Version 2.78

89074-9 Now that you are a part of ADAPTABLE are you regularly taking aspirin?

Fully-Specified Name

Component
Aspirin usage^post enrollment in ADAPTABLE study
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ADAPTABLE

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

89072-3 Which dose are you taking?

Fully-Specified Name

Component
Aspirin dose^post enrollment in ADAPTABLE study
Property
Mass
Time
Pt
System
^Patient
Scale
Qn
Method
ADAPTABLE

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Example Answer List LL4963-6

Answer Code Score Answer ID
81 mg LA28808-6
162 mg LA28809-4
325 mg LA28810-2
Other, Enter dose LA46-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Example Units

Unit Source
mg Example UCUM Units

89069-9 Is your aspirin tablet enteric coated?

Fully-Specified Name

Component
Enteric coated aspirin tablet
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Enteric coated aspirin

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Preferred Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tableta de aspirina con recubrimiento entérico:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Compressa di aspirina rivestita con enterica:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 阿司匹林肠溶包衣片:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 病史与体格检查 阿司匹林肠溶片

89073-1 Why did you stop taking aspirin?

Fully-Specified Name

Component
Reason for discontinuing aspirin use
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Normative Answer List LL4964-4

Answer Code Score Answer ID
I stopped because of GI upset LA28811-0
I stopped because of bleeding LA28812-8
I stopped because of other:, Please provide the reason LA28816-9
My doctor told me to stop taking aspirin because of GI upset LA28813-6
My doctor told me to stop taking aspirin because of need for a different medication LA28814-4
My doctor told me to stop taking aspirin because of bleeding LA28815-1
My doctor told me to stop taking aspirin because of other:, Please provide the reason LA28817-7
Not sure why my doctor wanted to stop it LA28818-5

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

89068-1 When did you stop taking aspirin?

Fully-Specified Name

Component
Date aspirin discontinued
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Panel Name
Short Name
Date aspirin discontinued

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha de descontinuación de la aspirina:Fecha:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Data cessazione aspirina:Data:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 阿司匹林停用日期:日期:时间点:^患者:定量型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间 病史与体格检查 阿司匹林停用（停止使用、停止服用、停止）日期

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

89067-3 Are you currently taking any of these blood thinning medications?

Fully-Specified Name

Component
Type of blood thinning medication used
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Blood thinning med used

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Normative Answer List LL4965-1

Answer Code Score Answer ID
Effient (prasugrel) LA28819-3
Plavix (clopidogrel) LA28820-1
Pletal (cilostazol) LA28821-9
Ticlid (ticlopidine) LA28822-7
Zontivity (vorapaxar) LA28823-5
I don't take any of these routinely LA28824-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tipo de medicamento anticoagulante utilizado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tipo di farmaco per fluidificare il sangue utilizzato:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 所采用的血液稀释药物的类型:类型:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 型 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 所采用（使用、运用）的血液稀释药物的类型 时刻;随机;随意;瞬间 病史与体格检查 血;全血

89065-7 Are you currently taking any nonsteroidal anti-inflammatory drugs (NSAIDs) several times a week?

Term Description

Which, if any, NSAIDS are taken by the patient several times per week
Source: Regenstrief LOINC

Fully-Specified Name

Component
Type of nonsteroidal anti-inflammatory drugs (NSAIDs) used several times a week
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
NSAID used several times a week

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Normative Answer List LL4966-9

Answer Code Score Answer ID
Celecoxib (Celebrex) LA28827-6
Diclofenac (Voltaren) LA28828-4
Ibuprofen (Motrin, Advil) LA28829-2
Indomethacin (Indocin) LA28830-0
Naproxen (Aleve, Anaprox, Naprosyn) LA28831-8
Ketorolac (Toradol) LA28832-6
Meloxicam (Mobic) LA28833-4
I don't take any of these routinely LA28824-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tipo de antiinflamatorios no esteroideos (AINE) que se utilizan varias veces a la semana:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tipo di farmaci antinfiammatori non steroidei (FANS) usati più volte alla settimana:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 每星期使用数次的非甾体抗炎药物的类型:类型:时间点:^患者:名义型:
Synonyms: A 型 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 型 时刻;随机;随意;瞬间 每星期（周、礼拜）使用（服用、施用）数次（多次、若干次）的非甾体抗炎药物（非甾体抗炎药、非甾体类抗炎药、非固醇类消炎药物、非甾体类抗炎镇痛药、NSAIDs、NSAID）的类型 病史与体格检查 药品;药品类;药物;毒品;毒品类

89064-0 Are you currently taking any of these medications that are typically for stomach upset?

Fully-Specified Name

Component
Type of medication used for stomach upset
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Stomach upset meds

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Normative Answer List LL4967-7

Answer Code Score Answer ID
Cimetidine (Tagamet) LA28825-0
Dexlansoprazole (Dexilant, Kapidex) LA28826-8
Esomeprazole (Nexium) LA28834-2
Famotidine (Pepcid) LA28835-9
Lansoprazole (Prevacid) LA28836-7
Nizadtidine (Axid) LA28837-5
Omeprazole (Prilosec, Zegerid) LA28838-3
Pantoprazole (Protonix) LA28839-1
Rabeprazole (Aciphex) LA28840-9
Ranitidine (Zantac) LA28841-7
I don't take any of these routinely LA28824-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tipo de medicamento utilizado para el malestar estomacal.:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tipo di farmaco utilizzato per mal di stomaco:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 用于治疗胃部不适的药物的类型:类型:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 型 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 时刻;随机;随意;瞬间 用于治疗（缓解）胃部不适（胃不舒服、肠胃不适、反胃）的药物的类型 病史与体格检查

89078-0 Have you been hospitalized since you joined the ADAPTABLE study?

Fully-Specified Name

Component
Hospitalization^post enrollment in ADAPTABLE study
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ADAPTABLE

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Preferred Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

58237-9 Where were you hospitalized?

Fully-Specified Name

Component
Name
Property
ID
Time
Pt
System
Hospital
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Hospital Name

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.30
Last Updated
Version 2.64
Change Reason
Changed Long Common Name from "Name [Identifier] Hospital" to "Hospital Name" for clarity

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
70182-1 NIH Stroke Scale
62400-7 PhenX - arrhythmia protocol 041101
62949-3 PhenX domain - Gastrointestinal
62863-6 PhenX domain - Infectious diseases and immunity

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nombre:ID:Punto temporal:Hospital:Nominal:
it-IT Italian (Italy) Nome:ID:Pt:Ospedale:Nom:
Synonyms: Identificatore PhenX Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) naam:identificator:moment:ziekenhuis:nominaal:
ru-RU Russian (Russian Federation) Фамилия:ID:ТчкВрм:Госпиталь:Ном:
Synonyms: Идентификатор Медицинская организация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 名称:标识符:时间点:医院:名义型:
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 姓名;名字;名 时刻;随机;随意;瞬间 标识;身份标识符;身份标识 病院;院

65833-6 Hospital address

Fully-Specified Name

Component
Address
Property
Addr
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.36
Last Updated
Version 2.64
Change Reason
Changed Long Commmon Name from "Address Facility" to "Facility Address" for clarity
Order vs. Observation
Order

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
71747-0 Facility panel [ESRD]
80399-9 Occupational exposure information panel
62949-3 PhenX domain - Gastrointestinal

52455-3 When were you hospitalized?

Fully-Specified Name

Component
Admission date
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Panel Name
Short Name
Admission date

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.26
Last Updated
Version 2.63
Change Reason
Updated Class from SURVEY.CARE to ADMIN
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
103991-6 CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
86870-3 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0 Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6 Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1 Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
93222-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
93219-4 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
93221-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
93220-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
90479-7 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
101108-9 MDS v3.0 - RAI v1.18.11 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
105008-7 MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1 MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9 MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8 MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5 MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1 MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7 MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3 MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
97782-7 Spine Tango Surgery 2017

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha de admisión:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Ricovero, data:TmStp:Pt:^Paziente:Qn:
Synonyms: Amministrativo Data del ricovero paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Госпитализация дата:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 入院日期:时间戳:时间点:^患者:定量型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

86947-9 Reason for hospitalization

Term Description

Identifies the specific symptom(s) or diagnosis(es) necessitating hospitalization.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Reason for hospitalization
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Reason for hospitalization
Display Name
Reason for hospitalization Nom

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.63
Last Updated
Version 2.66
Change Reason
Updated Classtype from 1 (Lab) to 2 (Clinical)
Order vs. Observation
Observation

Normative Answer List LL4968-5

Answer Code Score Answer ID
Chest pain LA28842-5
Heart attack (myocardial infarction) LA28843-3
Non-surgical heart artery balloon/stent procedure (percutaneous coronary intervention) LA28844-1
Heart bypass surgery (coronary artery bypass graft surgery) LA28845-8
Temporary stroke like symptoms (TIA - transient ischemic attack/mini-stroke) LA28846-6
Stroke LA22099-8
Major bleeding episode that required a blood transfusion LA28848-2
None of the above LA9-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Razón de ingreso hospitalario:Tipo:Punto temporal:^paciente:Nom:
es-MX Spanish (Mexico) Razón de la hospitalización:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Motivo di ricovero:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia di ospedalizzazioni
zh-CN Chinese (China) 关于住院治疗的原因:类型:时间点:^患者:名义型:
Synonyms: 住院治疗历史; 医院收容史;送入医院;留诊史;住院史 关于住院治疗（收治入院）的理由 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 型 时刻;随机;随意;瞬间 病史与体格检查

89079-8 Did any of the following occur during the hospitalization?

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Events^during hospitalization
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
ADAPTABLE

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71
Order vs. Observation
Observation

Example Answer List LL4968-5

Answer Code Score Answer ID
Chest pain LA28842-5
Heart attack (myocardial infarction) LA28843-3
Non-surgical heart artery balloon/stent procedure (percutaneous coronary intervention) LA28844-1
Heart bypass surgery (coronary artery bypass graft surgery) LA28845-8
Temporary stroke like symptoms (TIA - transient ischemic attack/mini-stroke) LA28846-6
Stroke LA22099-8
Major bleeding episode that required a blood transfusion LA28848-2
None of the above LA9-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]