Version 2.78

Term Description

This panel should be used for CMS OASIS-E Start of Care assessments performed after January 1, 2023.
Source: Regenstrief LOINC

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
Indent99132-3 Administrative Information
IndentIndent68468-8 National Provider Identifier (NPI) for the attending physician who has signed the plan of care
IndentIndent69417-4 CMS Certification Number
IndentIndent46494-1 Branch State
IndentIndent46495-8 Branch ID Number
IndentIndent46496-6 Patient ID Number
IndentIndent54503-8 Patient Name
IndentIndentIndent45392-8 (First)
IndentIndentIndent45393-6 (MI)
IndentIndentIndent45394-4 (Last)
IndentIndentIndent45395-1 (Suffix)
IndentIndent46499-0 Patient State of Residence
IndentIndent45401-7 Patient ZIP Code
IndentIndent45396-9 Social Security Number
IndentIndent45397-7 Medicare Number
IndentIndent45400-9 Medicaid Number
IndentIndent46098-0 Gender
IndentIndent21112-8 Birth Date {mm/dd/yyyy}
IndentIndent69854-8 Ethnicity: Are you of Hispanic, Latino/a, or Spanish origin?
IndentIndent103708-4 Race: What is your race?
IndentIndent57199-2 Current Payment Sources for Home Care 1..11
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?
IndentIndent46497-4 Start of Care Date {mm/dd/yyyy}
IndentIndent46500-5 Discipline of Person Completing Assessment
IndentIndent46501-3 Date Assessment Completed {mm/dd/yyyy}
IndentIndent57200-8 This Assessment is Currently Being Completed for the Following Reason
IndentIndent57201-6 Date of Physician-ordered Start of Care (Resumption of Care) {mm/dd/yyyy}
IndentIndent57202-4 Date of Referral {mm/dd/yyyy}
IndentIndent57203-2 Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?
IndentIndent101351-5 Transportation
IndentIndent57204-0 From which of the following Inpatient Facilities was the patient discharged within the past 14 days? 1..7
IndentIndent86470-2 Inpatient Discharge Date (most recent) {mm/dd/yyyy}
Indent99138-0 Hearing, Speech, and Vision
IndentIndent95744-9 Hearing
IndentIndent95745-6 Vision
IndentIndent103709-2 Health Literacy
Indent99140-6 Cognitive Patterns
IndentIndent46589-8 Cognitive Functioning
IndentIndent58104-1 When Confused
IndentIndent86495-9 When Anxious
IndentIndent54605-1 Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
IndentIndent103694-6 Brief Interview for Mental Status
IndentIndentIndent103696-1 Repetition of Three Words
IndentIndentIndent103702-7 Temporal Orientation
IndentIndentIndentIndent103697-9 Able to report correct year
IndentIndentIndentIndent103698-7 Able to report correct month
IndentIndentIndentIndent103703-5 Able to report correct day of the week
IndentIndentIndent103695-3 Recall
IndentIndentIndentIndent103699-5 Able to recall "sock"
IndentIndentIndentIndent103700-1 Able to recall "blue"
IndentIndentIndentIndent103701-9 Able to recall "bed"
IndentIndentIndent103704-3 BIMS Summary Score {score}
IndentIndent95816-5 Signs and Symptoms of Delirium (from CAM)
IndentIndentIndent95813-2 Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the patient's baseline?
IndentIndentIndent95812-4 Inattention - Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?
IndentIndentIndent95814-0 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)?
IndentIndentIndent95815-7 Altered level of consciousness - Did the patient have altered level of consciousness, as indicated by any of the following criteria?
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
IndentIndent103705-0 Total Severity Score {score}
IndentIndent93159-2 Social Isolation
Indent99144-8 Behavior
IndentIndent46473-5 Cognitive, Behavorial, and Psychiatric Symptoms that are demonstrated at least once a week (reported or observed)
IndentIndent46592-2 Frequency of Disruptive Behavior Symptoms (reported or observed): Any physical, verbal, or other disruptive/dangerous symptoms that are injurious to self or others or jeopardize personal safety.
Indent99147-1 Preferences for Customary Routine Activities
IndentIndent85950-4 Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?
IndentIndent88465-0 Types and Sources of Assistance
IndentIndentIndent57265-1 Supervision and safety (for example, due to cognitive impairment)
Indent99148-9 Functional Status
IndentIndent46595-5 Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).
IndentIndent46597-1 Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps.
IndentIndent46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.
IndentIndent57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
IndentIndent57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
IndentIndent57245-3 Toileting Hygiene: Current ability to maintain perineal hygiene safely, adjust clothes and/or incontinence pads before and after using toilet, commode, bedpan, urinal. If managing ostomy, includes cleaning area around stoma, but not managing equipment.
IndentIndent57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
IndentIndent57247-9 Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.
Indent89572-2 Functional Abilities and Goals
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
IndentIndent89479-0 Self-Care - SOC/ROC Performance
IndentIndentIndent95019-6 Eating
IndentIndentIndent95018-8 Oral hygiene
IndentIndentIndent95017-0 Toileting hygiene
IndentIndentIndent95015-4 Shower/bathe self
IndentIndentIndent95014-7 Upper body dressing
IndentIndentIndent95013-9 Lower body dressing
IndentIndentIndent95012-1 Putting on/taking off footwear
IndentIndent89478-2 Self-Care - Discharge Goal
IndentIndentIndent89404-8 Oral hygiene - functional goal during assessment period [CMS Assessment]
IndentIndentIndent89409-7 Eating
IndentIndentIndent89389-1 Toileting hygiene
IndentIndentIndent89396-6 Shower/bathe self
IndentIndentIndent89387-5 Upper body dressing
IndentIndentIndent89406-3 Lower body dressing
IndentIndentIndent89400-6 Putting on/taking off footwear
IndentIndent89477-4 Mobility - SOC/ROC Performance
IndentIndentIndent95011-3 Roll left and right
IndentIndentIndent95010-5 Sit to lying
IndentIndentIndent95009-7 Lying to sitting on side of bed
IndentIndentIndent95008-9 Sit to stand
IndentIndentIndent95007-1 Chair/bed-to-chair transfer
IndentIndentIndent95006-3 Toilet transfer
IndentIndentIndent95005-5 Car transfer
IndentIndentIndent95004-8 Walk 10 feet
IndentIndentIndent95003-0 Walk 50 feet with two turns
IndentIndentIndent95002-2 Walk 150 feet
IndentIndentIndent95001-4 Walking 10 feet on uneven surfaces
IndentIndentIndent95000-6 1 step (curb)
IndentIndentIndent94999-0 4 steps
IndentIndentIndent94998-2 12 steps
IndentIndentIndent94997-4 Picking up object
IndentIndentIndent95738-1 Does the patient use a wheelchair and/or scooter?
IndentIndentIndent94992-5 Wheel 50 feet with two turns
IndentIndentIndent95739-9 Indicate the type of wheelchair or scooter used
IndentIndentIndent94991-7 Wheel 150 feet
IndentIndentIndent95739-9 Indicate the type of wheelchair or scooter used
IndentIndent89476-6 Mobility - Discharge Goal
IndentIndentIndent89398-2 Roll left and right
IndentIndentIndent89394-1 Sit to lying
IndentIndentIndent85927-2 Lying to sitting on side of bed
IndentIndentIndent89392-5 Sit to stand
IndentIndentIndent89414-7 Chair/bed-to-chair transfer
IndentIndentIndent89390-9 Toilet transfer
IndentIndentIndent89412-1 Car transfer
IndentIndentIndent89385-9 Walk 10 feet
IndentIndentIndent89381-8 Walk 50 feet with two turns
IndentIndentIndent89383-4 Walk 150 feet
IndentIndentIndent89379-2 Walking 10 feet on uneven surfaces
IndentIndentIndent89420-4 1 step (curb)
IndentIndentIndent89416-2 4 steps
IndentIndentIndent89418-8 12 steps
IndentIndentIndent89402-2 Picking up object
IndentIndentIndent89375-0 Wheel 50 feet with two turns
IndentIndentIndent89377-6 Wheel 150 feet
Indent88496-5 Bladder and Bowel
IndentIndent46552-6 Has this patient been treated for a Urinary Tract Infection in the past 14 days?
IndentIndent46553-4 Urinary Incontinence or Urinary Catheter Presence
IndentIndent46587-2 Bowel Incontinence Frequency
IndentIndent86471-0 Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay; or b) necessitated a change in medical or treatment regimen?
Indent99146-3 Active Diagnoses
IndentIndent83243-6 Active Diagnoses-Comorbidities and Co-existing Conditions 1..2
IndentIndent88488-2 Primary Diagnosis & Other Diagnoses
IndentIndentIndent88489-0 Primary Diagnosis
IndentIndentIndentIndent86255-7 Primary Diagnosis: ICD-10-code
IndentIndentIndentIndent85920-7 Primary Diagnosis Symptom Control Rating
IndentIndentIndent88490-8 Other Diagnoses
IndentIndentIndentIndent81885-6 Other Diagnoses: ICD-10-CM
IndentIndentIndentIndent85920-7 Other Diagnoses Symptom Control Rating
Indent99142-2 Health Conditions
IndentIndent57319-6 Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? 1..9
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?
IndentIndent57237-0 When is the patient dyspneic or noticeably Short of Breath?
Indent99152-1 Swallowing/Nutritional Status
IndentIndent54567-3 Height and Weight: - While measuring, if the number is X.1-X.4 round down; X.5 or greater round up
IndentIndentIndent103692-0 Height (in inches) [in_us];cm;m
IndentIndentIndent103693-8 Weight (in pounds) [lb_av];kg
IndentIndent93178-2 Nutritional Approaches - On Admission. Check all of the following nutritional approaches that apply on admission 1..4
IndentIndent57248-7 Feeding or Eating: Current ability to feed self meals and snacks safely
Indent88463-5 Skin Conditions
IndentIndent85918-1 Does this patient have at least one Unhealed Pressure Ulcer/Injury at Stage 2 or Higher or designated as Unstageable?
IndentIndent88494-0 Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
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/injuries due to coverage of wound bed by slough and/or eschar {#}
IndentIndentIndent54950-1 Number of unstageable pressure injuries presenting as deep tissue injury {#}
IndentIndent46536-9 Current Number of Stage 1 Pressure Injuries {#}
IndentIndent57231-3 Stage of Most Problematic Unhealed Pressure Ulcer/Injury that is Stageable
IndentIndent57232-1 Does this patient have a Stasis Ulcer?
IndentIndent57233-9 Current Number of Stasis Ulcer(s) that are Observable {#}
IndentIndent57234-7 Status of Most Problematic Stasis Ulcer that is Observable
IndentIndent57235-4 Does this patient have a Surgical Wound?
IndentIndent57236-2 Status of Most Problematic Surgical Wound that is Observable
Indent99151-3 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
IndentIndent57255-2 Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?
IndentIndent57281-8 Medication Follow-up: Did the agency 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?
IndentIndent57257-8 Patient/Caregiver High-Risk Drug Education: Has the patient/caregiver received instruction on special precautions for all high-risk medications (such as hypoglycemics, anticoagulants, etc.) and how and when to report problems that may occur?
IndentIndent57285-9 Management of Oral Medications: Patient's current ability to prepare and take all oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals
IndentIndent57284-2 Management of Injectable Medications: Patient's current ability to prepare and take all prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals
Indent99143-0 Special Treatment, 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
IndentIndent57268-5 Therapy need: Number of therapy visits indicated (total of physical, occupational and speech-language pathology combined) {#}

Fully-Specified Name

Component
Outcome and assessment information set (OASIS) form - version E - Start of Care
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.72
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
Order
Panel Type
Panel

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=99131-5
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/99131-5