Version 2.78

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
90499-5 Identification Information
Indent58198-3 Type of Record
Indent54581-4 Facility Provider Numbers
IndentIndent76468-8 National Provider Identifier (NPI)
IndentIndent69417-4 CMS Certification Number (CCN)
IndentIndent45398-5 State Provider Number
Indent85632-8 Type of Provider
Indent90521-6 Optional State Assessment
IndentIndent90522-4 Is this assessment for state payment purposes only?
Indent90489-6 Type of Assessment
IndentIndent54583-0 Federal OBRA Reason for Assessment
IndentIndent54584-8 PPS Assessment
IndentIndent54587-1 Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?
IndentIndent58108-2 Entry/discharge reporting
IndentIndent71440-2 Type of discharge
IndentIndent90525-7 Is this a SNF Part A Interrupted Stay?
IndentIndent86525-3 Is this a SNF Part A PPS Discharge Assessment?
Indent86526-1 Unit Certification or Licensure Designation
Indent54503-8 Legal Name of Resident
IndentIndent45392-8 First name
IndentIndent45393-6 Middle initial
IndentIndent45394-4 Last name
IndentIndent45395-1 Suffix
Indent45966-9 Social Security and Medicare Numbers
IndentIndent45396-9 Social Security Number
IndentIndent45397-7 Medicare number
Indent45400-9 Medicaid Number
Indent46098-0 Gender
Indent21112-8 Birth Date {mm/dd/yyyy}
Indent59362-4 Race/Ethnicity 1..6
Indent54505-3 Language
IndentIndent54588-9 Does the resident need or want an interpreter to communicate with a doctor or health care staff?
IndentIndent54899-0 Preferred language
Indent45404-1 Marital Status
Indent54506-1 Optional Resident Items
IndentIndent46106-1 Medical record number
IndentIndent45403-3 Room number
IndentIndent52462-9 Name by which resident prefers to be addressed
IndentIndent21843-8 Lifetime occupation(s)
Indent54589-7 Preadmission Screening and Resident Review (PASRR). Is the resident currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition?
Indent71441-0 Level II Preadmission Screening and Resident Review (PASRR) Conditions 1..3
Indent86527-9 Conditions Related to ID/DD Status 1..4
Indent86528-7 Most Recent Admission/Entry or Reentry into this Facility
IndentIndent50786-3 Entry Date {mm/dd/yyyy}
IndentIndent54590-5 Type of Entry
IndentIndent85398-6 Entered From
Indent52455-3 Admission Date {mm/dd/yyyy}
Indent52525-3 Discharge Date {mm/dd/yyyy}
Indent55128-3 Discharge Status
Indent54592-1 Previous Assessment Reference Date for Significant Correction {mm/dd/yyyy}
Indent54593-9 Assessment Reference Date. Observation end date {mm/dd/yyyy}
Indent54507-9 Medicare Stay
IndentIndent54594-7 Has the resident had a Medicare-covered stay since the most recent entry?
IndentIndent54595-4 Start date of most recent Medicare stay {mm/dd/yyyy}
IndentIndent54596-2 End date of most recent Medicare stay {mm/dd/yyyy}

Fully-Specified Name

Component
MDS v3.0 - RAI v1.17.2 - Identification information
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.66
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: LONG_COMMON_NAME: Assessment version number was updated to reflect the most recent version.
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
90473-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=90499-5