93171-7
IRF-PAI v4.0 - Quality indicators - admission during assessment period [CMS Assessment]
Active
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 93171-7 | Quality Indicators - Admission | |||
| Indent93161-8 | Administrative Information | |||
| Indent Indent69854-8 | Ethnicity. Are you of Hispanic, Latino/a, or Spanish origin? | 1..4 | ||
| Indent Indent103708-4 | Race. What is your race? | 1..14 | ||
| Indent Indent93186-5 | Language | |||
| Indent Indent Indent54899-0 | What is your preferred language? | |||
| Indent Indent Indent54588-9 | Do you need or want an interpreter to communicate with a doctor or health care staff? | |||
| Indent Indent101351-5 | Transportation (from NACHC©) | 1..2 | ||
| Indent93165-9 | Hearing, Speech, and Vision | |||
| Indent Indent95744-9 | Hearing | |||
| Indent Indent95745-6 | Vision | |||
| Indent Indent103709-2 | Health Literacy | |||
| Indent Indent95737-3 | Expression of Ideas and Wants | |||
| Indent Indent95740-7 | Understanding Verbal and Non-Verbal Content | |||
| Indent93162-6 | Cognitive patterns | |||
| Indent Indent54605-1 | Should Brief Interview for Mental Status (C0200-C0500) be Conducted? | |||
| Indent Indent103694-6 | Brief Interview for Mental Status | |||
| Indent Indent Indent103696-1 | Repetition of Three Words | |||
| Indent Indent Indent103702-7 | Temporal Orientation | |||
| Indent Indent Indent Indent103697-9 | Able to report correct year | |||
| Indent Indent Indent Indent103698-7 | Able to report correct month | |||
| Indent Indent Indent Indent103703-5 | Able to report correct day of the week | |||
| Indent Indent Indent103695-3 | Recall | |||
| Indent Indent Indent Indent103699-5 | Able to recall "sock" | |||
| Indent Indent Indent Indent103700-1 | Able to recall "blue" | |||
| Indent Indent Indent Indent103701-9 | Able to recall "bed" | |||
| Indent Indent Indent103704-3 | BIMS Summary Score | {score} | ||
| Indent Indent54615-0 | Should the Staff Assessment for Mental Status (C0900) be Conducted? | |||
| Indent Indent95944-5 | Staff Assessment for Mental Status | |||
| Indent Indent Indent95743-1 | Memory/Recall Ability | 1..4 | ||
| Indent Indent95816-5 | Signs and Symptoms of Delirium (from CAM) | |||
| Indent Indent Indent95813-2 | Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the patient's baseline? | |||
| Indent Indent Indent95812-4 | Inattention - Did the patient have difficulty focusing attention, for example being easily distractible or having difficulty keeping track of what was being said? | |||
| Indent Indent Indent95814-0 | Disorganized thinking - Was the patient's thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)? | |||
| Indent Indent Indent95815-7 | Altered level of consciousness - Did the patient have altered level of consciousness, as indicated by any of the following criteria? | |||
| Indent93170-9 | Mood | |||
| Indent Indent54635-8 | Patient Mood Interview (PHQ-2 to 9) | |||
| Indent Indent Indent86843-0 | Symptom Presence | |||
| Indent Indent Indent Indent54636-6 | Little interest or pleasure in doing things | |||
| Indent Indent Indent Indent54638-2 | Feeling down, depressed or hopeless | |||
| Indent Indent Indent Indent54640-8 | Trouble falling or staying asleep, or sleeping too much | |||
| Indent Indent Indent Indent54642-4 | Feeling tired or having little energy | |||
| Indent Indent Indent Indent54644-0 | Poor appetite or overeating | |||
| Indent Indent Indent Indent54646-5 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down | |||
| Indent Indent Indent Indent54648-1 | Trouble concentrating on things, such as reading the newspaper or watching television | |||
| Indent Indent Indent Indent54650-7 | Moving 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 | |||
| Indent Indent Indent Indent54652-3 | Thoughts that you would be better off dead, or of hurting yourself in some way | |||
| Indent Indent Indent86844-8 | Symptom Frequency | |||
| Indent Indent Indent Indent54637-4 | Little interest or pleasure in doing things | |||
| Indent Indent Indent Indent54639-0 | Feeling down, depressed or hopeless | |||
| Indent Indent Indent Indent54641-6 | Trouble falling or staying asleep, or sleeping too much | |||
| Indent Indent Indent Indent54643-2 | Feeling tired or having little energy | |||
| Indent Indent Indent Indent54645-7 | Poor appetite or overeating | |||
| Indent Indent Indent Indent54647-3 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down | |||
| Indent Indent Indent Indent54649-9 | Trouble concentrating on things, such as reading the newspaper or watching television | |||
| Indent Indent Indent Indent54651-5 | Moving 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 | |||
| Indent Indent Indent Indent54653-1 | Thoughts that you would be better off dead, or of hurting yourself in some way | |||
| Indent Indent103705-0 | Total Severity Score | {score} | ||
| Indent Indent93159-2 | Social Isolation | |||
| Indent95811-6 | Functional Abilities and Goals - Admission | |||
| Indent Indent83239-4 | Prior Functioning: Everyday Activities | |||
| Indent Indent Indent85070-1 | Self-Care | |||
| Indent Indent Indent85071-9 | Indoor Mobility (Ambulation) | |||
| Indent Indent Indent85072-7 | Stairs | |||
| Indent Indent Indent85073-5 | Functional Cognition | |||
| Indent Indent83234-5 | Prior Device Use | 1..5 | ||
| Indent Indent95732-4 | Self-Care - Admission Performance | |||
| Indent Indent Indent95019-6 | Eating | |||
| Indent Indent Indent95018-8 | Oral hygiene | |||
| Indent Indent Indent95017-0 | Toileting hygiene | |||
| Indent Indent Indent95015-4 | Shower/bathe self | |||
| Indent Indent Indent95014-7 | Upper body dressing | |||
| Indent Indent Indent95013-9 | Lower body dressing | |||
| Indent Indent Indent95012-1 | Putting on/taking off footwear | |||
| Indent Indent89478-2 | Self-Care - Discharge Goal | |||
| Indent Indent Indent89404-8 | Oral hygiene - functional goal during assessment period [CMS Assessment] | |||
| Indent Indent Indent89409-7 | Eating | |||
| Indent Indent Indent89389-1 | Toileting hygiene | |||
| Indent Indent Indent89396-6 | Shower/bathe self | |||
| Indent Indent Indent89387-5 | Upper body dressing | |||
| Indent Indent Indent89406-3 | Lower body dressing | |||
| Indent Indent Indent89400-6 | Putting on/taking off footwear | |||
| Indent Indent95741-5 | Mobility - Admission Performance | |||
| Indent Indent Indent95011-3 | Roll left and right | |||
| Indent Indent Indent95010-5 | Sit to lying | |||
| Indent Indent Indent95009-7 | Lying to sitting on side of bed | |||
| Indent Indent Indent95008-9 | Sit to stand | |||
| Indent Indent Indent95007-1 | Chair/bed-to-chair transfer | |||
| Indent Indent Indent95006-3 | Toilet transfer | |||
| Indent Indent Indent95005-5 | Car transfer | |||
| Indent Indent Indent95004-8 | Walk 10 feet | |||
| Indent Indent Indent95003-0 | Walk 50 feet with two turns | |||
| Indent Indent Indent95002-2 | Walk 150 feet | |||
| Indent Indent Indent95001-4 | Walking 10 feet on uneven surfaces | |||
| Indent Indent Indent95000-6 | 1 step (curb) | |||
| Indent Indent Indent94999-0 | 4 steps | |||
| Indent Indent Indent94998-2 | 12 steps | |||
| Indent Indent Indent94997-4 | Picking up object | |||
| Indent Indent Indent95738-1 | Does the patient use a wheelchair and/or scooter? | |||
| Indent Indent Indent94992-5 | Wheel 50 feet with two turns | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent Indent Indent94991-7 | Wheel 150 feet | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent Indent89476-6 | Mobility - Discharge Goal | |||
| Indent Indent Indent89398-2 | Roll left and right | |||
| Indent Indent Indent89394-1 | Sit to lying | |||
| Indent Indent Indent85927-2 | Lying to sitting on side of bed | |||
| Indent Indent Indent89392-5 | Sit to stand | |||
| Indent Indent Indent89414-7 | Chair/bed-to-chair transfer | |||
| Indent Indent Indent89390-9 | Toilet transfer | |||
| Indent Indent Indent89412-1 | Car transfer | |||
| Indent Indent Indent89385-9 | Walk 10 feet | |||
| Indent Indent Indent89381-8 | Walk 50 feet with two turns | |||
| Indent Indent Indent89383-4 | Walk 150 feet | |||
| Indent Indent Indent89379-2 | Walking 10 feet on uneven surfaces | |||
| Indent Indent Indent89420-4 | 1 step (curb) | |||
| Indent Indent Indent89416-2 | 4 steps | |||
| Indent Indent Indent89418-8 | 12 steps | |||
| Indent Indent Indent89402-2 | Picking up object | |||
| Indent Indent Indent89375-0 | Wheel 50 feet with two turns | |||
| Indent Indent Indent89377-6 | Wheel 150 feet | |||
| Indent95733-2 | Bladder and Bowel | |||
| Indent Indent95735-7 | Bladder Continence | |||
| Indent Indent95736-5 | Bowel Continence | |||
| Indent83264-2 | Active Diagnoses | |||
| Indent Indent83243-6 | Comorbidities and Co-existing Conditions | 1..2 | ||
| Indent93164-2 | Health Conditions | |||
| Indent Indent93156-8 | Pain Effect on Sleep. Over the past 5 days, how much of the time has pain made it hard for you to sleep at night? | |||
| Indent Indent93160-0 | Pain Interference with Therapy Activities. Over the past 5 days, how often have you limited your participation in rehabilitation therapy sessions due to pain? | |||
| Indent Indent93158-4 | Pain Interference with Day-to-Day Activities. Over the past 5 days, how often have you limited your day-to-day activities (excluding rehabilitation therapy sessions) because of pain? | |||
| Indent Indent52552-7 | History of Falls. Has the patient had two or more falls in the past year or any fall with injury in the past year? | |||
| Indent Indent83274-1 | Prior Surgery | |||
| Indent93175-8 | Swallowing/Nutritional Status | |||
| Indent Indent93178-2 | Nutritional Approaches - On Admission | 1..4 | ||
| Indent85055-2 | Skin Conditions - Admission | |||
| Indent Indent58214-8 | Unhealed Pressure Ulcers/Injuries | |||
| Indent Indent83246-9 | Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage - Admission | |||
| Indent Indent Indent54884-2 | Number of Stage 1 pressure injuries | {#} | ||
| Indent Indent Indent55124-2 | Number of Stage 2 pressure ulcers | {#} | ||
| Indent Indent Indent55125-9 | Number of Stage 3 pressure ulcers | {#} | ||
| Indent Indent Indent55126-7 | Number of Stage 4 pressure ulcers | {#} | ||
| Indent Indent Indent54893-3 | Number of unstageable pressure ulcers/injuries due to non-removable dressing/device | {#} | ||
| Indent Indent Indent54946-9 | Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar | {#} | ||
| Indent Indent Indent54950-1 | Number of unstageable pressure injuries presenting as deep tissue injury | {#} | ||
| Indent93168-3 | Medications | |||
| Indent Indent93155-0 | High-Risk Drug Classes: Use and Indication | |||
| Indent Indent Indent93153-5 | Is taking | 1..6 | ||
| Indent Indent Indent93154-3 | Indication noted | 1..6 | ||
| Indent Indent57255-2 | Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues? | |||
| Indent Indent57281-8 | Medication Follow-up: Did the facility contact a physician (or physician-designee) by midnight of the next calendar day and complete prescribed/recommended actions in response to the identified potential clinically significant medication issues? | |||
| Indent93173-3 | Special Treatments, Procedures, and Programs | |||
| Indent Indent83252-7 | Special Treatments, Procedures, and Programs - On Admission | 1..30 |
Fully-Specified Name
- Component
- IRF-PAI v4.0 - Quality indicators - admission
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.67
- 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;
- Order vs. Observation
- Subset
- Panel Type
- Organizer
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
| 93128-7 | Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment] |
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