Status Information

Status
DEPRECATED

Term Description

This panel should be used for CMS MDS3.0 v1.16.1 NO/SO assessments performed between October 1, 2018 and September 30, 2019.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
88951-9Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
Indent86811-7Identification Information
IndentIndent58198-3Type of Record
IndentIndent54581-4Facility Provider Numbers
IndentIndentIndent76468-8National Provider Identifier (NPI)
IndentIndentIndent69417-4CMS Certification Number (CCN)
IndentIndentIndent45398-5State Provider Number
IndentIndent85632-8Type of Provider
IndentIndent86524-6Type of Assessment
IndentIndentIndent54583-0Federal OBRA Reason for Assessment
IndentIndentIndent54584-8PPS Assessment
IndentIndentIndent54585-5PPS Other Medicare Required Assessment - OMRA
IndentIndentIndent58107-4Is this a Swing Bed clinical change assessment?
IndentIndentIndent54587-1Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?
IndentIndentIndent58108-2Entry/discharge reporting
IndentIndentIndent71440-2Type of discharge
IndentIndentIndent86525-3Is this a SNF Part A PPS Discharge Assessment?
IndentIndent86526-1Unit Certification or Licensure Designation
IndentIndent54503-8Legal Name of Resident
IndentIndentIndent45392-8First name
IndentIndentIndent45393-6Middle initial
IndentIndentIndent45394-4Last name
IndentIndentIndent45395-1Suffix
IndentIndent45966-9Social Security and Medicare Numbers
IndentIndentIndent45396-9Social Security Number
IndentIndentIndent45397-7Medicare number (or comparable railroad insurance number)
IndentIndent45400-9Medicaid Number
IndentIndent46098-0Gender
IndentIndent21112-8Birth Date{mm/dd/yyyy}
IndentIndent59362-4Race/Ethnicity1..6
IndentIndent54505-3Language
IndentIndentIndent54588-9Does the resident need or want an interpreter to communicate with a doctor or health care staff?
IndentIndentIndent54899-0Preferred language
IndentIndent45404-1Marital Status
IndentIndent54506-1Optional Resident Items
IndentIndentIndent46106-1Medical record number
IndentIndentIndent45403-3Room number
IndentIndentIndent52462-9Name by which resident prefers to be addressed
IndentIndentIndent21843-8Lifetime occupation(s)
IndentIndent86528-7Most Recent Admission/Entry or Reentry into this Facility
IndentIndentIndent50786-3Entry Date{mm/dd/yyyy}
IndentIndentIndent54590-5Type of Entry
IndentIndentIndent85398-6Entered From
IndentIndent52455-3Admission Date (Date this episode of care in this facility began){mm/dd/yyyy}
IndentIndent52525-3Discharge Date{mm/dd/yyyy}
IndentIndent55128-3Discharge Status
IndentIndent54593-9Assessment Reference Date. Observation end date{mm/dd/yyyy}
IndentIndent54507-9Medicare Stay
IndentIndentIndent54594-7Has the resident had a Medicare-covered stay since the most recent entry?
IndentIndentIndent54595-4Start date of most recent Medicare stay{mm/dd/yyyy}
IndentIndentIndent54596-2End date of most recent Medicare stay{mm/dd/yyyy}
Indent86813-3Hearing, Speech, and Vision
IndentIndent54597-0Comatose. Persistent vegetative state/no discernible consciousness
IndentIndent54601-0Makes Self Understood. Ability to express ideas and wants, consider both verbal and non-verbal expression
Indent89573-0Cognitive Patterns
IndentIndent54605-1Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
IndentIndent52491-8Brief Interview for Mental Status (BIMS)
IndentIndentIndent52731-7Repetition of Three Words. Number of words repeated after first attempt
IndentIndentIndent54510-3Temporal Orientation (orientation to year, month, and day)
IndentIndentIndentIndent52732-5Able to report correct year
IndentIndentIndentIndent52733-3Able to report correct month
IndentIndentIndentIndent54609-3Able to report correct day of the week
IndentIndentIndent52493-4Recall
IndentIndentIndentIndent52735-8Able to recall "sock"
IndentIndentIndentIndent52736-6Able to recall "blue"
IndentIndentIndentIndent52737-4Able to recall "bed"
IndentIndentIndent54614-3BIMS Summary Score{score}
IndentIndent54615-0Should the Staff Assessment for Mental Status (C0700-C1000) be Conducted?
IndentIndent86814-1Staff Assessment for Mental Status
IndentIndentIndent54616-8Short-term Memory OK. Seems or appears to recall after 5 minutes
IndentIndentIndent54624-2Cognitive Skills for Daily Decision Making. Made decisions regarding tasks of daily life
IndentIndent86584-0Delirium
IndentIndentIndent86585-7Signs and Symptoms of Delirium (from CAM)
IndentIndentIndentIndent54632-5Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the resident's baseline?
IndentIndentIndentIndent54628-3Inattention - Did the resident have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?
IndentIndentIndentIndent54629-1Disorganized Thinking - Was the resident's thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?
IndentIndentIndentIndent54630-9Altered Level of Consciousness - Did the resident have altered level of consciousness, as indicated by any of the following criteria?
Indent54633-3Mood
IndentIndent54634-1Should Resident Mood Interview be Conducted?
IndentIndent54635-8Resident Mood Interview (PHQ-9)
IndentIndentIndent86843-0Symptom Presence
IndentIndentIndentIndent54636-6Little interest or pleasure in doing things
IndentIndentIndentIndent54638-2Feeling down, depressed or hopeless
IndentIndentIndentIndent54640-8Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54642-4Feeling tired or having little energy
IndentIndentIndentIndent54644-0Poor appetite or overeating
IndentIndentIndentIndent54646-5Feeling bad about yourself - or that you are a failure or have let yourself or your family down
IndentIndentIndentIndent54648-1Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54650-7Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
IndentIndentIndentIndent54652-3Thoughts that you would be better off dead, or of hurting yourself in some way
IndentIndentIndent86844-8Symptom Frequency
IndentIndentIndentIndent54637-4Little interest or pleasure in doing things
IndentIndentIndentIndent54639-0Feeling down, depressed or hopeless
IndentIndentIndentIndent54641-6Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54643-2Feeling tired or having little energy
IndentIndentIndentIndent54645-7Poor appetite or overeating
IndentIndentIndentIndent54647-3Feeling bad about yourself - or that you are a failure or have let yourself or your family down
IndentIndentIndentIndent54649-9Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54651-5Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
IndentIndentIndentIndent54653-1Thoughts that you would be better off dead, or of hurting yourself in some way
IndentIndent54654-9Total Severity Score{score}
IndentIndent54655-6Safety Notification. Was responsible staff or provider informed that there is a potential for resident self harm?
IndentIndent54657-2Staff Assessment of Resident Mood (PHQ-9-OV)
IndentIndentIndent86833-1Symptom Presence
IndentIndentIndentIndent54658-0Little interest or pleasure in doing things
IndentIndentIndentIndent54660-6Feeling or appearing down, depressed, or hopeless
IndentIndentIndentIndent54662-2Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54664-8Feeling tired or having little energy
IndentIndentIndentIndent54666-3Poor appetite or overeating
IndentIndentIndentIndent54668-9Indicating that s/he feels bad about self, is a failure, or has let self or family down
IndentIndentIndentIndent54670-5Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54672-1Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual
IndentIndentIndentIndent54673-9States that life isn't worth living, wishes for death, or attempts to harm self
IndentIndentIndentIndent54675-4Being short-tempered, easily annoyed
IndentIndentIndent86891-9Symptom Frequency
IndentIndentIndentIndent54659-8Little interest or pleasure in doing things
IndentIndentIndentIndent54661-4Feeling or appearing down, depressed, or hopeless
IndentIndentIndentIndent54663-0Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54665-5Feeling tired or having little energy
IndentIndentIndentIndent54667-1Poor appetite or overeating
IndentIndentIndentIndent54669-7Indicating that s/he feels bad about self, is a failure, or has let self or family down
IndentIndentIndentIndent54671-3Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54904-8Moving or speaking so slowly that other people have noticed. Or the opposite-being so fidgety or restless that s/he has been moving around a lot more than usual
IndentIndentIndentIndent54674-7States that life isn't worth living, wishes for death, or attempts to harm self
IndentIndentIndentIndent54676-2Being short-tempered, easily annoyed
IndentIndent54677-0Total Severity Score{score}
IndentIndent54655-6Safety Notification. Was responsible staff or provider informed that there is a potential for resident self harm?
Indent86815-8Behavior
IndentIndent86597-2Potential Indicators of Psychosis1..2
IndentIndent54514-5Behavioral Symptom - Presence & Frequency
IndentIndentIndent54682-0Physical behavioral symptoms directed toward othersd/(7.d)
IndentIndentIndent54683-8Verbal behavioral symptoms directed toward othersd/(7.d)
IndentIndentIndent54684-6Other behavioral symptoms not directed toward othersd/(7.d)
IndentIndent54692-9Rejection of Care - Presence & Frequency. Did the resident reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the resident's goals for health and well-being?d/(7.d)
IndentIndent54693-7Wandering - Presence & Frequency. Has the resident wandered?d/(7.d)
Indent86817-4Functional Status
IndentIndent86885-1Activities of Daily Living (ADL) Assistance. Self-Performance
IndentIndentIndent45588-1Bed mobility
IndentIndentIndent45590-7Transfer
IndentIndentIndent45602-0Eating
IndentIndentIndent45604-6Toilet use
IndentIndent86886-9Activities of Daily Living (ADL) Assistance. Support Provided
IndentIndentIndent45589-9Bed mobility
IndentIndentIndent45591-5Transfer
IndentIndentIndent45603-8Eating
IndentIndentIndent45605-3Toilet use
Indent89050-9Bladder and Bowel
IndentIndent86866-1Urinary Toileting Program
IndentIndentIndent54767-9Has a trial of a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) been attempted on admission/entry or reentry or since urinary incontinence was noted in this facility?
IndentIndentIndent54769-5Current toileting program or trial - Is a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) currently being used to manage the resident's urinary continence?
IndentIndent88695-2Bowel Toileting Program. Is a toileting program currently being used to manage the resident's bowel continence?
Indent86821-6Active Diagnoses
IndentIndent86671-5Active Diagnoses in the last 7 days1..*
Indent86888-5Health conditions
IndentIndent86889-3Other Health Conditions
IndentIndentIndent86675-6Shortness of Breath (dyspnea)0..1
IndentIndentIndent86676-4Problem Conditions0..2
Indent86824-0Swallowing/Nutritional Status
IndentIndent54863-6Weight Loss. Loss of 5% or more in the last month or loss of 10% or more in last 6 months
IndentIndent86678-0Weight Gain. Gain of 5% or more in the last month or gain of 10% or more in last 6 months
IndentIndent54568-1Nutritional Approaches
IndentIndentIndent71444-4Nutritional Approaches. While NOT a Resident0..2
IndentIndentIndent71445-1Nutritional Approaches. While a Resident0..2
IndentIndent86679-8Percent Intake by Artificial Route
IndentIndentIndent86680-6Proportion of total calories the resident received through parenteral or tube feeding. While NOT a Resident
IndentIndentIndent86681-4Proportion of total calories the resident received through parenteral or tube feeding. While a Resident
IndentIndentIndent86687-1Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days
IndentIndentIndent86682-2Average fluid intake per day by IV or tube feeding. While NOT a ResidentmL/d;L/d
IndentIndentIndent86683-0Average fluid intake per day by IV or tube feeding. While a ResidentmL/d;L/d
IndentIndentIndent86684-8Average fluid intake per day by IV or tube feeding. During Entire 7 DaysmL/d;L/d
Indent89051-7Skin Conditions
IndentIndent58214-8Unhealed Pressure Ulcers/Injuries. Does this resident have one or more unhealed pressure ulcers/injuries?
IndentIndent86892-7Current Number of Unhealed Pressure Ulcers at Each Stage
IndentIndentIndent55124-2Number of Stage 2 pressure ulcers{#}
IndentIndentIndent55125-9Number of Stage 3 pressure ulcers{#}
IndentIndentIndent55126-7Number of Stage 4 pressure ulcers{#}
IndentIndentIndent54946-9Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar{#}
IndentIndent54970-9Number of Venous and Arterial Ulcers{#}
IndentIndent88696-0Other Ulcers, Wounds and Skin Problems1..8
IndentIndent86748-1Skin and Ulcer/Injury Treatments1..9
Indent86831-5Medications
IndentIndent54982-4Injections. Record the number of days that injections of any type were received during the last 7 days or since admission/entry or reentry if less than 7 days.d/(7.d)
IndentIndent58217-1Insulin
IndentIndentIndent58127-2Insulin injections - Record the number of days that insulin injections were received during the last 7 days or since admission/entry or reentry if less than 7 daysd/(7.d)
IndentIndentIndent58128-0Orders for insulin - Record the number of days the physician (or authorized assistant or practitioner) changed the resident's insulin orders during the last 7 days or since admission/entry or reentry if less than 7 daysd/(7.d)
Indent86836-4Special Treatments, Procedures, and Programs
IndentIndent86761-4While a Resident0..9
IndentIndent86846-3Therapies
IndentIndentIndent86763-0Speech-Language Pathology and Audiology Services
IndentIndentIndentIndent58218-9Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 daysmin
IndentIndentIndentIndent58133-0Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 daysmin
IndentIndentIndentIndent58134-8Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 daysmin
IndentIndentIndentIndent86765-5Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 daysmin
IndentIndentIndentIndent45760-6Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 daysd/(7.d)
IndentIndentIndentIndent55025-1Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started{mm/dd/yyyy}
IndentIndentIndentIndent55026-9Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended{mm/dd/yyyy}
IndentIndentIndent86767-1Occupational Therapy
IndentIndentIndentIndent58219-7Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 daysmin
IndentIndentIndentIndent58136-3Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 daysmin
IndentIndentIndentIndent58137-1Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 daysmin
IndentIndentIndentIndent86764-8Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 daysmin
IndentIndentIndentIndent45762-2Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 daysd/(7.d)
IndentIndentIndentIndent55027-7Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started{mm/dd/yyyy}
IndentIndentIndentIndent55028-5Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended{mm/dd/yyyy}
IndentIndentIndent86768-9Physical Therapy
IndentIndentIndentIndent58220-5Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 daysmin
IndentIndentIndentIndent58139-7Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 daysmin
IndentIndentIndentIndent58140-5Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 daysmin
IndentIndentIndentIndent86766-3Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 daysmin
IndentIndentIndentIndent45764-8Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 daysd/(7.d)
IndentIndentIndentIndent55029-3Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started{mm/dd/yyyy}
IndentIndentIndentIndent55030-1Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended{mm/dd/yyyy}
IndentIndentIndent86849-7Respiratory therapy
IndentIndentIndentIndent45766-3Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 daysd/(7.d)
IndentIndent86769-7Distinct Calendar Days of Therapy. Record the number of calendar days that the resident received Speech-Language Pathology and Audiology Services, Occupational Therapy, or Physical Therapy for at least 15 minutes in the past 7 days.d
IndentIndent86770-5Resumption of Therapy
IndentIndentIndent86772-1Has a previous rehabilitation therapy regimen (speech, occupational, and/or physical therapy) ended, as reported on this End of Therapy OMRA, and has this regimen now resumed at exactly the same level for each discipline?
IndentIndentIndent86771-3Date on which therapy regimen resumed{mm/dd/yyyy}
IndentIndent86773-9Restorative Nursing Programs
IndentIndentIndent86774-7Technique. Range of motion (passive)d/(7.d)
IndentIndentIndent86775-4Technique. Range of motion (active)d/(7.d)
IndentIndentIndent86776-2Technique. Splint or brace assistanced/(7.d)
IndentIndentIndent86777-0Training and Skill Practice In: Bed mobilityd/(7.d)
IndentIndentIndent86778-8Training and Skill Practice In: Transferd/(7.d)
IndentIndentIndent86779-6Training and Skill Practice In: Walkingd/(7.d)
IndentIndentIndent86780-4Training and Skill Practice In: Dressing and/or groomingd/(7.d)
IndentIndentIndent86781-2Training and Skill Practice In: Eating and/or swallowingd/(7.d)
IndentIndentIndent86782-0Training and Skill Practice In: Amputation/prostheses cared/(7.d)
IndentIndentIndent86783-8Training and Skill Practice In: Communicationd/(7.d)
Indent86852-1Participation in Assessment and Goal Setting
IndentIndent55053-3Participation in Assessment
IndentIndentIndent55054-1Resident participated in assessment
IndentIndentIndent55074-9Family or significant other participated in assessment
IndentIndentIndent58221-3Guardian or legally authorized representative participated in assessment
Indent87224-2Correction Request
IndentIndent85632-8Type of Provider
IndentIndent87226-7Name of Resident
IndentIndentIndent45392-8Patient First (Given) name
IndentIndentIndent45394-4Patient Last (Family) name
IndentIndent46098-0Gender
IndentIndent21112-8Birth Date{mm/dd/yyyy}
IndentIndent45396-9Social Security Number
IndentIndent87227-5Type of Assessment
IndentIndentIndent54583-0Federal OBRA Reason for Assessment
IndentIndentIndent54584-8PPS Assessment
IndentIndentIndent54585-5PPS Other Medicare Required Assessment - OMRA
IndentIndentIndent58107-4Is this a Swing Bed clinical change assessment?
IndentIndentIndent58108-2Entry/discharge reporting
IndentIndentIndent86525-3Is this a SNF Part A PPS Discharge Assessment?
IndentIndent87216-8Date on existing record to be modified/inactivated
IndentIndentIndent54593-9Assessment Reference Date{mm/dd/yyyy}
IndentIndentIndent52525-3Discharge Date{mm/dd/yyyy}
IndentIndentIndent50786-3Entry Date{mm/dd/yyyy}
IndentIndent87209-3Correction Attestation Section
IndentIndentIndent58200-7Correction Number{#}
IndentIndentIndent87217-6Reasons for Modification1..6
IndentIndentIndent87225-9Reasons for Inactivation1..2
IndentIndentIndent87218-4RN Assessment Coordinator Attestation of Completion
IndentIndentIndentIndent87219-2Attesting individual's first name
IndentIndentIndentIndent87220-0Attesting individual's last name
IndentIndentIndentIndent87221-8Attesting individual's title
IndentIndentIndentIndent87222-6Attestation date{mm/dd/yyyy}
Indent87228-3Assessment Administration
IndentIndent55064-0Medicare Part A Billing
IndentIndentIndent55065-7Medicare Part A HIPPS code
IndentIndentIndent55066-5RUG version code
IndentIndentIndent58421-9Is this a Medicare Short Stay assessment?
IndentIndent59375-6Medicare Part A Non-Therapy Billing
IndentIndentIndent58210-6Medicare Part A non-therapy HIPPS code
IndentIndentIndent58211-4RUG version code
IndentIndent55070-7Insurance Billing
IndentIndentIndent55071-5RUG billing code
IndentIndentIndent55072-3RUG billing version

LOINC Names Get Info

Fully-Specified Name
MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set:-:Pt:^Patient:-:CMS Assessment
Long Common Name
Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]

Part Model Get Info

  • Component
    MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set
    LP266814-5
    • Analyte
      MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set
      LP266814-5
      • Component Numerator
        MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set
        LP266814-5
        • Component Numerator Core
          MDS v3.0 - RAI v1.16.1 - Nursing home & Swing bed OMRA (NO & SO) item set
          LP266814-5
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    Pt
    LP6960-1
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    -
    LP7747-1
  • Method
    CMS Assessment
    LP230524-3

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.73 (DEL)
Change Reason
Release 2.73: Status: LOINC will keep most current version and one prior version of CMS assessments active and discourage all older versions.;
Order vs. Observation
Order
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=88951-9