93161-8 Administrative Information

Observation ID in Form

A

Fully-Specified Name

Component

IRF-PAI v4.0 - Administrative information

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

Related Names

• Admin info
• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

69854-8 Ethnicity. Are you of Hispanic, Latino/a, or Spanish origin?

Term Description

This term is used for reporting ethnicity based on, but not limited in use to, the Department of Health and Human Services, Affordable Care Act Section 4302.
Source: Regenstrief LOINC

Reference Information

Observation ID in Form

A1005

Form Coding Instructions

Check all that apply

Fully-Specified Name

Component

Hispanic, latino-a, or spanish origin

Property

Find

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Hispanic, latino-a, or spanish

Basic Attributes

Class

ADMIN.PATIENT.DEMOG

Type

Clinical

First Released

Version 2.40

Last Updated

Version 2.68

Change Reason

Release 2.68: CLASS: Moved term to the more representative Class for this concept.; COMPONENT: Updated Component name to represent the clinical concept rather than the specific question from the original source since the question asked will vary across forms and assessments.; Previous Releases: Removed Method since this a general concept that can be applied in other use-cases. Updated Answer list type to EXAMPLE. Assigned Answer list type of NORMATIVE within the context of the Health and Human Services (HHS) panel [LOINC: 69919-9]. Updated Scale from Ord to Nom based on the answer list.

Normative Answer List LL5375-2

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PT.DEMOG
• Finding
• Findings
• Nominal
• Point in time
• Random

Related Codes

103708-4 Race. What is your race?

Reference Information

Observation ID in Form

A1010

Form Coding Instructions

Check all that apply

Fully-Specified Name

Component

Race

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Both

Survey Question

Text

What is your race?

Normative Answer List LL5399-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Ethnicity
• Nominal
• Report period
• Survey
• Typ

Related Codes

93186-5 Language

Observation ID in Form

A1110

Fully-Specified Name

Component

Preferred language & interpreter need

Property

-

Time

Pt

System

^Patient

Scale

-

Method

Additional Names

Short Name

Preferred lang + interp need

Basic Attributes

Class

PANEL.ADMIN

Type

Clinical

First Released

Version 2.67

Last Updated

Version 2.72

Order vs. Observation

Order

Panel Type

Panel

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Pan
• Panel
• PANEL.ADMIN
• Panl
• Pnl
• Point in time
• Preferred lang + interp need
• Random
• Translator

Related Codes

54899-0 What is your preferred language?

Observation ID in Form

A1110A

Fully-Specified Name

Component

Language.preferred

Property

Type

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Preferred language

Basic Attributes

Class

ADMIN.PATIENT.DEMOG

Type

Clinical

First Released

Version 2.27

Last Updated

Version 2.73

Change Reason

Updated PROPERTY from Find to Type; Added EXAMPLE Answer list

Order vs. Observation

Both

Common Test Rank Get Info

8193

Example Answer List LL1628-8

Member of these Panels

Member of these Groups Get Info

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• ADMIN.PT.DEMOG
• Nominal
• Point in time
• Preferred language
• Random
• SDOH
• Typ

Related Codes

54588-9 Do you need or want an interpreter to communicate with a doctor or health care staff?

Term Description

Patient/resident's need or want an interpreter to communicate with a doctor or health care staff
Source: Regenstrief LOINC

Observation ID in Form

A1110B

Fully-Specified Name

Component

Interpreter needed

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

Additional Names

Short Name

Interpreter needed

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.27

Last Updated

Version 2.66

Change Reason

Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Updated CLASS from SURVEY.MDS to ADMIN; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Method removed because this generic term can be used across contexts

Order vs. Observation

Observation

Normative Answer List LL1502-5

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Finding
• Findings
• Ordinal
• Point in time
• QL
• Qual
• Qualitative
• Random
• Screen
• Translator

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

101351-5 Transportation (from NACHC©)

Observation ID in Form

A1250

Form Context

Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?

Form Coding Instructions

Check all that apply

Fully-Specified Name

Component

Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.74

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

Observation

Normative Answer List LL6509-5

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Job
• Nominal
• Occupation
• Report period
• Survey

Related Codes

Additional Copyright

© 2019. National Association of Community Health Centers, Inc., Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association. PRAPARE and its resources are proprietary information of NACHC and its partners, intended for use by NACHC, its partners, and authorized recipients. Do not publish, copy, or distribute this information in part or whole without written consent from NACHC.

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

93165-9 Hearing, Speech, and Vision

Observation ID in Form

B

Fully-Specified Name

Component

IRF-PAI v4.0 - Hearing, speech, and vision - 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

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

95744-9 Hearing

Observation ID in Form

B0200

Form Context

Ability to hear (with hearing aid or hearing appliances if normally used)

Fully-Specified Name

Component

Hearing.ability to hear

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Change Reason

Release 2.74: LONG_COMMON_NAME: Removed trailing space; COMPONENT: Removed trailing space;

Order vs. Observation

Observation

Normative Answer List LL638-8

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95745-6 Vision

Observation ID in Form

B1000

Form Context

Ability to see in adequate light (with glasses or other visual appliances)

Fully-Specified Name

Component

Vision.ability to see in adequate light

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL642-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

103709-2 Health Literacy

Observation ID in Form

B1300

Form Context

How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy?

Fully-Specified Name

Component

How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Survey Question

Text

How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy?

Source

Single Item Literacy Screener

Normative Answer List LL4911-5

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Othr
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Copyright

Organization

Dr. Nancy Morris

Copyright

© 2006 Morris et al.

Terms of Use

Used with permission

95737-3 Expression of Ideas and Wants

Observation ID in Form

BB0700

Form Context

Consider both verbal and non-verbal expression and excluding language barriers

Form Coding Instructions

(3-day assessment period)

Fully-Specified Name

Component

Expression of ideas and wants

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL4144-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95740-7 Understanding Verbal and Non-Verbal Content

Observation ID in Form

BB0800

Form Context

With hearing aid or device, if used, and excluding language barriers

Form Coding Instructions

(3-day assessment period)

Fully-Specified Name

Component

Understanding verbal and non-verbal content

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL4145-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

93162-6 Cognitive patterns

Observation ID in Form

C

Fully-Specified Name

Component

IRF-PAI v4.0 - Cognitive patterns - 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

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

54605-1 Should Brief Interview for Mental Status (C0200-C0500) be Conducted?

Observation ID in Form

C0100

Skip Logic

If 0, skip to C0900, Memory/Recall Ability. If 1, continue to C0200. Repetition of Three Words.

Form Coding Instructions

Attempt to conduct interview with all patients

Form Coding Instructions

(3-day assessment period)

Fully-Specified Name

Component

Brief interview for mental status should be conducted

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

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; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Removed Survey Question Text and Source since that information is included in other parts of the term;

Order vs. Observation

Observation

Normative Answer List LL691-7

Member of these Panels

Related Names

• BIMS
• BIMS should be conducted
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

103694-6 Brief Interview for Mental Status

Fully-Specified Name

Component

Brief interview for mental status

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.78

Change Reason

Release 2.78: ORDER_OBS: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; PanelType: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• BIMS
• Centers for Medicare and Medicaid Assessment
• Report period
• Survey

103696-1 Repetition of Three Words

Observation ID in Form

C0200

Form Coding Instructions

After the patient's first attempt, repeat the words using cues ("sock, something to wear; blue, a color; bed, a piece of furniture"). You may repeat the words up to two more times

Form Context

Number of words repeated after first attempt

Form Coding Instructions

Ask patient: "I am going to say three words for you to remember. Please repeat the words after I have said all three. The words are: sock, blue, and bed. Now tell me the three words."

Fully-Specified Name

Component

Repetition of three words

Property

Num

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Normative Answer List LL687-5

Member of these Panels

Related Names

• 3
• Centers for Medicare and Medicaid Assessment
• Cnt
• Count
• Number
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

103702-7 Temporal Orientation

Observation ID in Form

C0300

Form Context

(orientation to year, month, and day)

Fully-Specified Name

Component

Temporal orientation (orientation to year, month, and day)

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.78

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Report period
• Survey
• Temporal orientation (orientation to year, month, and day) - MDSv3

Related Codes

103697-9 Able to report correct year

Observation ID in Form

C0300A

Form Coding Instructions

Ask patient: "Please tell me what year it is right now."

Fully-Specified Name

Component

Temporal orientation - current year

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Normative Answer List LL643-8

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

103698-7 Able to report correct month

Observation ID in Form

C0300B

Form Coding Instructions

Ask patient: "What month are we in right now?"

Fully-Specified Name

Component

Temporal orientation - current month

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Normative Answer List LL644-6

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

103703-5 Able to report correct day of the week

Observation ID in Form

C0300C

Form Coding Instructions

Ask patient: "What day of the week is today?"

Fully-Specified Name

Component

Temporal orientation - current day of the week

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Normative Answer List LL645-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

103695-3 Recall

Observation ID in Form

C0400

Form Coding Instructions

Ask patient: "Let's go back to an earlier question. What were those three words that I asked you to repeat?" If unable to remember a word, give cue (something to wear; a color; a piece of furniture) for that word

Fully-Specified Name

Component

Recall

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.78

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Report period
• Survey

Related Codes

103699-5 Able to recall "sock"

Observation ID in Form

C0400A

Fully-Specified Name

Component

Recall - sock

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Normative Answer List LL646-1

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

103700-1 Able to recall "blue"

Observation ID in Form

C0400B

Fully-Specified Name

Component

Recall - blue

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Normative Answer List LL647-9

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

103701-9 Able to recall "bed"

Observation ID in Form

C0400C

Fully-Specified Name

Component

Recall - bed

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Normative Answer List LL648-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

103704-3 BIMS Summary Score

Observation ID in Form

C0500

Form Coding Instructions

Add scores for questions C0200-C0400 and fill in total score (00-15). Enter 99 if the resident was unable to complete interview

Fully-Specified Name

Component

Brief interview for mental status - summary score

Property

Score

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.77

Last Updated

Version 2.77

Order vs. Observation

Observation

Member of these Panels

Related Names

• BIMS
• BIMS summary score
• Centers for Medicare and Medicaid Assessment
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Scale
• Survey

Example Units

Related Codes

54615-0 Should the Staff Assessment for Mental Status (C0900) be Conducted?

Observation ID in Form

C0600

Skip Logic

If 0, skip to C1310, Signs and Symptoms of Delirium. If 1, continue to C0900. Memory/Recall Ability.

Fully-Specified Name

Component

Should staff assessment for mental status be conducted

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

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; Previous Releases: Updated METHOD from MDSv3 to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms

Order vs. Observation

Observation

Normative Answer List LL4180-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Staff assessment for mental status should be conducted
• Survey

Related Codes

95944-5 Staff Assessment for Mental Status

Skip Logic

Do not conduct if Brief Interview for Mental Status (C0200-C0500) was completed

Fully-Specified Name

Component

IRF-PAI v3.0 - Staff assessment for mental status

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.77

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

95743-1 Memory/Recall Ability

Observation ID in Form

C0900

Form Coding Instructions

Check all that the patient was normally able to recall

Form Coding Instructions

(3-day assessment period)

Fully-Specified Name

Component

Memory &or recall ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Order vs. Observation

Observation

Example Answer List LL4150-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Memory/recall ability
• Nominal
• Report period
• Survey

Related Codes

95816-5 Signs and Symptoms of Delirium (from CAM)

Observation ID in Form

C1310

Form Coding Instructions

Code after completing Brief Interview for Mental Status or Staff Assessment, and reviewing medical record

Fully-Specified Name

Component

Signs and Symptoms of Delirium (from CAM)

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.78

Change Reason

Release 2.78: ORDER_OBS: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”; PanelType: CMS LTPAC Project policy: revise all existing Header LOINCs from “Order, Panels” to “Subset, Organizers”;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey
• Sx

Related Codes