LOINC
Version 2.67

93171-7IRF-PAI v4.0 - Quality indicators - admission [CMS Assessment]Active

Panel Hierarchy
Details for each LOINC in Panel

LOINC Name R/O/C Cardinality Example UCUM Units
93171-7 Quality Indicators - Admission
Indent93161-8 Administrative Information
IndentIndent69854-8 Ethnicity. Are you of Hispanic, Latino/a, or Spanish origin? 1..4
IndentIndent69855-5 Race. What is your race? 1..14
IndentIndent93186-5 Language
IndentIndentIndent54899-0 What is your preferred language?
IndentIndentIndent54588-9 Do you need or want an interpreter to communicate with a doctor or health care staff?
IndentIndent93030-5 Transportation. Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? 1..2
Indent93165-9 Hearing, Speech, and Vision
IndentIndent93309-3 Hearing. Ability to hear (with hearing aid or hearing appliances if normally used)
IndentIndent93310-1 Vision. Ability to see in adequate light (with glasses or other visual appliances)
IndentIndent93157-6 Health Literacy. How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy?
IndentIndent83250-1 Expression of Ideas and Wants
IndentIndent87503-9 Understanding Verbal and Non-Verbal Content
Indent93162-6 Cognitive patterns
IndentIndent83248-5 Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
IndentIndent52491-8 Brief Interview for Mental Status
IndentIndentIndent52731-7 Repetition of Three Words. Number of words repeated after first attempt
IndentIndentIndent54510-3 Temporal Orientation (orientation to year, month, and day)
IndentIndentIndentIndent52732-5 Able to report correct year
IndentIndentIndentIndent52733-3 Able to report correct month
IndentIndentIndentIndent54609-3 Able to report correct day of the week
IndentIndentIndent52493-4 Recall
IndentIndentIndentIndent52735-8 Able to recall "sock"
IndentIndentIndentIndent52736-6 Able to recall "blue"
IndentIndentIndentIndent52737-4 Able to recall "bed"
IndentIndentIndent54614-3 BIMS Summary Score {score}
IndentIndent54615-0 Should the Staff Assessment for Mental Status (C0900) be Conducted?
IndentIndent88521-0 Staff Assessment for Mental Status
IndentIndentIndent88333-0 Memory/Recall Ability 1..4
IndentIndent93417-4 Signs and Symptoms of Delirium (from CAM)
IndentIndentIndent85634-4 Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the patient's baseline?
IndentIndentIndent85631-0 Inattention - Did the patient have difficulty focusing attention, for example being easily distractible or having difficulty keeping track of what was being said?
IndentIndentIndent85651-8 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)?
Indent93170-9 Mood
IndentIndent54635-8 Patient Mood Interview (PHQ-2 to 9)
IndentIndentIndent86843-0 Symptom Presence
IndentIndentIndentIndent54636-6 Little interest or pleasure in doing things
IndentIndentIndentIndent54638-2 Feeling down, depressed or hopeless
IndentIndentIndentIndent54640-8 Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54642-4 Feeling tired or having little energy
IndentIndentIndentIndent54644-0 Poor appetite or overeating
IndentIndentIndentIndent54646-5 Feeling bad about yourself - or that you are a failure or have let yourself or your family down
IndentIndentIndentIndent54648-1 Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54650-7 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
IndentIndentIndentIndent54652-3 Thoughts that you would be better off dead, or of hurting yourself in some way
IndentIndentIndent86844-8 Symptom Frequency
IndentIndentIndentIndent54637-4 Little interest or pleasure in doing things
IndentIndentIndentIndent54639-0 Feeling down, depressed or hopeless
IndentIndentIndentIndent54641-6 Trouble falling or staying asleep, or sleeping too much
IndentIndentIndentIndent54643-2 Feeling tired or having little energy
IndentIndentIndentIndent54645-7 Poor appetite or overeating
IndentIndentIndentIndent54647-3 Feeling bad about yourself - or that you are a failure or have let yourself or your family down
IndentIndentIndentIndent54649-9 Trouble concentrating on things, such as reading the newspaper or watching television
IndentIndentIndentIndent54651-5 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
IndentIndentIndentIndent54653-1 Thoughts that you would be better off dead, or of hurting yourself in some way
IndentIndent54654-9 Total Severity Score {score}
IndentIndent93159-2 Social Isolation. How often do you feel lonely or isolated from those around you?
Indent88482-5 Functional Abilities and Goals - Admission
IndentIndent83239-4 Prior Functioning: Everyday Activities
IndentIndentIndent85070-1 Self-Care
IndentIndentIndent85071-9 Indoor Mobility (Ambulation)
IndentIndentIndent85072-7 Stairs
IndentIndentIndent85073-5 Functional Cognition
IndentIndent83234-5 Prior Device Use 1..5
IndentIndent83233-7 Self-Care - Admission Performance
IndentIndentIndent83232-9 Eating
IndentIndentIndent83230-3 Oral hygiene
IndentIndentIndent83228-7 Toileting hygiene
IndentIndentIndent83226-1 Shower/bathe self
IndentIndentIndent83224-6 Upper body dressing
IndentIndentIndent83222-0 Lower body dressing
IndentIndentIndent83220-4 Putting on/taking off footwear
IndentIndent85054-5 Self-Care - Discharge Goal
IndentIndentIndent83231-1 Eating
IndentIndentIndent83229-5 Oral hygiene
IndentIndentIndent83227-9 Toileting hygiene
IndentIndentIndent83225-3 Shower/bathe self
IndentIndentIndent83223-8 Upper body dressing
IndentIndentIndent83221-2 Lower body dressing
IndentIndentIndent83219-6 Putting on/taking off footwear
IndentIndent88330-6 Mobility - Admission Performance
IndentIndentIndent83218-8 Roll left and right
IndentIndentIndent83216-2 Sit to lying
IndentIndentIndent83214-7 Lying to sitting on side of bed
IndentIndentIndent83212-1 Sit to stand
IndentIndentIndent83210-5 Chair/bed-to-chair transfer
IndentIndentIndent83208-9 Toilet transfer
IndentIndentIndent83206-3 Car transfer
IndentIndentIndent83204-8 Walk 10 feet
IndentIndentIndent83202-2 Walk 50 feet with two turns
IndentIndentIndent83200-6 Walk 150 feet
IndentIndentIndent83198-2 Walking 10 feet on uneven surfaces
IndentIndentIndent83196-6 1 step (curb)
IndentIndentIndent83194-1 4 steps
IndentIndentIndent83192-5 12 steps
IndentIndentIndent83190-9 Picking up object
IndentIndentIndent83271-7 Does the patient use a wheelchair and/or scooter?
IndentIndentIndent83188-3 Wheel 50 feet with two turns
IndentIndentIndent83272-5 Indicate the type of wheelchair or scooter used
IndentIndentIndent83235-2 Wheel 150 feet
IndentIndentIndent83272-5 Indicate the type of wheelchair or scooter used
IndentIndent85056-0 Mobility - Discharge Goal
IndentIndentIndent83217-0 Roll left and right
IndentIndentIndent83215-4 Sit to lying
IndentIndentIndent83213-9 Lying to sitting on side of bed
IndentIndentIndent83211-3 Sit to stand
IndentIndentIndent83209-7 Chair/Bed-to-chair transfer
IndentIndentIndent83207-1 Toilet transfer
IndentIndentIndent83205-5 Car transfer
IndentIndentIndent83203-0 Walk 10 feet
IndentIndentIndent83201-4 Walk 50 feet with two turns
IndentIndentIndent83199-0 Walk 150 feet
IndentIndentIndent83197-4 Walking 10 feet on uneven surfaces
IndentIndentIndent83195-8 1 step (curb)
IndentIndentIndent83193-3 4 steps
IndentIndentIndent83191-7 12 steps
IndentIndentIndent83189-1 Picking up object
IndentIndentIndent83187-5 Wheel 50 feet with two turns
IndentIndentIndent83236-0 Wheel 150 feet
Indent83237-8 Bladder and Bowel
IndentIndent83238-6 Bladder Continence
IndentIndent83242-8 Bowel Continence
Indent83264-2 Active Diagnoses
IndentIndent83243-6 Comorbidities and Co-existing Conditions 1..2
Indent93164-2 Health Conditions
IndentIndent93156-8 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?
IndentIndent93160-0 Pain Interference with Therapy Activities. Over the past 5 days, how often have you limited your participation in rehabilitation therapy sessions due to pain?
IndentIndent93158-4 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?
IndentIndent52552-7 History of Falls. Has the patient had two or more falls in the past year or any fall with injury in the past year?
IndentIndent83274-1 Prior Surgery. Did the patient have major surgery during the 100 days prior to admission?
Indent93175-8 Swallowing/Nutritional Status
IndentIndent93178-2 Nutritional Approaches - On Admission. Check all of the following nutritional approaches that apply on admission. 1..4
Indent85055-2 Skin Conditions - Admission
IndentIndent58214-8 Unhealed Pressure Ulcers/Injuries. Does this patient have one or more unhealed pressure ulcers/injuries?
IndentIndent83246-9 Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage - Admission
IndentIndentIndent54884-2 Number of Stage 1 pressure injuries {#}
IndentIndentIndent55124-2 Number of Stage 2 pressure ulcers {#}
IndentIndentIndent55125-9 Number of Stage 3 pressure ulcers {#}
IndentIndentIndent55126-7 Number of Stage 4 pressure ulcers {#}
IndentIndentIndent54893-3 Number of unstageable pressure ulcers/injuries due to non-removable dressing/device {#}
IndentIndentIndent54946-9 Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndent54950-1 Number of unstageable pressure injuries presenting as deep tissue injury {#}
Indent93168-3 Medications
IndentIndent93155-0 High-Risk Drug Classes: Use and Indication
IndentIndentIndent93153-5 Is taking. Check if the patient is taking any medications by pharmacological classification, not how it is used, in the following classes 1..6
IndentIndentIndent93154-3 Indication noted. If column 1 [Is Taking] is checked, check if there is an indication noted for all medications in the drug class 0..6
IndentIndent88870-1 Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?
IndentIndent88871-9 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
IndentIndent83252-7 Special Treatments, Procedures, and Programs - On Admission. Check all of the following treatments, procedures, and programs that apply on admission.

Fully-Specified Name

Component
IRF-PAI v4.0 - Quality indicators - admission
Property
-
Time
Pt
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.0 [CMS Assessment]

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