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 OSA assessments performed between October 1, 2019 and September 30, 2020 and CMS MDS 3.0 v1.17.2 OSA assessments performed after October 1, 2020.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
90481-3MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set
Indent90504-2Identification 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
IndentIndent90523-2Optional State Assessment
IndentIndentIndent90522-4Is this assessment for state payment purposes only?
IndentIndentIndent90524-0Assessment type
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)
IndentIndent50786-3Most Recent Admission/Entry or Reentry into this Facility. Entry Date{mm/dd/yyyy}
IndentIndent52455-3Admission Date{mm/dd/yyyy}
IndentIndent54593-9Assessment Reference Date. Observation end date{mm/dd/yyyy}
IndentIndent90494-6Medicare Stay
IndentIndentIndent54595-4Start date of most recent Medicare stay{mm/dd/yyyy}
IndentIndentIndent54596-2End date of most recent Medicare stay{mm/dd/yyyy}
Indent90505-9Hearing, Speech, and Vision
IndentIndent54597-0Comatose
IndentIndent95737-3Makes Self Understood
Indent93050-3Cognitive 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?
IndentIndent86814-1Staff Assessment for Mental Status
IndentIndentIndent54616-8Short-term Memory OK
IndentIndentIndent54624-2Cognitive Skills for Daily Decision Making
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)
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
Indent90506-7Bladder and Bowel
IndentIndent54769-5Urinary Toileting Program. Current 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
Indent90508-3Active Diagnoses
IndentIndent86671-5Active Diagnoses in the last 7 days1..*
Indent86888-5Health conditions
IndentIndent86889-3Other Health Conditions
IndentIndentIndent86675-6Shortness of Breath (dyspnea)1..1
IndentIndentIndent86676-4Problem Conditions1..4
Indent90510-9Swallowing/Nutritional Status
IndentIndent54863-6Weight Loss. Loss of 5% or more in the last month or loss 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..2
IndentIndent91555-3Percent Intake by Artificial Route
IndentIndentIndent86687-1Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days
IndentIndentIndent86684-8Average fluid intake per day by IV or tube feeding. During Entire 7 DaysmL/d;L/d
Indent90512-5Skin Conditions
IndentIndent58214-8Unhealed Pressure Ulcers/Injuries
IndentIndent90511-7Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
IndentIndentIndent54884-2Number of Stage 1 pressure injuries{#}
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..6
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)
Indent90518-2Special Treatments, Procedures, and Programs
IndentIndent86759-8Special Treatments, Procedures, and Programs
IndentIndentIndent86760-6While NOT a Resident0..9
IndentIndentIndent86761-4While a Resident1..10
IndentIndent91577-7Therapies
IndentIndentIndent58132-2Speech-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
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}
IndentIndentIndent58135-5Occupational 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
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}
IndentIndentIndent58138-9Physical 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
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
IndentIndent86772-1Resumption of Therapy. Has 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?
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)
Indent90491-2Correction 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
IndentIndent90523-2Optional State Assessment
IndentIndentIndent90522-4Is this assessment for state payment purposes only?
IndentIndentIndent90524-0Assessment type
IndentIndent54593-9Date on existing record to be modified/inactivated. Assessment Reference 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}
Indent90496-1Assessment Administration
IndentIndent91581-9State Medicaid Billing (if required by the state)
IndentIndentIndent55068-1Case Mix group
IndentIndentIndent55081-4Version code
IndentIndentIndent90549-7Is this a Short Stay assessment?
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 - Optional State Assessment (OSA) item set:-:RptPeriod:^Patient:-:CMS Assessment
Long Common Name
Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]

Part Model Get Info

  • Component
    MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set
    LP269562-7
    • Analyte
      MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set
      LP269562-7
      • Component Numerator
        MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set
        LP269562-7
        • Component Numerator Core
          MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set
          LP269562-7
        • 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=90481-3
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/90481-3