54982-4 Injections. 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.

Observation ID in Form

N0300

Skip Logic

If 0, Skip to N0410, Medications Received.

Fully-Specified Name

Component

Number of D injectable substances received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.64

Change Reason

Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; Changed Property from Find to Nrat as decided by the CMS PAC team; Changed "injectable medications" to "injectable substances" because this term is intend to also include injectable vaccines, antigens, etc.

Order vs. Observation

Observation

Member of these Panels

Related Names

• # days injectable medications received in last 7D or since admission/reentry if less than 7D
• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

58217-1 Insulin

Part Descriptions

LP14676-8   Insulin
A protein hormone secreted by beta cells of the pancreas. Insulin plays a major role in the regulation of glucose metabolism, generally promoting the cellular utilization of glucose. It is also an important regulator of protein and lipid metabolism. Insulin is used as a drug to control insulin-dependent diabetes mellitus. Source: National Library of Medicine, MeSH 2006

LP14676-8   Insulin
Insulin is a hormone secreted by the islet cells of the pancreas when an increase in blood glucose is detected. Insulin attaches to the insulin receptors on the surface of most of the cells. When insulin binds its receptor, other receptors are activated so that glucose is taken up by the cells. Intracellular glucose is used as a source of energy. Information from EndocrineWeb.com accessed 2008 08 18. Source: Regenstrief Institute

Observation ID in Form

N0350

Fully-Specified Name

Component

Insulin

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.78

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 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• HUM
• Humulin
• IH7
• Insul
• Lente
• NPH
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Semilente
• Sliding
• Survey
• Ultralente

Related Codes

58127-2 Insulin 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 days

Observation ID in Form

N0350A

Fully-Specified Name

Component

Number of D insulin injections were received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.63

Change Reason

Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee, and corrected "in last 5D" in Component to "in last 7D"; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; Changed Property from Find to NRat as decided by the CMS PAC team

Order vs. Observation

Observation

Member of these Panels

Related Names

• #days insulin injections were received in last 7D or since admission &or reentry if less than 7D
• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• HUM
• Humulin
• IH7
• Insul
• Lente
• No
• NPH
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Semilente
• Sliding
• Survey
• Ultralente

Example Units

Related Codes

58128-0 Orders 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 days

Observation ID in Form

N0350B

Fully-Specified Name

Component

Number of D the physician changed the resident's insulin orders in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.63

Change Reason

Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.; Changed Property from Find to NRat as decided by the CMS PAC team

Order vs. Observation

Observation

Member of these Panels

Related Names

• #days the physician changed the resident's insulin orders in last 7D or since admission &or reentry if less than 7D
• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• HUM
• Humulin
• IH7
• Insul
• Lente
• No
• NPH
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• S prime
• Semilente
• Sliding
• Survey
• Ultralente

Example Units

Related Codes

88290-2 Medications Received

Observation ID in Form

N0410

Form Coding Instructions

Indicate the number of days the resident received the following medications by pharmacological classification, not how it is used, during the last 7 days or since admission/entry or reentry if less than 7 days. Enter "0" if medication was not received by the resident during the last 7 days

Fully-Specified Name

Component

MDS v3.0 - RAI v1.17.2 - Medications received

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.64

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.68: COMPONENT: Assessment version number was updated to reflect the most recent version.; Previous Releases: This panel is in version 1.15.1 and 1.16.1, so "v1.16.1" was added to the Component; Current convention (as approved by the joint CMS LTPAC & LOINC project team) will list only the most current assessment in the Component for CMS Assessment panels.

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

86751-5 Antipsychotic

Observation ID in Form

N0410A

Fully-Specified Name

Component

Number of D antipsychotic received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Member of these Panels

Related Names

• Antipsychotic received in last 7D or since admission/reentry if less than 7D
• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

86752-3 Antianxiety

Observation ID in Form

N0410B

Fully-Specified Name

Component

Number of D antianxiety received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Member of these Panels

Related Names

• Antianxiety received in last 7D or since admission/reentry if less than 7D
• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

86753-1 Antidepressant

Observation ID in Form

N0410C

Fully-Specified Name

Component

Number of D antidepressant received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Member of these Panels

Related Names

• Antidepressant received in last 7D or since admission/reentry if less than 7D
• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

86754-9 Hypnotic

Observation ID in Form

N0410D

Fully-Specified Name

Component

Number of D hypnotic received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• Hypnotic received in last 7D or since admission/reentry if less than 7D
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

86755-6 Anticoagulant (e.g., warfarin, heparin, or low-molecular weight heparin)

Observation ID in Form

N0410E

Fully-Specified Name

Component

Number of D anticoagulant received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Member of these Panels

Related Names

• Anticoag
• Anticoagulant received in last 7D or since admission/reentry if less than 7D
• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

86756-4 Antibiotic

Observation ID in Form

N0410F

Fully-Specified Name

Component

Number of D antibiotic received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

86757-2 Diuretic

Observation ID in Form

N0410G

Fully-Specified Name

Component

Number of D diuretic received in last 7D or since admission &or reentry if less than 7D

Property

NRat

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.63

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Count/time
• Dextro
• No
• nRate
• Num
• Number rate
• Number Rate = Count/Time
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

88291-0 Opioid

Observation ID in Form

N0410H

Fully-Specified Name

Component

Number of D opioid received in last 7D or since admission &or reentry if less than 7D

Property

Num

Time

7D

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

Last Updated

Version 2.77

Change Reason

Release 2.77: COMPONENT: misspelling;

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Cnt
• Count
• Dextro
• No
• Num
• Number
• Past
• QNT
• Quan
• Quant
• Quantitative
• Survey

Example Units

Related Codes

57255-2 Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?

Term Description

Indicates whether a drug regimen review indicate potential clinically significant medication issues.
Source: Regenstrief LOINC

Observation ID in Form

N2001

Skip Logic

Complete only if A0310B = 01

Fully-Specified Name

Component

Drug regimen review identified potential medication issues

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Expanded Component to be more precise

Order vs. Observation

Observation

Normative Answer List LL4499-1

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Drugs
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

57281-8 Medication Follow-up: Did the facility 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?

Observation ID in Form

N2003

Skip Logic

Complete only if N2001 =1

Fully-Specified Name

Component

Medication follow-up

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

57256-0 Did the facility contact and complete physician (or physician-designee) prescribed/recommended actions by midnight of the next calendar day each time potential clinically significant medication issues were identified since the admission?

Term Description

Indicates whether the agency contacted and complete physician (or physician-designee) prescribed/recommended actions each time potential clinically significant medication issues were identified.
Source: Regenstrief LOINC

Observation ID in Form

N2005

Skip Logic

Complete only if A0310H = 1

Fully-Specified Name

Component

Medication intervention since admission &or reentry

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "since admission/reentry" to Component to reflect the element of the question text

Order vs. Observation

Observation

Normative Answer List LL4996-6

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.