referral {mm/dd/yyyy}
IndentIndent57203-2 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?
IndentIndent57204-0 From which of the following Inpatient Facilities was the patient discharged within the past 14 days? 1..7
IndentIndent86470-2 Inpatient Discharge Date (most recent) {mm/dd/yyyy}
IndentIndent88488-2 Diagnoses and Symptom Control
IndentIndentIndent88489-0 Primary Diagnosis
IndentIndentIndentIndent86255-7 Primary Diagnosis: ICD-10-code
IndentIndentIndentIndent85920-7 Primary Diagnosis Symptom Control Rating
IndentIndentIndent88490-8 Other Diagnoses
IndentIndentIndentIndent81885-6 Other Diagnoses: ICD-10-CM
IndentIndentIndentIndent85920-7 Other Diagnoses Symptom Control Rating
IndentIndent83243-6 Active Diagnoses-Comorbidities and Co-existing Conditions 0..2
IndentIndent46466-9 Therapies the patient receives at home 1..3
IndentIndent57319-6 Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? 1..9
IndentIndent54567-3 Height and Weight
IndentIndentIndent3137-7 Height (in inches) [in_us];cm;m
IndentIndentIndent3141-9 Weight (in pounds) [lb_av];kg
IndentIndent85950-4 Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?
Indent88492-4 SENSORY STATUS
IndentIndent57215-6 Vision (with corrective lenses if the patient usually wears them)
IndentIndent57220-6 Frequency of Pain Interfering with patient's activity or movement
IndentIndent85918-1 Does this patient have at least one Unhealed Pressure Ulcer/Injury at Stage 2 or Higher or designated as Unstageable?
IndentIndent88494-0 Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndent55124-2 Number of Stage 2 pressure ulcers {#}
IndentIndentIndent55125-9 Number of Stage 3 pressure ulcers {#}
IndentIndentIndent55126-7 Number of Stage 4 pressure ulcers {#}
IndentIndentIndent54893-3 Number of unstageable pressure ulcers/injuries due to non-removable dressing/device {#}
IndentIndentIndent54946-9 Number of unstageable pressure ulcers/injuries due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndent54950-1 Number of unstageable pressure injuries presenting as deep tissue injury {#}
IndentIndent46536-9 Current Number of Stage 1 Pressure Injuries {#}
IndentIndent57231-3 Stage of Most Problematic Unhealed Pressure Ulcer/Injury that is Stageable
IndentIndent57232-1 Does this patient have a Stasis Ulcer?
IndentIndent57233-9 Current Number of Stasis Ulcer(s) that are Observable {#}
IndentIndent57234-7 Status of Most Problematic Stasis Ulcer that is Observable
IndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndent57236-2 Status of Most Problematic Surgical Wound that is Observable
IndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
IndentIndent46552-6 Has this patient been treated for a Urinary Tract Infection in the past 14 days?
IndentIndent46553-4 Urinary Incontinence or Urinary Catheter Presence
IndentIndent46587-2 Bowel Incontinence Frequency
IndentIndent86471-0 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?
IndentIndent46589-8 Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.
IndentIndent58104-1 When Confused (Reported or Observed Within the Last 14 Days)
IndentIndent86495-9 When Anxious (Reported or Observed Within the Last 14 Days)
IndentIndent57242-0 Depression Screening: Has the patient been screened for depression, using a standardized, validated depression screening tool?
IndentIndentIndent58120-7 PHQ-2©
IndentIndentIndentIndent44250-9 Little interest or pleasure in doing things
IndentIndentIndentIndent44255-8 Feeling down, depressed, or hopeless?
IndentIndent46473-5 Cognitive, behavorial, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed)
IndentIndent46592-2 Frequency of Disruptive Behavior Symptoms (Reported or Observed): Any physical, verbal, or other disruptive/dangerous symptoms that are injurious to self or others or jeopardize personal safety.
Indent88499-9 ADL & IADLs
IndentIndent46595-5 Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).
IndentIndent46597-1 Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps.
IndentIndent46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.
IndentIndent57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
IndentIndent57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
IndentIndent57245-3 Toileting Hygiene: Current ability to maintain perineal hygiene safely, adjust clothes and/or incontinence pads before and after using toilet, commode, bedpan, urinal. If managing ostomy, includes cleaning area around stoma, but not managing equipment.
IndentIndent57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
IndentIndent57247-9 Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.
IndentIndent57248-7 Feeding or Eating: Current ability to feed self meals and snacks safely.
IndentIndent57254-5 Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?
Indent88501-2 MEDICATIONS
IndentIndent57255-2 Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?
IndentIndent57281-8 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?
IndentIndent57257-8 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?
IndentIndent57285-9 Management of Oral Medications: Patient's current ability to prepare and take all oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals.
IndentIndent57284-2 Management of Injectable Medications: Patient's current ability to prepare and take all prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals.
IndentIndent88465-0 Types and Sources of Assistance
IndentIndentIndent57265-1 Supervision and safety (for example, due to cognitive impairment)
IndentIndent57268-5 Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined). {#}
Indent89572-2 Functional Abilities and Goals - SOC/ROC
IndentIndent83239-4 Prior Functioning: Everyday Activities
IndentIndentIndent85070-1 Self-Care
IndentIndentIndent85071-9 Indoor Mobility (Ambulation)
IndentIndentIndent85072-7 Stairs
IndentIndentIndent85073-5 Functional Cognition
IndentIndent83234-5 Prior Device Use 1..5
IndentIndent89479-0 Self-Care - SOC/ROC Performance
IndentIndentIndent95019-6 Eating
IndentIndentIndent95018-8 Oral hygiene
IndentIndentIndent95017-0 Toileting hygiene
IndentIndentIndent95015-4 Shower/bathe self
IndentIndentIndent95014-7 Upper body dressing
IndentIndentIndent95013-9 Lower body dressing
IndentIndentIndent95012-1 Putting on/taking off footwear
IndentIndent89478-2 Self-Care - Discharge Goal
IndentIndentIndent89409-7 Eating
IndentIndentIndent89404-8 Oral hygiene
IndentIndentIndent89389-1 Toileting hygiene
IndentIndentIndent89396-6 Shower/bathe self
IndentIndentIndent89387-5 Upper body dressing
IndentIndentIndent89406-3 Lower body dressing
IndentIndentIndent89400-6 Putting on/taking off footwear
IndentIndent89477-4 Mobility - SOC/ROC Performance
IndentIndentIndent95011-3 Roll left and right
IndentIndentIndent95010-5 Sit to lying
IndentIndentIndent95009-7 Lying to sitting on side of bed
IndentIndentIndent95008-9 Sit to stand
IndentIndentIndent95007-1 Chair/bed-to-chair transfer
IndentIndentIndent95006-3 Toilet transfer
IndentIndentIndent95005-5 Car transfer
IndentIndentIndent95004-8 Walk 10 feet
IndentIndentIndent95003-0 Walk 50 feet with two turns
IndentIndentIndent95002-2 Walk 150 feet
IndentIndentIndent95001-4 Walking 10 feet on uneven surfaces
IndentIndentIndent95000-6 1 step (curb)
IndentIndentIndent94999-0 4 steps
IndentIndentIndent94998-2 12 steps
IndentIndentIndent94997-4 Picking up object
IndentIndentIndent95738-1 Does the patient use a wheelchair and/or scooter?
IndentIndentIndent94992-5 Wheel 50 feet with two turns
IndentIndentIndent95739-9 Indicate the type of wheelchair or scooter used
IndentIndentIndent94991-7 Wheel 150 feet
IndentIndentIndent95739-9 Indicate the type of wheelchair or scooter used
IndentIndent89476-6 Mobility - Discharge Goal
IndentIndentIndent89398-2 Roll left and right
IndentIndentIndent89394-1 Sit to lying
IndentIndentIndent85927-2 Lying to sitting on side of bed
IndentIndentIndent89392-5 Sit to stand
IndentIndentIndent89414-7 Chair/bed-to-chair transfer
IndentIndentIndent89390-9 Toilet transfer
IndentIndentIndent89412-1 Car transfer
IndentIndentIndent89385-9 Walk 10 feet
IndentIndentIndent89381-8 Walk 50 feet with two turns
IndentIndentIndent89383-4 Walk 150 feet
IndentIndentIndent89379-2 Walking 10 feet on uneven surfaces
IndentIndentIndent89420-4 1 step (curb)
IndentIndentIndent89416-2 4 steps
IndentIndentIndent89418-8 12 steps
IndentIndentIndent89402-2 Picking up object
IndentIndentIndent89375-0 Wheel 50 feet with two turns
IndentIndentIndent89377-6 Wheel 150 feet

Fully-Specified Name

Outcome and assessment information set (OASIS) form - version D, D1 - Start of care
CMS Assessment

Basic Attributes

First Released
Version 2.64
Last Updated
Version 2.69
Change Reason
Release 2.67: COMPONENT: Assessment version updated to reflect must recent version
Order vs. Observation
Panel Type

LOINC FHIR® API Example - CodeSystem and Questionnaire Requests Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=88373-6 https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/88373-6