85908-2 Home Health Patient Tracking Sheet

Fully-Specified Name

Component

Home health patient tracking sheet - start of care

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Long Common Name

Home health patient tracking sheet - start of care during assessment period [CMS Assessment]

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.77 (MAJ)

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

69417-4 CMS Certification Number

Observation ID in Form

M0010

Fully-Specified Name

Component

CMS certification number

Property

ID

Time

Pt

System

Facility

Scale

Nom

Method

Long Common Name

CMS certification number (CCN) for Facility

Basic Attributes

Class

ADMIN.FACILITY

Type

Clinical

First Released

Version 2.38

Last Updated

Version 2.82 (MIN)

Change Reason

Removed "-CCN" from COMPONENT and added "(CCN)" to the Long Common Name because the abbreviation is redundant in the formal name.

Order vs. Observation

Observation

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• CCN
• CMS certification #
• Fclty
• Ident
• Identifier
• No
• Nominal
• Num
• Point in time
• Random

Related Codes

46494-1 Branch State

Term Description

The state where the agency branch office is located.

Observation ID in Form

M0014

Fully-Specified Name

Component

State location of agency branch

Property

Loc

Time

RptPeriod

System

Agency

Scale

Nom

Method

CMS Assessment

Long Common Name

State location of agency branch [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed SCALE from Ord to Nom to reflect answer options

Order vs. Observation

Observation

Example Answer List LL3661-7

Externally Defined

Yes

Code System

CDC-PHIN

Code System OID

1.3.6.1.4.1.12009.10.1.2296

Link to External List

https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.830

Member of these Panels

Related Names

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

Related Codes

46495-8 Branch ID Number

Term Description

Specifies the branch identification code, as assigned by CMS. The identifier consists of 10 digits with the State code as the first two digits, followed by Q (upper case), followed by the last four digits of the current Medicare provider number, and ending with the three-digit CMS-assigned branch number.

Observation ID in Form

M0016

Fully-Specified Name

Component

Branch number

Property

ID

Time

RptPeriod

System

Agency

Scale

Nom

Method

CMS Assessment

Long Common Name

Branch number during assessment period [CMS Assessment] Agency

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

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 OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Updated description to match 2016 OASIS manual;Changed SCALE from Ord to Nom to reflect answer options

Order vs. Observation

Observation

Member of these Panels

Related Names

• Branch #
• Centers for Medicare and Medicaid Assessment
• Ident
• Identifier
• No
• Nominal
• Num
• Report period
• Survey

Related Codes

68468-8 National Provider Identifier (NPI) for the attending physician who has signed the plan of care

Observation ID in Form

M0018

Fully-Specified Name

Component

Attending physician NPI

Property

ID

Time

Pt

System

Provider

Scale

Nom

Method

Long Common Name

Attending physician NPI Provider

Basic Attributes

Class

SURVEY.ESRD

Type

Surveys

First Released

Version 2.38

Last Updated

Version 2.63 (MIN)

Order vs. Observation

Observation

Normative Answer List LL512-5

Externally Defined

Yes

Code System

Code System OID

1.3.6.1.4.1.12009.10.1.3077

Link to External List

https://nppes.cms.hhs.gov/

Member of these Panels

Related Names

• ESRD
• ESRD survey
• Ident
• Identifier
• National Provider Identifier
• Nominal
• Point in time
• Random
• Survey

Related Codes

46496-6 Patient ID Number

Term Description

Agency-specific patient identifier. This is the identification code the agency assigns to the patient and uses for record keeping purposes for this episode of care.

Observation ID in Form

M0020

Fully-Specified Name

Component

Agency patient number

Property

ID

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Long Common Name

Agency patient number during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.77 (MAJ)

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Added "Agency" to COMPONENT to indicate that this ID is assigned by the CMS agency; Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Ident
• Identifier
• No
• Nominal
• Num
• Patient #
• Report period
• Survey

Related Codes

46497-4 Start of Care Date

Term Description

The date that care begins. When the first reimbursable service is delivered, this is the start of care.

Observation ID in Form

M0030

Fully-Specified Name

Component

Start of care date

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Long Common Name

Start of care date during assessment period [CMS Assessment]

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

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

Order vs. Observation

Observation

Member of these Panels

Related Names

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

Example Units

Related Codes

54503-8 Patient Name

Observation ID in Form

M0040

Fully-Specified Name

Component

Legal name of patient

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Long Common Name

Legal name of patient

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.67 (PANEL)

Change Reason

Change "resident" to "patient"

Order vs. Observation

Order

Panel Type

Panel

Member of these Panels

Related Names

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

Related Codes

45392-8 (First)

Observation ID in Form

M0040

Fully-Specified Name

Component

First name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Patient First (Given) name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70 (MIN)

Change Reason

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

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.2

Member of these Panels

Language Variants Get Info

Related Names

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

Related Codes

45393-6 (MI)

Observation ID in Form

M0040

Fully-Specified Name

Component

Middle initial

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Middle initial

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66 (MIN)

Change Reason

Change PROPERTY from ID to Pn to match convention for other name terms

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.3

Member of these Panels

Language Variants Get Info

Related Names

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

Related Codes

45394-4 (Last)

Observation ID in Form

M0040

Fully-Specified Name

Component

Last name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Patient Last (Family) name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70 (MIN)

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "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

45395-1 (Suffix)

Observation ID in Form

M0040

Fully-Specified Name

Component

Name suffix

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Patient Name suffix

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70 (MIN)

Change Reason

Release 2.70: SHORTNAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; Previous Releases: Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.4

Member of these Panels

Language Variants Get Info

Related Names

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

Related Codes

46499-0 Patient State of Residence

Term Description

The state in which the patient is currently residing while receiving care.

Observation ID in Form

M0050

Fully-Specified Name

Component

State of residence

Property

Loc

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

State of residence

Basic Attributes

Class

ADMIN.PATIENT.DEMOG

Type

Clinical

First Released

Version 2.19

Last Updated

Version 2.73 (MIN)

Order vs. Observation

Both

Common Test Rank Get Info

7483

HL7^® Attributes

HL7^® Field ID

PID-11.4

Example Answer List LL3661-7

Externally Defined

Yes

Code System

CDC-PHIN

Code System OID

1.3.6.1.4.1.12009.10.1.2296

Link to External List

https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.830

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PT.DEMOG
• Housing
• Living Arrangement
• Living Arrangements
• Location
• Nominal
• Point in time
• Random

Related Codes

45401-7 Patient ZIP Code

Observation ID in Form

M0060

Fully-Specified Name

Component

Postal code

Property

Loc

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Postal code [Location]

Basic Attributes

Class

ADMIN.PATIENT.DEMOG

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.73 (MIN)

Change Reason

Updated Component name from "ZIP code" to "Postal code", the more universal nomenclature for this concept.

Order vs. Observation

Both

Common Test Rank Get Info

6911

HL7^® Attributes

HL7^® Field ID

PID-11.5

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PT.DEMOG
• Location
• Nominal
• Point in time
• Random
• ZIP code

Related Codes

45397-7 Medicare Number

Observation ID in Form

M0063

Form Coding Instructions

including suffix

Fully-Specified Name

Component

Medicare or comparable number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Medicare or comparable number

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66 (MIN)

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

45396-9 Social Security Number

Observation ID in Form

M0064

Fully-Specified Name

Component

Social Security number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Social Security number [Identifier]

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.73 (MIN)

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

45400-9 Medicaid Number

Observation ID in Form

M0065

Fully-Specified Name

Component

Medicaid number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Long Common Name

Medicaid number

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66 (MIN)

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

21112-8 Birth Date

Observation ID in Form

M0066

Fully-Specified Name

Component

Birth date

Property

TmStp

Time

Pt

System

^Patient

Scale

Qn

Method

Long Common Name

Birth date

Basic Attributes

Class

MISC

Type

Laboratory

First Released

Version 1.0m

Last Updated

Version 2.73 (MIN)

Order vs. Observation

Observation

Common Test Rank Get Info

1746

HL7^® Attributes

HL7^® Field ID

PID-7.1

Member of these Panels