Status Information

Status
DEPRECATED
Comment
policy to keep last three versions of assessment active = v1.20, v1.19, v1.18

Term Description

This panel should be used for CMS MDS 3.0 v1.17.1 NP assessments performed between October 1, 2019 and September 30, 2020 and CMS MDS 3.0 v1.17.2 NP assessments performed after October 1, 2020.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
90474-8MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set
Indent90500-0Identification 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
IndentIndent90521-6Optional State Assessment
IndentIndentIndent90522-4Is this assessment for state payment purposes only?
IndentIndent90489-6Type of Assessment
IndentIndentIndent54583-0Federal OBRA Reason for Assessment
IndentIndentIndent54584-8PPS 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
IndentIndentIndent90525-7Is this a SNF Part A Interrupted Stay?
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
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{mm/dd/yyyy}
IndentIndent52525-3Discharge Date{mm/dd/yyyy}
IndentIndent55128-3Discharge Status
IndentIndent54592-1Previous Assessment Reference Date for Significant Correction{mm/dd/yyyy}
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}
Indent96902-2Hearing, Speech, and Vision
IndentIndent54597-0Comatose
IndentIndent95744-9Hearing
IndentIndent54599-6Hearing Aid
IndentIndent54600-2Speech Clarity
IndentIndent95737-3Makes Self Understood
IndentIndent54602-8Ability to Understand Others
IndentIndent95745-6Vision
IndentIndent54604-4Corrective Lenses
Indent96903-0Cognitive Patterns
IndentIndent54605-1Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
IndentIndent103694-6Brief Interview for Mental Status (BIMS)
IndentIndentIndent103696-1Repetition of Three Words
IndentIndentIndent103702-7Temporal Orientation
IndentIndentIndentIndent103697-9Able to report correct year
IndentIndentIndentIndent103698-7Able to report correct month
IndentIndentIndentIndent103703-5Able to report correct day of the week
IndentIndentIndent103695-3Recall
IndentIndentIndentIndent103699-5Able to recall "sock"
IndentIndentIndentIndent103700-1Able to recall "blue"
IndentIndentIndentIndent103701-9Able to recall "bed"
IndentIndentIndent103704-3BIMS Summary Score{score}
IndentIndent54615-0Should the Staff Assessment for Mental Status (C0700-C1000) be Conducted?
IndentIndent96908-9Staff Assessment for Mental Status
IndentIndentIndent54616-8Short-term Memory OK
IndentIndentIndent54617-6Long-term Memory OK
IndentIndentIndent95743-1Memory/Recall Ability1..4
IndentIndentIndent54624-2Cognitive Skills for Daily Decision Making
IndentIndent96901-4Delirium
IndentIndentIndent95816-5Signs and Symptoms of Delirium (from CAM)
IndentIndentIndentIndent95813-2Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the resident's baseline?
IndentIndentIndentIndent95812-4Inattention - Did the resident have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?
IndentIndentIndentIndent95814-0Disorganized 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)?
IndentIndentIndentIndent95815-7Altered Level of Consciousness - Did the resident have altered level of consciousness, as indicated by any of the following criteria?
Indent90482-1Mood
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
IndentIndent103705-0Total Severity Score{score}
IndentIndent103706-8Staff 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
IndentIndent103707-6Total Severity Score{score}
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)
Indent86816-6Functional status
IndentIndent86880-2Activities of Daily Living (ADL) Assistance. Self-Performance
IndentIndentIndent45588-1Bed mobility
IndentIndentIndent45590-7Transfer
IndentIndentIndent45592-3Walk in room
IndentIndentIndent45594-9Walk in corridor
IndentIndentIndent45596-4Locomotion on unit
IndentIndentIndent45598-0Locomotion off unit
IndentIndentIndent45600-4Dressing
IndentIndentIndent45602-0Eating
IndentIndentIndent45604-6Toilet use
IndentIndentIndent45606-1Personal hygiene
IndentIndent86881-0Activities of Daily Living (ADL) Assistance. Support Provided
IndentIndentIndent45589-9Bed mobility
IndentIndentIndent45591-5Transfer
IndentIndentIndent45593-1Walk in room
IndentIndentIndent45595-6Walk in corridor
IndentIndentIndent45597-2Locomotion on unit
IndentIndentIndent45599-8Locomotion off unit
IndentIndentIndent45601-2Dressing
IndentIndentIndent45603-8Eating
IndentIndentIndent45605-3Toilet use
IndentIndentIndent45607-9Personal hygiene
IndentIndent46008-9Bathing
IndentIndentIndent45608-7Self-performance
IndentIndentIndent45609-5Support provided
IndentIndent54524-4Balance During Transitions and Walking
IndentIndentIndent54749-7Moving from seated to standing position
IndentIndentIndent54750-5Walking (with assistive device if used)
IndentIndentIndent54751-3Turning around and facing the opposite direction while walking
IndentIndentIndent54752-1Moving on and off toilet
IndentIndentIndent54753-9Surface-to-surface transfer (transfer between bed and chair or wheelchair)
IndentIndent92908-3Functional Limitation in Range of Motion
IndentIndentIndent92850-7Upper extremity (shoulder, elbow, wrist, hand)
IndentIndentIndent92851-5Lower extremity (hip, knee, ankle, foot)
IndentIndent86602-0Mobility Devices1..4
Indent95811-6Functional Abilities and Goals - Admission (Start of SNF PPS Stay)
IndentIndent83239-4Prior Functioning: Everyday Activities
IndentIndentIndent85070-1Self-Care
IndentIndentIndent85071-9Indoor Mobility (Ambulation)
IndentIndentIndent85072-7Stairs
IndentIndentIndent85073-5Functional Cognition
IndentIndent83234-5Prior Device Use1..5
IndentIndent95732-4Self-Care - Admission Performance
IndentIndentIndent95019-6Eating
IndentIndentIndent95018-8Oral hygiene
IndentIndentIndent95017-0Toileting hygiene
IndentIndentIndent95015-4Shower/bathe self
IndentIndentIndent95014-7Upper body dressing
IndentIndentIndent95013-9Lower body dressing
IndentIndentIndent95012-1Putting on/taking off footwear
IndentIndent89478-2Self-Care - Discharge Goal
IndentIndentIndent89404-8Oral hygiene - functional goal
IndentIndentIndent89409-7Eating
IndentIndentIndent89389-1Toileting hygiene
IndentIndentIndent89396-6Shower/bathe self
IndentIndentIndent89387-5Upper body dressing
IndentIndentIndent89406-3Lower body dressing
IndentIndentIndent89400-6Putting on/taking off footwear
IndentIndent95741-5Mobility - Admission Performance
IndentIndentIndent95011-3Roll left and right
IndentIndentIndent95010-5Sit to lying
IndentIndentIndent95009-7Lying to sitting on side of bed
IndentIndentIndent95008-9Sit to stand
IndentIndentIndent95007-1Chair/bed-to-chair transfer
IndentIndentIndent95006-3Toilet transfer
IndentIndentIndent95005-5Car transfer
IndentIndentIndent95004-8Walk 10 feet
IndentIndentIndent95003-0Walk 50 feet with two turns
IndentIndentIndent95002-2Walk 150 feet
IndentIndentIndent95001-4Walking 10 feet on uneven surfaces
IndentIndentIndent95000-61 step (curb)
IndentIndentIndent94999-04 steps
IndentIndentIndent94998-212 steps
IndentIndentIndent94997-4Picking up object
IndentIndentIndent95738-1Does the resident use a wheelchair and/or scooter?
IndentIndentIndent94992-5Wheel 50 feet with two turns
IndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndentIndent94991-7Wheel 150 feet
IndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndent89476-6Mobility - Discharge Goal
IndentIndentIndent89398-2Roll left and right
IndentIndentIndent89394-1Sit to lying
IndentIndentIndent85927-2Lying to sitting on side of bed
IndentIndentIndent89392-5Sit to stand
IndentIndentIndent89414-7Chair/bed-to-chair transfer
IndentIndentIndent89390-9Toilet transfer
IndentIndentIndent89412-1Car transfer
IndentIndentIndent89385-9Walk 10 feet
IndentIndentIndent89381-8Walk 50 feet with two turns
IndentIndentIndent89383-4Walk 150 feet
IndentIndentIndent89379-2Walking 10 feet on uneven surfaces
IndentIndentIndent89420-41 step (curb)
IndentIndentIndent89416-24 steps
IndentIndentIndent89418-812 steps
IndentIndentIndent89402-2Picking up object
IndentIndentIndent89375-0Wheel 50 feet with two turns
IndentIndentIndent89377-6Wheel 150 feet
Indent95810-8Functional Abilities and Goals - Discharge (End of SNF PPS Stay)
IndentIndent95734-0Self-Care - Discharge Performance
IndentIndentIndent95019-6Eating
IndentIndentIndent95018-8Oral hygiene
IndentIndentIndent95017-0Toileting hygiene
IndentIndentIndent95015-4Shower/bathe self
IndentIndentIndent95014-7Upper body dressing
IndentIndentIndent95013-9Lower body dressing
IndentIndentIndent95012-1Putting on/taking off footwear
IndentIndent95742-3Mobility - Discharge Performance
IndentIndentIndent95011-3Roll left and right
IndentIndentIndent95010-5Sit to lying
IndentIndentIndent95009-7Lying to sitting on side of bed
IndentIndentIndent95008-9Sit to stand
IndentIndentIndent95007-1Chair/bed-to-chair transfer
IndentIndentIndent95006-3Toilet transfer
IndentIndentIndent95005-5Car transfer
IndentIndentIndent95004-8Walk 10 feet
IndentIndentIndent95003-0Walk 50 feet with two turns
IndentIndentIndent95002-2Walk 150 feet
IndentIndentIndent95001-4Walking 10 feet on uneven surfaces
IndentIndentIndent95000-61 step (curb)
IndentIndentIndent94999-04 steps
IndentIndentIndent94998-212 steps
IndentIndentIndent94997-4Picking up object
IndentIndentIndent95738-1Does the resident use a wheelchair and/or scooter?
IndentIndentIndent94992-5Wheel 50 feet with two turns
IndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
IndentIndentIndent94991-7Wheel 150 feet
IndentIndentIndent95739-9Indicate the type of wheelchair or scooter used
Indent96906-3Bladder and Bowel
IndentIndent86624-4Appliances1..4
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?
IndentIndent95735-7Urinary Continence1..1
IndentIndent95736-5Bowel Continence1..1
IndentIndent88695-2Bowel Toileting Program
Indent90485-4Active Diagnoses
IndentIndent96095-5Indicate the resident's primary medical condition category1..1
IndentIndent52797-8ICD Code
IndentIndent86671-5Active Diagnoses in the last 7 days1..*
IndentIndent52797-8Additional active diagnoses0..10
Indent90487-0Health Conditions
IndentIndent54557-4Pain Management
IndentIndentIndent71447-7At any time in the last 5 days, has the resident: Received scheduled pain medication regimen?
IndentIndentIndent71448-5At any time in the last 5 days, has the resident: Received PRN pain medications OR was offered and declined?
IndentIndentIndent71449-3At any time in the last 5 days, has the resident: Received non-medication intervention for pain?
IndentIndent54828-9Should Pain Assessment Interview be Conducted?
IndentIndent54558-2Pain Assessment Interview
IndentIndentIndent54829-7Pain Presence. Have you had pain or hurting at any time in the last 5 days?
IndentIndentIndent54830-5Pain Frequency. How much of the time have you experienced pain or hurting over the last 5 days?
IndentIndentIndent54559-0Pain Effect on Function
IndentIndentIndentIndent54831-3Over the past 5 days, has pain made it hard for you to sleep at night?
IndentIndentIndentIndent54832-1Over the past 5 days, have you limited your day-to-day activities because of pain?
IndentIndentIndent54560-8Pain Intensity
IndentIndentIndentIndent54833-9Numeric Rating Scale (00-10)
IndentIndentIndentIndent54834-7Verbal Descriptor Scale
IndentIndent58117-3Should the Staff Assessment for Pain be Conducted?
IndentIndent86672-3Staff Assessment for Pain
IndentIndentIndent86673-1Indicators of Pain or Possible Pain in the last 5 days1..4
IndentIndentIndent58118-1Frequency of Indicator of Pain or Possible Pain in the last 5 days. Frequency with which resident complains or shows evidence of pain or possible paind/(5.d)
IndentIndent86868-7Other Health Conditions
IndentIndentIndent86675-6Shortness of Breath (dyspnea)1..3
IndentIndentIndent54846-1Prognosis
IndentIndentIndent86676-4Problem Conditions1..4
IndentIndentIndent54849-5Fall History on Admission/Entry or Reentry
IndentIndentIndentIndent54850-3Did the resident have a fall any time in the last month prior to admission/entry or reentry?
IndentIndentIndentIndent54851-1Did the resident have a fall any time in the last 2-6 months prior to admission/entry or reentry?
IndentIndentIndentIndent54852-9Did the resident have any fracture related to a fall in the 6 months prior to admission/entry or reentry?
IndentIndentIndent54853-7Has the resident had any falls since admission/entry or reentry or the prior assessment (OBRA or Scheduled PPS), whichever is more recent?
IndentIndentIndent54854-5Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent
IndentIndentIndentIndent54855-2No injury
IndentIndentIndentIndent54856-0Injury (except major)
IndentIndentIndentIndent54857-8Major injury
IndentIndent83274-1Prior Surgery
IndentIndent90542-2Recent Surgery Requiring Active SNF Care
IndentIndent90745-1Surgical Procedures
Indent90483-9Swallowing/Nutritional Status
IndentIndent86677-2Swallowing Disorder. Signs and symptoms of possible swallowing disorder1..4
IndentIndent54567-3Height and Weight
IndentIndentIndent103692-0Height (in inches)[in_us];cm;m
IndentIndentIndent103693-8Weight (in pounds)[lb_av];kg
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 Resident1..4
IndentIndent90543-0Percent Intake by Artificial Route
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
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
Indent86685-5Oral/Dental Status
IndentIndent86706-9Dental1..2
Indent88960-0Skin Conditions
IndentIndent86708-5Determination of Pressure Ulcer/Injury Risk1..3
IndentIndent57280-0Risk of Pressure Ulcers/Injuries
IndentIndent58214-8Unhealed Pressure Ulcers/Injuries
IndentIndent88961-8Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndent54884-2Number of Stage 1 pressure injuries{#}
IndentIndentIndent55124-2Number of Stage 2 pressure ulcers{#}
IndentIndentIndent54886-7Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent55125-9Number of Stage 3 pressure ulcers{#}
IndentIndentIndent54887-5Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent55126-7Number of Stage 4 pressure ulcers{#}
IndentIndentIndent54890-9Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent54893-3Number of unstageable pressure ulcers/injuries due to non-removable dressing/device{#}
IndentIndentIndent54894-1Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry{#}
IndentIndentIndent54946-9Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar{#}
IndentIndentIndent54947-7Number of these unstageable pressure ulcers that were present upon admission/entry or reentry{#}
IndentIndentIndent54950-1Number of unstageable pressure injuries presenting as deep tissue injury{#}
IndentIndentIndent54951-9Number of these unstageable pressure injuries that were present upon admission/entry or reentry{#}
IndentIndent54970-9Number of Venous and Arterial Ulcers{#}
IndentIndent88696-0Other Ulcers, Wounds and Skin Problems1..8
IndentIndent86748-1Skin and Ulcer/Injury Treatments1..9
Indent88965-9Medications
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)
IndentIndent88290-2Medications Received
IndentIndentIndent86751-5Antipsychoticd/(7.d)
IndentIndentIndent86752-3Antianxietyd/(7.d)
IndentIndentIndent86753-1Antidepressantd/(7.d)
IndentIndentIndent86754-9Hypnoticd/(7.d)
IndentIndentIndent86755-6Anticoagulant (e.g., warfarin, heparin, or low-molecular weight heparin)d/(7.d)
IndentIndentIndent86756-4Antibioticd/(7.d)
IndentIndentIndent86757-2Diureticd/(7.d)
IndentIndentIndent88291-0Opioidd/(7.d)
IndentIndent57255-2Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?
IndentIndent57281-8Medication 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?
IndentIndent57256-0Did 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?
Indent90515-8Special Treatments, Procedures, and Programs
IndentIndent86759-8Special Treatments, Procedures, and Programs
IndentIndentIndent86760-6While NOT a Resident0..9
IndentIndentIndent86761-4While a Resident0..11
IndentIndent69339-0Influenza Vaccine
IndentIndentIndent55019-4Did the resident receive the influenza vaccine in this facility for this year's influenza vaccination season?
IndentIndentIndent58131-4Date influenza vaccine received{mm/dd/yyyy}
IndentIndentIndent55020-2If influenza vaccine not received, state reason:
IndentIndent55021-0Pneumococcal Vaccine
IndentIndentIndent55022-8Is the resident's Pneumococcal vaccination up to date?
IndentIndentIndent45956-0If Pneumococcal vaccine not received, state reason:
IndentIndent86841-4Therapies
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)
IndentIndentIndent86850-5Psychological therapy
IndentIndentIndentIndent45768-9Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days.d/(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
IndentIndent90544-8Part A Therapies
IndentIndentIndent90545-5Speech-Language Pathology and Audiology Services
IndentIndentIndentIndent90539-8Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90536-4Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90538-0Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90537-2Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90551-3Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)d/{#}
IndentIndentIndent90546-3Occupational Therapy
IndentIndentIndentIndent90531-5Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90527-3Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90529-9Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90528-1Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90530-7Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)d/{#}
IndentIndentIndent90547-1Physical Therapy
IndentIndentIndentIndent90535-6Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90532-3Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90534-9Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90533-1Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)min
IndentIndentIndentIndent90550-5Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)d/{#}
IndentIndent90548-9Distinct Calendar Days of Part A Therapy{#}
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)
IndentIndent55040-0Physician Examinations. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) examine the resident?d/(14.d)
IndentIndent55041-8Physician Orders. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) change the resident's orders?d/(14.d)
Indent88328-0Restraints and Alarms
IndentIndent86785-3Physical Restraints
IndentIndentIndent86786-1Used in Bed. Bed raild/(7.d)
IndentIndentIndent86787-9Used in Bed. Trunk restraintd/(7.d)
IndentIndentIndent86788-7Used in Bed. Limb restraintd/(7.d)
IndentIndentIndent86789-5Used in Bed. Otherd/(7.d)
IndentIndentIndent86790-3Used in Chair or Out of Bed. Trunk restraintd/(7.d)
IndentIndentIndent86791-1Used in Chair or Out of Bed. Limb restraintd/(7.d)
IndentIndentIndent86792-9Used in Chair or Out of Bed. Chair prevents risingd/(7.d)
IndentIndentIndent86793-7Used in Chair or Out of Bed. Otherd/(7.d)
Indent86794-5Participation 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
IndentIndent55056-6Resident's Overall Expectation
IndentIndentIndent55057-4Select one for resident's overall goal established during assessment process
IndentIndentIndent55058-2Indicate information source for Q0300A
IndentIndent58146-2Discharge Plan. Is active discharge planning already occurring for the resident to return to the community?
IndentIndent86795-2Resident's Preference to Avoid Being Asked Question Q0500B
IndentIndent58149-6Return to Community. Do you want to talk to someone about the possiblity of leaving this facility and returning to live and receive services in the community?
IndentIndent86796-0Resident's Preference to Avoid Being Asked Question Q0500B Again
IndentIndentIndent86797-8Does the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) want to be asked about returning to the community on all assessments?
IndentIndentIndent86798-6Indicate information source for Q0550A
IndentIndent58150-4Referral. Has a referral been made to the Local Contact Agency?
Indent90490-4Correction 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
IndentIndent90522-4Optional State Assessment. Is this assessment for state payment purposes only?
IndentIndent90492-0Type of Assessment
IndentIndentIndent54583-0Federal OBRA Reason for Assessment
IndentIndentIndent54584-8PPS 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..5
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}
Indent90497-9Assessment Administration
IndentIndent90498-7Medicare Part A Billing
IndentIndentIndent55065-7Medicare Part A HIPPS code
IndentIndentIndent55081-4Version code
IndentIndent93053-7State Medicaid Billing (if required by the state)
IndentIndentIndent55068-1Case Mix group
IndentIndentIndent55081-4Version code
IndentIndent93052-9Alternate State Medicaid Billing (if required by the state)
IndentIndentIndent58212-2Case Mix group
IndentIndentIndent55081-4Version code
IndentIndent93051-1Insurance Billing
IndentIndentIndent55071-5Billing code
IndentIndentIndent55081-4Billing version

LOINC Names Get Info

Fully-Specified Name
MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set:-:RptPeriod:^Patient:-:CMS Assessment
Long Common Name
Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]

Part Model Get Info

  • Component
    MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set
    LP419411-6
    • Analyte
      MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set
      LP419411-6
      • Component Numerator
        MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set
        LP419411-6
        • Component Numerator Core
          MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set
          LP419411-6
        • 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
    RptPeriod
    LP190654-6
  • 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 2.66
Last Updated
Version 2.82 (DEL)
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: DefinitionDescription: Added missing Term Description.; COMPONENT: Version 1.17.2 was added to the Component because this panel now represents both versions.; Release 2.67: DefinitionDescription: Added missing Term Description.
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=90474-8
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/90474-8