Version 2.78

93185-7 Special Treatments, Procedures, and Programs - At Discharge. Check all of the following treatments, procedures, and programs that apply at discharge

Observation ID in Form

O0110_c

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Special treatments, procedures, and programs at discharge
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.69
Change Reason
Release 2.69: TIME_ASPCT: Updated Timing since this item is recorded at admission but assessed over a period of time according to the CMS manuals.;
Order vs. Observation
Observation

Normative Answer List LL5385-1

Answer Code Score Answer ID
Chemotherapy A1 LA6172-6
Chemotherapy - IV A2 LA30275-4
Chemotherapy - Oral A3 LA30276-2
Chemotherapy - Other A10 LA30277-0
Radiation B1 LA4351-8
Oxygen therapy C1 LA27962-2
Oxygen therapy - Continuous C2 LA30278-8
Oxygen therapy - Intermittent C3 LA30279-6
Oxygen therapy - High-concentration C4 LA30280-4
Suctioning D1 LA27963-0
Suctioning - Scheduled D2 LA30359-6
Suctioning - As needed D3 LA30360-4
Tracheostomy care E1 LA27964-8
Invasive mechanical ventilator (ventilator or respirator) F1 LA28889-6
Non-invasive mechanical ventilator G1 LA30281-2
Non-invasive mechanical ventilator - BiPAP G2 LA30282-0
Non-invasive mechanical ventilator - CPAP G3 LA30283-8
IV medications H1 LA27972-1
IV medications - Vasoactive medications H2 LA30284-6
IV medications - Antibiotics H3 LA30285-3
IV medications - Anticoagulant H4 LA30286-1
IV medications - Other H10 LA30287-9
Transfusions I1 LA27966-3
Dialysis J1 LA7216-0
Dialysis - Hemodialysis J2 LA30288-7
Dialysis - Peritoneal dialysis J3 LA30289-5
IV access O1 LA30290-3
IV access - Peripheral O2 LA30291-1
IV access - Midline O3 LA30292-9
IV access - Central (e.g., PICC, tunneled, port) O4 LA30293-7
None of the above Z1 LA9-3

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]
93221-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
93220-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
103564-1 MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9 MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8 MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5 MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1 MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7 MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3 MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
99178-6 Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]

106220-7 Ventilator Liberation Rate

Observation ID in Form

O0200

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Ventilator Liberation Rate
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
93221-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
93220-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]

86851-3 Invasive Mechanical Ventilator: Liberation Status at Discharge

Observation ID in Form

O0200A

Form Coding Instructions

Code [NA] only if the patient was non-weaning or not ventilated on admission [O0150A=2 or 0 on Admission Assessment]

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

(Note: 2 calendar days prior to discharge = 2 calendar days + day of discharge)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Invasive mechanical ventilator liberation status at discharge
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.63
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 2.67: ANSWER_LIST_TYPE: Answer List Type changed from Normative to Example to accommodate Override Answer Lists
Order vs. Observation
Observation

Normative Answer List LL5407-3

Answer Code Score Answer ID
Not fully liberated at discharge (i.e., patient required partial or full invasive mechanical ventilation support within 2 calendar days prior to discharge) 0 LA28332-7
Fully liberated at discharge (i.e., patient did not require any invasive mechanical ventilation support for at least 2 consecutive calendar days immediately prior to discharge) 1 LA28333-5
Not applicable (code only if the patient was not on invasive mechanical ventilator support upon admission [O0150A = 0] or the patient was determined to be non-weaning upon admission [O0150A2 = 0]) 9 LA30356-2

Member of these Panels

LOINC Long Common Name
87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
93221-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
93220-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]